Sen. Rachelle Crowe

Filed: 3/8/2022

 

 


 

 


 
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1
AMENDMENT TO SENATE BILL 970

2    AMENDMENT NO. ______. Amend Senate Bill 970 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Sexual Assault Survivors Emergency
5Treatment Act is amended by changing Sections 1a, 1a-1, 2,
62-1, 2.1, 2.1-1, 5, 5-1, and 5.4 as follows:
 
7    (410 ILCS 70/1a)  (from Ch. 111 1/2, par. 87-1a)
8    Sec. 1a. Definitions.
9    (a) 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

 

 

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1care facility, other than a hospital, with a sexual assault
2treatment plan approved by the Department to provide medical
3forensic services to: (A) pediatric sexual assault survivors
4who present with a complaint of sexual assault within a
5minimum of 96 hours the last 7 days or who have disclosed past
6sexual assault by a specific individual and were in the care of
7that individual within a minimum of 96 hours; and (B) sexual
8assault survivors at least 13 years of age but under 18 years
9of age who present with a complaint of sexual assault within a
10minimum of the last 7 days or who have disclosed past sexual
11assault by a specific individual and were in the care of that
12individual within a minimum of the last 7 days.
13    "Areawide sexual assault treatment plan" means a plan,
14developed by hospitals or by hospitals and approved pediatric
15health care facilities in a community or area to be served,
16which provides for medical forensic services to sexual assault
17survivors that shall be made available by each of the
18participating hospitals and approved pediatric health care
19facilities.
20    "Board-certified child abuse pediatrician" means a
21physician certified by the American Board of Pediatrics in
22child abuse pediatrics.
23    "Board-eligible child abuse pediatrician" means a
24physician who has completed the requirements set forth by the
25American Board of Pediatrics to take the examination for
26certification in child abuse pediatrics.

 

 

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1    "Department" means the Department of Public Health.
2    "Emergency contraception" means medication as approved by
3the federal Food and Drug Administration (FDA) that can
4significantly reduce the risk of pregnancy if taken within 72
5hours after sexual assault.
6    "Follow-up healthcare" means healthcare services related
7to a sexual assault, including laboratory services and
8pharmacy services, rendered within 90 days of the initial
9visit for medical forensic services.
10    "Health care professional" means a physician, a physician
11assistant, a sexual assault forensic examiner, an advanced
12practice registered nurse, a registered professional nurse, a
13licensed practical nurse, or a sexual assault nurse examiner.
14    "Hospital" means a hospital licensed under the Hospital
15Licensing Act or operated under the University of Illinois
16Hospital Act, any outpatient center included in the hospital's
17sexual assault treatment plan where hospital employees provide
18medical forensic services, and an out-of-state hospital that
19has consented to the jurisdiction of the Department under
20Section 2.06.
21    "Illinois State Police Sexual Assault Evidence Collection
22Kit" means a prepackaged set of materials and forms to be used
23for the collection of evidence relating to sexual assault. The
24standardized evidence collection kit for the State of Illinois
25shall be the Illinois State Police Sexual Assault Evidence
26Collection Kit.

 

 

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

 

 

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

 

 

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

 

 

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

 

 

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1medical forensic services to: (A) all sexual assault survivors
213 years of age or older who present with a complaint of sexual
3assault within a minimum of the last 7 days or who have
4disclosed past sexual assault by a specific individual and
5were in the care of that individual within a minimum of the
6last 7 days; and (B) pediatric sexual assault survivors who
7present with a complaint of sexual assault within a minimum of
896 hours or who have disclosed past sexual assault by a
9specific individual and were in the care of that individual
10within a minimum of 96 hours.
11    "Treatment hospital with approved pediatric transfer"
12means a hospital with a treatment plan approved by the
13Department to provide medical forensic services to sexual
14assault survivors 13 years old or older who present with a
15complaint of sexual assault within a minimum of the last 7 days
16or who have disclosed past sexual assault by a specific
17individual and were in the care of that individual within a
18minimum of the last 7 days.
19    (b) This Section is effective on and after January 1, 2024
202022.
21(Source: P.A. 101-81, eff. 7-12-19; 101-634, eff. 6-5-20;
22102-22, eff. 6-25-21; 102-538, eff. 8-20-21; 102-674, eff.
2311-30-21; revised 12-16-21.)
 
24    (410 ILCS 70/1a-1)
25    (Section scheduled to be repealed on December 31, 2023)

 

 

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1    Sec. 1a-1. Definitions.
2    (a) In this Act:
3    "Advanced practice registered nurse" has the meaning
4provided in Section 50-10 of the Nurse Practice Act.
5    "Ambulance provider" means an individual or entity that
6owns and operates a business or service using ambulances or
7emergency medical services vehicles to transport emergency
8patients.
9    "Approved pediatric health care facility" means a health
10care facility, other than a hospital, with a sexual assault
11treatment plan approved by the Department to provide medical
12forensic services to: (A) pediatric sexual assault survivors
13who present with a complaint of sexual assault within a
14minimum of 96 hours the last 7 days or who have disclosed past
15sexual assault by a specific individual and were in the care of
16that individual within a minimum of 96 hours; and (B) sexual
17assault survivors at least 13 years of age but under 18 years
18of age who present with a complaint of sexual assault within a
19minimum of the last 7 days or who have disclosed past sexual
20assault by a specific individual and were in the care of that
21individual within a minimum of the last 7 days.
22    "Approved federally qualified health center" means a
23facility as defined in Section 1905(l)(2)(B) of the federal
24Social Security Act with a sexual assault treatment plan
25approved by the Department to provide medical forensic
26services to: (A) sexual assault survivors 13 years old or

 

 

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1older who present with a complaint of sexual assault within a
2minimum of the last 7 days or who have disclosed past sexual
3assault by a specific individual and were in the care of that
4individual within a minimum of the last 7 days; and (B)
5pediatric sexual assault survivors who present with a
6complaint of sexual assault within a minimum of 96 hours or who
7have disclosed past sexual assault by a specific individual
8and were in the care of that individual within a minimum of 96
9hours.
10    "Areawide sexual assault treatment plan" means a plan,
11developed by hospitals or by hospitals, approved pediatric
12health care facilities, and approved federally qualified
13health centers in a community or area to be served, which
14provides for medical forensic services to sexual assault
15survivors that shall be made available by each of the
16participating hospitals and approved pediatric health care
17facilities.
18    "Board-certified child abuse pediatrician" means a
19physician certified by the American Board of Pediatrics in
20child abuse pediatrics.
21    "Board-eligible child abuse pediatrician" means a
22physician who has completed the requirements set forth by the
23American Board of Pediatrics to take the examination for
24certification in child abuse pediatrics.
25    "Department" means the Department of Public Health.
26    "Emergency contraception" means medication as approved by

 

 

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1the federal Food and Drug Administration (FDA) that can
2significantly reduce the risk of pregnancy if taken within 72
3hours after sexual assault.
4    "Federally qualified health center" means a facility as
5defined in Section 1905(l)(2)(B) of the federal Social
6Security Act that provides primary care or sexual health
7services.
8    "Follow-up healthcare" means healthcare services related
9to a sexual assault, including laboratory services and
10pharmacy services, rendered within 90 days of the initial
11visit for medical forensic services.
12    "Health care professional" means a physician, a physician
13assistant, a sexual assault forensic examiner, an advanced
14practice registered nurse, a registered professional nurse, a
15licensed practical nurse, or a sexual assault nurse examiner.
16    "Hospital" means a hospital licensed under the Hospital
17Licensing Act or operated under the University of Illinois
18Hospital Act, any outpatient center included in the hospital's
19sexual assault treatment plan where hospital employees provide
20medical forensic services, and an out-of-state hospital that
21has consented to the jurisdiction of the Department under
22Section 2.06-1.
23    "Illinois State Police Sexual Assault Evidence Collection
24Kit" means a prepackaged set of materials and forms to be used
25for the collection of evidence relating to sexual assault. The
26standardized evidence collection kit for the State of Illinois

 

 

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

 

 

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1physician's office that provides medical services to pediatric
2patients, to pediatric sexual assault survivors, and to sexual
3assault survivors at least 13 years of age but under 18 years
4of age.
5    "Pediatric sexual assault survivor" means a person under
6the age of 13 who presents for medical forensic services in
7relation to injuries or trauma resulting from a sexual
8assault.
9    "Photo documentation" means digital photographs or
10colposcope videos stored and backed up securely in the
11original file format.
12    "Physician" means a person licensed to practice medicine
13in all its branches.
14    "Physician assistant" has the meaning provided in Section
154 of the Physician Assistant Practice Act of 1987.
16    "Prepubescent sexual assault survivor" means a female who
17is under the age of 18 years and has not had a first menstrual
18cycle or a male who is under the age of 18 years and has not
19started to develop secondary sex characteristics who presents
20for medical forensic services in relation to injuries or
21trauma resulting from a sexual assault.
22    "Qualified medical provider" means a board-certified child
23abuse pediatrician, board-eligible child abuse pediatrician, a
24sexual assault forensic examiner, or a sexual assault nurse
25examiner who has access to photo documentation tools, and who
26participates in peer review.

