99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016
SB2460

 

Introduced 2/9/2016, by Sen. Chapin Rose

 

SYNOPSIS AS INTRODUCED:
 
See Index

    Amends the Emergency Medical Services (EMS) Systems Act. Provides that the Trauma Center Medical Directors or the Trauma Center Medical Directors Committee shall consider Level III Trauma Centers in the types of facilities that can care for certain patients. Provides that Level II and Level III Trauma Centers shall have some essential services available in-house, 24 hours per day and other essential services readily available. Provides that the Department of Public Health shall have the authority to establish and enforce minimum standards for designation and re-designation of 3 levels of trauma centers that meet trauma center national standards. Provides that the Department shall renew trauma center designations every 4 years (instead of every 2 years). Creates provisions concerning Level III Trauma Center and Acute Injury Stabilization Center minimum standards. Authorizes the Department to impose fines on Acute Injury Stabilization Centers. Prohibits facilities from holding themselves out as Acute Injury Stabilization Centers without first obtaining that designation. Requires the Department to appoint an advisory council that shall be charged with making recommendations for pediatric care needs. Removes provisions concerning certain grants from the Department to EMS systems and trauma centers. Requires the Department to designate applicant hospitals that meet the minimum standards established by the Department for pediatric emergency and critical care capabilities. Makes changes to the membership of the State Trauma Advisory Council. Amends the Freedom of Information Act to exempt from disclosure certain information received by the Department. Makes other changes. Effective 270 days after becoming law.


LRB099 18151 RPS 42518 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

SB2460LRB099 18151 RPS 42518 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Freedom of Information Act is amended by
5changing Section 7.5 as follows:
 
6    (5 ILCS 140/7.5)
7    Sec. 7.5. Statutory exemptions. To the extent provided for
8by the statutes referenced below, the following shall be exempt
9from inspection and copying:
10        (a) All information determined to be confidential
11    under Section 4002 of the Technology Advancement and
12    Development Act.
13        (b) Library circulation and order records identifying
14    library users with specific materials under the Library
15    Records Confidentiality Act.
16        (c) Applications, related documents, and medical
17    records received by the Experimental Organ Transplantation
18    Procedures Board and any and all documents or other records
19    prepared by the Experimental Organ Transplantation
20    Procedures Board or its staff relating to applications it
21    has received.
22        (d) Information and records held by the Department of
23    Public Health and its authorized representatives relating

 

 

SB2460- 2 -LRB099 18151 RPS 42518 b

1    to known or suspected cases of sexually transmissible
2    disease or any information the disclosure of which is
3    restricted under the Illinois Sexually Transmissible
4    Disease Control Act.
5        (e) Information the disclosure of which is exempted
6    under Section 30 of the Radon Industry Licensing Act.
7        (f) Firm performance evaluations under Section 55 of
8    the Architectural, Engineering, and Land Surveying
9    Qualifications Based Selection Act.
10        (g) Information the disclosure of which is restricted
11    and exempted under Section 50 of the Illinois Prepaid
12    Tuition Act.
13        (h) Information the disclosure of which is exempted
14    under the State Officials and Employees Ethics Act, and
15    records of any lawfully created State or local inspector
16    general's office that would be exempt if created or
17    obtained by an Executive Inspector General's office under
18    that Act.
19        (i) Information contained in a local emergency energy
20    plan submitted to a municipality in accordance with a local
21    emergency energy plan ordinance that is adopted under
22    Section 11-21.5-5 of the Illinois Municipal Code.
23        (j) Information and data concerning the distribution
24    of surcharge moneys collected and remitted by wireless
25    carriers under the Wireless Emergency Telephone Safety
26    Act.

 

 

SB2460- 3 -LRB099 18151 RPS 42518 b

1        (k) Law enforcement officer identification information
2    or driver identification information compiled by a law
3    enforcement agency or the Department of Transportation
4    under Section 11-212 of the Illinois Vehicle Code.
5        (l) Records and information provided to a residential
6    health care facility resident sexual assault and death
7    review team or the Executive Council under the Abuse
8    Prevention Review Team Act.
9        (m) Information provided to the predatory lending
10    database created pursuant to Article 3 of the Residential
11    Real Property Disclosure Act, except to the extent
12    authorized under that Article.
13        (n) Defense budgets and petitions for certification of
14    compensation and expenses for court appointed trial
15    counsel as provided under Sections 10 and 15 of the Capital
16    Crimes Litigation Act. This subsection (n) shall apply
17    until the conclusion of the trial of the case, even if the
18    prosecution chooses not to pursue the death penalty prior
19    to trial or sentencing.
20        (o) Information that is prohibited from being
21    disclosed under Section 4 of the Illinois Health and
22    Hazardous Substances Registry Act.
23        (p) Security portions of system safety program plans,
24    investigation reports, surveys, schedules, lists, data, or
25    information compiled, collected, or prepared by or for the
26    Regional Transportation Authority under Section 2.11 of

