96TH GENERAL ASSEMBLY
State of Illinois
2009 and 2010
HB1292

 

Introduced 2/18/2009, by Rep. Angelo Saviano

 

SYNOPSIS AS INTRODUCED:
 
20 ILCS 5/5-565   was 20 ILCS 5/6.06
210 ILCS 60/15

    Amends the Civil Administrative Code of Illinois; adds a chiropractic physician as a member of the State Board of Health. Amends the Hospice Program Licensing Act. Adds the following as a member of the Hospice and Palliative Care Advisory Board: a chiropractic physician, selected from the recommendations of the statewide chiropractic society representing the largest number of chiropractic physicians in the State. Provides that the chiropractic physician member shall serve for a term of 4 years. Effective immediately.


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FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

HB1292 LRB096 03190 DRJ 13773 b

1     AN ACT concerning State government.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The Civil Administrative Code of Illinois is
5 amended by changing Section 5-565 as follows:
 
6     (20 ILCS 5/5-565)  (was 20 ILCS 5/6.06)
7     Sec. 5-565. In the Department of Public Health.
8     (a) The General Assembly declares it to be the public
9 policy of this State that all citizens of Illinois are entitled
10 to lead healthy lives. Governmental public health has a
11 specific responsibility to ensure that a system is in place to
12 allow the public health mission to be achieved. To develop a
13 system requires certain core functions to be performed by
14 government. The State Board of Health is to assume the
15 leadership role in advising the Director in meeting the
16 following functions:
17         (1) Needs assessment.
18         (2) Statewide health objectives.
19         (3) Policy development.
20         (4) Assurance of access to necessary services.
21     There shall be a State Board of Health composed of 18 17
22 persons, all of whom shall be appointed by the Governor, with
23 the advice and consent of the Senate for those appointed by the

 

 

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1 Governor on and after June 30, 1998, and one of whom shall be a
2 senior citizen age 60 or over. Five members shall be physicians
3 licensed to practice medicine in all its branches, one
4 representing a medical school faculty, one who is board
5 certified in preventive medicine, and one who is engaged in
6 private practice. One member shall be a chiropractic physician.
7 One member shall be a dentist; one an environmental health
8 practitioner; one a local public health administrator; one a
9 local board of health member; one a registered nurse; one a
10 veterinarian; one a public health academician; one a health
11 care industry representative; one a representative of the
12 business community; one a representative of the non-profit
13 public interest community; and 2 shall be citizens at large.
14     The terms of Board of Health members shall be 3 years,
15 except that members shall continue to serve on the Board of
16 Health until a replacement is appointed. Upon the effective
17 date of this amendatory Act of the 93rd General Assembly, in
18 the appointment of the Board of Health members appointed to
19 vacancies or positions with terms expiring on or before
20 December 31, 2004, the Governor shall appoint up to 6 members
21 to serve for terms of 3 years; up to 6 members to serve for
22 terms of 2 years; and up to 5 members to serve for a term of one
23 year, so that the term of no more than 6 members expire in the
24 same year. All members shall be legal residents of the State of
25 Illinois. The duties of the Board shall include, but not be
26 limited to, the following:

 

 

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1         (1) To advise the Department of ways to encourage
2     public understanding and support of the Department's
3     programs.
4         (2) To evaluate all boards, councils, committees,
5     authorities, and bodies advisory to, or an adjunct of, the
6     Department of Public Health or its Director for the purpose
7     of recommending to the Director one or more of the
8     following:
9             (i) The elimination of bodies whose activities are
10         not consistent with goals and objectives of the
11         Department.
12             (ii) The consolidation of bodies whose activities
13         encompass compatible programmatic subjects.
14             (iii) The restructuring of the relationship
15         between the various bodies and their integration
16         within the organizational structure of the Department.
17             (iv) The establishment of new bodies deemed
18         essential to the functioning of the Department.
19         (3) To serve as an advisory group to the Director for
20     public health emergencies and control of health hazards.
21         (4) To advise the Director regarding public health
22     policy, and to make health policy recommendations
23     regarding priorities to the Governor through the Director.
24         (5) To present public health issues to the Director and
25     to make recommendations for the resolution of those issues.
26         (6) To recommend studies to delineate public health

 

 