 

 

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1    "Registered Professional Nurse" has the meaning provided
2in Section 50-10 of the Nurse Practice Act.
3    "Sexual assault" means:
4        (1) an act of sexual conduct; as used in this
5    paragraph, "sexual conduct" has the meaning provided under
6    Section 11-0.1 of the Criminal Code of 2012; or
7        (2) any act of sexual penetration; as used in this
8    paragraph, "sexual penetration" has the meaning provided
9    under Section 11-0.1 of the Criminal Code of 2012 and
10    includes, without limitation, acts prohibited under
11    Sections 11-1.20 through 11-1.60 of the Criminal Code of
12    2012.
13    "Sexual assault forensic examiner" means a physician or
14physician assistant who has completed training that meets or
15is substantially similar to the Sexual Assault Nurse Examiner
16Education Guidelines established by the International
17Association of Forensic Nurses.
18    "Sexual assault nurse examiner" means an advanced practice
19registered nurse or registered professional nurse who has
20completed a sexual assault nurse examiner training program
21that meets the Sexual Assault Nurse Examiner Education
22Guidelines established by the International Association of
23Forensic Nurses.
24    "Sexual assault services voucher" means a document
25generated by a hospital or approved pediatric health care
26facility at the time the sexual assault survivor receives

 

 

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1outpatient medical forensic services that may be used to seek
2payment for any ambulance services, medical forensic services,
3laboratory services, pharmacy services, and follow-up
4healthcare provided as a result of the sexual assault.
5    "Sexual assault survivor" means a person who presents for
6medical forensic services in relation to injuries or trauma
7resulting from a sexual assault.
8    "Sexual assault transfer plan" means a written plan
9developed by a hospital and approved by the Department, which
10describes the hospital's procedures for transferring sexual
11assault survivors to another hospital, and an approved
12pediatric health care facility, if applicable, in order to
13receive medical forensic services.
14    "Sexual assault treatment plan" means a written plan that
15describes the procedures and protocols for providing medical
16forensic services to sexual assault survivors who present
17themselves for such services, either directly or through
18transfer from a hospital or an approved pediatric health care
19facility.
20    "Transfer hospital" means a hospital with a sexual assault
21transfer plan approved by the Department.
22    "Transfer services" means the appropriate medical
23screening examination and necessary stabilizing treatment
24prior to the transfer of a sexual assault survivor to a
25hospital or an approved pediatric health care facility that
26provides medical forensic services to sexual assault survivors

 

 

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1pursuant to a sexual assault treatment plan or areawide sexual
2assault treatment plan.
3    "Treatment hospital" means a hospital with a sexual
4assault treatment plan approved by the Department to provide
5medical forensic services to: (A) all sexual assault survivors
613 years of age or older who present with a complaint of sexual
7assault within a minimum of the last 7 days or who have
8disclosed past sexual assault by a specific individual and
9were in the care of that individual within a minimum of the
10last 7 days; and (B) pediatric sexual assault survivors who
11present with a complaint of sexual assault within a minimum of
1296 hours or who have disclosed past sexual assault by a
13specific individual and were in the care of that individual
14within a minimum of 96 hours.
15    "Treatment hospital with approved pediatric transfer"
16means a hospital with a treatment plan approved by the
17Department to provide medical forensic services to sexual
18assault survivors 13 years old or older who present with a
19complaint of sexual assault within a minimum of the last 7 days
20or who have disclosed past sexual assault by a specific
21individual and were in the care of that individual within a
22minimum of the last 7 days.
23    (b) This Section is repealed on December 31, 2023.
24(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21;
25102-674, eff. 11-30-21.)
 

 

 

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1    (410 ILCS 70/2)  (from Ch. 111 1/2, par. 87-2)
2    Sec. 2. Hospital and approved pediatric health care
3facility requirements for sexual assault plans.
4    (a) Every hospital required to be licensed by the
5Department pursuant to the Hospital Licensing Act, or operated
6under the University of Illinois Hospital Act that provides
7general medical and surgical hospital services shall provide
8either (i) transfer services to all sexual assault survivors,
9(ii) medical forensic services to all sexual assault
10survivors, or (iii) transfer services to pediatric sexual
11assault survivors and medical forensic services to sexual
12assault survivors 13 years old or older, in accordance with
13rules adopted by the Department.
14    In addition, every such hospital, regardless of whether or
15not a request is made for reimbursement, shall submit to the
16Department a plan to provide either (i) transfer services to
17all sexual assault survivors, (ii) medical forensic services
18to all sexual assault survivors, or (iii) transfer services to
19pediatric sexual assault survivors and medical forensic
20services to sexual assault survivors 13 years old or older.
21The Department shall approve such plan for either (i) transfer
22services to all sexual assault survivors, (ii) medical
23forensic services to all sexual assault survivors, or (iii)
24transfer services to pediatric sexual assault survivors and
25medical forensic services to sexual assault survivors 13 years
26old or older, if it finds that the implementation of the

 

 

10200SB0970sam001- 18 -LRB102 04884 CPF 36919 a

1proposed plan would provide (i) transfer services or (ii)
2medical forensic services for sexual assault survivors in
3accordance with the requirements of this Act and provide
4sufficient protections from the risk of pregnancy to sexual
5assault survivors. Notwithstanding anything to the contrary in
6this paragraph, the Department may approve a sexual assault
7transfer plan for the provision of medical forensic services
8if:
9        (1) a treatment hospital with approved pediatric
10    transfer has agreed, as part of an areawide treatment
11    plan, to accept sexual assault survivors 13 years of age
12    or older from the proposed transfer hospital, if the
13    treatment hospital with approved pediatric transfer is
14    geographically closer to the transfer hospital than a
15    treatment hospital or another treatment hospital with
16    approved pediatric transfer and such transfer is not
17    unduly burdensome on the sexual assault survivor; and
18        (2) a treatment hospital has agreed, as a part of an
19    areawide treatment plan, to accept sexual assault
20    survivors under 13 years of age from the proposed transfer
21    hospital and transfer to the treatment hospital would not
22    unduly burden the sexual assault survivor.
23    The Department may not approve a sexual assault transfer
24plan unless a treatment hospital has agreed, as a part of an
25areawide treatment plan, to accept sexual assault survivors
26from the proposed transfer hospital and a transfer to the

 

 

10200SB0970sam001- 19 -LRB102 04884 CPF 36919 a

1treatment hospital would not unduly burden the sexual assault
2survivor.
3    In counties with a population of less than 1,000,000, the
4Department may not approve a sexual assault transfer plan for
5a hospital located within a 20-mile radius of a 4-year public
6university, not including community colleges, unless there is
7a treatment hospital or out-of-state hospital with a sexual
8assault treatment plan approved by the Department within a
930-mile 20-mile radius of the 4-year public university.
10    A transfer must be in accordance with federal and State
11laws and local ordinances.
12    A treatment hospital with approved pediatric transfer must
13submit an areawide treatment plan under Section 3 of this Act
14that includes a written agreement with a treatment hospital
15stating that the treatment hospital will provide medical
16forensic services to pediatric sexual assault survivors
17transferred from the treatment hospital with approved
18pediatric transfer. The areawide treatment plan may also
19include an approved pediatric health care facility.
20    A transfer hospital must submit an areawide treatment plan
21under Section 3 of this Act that includes a written agreement
22with a treatment hospital stating that the treatment hospital
23will provide medical forensic services to all sexual assault
24survivors transferred from the transfer hospital. The areawide
25treatment plan may also include an approved pediatric health
26care facility. Notwithstanding anything to the contrary in