 

 

SB2460- 4 -LRB099 18151 RPS 42518 b

1    the Regional Transportation Authority Act or the St. Clair
2    County Transit District under the Bi-State Transit Safety
3    Act.
4        (q) Information prohibited from being disclosed by the
5    Personnel Records Review Act.
6        (r) Information prohibited from being disclosed by the
7    Illinois School Student Records Act.
8        (s) Information the disclosure of which is restricted
9    under Section 5-108 of the Public Utilities Act.
10        (t) All identified or deidentified health information
11    in the form of health data or medical records contained in,
12    stored in, submitted to, transferred by, or released from
13    the Illinois Health Information Exchange, and identified
14    or deidentified health information in the form of health
15    data and medical records of the Illinois Health Information
16    Exchange in the possession of the Illinois Health
17    Information Exchange Authority due to its administration
18    of the Illinois Health Information Exchange. The terms
19    "identified" and "deidentified" shall be given the same
20    meaning as in the Health Insurance Portability and
21    Accountability and Portability Act of 1996, Public Law
22    104-191, or any subsequent amendments thereto, and any
23    regulations promulgated thereunder.
24        (u) Records and information provided to an independent
25    team of experts under Brian's Law.
26        (v) Names and information of people who have applied

 

 

SB2460- 5 -LRB099 18151 RPS 42518 b

1    for or received Firearm Owner's Identification Cards under
2    the Firearm Owners Identification Card Act or applied for
3    or received a concealed carry license under the Firearm
4    Concealed Carry Act, unless otherwise authorized by the
5    Firearm Concealed Carry Act; and databases under the
6    Firearm Concealed Carry Act, records of the Concealed Carry
7    Licensing Review Board under the Firearm Concealed Carry
8    Act, and law enforcement agency objections under the
9    Firearm Concealed Carry Act.
10        (w) Personally identifiable information which is
11    exempted from disclosure under subsection (g) of Section
12    19.1 of the Toll Highway Act.
13        (x) Information which is exempted from disclosure
14    under Section 5-1014.3 of the Counties Code or Section
15    8-11-21 of the Illinois Municipal Code.
16        (y) Confidential information under the Adult
17    Protective Services Act and its predecessor enabling
18    statute, the Elder Abuse and Neglect Act, including
19    information about the identity and administrative finding
20    against any caregiver of a verified and substantiated
21    decision of abuse, neglect, or financial exploitation of an
22    eligible adult maintained in the Registry established
23    under Section 7.5 of the Adult Protective Services Act.
24        (z) Records and information provided to a fatality
25    review team or the Illinois Fatality Review Team Advisory
26    Council under Section 15 of the Adult Protective Services

 

 

SB2460- 6 -LRB099 18151 RPS 42518 b

1    Act.
2        (aa) Information which is exempted from disclosure
3    under Section 2.37 of the Wildlife Code.
4        (bb) Information which is or was prohibited from
5    disclosure by the Juvenile Court Act of 1987.
6        (cc) (bb) Recordings made under the Law Enforcement
7    Officer-Worn Body Camera Act, except to the extent
8    authorized under that Act.
9        (dd) Information that is exempted from disclosure
10    under Section 3.90 of the Emergency Medical Services (EMS)
11    Systems Act.
12(Source: P.A. 98-49, eff. 7-1-13; 98-63, eff. 7-9-13; 98-756,
13eff. 7-16-14; 98-1039, eff. 8-25-14; 98-1045, eff. 8-25-14;
1499-78, eff. 7-20-15; 99-298, eff. 8-6-15; 99-352, eff. 1-1-16;
15revised 10-14-15.)
 