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1     problems.
2         (7) To make recommendations to the Governor through the
3     Director regarding the coordination of State public health
4     activities with other State and local public health
5     agencies and organizations.
6         (8) To report on or before February 1 of each year on
7     the health of the residents of Illinois to the Governor,
8     the General Assembly, and the public.
9         (9) To review the final draft of all proposed
10     administrative rules, other than emergency or preemptory
11     rules and those rules that another advisory body must
12     approve or review within a statutorily defined time period,
13     of the Department after September 19, 1991 (the effective
14     date of Public Act 87-633). The Board shall review the
15     proposed rules within 90 days of submission by the
16     Department. The Department shall take into consideration
17     any comments and recommendations of the Board regarding the
18     proposed rules prior to submission to the Secretary of
19     State for initial publication. If the Department disagrees
20     with the recommendations of the Board, it shall submit a
21     written response outlining the reasons for not accepting
22     the recommendations.
23         In the case of proposed administrative rules or
24     amendments to administrative rules regarding immunization
25     of children against preventable communicable diseases
26     designated by the Director under the Communicable Disease

 

 

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1     Prevention Act, after the Immunization Advisory Committee
2     has made its recommendations, the Board shall conduct 3
3     public hearings, geographically distributed throughout the
4     State. At the conclusion of the hearings, the State Board
5     of Health shall issue a report, including its
6     recommendations, to the Director. The Director shall take
7     into consideration any comments or recommendations made by
8     the Board based on these hearings.
9         (10) To deliver to the Governor for presentation to the
10     General Assembly a State Health Improvement Plan. The first
11     and second such plans shall be delivered to the Governor on
12     January 1, 2006 and on January 1, 2009 respectively, and
13     then every 4 years thereafter.
14         The Plan shall recommend priorities and strategies to
15     improve the public health system and the health status of
16     Illinois residents, taking into consideration national
17     health objectives and system standards as frameworks for
18     assessment.
19         The Plan shall also take into consideration priorities
20     and strategies developed at the community level through the
21     Illinois Project for Local Assessment of Needs (IPLAN) and
22     any regional health improvement plans that may be
23     developed. The Plan shall focus on prevention as a key
24     strategy for long-term health improvement in Illinois.
25         The Plan shall examine and make recommendations on the
26     contributions and strategies of the public and private

 

 

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1     sectors for improving health status and the public health
2     system in the State. In addition to recommendations on
3     health status improvement priorities and strategies for
4     the population of the State as a whole, the Plan shall make
5     recommendations regarding priorities and strategies for
6     reducing and eliminating health disparities in Illinois;
7     including racial, ethnic, gender, age, socio-economic and
8     geographic disparities.
9         The Director of the Illinois Department of Public
10     Health shall appoint a Planning Team that includes a range
11     of public, private, and voluntary sector stakeholders and
12     participants in the public health system. This Team shall
13     include: the directors of State agencies with public health
14     responsibilities (or their designees), including but not
15     limited to the Illinois Departments of Public Health and
16     Department of Human Services, representatives of local
17     health departments, representatives of local community
18     health partnerships, and individuals with expertise who
19     represent an array of organizations and constituencies
20     engaged in public health improvement and prevention.
21         The State Board of Health shall hold at least 3 public
22     hearings addressing drafts of the Plan in representative
23     geographic areas of the State. Members of the Planning Team
24     shall receive no compensation for their services, but may
25     be reimbursed for their necessary expenses.
26         (11) Upon the request of the Governor, to recommend to

 

 

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1     the Governor candidates for Director of Public Health when
2     vacancies occur in the position.
3         (12) To adopt bylaws for the conduct of its own
4     business, including the authority to establish ad hoc
5     committees to address specific public health programs
6     requiring resolution.
7     Upon appointment, the Board shall elect a chairperson from
8 among its members.
9     Members of the Board shall receive compensation for their
10 services at the rate of $150 per day, not to exceed $10,000 per
11 year, as designated by the Director for each day required for
12 transacting the business of the Board and shall be reimbursed
13 for necessary expenses incurred in the performance of their
14 duties. The Board shall meet from time to time at the call of
15 the Department, at the call of the chairperson, or upon the
16 request of 3 of its members, but shall not meet less than 4
17 times per year.
18     (b) (Blank).
19     (c) An Advisory Board on Necropsy Service to Coroners,
20 which shall counsel and advise with the Director on the
21 administration of the Autopsy Act. The Advisory Board shall
22 consist of 11 members, including a senior citizen age 60 or
23 over, appointed by the Governor, one of whom shall be
24 designated as chairman by a majority of the members of the
25 Board. In the appointment of the first Board the Governor shall
26 appoint 3 members to serve for terms of 1 year, 3 for terms of 2

 

 