 

 

10200SB0970sam001- 20 -LRB102 04884 CPF 36919 a

1this paragraph, the areawide treatment plan may include a
2written agreement with a treatment hospital with approved
3pediatric transfer that is geographically closer than other
4hospitals providing medical forensic services to sexual
5assault survivors 13 years of age or older stating that the
6treatment hospital with approved pediatric transfer will
7provide medical services to sexual assault survivors 13 years
8of age or older who are transferred from the transfer
9hospital. If the areawide treatment plan includes a written
10agreement with a treatment hospital with approved pediatric
11transfer, it must also include a written agreement with a
12treatment hospital stating that the treatment hospital will
13provide medical forensic services to sexual assault survivors
14under 13 years of age who are transferred from the transfer
15hospital.
16    Beginning January 1, 2019, each treatment hospital and
17treatment hospital with approved pediatric transfer shall
18ensure that emergency department attending physicians,
19physician assistants, advanced practice registered nurses, and
20registered professional nurses providing clinical services,
21who do not meet the definition of a qualified medical provider
22in Section 1a of this Act, receive a minimum of 2 hours of
23sexual assault training by July 1, 2020 or until the treatment
24hospital or treatment hospital with approved pediatric
25transfer certifies to the Department, in a form and manner
26prescribed by the Department, that it employs or contracts

 

 

10200SB0970sam001- 21 -LRB102 04884 CPF 36919 a

1with a qualified medical provider in accordance with
2subsection (a-7) of Section 5, whichever occurs first.
3    After July 1, 2020 or once a treatment hospital or a
4treatment hospital with approved pediatric transfer certifies
5compliance with subsection (a-7) of Section 5, whichever
6occurs first, each treatment hospital and treatment hospital
7with approved pediatric transfer shall ensure that emergency
8department attending physicians, physician assistants,
9advanced practice registered nurses, and registered
10professional nurses providing clinical services, who do not
11meet the definition of a qualified medical provider in Section
121a of this Act, receive a minimum of 2 hours of continuing
13education on responding to sexual assault survivors every 2
14years. Protocols for training shall be included in the
15hospital's sexual assault treatment plan.
16    Sexual assault training provided under this subsection may
17be provided in person or online and shall include, but not be
18limited to:
19        (1) information provided on the provision of medical
20    forensic services;
21        (2) information on the use of the Illinois Sexual
22    Assault Evidence Collection Kit;
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; and

 

 

10200SB0970sam001- 22 -LRB102 04884 CPF 36919 a

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

 

 

10200SB0970sam001- 23 -LRB102 04884 CPF 36919 a

1the proposed plan would provide medical forensic services for
2pediatric sexual assault survivors, then the Department shall
3approve the plan. If the Department does not approve a plan,
4then the Department shall notify the pediatric health care
5facility that the proposed plan has not been approved. The
6pediatric health care facility shall have 30 days to submit a
7revised plan. The Department shall review the revised plan
8within 30 days after receipt of the plan and notify the
9pediatric health care facility whether the revised plan is
10approved or rejected. Until the Department has approved a
11treatment plan, a A pediatric health care facility may not
12provide medical forensic services to pediatric sexual assault
13survivors who present with a complaint of sexual assault
14within a minimum of 96 hours the last 7 days or who have
15disclosed past sexual assault by a specific individual and
16were in the care of that individual within a minimum of 96
17hours the last 7 days until the Department has approved a
18treatment plan.
19    If an approved pediatric health care facility is not open
2024 hours a day, 7 days a week, it shall post signage at each
21public entrance to its facility that:
22        (1) is at least 14 inches by 14 inches in size;
23        (2) directs those seeking services as follows: "If
24    closed, call 911 for services or go to the closest
25    hospital emergency department, (insert name) located at
26    (insert address).";

 

 

10200SB0970sam001- 24 -LRB102 04884 CPF 36919 a

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

 

 

10200SB0970sam001- 25 -LRB102 04884 CPF 36919 a

1approved pediatric health care facility. With the consent of
2the sexual assault survivor, a rape crisis counselor shall
3remain in the exam room during the collection for forensic
4evidence.
5    (d) Every treatment hospital, treatment hospital with
6approved pediatric transfer, and approved pediatric health
7care facility's sexual assault treatment plan shall include
8procedures for complying with mandatory reporting requirements
9pursuant to (1) the Abused and Neglected Child Reporting Act;
10(2) the Abused and Neglected Long Term Care Facility Residents
11Reporting Act; (3) the Adult Protective Services Act; and (iv)
12the Criminal Identification Act.
13    (e) Each treatment hospital, treatment hospital with
14approved pediatric transfer, and approved pediatric health
15care facility shall submit to the Department every 6 months,
16in a manner prescribed by the Department, the following
17information:
18        (1) The total number of patients who presented with a
19    complaint of sexual assault.
20        (2) The total number of Illinois Sexual Assault
21    Evidence Collection Kits:
22            (A) offered to (i) all sexual assault survivors
23        and (ii) pediatric sexual assault survivors pursuant
24        to paragraph (1.5) of subsection (a-5) of Section 5;
25            (B) completed for (i) all sexual assault survivors
26        and (ii) pediatric sexual assault survivors; and

 

 

10200SB0970sam001- 26 -LRB102 04884 CPF 36919 a

1            (C) declined by (i) all sexual assault survivors
2        and (ii) pediatric sexual assault survivors.
3    This information shall be made available on the
4Department's website.
5    (f) This Section is effective on and after January 1,
62024.
7(Source: P.A. 101-73, eff. 7-12-19; 101-634, eff. 6-5-20;
8102-22, eff. 6-25-21; 102-674, eff. 11-30-21.)
 
9    (410 ILCS 70/2-1)
10    (Section scheduled to be repealed on December 31, 2023)
11    Sec. 2-1. Hospital, approved pediatric health care
12facility, and approved federally qualified health center
13requirements for sexual assault plans.
14    (a) Every hospital required to be licensed by the
15Department pursuant to the Hospital Licensing Act, or operated
16under the University of Illinois Hospital Act that provides
17general medical and surgical hospital services shall provide
18either (i) transfer services to all sexual assault survivors,
19(ii) medical forensic services to all sexual assault
20survivors, or (iii) transfer services to pediatric sexual
21assault survivors and medical forensic services to sexual
22assault survivors 13 years old or older, in accordance with
23rules adopted by the Department.
24    In addition, every such hospital, regardless of whether or
25not a request is made for reimbursement, shall submit to the

 

 

10200SB0970sam001- 27 -LRB102 04884 CPF 36919 a

1Department a plan to provide either (i) transfer services to
2all sexual assault survivors, (ii) medical forensic services
3to all sexual assault survivors, or (iii) transfer services to
4pediatric sexual assault survivors and medical forensic
5services to sexual assault survivors 13 years old or older.
6The Department shall approve such plan for either (i) transfer
7services to all sexual assault survivors, (ii) medical
8forensic services to all sexual assault survivors, or (iii)
9transfer services to pediatric sexual assault survivors and
10medical forensic services to sexual assault survivors 13 years
11old or older, if it finds that the implementation of the
12proposed plan would provide (i) transfer services or (ii)
13medical forensic services for sexual assault survivors in
14accordance with the requirements of this Act and provide
15sufficient protections from the risk of pregnancy to sexual
16assault survivors. Notwithstanding anything to the contrary in
17this paragraph, the Department may approve a sexual assault
18transfer plan for the provision of medical forensic services
19if:
20        (1) a treatment hospital with approved pediatric
21    transfer has agreed, as part of an areawide treatment
22    plan, to accept sexual assault survivors 13 years of age
23    or older from the proposed transfer hospital, if the
24    treatment hospital with approved pediatric transfer is
25    geographically closer to the transfer hospital than a
26    treatment hospital or another treatment hospital with

