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Public Act 102-1097 | ||||
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AN ACT concerning health.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 5. The Sexual Assault Survivors Emergency | ||||
Treatment Act is amended by changing Sections 1a, 1a-1, 2-1, | ||||
5-1, 5.4, 5.5, 5.5-1, 7.5, 7.5-1, and 9.5 as follows:
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(410 ILCS 70/1a) (from Ch. 111 1/2, par. 87-1a)
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Sec. 1a. Definitions. | ||||
(a) In this Act:
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"Advanced practice registered nurse" has the meaning | ||||
provided in Section 50-10 of the Nurse Practice Act. | ||||
"Ambulance provider" means an individual or entity that | ||||
owns and operates a business or service using ambulances or | ||||
emergency medical services vehicles to transport emergency | ||||
patients.
| ||||
"Approved pediatric health care facility" means a health | ||||
care facility, other than a hospital, with a sexual assault | ||||
treatment plan approved by the Department to provide medical | ||||
forensic services to pediatric sexual assault survivors who | ||||
present with a complaint of sexual assault within a minimum of | ||||
the last 7 days or who have disclosed past sexual assault by a | ||||
specific individual and were in the care of that individual | ||||
within a minimum of the last 7 days. |
"Areawide sexual assault treatment plan" means a plan, | ||
developed by hospitals or by hospitals and approved pediatric | ||
health care facilities in a community or area to be served, | ||
which provides for medical forensic services to sexual assault | ||
survivors that shall be made available by each of the | ||
participating hospitals and approved pediatric health care | ||
facilities.
| ||
"Board-certified child abuse pediatrician" means a | ||
physician certified by the American Board of Pediatrics in | ||
child abuse pediatrics. | ||
"Board-eligible child abuse pediatrician" means a | ||
physician who has completed the requirements set forth by the | ||
American Board of Pediatrics to take the examination for | ||
certification in child abuse pediatrics. | ||
"Department" means the Department of Public Health.
| ||
"Emergency contraception" means medication as approved by | ||
the federal Food and Drug Administration (FDA) that can | ||
significantly reduce the risk of pregnancy if taken within 72 | ||
hours after sexual assault.
| ||
"Follow-up healthcare" means healthcare services related | ||
to a sexual assault, including laboratory services and | ||
pharmacy services, rendered within 180 90 days of the initial | ||
visit for medical forensic services.
| ||
"Health care professional" means a physician, a physician | ||
assistant, a sexual assault forensic examiner, an advanced | ||
practice registered nurse, a registered professional nurse, a |
licensed practical nurse, or a sexual assault nurse examiner.
| ||
"Hospital" means a hospital licensed under the Hospital | ||
Licensing Act or operated under the University of Illinois | ||
Hospital Act, any outpatient center included in the hospital's | ||
sexual assault treatment plan where hospital employees provide | ||
medical forensic services, and an out-of-state hospital that | ||
has consented to the jurisdiction of the Department under | ||
Section 2.06.
| ||
"Illinois State Police Sexual Assault Evidence Collection | ||
Kit" means a prepackaged set of materials and forms to be used | ||
for the collection of evidence relating to sexual assault. The | ||
standardized evidence collection kit for the State of Illinois | ||
shall be the Illinois State Police Sexual Assault Evidence | ||
Collection Kit.
| ||
"Law enforcement agency having jurisdiction" means the law | ||
enforcement agency in the jurisdiction where an alleged sexual | ||
assault or sexual abuse occurred. | ||
"Licensed practical nurse" has the meaning provided in | ||
Section 50-10 of the Nurse Practice Act. | ||
"Medical forensic services" means health care delivered to | ||
patients within or under the care and supervision of personnel | ||
working in a designated emergency department of a hospital or | ||
an approved pediatric health care facility. "Medical forensic | ||
services" includes, but is not limited to, taking a medical | ||
history, performing photo documentation, performing a physical | ||
and anogenital examination, assessing the patient for evidence |
collection, collecting evidence in accordance with a statewide | ||
sexual assault evidence collection program administered by the | ||
Illinois State Police using the Illinois State Police Sexual | ||
Assault Evidence Collection Kit, if appropriate, assessing the | ||
patient for drug-facilitated or alcohol-facilitated sexual | ||
assault, providing an evaluation of and care for sexually | ||
transmitted infection and human immunodeficiency virus (HIV), | ||
pregnancy risk evaluation and care, and discharge and | ||
follow-up healthcare planning. | ||
"Pediatric health care facility" means a clinic or | ||
physician's office that provides medical services to pediatric | ||
patients. | ||
"Pediatric sexual assault survivor" means a person under | ||
the age of 13 who presents for medical forensic services in | ||
relation to injuries or trauma resulting from a sexual | ||
assault. | ||
"Photo documentation" means digital photographs or | ||
colposcope videos stored and backed up securely in the | ||
original file format. | ||
"Physician" means a person licensed to practice medicine | ||
in all its branches.
| ||
"Physician assistant" has the meaning provided in Section | ||
4 of the Physician Assistant Practice Act of 1987. | ||
"Prepubescent sexual assault survivor" means a female who | ||
is under the age of 18 years and has not had a first menstrual | ||
cycle or a male who is under the age of 18 years and has not |
started to develop secondary sex characteristics who presents | ||
for medical forensic services in relation to injuries or | ||
trauma resulting from a sexual assault. | ||
"Qualified medical provider" means a board-certified child | ||
abuse pediatrician, board-eligible child abuse pediatrician, a | ||
sexual assault forensic examiner, or a sexual assault nurse | ||
examiner who has access to photo documentation tools, and who | ||
participates in peer review. | ||
"Registered Professional Nurse" has the meaning provided | ||
in Section 50-10 of the Nurse Practice Act. | ||
"Sexual assault" means: | ||
(1) an act of sexual conduct; as used in this | ||
paragraph, "sexual conduct" has the meaning provided under | ||
Section 11-0.1 of the Criminal Code of 2012; or | ||
(2) any act of sexual penetration; as used in this | ||
paragraph, "sexual penetration" has the meaning provided | ||
under Section 11-0.1 of the Criminal Code of 2012 and | ||
includes, without limitation, acts prohibited under | ||
Sections 11-1.20 through 11-1.60 of the Criminal Code of | ||
2012.
| ||
"Sexual assault forensic examiner" means a physician or | ||
physician assistant who has completed training that meets or | ||
is substantially similar to the Sexual Assault Nurse Examiner | ||
Education Guidelines established by the International | ||
Association of Forensic Nurses. | ||
"Sexual assault nurse examiner" means an advanced practice |
registered nurse or registered professional nurse who has | ||
completed a sexual assault nurse examiner training program | ||
that meets the Sexual Assault Nurse Examiner Education | ||
Guidelines established by the International Association of | ||
Forensic Nurses. | ||
"Sexual assault services voucher" means a document | ||
generated by a hospital or approved pediatric health care | ||
facility at the time the sexual assault survivor receives | ||
outpatient medical forensic services that may be used to seek | ||
payment for any ambulance services, medical forensic services, | ||
laboratory services, pharmacy services, and follow-up | ||
healthcare provided as a result of the sexual assault. | ||
"Sexual assault survivor" means a person who presents for | ||
medical forensic services in relation to injuries or trauma | ||
resulting from a sexual assault.
| ||
"Sexual assault transfer plan" means a written plan | ||
developed by a hospital and approved by the Department, which | ||
describes the hospital's procedures for transferring sexual | ||
assault survivors to another hospital, and an approved | ||
pediatric health care facility, if applicable, in order to | ||
receive medical forensic services. | ||
"Sexual assault treatment plan" means a written plan that | ||
describes the procedures and protocols for providing medical | ||
forensic services to sexual assault survivors who present | ||
themselves for such services, either directly or through | ||
transfer from a hospital or an approved pediatric health care |
facility.
| ||
"Transfer hospital" means a hospital with a sexual assault | ||
transfer plan approved by the Department. | ||
"Transfer services" means the appropriate medical | ||
screening examination and necessary stabilizing treatment | ||
prior to the transfer of a sexual assault survivor to a | ||
hospital or an approved pediatric health care facility that | ||
provides medical forensic services to sexual assault survivors | ||
pursuant to a sexual assault treatment plan or areawide sexual | ||
assault treatment plan.
| ||
"Treatment hospital" means a hospital with a sexual | ||
assault treatment plan approved by the Department to provide | ||
medical forensic services to all sexual assault survivors who | ||
present with a complaint of sexual assault within a minimum of | ||
the last 7 days or who have disclosed past sexual assault by a | ||
specific individual and were in the care of that individual | ||
within a minimum of the last 7 days. | ||
"Treatment hospital with approved pediatric transfer" | ||
means a hospital with a treatment plan approved by the | ||
Department to provide medical forensic services to sexual | ||
assault survivors 13 years old or older who present with a | ||
complaint of sexual assault within a minimum of the last 7 days | ||
or who have disclosed past sexual assault by a specific | ||
individual and were in the care of that individual within a | ||
minimum of the last 7 days. | ||
(b) This Section is effective on and after January 1, 2024 |
2022 . | ||
(Source: P.A. 101-81, eff. 7-12-19; 101-634, eff. 6-5-20; | ||
102-22, eff. 6-25-21; 102-538, eff. 8-20-21; 102-674, eff. | ||
11-30-21; revised 12-16-21.)
