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90_HB0941 410 ILCS 305/7 from Ch. 111 1/2, par. 7307 410 ILCS 305/9 from Ch. 111 1/2, par. 7309 Amends the AIDS Confidentiality Act. With respect to provisions (i) exempting health care providers, health facility employees, firefighters, and EMTs from requirement of informed consent by test subject and (ii) authorizing disclosure of test results to health care providers, health facility employees, firefighters, EMTs, and law enforcement officers: eliminates requirement that a physician, in his medical judgment, determine that a skin or mucous membrane contact is of a nature that may transmit HIV. Authorizes disclosure of test results to a referring, treating, or consulting physician of the test subject. Provides that no civil or criminal liability under the Act shall be imposed for disclosure of test results to a health care provider by another health care provider acting in good faith. LRB9003960DJbd LRB9003960DJbd 1 AN ACT to amend the AIDS Confidentiality Act by changing 2 Sections 7 and 9. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 5. The AIDS Confidentiality Act is amended by 6 changing Sections 7 and 9 as follows: 7 (410 ILCS 305/7) (from Ch. 111 1/2, par. 7307) 8 Sec. 7. (a) Notwithstanding the provisions of Sections 9 4, 5 and 6 of this Act, written informed consent is not 10 required for a health care provider or health facility to 11 perform a test when the health care provider or health 12 facility procures, processes, distributes or uses a human 13 body part donated for a purpose specified under the Uniform 14 Anatomical Gift Act, or semen provided prior to the effective 15 date of this Act for the purpose of artificial insemination, 16 and such a test is necessary to assure medical acceptability 17 of such gift or semen for the purposes intended. 18 (b) Written informed consent is not required for a 19 health care provider or health facility to perform a test 20 when a health care provider or employee of a health facility, 21 or a firefighter or an EMT-A or,EMT-Ior EMT-P,is involved 22 in an accidental direct skin or mucous membrane contact with 23 the blood or bodily fluids of an individual which is of a 24 nature that may transmit HIV, as determined by a physician in25his medical judgment. Should such test prove to be positive, 26 the patientand the health care provider, health facility27employee, firefighter, EMT-A, EMT-I, or EMT-Pshall be 28 provided appropriate counseling consistent with this Act. 29 (c) Written informed consent is not required for a 30 health care provider or health facility to perform a test 31 when a law enforcement officer is involved in the line of -2- LRB9003960DJbd 1 duty in a direct skin or mucous membrane contact with the 2 blood or bodily fluids of an individual which is of a nature 3 that may transmit HIV, as determined by a physician in his 4 medical judgment. Should such test prove to be positive, the 5 patient shall be provided appropriate counseling consistent 6 with this Act. For purposes of this subsection (c), "law 7 enforcement officer" means any person employed by the State, 8 a county or a municipality as a policeman, peace officer, 9 auxiliary policeman, correctional officer or in some like 10 position involving the enforcement of the law and protection 11 of the public interest at the risk of that person's life. 12 (Source: P.A. 86-887; 86-891; 86-1028; 87-459.) 13 (410 ILCS 305/9) (from Ch. 111 1/2, par. 7309) 14 Sec. 9. No person may disclose or be compelled to 15 disclose the identity of any person upon whom a test is 16 performed, or the results of such a test in a manner which 17 permits identification of the subject of the test, except to 18 the following persons: 19 (a) The subject of the test or the subject's legally 20 authorized representative. A physician may notify the spouse 21 of the test subject, if the test result is positive and has 22 been confirmed by a Western Blot Assay or more reliable test, 23 provided that the physician has first sought unsuccessfully 24 to persuade the patient to notify the spouse or that, a 25 reasonable time after the patient has agreed to make the 26 notification, the physician has reason to believe that the 27 patient has not provided the notification. This paragraph 28 shall not create a duty or obligation under which a physician 29 must notify the spouse of the test results, nor shall such 30 duty or obligation be implied. No civil liability or criminal 31 sanction under this Act shall be imposed for any disclosure 32 or non-disclosure of a test result to a spouse by a physician 33 acting in good faith under this paragraph. For the purpose -3- LRB9003960DJbd 1 of any proceedings, civil or criminal, the good faith of any 2 physician acting under this paragraph shall be presumed. 3 (b) Any person designated in a legally effective release 4 of the test results executed by the subject of the test or 5 the subject's legally authorized representative. 