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90_HB0725eng 745 ILCS 70/1 from Ch. 111 1/2, par. 5301 745 ILCS 70/2 from Ch. 111 1/2, par. 5302 745 ILCS 70/3 from Ch. 111 1/2, par. 5303 745 ILCS 70/4 from Ch. 111 1/2, par. 5304 745 ILCS 70/5 from Ch. 111 1/2, par. 5305 745 ILCS 70/6 from Ch. 111 1/2, par. 5306 745 ILCS 70/7 from Ch. 111 1/2, par. 5307 745 ILCS 70/8 from Ch. 111 1/2, par. 5308 745 ILCS 70/9 from Ch. 111 1/2, par. 5309 745 ILCS 70/10 from Ch. 111 1/2, par. 5310 745 ILCS 70/11 from Ch. 111 1/2, par. 5311 745 ILCS 70/11.2 new 745 ILCS 70/11.3 new 745 ILCS 70/11.4 new 745 ILCS 70/12 from Ch. 111 1/2, par. 5312 745 ILCS 70/13 from Ch. 111 1/2, par. 5313 745 ILCS 70/14 from Ch. 111 1/2, par. 5314 Amends the Right of Conscience Act. Changes the short title of the Act to the Health Care Right of Conscience Act. Changes defined terms "medical care", "medical personnel", and "medical facility" to "health care", "health care personnel", and "health care facility", respectively and makes other changes in definitions, including changes in definition of "physician". Adds definition of "health care payer"; provides that a health care payer is not civilly or criminally liable by reason of a refusal to pay or arrange for payment of any particular form of health care services that violate the payer's conscience as documented in its ethical guidelines or other governing documents. Prohibits discrimination against a health care payer in matters of licensing and other privileges and prohibits denial of grants or benefits to a health care payer for similar reasons. Makes other changes. LRB9001282DJcd HB0725 Engrossed LRB9001282DJcd 1 AN ACT to amend the Right of Conscience Act by changing 2 and adding certain Sections. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 5. The Right of Conscience Act is amended by 6 changing Sections 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 7 and 14 and adding Sections 11.2, 11.3, and 11.4 as follows: 8 (745 ILCS 70/1) (from Ch. 111 1/2, par. 5301) 9 Sec. 1. Short title. This Actshall be known andmay be 10 cited as the Health Care"Right of Conscience Act". 11 (Source: P.A. 80-616.) 12 (745 ILCS 70/2) (from Ch. 111 1/2, par. 5302) 13 Sec. 2. Findings and policy. The General Assembly finds 14 and declares that people and organizations hold different 15 beliefs about whether certain health care services are 16 morally acceptable. It is the public policy of the State of 17 Illinois to respect and protect the right of conscience of 18 all persons who refuse to obtain, receive or accept, or who 19 are engaged in, the delivery of, arrangement for, or payment 20 of health caremedicalservices and medical care whether 21 acting individually, corporately, or in association with 22 other persons; and to prohibit all forms of discrimination, 23 disqualification, coercion, disability or imposition of 24 liability upon such persons or entities by reason of their 25 refusing to act contrary to their conscience or conscientious 26 convictions in refusing to obtain, receive, accept,or27 deliver, pay for, or arrange for the payment of health care 28medicalservices and medical care. 29 (Source: P.A. 80-616.) HB0725 Engrossed -2- LRB9001282DJcd 1 (745 ILCS 70/3) (from Ch. 111 1/2, par. 5303) 2 Sec. 3. Definitions. As used in this Act, unless the 3 context clearly otherwise requires: 4 (a) "HealthMedicalcare" means any phase of patient 5 care, including but not limited to, testing; diagnosis; 6 prognosis; ancillary research; instructions; family planning, 7 counselling, referrals, or any other advice in connection 8 with the use or procurement of contraceptives and 9 sterilization or abortion procedures; medication; or surgery 10 or other care or treatment rendered by a physician or 11 physicians, nurses, paraprofessionals or health caremedical12 facility, intended for the physical, emotional, and mental 13 well-being of persons; 14 (b) "Physician" means any person whois entitled to15provide medical services or medical care oris licensed by 16 the State of Illinois under the Medical Practice Act of 1987 17to practice medicine in all its branches, whether as intern,18resident, medical trainee, or fully licensed practitioner of19medicine; 20 (c) "Health careMedicalpersonnel" means any nurse, 21 nurses' aideaid, medical school student, professional, 