Illinois General Assembly - Bill Status for HB0192

Amends the Mental Health and Developmental Disabilities Administrative Act, the Department of Public Health Powers and Duties Law of the Civil Administrative Code of Illinois, the University of Illinois Hospital Act, and the Hospital Licensing Act. Requires the Department of Public Health to perform certain functions in relation to the prevention and control of Multidrug-Resistant Organisms (MDROs). In particular, requires the Department to: (1) adopt rules for all health care facilities subject to licensure, certification, registration, or other regulation by the Department requiring compliance with the 2006 recommendations of the U.S. Centers for Disease Control and Prevention for the prevention and control of MDROs; (2) conduct a public information campaign for health care providers not subject to regulation by the Department; (3) create and administer a training program for health care providers; and (4) recommend and approve tests or testing procedures used in determining, preventing, and controlling MDRO infection. Requires hospitals (including the University of Illinois Hospital) and Department of Human Services mental health and developmental disability facilities to implement comprehensive interventions and routine testing procedures. Effective immediately.

Provides that the Department of Human Services shall adopt rules that may require one or more of the mental health and developmental disability facilities under its jurisdiction to implement comprehensive interventions to prevent and control MDROs (instead of rules requiring all such facilities to establish and implement such interventions). Provides that the Department of Public Health shall adopt rules that may require one or more of the types of facilities subject to regulation by the Department to comply with C.D.C. recommendations for the prevention and control of MDROs (instead of rules requiring all such facilities to comply with those recommendations). Deletes provisions requiring facilities to establish and implement procedures for routinely testing all patients for MRSA. Deletes a provision that the Department of Public Health shall recommend and approve tests or testing procedures used in determining, preventing, and controlling MDRO infection.

Replaces everything after the enacting clause and re-inserts provisions similar to those of the introduced bill with these changes: Provides that the Department of Human Services shall adopt rules that may require one or more of the mental health and developmental disability facilities under its jurisdiction to implement comprehensive interventions to prevent and control MDROs (instead of rules requiring all such facilities to establish and implement such interventions). Provides that the Department of Public Health shall adopt rules that may require one or more of the types of facilities subject to regulation by the Department to comply with C.D.C. recommendations for the prevention and control of MDROs (instead of rules requiring all such facilities to comply with those recommendations). In language providing that the Department of Public Health shall adopt rules for health care facilities requiring compliance with specified recommendations for the prevention and control of Multidrug-Resistant Organisms, creates an exception for hospitals, for which administrative rules shall be adopted in accordance with the Hospital Licensing Act and the University of Illinois Hospital Act. Deletes provisions requiring facilities to establish and implement procedures for routinely testing all patients for MRSA. Deletes a provision that the Department of Public Health shall recommend and approve tests or testing procedures used in determining, preventing, and controlling MDRO infection. Makes other changes. Effective immediately.

Replaces everything after the enacting clause and re-inserts provisions similar to those of the bill as amended by House Amendment No. 2, but with changes that include the following: (1) provides that the Department of Public Health (IDPH) may require facilities to perform an annual infection control risk assessment, develop policies that are based on the assessment and incorporate updated recommendations of the U.S. Centers for Disease Control and Prevention, and enforce hand hygiene requirements; (2) makes changes concerning publicity by IDPH with respect to guidelines for reducing the incidence of MDROs; (3) eliminates provisions concerning a training program to be administered by IDPH; (4) requires IDPH to publish a yearly report regarding MRSA and Clostridium difficile infections and implement surveillance for designated cases of community associated MRSA infections for a period of at least 3 years, beginning on or before January 1, 2008; (5) requires IDPH to adopt administrative rules that require the University of Illinois Hospital and other hospitals to perform an annual facility-wide infection control risk assessment and enforce hand hygiene and contact precaution requirements; and (6) amends the Hospital Report Card Act to require hospitals to include in their quarterly reports to IDPH organisms, including but not limited to MRSA, that are responsible for central venous catheter-associated bloodstream infections and ventilator-associated pneumonia in designated hospital units. Effective immediately.

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