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90_SB1315 20 ILCS 5/6.06 from Ch. 127, par. 6.06 410 ILCS 315/2 from Ch. 111 1/2, par. 22.12 Amends the Civil Administrative Code with regard to the Department of Public Health. Changes the composition of the State Board of Health from 15 to 19 members, with 2 new members appointed by the Governor from citizens at large, and 2 new members appointed, one each, by the President of the Senate and the Speaker of the House of Representatives. Provides that in the case of proposed administrative rules or amendments to administrative rules regarding immunization of children against preventable communicable diseases designated by the Director of Public Health under the Communicable Disease Prevention Act, the State Board of Health shall conduct 3 public hearings and issue its recommendations to be considered by the Director. Amends the Communicable Disease Prevention Act. Inserts a parallel provision requiring the State Board of Health to hold the hearings and issue the recommendations. Effective immediately. LRB9008998SMdv LRB9008998SMdv 1 AN ACT regarding immunizations. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Civil Administrative Code of Illinois is 5 amended by changing Section 6.06 as follows: 6 (20 ILCS 5/6.06) (from Ch. 127, par. 6.06) 7 Sec. 6.06. In the Department of Public Health. 8 (a) The General Assembly declares it to be the public 9 policy of this State that all citizens of Illinois are 10 entitled to lead healthy lives. Governmental public health 11 has a specific responsibility to ensure that a system is in 12 place to allow the public health mission to be achieved. To 13 develop a system requires certain core functions to be 14 performed by government. The State Board of Health is to 15 assume the leadership role in advising the Director in 16 meeting the following functions: 17 (1) Needs assessment. 18 (2) Statewide health objectives. 19 (3) Policy development. 20 (4) Assurance of access to necessary services. 21 There shall be a State Board of Health composed of 191522 persons, 17allof whom shall be appointed by the Governor, 23 with the advice and consent of the Senate for those appointed 24 by the Governor on and after the effective date of this 25 amendatory Act of 1998, and one of whom shall be a senior 26 citizen age 60 or over. Five members shall be physicians 27 licensed to practice medicine in all its branches, one 28 representing a medical school faculty, one who is board 29 certified in preventive medicine, and 2 who are engaged in 30 private practice. One member shall be a dentist; one an 31 environmental health practitioner; one a local public health -2- LRB9008998SMdv 1 administrator; one a local board of health member; one a 2 registered nurse; one a veterinarian; one a public health 3 academician; one a health care industry representative; and 4 42shall be citizens at large. The 2 remaining members shall 5 be appointed, one each, by the President of the Senate and 6 the Speaker of the House of Representatives. 7 In the appointment of the first Board of Health members 8 appointed after the effective date of this amendatory Act of 9 1991, the Governor shall appoint 5 members to serve for terms 10 of 5 years; 5 members to serve for terms of 2 years; and 5 11 members to serve for a term of one year. Members, excluding 12 members appointed by the President of the Senate and the 13 Speaker of the House of Representatives, appointed thereafter 14 shall be appointed for terms of 3 years, except where an 15 appointment is made to fill a vacancy, in which case the 16 appointment shall be for the remaining term of the position 17 vacated. The initial terms for the 2 additional members of 18 the board who are citizens at large appointed under this 19 amendatory Act of 1998 shall be for 3 years each, with these 20 positions thereafter being filled as with other members 21 appointed by the Governor. The initial terms of the member 22 appointed by the President of the Senate and the member 23 appointed by the Speaker of the House of Representatives 24 under this amendatory Act of 1998 shall be for one year each. 25 The members appointed by the President of the Senate and the 26 Speaker of the House of Representatives shall thereafter 27 serve one year terms, except where an appointment is made to 28 fill a vacancy, in which case the appointment shall be for 29 the remaining term of the position vacated. All members 30 shall be legal residents of the State of Illinois. The 31 duties of the Board shall include, but not be limited to, the 32 following: 33 (1) To advise the Department of ways to encourage 34 public understanding and support of the Department's -3- LRB9008998SMdv 1 programs. 