| ||
(410 ILCS 70/1a-1) | ||
(Section scheduled to be repealed on December 31, 2023) | ||
Sec. 1a-1. Definitions. | ||
(a) In this Act: | ||
"Advanced practice registered nurse" has the meaning | ||
provided in Section 50-10 of the Nurse Practice Act. | ||
"Ambulance provider" means an individual or entity that | ||
owns and operates a business or service using ambulances or | ||
emergency medical services vehicles to transport emergency | ||
patients. | ||
"Approved pediatric health care facility" means a health | ||
care facility, other than a hospital, with a sexual assault | ||
treatment plan approved by the Department to provide medical | ||
forensic services to pediatric sexual assault survivors who | ||
present with a complaint of sexual assault within a minimum of | ||
the last 7 days or who have disclosed past sexual assault by a | ||
specific individual and were in the care of that individual | ||
within a minimum of the last 7 days. | ||
"Approved federally qualified health center" means a | ||
facility as defined in Section 1905(l)(2)(B) of the federal | ||
Social Security Act with a sexual assault treatment plan |
approved by the Department to provide medical forensic | ||
services to sexual assault survivors 13 years old or older who | ||
present with a complaint of sexual assault within a minimum of | ||
the last 7 days or who have disclosed past sexual assault by a | ||
specific individual and were in the care of that individual | ||
within a minimum of the last 7 days. | ||
"Areawide sexual assault treatment plan" means a plan, | ||
developed by hospitals or by hospitals, approved pediatric | ||
health care facilities, and approved federally qualified | ||
health centers in a community or area to be served, which | ||
provides for medical forensic services to sexual assault | ||
survivors that shall be made available by each of the | ||
participating hospitals and approved pediatric health care | ||
facilities. | ||
"Board-certified child abuse pediatrician" means a | ||
physician certified by the American Board of Pediatrics in | ||
child abuse pediatrics. | ||
"Board-eligible child abuse pediatrician" means a | ||
physician who has completed the requirements set forth by the | ||
American Board of Pediatrics to take the examination for | ||
certification in child abuse pediatrics. | ||
"Department" means the Department of Public Health. | ||
"Emergency contraception" means medication as approved by | ||
the federal Food and Drug Administration (FDA) that can | ||
significantly reduce the risk of pregnancy if taken within 72 | ||
hours after sexual assault. |
"Federally qualified health center" means a facility as | ||
defined in Section 1905(l)(2)(B) of the federal Social | ||
Security Act that provides primary care or sexual health | ||
services. | ||
"Follow-up healthcare" means healthcare services related | ||
to a sexual assault, including laboratory services and | ||
pharmacy services, rendered within 180 90 days of the initial | ||
visit for medical forensic services. | ||
"Health care professional" means a physician, a physician | ||
assistant, a sexual assault forensic examiner, an advanced | ||
practice registered nurse, a registered professional nurse, a | ||
licensed practical nurse, or a sexual assault nurse examiner. | ||
"Hospital" means a hospital licensed under the Hospital | ||
Licensing Act or operated under the University of Illinois | ||
Hospital Act, any outpatient center included in the hospital's | ||
sexual assault treatment plan where hospital employees provide | ||
medical forensic services, and an out-of-state hospital that | ||
has consented to the jurisdiction of the Department under | ||
Section 2.06-1. | ||
"Illinois State Police Sexual Assault Evidence Collection | ||
Kit" means a prepackaged set of materials and forms to be used | ||
for the collection of evidence relating to sexual assault. The | ||
standardized evidence collection kit for the State of Illinois | ||
shall be the Illinois State Police Sexual Assault Evidence | ||
Collection Kit. | ||
"Law enforcement agency having jurisdiction" means the law |
enforcement agency in the jurisdiction where an alleged sexual | ||
assault or sexual abuse occurred. | ||
"Licensed practical nurse" has the meaning provided in | ||
Section 50-10 of the Nurse Practice Act. | ||
"Medical forensic services" means health care delivered to | ||
patients within or under the care and supervision of personnel | ||
working in a designated emergency department of a hospital, | ||
approved pediatric health care facility, or an approved | ||
federally qualified health centers. | ||
"Medical forensic services" includes, but is not limited | ||
to, taking a medical history, performing photo documentation, | ||
performing a physical and anogenital examination, assessing | ||
the patient for evidence collection, collecting evidence in | ||
accordance with a statewide sexual assault evidence collection | ||
program administered by the Department of State Police using | ||
the Illinois State Police Sexual Assault Evidence Collection | ||
Kit, if appropriate, assessing the patient for | ||
drug-facilitated or alcohol-facilitated sexual assault, | ||
providing an evaluation of and care for sexually transmitted | ||
infection and human immunodeficiency virus (HIV), pregnancy | ||
risk evaluation and care, and discharge and follow-up | ||
healthcare planning. | ||
"Pediatric health care facility" means a clinic or | ||
physician's office that provides medical services to pediatric | ||
patients. | ||
"Pediatric sexual assault survivor" means a person under |
the age of 13 who presents for medical forensic services in | ||
relation to injuries or trauma resulting from a sexual | ||
assault. | ||
"Photo documentation" means digital photographs or | ||
colposcope videos stored and backed up securely in the | ||
original file format. | ||
"Physician" means a person licensed to practice medicine | ||
in all its branches. | ||
"Physician assistant" has the meaning provided in Section | ||
4 of the Physician Assistant Practice Act of 1987. | ||
"Prepubescent sexual assault survivor" means a female who | ||
is under the age of 18 years and has not had a first menstrual | ||
cycle or a male who is under the age of 18 years and has not | ||
started to develop secondary sex characteristics who presents | ||
for medical forensic services in relation to injuries or | ||
trauma resulting from a sexual assault. | ||
"Qualified medical provider" means a board-certified child | ||
abuse pediatrician, board-eligible child abuse pediatrician, a | ||
sexual assault forensic examiner, or a sexual assault nurse | ||
examiner who has access to photo documentation tools, and who | ||
participates in peer review. | ||
"Registered Professional Nurse" has the meaning provided | ||
in Section 50-10 of the Nurse Practice Act. | ||
"Sexual assault" means: | ||
(1) an act of sexual conduct; as used in this | ||
paragraph, "sexual conduct" has the meaning provided under |
Section 11-0.1 of the Criminal Code of 2012; or | ||
(2) any act of sexual penetration; as used in this | ||
paragraph, "sexual penetration" has the meaning provided | ||
under Section 11-0.1 of the Criminal Code of 2012 and | ||
includes, without limitation, acts prohibited under | ||
Sections 11-1.20 through 11-1.60 of the Criminal Code of | ||
2012. | ||
"Sexual assault forensic examiner" means a physician or | ||
physician assistant who has completed training that meets or | ||
is substantially similar to the Sexual Assault Nurse Examiner | ||
Education Guidelines established by the International | ||
Association of Forensic Nurses. | ||
"Sexual assault nurse examiner" means an advanced practice | ||
registered nurse or registered professional nurse who has | ||
completed a sexual assault nurse examiner training program | ||
that meets the Sexual Assault Nurse Examiner Education | ||
Guidelines established by the International Association of | ||
Forensic Nurses. | ||
"Sexual assault services voucher" means a document | ||
generated by a hospital or approved pediatric health care | ||
facility at the time the sexual assault survivor receives | ||
outpatient medical forensic services that may be used to seek | ||
payment for any ambulance services, medical forensic services, | ||
laboratory services, pharmacy services, and follow-up | ||
healthcare provided as a result of the sexual assault. | ||
"Sexual assault survivor" means a person who presents for |
medical forensic services in relation to injuries or trauma | ||
resulting from a sexual assault. | ||
"Sexual assault transfer plan" means a written plan | ||
developed by a hospital and approved by the Department, which | ||
describes the hospital's procedures for transferring sexual | ||
assault survivors to another hospital, and an approved | ||
pediatric health care facility, if applicable, in order to | ||
receive medical forensic services. | ||
"Sexual assault treatment plan" means a written plan that | ||
describes the procedures and protocols for providing medical | ||
forensic services to sexual assault survivors who present | ||
themselves for such services, either directly or through | ||
transfer from a hospital or an approved pediatric health care | ||
facility. | ||
"Transfer hospital" means a hospital with a sexual assault | ||
transfer plan approved by the Department. | ||
"Transfer services" means the appropriate medical | ||
screening examination and necessary stabilizing treatment | ||
prior to the transfer of a sexual assault survivor to a | ||
hospital or an approved pediatric health care facility that | ||
provides medical forensic services to sexual assault survivors | ||
pursuant to a sexual assault treatment plan or areawide sexual | ||
assault treatment plan. | ||
"Treatment hospital" means a hospital with a sexual | ||
assault treatment plan approved by the Department to provide | ||
medical forensic services to all sexual assault survivors who |
present with a complaint of sexual assault within a minimum of | ||
the last 7 days or who have disclosed past sexual assault by a | ||
specific individual and were in the care of that individual | ||
within a minimum of the last 7 days. | ||
"Treatment hospital with approved pediatric transfer" | ||
means a hospital with a treatment plan approved by the | ||
Department to provide medical forensic services to sexual | ||
assault survivors 13 years old or older who present with a | ||
complaint of sexual assault within a minimum of the last 7 days | ||
or who have disclosed past sexual assault by a specific | ||
individual and were in the care of that individual within a | ||
minimum of the last 7 days. | ||
(b) This Section is repealed on December 31, 2023.