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1 years, and 3 for terms of 3 years. The members first appointed
2 under Public Act 83-1538 shall serve for a term of 3 years. All
3 members appointed thereafter shall be appointed for terms of 3
4 years, except that when an appointment is made to fill a
5 vacancy, the appointment shall be for the remaining term of the
6 position vacant. The members of the Board shall be citizens of
7 the State of Illinois. In the appointment of members of the
8 Advisory Board the Governor shall appoint 3 members who shall
9 be persons licensed to practice medicine and surgery in the
10 State of Illinois, at least 2 of whom shall have received
11 post-graduate training in the field of pathology; 3 members who
12 are duly elected coroners in this State; and 5 members who
13 shall have interest and abilities in the field of forensic
14 medicine but who shall be neither persons licensed to practice
15 any branch of medicine in this State nor coroners. In the
16 appointment of medical and coroner members of the Board, the
17 Governor shall invite nominations from recognized medical and
18 coroners organizations in this State respectively. Board
19 members, while serving on business of the Board, shall receive
20 actual necessary travel and subsistence expenses while so
21 serving away from their places of residence.
22 (Source: P.A. 93-975, eff. 1-1-05.)
 
23     Section 10. The Hospice Program Licensing Act is amended by
24 changing Section 15 as follows:
 

 

 

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1     (210 ILCS 60/15)
2     Sec. 15. Hospice and Palliative Care Advisory Board.
3     (a) The Director shall appoint a Hospice and Palliative
4 Care Advisory Board ("the Board") to consult with the
5 Department as provided in this Section. The membership of the
6 Board shall be as follows:
7         (1) The Director, ex officio, who shall be a nonvoting
8     member and shall serve as chairman of the Board.
9         (2) One representative of each of the following State
10     agencies, each of whom shall be a nonvoting member: the
11     Department of Healthcare and Family Services, the
12     Department of Human Services, and the Department on Aging.
13         (3) One member who is a physician licensed to practice
14     medicine in all its branches, selected from the
15     recommendations of a statewide professional society
16     representing physicians licensed to practice medicine in
17     all its branches in all specialties; and one member who is
18     a chiropractic physician, selected from the
19     recommendations of the statewide chiropractic society
20     representing the largest number of chiropractic physicians
21     in the State of Illinois.
22         (4) One member who is a registered nurse, selected from
23     the recommendations of professional nursing associations.
24         (5) Four members selected from the recommendations of
25     organizations whose primary membership consists of hospice
26     programs.

 

 

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1         (6) Two members who represent the general public and
2     who have no responsibility for management or formation of
3     policy of a hospice program and no financial interest in a
4     hospice program.
5         (7) One member selected from the recommendations of
6     consumer organizations that engage in advocacy or legal
7     representation on behalf of hospice patients and their
8     immediate families.
9     (b) Of the initial appointees, 4 shall serve for terms of 2
10 years, 4 shall serve for terms of 3 years, and 5 shall serve
11 for terms of 4 years, as determined by lot at the first meeting
12 of the Board. Each successor member shall be appointed for a
13 term of 4 years. The chiropractic physician member shall serve
14 for a term of 4 years. A member appointed to fill a vacancy
15 before the expiration of the term for which his or her
16 predecessor was appointed shall be appointed to serve for the
17 remainder of that term.
18     (c) The Board shall meet as frequently as the chairman
19 deems necessary, but not less than 4 times each year. Upon the
20 request of 4 or more Board members, the chairman shall call a
21 meeting of the Board. A Board member may designate a
22 replacement to serve at a Board meeting in place of the member
23 by submitting a letter stating that designation to the chairman
24 before or at the Board meeting. The replacement member must
25 represent the same general interests as the member being
26 replaced, as described in paragraphs (1) through (7) of

 

 

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1 subsection (a).
2     (d) Board members are entitled to reimbursement for their
3 actual expenses incurred in performing their duties.
4     (e) The Board shall advise the Department on all aspects of
5 the Department's responsibilities under this Act, including
6 the format and content of any rules adopted by the Department
7 on or after the effective date of this amendatory Act of the
8 95th General Assembly. Any such rule or amendment to a rule
9 proposed on or after the effective date of this amendatory Act
10 of the 95th General Assembly, except an emergency rule adopted
11 pursuant to Section 5-45 of the Illinois Administrative
12 Procedure Act, that is adopted without obtaining the advice of
13 the Board is null and void. If the Department fails to follow
14 the advice of the Board with respect to a proposed rule or
15 amendment to a rule, the Department shall, before adopting the
16 rule or amendment to a rule, transmit a written explanation of
17 the reason for its action to the Board. During its review of
18 rules, the Board shall analyze the economic and regulatory
19 impact of those rules. If the Board, having been asked for its
20 advice with respect to a proposed rule or amendment to a rule,
21 fails to advise the Department within 90 days, the proposed
22 rule or amendment shall be considered to have been acted upon
23 by the Board.
24 (Source: P.A. 95-133, eff. 1-1-08.)
 
25     Section 99. Effective date. This Act takes effect upon
26 becoming law.