2 (2) To evaluate all boards, councils, committees, 3 authorities and bodies advisory to, or an adjunct of, the 4 Department of Public Health or its Director for the 5 purpose of recommending to the Director one or more of 6 the following: 7 (i) The elimination of bodies whose activities 8 are not consistent with goals and objectives of the 9 Department. 10 (ii) The consolidation of bodies whose 11 activities encompass compatible programmatic 12 subjects. 13 (iii) The restructuring of the relationship 14 between the various bodies and their integration 15 within the organizational structure of the 16 Department. 17 (iv) The establishment of new bodies deemed 18 essential to the functioning of the Department. 19 (3) To serve as an advisory group to the Director 20 for public health emergencies and control of health 21 hazards. 22 (4) To advise the Director regarding public health 23 policy, and to make health policy recommendations 24 regarding priorities to the Governor through the 25 Director. 26 (5) To present public health issues to the Director 27 and to make recommendations for the resolution of those 28 issues. 29 (6) To recommend studies to delineate public health 30 problems. 31 (7) To make recommendations to the Governor through 32 the Director regarding the coordination of State public 33 health activities with other State and local public 34 health agencies and organizations. -4- LRB9008998SMdv 1 (8) To report on or before February 1 of each year 2 on the health of the residents of Illinois to the 3 Governor, the General Assembly and the public. 4 (9) To review the final draft of all proposed 5 administrative rules, other than emergency or preemptory 6 rules and those rules that another advisory body must 7 approve or review within a statutorily defined time 8 period, of the Department after the effective date of 9 this amendatory Act of 1991. The Board shall review the 10 proposed rules within 90 days of submission by the 11 Department. The Department shall take into consideration 12 any comments and recommendations of the Board regarding 13 the proposed rules prior to submission to the Secretary 14 of State for initial publication. If the Department 15 disagrees with the recommendations of the Board, it shall 16 submit a written response outlining the reasons for not 17 accepting the recommendations. 18 In the case of proposed administrative rules or 19 amendments to administrative rules regarding immunization 20 of children against preventable communicable diseases 21 designated by the Director under the Communicable Disease 22 Prevention Act, the Board shall conduct 3 public 23 hearings, geographically distributed throughout the 24 State. At the conclusion of the hearings, the State Board 25 of Health shall issue a report, including its 26 recommendations, to the Director. The Director shall 27 take into consideration any comments or recommendations 28 made by the Board based on these hearings. 29 (10) To make recommendations to the Governor 30 through the Director concerning the development and 31 periodic updating of Statewide health objectives 32 encompassing, in part, the periodically published federal 33 health objectives for the nation, which will provide the 34 basis for the policy development and assurance roles of -5- LRB9008998SMdv 1 the State Health Department, and to make recommendations 2 to the Governor through the Director regarding 3 legislation and funding necessary to implement the 4 objectives. 5 (11) Upon the request of the Governor, to recommend 6 to the Governor candidates for Director of Public Health 7 when vacancies occur in the position. 8 (12) To adopt bylaws for the conduct of its own 9 business, including the authority to establish ad hoc 10 committees to address specific public health programs 11 requiring resolution. 12 Upon appointment, the Board shall elect a chairperson 13 from among its members. 14 Members of the Board shall receive compensation for their 15 services at the rate of $150 per day, not to exceed $10,000 16 per year, as designated by the Director for each day required 17 for transacting the business of the Board, and shall be 18 reimbursed for necessary expenses incurred in the performance 19 of their duties. The Board shall meet from time to time at 20 the call of the Department, at the call of the chairperson, 21 or upon the request of 3 of its members, but shall not meet 22 less than 4 times per year. 23 (b) An Advisory Board of Cancer Control which shall 24 consist of 9 members, one of whom shall be a senior citizen 25 age 60 or over, appointed by the Governor, one of whom shall 26 be designated as chairman by a majority of the members of the 27 Board. No less than 4 members