16    Section 10. The Emergency Medical Services (EMS) Systems
17Act is amended by changing Sections 3.30, 3.90, 3.95, 3.100,
183.105, 3.110, 3.115, 3.140, and 3.205 and by adding Sections
193.101, 3.102, and 3.107 as follows:
 
20    (210 ILCS 50/3.30)
21    Sec. 3.30. EMS Region Plan; Content.
22    (a) The EMS Medical Directors Committee shall address at
23least the following:
24        (1) Protocols for inter-System/inter-Region patient

 

 

SB2460- 7 -LRB099 18151 RPS 42518 b

1    transports, including identifying the conditions of
2    emergency patients which may not be transported to the
3    different levels of emergency department, based on their
4    Department classifications and relevant Regional
5    considerations (e.g. transport times and distances);
6        (2) Regional standing medical orders;
7        (3) Patient transfer patterns, including criteria for
8    determining whether a patient needs the specialized
9    services of a trauma center, along with protocols for the
10    bypassing of or diversion to any hospital, trauma center or
11    regional trauma center which are consistent with
12    individual System bypass or diversion protocols and
13    protocols for patient choice or refusal;
14        (4) Protocols for resolving Regional or Inter-System
15    conflict;
16        (5) An EMS disaster preparedness plan which includes
17    the actions and responsibilities of all EMS participants
18    within the Region. An Within 90 days of the effective date
19    of this amendatory Act of 1996, an EMS System shall submit
20    to the Department for review an internal disaster plan. At
21    a minimum, the plan shall include contingency plans for the
22    transfer of patients to other facilities if an evacuation
23    of the hospital becomes necessary due to a catastrophe,
24    including but not limited to, a power failure;
25        (6) Regional standardization of continuing education
26    requirements;

 

 

SB2460- 8 -LRB099 18151 RPS 42518 b

1        (7) Regional standardization of Do Not Resuscitate
2    (DNR)/POLST policies, and protocols for power of attorney
3    for health care;
4        (8) Protocols for disbursement of Department grants;
5        (9) Protocols for the triage, treatment, and transport
6    of possible acute stroke patients; and
7        (10) Regional standing medical orders for the
8    administration of opioid antagonists.
9    (b) The Trauma Center Medical Directors or Trauma Center
10Medical Directors Committee shall address at least the
11following:
12        (1) The identification of Regional Trauma Centers;
13        (2) Protocols for inter-System and inter-Region trauma
14    patient transports, including identifying the conditions
15    of emergency patients which may not be transported to the
16    different levels of emergency department, based on their
17    Department classifications and relevant Regional
18    considerations (e.g. transport times and distances);
19        (3) Regional trauma standing medical orders;
20        (4) Trauma patient transfer patterns, including
21    criteria for determining whether a patient needs the
22    specialized services of a trauma center, along with
23    protocols for the bypassing of or diversion to any
24    hospital, trauma center or regional trauma center which are
25    consistent with individual System bypass or diversion
26    protocols and protocols for patient choice or refusal;

 

 

SB2460- 9 -LRB099 18151 RPS 42518 b

1        (5) The identification of which types of patients can
2    be cared for by Level I Trauma Centers, and Level II Trauma
3    Centers, and Level III Trauma Centers;
4        (6) Criteria for inter-hospital transfer of trauma
5    patients;
6        (7) The treatment of trauma patients in each trauma
7    center within the Region;
8        (8) A program for conducting a quarterly conference
9    which shall include at a minimum a discussion of morbidity
10    and mortality between all professional staff involved in
11    the care of trauma patients;
12        (9) The establishment of a Regional trauma quality
13    assurance and improvement subcommittee, consisting of
14    trauma surgeons, which shall perform periodic medical
15    audits of each trauma center's trauma services, and forward
16    tabulated data from such reviews to the Department; and
17        (10) The establishment, within 90 days of the effective
18    date of this amendatory Act of 1996, of an internal
19    disaster plan, which shall include, at a minimum,
20    contingency plans for the transfer of patients to other
21    facilities if an evacuation of the hospital becomes
22    necessary due to a catastrophe, including but not limited
23    to, a power failure.
24    (c) The Region's EMS Medical Directors and Trauma Center
25Medical Directors Committees shall appoint any subcommittees
26which they deem necessary to address specific issues concerning

 

 

SB2460- 10 -LRB099 18151 RPS 42518 b

1Region activities.
2(Source: P.A. 99-480, eff. 9-9-15.)
 
3    (210 ILCS 50/3.90)
4    Sec. 3.90. Trauma Center Designations.
5    (a) "Trauma Center" means a hospital which: (1) within
6designated capabilities provides optimal care to trauma
7patients; (2) participates in an approved EMS System; and (3)
8is duly designated pursuant to the provisions of this Act.
9Level I Trauma Centers shall provide all essential services
10in-house, 24 hours per day, in accordance with rules adopted by
11the Department pursuant to this Act. Level II and Level III
12Trauma Centers shall have some essential services available
13in-house, 24 hours per day, and other essential services
14readily available, 24 hours per day, in accordance with rules
15adopted by the Department pursuant to this Act.
16    (a-5) An Acute Injury Stabilization Center shall have a
17basic or comprehensive emergency department capable of initial
18management and transfer of the acutely injured in accordance
19with rules adopted by the Department pursuant to this Act.
20    (b) The Department shall have the authority and
21responsibility to:
22        (1) Establish and enforce minimum standards for
23    designation and re-designation of 3 levels of trauma
24    centers that meet trauma center national standards, as
25    modified by the Department in administrative rules as a

