Illinois General Assembly - Full Text of SB2403
Illinois General Assembly

Previous General Assemblies

Full Text of SB2403  99th General Assembly




SB2403 EnrolledLRB099 18409 MJP 42785 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 1. This Act may be referred to as Gabby's Law.
5    Section 5. The Department of Public Health Powers and
6Duties Law of the Civil Administrative Code of Illinois is
7amended by adding Section 2310-314 as follows:
8    (20 ILCS 2310/2310-314 new)
9    Sec. 2310-314. Sepsis screening protocols. The Department
10shall adopt rules to implement Section 6.23a of the Hospital
11Licensing Act.
12    Section 10. The Hospital Licensing Act is amended by adding
13Section 6.23a as follows:
14    (210 ILCS 85/6.23a new)
15    Sec. 6.23a. Sepsis screening protocols.
16    (a) Each hospital shall adopt, implement, and periodically
17update evidence-based protocols for the early recognition and
18treatment of patients with sepsis, severe sepsis, or septic
19shock (sepsis protocols) that are based on generally accepted
20standards of care. Sepsis protocols must include components



SB2403 Enrolled- 2 -LRB099 18409 MJP 42785 b

1specific to the identification, care, and treatment of adults
2and of children, and must clearly identify where and when
3components will differ for adults and for children seeking
4treatment in the emergency department or as an inpatient. These
5protocols must also include the following components:
6        (1) a process for the screening and early recognition
7    of patients with sepsis, severe sepsis, or septic shock;
8        (2) a process to identify and document individuals
9    appropriate for treatment through sepsis protocols,
10    including explicit criteria defining those patients who
11    should be excluded from the protocols, such as patients
12    with certain clinical conditions or who have elected
13    palliative care;
14        (3) guidelines for hemodynamic support with explicit
15    physiologic and treatment goals, methodology for invasive
16    or non-invasive hemodynamic monitoring, and timeframe
17    goals;
18        (4) for infants and children, guidelines for fluid
19    resuscitation consistent with current, evidence-based
20    guidelines for severe sepsis and septic shock with defined
21    therapeutic goals for children;
22        (5) identification of the infectious source and
23    delivery of early broad spectrum antibiotics with timely
24    re-evaluation to adjust to narrow spectrum antibiotics
25    targeted to identified infectious sources; and
26        (6) criteria for use, based on accepted evidence of



SB2403 Enrolled- 3 -LRB099 18409 MJP 42785 b

1    vasoactive agents.
2    (b) Each hospital shall ensure that professional staff with
3direct patient care responsibilities and, as appropriate,
4staff with indirect patient care responsibilities, including,
5but not limited to, laboratory and pharmacy staff, are
6periodically trained to implement the sepsis protocols
7required under subsection (a). The hospital shall ensure
8updated training of staff if the hospital initiates substantive
9changes to the sepsis protocols.
10    (c) Each hospital shall be responsible for the collection
11and utilization of quality measures related to the recognition
12and treatment of severe sepsis for purposes of internal quality
14    (d) The evidence-based protocols adopted under this
15Section shall be provided to the Department upon the
16Department's request.
17    (e) Hospitals submitting sepsis data as required by the
18Centers for Medicare and Medicaid Services Hospital Inpatient
19Quality Reporting program as of fiscal year 2016 are presumed
20to meet the sepsis protocol requirements outlined in this
22    (f) Subject to appropriation, the Department shall:
23        (1) recommend evidence-based sepsis definitions and
24    metrics that incorporate evidence-based findings,
25    including appropriate antibiotic stewardship, and that
26    align with the National Quality Forum, the Centers for



SB2403 Enrolled- 4 -LRB099 18409 MJP 42785 b

1    Medicare and Medicaid Services, the Agency for Healthcare
2    Research and Quality, and the Joint Commission;
3        (2) establish and use a methodology for collecting,
4    analyzing, and disclosing the information collected under
5    this Section, including collection methods, formatting,
6    and methods and means for aggregate data release and
7    dissemination;
8        (3) complete a digest of efforts and recommendations no
9    later than 12 months after the effective date of this
10    amendatory Act of the 99th General Assembly; the digest may
11    include Illinois-specific data, trends, conditions, or
12    other clinical factors; a summary shall be provided to the
13    Governor and General Assembly and shall be publicly
14    available on the Department's website; and
15        (4) consult and seek input and feedback prior to the
16    proposal, publication, or issuance of any guidance,
17    methodologies, metrics, rulemaking, or any other
18    information authorized under this Section from statewide
19    organizations representing hospitals, physicians, advanced
20    practice nurses, pharmacists, and long-term care
21    facilities. Public and private hospitals, epidemiologists,
22    infection prevention professionals, health care
23    informatics and health care data professionals, and
24    academic researchers may be consulted.
25    If the Department receives an appropriation and carries out
26the requirements of paragraphs (1), (2), (3), and (4), then the



SB2403 Enrolled- 5 -LRB099 18409 MJP 42785 b

1Department may adopt rules concerning the collection of data
2from hospitals regarding sepsis and requiring that each
3hospital shall be responsible for reporting to the Department.
4    Any publicly released hospital-specific information under
5this Section is subject to data provisions specified in Section
625 of the Hospital Report Card Act.
7    Section 99. Effective date. This Act takes effect upon
8becoming law.