 

 

10200SB0970sam001- 28 -LRB102 04884 CPF 36919 a

1    approved pediatric transfer and such transfer is not
2    unduly burdensome on the sexual assault survivor; and
3        (2) a treatment hospital has agreed, as a part of an
4    areawide treatment plan, to accept sexual assault
5    survivors under 13 years of age from the proposed transfer
6    hospital and transfer to the treatment hospital would not
7    unduly burden the sexual assault survivor.
8    The Department may not approve a sexual assault transfer
9plan unless a treatment hospital has agreed, as a part of an
10areawide treatment plan, to accept sexual assault survivors
11from the proposed transfer hospital and a transfer to the
12treatment hospital would not unduly burden the sexual assault
13survivor.
14    In counties with a population of less than 1,000,000, the
15Department may not approve a sexual assault transfer plan for
16a hospital located within a 20-mile radius of a 4-year public
17university, not including community colleges, unless there is
18a treatment hospital or out-of-state hospital with a sexual
19assault treatment plan approved by the Department within a
2030-mile 20-mile radius of the 4-year public university.
21    A transfer must be in accordance with federal and State
22laws and local ordinances.
23    A treatment hospital with approved pediatric transfer must
24submit an areawide treatment plan under Section 3-1 of this
25Act that includes a written agreement with a treatment
26hospital stating that the treatment hospital will provide

 

 

10200SB0970sam001- 29 -LRB102 04884 CPF 36919 a

1medical forensic services to pediatric sexual assault
2survivors transferred from the treatment hospital with
3approved pediatric transfer. The areawide treatment plan may
4also include an approved pediatric health care facility.
5    A transfer hospital must submit an areawide treatment plan
6under Section 3-1 of this Act that includes a written
7agreement with a treatment hospital stating that the treatment
8hospital will provide medical forensic services to all sexual
9assault survivors transferred from the transfer hospital. The
10areawide treatment plan may also include an approved pediatric
11health care facility. Notwithstanding anything to the contrary
12in this paragraph, the areawide treatment plan may include a
13written agreement with a treatment hospital with approved
14pediatric transfer that is geographically closer than other
15hospitals providing medical forensic services to sexual
16assault survivors 13 years of age or older stating that the
17treatment hospital with approved pediatric transfer will
18provide medical services to sexual assault survivors 13 years
19of age or older who are transferred from the transfer
20hospital. If the areawide treatment plan includes a written
21agreement with a treatment hospital with approved pediatric
22transfer, it must also include a written agreement with a
23treatment hospital stating that the treatment hospital will
24provide medical forensic services to sexual assault survivors
25under 13 years of age who are transferred from the transfer
26hospital.

 

 

10200SB0970sam001- 30 -LRB102 04884 CPF 36919 a

1    Beginning January 1, 2019, each treatment hospital and
2treatment hospital with approved pediatric transfer shall
3ensure that emergency department attending physicians,
4physician assistants, advanced practice registered nurses, and
5registered professional nurses providing clinical services,
6who do not meet the definition of a qualified medical provider
7in Section 1a-1 of this Act, receive a minimum of 2 hours of
8sexual assault training by July 1, 2020 or until the treatment
9hospital or treatment hospital with approved pediatric
10transfer certifies to the Department, in a form and manner
11prescribed by the Department, that it employs or contracts
12with a qualified medical provider in accordance with
13subsection (a-7) of Section 5-1, whichever occurs first.
14    After July 1, 2020 or once a treatment hospital or a
15treatment hospital with approved pediatric transfer certifies
16compliance with subsection (a-7) of Section 5-1, whichever
17occurs first, each treatment hospital and treatment hospital
18with approved pediatric transfer shall ensure that emergency
19department attending physicians, physician assistants,
20advanced practice registered nurses, and registered
21professional nurses providing clinical services, who do not
22meet the definition of a qualified medical provider in Section
231a-1 of this Act, receive a minimum of 2 hours of continuing
24education on responding to sexual assault survivors every 2
25years. Protocols for training shall be included in the
26hospital's sexual assault treatment plan.

 

 

10200SB0970sam001- 31 -LRB102 04884 CPF 36919 a

1    Sexual assault training provided under this subsection may
2be provided in person or online and shall include, but not be
3limited to:
4        (1) information provided on the provision of medical
5    forensic services;
6        (2) information on the use of the Illinois Sexual
7    Assault Evidence Collection Kit;
8        (3) information on sexual assault epidemiology,
9    neurobiology of trauma, drug-facilitated sexual assault,
10    child sexual abuse, and Illinois sexual assault-related
11    laws; and
12        (4) information on the hospital's sexual
13    assault-related policies and procedures.
14    The online training made available by the Office of the
15Attorney General under subsection (b) of Section 10-1 may be
16used to comply with this subsection.
17    (b) An approved pediatric health care facility may provide
18medical forensic services, in accordance with rules adopted by
19the Department, to all pediatric sexual assault survivors who
20present for medical forensic services in relation to injuries
21or trauma resulting from a sexual assault. These services
22shall be provided by a qualified medical provider.
23    A pediatric health care facility must participate in or
24submit an areawide treatment plan under Section 3-1 of this
25Act that includes a treatment hospital. If a pediatric health
26care facility does not provide certain medical or surgical

 

 

10200SB0970sam001- 32 -LRB102 04884 CPF 36919 a

1services that are provided by hospitals, the areawide sexual
2assault treatment plan must include a procedure for ensuring a
3sexual assault survivor in need of such medical or surgical
4services receives the services at the treatment hospital. The
5areawide treatment plan may also include a treatment hospital
6with approved pediatric transfer.
7    The Department shall review a proposed sexual assault
8treatment plan submitted by a pediatric health care facility
9within 60 days after receipt of the plan. If the Department
10finds that the proposed plan meets the minimum requirements
11set forth in Section 5-1 of this Act and that implementation of
12the proposed plan would provide medical forensic services for
13pediatric sexual assault survivors, then the Department shall
14approve the plan. If the Department does not approve a plan,
15then the Department shall notify the pediatric health care
16facility that the proposed plan has not been approved. The
17pediatric health care facility shall have 30 days to submit a
18revised plan. The Department shall review the revised plan
19within 30 days after receipt of the plan and notify the
20pediatric health care facility whether the revised plan is
21approved or rejected. Until the Department has approved a
22treatment plan, a A pediatric health care facility may not
23provide medical forensic services to pediatric sexual assault
24survivors who present with a complaint of sexual assault
25within a minimum of 96 hours the last 7 days or who have
26disclosed past sexual assault by a specific individual and

 

 

10200SB0970sam001- 33 -LRB102 04884 CPF 36919 a

1were in the care of that individual within a minimum of 96
2hours the last 7 days until the Department has approved a
3treatment plan.
4    If an approved pediatric health care facility is not open
524 hours a day, 7 days a week, it shall post signage at each
6public entrance to its facility that:
7        (1) is at least 14 inches by 14 inches in size;
8        (2) directs those seeking services as follows: "If
9    closed, call 911 for services or go to the closest
10    hospital emergency department, (insert name) located at
11    (insert address).";
12        (3) lists the approved pediatric health care
13    facility's hours of operation;
14        (4) lists the street address of the building;
15        (5) has a black background with white bold capital
16    lettering in a clear and easy to read font that is at least
17    72-point type, and with "call 911" in at least 125-point
18    type;
19        (6) is posted clearly and conspicuously on or adjacent
20    to the door at each entrance and, if building materials
21    allow, is posted internally for viewing through glass; if
22    posted externally, the sign shall be made of
23    weather-resistant and theft-resistant materials,
24    non-removable, and adhered permanently to the building;
25    and
26        (7) has lighting that is part of the sign itself or is

 

 