22 paraprofessional or any other person who furnishes, or 23 assists in the furnishing of, health caremedical care24 services; 25 (d) "Health careMedicalfacility" means any public or 26 private hospital, clinic, center, medical school, medical 27 training institution, laboratory or diagnostichealth care28 facility, physician's office, infirmary, dispensary, 29 ambulatory surgical treatment center or other institution or 30 location wherein health care services aremedical care is31 provided to any person, including physician organizations and 32 associations, networks, joint ventures, and all other 33 combinations of those organizations;and34 (e) "Conscience" means a sincerely held set of moral HB0725 Engrossed -3- LRB9001282DJcd 1 convictions arising from belief in and relation to God, or 2 which, though not so derived, arisesobtainsfrom a place in 3 the life of its possessor parallel to that filled by God 4 among adherents to religious faiths; and.5 (f) "Health care payer" means a health maintenance 6 organization, insurance company, management services 7 organization, or any other entity that pays for or arranges 8 for the payment of any health care or medical care service, 9 procedure, or product. 10 The above definitions include not only the traditional 11 combinations and forms of these persons and organizations but 12 also all new and emerging forms and combinations of these 13 persons and organizations. 14 (Source: P.A. 80-616.) 15 (745 ILCS 70/4) (from Ch. 111 1/2, par. 5304) 16 Sec. 4. Liability. No physician or health caremedical17 personnel shall be civilly or criminally liable to any 18 person, estate, public or private entity or public official 19 by reason of his or her refusal to perform, assist, counsel, 20 suggest, recommend, refer or participate in any way in any 21 particular form of healthmedicalcare service which is 22 contrary to the conscience of such physician or health care 23medicalpersonnel. 24 (Source: P.A. 80-616.) 25 (745 ILCS 70/5) (from Ch. 111 1/2, par. 5305) 26 Sec. 5. Discrimination. It shall be unlawful for any 27 person, public or private institution, or public official to 28 discriminate against any person in any manner, including but 29 not limited to, licensing, hiring, promotion, transfer, staff 30 appointment, hospital, managed care entity, or any other 31 privileges, because of such person's conscientious refusal to 32 receive, obtain, accept, perform, assist, counsel, suggest, HB0725 Engrossed -4- LRB9001282DJcd 1 recommend, refer or participate in any way in any particular 2 form of health care servicesmedical carecontrary to his or 3 her conscience. 4 (Source: P.A. 80-616.) 5 (745 ILCS 70/6) (from Ch. 111 1/2, par. 5306) 6 Sec. 6. Duty of physicians and other health care 7 personnel. Nothing in this Act shall relieve a physician 8 from any duty, which may exist under any laws concerning 9 current standards, of normal medical practices and 10 procedures, to inform his or her patient of the patient's 11 condition, prognosis and risks, provided, however, that such 12 physician shall be under no duty to perform, assist, counsel, 13 suggest, recommend, refer or participate in any way in any 14 form of medical practice or healthmedicalcare service that 15 is contrary to his or her conscience. 16 Nothing in this Act shall be construed so as to relieve a 17 physician or other health caremedicalpersonnel from 18 obligations under the law of providing emergency medical 19 care. 20 (Source: P.A. 80-616.) 21 (745 ILCS 70/7) (from Ch. 111 1/2, par. 5307) 22 Sec. 7. Discrimination by employers or institutions. It 23 shall be unlawful for any public or private employer, entity, 24 agency, institution, official or person, including but not 25 limited to, a medical, nursing or other medical training 26 institution, to deny admission because of, to place any 27 reference in its application form concerning, to orally 28 question about, to impose any burdens in terms or conditions 29 of employment on, or to otherwise discriminate against, any 30 applicant, in terms of employment, admission to or 31 participation in any programs for which the applicant is 32 eligible, or to discriminate in relation thereto, in any HB0725 Engrossed -5- LRB9001282DJcd 1 other manner, on account of the applicant's refusal to 2 receive, obtain, accept, perform, counsel, suggest, 3 recommend, refer, assist or participate in any way in any 4 forms of healthmedicalcare services contrary to his or her 5 conscience. 