Full Text of HB0147 95th General Assembly
HB0147ham001 95TH GENERAL ASSEMBLY
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Health Care Availability and Access Committee
Filed: 2/28/2007
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LRB095 03747 DRJ 31857 a |
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| AMENDMENT TO HOUSE BILL 147
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| AMENDMENT NO. ______. Amend House Bill 147 by replacing | 3 |
| lines 4 through 23 on page 1 and lines 1 through 16 on page 2 | 4 |
| with the following:
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| "Section 2. The Department of Public Health Powers and | 6 |
| Duties Law of the
Civil Administrative Code of Illinois is | 7 |
| amended by changing Section 2310-345 as follows:
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| (20 ILCS 2310/2310-345) (was 20 ILCS 2310/55.49)
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| Sec. 2310-345. Breast cancer; written summary regarding | 10 |
| early detection and
treatment. | 11 |
| (a) From funds made available for this purpose, the
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| Department shall publish, in layman's language, a
standardized | 13 |
| written summary outlining methods for the early detection and
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| diagnosis of breast cancer. The summary shall include | 15 |
| recommended
guidelines for screening and detection of breast | 16 |
| cancer through the use of
techniques that shall include but not |
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| be limited to self-examination and
diagnostic radiology.
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| (b) The summary shall also suggest that women seek | 3 |
| mammography
services from facilities that
are certified to | 4 |
| perform mammography as required by the
federal Mammography | 5 |
| Quality Standards Act of 1992.
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| (c) The summary shall also include the medically viable
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| alternative
methods for the treatment of breast cancer, | 8 |
| including, but not limited to,
hormonal, radiological, | 9 |
| chemotherapeutic, or surgical treatments or
combinations | 10 |
| thereof. The summary shall contain information on breast
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| reconstructive surgery, including, but not limited to, the use | 12 |
| of breast
implants and their side effects.
The summary shall | 13 |
| inform the
patient of the advantages, disadvantages, risks, and | 14 |
| dangers of the various
procedures.
The summary shall include | 15 |
| (i) a statement that mammography is the most
accurate method | 16 |
| for making an early detection of breast cancer, however, no
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| diagnostic tool is 100% effective and (ii) instructions for
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| instructions for performing breast self-examination and a | 19 |
| statement that
it is
important to perform a breast | 20 |
| self-examination monthly.
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| (c-5) The summary shall specifically address the benefits | 22 |
| of early detection and regular comprehensive clinical breast | 23 |
| examinations as well as the mandate that health and government | 24 |
| benefit payers pay for the breast examinations.
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| (d) In developing the summary, the Department shall consult | 26 |
| with the
Advisory Board of Cancer Control, the Illinois State |
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| Medical Society and
consumer groups. The summary shall be | 2 |
| updated by the Department every 2 years.
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| (e) The summaries shall additionally be translated into | 4 |
| Spanish, and
the Department shall conduct a public information | 5 |
| campaign to distribute
the summaries to the Hispanic women of | 6 |
| this State in order to inform them
of the importance of early | 7 |
| detection and mammograms.
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| (f) The Department shall distribute the summary to | 9 |
| hospitals, public
health centers, and physicians who are likely | 10 |
| to perform or order
diagnostic
tests for breast disease or | 11 |
| treat breast cancer by surgical or other
medical methods. Those | 12 |
| hospitals, public health centers, and physicians
shall make the | 13 |
| summaries available to the public. The Department shall
also | 14 |
| distribute the summaries to any person, organization, or other
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| interested parties upon request. The summaries may be | 16 |
| duplicated by any
person, provided the copies are identical to | 17 |
| the current summary
prepared
by the Department.
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| (g) The summary shall display, on the inside of its cover, | 19 |
| printed in
capital letters, in bold face type, the following | 20 |
| paragraph:
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| "The information contained in this brochure regarding | 22 |
| recommendations for
early detection and diagnosis of breast | 23 |
| disease and alternative breast
disease treatments is only for | 24 |
| the purpose of assisting you, the patient,
in understanding the | 25 |
| medical information and advice offered by your
physician. This | 26 |
| brochure cannot serve as a substitute for the sound
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| professional advice of your physician. The availability of this | 2 |
| brochure
or the information contained within is not intended to | 3 |
| alter, in any way,
the existing physician-patient | 4 |
| relationship, nor the existing professional
obligations of | 5 |
| your physician in the delivery of medical services to you,
the | 6 |
| patient."
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| (h) The summary shall be updated when necessary.
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| (Source: P.A. 91-239, eff. 1-1-00; revised 10-19-05.)
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| Section 5. The Illinois Insurance Code is amended by adding | 10 |
| Section 356g.5 as follows: | 11 |
| (215 ILCS 5/356g.5 new) | 12 |
| Sec. 356g.5. Comprehensive clinical breast exam. | 13 |
| (a) The General Assembly finds that comprehensive clinical | 14 |
| breast examinations are a critical tool in the early detection | 15 |
| of breast cancer, while the disease is in its earlier and | 16 |
| potentially more treatable stages. Insurer reimbursement of | 17 |
| comprehensive clinical breast examinations is essential to the | 18 |
| effort to reduce breast cancer deaths in Illinois. | 19 |
| (b) Every insurer shall provide, in each group or | 20 |
| individual policy, contract, or certificate of accident or | 21 |
| health insurance issued or renewed for persons who are | 22 |
| residents of Illinois, coverage for a complete and thorough | 23 |
| comprehensive clinical breast examination for each breast, | 24 |
| performed by a physician licensed to practice medicine in all |
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| its branches, an advanced practice nurse who has a | 2 |
| collaborative agreement with a collaborating physician that | 3 |
| authorizes comprehensive breast
examinations, or a physician | 4 |
| assistant who has been delegated authority to provide | 5 |
| comprehensive breast examinations, to check for lumps and other | 6 |
| changes for the purpose of early detection and prevention of | 7 |
| breast cancer as follows: | 8 |
| (1) annually for women 18 years of age and older; and | 9 |
| (2) at any time at the recommendation of the woman's | 10 |
| health care professional. | 11 |
| (c) An insurance policy, contract, or certificate must | 12 |
| provide separate and distinct coverage for physical | 13 |
| examinations of the breast as described in subsection (b) | 14 |
| regardless of whether a health care professional performs other | 15 |
| preventive women's health examinations or makes a referral for | 16 |
| other preventive women's health examinations at the same time | 17 |
| the health care professional performs
the breast | 18 |
| examination. ".
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