 

 

SB2460- 11 -LRB099 18151 RPS 42518 b

1    Level I or Level II Trauma Center, consistent with Sections
2    22 and 23 of this Act, through rules adopted pursuant to
3    this Act;
4        (2) Require hospitals applying for trauma center
5    designation to submit a plan for designation in a manner
6    and form prescribed by the Department through rules adopted
7    pursuant to this Act;
8        (3) Upon receipt of a completed plan for designation,
9    conduct a site visit to inspect the hospital for compliance
10    with the Department's minimum standards. Such visit shall
11    be conducted by specially qualified personnel with
12    experience in the delivery of emergency medical and/or
13    trauma care. A report of the inspection shall be provided
14    to the Director within 30 days of the completion of the
15    site visit. The report shall note compliance or lack of
16    compliance with the individual standards for designation,
17    but shall not offer a recommendation on granting or denying
18    designation;
19        (4) Designate applicant hospitals as Level I, or Level
20    II, or Level III Trauma Centers which meet the minimum
21    standards established by this Act and the Department. The
22    Beginning September 1, 1997 the Department shall designate
23    a new trauma center only when a local or regional need for
24    such trauma center has been identified. The Department
25    shall request an assessment of local or regional need from
26    the applicable EMS Region's Trauma Center Medical

 

 

SB2460- 12 -LRB099 18151 RPS 42518 b

1    Directors Committee, with advice from the Regional Trauma
2    Advisory Committee. This shall not be construed as a needs
3    assessment for health planning or other purposes outside of
4    this Act;
5        (5) Attempt to designate trauma centers in all areas of
6    the State. There shall be at least one Level I Trauma
7    Center serving each EMS Region, unless waived by the
8    Department. This subsection shall not be construed to
9    require a Level I Trauma Center to be located in each EMS
10    Region. Level I Trauma Centers shall serve as resources for
11    the Level II and Level III Trauma Centers and Acute Injury
12    Stabilization Centers in the EMS Regions. The extent of
13    such relationships shall be defined in the EMS Region Plan;
14        (6) Inspect designated trauma centers to assure
15    compliance with the provisions of this Act and the rules
16    adopted pursuant to this Act. Information received by the
17    Department through filed reports, inspection, or as
18    otherwise authorized under this Act shall not be disclosed
19    publicly or through a request under the Freedom of
20    Information Act in such a manner as to identify individuals
21    or hospitals, except in proceedings involving the denial,
22    suspension or revocation of a trauma center designation or
23    imposition of a fine on a trauma center;
24        (7) Renew trauma center designations every 4 2 years,
25    after an on-site inspection, based on compliance with
26    renewal requirements and standards for continuing

 

 

SB2460- 13 -LRB099 18151 RPS 42518 b

1    operation, as prescribed by the Department through rules
2    adopted pursuant to this Act;
3        (8) Refuse to issue or renew a trauma center
4    designation, after providing an opportunity for a hearing,
5    when findings show that it does not meet the standards and
6    criteria prescribed by the Department;
7        (9) Review and determine whether a trauma center's
8    annual morbidity and mortality rates for trauma patients
9    significantly exceed the State average for such rates,
10    using a uniform recording methodology based on nationally
11    recognized standards. Such determination shall be
12    considered as a factor in any decision by the Department to
13    renew or refuse to renew a trauma center designation under
14    this Act, but shall not constitute the sole basis for
15    refusing to renew a trauma center designation;
16        (10) Take the following action, as appropriate, after
17    determining that a trauma center is in violation of this
18    Act or any rule adopted pursuant to this Act:
19            (A) If the Director determines that the violation
20        presents a substantial probability that death or
21        serious physical harm will result and if the trauma
22        center fails to eliminate the violation immediately or
23        within a fixed period of time, not exceeding 10 days,
24        as determined by the Director, the Director may
25        immediately revoke the trauma center designation. The
26        trauma center may appeal the revocation within 15 days

 

 