| ||
(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21; | ||
102-674, eff. 11-30-21.) | ||
(410 ILCS 70/2-1) | ||
(Section scheduled to be repealed on December 31, 2023) | ||
Sec. 2-1. Hospital, approved pediatric health care | ||
facility, and approved federally qualified health center | ||
requirements for sexual assault plans. | ||
(a) Every hospital
required to be licensed by the | ||
Department pursuant to
the Hospital Licensing Act, or operated | ||
under the University of Illinois Hospital Act that provides | ||
general medical and surgical hospital services
shall provide | ||
either (i) transfer services to all sexual assault survivors, |
(ii) medical forensic services to all sexual assault | ||
survivors, or (iii) transfer services to pediatric sexual | ||
assault survivors and medical forensic services to sexual | ||
assault survivors 13 years old or older, in accordance with | ||
rules adopted by the Department. | ||
In addition, every such hospital, regardless of whether or | ||
not a request
is made for reimbursement, shall submit
to the | ||
Department a plan to provide either (i) transfer services to | ||
all sexual assault survivors, (ii) medical forensic services | ||
to all sexual assault survivors, or (iii) transfer services to | ||
pediatric sexual assault survivors and medical forensic | ||
services to sexual assault survivors 13 years old or older.
| ||
The
Department shall approve such plan for
either (i) transfer | ||
services to all sexual assault survivors, (ii) medical | ||
forensic services
to all sexual assault survivors, or (iii) | ||
transfer services to pediatric sexual assault survivors and | ||
medical forensic services to sexual assault survivors 13 years | ||
old or older, if it finds that the implementation of
the | ||
proposed plan would provide (i) transfer services or (ii) | ||
medical forensic services for
sexual assault survivors in | ||
accordance with the requirements of this Act and provide | ||
sufficient protections from the
risk of pregnancy to
sexual | ||
assault survivors. Notwithstanding anything to the contrary in | ||
this paragraph, the Department may approve a sexual assault | ||
transfer plan for the provision of medical forensic services | ||
if: |
(1) a treatment hospital with approved pediatric | ||
transfer has agreed, as part of an areawide treatment | ||
plan, to accept sexual assault survivors 13 years of age | ||
or older from the proposed transfer hospital, if the | ||
treatment hospital with approved pediatric transfer is | ||
geographically closer to the transfer hospital than a | ||
treatment hospital or another treatment hospital with | ||
approved pediatric transfer and such transfer is not | ||
unduly burdensome on the sexual assault survivor; and | ||
(2) a treatment hospital has agreed, as a part of an | ||
areawide treatment plan, to accept sexual assault | ||
survivors under 13 years of age from the proposed transfer | ||
hospital and transfer to the treatment hospital would not | ||
unduly burden the sexual assault survivor. | ||
The Department may not approve a sexual assault transfer | ||
plan unless a treatment hospital has agreed, as a part of an | ||
areawide treatment plan, to accept sexual assault survivors | ||
from the proposed transfer hospital and a transfer to the | ||
treatment hospital would not unduly burden the sexual assault | ||
survivor. | ||
In counties with a population of less than 1,000,000, the | ||
Department may not approve a sexual assault transfer plan for | ||
a hospital located within a 20-mile radius of a 4-year public | ||
university, not including community colleges, unless there is | ||
a treatment hospital with a sexual assault treatment plan | ||
approved by the Department within a 20-mile radius of the |
4-year public university. | ||
A transfer must be in accordance with federal and State | ||
laws and local ordinances. | ||
A treatment hospital with approved pediatric transfer must | ||
submit an areawide treatment plan under Section 3-1 of this | ||
Act that includes a written agreement with a treatment | ||
hospital stating that the treatment hospital will provide | ||
medical forensic services to pediatric sexual assault | ||
survivors transferred from the treatment hospital with | ||
approved pediatric transfer. The areawide treatment plan may | ||
also include an approved pediatric health care facility. | ||
A transfer hospital must submit an areawide treatment plan | ||
under Section 3-1 of this Act that includes a written | ||
agreement with a treatment hospital stating that the treatment | ||
hospital will provide medical forensic services to all sexual | ||
assault survivors transferred from the transfer hospital. The | ||
areawide treatment plan may also include an approved pediatric | ||
health care facility. Notwithstanding anything to the contrary | ||
in this paragraph, the areawide treatment plan may include a | ||
written agreement with a treatment hospital with approved | ||
pediatric transfer that is geographically closer than other | ||
hospitals providing medical forensic services to sexual | ||
assault survivors 13 years of age or older stating that the | ||
treatment hospital with approved pediatric transfer will | ||
provide medical services to sexual assault survivors 13 years | ||
of age or older who are transferred from the transfer |
hospital. If the areawide treatment plan includes a written | ||
agreement with a treatment hospital with approved pediatric | ||
transfer, it must also include a written agreement with a | ||
treatment hospital stating that the treatment hospital will | ||
provide medical forensic services to sexual assault survivors | ||
under 13 years of age who are transferred from the transfer | ||
hospital. | ||
Beginning January 1, 2019, each treatment hospital and | ||
treatment hospital with approved pediatric transfer shall | ||
ensure that emergency department attending physicians, | ||
physician assistants, advanced practice registered nurses, and | ||
registered professional nurses providing clinical services, | ||
who do not meet the definition of a qualified medical provider | ||
in Section 1a-1 of this Act, receive a minimum of 2 hours of | ||
sexual assault training by July 1, 2020 or until the treatment | ||
hospital or treatment hospital with approved pediatric | ||
transfer certifies to the Department, in a form and manner | ||
prescribed by the Department, that it employs or contracts | ||
with a qualified medical provider in accordance with | ||
subsection (a-7) of Section 5-1, whichever occurs first. | ||
After July 1, 2020 or once a treatment hospital or a | ||
treatment hospital with approved pediatric transfer certifies | ||
compliance with subsection (a-7) of Section 5-1, whichever | ||
occurs first, each treatment hospital and treatment hospital | ||
with approved pediatric transfer shall ensure that emergency | ||
department attending physicians, physician assistants, |
advanced practice registered nurses, and registered | ||
professional nurses providing clinical services, who do not | ||
meet the definition of a qualified medical provider in Section | ||
1a-1 of this Act, receive a minimum of 2 hours of continuing | ||
education on responding to sexual assault survivors every 2 | ||
years. Protocols for training shall be included in the | ||
hospital's sexual assault treatment plan. | ||
Sexual assault training provided under this subsection may | ||
be provided in person or online and shall include, but not be | ||
limited to: | ||
(1) information provided on the provision of medical | ||
forensic services; | ||
(2) information on the use of the Illinois Sexual | ||
Assault Evidence Collection Kit; | ||
(3) information on sexual assault epidemiology, | ||
neurobiology of trauma, drug-facilitated sexual assault, | ||
child sexual abuse, and Illinois sexual assault-related | ||
laws; and | ||
(4) information on the hospital's sexual | ||
assault-related policies and procedures. | ||
The online training made available by the Office of the | ||
Attorney General under subsection (b) of Section 10-1 may be | ||
used to comply with this subsection. | ||
(b) An approved pediatric health care facility may provide | ||
medical forensic services, in accordance with rules adopted by | ||
the Department, to all pediatric sexual assault survivors who |
present for medical forensic services in relation to injuries | ||
or trauma resulting from a sexual assault. These services | ||
shall be provided by a qualified medical provider. | ||
A pediatric health care facility must participate in or | ||
submit an areawide treatment plan under Section 3-1 of this | ||
Act that includes a treatment hospital. If a pediatric health | ||
care facility does not provide certain medical or surgical | ||
services that are provided by hospitals, the areawide sexual | ||
assault treatment plan must include a procedure for ensuring a | ||
sexual assault survivor in need of such medical or surgical | ||
services receives the services at the treatment hospital. The | ||
areawide treatment plan may also include a treatment hospital | ||
with approved pediatric transfer. | ||
The Department shall review a proposed sexual assault | ||
treatment plan submitted by a pediatric health care facility | ||
within 60 days after receipt of the plan. If the Department | ||
finds that the proposed plan meets the minimum requirements | ||
set forth in Section 5-1 of this Act and that implementation of | ||
the proposed plan would provide medical forensic services for | ||
pediatric sexual assault survivors, then the Department shall | ||
approve the plan. If the Department does not approve a plan, | ||
then the Department shall notify the pediatric health care | ||
facility that the proposed plan has not been approved. The | ||
pediatric health care facility shall have 30 days to submit a | ||
revised plan. The Department shall review the revised plan | ||
within 30 days after receipt of the plan and notify the |
pediatric health care facility whether the revised plan is | ||
approved or rejected. A pediatric health care facility may not | ||
provide medical forensic services to pediatric sexual assault | ||
survivors who present with a complaint of sexual assault | ||
within a minimum of the last 7 days or who have disclosed past | ||
sexual assault by a specific individual and were in the care of | ||
that individual within a minimum of the last 7 days until the | ||
Department has approved a treatment plan. | ||
If an approved pediatric health care facility is not open | ||
24 hours a day, 7 days a week, it shall post signage at each | ||
public entrance to its facility that: | ||
(1) is at least 14 inches by 14 inches in size; | ||
(2) directs those seeking services as follows: "If | ||
closed, call 911 for services or go to the closest | ||
hospital emergency department, (insert name) located at | ||
(insert address)."; | ||
(3) lists the approved pediatric health care | ||
facility's hours of operation; | ||
(4) lists the street address of the building; | ||
(5) has a black background with white bold capital | ||
lettering in a clear and easy to read font that is at least | ||
72-point type, and with "call 911" in at least 125-point | ||
type; | ||
(6) is posted clearly and conspicuously on or adjacent | ||
to the door at each entrance and, if building materials | ||
allow, is posted internally for viewing through glass; if |
posted externally, the sign shall be made of | ||
weather-resistant and theft-resistant materials, | ||