10200SB0970sam001- 34 -LRB102 04884 CPF 36919 a

1    lit with a dedicated light that fully illuminates the
2    sign.
3    (b-5) An approved federally qualified health center may
4provide medical forensic services, in accordance with rules
5adopted by the Department, to all sexual assault survivors 13
6years old or older who present for medical forensic services
7in relation to injuries or trauma resulting from a sexual
8assault during the duration, and 90 days thereafter, of a
9proclamation issued by the Governor declaring a disaster, or a
10successive proclamation regarding the same disaster, in all
11102 counties due to a public health emergency. These services
12shall be provided by (i) a qualified medical provider,
13physician, physician assistant, or advanced practice
14registered nurse who has received a minimum of 10 hours of
15sexual assault training provided by a qualified medical
16provider on current Illinois legislation, how to properly
17perform a medical forensic examination, evidence collection,
18drug and alcohol facilitated sexual assault, and forensic
19photography and has all documentation and photos peer reviewed
20by a qualified medical provider or (ii) until the federally
21qualified health care center certifies to the Department, in a
22form and manner prescribed by the Department, that it employs
23or contracts with a qualified medical provider in accordance
24with subsection (a-7) of Section 5-1, whichever occurs first.
25    A federally qualified health center must participate in or
26submit an areawide treatment plan under Section 3-1 of this

 

 

10200SB0970sam001- 35 -LRB102 04884 CPF 36919 a

1Act that includes a treatment hospital. If a federally
2qualified health center does not provide certain medical or
3surgical services that are provided by hospitals, the areawide
4sexual assault treatment plan must include a procedure for
5ensuring a sexual assault survivor in need of such medical or
6surgical services receives the services at the treatment
7hospital. The areawide treatment plan may also include a
8treatment hospital with approved pediatric transfer or an
9approved pediatric health care facility.
10    The Department shall review a proposed sexual assault
11treatment plan submitted by a federally qualified health
12center within 14 days after receipt of the plan. If the
13Department finds that the proposed plan meets the minimum
14requirements set forth in Section 5-1 and that implementation
15of the proposed plan would provide medical forensic services
16for sexual assault survivors 13 years old or older, then the
17Department shall approve the plan. If the Department does not
18approve a plan, then the Department shall notify the federally
19qualified health center that the proposed plan has not been
20approved. The federally qualified health center shall have 14
21days to submit a revised plan. The Department shall review the
22revised plan within 14 days after receipt of the plan and
23notify the federally qualified health center whether the
24revised plan is approved or rejected. Until the Department has
25approved a treatment plan, a A federally qualified health
26center may not (i) provide medical forensic services to: (A)

 

 

10200SB0970sam001- 36 -LRB102 04884 CPF 36919 a

1sexual assault survivors 13 years old or older who present
2with a complaint of sexual assault within a minimum of the
3previous 7 days or (ii) who have disclosed past sexual assault
4by a specific individual and were in the care of that
5individual within a minimum of the previous 7 days; and (B)
6pediatric sexual assault survivors who present with a
7complaint of sexual assault within a minimum of 96 hours or who
8have disclosed past sexual assault by a specific individual
9and were in the care of that individual within a minimum of 96
10hours until the Department has approved a treatment plan.
11    If an approved federally qualified health center is not
12open 24 hours a day, 7 days a week, it shall post signage at
13each public entrance to its facility that:
14        (1) is at least 14 inches by 14 inches in size;
15        (2) directs those seeking services as follows: "If
16    closed, call 911 for services or go to the closest
17    hospital emergency department, (insert name) located at
18    (insert address).";
19        (3) lists the approved federally qualified health
20    center's hours of operation;
21        (4) lists the street address of the building;
22        (5) has a black background with white bold capital
23    lettering in a clear and easy to read font that is at least
24    72-point type, and with "call 911" in at least 125-point
25    type;
26        (6) is posted clearly and conspicuously on or adjacent

 

 

10200SB0970sam001- 37 -LRB102 04884 CPF 36919 a

1    to the door at each entrance and, if building materials
2    allow, is posted internally for viewing through glass; if
3    posted externally, the sign shall be made of
4    weather-resistant and theft-resistant materials,
5    non-removable, and adhered permanently to the building;
6    and
7        (7) has lighting that is part of the sign itself or is
8    lit with a dedicated light that fully illuminates the
9    sign.
10    A copy of the proposed sign must be submitted to the
11Department and approved as part of the approved federally
12qualified health center's sexual assault treatment plan.
13    (c) Each treatment hospital, treatment hospital with
14approved pediatric transfer, approved pediatric health care
15facility, and approved federally qualified health center must
16enter into a memorandum of understanding with a rape crisis
17center for medical advocacy services, if these services are
18available to the treatment hospital, treatment hospital with
19approved pediatric transfer, approved pediatric health care
20facility, or approved federally qualified health center. With
21the 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, approved pediatric health care
26facility, and approved federally qualified health center's

 

 

10200SB0970sam001- 38 -LRB102 04884 CPF 36919 a

1sexual assault treatment plan shall include procedures for
2complying with mandatory reporting requirements pursuant to
3(1) the Abused and Neglected Child Reporting Act; (2) the
4Abused and Neglected Long Term Care Facility Residents
5Reporting Act; (3) the Adult Protective Services Act; and (iv)
6the Criminal Identification Act.
7    (e) Each treatment hospital, treatment hospital with
8approved pediatric transfer, approved pediatric health care
9facility, and approved federally qualified health center shall
10submit to the Department every 6 months, in a manner
11prescribed by the Department, the following information:
12        (1) The total number of patients who presented with a
13    complaint of sexual assault.
14        (2) The total number of Illinois Sexual Assault
15    Evidence Collection Kits:
16            (A) offered to (i) all sexual assault survivors
17        and (ii) pediatric sexual assault survivors pursuant
18        to paragraph (1.5) of subsection (a-5) of Section 5-1;
19            (B) completed for (i) all sexual assault survivors
20        and (ii) pediatric sexual assault survivors; and
21            (C) declined by (i) all sexual assault survivors
22        and (ii) pediatric sexual assault survivors.
23    This information shall be made available on the
24Department's website.
25    (f) This Section is repealed on December 31, 2023.
26(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21;

 

 

10200SB0970sam001- 39 -LRB102 04884 CPF 36919 a

1102-674, eff. 11-30-21.)
 
2    (410 ILCS 70/2.1)  (from Ch. 111 1/2, par. 87-2.1)
3    Sec. 2.1. Plan of correction; penalties.
4    (a) If the Department surveyor determines that the
5hospital or approved pediatric health care facility is not in
6compliance with its approved plan, the surveyor shall provide
7the hospital or approved pediatric health care facility with a
8written list of the specific items of noncompliance within 10
9working days after the conclusion of the on-site review. The
10hospital shall have 10 working days to submit to the
11Department a plan of correction which contains the hospital's
12or approved pediatric health care facility's specific
13proposals for correcting the items of noncompliance. The
14Department shall review the plan of correction and notify the
15hospital in writing within 10 working days as to whether the
16plan is acceptable or unacceptable.
17    If the Department finds the Plan of Correction
18unacceptable, the hospital or approved pediatric health care
19facility shall have 10 working days to resubmit an acceptable
20Plan of Correction. Upon notification that its Plan of
21Correction is acceptable, a hospital or approved pediatric
22health care facility shall implement the Plan of Correction
23within 60 days.
24    (b) The failure of a hospital to submit an acceptable Plan
25of Correction or to implement the Plan of Correction, within

 

 

10200SB0970sam001- 40 -LRB102 04884 CPF 36919 a

1the time frames required in this Section, will subject a
2hospital to the imposition of a fine by the Department. The
3Department may impose a fine of up to $500 per day until a
4hospital complies with the requirements of this Section. No
5enforcement action or fine shall be taken or assessed until
6(i) 12 months after the effective date of this amendatory Act
7of the 102nd General Assembly or (ii) after the end of a public
8health emergency declared by a State or federal governmental
9entity, whichever is later.
10    If an approved pediatric health care facility fails to
11submit an acceptable Plan of Correction or to implement the
12Plan of Correction within the time frames required in this
13Section, then the Department shall notify the approved
14pediatric health care facility that the approved pediatric
15health care facility may not provide medical forensic services
16under this Act. The Department may impose a fine of up to $500
17per patient provided services in violation of this Act.
18    (c) Before imposing a fine pursuant to this Section, the
19Department shall provide the hospital or approved pediatric
20health care facility via certified mail with written notice
21and an opportunity for an administrative hearing. Such hearing
22must be requested within 10 working days after receipt of the
23Department's Notice. All hearings shall be conducted in
24accordance with the Department's rules in administrative
25hearings.
26    (d) This Section is effective on and after January 1,

 

 

10200SB0970sam001- 41 -LRB102 04884 CPF 36919 a

12024.
2(Source: P.A. 101-81, eff. 7-12-19; 101-634, eff. 6-5-20;
3102-22, eff. 6-25-21; 102-674, eff. 11-30-21.)
 
