State of Illinois
90th General Assembly
Legislation

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90_SB1315eng

      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
SB1315 Engrossed                               LRB9008998SMdv
 1        AN ACT regarding immunizations, amending named Acts.
 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 17 15
22    persons, all of whom shall be appointed by the Governor, with
23    the advice and consent of the Senate for those  appointed  by
24    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
SB1315 Engrossed            -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
 4    2 shall be citizens at large.
 5        In the appointment of the first Board of  Health  members
 6    appointed  after the effective date of this amendatory Act of
 7    1991, the Governor shall appoint 5 members to serve for terms
 8    of 5 years; 5 members to serve for terms of 2  years;  and  5
 9    members  to  serve  for a term of one year. Members appointed
10    thereafter shall be appointed for terms of  3  years,  except
11    where an appointment is made to fill a vacancy, in which case
12    the  appointment  shall  be  for  the  remaining  term of the
13    position vacated.  The initial terms  for  the  2  additional
14    members  of  the  board  who  are citizens at large appointed
15    under this amendatory Act of 1998 shall be for 3 years  each,
16    with  these  positions  thereafter being filled as with other
17    members appointed by the Governor. All members shall be legal
18    residents of the State of Illinois.  The duties of the  Board
19    shall include, but not be limited to, the following:
20             (1)  To  advise  the Department of ways to encourage
21        public understanding  and  support  of  the  Department's
22        programs.
23             (2)  To  evaluate  all boards, councils, committees,
24        authorities and bodies advisory to, or an adjunct of, the
25        Department of Public  Health  or  its  Director  for  the
26        purpose  of  recommending  to the Director one or more of
27        the following:
28                  (i)  The elimination of bodies whose activities
29             are not consistent with goals and objectives of  the
30             Department.
31                  (ii)  The   consolidation   of   bodies   whose
32             activities    encompass    compatible   programmatic
33             subjects.
34                  (iii)  The restructuring  of  the  relationship
SB1315 Engrossed            -3-                LRB9008998SMdv
 1             between  the  various  bodies  and their integration
 2             within   the   organizational   structure   of   the
 3             Department.
 4                  (iv)  The establishment of  new  bodies  deemed
 5             essential to the functioning of the Department.
 6             (3)  To  serve  as an advisory group to the Director
 7        for public  health  emergencies  and  control  of  health
 8        hazards.
 9             (4)  To  advise the Director regarding public health
10        policy,  and  to  make  health   policy   recommendations
11        regarding   priorities   to   the  Governor  through  the
12        Director.
13             (5)  To present public health issues to the Director
14        and to make recommendations for the resolution  of  those
15        issues.
16             (6)  To recommend studies to delineate public health
17        problems.
18             (7)  To make recommendations to the Governor through
19        the  Director  regarding the coordination of State public
20        health activities  with  other  State  and  local  public
21        health agencies and organizations.
22             (8)  To  report on or before February 1 of each year
23        on the  health  of  the  residents  of  Illinois  to  the
24        Governor, the General Assembly and the public.
25             (9)  To  review  the  final  draft  of  all proposed
26        administrative rules, other than emergency or  preemptory
27        rules  and  those  rules  that another advisory body must
28        approve or  review  within  a  statutorily  defined  time
29        period,  of  the  Department  after the effective date of
30        this amendatory Act of 1991.  The Board shall review  the
31        proposed  rules  within  90  days  of  submission  by the
32        Department.  The Department shall take into consideration
33        any comments and recommendations of the  Board  regarding
34        the  proposed  rules prior to submission to the Secretary
SB1315 Engrossed            -4-                LRB9008998SMdv
 1        of State for  initial  publication.   If  the  Department
 2        disagrees with the recommendations of the Board, it shall
 3        submit  a  written response outlining the reasons for not
 4        accepting the recommendations.
 5             In the case  of  proposed  administrative  rules  or
 6        amendments to administrative rules regarding immunization
 7        of  children  against  preventable  communicable diseases
 8        designated by the Director under the Communicable Disease
 9        Prevention Act, after the Immunization Advisory Committee
10        has made its recommendations, the Board shall  conduct  3
11        public  hearings,  geographically  distributed throughout
12        the State. At the conclusion of the hearings,  the  State
13        Board  of  Health  shall  issue  a  report, including its
14        recommendations, to the Director.    The  Director  shall
15        take  into  consideration any comments or recommendations
16        made by the Board based on these hearings.