non-removable, and adhered permanently to the building; | ||
and | ||
(7) has lighting that is part of the sign itself or is | ||
lit with a dedicated light that fully illuminates the | ||
sign. | ||
(b-5) An approved federally qualified health center may | ||
provide medical forensic services, in accordance with rules | ||
adopted by the Department, to all sexual assault survivors 13 | ||
years old or older who present for medical forensic services | ||
in relation to injuries or trauma resulting from a sexual | ||
assault during the duration, and 90 days thereafter, of a | ||
proclamation issued by the Governor declaring a disaster, or a | ||
successive proclamation regarding the same disaster, in all | ||
102 counties due to a public health emergency. These services | ||
must be available on-site during an approved federally | ||
qualified health center's hours of operation and shall be | ||
provided by (i) a qualified medical provider , physician, | ||
physician assistant, or advanced practice registered nurse who | ||
has received a minimum of 10 hours of sexual assault training | ||
provided by a qualified medical provider on current Illinois | ||
legislation, how to properly perform a medical forensic | ||
examination, evidence collection, drug and alcohol facilitated | ||
sexual assault, and forensic photography and has all | ||
documentation and photos peer reviewed by a qualified medical |
provider
or (ii) until the federally qualified health care | ||
center certifies to the Department, in a form and manner | ||
prescribed by the Department, that it employs or contracts | ||
with a qualified medical provider in accordance with | ||
subsection (a-7) of Section 5-1, whichever occurs first . If | ||
the treatment plan is terminated, the federally qualified | ||
health center must submit to the Department for approval, | ||
before providing medical forensic services, a new treatment | ||
plan and a list of qualified medical providers to ensure | ||
coverage for the days and hours of operation. | ||
A federally qualified health center must employ a Sexual | ||
Assault Nurse Examiner Coordinator who is a qualified medical | ||
provider and a Medical Director who is a qualified medical | ||
provider. | ||
A federally qualified health center must participate in or | ||
submit an areawide treatment plan under Section 3-1 of this | ||
Act that includes a treatment hospital. If a federally | ||
qualified health center does not provide certain medical or | ||
surgical services that are provided by hospitals, the areawide | ||
sexual assault treatment plan must include a procedure for | ||
ensuring a sexual assault survivor in need of such medical or | ||
surgical services receives the services at the treatment | ||
hospital. The areawide treatment plan may also include a | ||
treatment hospital with approved pediatric transfer or an | ||
approved pediatric health care facility. An approved federally | ||
qualified health center must report each instance that a |
sexual assault survivor is transferred to a treatment | ||
hospital, treatment hospital with approved pediatric transfer, | ||
or an approved pediatric health care facility to the | ||
Department within 24 hours of the transfer, in a form and | ||
manner prescribed by the Department, including the reason for | ||
the transfer. | ||
The Department shall review a proposed sexual assault | ||
treatment plan submitted by a federally qualified health | ||
center within 14 days after receipt of the plan. The If the | ||
Department shall approve the proposed sexual assault treatment | ||
plan if it finds that the proposed plan : | ||
(1) meets the minimum requirements set forth in | ||
Section 5-1 ; | ||
(2) and that implementation of the proposed plan would | ||
provide medical forensic services for sexual assault | ||
survivors 13 years old or older on-site during the | ||
approved federally qualified health center's hours of | ||
operation; and | ||
(3) includes an emergency protocol for sexual assault | ||
survivors 13 years old or older to be transferred to a | ||
treatment hospital or treatment hospital with approved | ||
pediatric transfer to receive medical forensic services if | ||
medical forensic services are not available by a qualified | ||
medical provider during the approved federally qualified | ||
health center's hours of operation, as required , then the | ||
Department shall approve the plan . |
The Department shall not approve sexual assault treatment | ||
plans for more than 6 federally qualified health centers, | ||
which must be located in geographically diverse areas of the | ||
State. If the Department does not approve a plan, then the | ||
Department shall notify the federally qualified health center | ||
that the proposed plan has not been approved. The federally | ||
qualified health center shall have 14 days to submit a revised | ||
plan. The Department shall review the revised plan within 14 | ||
days after receipt of the plan and notify the federally | ||
qualified health center whether the revised plan is approved | ||
or rejected. A federally qualified health center may not (i) | ||
provide medical forensic services to sexual assault survivors | ||
13 years old or older who present with a complaint of sexual | ||
assault within a minimum of the previous 7 days or (ii) who | ||
have disclosed past sexual assault by a specific individual | ||
and were in the care of that individual within a minimum of the | ||
previous 7 days until the Department has approved a treatment | ||
plan. | ||
Each approved federally qualified health center shall | ||
ensure that any physician, physician assistant, advanced | ||
practice registered nurse, or registered professional nurse | ||
who (i) provides clinical services to sexual assault survivors | ||
and (ii) does not meet the definition of a qualified medical | ||
provider under Section 1a-1 receives (A) a minimum of 2 hours | ||
of sexual assault training within 6 months after the effective | ||
date of this amendatory Act of the 102nd General Assembly or |
within 6 months after beginning employment, whichever is | ||
later, and (B) a minimum of 2 hours of continuing education on | ||
responding to sexual assault survivors every 2 years. | ||
Protocols for training shall be included in the approved | ||
federally qualified health center's sexual assault treatment | ||
plan. Sexual assault training provided under this paragraph | ||
may be provided in person or online and shall include, but not | ||
be limited to: | ||
(1) information provided on the provision of medical
| ||
forensic services; | ||
(2) information on the use of the Illinois Sexual
| ||
Assault Evidence Collection Kit; | ||
(3) information on sexual assault epidemiology,
| ||
neurobiology of trauma, drug-facilitated sexual assault, | ||
child sexual abuse, and Illinois sexual assault-related | ||
laws; and | ||
(4) information on the approved federally qualified | ||
health center's sexual assault-related policies and | ||
procedures. | ||
The online training made available by the Office of the | ||
Attorney General under subsection (b) of Section 10-1 may be | ||
used to comply with the sexual assault training required under | ||
the preceding paragraph. | ||
If an approved federally qualified health center is not | ||
open 24 hours a day, 7 days a week, it shall post signage at | ||
each public entrance to its facility that: |
(1) is at least 14 inches by 14 inches in size; | ||
(2) directs those seeking services as follows: "If | ||
closed, call 911 for services or go to the closest | ||
hospital emergency department, (insert name) located at | ||
(insert address)."; | ||
(3) lists the approved federally qualified health | ||
center's hours of operation; | ||
(4) lists the street address of the building; | ||
(5) has a black background with white bold capital | ||
lettering in a clear and easy to read font that is at least | ||
72-point type, and with "call 911" in at least 125-point | ||
type; | ||
(6) is posted clearly and conspicuously on or adjacent | ||
to the door at each entrance and, if building materials | ||
allow, is posted internally for viewing through glass; if | ||
posted externally, the sign shall be made of | ||
weather-resistant and theft-resistant materials, | ||
non-removable, and adhered permanently to the building; | ||
and | ||
(7) has lighting that is part of the sign itself or is | ||
lit with a dedicated light that fully illuminates the | ||
sign ; . | ||
(8) directs those seeking services as follows: "Call | ||
the local rape crisis center for support."; and | ||
(9) includes the name and hotline number, available 24 | ||
hours a day, 7 days a week, of the local rape crisis |
center. | ||
A copy of the proposed sign must be submitted to the | ||
Department and approved as part of the approved federally | ||
qualified health center's sexual assault treatment plan. | ||
(c) Each treatment hospital, treatment hospital with | ||
approved pediatric transfer, approved pediatric health care | ||
facility, and approved federally qualified health center must | ||
enter into a memorandum of understanding with a rape crisis | ||
center for medical advocacy services, if these services are | ||
available to the treatment hospital, treatment hospital with | ||
approved pediatric transfer, approved pediatric health care | ||
facility, or approved federally qualified health center. With | ||
the consent of the sexual assault survivor, a rape crisis | ||
counselor shall remain in the exam room during the collection | ||
for forensic evidence. | ||
An approved federally qualified health center that has a | ||
memorandum of understanding with a rape crisis center must | ||
notify the rape crisis center immediately if medical forensic | ||
services are not available during the approved federally | ||
qualified health center's hours of operation or if the | ||
approved federally qualified health center's treatment plan is | ||
terminated by the Department. | ||
(d) Every treatment hospital, treatment hospital with | ||
approved pediatric transfer, approved pediatric health care | ||
facility, and approved federally qualified health center's | ||
sexual assault treatment plan shall include procedures for |
complying with mandatory reporting requirements pursuant to | ||
(1) the Abused and Neglected Child Reporting Act; (2) the | ||
Abused and Neglected Long Term Care Facility Residents | ||
Reporting Act; (3) the Adult Protective Services Act; and (iv) | ||
the Criminal Identification Act. | ||
(e) Each treatment hospital, treatment hospital with | ||
approved pediatric transfer, approved pediatric health care | ||
facility, and approved federally qualified health center shall | ||
submit to the Department every 6 months, in a manner | ||
prescribed by the Department, the following information: | ||
(1) The total number of patients who presented with a | ||
complaint of sexual assault. | ||
(2) The total number of Illinois Sexual Assault | ||
Evidence Collection Kits: | ||
(A) offered to (i) all sexual assault survivors | ||
and (ii) pediatric sexual assault survivors
pursuant | ||
to paragraph (1.5) of subsection (a-5) of Section 5-1; | ||
(B) completed for (i) all sexual assault survivors | ||
and (ii) pediatric sexual assault
survivors; and | ||
(C) declined by (i) all sexual assault survivors | ||
and (ii) pediatric sexual assault survivors. | ||
This information shall be made available on the | ||
Department's website. | ||
(f) This Section is repealed on December 31, 2023.
