Full Text of HB0005 101st General Assembly
HB0005enr 101ST GENERAL ASSEMBLY |
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| 1 | | AN ACT concerning health.
| 2 | | Be it enacted by the People of the State of Illinois,
| 3 | | represented in the General Assembly:
| 4 | | Section 5. The Department of Human Services Act is amended | 5 | | by changing Section 10-15 as follows:
| 6 | | (20 ILCS 1305/10-15)
| 7 | | Sec. 10-15. Pregnant women with a substance use disorder. | 8 | | The Department shall develop
guidelines for use in non-hospital | 9 | | residential care facilities for pregnant women who have a | 10 | | substance use disorder with respect to the care of those | 11 | | clients.
| 12 | | The Department shall administer infant mortality and | 13 | | prenatal
programs, through its provider agencies, to develop | 14 | | special programs for
case finding and service coordination for | 15 | | pregnant women who have a substance use disorder.
| 16 | | The Department shall ensure access to substance use | 17 | | disorder services statewide for pregnant and postpartum women, | 18 | | and ensure that programs are gender-responsive, are | 19 | | trauma-informed, serve women and young children, and | 20 | | prioritize justice-involved pregnant and postpartum women. | 21 | | (Source: P.A. 100-759, eff. 1-1-19 .)
| 22 | | Section 10. The Department of Public Health Powers and |
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| 1 | | Duties Law of the
Civil Administrative Code of Illinois is | 2 | | amended by adding Section 2310-223 as follows: | 3 | | (20 ILCS 2310/2310-223 new) | 4 | | Sec. 2310-223. Maternal care. | 5 | | (a) The Department shall establish a classification system | 6 | | for the following levels of maternal care: | 7 | | (1) basic care: care of uncomplicated pregnancies with | 8 | | the ability to detect, stabilize, and initiate management | 9 | | of unanticipated maternal-fetal or neonatal problems that | 10 | | occur during the antepartum, intrapartum, or postpartum | 11 | | period until the patient can be transferred to a facility | 12 | | at which specialty maternal care is available; | 13 | | (2) specialty care: basic care plus care of appropriate | 14 | | high-risk antepartum, intrapartum, or postpartum | 15 | | conditions, both directly admitted and transferred to | 16 | | another facility; | 17 | | (3) subspecialty care: specialty care plus care of more | 18 | | complex maternal medical conditions, obstetric | 19 | | complications, and fetal conditions; and | 20 | | (4) regional perinatal health care: subspecialty care | 21 | | plus on-site medical and surgical care of the most complex | 22 | | maternal conditions, critically ill pregnant women, and | 23 | | fetuses throughout antepartum, intrapartum, and postpartum | 24 | | care. | 25 | | (b) The Department shall: |
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| 1 | | (1) introduce uniform designations for levels of | 2 | | maternal care that are complimentary but distinct from | 3 | | levels of neonatal care; | 4 | | (2) establish clear, uniform criteria for designation | 5 | | of maternal centers that are integrated with emergency | 6 | | response systems to help ensure that the appropriate | 7 | | personnel, physical space, equipment, and technology are | 8 | | available to achieve optimal outcomes, as well as to | 9 | | facilitate subsequent data collection regarding | 10 | | risk-appropriate care; | 11 | | (3) require each health care facility to have a clear | 12 | | understanding of its capability to handle increasingly | 13 | | complex levels of maternal care, and to have a well-defined | 14 | | threshold for transferring women to health care facilities | 15 | | that offer a higher level of care; to ensure optimal care | 16 | | of all pregnant women, the Department shall require all | 17 | | birth centers, hospitals, and higher-level facilities to | 18 | | collaborate in order to develop and maintain maternal and | 19 | | neonatal transport plans and cooperative agreements | 20 | | capable of managing the health care needs of women who | 21 | | develop complications; the Department shall require that | 22 | | receiving hospitals openly accept transfers; | 23 | | (4) require higher-level facilities to provide | 24 | | training for quality improvement initiatives, educational | 25 | | support, and severe morbidity and mortality case review for | 26 | | lower-level hospitals; the Department shall ensure that, |