4    (410 ILCS 70/2.1-1)
5    (Section scheduled to be repealed on December 31, 2023)
6    Sec. 2.1-1. Plan of correction; penalties.
7    (a) If the Department surveyor determines that the
8hospital, approved pediatric health care facility, or approved
9federally qualified health center is not in compliance with
10its approved plan, the surveyor shall provide the hospital,
11approved pediatric health care facility, or approved federally
12qualified health center with a written list of the specific
13items of noncompliance within 10 working days after the
14conclusion of the on-site review. The hospital, approved
15pediatric health care facility, or approved federally
16qualified health center shall have 10 working days to submit
17to the Department a plan of correction which contains the
18hospital's, approved pediatric health care facility's, or
19approved federally qualified health center's specific
20proposals for correcting the items of noncompliance. The
21Department shall review the plan of correction and notify the
22hospital, approved pediatric health care facility, or approved
23federally qualified health center in writing within 10 working
24days as to whether the plan is acceptable or unacceptable.
25    If the Department finds the Plan of Correction

 

 

10200SB0970sam001- 42 -LRB102 04884 CPF 36919 a

1unacceptable, the hospital, approved pediatric health care
2facility, or approved federally qualified health center shall
3have 10 working days to resubmit an acceptable Plan of
4Correction. Upon notification that its Plan of Correction is
5acceptable, a hospital, approved pediatric health care
6facility, or approved federally qualified health center shall
7implement the Plan of Correction within 60 days.
8    (b) The failure of a hospital to submit an acceptable Plan
9of Correction or to implement the Plan of Correction, within
10the time frames required in this Section, will subject a
11hospital to the imposition of a fine by the Department. The
12Department may impose a fine of up to $500 per day until a
13hospital complies with the requirements of this Section. No
14enforcement action or fine shall be taken or assessed until
15(i) 12 months after the effective date of this amendatory Act
16of the 102nd General Assembly or (ii) after the end of a public
17health emergency declared by a State or federal governmental
18entity, whichever is later.
19    If an approved pediatric health care facility or approved
20federally qualified health center fails to submit an
21acceptable Plan of Correction or to implement the Plan of
22Correction within the time frames required in this Section,
23then the Department shall notify the approved pediatric health
24care facility or approved federally qualified health center
25that the approved pediatric health care facility or approved
26federally qualified health center may not provide medical

 

 

10200SB0970sam001- 43 -LRB102 04884 CPF 36919 a

1forensic services under this Act. The Department may impose a
2fine of up to $500 per patient provided services in violation
3of this Act.
4    (c) Before imposing a fine pursuant to this Section, the
5Department shall provide the hospital, or approved pediatric
6health care facility, or approved federally qualified health
7center via certified mail with written notice and an
8opportunity for an administrative hearing. Such hearing must
9be requested within 10 working days after receipt of the
10Department's Notice. All hearings shall be conducted in
11accordance with the Department's rules in administrative
12hearings.
13    (d) This Section is repealed on December 31, 2023.
14(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21;
15102-674, eff. 11-30-21.)
 
16    (410 ILCS 70/5)  (from Ch. 111 1/2, par. 87-5)
17    Sec. 5. Minimum requirements for medical forensic services
18provided to sexual assault survivors by hospitals and approved
19pediatric health care facilities.
20    (a) Every hospital and approved pediatric health care
21facility providing medical forensic services to sexual assault
22survivors under this Act shall, as minimum requirements for
23such services, provide, with the consent of the sexual assault
24survivor, and as ordered by the attending physician, an
25advanced practice registered nurse, or a physician assistant,

 

 

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1the services set forth in subsection (a-5).
2    Beginning January 1, 2024 2023, a qualified medical
3provider must provide the services set forth in subsection
4(a-5).
5    (a-5) A treatment hospital, a treatment hospital with
6approved pediatric transfer, or an approved pediatric health
7care facility shall provide the following services in
8accordance with subsection (a):
9        (1) Appropriate medical forensic services without
10    delay, in a private, age-appropriate or
11    developmentally-appropriate space, required to ensure the
12    health, safety, and welfare of a sexual assault survivor
13    and which may be used as evidence in a criminal proceeding
14    against a person accused of the sexual assault, in a
15    proceeding under the Juvenile Court Act of 1987, or in an
16    investigation under the Abused and Neglected Child
17    Reporting Act.
18        Records of medical forensic services, including
19    results of examinations and tests, the Illinois State
20    Police Medical Forensic Documentation Forms, the Illinois
21    State Police Patient Discharge Materials, and the Illinois
22    State Police Patient Consent: Collect and Test Evidence or
23    Collect and Hold Evidence Form, shall be maintained by the
24    hospital or approved pediatric health care facility as
25    part of the patient's electronic medical record.
26        Records of medical forensic services of sexual assault

 

 

10200SB0970sam001- 45 -LRB102 04884 CPF 36919 a

1    survivors under the age of 18 shall be retained by the
2    hospital for a period of 60 years after the sexual assault
3    survivor reaches the age of 18. Records of medical
4    forensic services of sexual assault survivors 18 years of
5    age or older shall be retained by the hospital for a period
6    of 20 years after the date the record was created.
7        Records of medical forensic services may only be
8    disseminated in accordance with Section 6.5 of this Act
9    and other State and federal law.
10        (1.5) An offer to complete the Illinois Sexual Assault
11    Evidence Collection Kit for: (A) any sexual assault
12    survivor 13 years of age or older who presents within a
13    minimum of the last 7 days of the assault or who has
14    disclosed past sexual assault by a specific individual and
15    was in the care of that individual within a minimum of the
16    last 7 days; and (B) any pediatric sexual assault survivor
17    who presents with a complaint of sexual assault within a
18    minimum of 96 hours or who has disclosed past sexual
19    assault by a specific individual and was in the care of
20    that individual within a minimum of 96 hours.
21            (A) Appropriate oral and written information
22        concerning evidence-based guidelines for the
23        appropriateness of evidence collection depending on
24        the sexual development of the sexual assault survivor,
25        the type of sexual assault, and the timing of the
26        sexual assault shall be provided to the sexual assault

 

 

10200SB0970sam001- 46 -LRB102 04884 CPF 36919 a

1        survivor. Evidence collection is encouraged for
2        prepubescent sexual assault survivors who present to a
3        hospital or approved pediatric health care facility
4        with a complaint of sexual assault within a minimum of
5        96 hours after the sexual assault.
6            Before January 1, 2024 2023, the information
7        required under this subparagraph shall be provided in
8        person by the health care professional providing
9        medical forensic services directly to the sexual
10        assault survivor.
11            On and after January 1, 2024 2023, the information
12        required under this subparagraph shall be provided in
13        person by the qualified medical provider providing
14        medical forensic services directly to the sexual
15        assault survivor.
16            The written information provided shall be the
17        information created in accordance with Section 10 of
18        this Act.
19            (B) Following the discussion regarding the
20        evidence-based guidelines for evidence collection in
21        accordance with subparagraph (A), evidence collection
22        must be completed at the sexual assault survivor's
23        request. A sexual assault nurse examiner conducting an
24        examination using the Illinois State Police Sexual
25        Assault Evidence Collection Kit may do so without the
26        presence or participation of a physician.