SB2460- 14 -LRB099 18151 RPS 42518 b

1        after receiving the Director's revocation order, by
2        requesting a hearing as provided by Section 29 of this
3        Act. The Director shall notify the chair of the
4        Region's Trauma Center Medical Directors Committee and
5        EMS Medical Directors for appropriate EMS Systems of
6        such trauma center designation revocation;
7            (B) If the Director determines that the violation
8        does not present a substantial probability that death
9        or serious physical harm will result, the Director
10        shall issue a notice of violation and request a plan of
11        correction which shall be subject to the Department's
12        approval. The trauma center shall have 10 days after
13        receipt of the notice of violation in which to submit a
14        plan of correction. The Department may extend this
15        period for up to 30 days. The plan shall include a
16        fixed time period not in excess of 90 days within which
17        violations are to be corrected. The plan of correction
18        and the status of its implementation by the trauma
19        center shall be provided, as appropriate, to the EMS
20        Medical Directors for appropriate EMS Systems. If the
21        Department rejects a plan of correction, it shall send
22        notice of the rejection and the reason for the
23        rejection to the trauma center. The trauma center shall
24        have 10 days after receipt of the notice of rejection
25        in which to submit a modified plan. If the modified
26        plan is not timely submitted, or if the modified plan

 

 

SB2460- 15 -LRB099 18151 RPS 42518 b

1        is rejected, the trauma center shall follow an approved
2        plan of correction imposed by the Department. If, after
3        notice and opportunity for hearing, the Director
4        determines that a trauma center has failed to comply
5        with an approved plan of correction, the Director may
6        suspend or revoke the trauma center designation. The
7        trauma center shall have 15 days after receiving the
8        Director's notice in which to request a hearing. Such
9        hearing shall conform to the provisions of Section
10        3.135 30 of this Act;
11        (11) The Department may delegate authority to local
12    health departments in jurisdictions which include a
13    substantial number of trauma centers. The delegated
14    authority to those local health departments shall include,
15    but is not limited to, the authority to designate trauma
16    centers with final approval by the Department, maintain a
17    regional data base with concomitant reporting of trauma
18    registry data, and monitor, inspect and investigate trauma
19    centers within their jurisdiction, in accordance with the
20    requirements of this Act and the rules promulgated by the
21    Department;
22            (A) The Department shall monitor the performance
23        of local health departments with authority delegated
24        pursuant to this Section, based upon performance
25        criteria established in rules promulgated by the
26        Department;

 

 

SB2460- 16 -LRB099 18151 RPS 42518 b

1            (B) Delegated authority may be revoked for
2        substantial non-compliance with this Act or the
3        Department's rules. Notice of an intent to revoke shall
4        be served upon the local health department by certified
5        mail, stating the reasons for revocation and offering
6        an opportunity for an administrative hearing to
7        contest the proposed revocation. The request for a
8        hearing must be in writing and received by the
9        Department within 10 working days of the local health
10        department's receipt of notification;
11            (C) The director of a local health department may
12        relinquish its delegated authority upon 60 days
13        written notification to the Director of Public Health.
14(Source: P.A. 89-177, eff. 7-19-95.)
 
15    (210 ILCS 50/3.95)
16    Sec. 3.95. Level I Trauma Center Minimum Standards. The
17Department shall establish, through rules adopted pursuant to
18this Act, standards for Level I Trauma Centers which shall
19include, but need not be limited to:
20    (a) The designation by the trauma center of a Trauma Center
21Medical Director and specification of his qualifications;
22    (b) The types of surgical services the trauma center must
23have available for trauma patients, including but not limited
24to a twenty-four hour in-house surgeon with operating
25privileges and ancillary staff necessary for immediate

 

 

SB2460- 17 -LRB099 18151 RPS 42518 b

1surgical intervention;
2    (c) The types of nonsurgical services the trauma center
3must have available for trauma patients;
4    (d) The numbers and qualifications of emergency medical
5personnel;
6    (e) The types of equipment that must be available to trauma
7patients;
8    (f) Requiring the trauma center to be affiliated with an
9EMS System;
10    (g) Requiring the trauma center to have a communications
11system that is fully integrated with all Level II Trauma
12Centers, Level III Trauma Centers, Acute Injury Stabilization
13Centers, and EMS Systems with which it is affiliated;
14    (h) The types of data the trauma center must collect and
15submit to the Department relating to the trauma services it
16provides. Such data may include information on post-trauma care
17directly related to the initial traumatic injury provided to
18trauma patients until their discharge from the facility and
19information on discharge plans;
20    (i) Requiring the trauma center to have helicopter landing
21capabilities approved by appropriate State and federal
22authorities, if the trauma center is located within a
23municipality having a population of less than two million
24people; and
25    (j) Requiring written agreements with Level II Trauma
26Centers, Level III Trauma Centers, and Acute Injury

 

 

SB2460- 18 -LRB099 18151 RPS 42518 b

1Stabilization Centers in the EMS Regions it serves, executed
2within a reasonable time designated by the Department.
3(Source: P.A. 89-177, eff. 7-19-95.)
 
