Public Act 103-1013
 
SB3548 EnrolledLRB103 38295 CES 68430 b

    AN ACT concerning regulation.
 
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
 
    Section 5. The Emergency Medical Services (EMS) Systems
Act is amended by changing Sections 3.30, 3.90, 3.95, 3.100,
3.105, 3.110, 3.115, 3.140, 3.200, and 3.205 and by adding
Sections 3.101, 3.102, and 3.106 as follows:
 
    (210 ILCS 50/3.30)
    Sec. 3.30. EMS Region Plan; Content.
    (a) The EMS Medical Directors Committee shall address at
least the following:
        (1) Protocols for inter-System/inter-Region patient
    transports, including identifying the conditions of
    emergency patients which may not be transported to the
    different levels of emergency department, based on their
    Department classifications and relevant Regional
    considerations (e.g. transport times and distances);
        (2) Regional standing medical orders;
        (3) Patient transfer patterns, including criteria for
    determining whether a patient needs the specialized
    services of a trauma center, along with protocols for the
    bypassing of or diversion to any hospital, trauma center
    or regional trauma center which are consistent with
    individual System bypass or diversion protocols and
    protocols for patient choice or refusal;
        (4) Protocols for resolving Regional or Inter-System
    conflict;
        (5) An EMS disaster preparedness plan which includes
    the actions and responsibilities of all EMS participants
    within the Region. Within 90 days of the effective date of
    this amendatory Act of 1996, an EMS System shall submit to
    the Department for review an internal disaster plan. At a
    minimum, the plan shall include contingency plans for the
    transfer of patients to other facilities if an evacuation
    of the hospital becomes necessary due to a catastrophe,
    including but not limited to, a power failure;
        (6) Regional standardization of continuing education
    requirements;
        (7) Regional standardization of Do Not Resuscitate
    (DNR) policies, and protocols for power of attorney for
    health care;
        (8) Protocols for disbursement of Department grants;
        (9) Protocols for the triage, treatment, and transport
    of possible acute stroke patients; and
        (10) Regional standing medical orders for the
    administration of opioid antagonists.
    (b) The Trauma Center Medical Directors or Trauma Center
Medical Directors Committee shall address at least the
following:
        (1) The identification of Regional Trauma Centers;
        (2) Protocols for inter-System and inter-Region trauma
    patient transports, including identifying the conditions
    of emergency patients which may not be transported to the
    different levels of emergency department, based on their
    Department classifications and relevant Regional
    considerations (e.g. transport times and distances);
        (3) Regional trauma standing medical orders;
        (4) Trauma patient transfer patterns, including
    criteria for determining whether a patient needs the
    specialized services of a trauma center, along with
    protocols for the bypassing of or diversion to any
    hospital, trauma center or regional trauma center which
    are consistent with individual System bypass or diversion
    protocols and protocols for patient choice or refusal;
        (5) The identification of which types of patients can
    be cared for by Level I Trauma Centers, and Level II Trauma
    Centers, and Level III Trauma Centers;
        (6) Criteria for inter-hospital transfer of trauma
    patients;
        (7) The treatment of trauma patients in each trauma
    center within the Region;
        (8) A program for conducting a quarterly conference
    which shall include at a minimum a discussion of morbidity
    and mortality between all professional staff involved in
    the care of trauma patients;
        (9) The establishment of a Regional trauma quality
    assurance and improvement subcommittee, consisting of
    trauma surgeons, which shall perform periodic medical
    audits of each trauma center's trauma services, and
    forward tabulated data from such reviews to the
    Department; and
        (10) The establishment, within 90 days of the
    effective date of this amendatory Act of 1996, of an
    internal disaster plan, which shall include, at a minimum,
    contingency plans for the transfer of patients to other
    facilities if an evacuation of the hospital becomes
    necessary due to a catastrophe, including but not limited
    to, a power failure.
    (c) The Region's EMS Medical Directors and Trauma Center
Medical Directors Committees shall appoint any subcommittees
which they deem necessary to address specific issues
concerning Region activities.
(Source: P.A. 99-480, eff. 9-9-15.)
 