| ||
(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21; | ||
102-674, eff. 11-30-21.) |
(410 ILCS 70/5-1) | ||
(Section scheduled to be repealed on December 31, 2023) | ||
Sec. 5-1. Minimum requirements for medical forensic | ||
services provided to sexual assault survivors by hospitals, | ||
approved pediatric health care facilities, and approved | ||
federally qualified health centers. | ||
(a) Every hospital, approved pediatric health care | ||
facility, and approved federally qualified health center | ||
providing medical forensic services to sexual assault | ||
survivors under this Act shall, as minimum requirements for
| ||
such services, provide, with the consent of the sexual assault | ||
survivor, and as ordered by the attending physician, an | ||
advanced practice registered nurse, or a physician assistant, | ||
the services set forth in subsection (a-5). | ||
Beginning January 1, 2023, a qualified medical provider | ||
must provide the services set forth in subsection (a-5). | ||
(a-5) A treatment hospital, a treatment hospital with | ||
approved pediatric transfer, or an approved pediatric health | ||
care facility, or an approved federally qualified health | ||
center shall provide the following services in accordance with | ||
subsection (a): | ||
(1) Appropriate medical forensic services without | ||
delay, in a private, age-appropriate or | ||
developmentally-appropriate space, required to ensure the | ||
health, safety, and welfare
of a sexual assault survivor |
and which may be
used as evidence in a criminal proceeding | ||
against a person accused of the
sexual assault, in a | ||
proceeding under the Juvenile Court Act of 1987, or in an | ||
investigation under the Abused and Neglected Child | ||
Reporting Act. | ||
Records of medical forensic services, including | ||
results of examinations and tests, the Illinois State | ||
Police Medical Forensic Documentation Forms, the Illinois | ||
State Police Patient Discharge Materials, and the Illinois | ||
State Police Patient Consent: Collect and Test Evidence or | ||
Collect and Hold Evidence Form, shall be maintained by the | ||
hospital or approved pediatric health care facility as | ||
part of the patient's electronic medical record. | ||
Records of medical forensic services of sexual assault | ||
survivors under the age of 18 shall be retained by the | ||
hospital for a period of 60 years after the sexual assault | ||
survivor reaches the age of 18. Records of medical | ||
forensic services of sexual assault survivors 18 years of | ||
age or older shall be retained by the hospital for a period | ||
of 20 years after the date the record was created. | ||
Records of medical forensic services may only be | ||
disseminated in accordance with Section 6.5-1 of this Act | ||
and other State and federal law. | ||
(1.5) An offer to complete the Illinois Sexual Assault | ||
Evidence Collection Kit for any sexual assault survivor | ||
who presents within a minimum of the last 7 days of the |
assault or who has disclosed past sexual assault by a | ||
specific individual and was in the care of that individual | ||
within a minimum of the last 7 days. | ||
(A) Appropriate oral and written information | ||
concerning evidence-based guidelines for the | ||
appropriateness of evidence collection depending on | ||
the sexual development of the sexual assault survivor, | ||
the type of sexual assault, and the timing of the | ||
sexual assault shall be provided to the sexual assault | ||
survivor. Evidence collection is encouraged for | ||
prepubescent sexual assault survivors who present to a | ||
hospital or approved pediatric health care facility | ||
with a complaint of sexual assault within a minimum of | ||
96 hours after the sexual assault. | ||
Before January 1, 2023, the information required | ||
under this subparagraph shall be provided in person by | ||
the health care professional providing medical | ||
forensic services directly to the sexual assault | ||
survivor. | ||
On and after January 1, 2023, the information | ||
required under this subparagraph shall be provided in | ||
person by the qualified medical provider providing | ||
medical forensic services directly to the sexual | ||
assault survivor. | ||
The written information provided shall be the | ||
information created in accordance with Section 10-1 of |
this Act. | ||
(B) Following the discussion regarding the | ||
evidence-based guidelines for evidence collection in | ||
accordance with subparagraph (A), evidence collection | ||
must be completed at the sexual assault survivor's | ||
request. A sexual assault nurse examiner conducting an | ||
examination using the Illinois State Police Sexual | ||
Assault Evidence Collection Kit may do so without the | ||
presence or participation of a physician. | ||
(2) Appropriate oral and written information | ||
concerning the possibility
of infection, sexually | ||
transmitted infection, including an evaluation of the | ||
sexual assault survivor's risk of contracting human | ||
immunodeficiency virus (HIV) from sexual assault, and | ||
pregnancy
resulting from sexual assault. | ||
(3) Appropriate oral and written information | ||
concerning accepted medical
procedures, laboratory tests, | ||
medication, and possible contraindications of such | ||
medication
available for the prevention or treatment of | ||
infection or disease resulting
from sexual assault. | ||
(3.5) After a medical evidentiary or physical | ||
examination, access to a shower at no cost, unless | ||
showering facilities are unavailable. | ||
(4) An amount of medication, including HIV | ||
prophylaxis, for treatment at the hospital , or approved | ||
pediatric health care facility , or approved federally |
qualified health center and after discharge as is deemed | ||
appropriate by the attending physician, an advanced | ||
practice registered nurse, or a physician assistant in | ||
accordance with the Centers for Disease Control and | ||
Prevention guidelines and consistent with the hospital's | ||
or approved pediatric health care facility's current | ||
approved protocol for sexual assault survivors. | ||
(5) Photo documentation of the sexual assault | ||
survivor's injuries, anatomy involved in the assault, or | ||
other visible evidence on the sexual assault survivor's | ||
body to supplement the medical forensic history and | ||
written documentation of physical findings and evidence | ||
beginning July 1, 2019. Photo documentation does not | ||
replace written documentation of the injury. | ||
(6) Written and oral instructions indicating the need | ||
for follow-up examinations and laboratory tests after the | ||
sexual assault to determine the presence or absence of
| ||
sexually transmitted infection. | ||
(7) Referral by hospital , or approved pediatric health | ||
care facility , or approved federally qualified health | ||
center personnel for appropriate counseling. | ||
(8) Medical advocacy services provided by a rape | ||
crisis counselor whose communications are protected under | ||
Section 8-802.1 of the Code of Civil Procedure, if there | ||
is a memorandum of understanding between the hospital , or | ||
approved pediatric health care facility , or approved |
federally qualified health center and a rape crisis | ||
center. With the consent of the sexual assault survivor, a | ||
rape crisis counselor shall remain in the exam room during | ||
the medical forensic examination. | ||
(9) Written information regarding services provided by | ||
a Children's Advocacy Center and rape crisis center, if | ||
applicable. | ||
(10) A treatment hospital, a treatment hospital with | ||
approved pediatric transfer, an out-of-state hospital as | ||
defined in Section 5.4, or an approved pediatric health | ||
care facility , or an approved federally qualified health | ||
center shall comply with the rules relating to the | ||
collection and tracking of sexual assault evidence adopted | ||
by the Department of State Police under Section 50 of the | ||
Sexual Assault Evidence Submission Act. | ||
(11) Written information regarding the Illinois State | ||
Police sexual assault evidence tracking system. | ||
(a-7) By January 1, 2023, every hospital with a treatment | ||
plan approved by the Department shall employ or contract with | ||
a qualified medical provider to initiate medical forensic | ||
services to a sexual assault survivor within 90 minutes of the | ||
patient presenting to the treatment hospital or treatment | ||
hospital with approved pediatric transfer. The provision of | ||
medical forensic services by a qualified medical provider | ||
shall not delay the provision of life-saving medical care. | ||
(a-10) Every federally qualified health center with a |
treatment plan approved by the Department shall employ or | ||
contract with a qualified medical provider to initiate medical | ||
forensic services to a sexual assault survivor within 90 | ||
minutes of the patient presenting to the federally qualified | ||
health center. The provision of medical forensic services by a | ||
qualified medical provider shall not delay the provision of | ||
life-saving medical care. | ||
(b) Any person who is a sexual assault survivor who seeks | ||
medical forensic services or follow-up healthcare
under this | ||
Act shall be provided such services without the consent
of any | ||
parent, guardian, custodian, surrogate, or agent. If a sexual | ||
assault survivor is unable to consent to medical forensic | ||
services, the services may be provided under the Consent by | ||
Minors to Medical Procedures Act, the Health Care Surrogate | ||
Act, or other applicable State and federal laws. | ||
(b-5) Every hospital, approved pediatric health care | ||
facility, or approved federally qualified health center | ||
providing medical forensic services to sexual assault | ||
survivors shall issue a voucher to any sexual assault survivor | ||
who is eligible to receive one in accordance with Section | ||
5.2-1 of this Act. The hospital, approved pediatric health | ||
care facility, or approved federally qualified health center | ||
shall make a copy of the voucher and place it in the medical | ||
record of the sexual assault survivor. The hospital, approved | ||
pediatric health care facility, or approved federally
| ||
qualified health center shall provide a copy of the voucher to |
the sexual assault survivor after discharge upon request. | ||
(c) Nothing in this Section creates a physician-patient | ||
relationship that extends beyond discharge from the hospital, | ||
or approved pediatric health care facility, or approved | ||
federally qualified health center. | ||
(d) This Section is repealed on December 31, 2023.