4    (210 ILCS 50/3.100)
5    Sec. 3.100. Level II Trauma Center Minimum Standards. The
6Department shall establish, through rules adopted pursuant to
7this Act, standards for Level II Trauma Centers which shall
8include, but need not be limited to:
9    (a) The designation by the trauma center of a Trauma Center
10Medical Director and specification of his qualifications;
11    (b) The types of surgical services the trauma center must
12have available for trauma patients. The Department shall not
13require the availability of all surgical services required of
14Level I Trauma Centers;
15    (c) The types of nonsurgical services the trauma center
16must have available for trauma patients;
17    (d) The numbers and qualifications of emergency medical
18personnel, taking into consideration the more limited trauma
19services available in a Level II Trauma Center;
20    (e) The types of equipment that must be available for
21trauma patients;
22    (f) Requiring the trauma center to have a written agreement
23with a Level I Trauma Centers, Level III Trauma Centers, and
24Acute Injury Stabilization Centers Center serving the EMS
25Region outlining their respective responsibilities in

 

 

SB2460- 19 -LRB099 18151 RPS 42518 b

1providing trauma services, executed within a reasonable time
2designated by the Department, unless the requirement for a
3Level I Trauma Center to serve that EMS Region has been waived
4by the Department;
5    (g) Requiring the trauma center to be affiliated with an
6EMS System;
7    (h) Requiring the trauma center to have a communications
8system that is fully integrated with the Level I Trauma
9Centers, Level III Trauma Centers, Acute Injury Stabilization
10Centers, and the EMS Systems with which it is affiliated;
11    (i) The types of data the trauma center must collect and
12submit to the Department relating to the trauma services it
13provides. Such data may include information on post-trauma care
14directly related to the initial traumatic injury provided to
15trauma patients until their discharge from the facility and
16information on discharge plans;
17    (j) Requiring the trauma center to have helicopter landing
18capabilities approved by appropriate State and federal
19authorities, if the trauma center is located within a
20municipality having a population of less than two million
21people.
22(Source: P.A. 89-177, eff. 7-19-95.)
 
23    (210 ILCS 50/3.101 new)
24    Sec. 3.101. Level III Trauma Center minimum standards. The
25Department shall establish, through rules adopted pursuant to

 

 

SB2460- 20 -LRB099 18151 RPS 42518 b

1this Act, standards for Level III Trauma Centers which shall
2include, but need not be limited to:
3        (1) the designation by the trauma center of a Trauma
4    Center Medical Director and specification of his or her
5    qualifications;
6        (2) the types of surgical services the trauma center
7    must have available for trauma patients; the Department
8    shall not require the availability of all surgical services
9    required of Level I or Level II Trauma Centers;
10        (3) the types of nonsurgical services the trauma center
11    must have available for trauma patients;
12        (4) the numbers and qualifications of emergency
13    medical personnel, taking into consideration the more
14    limited trauma services available in a Level III Trauma
15    Center;
16        (5) the types of equipment that must be available for
17    trauma patients;
18        (6) requiring the trauma center to have a written
19    agreement with Level I Trauma Centers, Level II Trauma
20    Centers, and Acute Injury Stabilization Centers serving
21    the EMS Region outlining their respective responsibilities
22    in providing trauma services, executed within a reasonable
23    time designated by the Department, unless the requirement
24    for a Level I Trauma Center to serve that EMS Region has
25    been waived by the Department;
26        (7) requiring the trauma center to be affiliated with

 

 

SB2460- 21 -LRB099 18151 RPS 42518 b

1    an EMS System;
2        (8) requiring the trauma center to have a
3    communications system that is fully integrated with the
4    Level I Trauma Centers, Level II Trauma Centers, Acute
5    Injury Stabilization Centers, and the EMS Systems with
6    which it is affiliated;
7        (9) the types of data the trauma center must collect
8    and submit to the Department relating to the trauma
9    services it provides; such data may include information on
10    post-trauma care directly related to the initial traumatic
11    injury provided to trauma patients until their discharge
12    from the facility and information on discharge plans; and
13        (10) requiring the trauma center to have helicopter
14    landing capabilities approved by appropriate State and
15    federal authorities, if the trauma center is located within
16    a municipality having a population of less than 2,000,000
17    people.
 