 

 

10200SB0970sam001- 47 -LRB102 04884 CPF 36919 a

1        (2) Appropriate oral and written information
2    concerning the possibility of infection, sexually
3    transmitted infection, including an evaluation of the
4    sexual assault survivor's risk of contracting human
5    immunodeficiency virus (HIV) from sexual assault, and
6    pregnancy resulting from sexual assault.
7        (3) Appropriate oral and written information
8    concerning accepted medical procedures, laboratory tests,
9    medication, and possible contraindications of such
10    medication available for the prevention or treatment of
11    infection or disease resulting from sexual assault.
12        (3.5) After a medical evidentiary or physical
13    examination, access to a shower at no cost, unless
14    showering facilities are unavailable.
15        (4) An amount of medication, including HIV
16    prophylaxis, for treatment at the hospital or approved
17    pediatric health care facility and after discharge as is
18    deemed appropriate by the attending physician, an advanced
19    practice registered nurse, or a physician assistant in
20    accordance with the Centers for Disease Control and
21    Prevention guidelines and consistent with the hospital's
22    or approved pediatric health care facility's current
23    approved protocol for sexual assault survivors.
24        (5) Photo documentation of the sexual assault
25    survivor's injuries, anatomy involved in the assault, or
26    other visible evidence on the sexual assault survivor's

 

 

10200SB0970sam001- 48 -LRB102 04884 CPF 36919 a

1    body to supplement the medical forensic history and
2    written documentation of physical findings and evidence
3    beginning July 1, 2019. Photo documentation does not
4    replace written documentation of the injury.
5        (6) Written and oral instructions indicating the need
6    for follow-up examinations and laboratory tests after the
7    sexual assault to determine the presence or absence of
8    sexually transmitted infection.
9        (7) Referral by hospital or approved pediatric health
10    care facility personnel for appropriate counseling.
11        (8) Medical advocacy services provided by a rape
12    crisis counselor whose communications are protected under
13    Section 8-802.1 of the Code of Civil Procedure, if there
14    is a memorandum of understanding between the hospital or
15    approved pediatric health care facility and a rape crisis
16    center. With the consent of the sexual assault survivor, a
17    rape crisis counselor shall remain in the exam room during
18    the medical forensic examination.
19        (9) Written information regarding services provided by
20    a Children's Advocacy Center and rape crisis center, if
21    applicable.
22        (10) A treatment hospital, a treatment hospital with
23    approved pediatric transfer, an out-of-state hospital as
24    defined in Section 5.4, or an approved pediatric health
25    care facility shall comply with the rules relating to the
26    collection and tracking of sexual assault evidence adopted

 

 

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1    by the Illinois State Police under Section 50 of the
2    Sexual Assault Evidence Submission Act.
3        (11) Written information regarding the Illinois State
4    Police sexual assault evidence tracking system.
5    (a-7) By January 1, 2024 2023, every hospital with a
6treatment plan approved by the Department shall employ or
7contract with a qualified medical provider to initiate medical
8forensic services to a sexual assault survivor within 90
9minutes of the patient presenting to the treatment hospital or
10treatment hospital with approved pediatric transfer. The
11provision of medical forensic services by a qualified medical
12provider shall not delay the provision of life-saving medical
13care.
14    (b) Any person who is a sexual assault survivor who seeks
15medical forensic services or follow-up healthcare under this
16Act shall be provided such services without the consent of any
17parent, guardian, custodian, surrogate, or agent. If a sexual
18assault survivor is unable to consent to medical forensic
19services, the services may be provided under the Consent by
20Minors to Health Care Services Medical Procedures Act, the
21Health Care Surrogate Act, or other applicable State and
22federal laws.
23    (b-5) Every hospital or approved pediatric health care
24facility providing medical forensic services to sexual assault
25survivors shall issue a voucher to any sexual assault survivor
26who is eligible to receive one in accordance with Section 5.2

 

 

10200SB0970sam001- 50 -LRB102 04884 CPF 36919 a

1of this Act. The hospital shall make a copy of the voucher and
2place it in the medical record of the sexual assault survivor.
3The hospital shall provide a copy of the voucher to the sexual
4assault survivor after discharge upon request.
5    (c) Nothing in this Section creates a physician-patient
6relationship that extends beyond discharge from the hospital
7or approved pediatric health care facility.
8    (d) This Section is effective on and after January 1, 2024
92022.
10(Source: P.A. 101-81, eff. 7-12-19; 101-377, eff. 8-16-19;
11101-634, eff. 6-5-20; 102-22, eff. 6-25-21; 102-538, eff.
128-20-21; 102-674, eff. 11-30-21; revised 12-16-21.)
 
13    (410 ILCS 70/5-1)
14    (Section scheduled to be repealed on December 31, 2023)
15    Sec. 5-1. Minimum requirements for medical forensic
16services provided to sexual assault survivors by hospitals,
17approved pediatric health care facilities, and approved
18federally qualified health centers.
19    (a) Every hospital, approved pediatric health care
20facility, and approved federally qualified health center
21providing medical forensic services to sexual assault
22survivors under this Act shall, as minimum requirements for
23such services, provide, with the consent of the sexual assault
24survivor, and as ordered by the attending physician, an
25advanced practice registered nurse, or a physician assistant,

 

 

10200SB0970sam001- 51 -LRB102 04884 CPF 36919 a

1the services set forth in subsection (a-5).
2    Beginning January 1, 2023, a qualified medical provider
3must provide the services set forth in subsection (a-5).
4    (a-5) A treatment hospital, a treatment hospital with
5approved pediatric transfer, or an approved pediatric health
6care facility, or an approved federally qualified health
7center shall provide the following services in accordance with
8subsection (a):
9        (1) Appropriate medical forensic services without
10    delay, in a private, age-appropriate or
11    developmentally-appropriate space, required to ensure the
12    health, safety, and welfare of a sexual assault survivor
13    and which may be used as evidence in a criminal proceeding
14    against a person accused of the sexual assault, in a
15    proceeding under the Juvenile Court Act of 1987, or in an
16    investigation under the Abused and Neglected Child
17    Reporting Act.
18        Records of medical forensic services, including
19    results of examinations and tests, the Illinois State
20    Police Medical Forensic Documentation Forms, the Illinois
21    State Police Patient Discharge Materials, and the Illinois
22    State Police Patient Consent: Collect and Test Evidence or
23    Collect and Hold Evidence Form, shall be maintained by the
24    hospital or approved pediatric health care facility as
25    part of the patient's electronic medical record.
26        Records of medical forensic services of sexual assault

 

 

10200SB0970sam001- 52 -LRB102 04884 CPF 36919 a

1    survivors under the age of 18 shall be retained by the
2    hospital for a period of 60 years after the sexual assault
3    survivor reaches the age of 18. Records of medical
4    forensic services of sexual assault survivors 18 years of
5    age or older shall be retained by the hospital for a period
6    of 20 years after the date the record was created.
7        Records of medical forensic services may only be
8    disseminated in accordance with Section 6.5-1 of this Act
9    and other State and federal law.
10        (1.5) An offer to complete the Illinois Sexual Assault
11    Evidence Collection Kit for: (A) any sexual assault
12    survivor 13 years of age or older who presents within a
13    minimum of the last 7 days of the assault or who has
14    disclosed past sexual assault by a specific individual and
15    was in the care of that individual within a minimum of the
16    last 7 days; and (B) any pediatric sexual assault survivor
17    who presents with a complaint of sexual assault within a
18    minimum of 96 hours or who has disclosed past sexual
19    assault by a specific individual and was in the care of
20    that individual within a minimum of 96 hours.
21            (A) Appropriate oral and written information
22        concerning evidence-based guidelines for the
23        appropriateness of evidence collection depending on
24        the sexual development of the sexual assault survivor,
25        the type of sexual assault, and the timing of the
26        sexual assault shall be provided to the sexual assault

 

 

10200SB0970sam001- 53 -LRB102 04884 CPF 36919 a

1        survivor. Evidence collection is encouraged for
2        prepubescent sexual assault survivors who present to a
3        hospital or approved pediatric health care facility
4        with a complaint of sexual assault within a minimum of
5        96 hours after the sexual assault.
6            Before January 1, 2023, the information required
7        under this subparagraph shall be provided in person by
8        the health care professional providing medical
9        forensic services directly to the sexual assault
10        survivor.
11            On and after January 1, 2023, the information
12        required under this subparagraph shall be provided in
13        person by the qualified medical provider providing
14        medical forensic services directly to the sexual
15        assault survivor.
16            The written information provided shall be the
17        information created in accordance with Section 10-1 of
18        this Act.
19            (B) Following the discussion regarding the
20        evidence-based guidelines for evidence collection in
21        accordance with subparagraph (A), evidence collection
22        must be completed at the sexual assault survivor's
23        request. A sexual assault nurse examiner conducting an
24        examination using the Illinois State Police Sexual
25        Assault Evidence Collection Kit may do so without the
26        presence or participation of a physician.