| ||
(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21; | ||
102-674, eff. 11-30-21.) | ||
(410 ILCS 70/5.4) | ||
Sec. 5.4. Out-of-state hospitals. | ||
(a) Nothing in this Section shall prohibit the transfer of | ||
a patient in need of medical services from a hospital that has | ||
been designated as a trauma center by the Department in | ||
accordance with Section 3.90 of the Emergency Medical Services | ||
(EMS) Systems Act. | ||
(b) A transfer hospital, treatment hospital with approved | ||
pediatric transfer, or approved pediatric health care facility | ||
may transfer a sexual assault survivor to an out-of-state | ||
hospital that has been designated as a trauma center by the | ||
Department under Section 3.90 of the Emergency Medical | ||
Services (EMS) Systems Act if the out-of-state hospital: (1) | ||
submits an areawide treatment plan approved by the Department; | ||
and (2) has certified the following to the Department in a form | ||
and manner prescribed by the Department that the out-of-state | ||
hospital will: |
(i) consent to the jurisdiction of the Department in | ||
accordance with Section 2.06 of this Act; | ||
(ii) comply with all requirements of this Act | ||
applicable to treatment hospitals, including, but not | ||
limited to, offering evidence collection to any Illinois | ||
sexual assault survivor who presents with a complaint of | ||
sexual assault within a minimum of the last 7 days or who | ||
has disclosed past sexual assault by a specific individual | ||
and was in the care of that individual within a minimum of | ||
the last 7 days and not billing the sexual assault | ||
survivor for medical forensic services or 180 90 days of | ||
follow-up healthcare; | ||
(iii) use an Illinois State Police Sexual Assault | ||
Evidence Collection Kit to collect forensic evidence from | ||
an Illinois sexual assault survivor; | ||
(iv) ensure its staff cooperates with Illinois law | ||
enforcement agencies and are responsive to subpoenas | ||
issued by Illinois courts; and | ||
(v) provide appropriate transportation upon the | ||
completion of medical forensic services back to the | ||
transfer hospital or treatment hospital with pediatric | ||
transfer where the sexual assault survivor initially | ||
presented seeking medical forensic services, unless the | ||
sexual assault survivor chooses to arrange his or her own | ||
transportation. | ||
(c) Subsection (b) of this Section is inoperative on and |
after January 1, 2024.
| ||
(Source: P.A. 100-775, eff. 1-1-19 .) | ||
(410 ILCS 70/5.5) | ||
Sec. 5.5. Minimum reimbursement requirements for follow-up | ||
healthcare. | ||
(a) Every hospital, pediatric health care facility, health | ||
care professional, laboratory, or pharmacy that provides | ||
follow-up healthcare to a sexual assault survivor, with the | ||
consent of the sexual assault survivor and as ordered by the | ||
attending physician, an advanced practice registered nurse, or | ||
physician assistant shall be reimbursed for the follow-up | ||
healthcare services provided. Follow-up healthcare services | ||
include, but are not limited to, the following: | ||
(1) a physical examination; | ||
(2) laboratory tests to determine the presence or | ||
absence of sexually transmitted infection; and | ||
(3) appropriate medications, including HIV | ||
prophylaxis, in accordance with the Centers for Disease | ||
Control and Prevention's guidelines. | ||
(b) Reimbursable follow-up healthcare is limited to office | ||
visits with a physician, advanced practice registered nurse, | ||
or physician assistant within 180 90 days after an initial | ||
visit for hospital medical forensic services. | ||
(c) Nothing in this Section requires a hospital, pediatric | ||
health care facility, health care professional, laboratory, or |
pharmacy to provide follow-up healthcare to a sexual assault | ||
survivor.
| ||
(d) This Section is effective on and after January 1, | ||
2024. | ||
(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21; | ||
102-674, eff. 11-30-21.) | ||
(410 ILCS 70/5.5-1) | ||
(Section scheduled to be repealed on December 31, 2023) | ||
Sec. 5.5-1. Minimum reimbursement requirements for | ||
follow-up healthcare. | ||
(a) Every hospital, pediatric health care facility, | ||
federally qualified health center, health care professional, | ||
laboratory, or pharmacy that provides follow-up healthcare to | ||
a sexual assault survivor, with the consent of the sexual | ||
assault survivor and as ordered by the attending physician, an | ||
advanced practice registered nurse, or physician assistant | ||
shall be reimbursed for the follow-up healthcare services | ||
provided. Follow-up healthcare services include, but are not | ||
limited to, the following: | ||
(1) a physical examination; | ||
(2) laboratory tests to determine the presence or | ||
absence of sexually transmitted infection; and | ||
(3) appropriate medications, including HIV | ||
prophylaxis, in accordance with the Centers for Disease | ||
Control and Prevention's guidelines. |
(b) Reimbursable follow-up healthcare is limited to office | ||
visits with a physician, advanced practice registered nurse, | ||
or physician assistant within 180 90 days after an initial | ||
visit for hospital medical forensic services. | ||
(c) Nothing in this Section requires a hospital, pediatric | ||
health care facility, federally qualified health center, | ||
health care professional, laboratory, or pharmacy to provide | ||
follow-up healthcare to a sexual assault survivor. | ||
(d) This Section is repealed on December 31, 2023.
| ||
(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21; | ||
102-674, eff. 11-30-21.) | ||
(410 ILCS 70/7.5) | ||
Sec. 7.5. Prohibition on billing sexual assault survivors | ||
directly for certain services; written notice; billing | ||
protocols. | ||
(a) A hospital, approved pediatric health care facility, | ||
health care professional, ambulance provider, laboratory, or | ||
pharmacy furnishing medical forensic services, transportation, | ||
follow-up healthcare, or medication to a sexual assault | ||
survivor shall not: | ||
(1) charge or submit a bill for any portion of the | ||
costs of the services, transportation, or medications to | ||
the sexual assault survivor, including any insurance | ||
deductible, co-pay, co-insurance, denial of claim by an | ||
insurer, spenddown, or any other out-of-pocket expense; |
(2) communicate with, harass, or intimidate the sexual | ||
assault survivor for payment of services, including, but | ||
not limited to, repeatedly calling or writing to the | ||
sexual assault survivor and threatening to refer the | ||
matter to a debt collection agency or to an attorney for | ||
collection, enforcement, or filing of other process; | ||
(3) refer a bill to a collection agency or attorney | ||
for collection action against the sexual assault survivor; | ||
(4) contact or distribute information to affect the | ||
sexual assault survivor's credit rating; or | ||
(5) take any other action adverse to the sexual | ||
assault survivor or his or her family on account of | ||
providing services to the sexual assault survivor. | ||
(a-5) Notwithstanding any other provision of law, | ||
including, but not limited to, subsection (a), a sexual | ||
assault survivor who is not the subscriber or primary | ||
policyholder of the sexual assault survivor's insurance policy | ||
may opt out of billing the sexual assault survivor's private | ||
insurance
provider.