18    (210 ILCS 50/3.102 new)
19    Sec. 3.102. Acute Injury Stabilization Center minimum
20standards. The Department shall establish, through rules
21adopted pursuant to this Act, standards for Acute Injury
22Stabilization Centers which shall include, but need not be
23limited to, Comprehensive or Basic Emergency Department
24services pursuant to the Hospital Licensing Act.
 

 

 

SB2460- 22 -LRB099 18151 RPS 42518 b

1    (210 ILCS 50/3.105)
2    Sec. 3.105. Trauma Center Misrepresentation. No After the
3effective date of this amendatory Act of 1995, no facility
4shall use the phrase "trauma center" or words of similar
5meaning in relation to itself or hold itself out as a trauma
6center without first obtaining designation pursuant to this
7Act.
8(Source: P.A. 89-177, eff. 7-19-95.)
 
9    (210 ILCS 50/3.107 new)
10    Sec. 3.107. Acute injury Stabilization Center
11Misrepresentation. No facility shall use the phrase "acute
12injury stabilization center" or words of similar meaning in
13relation to itself or hold itself out as an Acute Injury
14Stabilization Center without first obtaining designation
15pursuant to this Act.
 
16    (210 ILCS 50/3.110)
17    Sec. 3.110. EMS system and trauma center confidentiality
18and immunity.
19    (a) All information contained in or relating to any medical
20audit performed of a trauma center's trauma services or an
21Acute Injury Stabilization Center pursuant to this Act or by an
22EMS Medical Director or his designee of medical care rendered
23by System personnel, shall be afforded the same status as is
24provided information concerning medical studies in Article

 

 

SB2460- 23 -LRB099 18151 RPS 42518 b

1VIII, Part 21 of the Code of Civil Procedure. Disclosure of
2such information to the Department pursuant to this Act shall
3not be considered a violation of Article VIII, Part 21 of the
4Code of Civil Procedure.
5    (b) Hospitals, trauma centers and individuals that perform
6or participate in medical audits pursuant to this Act shall be
7immune from civil liability to the same extent as provided in
8Section 10.2 of the Hospital Licensing Act.
9    (c) All information relating to the State Emergency Medical
10Services Disciplinary Review Board or a local review board,
11except final decisions, shall be afforded the same status as is
12provided information concerning medical studies in Article
13VIII, Part 21 of the Code of Civil Procedure. Disclosure of
14such information to the Department pursuant to this Act shall
15not be considered a violation of Article VIII, Part 21 of the
16Code of Civil Procedure.
17(Source: P.A. 92-651, eff. 7-11-02.)
 
18    (210 ILCS 50/3.115)
19    Sec. 3.115. Pediatric Care; Emergency Medical Services for
20Children (EMSC) Trauma. The Upon the availability of federal
21funds for pediatric care demonstration projects, the
22Department shall:
23    (a) Appoint an advisory council, with membership composed
24of individuals or entities chosen by the Director, that shall
25Convene a work group which will be charged with making

 

 

SB2460- 24 -LRB099 18151 RPS 42518 b

1recommendations for conducting a needs assessment of pediatric
2trauma care needs and with developing strategies to address
3correct areas of need, as defined by rules adopted by the
4Department;
5    (b) (Blank); Contract with the University of Illinois
6School of Public Health to develop a secondary prevention
7program for parents;
8    (c) Develop or promote recommendations for Contract with an
9Illinois medical school to develop training and continuing
10medical education, treatment guidelines, and other programs
11for health care practitioners and organizations involved
12physicians and nurses in treatment of pediatric care trauma;
13    (d) (Blank); Contract with an Illinois medical school to
14develop and test triage and field scoring for pediatric trauma
15if the needs assessment by the work group indicates that
16current scoring is inadequate;
17    (e) Support existing pediatric care trauma programs and
18assist in establishing new pediatric care initiatives trauma
19programs throughout the State;
20    (f) (Blank); Provide grants to EMS systems for special
21pediatric equipment for prehospital care based on needs
22identified by the work group; and
23    (g) (Blank); and Provide grants to EMS systems and trauma
24centers for specialized training in pediatric trauma based on
25needs identified by the work group.
26    (h) Designate applicant hospitals that meet the minimum

 

 

SB2460- 25 -LRB099 18151 RPS 42518 b

1standards established by the Department for pediatric
2emergency and critical care capabilities.
3(Source: P.A. 89-177, eff. 7-19-95.)
 