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| 1 | | in those regions that do not have a facility that qualifies | 2 | | as a regional perinatal health care facility, any specialty | 3 | | care facility in the region will provide the educational | 4 | | and consultation function; | 5 | | (5) require facilities and regional systems to develop | 6 | | methods to track severe maternal morbidity and mortality to | 7 | | assess the efficacy of utilizing maternal levels of care; | 8 | | (6) analyze data collected from all facilities and | 9 | | regional systems in order to inform future updates to the | 10 | | levels of maternal care; | 11 | | (7) require follow-up interdisciplinary work groups to | 12 | | further explore the implementation needs that are | 13 | | necessary to adopt the proposed classification system for | 14 | | levels of maternal care in all facilities that provide | 15 | | maternal care; | 16 | | (8) disseminate data and materials to raise public | 17 | | awareness about the importance of prenatal care and | 18 | | maternal health; | 19 | | (9) engage the Illinois Chapter of the American Academy | 20 | | of Pediatrics in creating a quality improvement initiative | 21 | | to expand efforts of pediatricians conducting postpartum | 22 | | depression screening at well baby visits during the first | 23 | | year of life; and | 24 | | (10) adopt rules in accordance with the Illinois | 25 | | Administrative Procedure Act to implement this subsection. |
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| 1 | | Section 15. The Emergency Medical Services (EMS) Systems | 2 | | Act is amended by changing Section 3.20 as follows:
| 3 | | (210 ILCS 50/3.20)
| 4 | | Sec. 3.20. Emergency Medical Services (EMS) Systems. | 5 | | (a) "Emergency Medical Services (EMS) System" means an
| 6 | | organization of hospitals, vehicle service providers and
| 7 | | personnel approved by the Department in a specific
geographic | 8 | | area, which coordinates and provides pre-hospital
and | 9 | | inter-hospital emergency care and non-emergency medical
| 10 | | transports at a BLS, ILS and/or ALS level pursuant to a
System | 11 | | program plan submitted to and approved by the
Department, and | 12 | | pursuant to the EMS Region Plan adopted for
the EMS Region in | 13 | | which the System is located. | 14 | | (b) One hospital in each System program plan must be
| 15 | | designated as the Resource Hospital. All other hospitals
which | 16 | | are located within the geographic boundaries of a
System and | 17 | | which have standby, basic or comprehensive level
emergency | 18 | | departments must function in that EMS System as
either an | 19 | | Associate Hospital or Participating Hospital and
follow all | 20 | | System policies specified in the System Program
Plan, including | 21 | | but not limited to the replacement of drugs
and equipment used | 22 | | by providers who have delivered patients
to their emergency | 23 | | departments. All hospitals and vehicle
service providers | 24 | | participating in an EMS System must
specify their level of | 25 | | participation in the System Program
Plan. |
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| 1 | | (c) The Department shall have the authority and
| 2 | | responsibility to: | 3 | | (1) Approve BLS, ILS and ALS level EMS Systems which
| 4 | | meet minimum standards and criteria established in rules
| 5 | | adopted by the Department pursuant to this Act, including
| 6 | | the submission of a Program Plan for Department approval.
| 7 | | Beginning September 1, 1997, the Department shall approve
| 8 | | the development of a new EMS System only when a local or
| 9 | | regional need for establishing such System has been
| 10 | | verified by the Department. This shall not be construed as | 11 | | a needs assessment for health
planning or
other purposes | 12 | | outside of this Act.