6 (c) An authorized agent or employee of a health facility 7 or health care provider or referring, treating, or consulting 8 physician of the test subject, if the health facility or 9 health care provider itself is authorized to obtain the test 10 results, the agent or employee or referring, treating, or 11 consulting physician of the test subject provides patient 12 care or handles or processes specimens of body fluids or 13 tissues, and the agent or employee or referring, treating, or 14 consulting physician of the test subject has a need to know 15 such information. An authorized agent or employee of a health 16 facility or health care provider or a referring, treating, or 17 consulting physician has a need to know the identity of the 18 patient or the test results revealing the identity of the 19 patient under the following circumstances: 20 (1) When involved in direct patient care or 21 processing blood or body fluids. 22 (2) As necessary in order to meet the health care 23 needs of the client. 24 (3) When involved in an accidental direct skin or 25 mucous membrane contact with the blood or body fluids of 26 a patient which is of a nature likely to transmit HIV, 27 such as a needle stick or percutaneous exposure. 28 No civil liability or criminal sanction under this Act 29 shall be imposed for any disclosure of a test result to a 30 health care provider by another health care provider acting 31 in good faith under this subsection. For the purpose of any 32 civil or criminal proceeding, the good faith of any health 33 care provider acting under this subsection shall be presumed. 34 (d) The Department, in accordance with rules for -4- LRB9003960DJbd 1 reporting and controlling the spread of disease, as otherwise 2 provided by State law. Neither the Department nor its 3 authorized representatives shall disclose information and 4 records held by them relating to known or suspected cases of 5 AIDS or HIV infection, publicly or in any action of any kind 6 in any court or before any tribunal, board, or agency. AIDS 7 and HIV infection data shall be protected from disclosure in 8 accordance with the provisions of Sections 8-2101 through 9 8-2105 of the Code of Civil Procedure. 10 (e) A health facility or health care provider which 11 procures, processes, distributes or uses: (i) a human body 12 part from a deceased person with respect to medical 13 information regarding that person; or (ii) semen provided 14 prior to the effective date of this Act for the purpose of 15 artificial insemination. 16 (f) Health facility staff committees for the purposes of 17 conducting program monitoring, program evaluation or service 18 reviews. 19 (g) (Blank). 20 (h) Any health care provider or employee of a health 21 facility, and any firefighter or EMT-A, EMT-P,or EMT-I, 22 involved in an accidental direct skin or mucous membrane 23 contact with the blood or bodily fluids of an individual 24 which is of a nature that may transmit HIV, as determined by25a physician in his medical judgment. 26 (i) Any law enforcement officer, as defined in 27 subsection (c) of Section 7, involved in the line of duty in 28 a direct skin or mucous membrane contact with the blood or 29 bodily fluids of an individual which is of a nature that may 30 transmit HIV, as determined by a physician in his medical31judgment. 32 (j) A temporary caretaker of a child taken into 33 temporary protective custody by the Department of Children 34 and Family Services pursuant to Section 5 of the Abused and -5- LRB9003960DJbd 1 Neglected Child Reporting Act, as now or hereafter amended. 2 (k) In the case of a minor under 18 years of age whose 3 test result is positive and has been confirmed by a Western 4 Blot Assay or a more reliable test, the health care provider 5 who ordered the test shall make a reasonable effort to notify 6 the minor's parent or legal guardian if, in the professional 7 judgement of the health care provider, notification would be 8 in the best interest of the child and the health care 9 provider has first sought unsuccessfully to persuade the 10 minor to notify the parent or legal guardian or a reasonable 11 time after the minor has agreed to notify the parent or legal 12 guardian, the health care provider has reason to believe that 13 the minor has not made the notification. This subsection 14 shall not create a duty or obligation under which a health 15 care provider must notify the minor's parent or legal 16 guardian of the test results, nor shall a duty or obligation 17 be implied. No civil liability or criminal sanction under 18 this Act shall be imposed for any notification or 19 non-notification of a minor's test result by a health care 20 provider acting in good faith under this subsection. For the 21 purpose of any proceeding, civil or criminal, the good faith 22 of any health care provider acting under this subsection 23 shall be presumed. 24 (Source: P.A. 88-45; 89-381, eff. 8-18-95.)