6 (Source: P.A. 80-616.) 7 (745 ILCS 70/8) (from Ch. 111 1/2, par. 5308) 8 Sec. 8. Denial of aid or benefits. It shall be unlawful 9 for any public official, guardian, agency, institution or 10 entity to deny any form of aid, assistance or benefits, or to 11 condition the reception in any way of any form of aid, 12 assistance or benefits, or in any other manner to coerce, 13 disqualify or discriminate against any person, otherwise 14 entitled to such aid, assistance or benefits, because that 15 person refuses to obtain, receive, accept, perform, assist, 16 counsel, suggest, recommend, refer or participate in any way 17 in any form of healthmedicalcare services contrary to his 18 or her conscience. 19 (Source: P.A. 80-616.) 20 (745 ILCS 70/9) (from Ch. 111 1/2, par. 5309) 21 Sec. 9. Liability. No person, association, or 22 corporation, which owns, operates, supervises, or manages a 23 health caremedicalfacility shall be civilly or criminally 24 liable to any person, estate, or public or private entity by 25 reason of refusal of the health caresuch medicalfacility to 26 permit or provide any particular form of healthmedicalcare 27 service which violates the facility's conscience as 28 documented in its ethical guidelines, mission statement, 29 constitution, by-laws, articles of incorporation,or30 regulations, or other governing documents. 31 Nothing in this act shall be construed so as to relieve a 32 physician or other health caremedicalpersonnel from HB0725 Engrossed -6- LRB9001282DJcd 1 obligations under the law of providing emergency medical 2 care. 3 (Source: P.A. 80-616.) 4 (745 ILCS 70/10) (from Ch. 111 1/2, par. 5310) 5 Sec. 10. Discrimination against facility. It shall be 6 unlawful for any person, public or private institution or 7 public official to discriminate against any person, 8 association or corporation attempting to establish a new 9 health caremedicalfacility or operating an existing health 10 caremedicalfacility, in any manner, including but not 11 limited to, denial, deprivation or disqualification in 12 licensing, granting of authorizations, aids, assistance, 13 benefits, medical staff or any other privileges, and granting 14 authorization to expand, improve, or create any health care 15medicalfacility, by reason of the refusal of such person, 16 association or corporation planning, proposing or operating a 17 health caremedicalfacility, to permit or perform any 18 particular form of healthmedicalcare service which violates 19 the health care facility's conscience as documented in its 20 existing or proposed ethical guidelines, mission statement, 21 constitution, by-laws, articles of incorporation,or22 regulations, or other governing documents. 23 (Source: P.A. 80-616.) 24 (745 ILCS 70/11) (from Ch. 111 1/2, par. 5311) 25 Sec. 11. Denial of aid or benefit to a facility. It 26 shall be unlawful for any public official, agency, 27 institution or entity to deny any form of aid, assistance, 28 grants or benefits; or in any other manner to coerce, 29 disqualify or discriminate against any person, association or 30 corporation attempting to establish a new health caremedical31 facility or operating an existing health caremedical32 facility which otherwise would be entitled to the aid, HB0725 Engrossed -7- LRB9001282DJcd 1 assistance, grant or benefit because the existing or proposed 2 health caremedicalfacility refuses to perform, assist, 3 counsel, suggest, recommend, refer or participate in any way 4 in any form of healthmedicalcare services contrary to the 5 health care facility's conscience as documented in its 6 existing or proposed ethical guidelines, mission statement, 7 constitution, by-laws, articles of incorporation,or8 regulations, or other governing documents. 9 (Source: P.A. 80-616.) 10 (745 ILCS 70/11.2 new) 11 Sec. 11.2. Liability of health care payer. No health 12 care payer and no person, association, or corporation that 13 owns, operates, supervises, or manages a health care payer 14 shall be civilly or criminally liable to any person, estate, 15 or public or private entity by reason of refusal of the 16 health care payer to pay for or arrange for the payment of 17 any particular form of health care services that violate the 18 health care payer's conscience as documented in its ethical 19 guidelines, mission statement, constitution, by-laws, 20 articles of incorporation, regulations, or other governing 21 documents. 