If the sexual assault survivor opts out of | ||
billing the sexual assault survivor's private insurance | ||
provider, then the bill for medical forensic services shall be | ||
sent to the Department of Healthcare and Family Services' | ||
Sexual Assault Emergency Treatment Program for reimbursement | ||
for the services provided to the sexual assault survivor. | ||
(b) Nothing in this Section precludes a hospital, health | ||
care provider, ambulance provider, laboratory, or pharmacy |
from billing the sexual assault survivor or any applicable | ||
health insurance or coverage for inpatient services. | ||
(c) Every hospital and approved pediatric health care | ||
facility providing treatment services to sexual assault | ||
survivors in accordance with a plan approved under Section 2 | ||
of this Act shall provide a written notice to a sexual assault | ||
survivor. The written notice must include, but is not limited | ||
to, the following: | ||
(1) a statement that the sexual assault survivor | ||
should not be directly billed by any ambulance provider | ||
providing transportation services, or by any hospital, | ||
approved pediatric health care facility, health care | ||
professional, laboratory, or pharmacy for the services the | ||
sexual assault survivor received as an outpatient at the | ||
hospital or approved pediatric health care facility; | ||
(2) a statement that a sexual assault survivor who is | ||
admitted to a hospital may be billed for inpatient | ||
services provided by a hospital, health care professional, | ||
laboratory, or pharmacy; | ||
(3) a statement that prior to leaving the hospital or | ||
approved pediatric health care facility, the hospital or | ||
approved pediatric health care facility will give the | ||
sexual assault survivor a sexual assault services voucher | ||
for follow-up healthcare if the sexual assault survivor is | ||
eligible to receive a sexual assault services voucher; | ||
(4) the definition of "follow-up healthcare" as set |
forth in Section 1a of this Act; | ||
(5) a phone number the sexual assault survivor may | ||
call should the sexual assault survivor receive a bill | ||
from the hospital or approved pediatric health care | ||
facility for medical forensic services; | ||
(6) the toll-free phone number of the Office of the | ||
Illinois Attorney General, which the sexual assault | ||
survivor may call should the sexual assault survivor | ||
receive a bill from an ambulance provider, approved | ||
pediatric health care facility, a health care | ||
professional, a laboratory, or a pharmacy. | ||
This subsection (c) shall not apply to hospitals that | ||
provide transfer services as defined under Section 1a of this | ||
Act. | ||
(d) Within 60 days after the effective date of this | ||
amendatory Act of the 99th General Assembly, every health care | ||
professional, except for those employed by a hospital or | ||
hospital affiliate, as defined in the Hospital Licensing Act, | ||
or those employed by a hospital operated under the University | ||
of Illinois Hospital Act, who bills separately for medical or | ||
forensic services must develop a billing protocol that ensures | ||
that no survivor of sexual assault will be sent a bill for any | ||
medical forensic services and submit the billing protocol to | ||
the Office of the Attorney General for approval. Within 60 | ||
days after the commencement of the provision of medical | ||
forensic services, every health care professional, except for |
those employed by a hospital or hospital affiliate, as defined | ||
in the Hospital Licensing Act, or those employed by a hospital | ||
operated under the University of Illinois Hospital Act, who | ||
bills separately for medical or forensic services must develop | ||
a billing protocol that ensures that no survivor of sexual | ||
assault is sent a bill for any medical forensic services and | ||
submit the billing protocol to the Attorney General for | ||
approval. Health care professionals who bill as a legal entity | ||
may submit a single billing protocol for the billing entity. | ||
Within 60 days after the Department's approval of a | ||
treatment plan, an approved pediatric health care facility and | ||
any health care professional employed by an approved pediatric | ||
health care facility must develop a billing protocol that | ||
ensures that no survivor of sexual assault is sent a bill for | ||
any medical forensic services and submit the billing protocol | ||
to the Office of the Attorney General for approval. | ||
The billing protocol must include at a minimum: | ||
(1) a description of training for persons who prepare | ||
bills for medical and forensic services; | ||
(2) a written acknowledgement signed by a person who | ||
has completed the training that the person will not bill | ||
survivors of sexual assault; | ||
(3) prohibitions on submitting any bill for any | ||
portion of medical forensic services provided to a | ||
survivor of sexual assault to a collection agency; | ||
(4) prohibitions on taking any action that would |
adversely affect the credit of the survivor of sexual | ||
assault; | ||
(5) the termination of all collection activities if | ||
the protocol is violated; and | ||
(6) the actions to be taken if a bill is sent to a | ||
collection agency or the failure to pay is reported to any | ||
credit reporting agency. | ||
The Office of the Attorney General may provide a sample | ||
acceptable billing protocol upon request. | ||
The Office of the Attorney General shall approve a | ||
proposed protocol if it finds that the implementation of the | ||
protocol would result in no survivor of sexual assault being | ||
billed or sent a bill for medical forensic services. | ||
If the Office of the Attorney General determines that | ||
implementation of the protocol could result in the billing of | ||
a survivor of sexual assault for medical forensic services, | ||
the Office of the Attorney General shall provide the health | ||
care professional or approved pediatric health care facility | ||
with a written statement of the deficiencies in the protocol. | ||
The health care professional or approved pediatric health care | ||
facility shall have 30 days to submit a revised billing | ||
protocol addressing the deficiencies to the Office of the | ||
Attorney General. The health care professional or approved | ||
pediatric health care facility shall implement the protocol | ||
upon approval by the Office of the Attorney General. | ||
The health care professional or approved pediatric health |
care facility shall submit any proposed revision to or | ||
modification of an approved billing protocol to the Office of | ||
the Attorney General for approval. The health care | ||
professional or approved pediatric health care facility shall | ||
implement the revised or modified billing protocol upon | ||
approval by the Office of the Illinois Attorney General.
| ||
(e) This Section is effective on and after January 1, | ||
2024. | ||
(Source: P.A. 101-634, eff. 6-5-20; 101-652, eff. 7-1-21; | ||
102-22, eff. 6-25-21; 102-674, eff. 11-30-21.) | ||
(410 ILCS 70/7.5-1) | ||
(Section scheduled to be repealed on December 31, 2023) | ||
Sec. 7.5-1. Prohibition on billing sexual assault | ||
survivors directly for certain services; written notice; | ||
billing protocols. | ||
(a) A hospital, approved pediatric health care facility, | ||
approved federally qualified health center, health care | ||
professional, ambulance provider, laboratory, or pharmacy | ||
furnishing medical forensic services, transportation, | ||
follow-up healthcare, or medication to a sexual assault | ||
survivor shall not: | ||
(1) charge or submit a bill for any portion of the | ||
costs of the services, transportation, or medications to | ||
the sexual assault survivor, including any insurance | ||
deductible, co-pay, co-insurance, denial of claim by an |
insurer, spenddown, or any other out-of-pocket expense; | ||
(2) communicate with, harass, or intimidate the sexual | ||
assault survivor for payment of services, including, but | ||
not limited to, repeatedly calling or writing to the | ||
sexual assault survivor and threatening to refer the | ||
matter to a debt collection agency or to an attorney for | ||
collection, enforcement, or filing of other process; | ||
(3) refer a bill to a collection agency or attorney | ||
for collection action against the sexual assault survivor; | ||
(4) contact or distribute information to affect the | ||
sexual assault survivor's credit rating; or | ||
(5) take any other action adverse to the sexual | ||
assault survivor or his or her family on account of | ||
providing services to the sexual assault survivor. | ||
(a-5) Notwithstanding any other provision of law, | ||
including, but not limited to, subsection (a), a sexual | ||
assault survivor who is not the subscriber or primary | ||
policyholder of the sexual assault survivor's insurance policy | ||
may opt out of billing the sexual assault survivor's private | ||
insurance
provider.
If the sexual assault survivor opts out of | ||
billing the sexual assault survivor's private insurance | ||
provider, then the bill for medical forensic services shall be | ||
sent to the Department of Healthcare and Family Services' | ||
Sexual Assault Emergency Treatment Program for reimbursement | ||
for the services provided to the sexual assault survivor. | ||
(b) Nothing in this Section precludes a hospital, health |
care provider, ambulance provider, laboratory, or pharmacy | ||
from billing the sexual assault survivor or any applicable | ||
health insurance or coverage for inpatient services. | ||
(c) Every hospital, approved pediatric health care | ||
facility, and approved federally qualified health center | ||
providing treatment services to sexual assault survivors in | ||
accordance with a plan approved under Section 2-1 of this Act | ||
shall provide a written notice to a sexual assault survivor. | ||
The written notice must include, but is not limited to, the | ||
following: | ||
(1) a statement that the sexual assault survivor | ||
should not be directly billed by any ambulance provider | ||
providing transportation services, or by any hospital, | ||
approved pediatric health care facility, approved | ||
federally qualified health center, health care | ||
professional,
laboratory, or pharmacy for the services the | ||
sexual assault survivor received as an outpatient at the | ||
hospital, approved pediatric health care facility, or | ||
approved federally qualified health center; | ||
(2) a statement that a sexual assault survivor who is | ||
admitted to a hospital may be billed for inpatient | ||
services provided by a hospital, health care professional, | ||
laboratory, or pharmacy; | ||
(3) a statement that prior to leaving the hospital, | ||
approved pediatric health care facility, or approved | ||
federally qualified health center, the hospital, approved |
pediatric health care facility, or approved federally | ||
qualified health center will give the sexual assault | ||
survivor a sexual assault services voucher for follow-up | ||
healthcare if the sexual assault survivor is eligible to | ||
receive a sexual assault services voucher; | ||
(4) the definition of "follow-up healthcare" as set | ||
forth in Section 1a-1 of this Act; | ||
(5) a phone number the sexual assault survivor may | ||
call should the sexual assault survivor receive a bill | ||
from the hospital, approved pediatric health care | ||
facility, or approved federally qualified health center | ||
for medical forensic services; | ||
(6) the toll-free phone number of the Office of the | ||
Illinois Attorney General, Crime Victim Services Division, | ||
which the sexual assault survivor may call should the
| ||
sexual assault survivor receive a bill from an ambulance | ||
provider, approved pediatric health care facility, | ||
approved federally qualified health center, a health care | ||
professional, a laboratory, or a pharmacy. | ||
This subsection (c) shall not apply to hospitals that | ||
provide transfer services as defined under Section 1a-1 of | ||
this Act. | ||
(d) Within 60 days after the effective date of this | ||
amendatory Act of the 101st General Assembly, every health | ||
care professional, except for those employed by a hospital or | ||
hospital affiliate, as defined in the Hospital Licensing Act, |
or those employed by a hospital operated under the University | ||
of Illinois Hospital Act, who bills separately for medical or | ||
forensic services must develop a billing protocol that ensures | ||
that no survivor of sexual assault will be sent a bill for any | ||
medical forensic services and submit the billing protocol to | ||
the Crime Victim Services Division of the Office of the | ||
Attorney General for approval. Within 60 days after the | ||
commencement of the provision of medical forensic services, | ||
every health care professional, except for those employed by a | ||
hospital or hospital affiliate, as defined in the Hospital | ||
Licensing Act, or those employed by a hospital operated under | ||
the University of Illinois Hospital Act, who bills separately | ||
for medical or forensic services must develop a billing | ||
protocol that ensures that no survivor of sexual assault is | ||
sent a bill for any medical forensic services and submit the | ||
billing protocol to the Crime Victim Services Division of the | ||
Office of the Attorney General for approval. Health care | ||
professionals who bill as a legal entity may submit a single | ||
billing protocol for the billing entity. | ||
Within 60 days after the Department's approval of a | ||
treatment plan, an approved pediatric health care facility and | ||
any health care professional employed by an approved pediatric | ||
health care facility must develop a billing protocol that | ||
ensures that no survivor of sexual assault is sent a bill for | ||
any medical forensic services and submit the billing protocol | ||
to the Crime Victim Services Division of the Office of the |
Attorney General for approval. | ||
Within 14 days after the Department's approval of a | ||
treatment plan, an approved federally qualified health center | ||
and any health care professional employed by an approved | ||
federally qualified health center must develop a billing | ||
protocol that ensures that no survivor of sexual assault is | ||
sent a bill for any medical forensic services and submit the | ||
billing protocol to the Crime Victim Services Division of the | ||
Office of the Attorney General for approval. | ||
The billing protocol must include at a minimum: | ||
(1) a description of training for persons who prepare | ||
bills for medical and forensic services; | ||
(2) a written acknowledgement signed by a person who | ||
has completed the training that the person will not bill | ||
survivors of sexual assault; | ||
(3) prohibitions on submitting any bill for any | ||
portion of medical forensic services provided to a | ||
survivor of sexual assault to a collection agency; | ||
(4) prohibitions on taking any action that would | ||
adversely affect the credit of the survivor of sexual | ||
assault; | ||
(5) the termination of all collection activities if | ||
the protocol is violated; and | ||
(6) the actions to be taken if a bill is sent to a | ||
collection agency or the failure to pay is reported to any | ||
credit reporting agency. |
The Crime Victim Services Division of the Office of the | ||
Attorney General may provide a sample acceptable billing | ||
protocol upon request. | ||
The Office of the Attorney General shall approve a | ||
proposed protocol if it finds that the implementation of the | ||
protocol would result in no survivor of sexual assault being | ||
billed or sent a bill for medical forensic services. | ||
If the Office of the Attorney General determines that | ||
implementation of the protocol could result in the billing of | ||
a survivor of sexual assault for medical forensic services, | ||
the Office of the Attorney General shall provide the health | ||
care professional or approved pediatric health care facility | ||
with a written statement of the deficiencies in the protocol. | ||
The health care professional or approved pediatric health care | ||
facility shall have 30 days to submit a revised billing | ||
protocol addressing the deficiencies to the Office of the | ||
Attorney General. The health care professional or approved | ||
pediatric health care facility shall implement the protocol | ||
upon approval by the Crime Victim Services Division of the | ||
Office of the Attorney General. | ||
The health care professional, approved pediatric health | ||
care facility, or approved federally qualified health center | ||
shall submit any proposed revision to or modification of an | ||
approved billing protocol to the Crime Victim Services | ||
Division of the Office of the Attorney General for approval. | ||
The health care professional, approved pediatric health care |
facility, or approved federally qualified health center shall | ||
implement the revised or modified billing protocol upon | ||
approval by the Crime Victim Services Division of the Office | ||
of the Illinois Attorney General. | ||
(e) This Section is repealed on December 31, 2023.