 

 

10200SB0970sam001- 54 -LRB102 04884 CPF 36919 a

1        (2) Appropriate oral and written information
2    concerning the possibility of infection, sexually
3    transmitted infection, including an evaluation of the
4    sexual assault survivor's risk of contracting human
5    immunodeficiency virus (HIV) from sexual assault, and
6    pregnancy resulting from sexual assault.
7        (3) Appropriate oral and written information
8    concerning accepted medical procedures, laboratory tests,
9    medication, and possible contraindications of such
10    medication available for the prevention or treatment of
11    infection or disease resulting from sexual assault.
12        (3.5) After a medical evidentiary or physical
13    examination, access to a shower at no cost, unless
14    showering facilities are unavailable.
15        (4) An amount of medication, including HIV
16    prophylaxis, for treatment at the hospital or approved
17    pediatric health care facility and after discharge as is
18    deemed appropriate by the attending physician, an advanced
19    practice registered nurse, or a physician assistant in
20    accordance with the Centers for Disease Control and
21    Prevention guidelines and consistent with the hospital's
22    or approved pediatric health care facility's current
23    approved protocol for sexual assault survivors.
24        (5) Photo documentation of the sexual assault
25    survivor's injuries, anatomy involved in the assault, or
26    other visible evidence on the sexual assault survivor's

 

 

10200SB0970sam001- 55 -LRB102 04884 CPF 36919 a

1    body to supplement the medical forensic history and
2    written documentation of physical findings and evidence
3    beginning July 1, 2019. Photo documentation does not
4    replace written documentation of the injury.
5        (6) Written and oral instructions indicating the need
6    for follow-up examinations and laboratory tests after the
7    sexual assault to determine the presence or absence of
8    sexually transmitted infection.
9        (7) Referral by hospital or approved pediatric health
10    care facility personnel for appropriate counseling.
11        (8) Medical advocacy services provided by a rape
12    crisis counselor whose communications are protected under
13    Section 8-802.1 of the Code of Civil Procedure, if there
14    is a memorandum of understanding between the hospital or
15    approved pediatric health care facility and a rape crisis
16    center. With the consent of the sexual assault survivor, a
17    rape crisis counselor shall remain in the exam room during
18    the medical forensic examination.
19        (9) Written information regarding services provided by
20    a Children's Advocacy Center and rape crisis center, if
21    applicable.
22        (10) A treatment hospital, a treatment hospital with
23    approved pediatric transfer, an out-of-state hospital as
24    defined in Section 5.4, or an approved pediatric health
25    care facility shall comply with the rules relating to the
26    collection and tracking of sexual assault evidence adopted

 

 

10200SB0970sam001- 56 -LRB102 04884 CPF 36919 a

1    by the Department of State Police under Section 50 of the
2    Sexual Assault Evidence Submission Act.
3        (11) Written information regarding the Illinois State
4    Police sexual assault evidence tracking system.
5    (a-7) By January 1, 2023, every hospital with a treatment
6plan approved by the Department shall employ or contract with
7a qualified medical provider to initiate medical forensic
8services to a sexual assault survivor within 90 minutes of the
9patient presenting to the treatment hospital or treatment
10hospital with approved pediatric transfer. The provision of
11medical forensic services by a qualified medical provider
12shall not delay the provision of life-saving medical care.
13    (b) Any person who is a sexual assault survivor who seeks
14medical forensic services or follow-up healthcare under this
15Act shall be provided such services without the consent of any
16parent, guardian, custodian, surrogate, or agent. If a sexual
17assault survivor is unable to consent to medical forensic
18services, the services may be provided under the Consent by
19Minors to Medical Procedures Act, the Health Care Surrogate
20Act, or other applicable State and federal laws.
21    (b-5) Every hospital, approved pediatric health care
22facility, or approved federally qualified health center
23providing medical forensic services to sexual assault
24survivors shall issue a voucher to any sexual assault survivor
25who is eligible to receive one in accordance with Section
265.2-1 of this Act. The hospital, approved pediatric health

 

 

10200SB0970sam001- 57 -LRB102 04884 CPF 36919 a

1care facility, or approved federally qualified health center
2shall make a copy of the voucher and place it in the medical
3record of the sexual assault survivor. The hospital, approved
4pediatric health care facility, or approved federally
5qualified health center shall provide a copy of the voucher to
6the sexual assault survivor after discharge upon request.
7    (c) Nothing in this Section creates a physician-patient
8relationship that extends beyond discharge from the hospital,
9or approved pediatric health care facility, or approved
10federally qualified health center.
11    (d) This Section is repealed on December 31, 2023.
12(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21;
13102-674, eff. 11-30-21.)
 
14    (410 ILCS 70/5.4)
15    Sec. 5.4. Out-of-state hospitals.
16    (a) Nothing in this Section shall prohibit the transfer of
17a patient in need of medical services from a hospital that has
18been designated as a trauma center by the Department in
19accordance with Section 3.90 of the Emergency Medical Services
20(EMS) Systems Act.
21    (b) A transfer hospital, treatment hospital with approved
22pediatric transfer, or approved pediatric health care facility
23may transfer a sexual assault survivor to an out-of-state
24hospital that has been designated as a trauma center by the
25Department under Section 3.90 of the Emergency Medical

 

 

10200SB0970sam001- 58 -LRB102 04884 CPF 36919 a

1Services (EMS) Systems Act if the out-of-state hospital: (1)
2submits an areawide treatment plan approved by the Department;
3and (2) has certified the following to the Department in a form
4and manner prescribed by the Department that the out-of-state
5hospital will:
6        (i) consent to the jurisdiction of the Department in
7    accordance with Section 2.06 of this Act;
8        (ii) comply with all requirements of this Act
9    applicable to treatment hospitals, including, but not
10    limited to, offering evidence collection to: (A) any
11    Illinois sexual assault survivor 13 years of age or older
12    who presents with a complaint of sexual assault within a
13    minimum of the last 7 days or who has disclosed past sexual
14    assault by a specific individual and was in the care of
15    that individual within a minimum of the last 7 days and not
16    billing the sexual assault survivor for medical forensic
17    services or 90 days of follow-up healthcare; and (B) any
18    Illinois pediatric sexual assault survivor who presents
19    with a complaint of sexual assault within a minimum of 96
20    hours or who has disclosed past sexual assault by a
21    specific individual and was in the care of that individual
22    within a minimum of 96 hours and not billing the sexual
23    assault survivor for medical forensic services or 90 days
24    of follow-up healthcare;
25        (iii) use an Illinois State Police Sexual Assault
26    Evidence Collection Kit to collect forensic evidence from

 

 

10200SB0970sam001- 59 -LRB102 04884 CPF 36919 a

1    an Illinois sexual assault survivor;
2        (iv) ensure its staff cooperates with Illinois law
3    enforcement agencies and are responsive to subpoenas
4    issued by Illinois courts; and
5        (v) provide appropriate transportation upon the
6    completion of medical forensic services back to the
7    transfer hospital or treatment hospital with pediatric
8    transfer where the sexual assault survivor initially
9    presented seeking medical forensic services, unless the
10    sexual assault survivor chooses to arrange his or her own
11    transportation.
12    (c) (Blank) Subsection (b) of this Section is inoperative
13on and after January 1, 2024.
14(Source: P.A. 100-775, eff. 1-1-19.)".