    (210 ILCS 50/3.90)
    Sec. 3.90. Trauma Center Designations.
    (a) "Trauma Center" means a hospital which: (1) within
designated capabilities provides optimal care to trauma
patients; (2) participates in an approved EMS System; and (3)
is duly designated pursuant to the provisions of this Act.
Level I Trauma Centers shall provide all essential services
in-house, 24 hours per day, in accordance with rules adopted
by the Department pursuant to this Act. Level II and Level III
Trauma Centers shall have some essential services available
in-house, 24 hours per day, and other essential services
readily available, 24 hours per day, in accordance with rules
adopted by the Department pursuant to this Act.
    (a-5) An Acute Injury Stabilization Center shall have a
basic or comprehensive emergency department capable of initial
management and transfer of the acutely injured in accordance
with rules adopted by the Department pursuant to this Act.
    (b) The Department shall have the authority and
responsibility to:
        (1) Establish and enforce minimum standards for
    designation and re-designation of 3 levels of trauma
    centers that meet trauma center national standards, as
    modified by the Department in administrative rules as a
    Level I or Level II Trauma Center, consistent with
    Sections 22 and 23 of this Act, through rules adopted
    pursuant to this Act;
        (2) Require hospitals applying for trauma center
    designation to submit a plan for designation in a manner
    and form prescribed by the Department through rules
    adopted pursuant to this Act;
        (3) Upon receipt of a completed plan for designation,
    conduct a site visit to inspect the hospital for
    compliance with the Department's minimum standards. Such
    visit shall be conducted by specially qualified personnel
    with experience in the delivery of emergency medical
    and/or trauma care. A report of the inspection shall be
    provided to the Director within 30 days of the completion
    of the site visit. The report shall note compliance or
    lack of compliance with the individual standards for
    designation, but shall not offer a recommendation on
    granting or denying designation;
        (4) Designate applicant hospitals as Level I, or Level
    II, or Level III Trauma Centers which meet the minimum
    standards established by this Act and the Department. The
    Beginning September 1, 1997 the Department shall designate
    a new trauma center only when a local or regional need for
    such trauma center has been identified. The Department
    shall request an assessment of local or regional need from
    the applicable EMS Region's Trauma Center Medical
    Directors Committee, with advice from the Regional Trauma
    Advisory Committee. This shall not be construed as a needs
    assessment for health planning or other purposes outside
    of this Act;
        (5) Attempt to designate trauma centers in all areas
    of the State. There shall be at least one Level I Trauma
    Center serving each EMS Region, unless waived by the
    Department. This subsection shall not be construed to
    require a Level I Trauma Center to be located in each EMS
    Region. Level I Trauma Centers shall serve as resources
    for the Level II and Level III Trauma Centers and Acute
    Injury Stabilization Centers in the EMS Regions. The
    extent of such relationships shall be defined in the EMS
    Region Plan;
        (6) Inspect designated trauma centers to assure
    compliance with the provisions of this Act and the rules
    adopted pursuant to this Act. Information received by the
    Department through filed reports, inspection, or as
    otherwise authorized under this Act shall not be disclosed
    publicly in such a manner as to identify individuals or
    hospitals, except in proceedings involving the denial,
    suspension or revocation of a trauma center designation or
    imposition of a fine on a trauma center;
        (7) Renew trauma center designations every 2 years,
    after an on-site inspection, based on compliance with
    renewal requirements and standards for continuing
    operation, as prescribed by the Department through rules
    adopted pursuant to this Act;
        (8) Refuse to issue or renew a trauma center
    designation, after providing an opportunity for a hearing,
    when findings show that it does not meet the standards and
    criteria prescribed by the Department;
        (9) Review and determine whether a trauma center's
    annual morbidity and mortality rates for trauma patients
    significantly exceed the State average for such rates,
    using a uniform recording methodology based on nationally
    recognized standards. Such determination shall be
    considered as a factor in any decision by the Department
    to renew or refuse to renew a trauma center designation
    under this Act, but shall not constitute the sole basis
    for refusing to renew a trauma center designation;
        (10) Take the following action, as appropriate, after
    determining that a trauma center is in violation of this
    Act or any rule adopted pursuant to this Act:
            (A) If the Director determines that the violation
        presents a substantial probability that death or
        serious physical harm will result and if the trauma
        center fails to eliminate the violation immediately or
        within a fixed period of time, not exceeding 10 days,
        as determined by the Director, the Director may
        immediately revoke the trauma center designation. The
        trauma center may appeal the revocation within 15 days
        after receiving the Director's revocation order, by
        requesting a hearing as provided by Section 29 of this
        Act. The Director shall notify the chair of the
        Region's Trauma Center Medical Directors Committee and
        EMS Medical Directors for appropriate EMS Systems of
        such trauma center designation revocation;
            (B) If the Director determines that the violation
        does not present a substantial probability that death
        or serious physical harm will result, the Director
        shall issue a notice of violation and request a plan of
        correction which shall be subject to the Department's
        approval. The trauma center shall have 10 days after
        receipt of the notice of violation in which to submit a
        plan of correction. The Department may extend this
        period for up to 30 days. The plan shall include a
        fixed time period not in excess of 90 days within which
        violations are to be corrected. The plan of correction
        and the status of its implementation by the trauma
        center shall be provided, as appropriate, to the EMS
        Medical Directors for appropriate EMS Systems. If the
        Department rejects a plan of correction, it shall send
        notice of the rejection and the reason for the
        rejection to the trauma center. The trauma center
        shall have 10 days after receipt of the notice of
        rejection in which to submit a modified plan. If the
        modified plan is not timely submitted, or if the
        modified plan is rejected, the trauma center shall
        follow an approved plan of correction imposed by the
        Department. If, after notice and opportunity for
        hearing, the Director determines that a trauma center
        has failed to comply with an approved plan of
        correction, the Director may suspend or revoke the
        trauma center designation. The trauma center shall
        have 15 days after receiving the Director's notice in
        which to request a hearing. Such hearing shall conform
        to the provisions of Section 3.135 30 of this Act;
        (11) The Department may delegate authority to local
    health departments in jurisdictions which include a
    substantial number of trauma centers. The delegated
    authority to those local health departments shall include,
    but is not limited to, the authority to designate trauma
    centers with final approval by the Department, maintain a
    regional data base with concomitant reporting of trauma
    registry data, and monitor, inspect and investigate trauma
    centers within their jurisdiction, in accordance with the
    requirements of this Act and the rules promulgated by the
    Department;
            (A) The Department shall monitor the performance
        of local health departments with authority delegated
        pursuant to this Section, based upon performance
        criteria established in rules promulgated by the
        Department;
            (B) Delegated authority may be revoked for
        substantial non-compliance with the Act or the
        Department's rules. Notice of an intent to revoke
        shall be served upon the local health department by
        certified mail, stating the reasons for revocation and
        offering an opportunity for an administrative hearing
        to contest the proposed revocation. The request for a
        hearing must be in writing and received by the
        Department within 10 working days of the local health
        department's receipt of notification;
            (C) The director of a local health department may
        relinquish its delegated authority upon 60 days
        written notification to the Director of Public Health.
(Source: P.A. 89-177, eff. 7-19-95.)
 