| ||
(Source: P.A. 101-634, eff. 6-5-20; 102-22, eff. 6-25-21; | ||
102-674, eff. 11-30-21.) | ||
(410 ILCS 70/9.5) | ||
(Section scheduled to be repealed on January 1, 2024) | ||
Sec. 9.5. Sexual Assault Medical Forensic Services | ||
Implementation Task Force. | ||
(a) The Sexual Assault Medical Forensic Services | ||
Implementation Task Force is created to assist hospitals and | ||
approved pediatric health care facilities with the | ||
implementation of the changes made by this amendatory Act of | ||
the l00th General Assembly. The Task Force shall consist of | ||
the following members, who shall serve without compensation: | ||
(1) one member of the Senate appointed by the | ||
President of the Senate, who may designate an alternate | ||
member; | ||
(2) one member of the Senate appointed by the Minority | ||
Leader of the Senate, who may designate an alternate | ||
member; | ||
(3) one member of the House of Representatives | ||
appointed by the Speaker of the House of Representatives, |
who may designate an alternate member; | ||
(4) one member of the House of Representatives | ||
appointed by the Minority Leader of the House of | ||
Representatives, who may designate an alternate member; | ||
(5) two members representing the Office of the | ||
Attorney General appointed by the Attorney General, one of | ||
whom shall be the Sexual Assault Nurse Examiner | ||
Coordinator for the State of
Illinois; | ||
(6) one member representing the Department of Public | ||
Health appointed by the Director of Public Health; | ||
(7) one member representing the Illinois State Police | ||
appointed by the Director of the Illinois State Police; | ||
(8) one member representing the Department of | ||
Healthcare and Family Services appointed by the Director | ||
of Healthcare and Family Services; | ||
(9) six members representing hospitals appointed by | ||
the head of a statewide organization representing the | ||
interests of hospitals in Illinois, at least one of whom | ||
shall represent small and rural hospitals and at least one | ||
of these members shall represent urban hospitals; | ||
(10) one member representing physicians appointed by | ||
the head of a statewide organization representing the | ||
interests of physicians in Illinois; | ||
(11) one member representing emergency physicians | ||
appointed by the head of a statewide organization | ||
representing the interests of emergency physicians in |
Illinois; | ||
(12) two members representing child abuse | ||
pediatricians appointed by the head of a statewide | ||
organization representing the interests of child abuse | ||
pediatricians in Illinois, at least one of whom shall | ||
represent child abuse pediatricians providing medical | ||
forensic services in rural locations and at least one of | ||
whom shall represent child abuse pediatricians providing | ||
medical forensic services in urban locations; | ||
(13) one member representing nurses appointed by the | ||
head of a statewide organization representing the | ||
interests of nurses in Illinois; | ||
(14) two members representing sexual assault nurse | ||
examiners appointed by the head of a statewide | ||
organization representing the interests of forensic nurses | ||
in Illinois, at least one of whom shall represent | ||
pediatric/adolescent sexual assault nurse examiners and at | ||
least one of these members shall represent | ||
adult/adolescent sexual assault nurse examiners; | ||
(15) one member representing State's Attorneys | ||
appointed by the head of a statewide organization | ||
representing the interests of State's Attorneys in | ||
Illinois; | ||
(16) three members representing sexual assault | ||
survivors appointed by the head of a statewide | ||
organization representing the interests of sexual assault |
survivors and rape crisis centers, at least one of whom | ||
shall represent rural rape crisis centers and at least one | ||
of whom shall represent urban rape crisis centers; and | ||
(17) one member representing children's advocacy | ||
centers appointed by the head of a statewide organization | ||
representing the interests of children's advocacy centers | ||
in Illinois ; and . | ||
(18) one member representing approved federally | ||
qualified health centers appointed by the Director of | ||
Public Health. | ||
The members representing the Office of the Attorney | ||
General and the Department of Public Health shall serve as | ||
co-chairpersons of the Task Force. The Office of the Attorney | ||
General shall provide administrative and other support to the | ||
Task Force. | ||
(b) The first meeting of the Task Force shall be called by | ||
the co-chairpersons no later than 90 days after the effective | ||
date of this Section. | ||
(c) The goals of the Task Force shall include, but not be | ||
limited to, the following: | ||
(1) to facilitate the development of areawide | ||
treatment plans among hospitals and pediatric health care | ||
facilities; | ||
(2) to facilitate the development of on-call systems | ||
of qualified medical providers and assist hospitals with | ||
the development of plans to employ or contract with a |
qualified medical provider to initiate medical forensic | ||
services to a sexual assault survivor within 90 minutes of | ||
the patient presenting to the hospital as required in | ||
subsection (a-7) of Section 5; | ||
(3) to identify photography and storage options for | ||
hospitals to comply with the photo documentation | ||
requirements in Sections 5 and 5.1; | ||
(4) to develop a model written agreement for use by | ||
rape crisis centers, hospitals, and approved pediatric | ||
health care facilities with sexual assault treatment plans | ||
to comply with subsection (c) of Section 2; | ||
(5) to develop and distribute educational information | ||
regarding the implementation of this Act to hospitals, | ||
health care providers, rape crisis centers, children's | ||
advocacy centers, State's Attorney's offices; | ||
(6) to examine the role of telemedicine in the | ||
provision of medical forensic services under this Act and | ||
to develop recommendations for statutory change and | ||
standards and procedures for the use of telemedicine to be | ||
adopted by the Department; | ||
(7) to seek inclusion of the International Association | ||
of Forensic Nurses Sexual Assault Nurse Examiner Education | ||
Guidelines for nurses within the registered nurse training | ||
curriculum in Illinois nursing programs and the American | ||
College of Emergency Physicians Management of the Patient | ||
with the Complaint of Sexual Assault for emergency |
physicians within the Illinois residency training | ||
curriculum for emergency physicians; and | ||
(8) to submit a report to the General Assembly by | ||
January 1, 2024 2023 regarding the status of | ||
implementation of this amendatory Act of the 100th General | ||
Assembly, including, but not limited to, the impact of | ||
transfers to out-of-state hospitals on sexual assault | ||
survivors and the availability of treatment hospitals in | ||
Illinois . The report shall also cover the impact of | ||
medical forensic services provided at approved federally | ||
qualified health centers on sexual assault survivors. The ; | ||
the report to the General Assembly shall be filed with the | ||
Clerk of the House of Representatives and the Secretary of | ||
the Senate in electronic form only, in the manner that the | ||
Clerk and the Secretary shall direct. | ||
(d) This Section is repealed on January 1, 2025 2024 .
| ||
(Source: P.A. 102-538, eff. 8-20-21.)
| ||
Section 99. Effective date. This Section and the changes | ||
to Sections 2-1, 5-1, and 9.5 of the Sexual Assault Survivors | ||
Emergency Treatment Act take effect upon becoming law. |