17             (10)  To  make  recommendations  to   the   Governor
18        through  the  Director  concerning  the  development  and
19        periodic   updating   of   Statewide   health  objectives
20        encompassing, in part, the periodically published federal
21        health objectives for the nation, which will provide  the
22        basis  for  the policy development and assurance roles of
23        the State Health Department, and to make  recommendations
24        to   the   Governor   through   the   Director  regarding
25        legislation  and  funding  necessary  to  implement   the
26        objectives.
27             (11)  Upon the request of the Governor, to recommend
28        to  the Governor candidates for Director of Public Health
29        when vacancies occur in the position.
30             (12)  To adopt bylaws for the  conduct  of  its  own
31        business,  including  the  authority  to establish ad hoc
32        committees to address  specific  public  health  programs
33        requiring resolution.
34        Upon  appointment,  the  Board  shall elect a chairperson
SB1315 Engrossed            -5-                LRB9008998SMdv
 1    from among its members.
 2        Members of the Board shall receive compensation for their
 3    services at the rate of $150 per day, not to  exceed  $10,000
 4    per year, as designated by the Director for each day required
 5    for  transacting  the  business  of  the  Board, and shall be
 6    reimbursed for necessary expenses incurred in the performance
 7    of their duties. The Board shall meet from time  to  time  at
 8    the  call  of the Department, at the call of the chairperson,
 9    or upon the request of 3 of its members, but shall  not  meet
10    less than 4 times per year.
11        (b)  An  Advisory  Board  of  Cancer  Control which shall
12    consist of 9 members, one of whom shall be a  senior  citizen
13    age  60 or over, appointed by the Governor, one of whom shall
14    be designated as chairman by a majority of the members of the
15    Board. No less than 4 members shall be recognized authorities
16    in cancer control, and at least 4 members shall be physicians
17    licensed to practice medicine in all of its branches  in  the
18    State  of Illinois. In the appointment of the first board the
19    Governor shall appoint 2 members to  serve  for  terms  of  1
20    year, 2 for terms of 2 years, and 3 for terms of 3 years. The
21    members  first  appointed  under  this amendatory Act of 1984
22    shall serve for a term of 3 years.   All  members  appointed,
23    thereafter  shall  be  appointed for terms of 3 years, except
24    where an appointment is made to fill a vacancy, in which case
25    the appointment shall  be  for  the  remaining  term  of  the
26    position  vacant.  The members of the Board shall be citizens
27    of the State of Illinois. In the appointment of the  Advisory
28    Board  the  Governor shall invite nominations from recognized
29    medical organizations of this State. The Board is  authorized
30    to  receive  voluntary  contributions from any source, and to
31    expend  the  same  for  the  purpose  of  cancer  control  as
32    authorized by this Act, and the laws of this State.
33        (c)  An Advisory Board on Necropsy Service  to  Coroners,
34    which  shall  counsel  and  advise  with  the Director on the
SB1315 Engrossed            -6-                LRB9008998SMdv
 1    administration of the Autopsy Act. The Advisory  Board  shall
 2    consist  of  11 members, including a senior citizen age 60 or
 3    over, appointed  by  the  Governor,  one  of  whom  shall  be
 4    designated  as  chairman  by a majority of the members of the
 5    Board. In the appointment of the  first  Board  the  Governor
 6    shall  appoint  3 members to serve for terms of 1 year, 3 for
 7    terms of 2 years, and 3 for terms of  3  years.  The  members
 8    first appointed under this amendatory Act of 1984 shall serve
 9    for  a  term  of  3  years.  All members appointed thereafter
10    shall be appointed for terms  of  3  years  except  where  an
11    appointment  is  made  to  fill  a vacancy, in which case the
12    appointment shall be for the remaining term of  the  position
13    vacant.  The  members  of  the Board shall be citizens of the
14    State of Illinois. In  the  appointment  of  members  of  the
15    Advisory Board the Governor shall appoint 3 members who shall
16    be  persons  licensed to practice medicine and surgery in the
17    State of Illinois, at least 2 of  whom  shall  have  received
18    post-graduate  training  in the field of pathology; 3 members
19    who are duly elected coroners in this State;  and  5  members
20    who  shall  have  interest  and  abilities  in  the  field of
21    forensic medicine but who shall be neither  persons  licensed
22    to  practice  any  branch  of  medicine  in  this  State  nor
23    coroners.  In  the appointment of medical and coroner members
24    of the Board, the  Governor  shall  invite  nominations  from
25    recognized  medical  and coroners organizations in this State
26    respectively. Board members, while serving on business of the
27    Board, shall receive actual necessary travel and  subsistence
28    expenses   while   so  serving  away  from  their  places  of
29    residence.