4    (210 ILCS 50/3.140)
5    Sec. 3.140. Violations; Fines.
6    (a) The Department shall have the authority to impose fines
7on any licensed vehicle service provider, stretcher van
8provider, designated trauma center, Acute Injury Stabilization
9Center, resource hospital, associate hospital, or
10participating hospital.
11    (b) The Department shall adopt rules pursuant to this Act
12which establish a system of fines related to the type and level
13of violation or repeat violation, including but not limited to:
14        (1) Each A fine not exceeding $10,000 for a violation
15    which created a condition or occurrence presenting a
16    substantial probability that death or serious harm to an
17    individual will or did result therefrom; and
18        (2) Each A fine not exceeding $5,000 for a violation
19    which creates or created a condition or occurrence which
20    threatens the health, safety or welfare of an individual.
21    (c) A Notice of Intent to Impose Fine may be issued in
22conjunction with or in lieu of a Notice of Intent to Suspend,
23Revoke, Nonrenew or Deny, and shall conform to the requirements
24specified in Section 3.130(d) of this Act. All Hearings
25conducted pursuant to a Notice of Intent to Impose Fine shall

 

 

SB2460- 26 -LRB099 18151 RPS 42518 b

1conform to the requirements specified in Section 3.135 of this
2Act.
3    (d) All fines collected pursuant to this Section shall be
4deposited into the EMS Assistance Fund.
5(Source: P.A. 98-973, eff. 8-15-14.)
 
6    (210 ILCS 50/3.205)
7    Sec. 3.205. State Trauma Advisory Council.
8    (a) There shall be established within the Department of
9Public Health a State Trauma Advisory Council, which shall
10serve as an advisory body to the Department on matters related
11to trauma care and trauma centers.
12    (b) Membership of the Council shall include one
13representative from each Regional Trauma Advisory Committee,
14to be appointed by each Committee. The Governor may appoint a
15neurosurgeon to the Council. The Governor shall appoint the
16following additional members:
17        (1) An EMS Medical Director,
18        (2) A trauma center medical director,
19        (3) A trauma surgeon,
20        (4) A trauma nurse coordinator,
21        (5) A representative from a private vehicle service
22    provider,
23        (6) A representative from a public vehicle service
24    provider,
25        (7) A member of the State EMS Advisory Council, and

 

 

SB2460- 27 -LRB099 18151 RPS 42518 b

1        (8) (Blank), and A neurosurgeon.
2        (9) A burn care medical representative.
3    (c) Members shall be appointed for a term of 3 years. All
4appointees shall serve until their successors are appointed and
5qualified.
6    (d) The Council shall be provided a 90-day period in which
7to review and comment upon all rules proposed by the Department
8pursuant to this Act concerning trauma care, except for
9emergency rules adopted pursuant to Section 5-45 of the
10Illinois Administrative Procedure Act. The 90-day review and
11comment period may commence upon the Department's submission of
12the proposed rules to the individual Council members, if the
13Council is not meeting at the time the proposed rules are ready
14for Council review. Any non-emergency rules adopted prior to
15the Council's 90-day review and comment period shall be null
16and void. If the Council fails to advise the Department within
17its 90-day review and comment period, the rule shall be
18considered acted upon;
19    (e) Council members shall be reimbursed for reasonable
20travel expenses incurred during the performance of their duties
21under this Section.
22    (f) The Department shall provide administrative support to
23the Council for the preparation of the agenda and minutes for
24Council meetings and distribution of proposed rules to Council
25members.
26    (g) The Council shall act pursuant to bylaws which it

 

 

SB2460- 28 -LRB099 18151 RPS 42518 b

1adopts, which shall include the annual election of a Chair and
2Vice-Chair.
3    (h) The Director or his designee shall be present at all
4Council meetings.
5    (i) Nothing in this Section shall preclude the Council from
6reviewing and commenting on proposed rules which fall under the
7purview of the State EMS Advisory Council.
8(Source: P.A. 98-973, eff. 8-15-14.)
 
9    Section 99. Effective date. This Act takes effect 270 days
10after becoming law.

 

 

SB2460- 29 -LRB099 18151 RPS 42518 b

1 INDEX
2 Statutes amended in order of appearance
3    5 ILCS 140/7.5
4    210 ILCS 50/3.30
5    210 ILCS 50/3.90
6    210 ILCS 50/3.95
7    210 ILCS 50/3.100
8    210 ILCS 50/3.101 new
9    210 ILCS 50/3.102 new
10    210 ILCS 50/3.105
11    210 ILCS 50/3.107 new
12    210 ILCS 50/3.110
13    210 ILCS 50/3.115
14    210 ILCS 50/3.140
15    210 ILCS 50/3.205