shall be recognized authorities 28 in cancer control, and at least 4 members shall be physicians 29 licensed to practice medicine in all of its branches in the 30 State of Illinois. In the appointment of the first board the 31 Governor shall appoint 2 members to serve for terms of 1 32 year, 2 for terms of 2 years, and 3 for terms of 3 years. The 33 members first appointed under this amendatory Act of 1984 34 shall serve for a term of 3 years. All members appointed, -6- LRB9008998SMdv 1 thereafter shall be appointed for terms of 3 years, except 2 where an appointment is made to fill a vacancy, in which case 3 the appointment shall be for the remaining term of the 4 position vacant. The members of the Board shall be citizens 5 of the State of Illinois. In the appointment of the Advisory 6 Board the Governor shall invite nominations from recognized 7 medical organizations of this State. The Board is authorized 8 to receive voluntary contributions from any source, and to 9 expend the same for the purpose of cancer control as 10 authorized by this Act, and the laws of this State. 11 (c) An Advisory Board on Necropsy Service to Coroners, 12 which shall counsel and advise with the Director on the 13 administration of the Autopsy Act. The Advisory Board shall 14 consist of 11 members, including a senior citizen age 60 or 15 over, appointed by the Governor, one of whom shall be 16 designated as chairman by a majority of the members of the 17 Board. In the appointment of the first Board the Governor 18 shall appoint 3 members to serve for terms of 1 year, 3 for 19 terms of 2 years, and 3 for terms of 3 years. The members 20 first appointed under this amendatory Act of 1984 shall serve 21 for a term of 3 years. All members appointed thereafter 22 shall be appointed for terms of 3 years except where an 23 appointment is made to fill a vacancy, in which case the 24 appointment shall be for the remaining term of the position 25 vacant. The members of the Board shall be citizens of the 26 State of Illinois. In the appointment of members of the 27 Advisory Board the Governor shall appoint 3 members who shall 28 be persons licensed to practice medicine and surgery in the 29 State of Illinois, at least 2 of whom shall have received 30 post-graduate training in the field of pathology; 3 members 31 who are duly elected coroners in this State; and 5 members 32 who shall have interest and abilities in the field of 33 forensic medicine but who shall be neither persons licensed 34 to practice any branch of medicine in this State nor -7- LRB9008998SMdv 1 coroners. In the appointment of medical and coroner members 2 of the Board, the Governor shall invite nominations from 3 recognized medical and coroners organizations in this State 4 respectively. Board members, while serving on business of the 5 Board, shall receive actual necessary travel and subsistence 6 expenses while so serving away from their places of 7 residence. 8 (Source: P.A. 86-436; 87-633.) 9 Section 10. The Communicable Disease Prevention Act is 10 amended by changing Section 2 as follows: 11 (410 ILCS 315/2) (from Ch. 111 1/2, par. 22.12) 12 Sec. 2. The Department of Public Health shall promulgate 13 rules and regulations requiring immunization of children 14 against preventable communicable diseases designated by the 15 Director. Before any regulation or amendment thereto is 16 prescribed, the Department shall conduct a public hearing 17 regarding such regulation. In addition, before any regulation 18 or any amendment to a regulation is adopted, the State Board 19 of Health shall conduct 3 public hearings, geographically 20 distributed throughout the State, regarding the regulation or 21 amendment to the regulation. At the conclusion of the 22 hearings, the State Board of Health shall issue a report, 23 including its recommendations, to the Director. The Director 24 shall take into consideration any comments or recommendations 25 made by the Board based on these hearings. The Department 26 may prescribe additional rules and regulations for 27 immunization of other diseases as vaccines are developed. 28 The provisions of this Act shall not apply if: 29 1. The parent or guardian of the child objects thereto 30 on the grounds that the administration of immunizing agents 31 conflicts with his religious tenets or practices or, 32 2. A physician employed by the parent or guardian to -8- LRB9008998SMdv 1 provide care and treatment to the child states that the 2 physical condition of the child is such that the 3 administration of one or more of the required immunizing 4 agents would be detrimental to the health of the child. 5 (Source: P.A. 85-828.) 6 Section 99. Effective date. This Act takes effect upon 7 becoming law.