Following Department approval, EMS | 13 | | Systems must
be fully operational within one year from the | 14 | | date of
approval. | 15 | | (2) Monitor EMS Systems, based on minimum standards for
| 16 | | continuing operation as prescribed in rules adopted by the
| 17 | | Department pursuant to this Act, which shall include
| 18 | | requirements for submitting Program Plan amendments to the
| 19 | | Department for approval. | 20 | | (3) Renew EMS System approvals every 4 years, after
an | 21 | | inspection, based on compliance with the standards for
| 22 | | continuing operation prescribed in rules adopted by the
| 23 | | Department pursuant to this Act. | 24 | | (4) Suspend, revoke, or refuse to renew approval of
any | 25 | | EMS System, after providing an opportunity for a
hearing, | 26 | | when findings show that it does not meet the
minimum |
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| 1 | | standards for continuing operation as prescribed by
the | 2 | | Department, or is found to be in violation of its
| 3 | | previously approved Program Plan. | 4 | | (5) Require each EMS System to adopt written protocols
| 5 | | for the bypassing of or diversion to any hospital, trauma
| 6 | | center or regional trauma center, which provide that a | 7 | | person
shall not be transported to a facility other than | 8 | | the nearest
hospital, regional trauma center or trauma | 9 | | center unless the
medical benefits to the patient | 10 | | reasonably expected from the
provision of appropriate | 11 | | medical treatment at a more distant
facility outweigh the | 12 | | increased risks to the patient from
transport to the more | 13 | | distant facility, or the transport is in
accordance with | 14 | | the System's protocols for patient
choice or refusal. | 15 | | (6) Require that the EMS Medical Director of an ILS or
| 16 | | ALS level EMS System be a physician licensed to practice
| 17 | | medicine in all of its branches in Illinois, and certified | 18 | | by
the American Board of Emergency Medicine or the American | 19 | | Osteopathic Board
of Emergency Medicine, and that the EMS | 20 | | Medical
Director of a BLS level EMS System be a physician | 21 | | licensed to
practice medicine in all of its branches in | 22 | | Illinois, with
regular and frequent involvement in | 23 | | pre-hospital emergency
medical services. In addition, all | 24 | | EMS Medical Directors shall: | 25 | | (A) Have experience on an EMS vehicle at the
| 26 | | highest level available within the System, or make |
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| 1 | | provision
to gain such experience within 12 months | 2 | | prior to the
date responsibility for the System is | 3 | | assumed or within 90
days after assuming the position; | 4 | | (B) Be thoroughly knowledgeable of all skills
| 5 | | included in the scope of practices of all levels of EMS
| 6 | | personnel within the System; | 7 | | (C) Have or make provision to gain experience
| 8 | | instructing students at a level similar to that of the | 9 | | levels
of EMS personnel within the System; and | 10 | | (D) For ILS and ALS EMS Medical Directors,
| 11 | | successfully complete a Department-approved EMS | 12 | | Medical
Director's Course. | 13 | | (7) Prescribe statewide EMS data elements to be
| 14 | | collected and documented by providers in all EMS Systems | 15 | | for
all emergency and non-emergency medical services, with | 16 | | a
one-year phase-in for commencing collection of such data
| 17 | | elements. | 18 | | (8) Define, through rules adopted pursuant to this Act,
| 19 | | the terms "Resource Hospital", "Associate Hospital",
| 20 | | "Participating Hospital", "Basic Emergency Department",
| 21 | | "Standby Emergency Department", "Comprehensive Emergency | 22 | | Department", "EMS
Medical Director", "EMS Administrative
| 23 | | Director", and "EMS System Coordinator". | 24 | | (A) (Blank). | 25 | | (B) (Blank). | 26 | | (9) Investigate the
circumstances that caused a |
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| 1 | | hospital
in an EMS system
to go on
bypass status to | 2 | | determine whether that hospital's decision to go on bypass
| 3 | | status was reasonable. The Department may impose | 4 | | sanctions, as
set forth in Section 3.140 of the Act, upon a | 5 | | Department determination that the
hospital unreasonably
| 6 | | went on bypass status in violation of the Act. | 7 | | (10) Evaluate the capacity and performance of any | 8 | | freestanding emergency center established under Section | 9 | | 32.5 of this Act in meeting emergency medical service needs | 10 | | of the public, including compliance with applicable | 11 | | emergency medical standards and assurance of the | 12 | | availability of and immediate access to the highest quality | 13 | | of medical care possible.
| 14 | | (11) Permit limited EMS System participation by | 15 | | facilities operated by the United States Department of | 16 | | Veterans Affairs, Veterans Health Administration. Subject | 17 | | to patient preference, Illinois EMS providers may | 18 | | transport patients to Veterans Health Administration | 19 | | facilities that voluntarily participate in an EMS System. | 20 | | Any Veterans Health Administration facility seeking | 21 | | limited participation in an EMS System shall agree to | 22 | | comply with all Department administrative rules | 23 | | implementing this Section. The Department may promulgate | 24 | | rules, including, but not limited to, the types of Veterans | 25 | | Health Administration facilities that may participate in | 26 | | an EMS System and the limitations of participation. |
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| 1 | | (12) Ensure that EMS systems are transporting pregnant | 2 | | women to the appropriate facilities based on the | 3 | | classification of the levels of maternal care described | 4 | | under subsection (a) of Section 2310-223 of the Department | 5 | | of Public Health Powers and Duties Law of the Civil | 6 | | Administrative Code of Illinois. | 7 | | (Source: P.A. 97-333, eff. 8-12-11; 98-973, eff. 8-15-14.)
| 8 | | Section 99. Effective date. This Act takes effect upon | 9 | | becoming law.
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