30    (Source: P.A. 86-436; 87-633.)
31        Section 10.  The  Department  of  Public  Health  Act  is
32    amended by adding Section 8.4 as follows:
SB1315 Engrossed            -7-                LRB9008998SMdv
 1        (20 ILCS 2305/8.4 new)
 2        Sec. 8.4.  Immunization Advisory Committee.  The Director
 3    of  Public  Health  shall  appoint  an  Immunization Advisory
 4    Committee to advise the Director on immunization issues.  The
 5    Director  shall  take  into  consideration  any  comments  or
 6    recommendations  made  by  the   Advisory   Committee.    The
 7    Immunization  Advisory  Committee  shall  be  composed of the
 8    following members with knowledge of immunization  issues:   a
 9    pediatrician,  a  physician  licensed to practice medicine in
10    all its branches, a family physician, an  infectious  disease
11    specialist  from a university based center, 2 representatives
12    of a local health department, a registered  nurse,  a  school
13    nurse,  a  public health provider, a public health officer or
14    administrator, a representative of a children's  hospital,  2
15    representatives  of  immunization  advocacy  organizations, a
16    representative from the State Board  of  Education,  and  any
17    other  individuals or organization representatives designated
18    by the Director.  The Director shall  designate  one  of  the
19    Advisory Committee members to serve as the Chairperson of the
20    Advisory Committee.
21        Section  15.   The Communicable Disease Prevention Act is
22    amended by changing Section 2 as follows:
23        (410 ILCS 315/2) (from Ch. 111 1/2, par. 22.12)
24        Sec. 2.  The Department of Public Health shall promulgate
25    rules and  regulations  requiring  immunization  of  children
26    against  preventable  communicable diseases designated by the
27    Director. Before  any  regulation  or  amendment  thereto  is
28    prescribed,  the  Department  shall  conduct a public hearing
29    regarding such regulation. In addition, before any regulation
30    or any amendment to a regulation is adopted,  and  after  the
31    Immunization Advisory Committee has made its recommendations,
32    the  State  Board  of Health shall conduct 3 public hearings,
SB1315 Engrossed            -8-                LRB9008998SMdv
 1    geographically distributed throughout  the  State,  regarding
 2    the  regulation  or  amendment  to  the  regulation.   At the
 3    conclusion of the hearings, the State Board of  Health  shall
 4    issue   a  report,  including  its  recommendations,  to  the
 5    Director.  The Director shall  take  into  consideration  any
 6    comments  or recommendations made by the Board based on these
 7    hearings.  The Department may prescribe additional rules  and
 8    regulations  for  immunization  of other diseases as vaccines
 9    are developed.
10        The provisions of this Act shall not apply if:
11        1.  The parent or guardian of the child  objects  thereto
12    on  the  grounds that the administration of immunizing agents
13    conflicts with his religious tenets or practices or,
14        2.  A physician employed by the  parent  or  guardian  to
15    provide  care  and  treatment  to  the  child states that the
16    physical  condition  of  the   child   is   such   that   the
17    administration  of  one  or  more  of the required immunizing
18    agents would be detrimental to the health of the child.
19    (Source: P.A. 85-828.)
20        Section 99.  Effective date.  This Act takes effect  upon
21    becoming law.

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