    (210 ILCS 50/3.95)
    Sec. 3.95. Level I Trauma Center Minimum Standards. The
Department shall establish, through rules adopted pursuant to
this Act, standards for Level I Trauma Centers which shall
include, but need not be limited to:
    (a) The designation by the trauma center of a Trauma
Center Medical Director and specification of his
qualifications;
    (b) The types of surgical services the trauma center must
have available for trauma patients, including but not limited
to a twenty-four hour in-house surgeon with operating
privileges and ancillary staff necessary for immediate
surgical intervention;
    (c) The types of nonsurgical services the trauma center
must have available for trauma patients;
    (d) The numbers and qualifications of emergency medical
personnel;
    (e) The types of equipment that must be available to
trauma patients;
    (f) Requiring the trauma center to be affiliated with an
EMS System;
    (g) Requiring the trauma center to have a communications
system that is fully integrated with all Level II Trauma
Centers, Level III Trauma Centers, Acute Injury Stabilization
Centers, and EMS Systems with which it is affiliated;
    (h) The types of data the trauma center must collect and
submit to the Department relating to the trauma services it
provides. Such data may include information on post-trauma
care directly related to the initial traumatic injury provided
to trauma patients until their discharge from the facility and
information on discharge plans;
    (i) Requiring the trauma center to have helicopter landing
capabilities approved by appropriate State and federal
authorities, if the trauma center is located within a
municipality having a population of less than two million
people; and
    (j) Requiring written agreements with Level II Trauma
Centers, Level III Trauma Centers, and Acute Injury
Stabilization Centers in the EMS Regions it serves, executed
within a reasonable time designated by the Department.
(Source: P.A. 89-177, eff. 7-19-95.)
 
