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Rep. Patricia R. Bellock
Filed: 2/27/2007
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09500HB0378ham002 |
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LRB095 06245 DRJ 32255 a |
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| AMENDMENT TO HOUSE BILL 378
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| AMENDMENT NO. ______. Amend House Bill 378, AS AMENDED, by |
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| replacing everything after the enacting clause with the |
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| following:
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| "Section 1. Short title. This Act may be cited as the MRSA |
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| Screening and Reporting Act. |
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| Section 5. MRSA control program. In order to improve the |
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| prevention of hospital-associated bloodstream infections due |
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| to methicillin-resistant Staphylococcus aureus ("MRSA"), every |
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| hospital shall establish an MRSA control program that requires: |
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| (1) Identification of all MRSA-colonized patients in |
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| all intensive care units, and at-risk patients identified |
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| by the hospital, through active surveillance testing. |
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| (2) Isolation of identified MRSA-colonized or |
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| MRSA-infected patients in an appropriate manner. |
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| (3) Strict adherence to hand washing and hygiene |
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09500HB0378ham002 |
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LRB095 06245 DRJ 32255 a |
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| guidelines. |
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| (4) Maintenance of records and reporting of cases under |
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| Section 10 of this Act.
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| Section 10. Reports to Department of Public Health. |
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| (a) For all patients who are identified with nosocomial S. |
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| aureus bloodstream infection due to MRSA pursuant to Section 5, |
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| the Department of Public Health shall require the annual |
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| reporting of such cases as a communicable disease or condition. |
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| The report shall include the total numbers of all nosocomial S. |
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| aureus bloodstream infections due to MRSA, defined as those S. |
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| aureus bloodstream infections that are acquired during the |
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| initial stay in the hospital with onset of symptoms after 72 |
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| hours in the hospital. The Department shall compile aggregate |
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| data from all hospitals for all such patients and shall make |
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| such data available on its website and in all reports on health |
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| statistics and reportable communicable disease cases in |
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| Illinois. |
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| (b) The Department of Public Health shall establish by |
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| regulation a list of those communicable diseases and conditions |
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| for which annual reporting of specific data shall be required. |
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| (c) After October 1, 2007, such reportable diseases and |
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| conditions shall include the total number of infections due to |
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| methicillin-resistant Staphylococcus aureus (MRSA) that (1) |
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| are present on admission to a hospital and (2) occurred during |
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| the stay, reported separately, as compiled from diagnostic |
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09500HB0378ham002 |
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LRB095 06245 DRJ 32255 a |
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| codes contained in hospital discharge data provided to the |
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| Department; provided that such reporting requirement shall |
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| apply only for patients in all intensive care units and other |
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| at-risk patients identified by hospitals for active |
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| surveillance testing for MRSA. The Department is authorized to |
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| require hospitals, based on guidelines developed by the |
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| National Center for Health Statistics, after October 1, 2007, |
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| to submit data to the Department that is coded as "present on |
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| admission" and "occurred during the stay". |
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| Section 90. Repeal. This Act is repealed on January 1, |
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| 2011. |
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| Section 95. The Hospital Licensing Act is amended by |
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| changing Section 6.08 as follows:
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| (210 ILCS 85/6.08) (from Ch. 111 1/2, par. 147.08)
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| Sec. 6.08. (a) Every hospital shall provide notification as |
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| required in
this Section to police officers, firefighters, |
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| emergency
medical technicians, and
ambulance personnel who |
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| have provided or are about to provide emergency
care or life |
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| support services to a patient who has been diagnosed as having
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| a dangerous communicable or infectious disease. Such |
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| notification shall
not include the name of the patient, and the |
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| emergency services provider
agency and any person receiving |
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| such
notification shall treat the information received as a |
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LRB095 06245 DRJ 32255 a |
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| confidential medical
record.
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| (b) The Department shall establish by regulation a list of |
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| those
communicable reportable diseases and conditions for |
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| which
notification shall
be
provided. |
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| (b-5) The Department shall establish by regulation a list |
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| of those communicable diseases and conditions for which annual |
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| reporting of specific data shall be required. This subsection |
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| (b-5) is inoperative after December 31, 2010. |
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| (b-10) After October 1, 2007, such reportable diseases and |
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| conditions shall include the total number of infections due to |
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| methicillin-resistant Staphylococcus aureus (MRSA) that (1) |
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| are present on admission to a hospital and (2) occurred during |
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| the stay, reported separately, as compiled from diagnostic |
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| codes contained in hospital discharge data provided to the |
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| Department; provided that such reporting requirement shall |
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| apply only for patients in all intensive care units and other |
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| at-risk patients identified by hospitals for active |
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| surveillance testing for MRSA. The Department is authorized to |
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| require hospitals, based on guidelines developed by the |
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| National Center for Health Statistics, after October 1, 2007, |
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| to submit data to the Department that is coded as "present on |
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| admission" and "occurred during the stay". This subsection |
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| (b-10) is inoperative after December 31, 2010.