22 (745 ILCS 70/11.3 new) 23 Sec. 11.3. Discrimination against health care payer in 24 licensing. It shall be unlawful for any person, public or 25 private institution, or public official to discriminate 26 against any person, association, or corporation (i) 27 attempting to establish a new health care payer or (ii) 28 operating an existing health care payer, in any manner, 29 including but not limited to, denial, deprivation, or 30 disqualification in licensing; granting of authorizations, 31 aids, assistance, benefits, or any other privileges; and 32 granting authorization to expand, improve, or create any HB0725 Engrossed -8- LRB9001282DJcd 1 health care payer, because the person, association, or 2 corporation planning, proposing, or operating a health care 3 payer refuses to pay for or arrange for the payment of any 4 particular form of health care services that violates the 5 health care payer's conscience as documented in the existing 6 or proposed ethical guidelines, mission statement, 7 constitution, by-laws, articles of incorporation, regulations 8 or other governing documents. 9 (745 ILCS 70/11.4 new) 10 Sec. 11.4. Denial of aid or benefits to health care 11 payer for refusal to participate in certain health care. It 12 shall be unlawful for any public official, agency, 13 institution, or entity to deny any form of aid, assistance, 14 grants, or benefits; or in any other manner to coerce, 15 disqualify, or discriminate against any person, association, 16 or corporation attempting to establish a new health care 17 payer or operating an existing health care payer that 18 otherwise would be entitled to the aid, assistance, grant, or 19 benefit because the existing or proposed health care payer 20 refuses to pay for, arrange for the payment of, or 21 participate in any way in any form of health care services 22 contrary to the health care payer's conscience as documented 23 in its existing or proposed ethical guidelines, mission 24 statement, constitution, by-laws, articles of incorporation, 25 regulations, or other governing documents. 26 (745 ILCS 70/12) (from Ch. 111 1/2, par. 5312) 27 Sec. 12. Actions; damages. Any person, association, 28 corporation, entity or health caremedicalfacility injured 29 by any public or private person, association, agency, entity 30 or corporation by reason of any action prohibited by this 31 Act, as now or hereafter amended,may commence a suit 32 therefor, and shall recover threefold the actual damages, HB0725 Engrossed -9- LRB9001282DJcd 1 including pain and suffering, sustained by such person, 2 association, corporation, entity or health caremedical3 facility, the costs of the suit and reasonable attorney's 4 fees; but in no case shall recovery be less than $2,500 for 5 each violation in addition to costs of the suit and 6 reasonable attorney's fees. These damage remedies shall be 7 cumulative, and not exclusive of other remedies afforded 8 under any other state or federal law. 9 (Source: P.A. 80-616.) 10 (745 ILCS 70/13) (from Ch. 111 1/2, par. 5313) 11 Sec. 13. Liability for refusal to provide certain health 12 care. Nothing in this Act shall be construed as excusing any 13 person, public or private institution, or public official 14 from liability for refusal to permit or provide a particular 15 form of healthmedicalcare service if: 16 (a) the person, public or private institution or public 17 official has entered into a contract specifically to provide 18 that particular form of healthmedicalcare service; or 19 (b) the person, public or private institution or public 20 official has accepted federal or state funds for the sole 21 purpose of, and specifically conditioned upon, permitting or 22 providing that particular form of healthmedicalcare 23 service. 24 (Source: P.A. 80-616.) 25 (745 ILCS 70/14) (from Ch. 111 1/2, par. 5314) 26 Sec. 14. Supersedes other Acts. This Act shall 27 supersede all other Acts or parts of Acts to the extent that 28 anysuch priorActs or parts of Acts are inconsistent with 29 the terms or operation of this Act. 30 (Source: P.A. 80-616.)