    (210 ILCS 50/3.100)
    Sec. 3.100. Level II Trauma Center Minimum Standards. The
Department shall establish, through rules adopted pursuant to
this Act, standards for Level II Trauma Centers which shall
include, but need not be limited to:
    (a) The designation by the trauma center of a Trauma
Center Medical Director and specification of his
qualifications;
    (b) The types of surgical services the trauma center must
have available for trauma patients. The Department shall not
require the availability of all surgical services required of
Level I Trauma Centers;
    (c) The types of nonsurgical services the trauma center
must have available for trauma patients;
    (d) The numbers and qualifications of emergency medical
personnel, taking into consideration the more limited trauma
services available in a Level II Trauma Center;
    (e) The types of equipment that must be available for
trauma patients;
    (f) Requiring the trauma center to have a written
agreement with a Level I Trauma Centers, Level III Trauma
Centers, and Acute Injury Stabilization Centers Center serving
the EMS Region outlining their respective responsibilities in
providing trauma services, executed within a reasonable time
designated by the Department, unless the requirement for a
Level I Trauma Center to serve that EMS Region has been waived
by the Department;
    (g) Requiring the trauma center to be affiliated with an
EMS System;
    (h) Requiring the trauma center to have a communications
system that is fully integrated with the Level I Trauma
Centers, Level III Trauma Centers, Acute Injury Stabilization
Centers, and the EMS Systems with which it is affiliated;
    (i) The types of data the trauma center must collect and
submit to the Department relating to the trauma services it
provides. Such data may include information on post-trauma
care directly related to the initial traumatic injury provided
to trauma patients until their discharge from the facility and
information on discharge plans;
    (j) Requiring the trauma center to have helicopter landing
capabilities approved by appropriate State and federal
authorities, if the trauma center is located within a
municipality having a population of less than two million
people.
(Source: P.A. 89-177, eff. 7-19-95.)
 
    (210 ILCS 50/3.101 new)
    Sec. 3.101. Level III Trauma Center Minimum Standards. The
Department shall establish, through rules adopted under this
Act, standards for Level III Trauma Centers that shall
include, but need not be limited to:
        (1) The designation by the trauma center of a Trauma
    Center Medical Director and specification of his or her
    qualifications;
        (2) The types of surgical services the trauma center
    must have available for trauma patients; the Department
    shall not require the availability of all surgical
    services required of Level I or Level II Trauma Centers;
        (3) The types of nonsurgical services the trauma
    center must have available for trauma patients;
        (4) The numbers and qualifications of emergency
    medical personnel, taking into consideration the more
    limited trauma services available in a Level III Trauma
    Center;
        (5) The types of equipment that must be available for
    trauma patients;
        (6) Requiring the trauma center to have a written
    agreement with Level I Trauma Centers, Level II Trauma
    Centers, and Acute Injury Stabilization Centers serving
    the EMS Region outlining their respective responsibilities
    in providing trauma services, executed within a reasonable
    time designated by the Department, unless the requirement
    for a Level I Trauma Center to serve that EMS Region has
    been waived by the Department;
        (7) Requiring the trauma center to be affiliated with
    an EMS System;
        (8) Requiring the trauma center to have a
    communications system that is fully integrated with the
    Level I Trauma Centers, Level II Trauma Centers, Acute
    Injury Stabilization Centers, and the EMS Systems with
    which it is affiliated;
        (9) The types of data the trauma center must collect
    and submit to the Department relating to the trauma
    services it provides; such data may include information on
    post-trauma care directly related to the initial traumatic
    injury provided to trauma patients until their discharge
    from the facility and information on discharge plans; and
        (10) Requiring the trauma center to have helicopter
    landing capabilities approved by appropriate State and
    federal authorities if the trauma center is located within
    a municipality having a population of less than 2,000,000
    people.
 