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| (c) The hospital shall send the letter of notification |
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| within 72 hours
after a confirmed diagnosis of any of the |
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| communicable diseases listed by
the Department pursuant to |
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LRB095 06245 DRJ 32255 a |
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| subsection (b), except confirmed diagnoses of
Acquired |
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| Immunodeficiency Syndrome (AIDS). If there is a confirmed
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| diagnosis of AIDS, the hospital shall send the letter of |
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| notification only
if the police officers, firefighters, |
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| emergency medical
technicians, or ambulance personnel have
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| indicated on the ambulance run
sheet that a reasonable |
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| possibility exists that they have had blood or body
fluid |
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| contact with the patient, or if hospital personnel providing |
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| the
notification have reason to know of a possible exposure.
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| (d) Notification letters shall be sent to the designated |
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| contact at the
municipal or private provider agencies listed on |
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| the ambulance run sheet.
Except in municipalities with a |
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| population over 1,000,000, a list
attached to the
ambulance run |
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| sheet must contain all municipal and private provider
agency
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| personnel who have provided any pre-hospital care immediately |
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| prior to
transport.
In municipalities with a population over |
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| 1,000,000, the
ambulance run sheet must contain the company |
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| number or unit
designation number for any fire department |
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| personnel who have
provided any pre-hospital care immediately |
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| prior to transport.
The letter
shall state the names of crew |
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| members listed on
the attachment to
the ambulance
run sheet and |
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| the name of the
communicable disease diagnosed, but shall not
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| contain the patient's name. Upon receipt of such notification |
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| letter, the
applicable private provider agency or the |
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| designated infectious disease
control officer of a municipal |
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| fire department or fire protection
district shall contact all |
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| personnel involved in the pre-hospital or
inter-hospital care |
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| and transport of the patient. Such notification letter
may, but |
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| is not required to, consist of the following form:
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| NOTIFICATION LETTER
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| (NAME OF HOSPITAL)
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| (ADDRESS)
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| TO:...... (Name of Organization)
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| FROM:.....(Infection Control Coordinator)
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| DATE:.....
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| As required by Section 6.08 of the Illinois Hospital |
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| Licensing Act,
.....(name of hospital) is hereby providing |
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| notification that the following
crew
members or agencies |
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| transported or provided pre-hospital care to a patient
on ..... |
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| (date), and the transported patient was later
diagnosed as
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| having .....(name
of communicable disease): .....(list of crew |
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| members). The Hospital
Licensing Act requires you to maintain |
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| this information as a confidential
medical record. Disclosure |
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| of this information may therefore result in
civil liability for |
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| the individual or company breaching the patient's
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| confidentiality, or both.
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| If you have any questions regarding this patient, please |
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| contact me at
.....(telephone number), between .....(hours). |
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| Questions regarding exposure
or the financial aspects of |
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| obtaining medical care should be directed to your
employer.
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| (e) Upon discharge of a patient with a communicable disease |
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| to emergency
personnel, the hospital shall notify the emergency |
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LRB095 06245 DRJ 32255 a |
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| personnel of appropriate
precautions against the communicable |
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| disease, but shall not identify the
name of the disease.
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| (f) The hospital may, in its discretion, take any measures |
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| in addition
to those required in this Section to notify
police |
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| officers, firefighters,
emergency medical technicians, and |
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| ambulance
personnel of possible exposure to any communicable |
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| disease. However, in
all cases this information shall be |
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| maintained as a confidential medical
record.
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| (g) Any person providing or failing to provide notification |
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| under the
protocol required by this Section shall have immunity |
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| from any liability,
either criminal or civil, that might result |
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| by reason of such action or
inaction, unless such action or |
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| inaction is willful.
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| (h) Any person who willfully fails to provide any |
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| notification required
pursuant to an applicable protocol which |
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| has been adopted and approved
pursuant to this Section commits |
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| a petty offense, and shall be subject
to a fine of $200 for the |
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| first offense, and $500 for a second or subsequent
offense.
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| (i) Nothing in this Section shall preclude a civil action |
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| by a
firefighter,
emergency medical technician, or ambulance |
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| crew member against
an emergency services provider
agency, |
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| municipal fire department, or fire protection district that |
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| fails to
inform the member in a timely
fashion of the
receipt |
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| of a notification letter.
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| (Source: P.A. 92-363, eff. 1-1-02.)
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