    (210 ILCS 50/3.102 new)
    Sec. 3.102. Acute Injury Stabilization Center minimum
standards. The Department shall establish, through rules
adopted pursuant to this Act, standards for Acute Injury
Stabilization Centers, which shall include, but need not be
limited to, Comprehensive or Basic Emergency Department
services pursuant to the Hospital Licensing Act.
 
    (210 ILCS 50/3.105)
    Sec. 3.105. Trauma Center Misrepresentation. No After the
effective date of this amendatory Act of 1995, no facility
shall use the phrase "trauma center" or words of similar
meaning in relation to itself or hold itself out as a trauma
center without first obtaining designation pursuant to this
Act.
(Source: P.A. 89-177, eff. 7-19-95.)
 
    (210 ILCS 50/3.106 new)
    Sec. 3.106. Acute Injury Stabilization Center
Misrepresentation. No facility shall use the phrase "Acute
Injury Stabilization Center" or words of similar meaning in
relation to itself or hold itself out as an Acute Injury
Stabilization Center without first obtaining designation
pursuant to this Act.
 
    (210 ILCS 50/3.110)
    Sec. 3.110. EMS system and trauma center confidentiality
and immunity.
    (a) All information contained in or relating to any
medical audit performed of a trauma center's trauma services
or an Acute Injury Stabilization Center pursuant to this Act
or by an EMS Medical Director or his designee of medical care
rendered by System personnel, shall be afforded the same
status as is provided information concerning medical studies
in Article VIII, Part 21 of the Code of Civil Procedure.
Disclosure of such information to the Department pursuant to
this Act shall not be considered a violation of Article VIII,
Part 21 of the Code of Civil Procedure.
    (b) Hospitals, trauma centers and individuals that perform
or participate in medical audits pursuant to this Act shall be
immune from civil liability to the same extent as provided in
Section 10.2 of the Hospital Licensing Act.
    (c) All information relating to the State Emergency
Medical Services Disciplinary Review Board or a local review
board, except final decisions, shall be afforded the same
status as is provided information concerning medical studies
in Article VIII, Part 21 of the Code of Civil Procedure.
Disclosure of such information to the Department pursuant to
this Act shall not be considered a violation of Article VIII,
Part 21 of the Code of Civil Procedure.
(Source: P.A. 92-651, eff. 7-11-02.)
 
    (210 ILCS 50/3.115)
    Sec. 3.115. Pediatric care; emergency medical services for
children. Pediatric Trauma. The Director shall appoint an
advisory council to make recommendations for pediatric care
needs and develop strategies to address areas of need as
defined in rules adopted by the Department.
    The Department shall:
        (1) develop or promote recommendations for continuing
    medical education, treatment guidelines, and other
    programs for health practitioners and organizations
    involved in pediatric care;
        (2) support existing pediatric care programs and
    assist in establishing new pediatric care initiatives
    throughout the State;
        (3) designate applicant hospitals that meet the
    minimum standards established by the Department for their
    pediatric emergency and critical care capabilities.
Upon the availability of federal funds for pediatric care
demonstration projects, the Department shall:
    (a) Convene a work group which will be charged with
conducting a needs assessment of pediatric trauma care and
with developing strategies to correct areas of need;
     (b) Contract with the University of Illinois School of
Public Health to develop a secondary prevention program for
parents;
     (c) Contract with an Illinois medical school to develop
training and continuing medical education programs for
physicians and nurses in treatment of pediatric trauma;
    (d) Contract with an Illinois medical school to develop
and test triage and field scoring for pediatric trauma if the
needs assessment by the work group indicates that current
scoring is inadequate;
    (e) Support existing pediatric trauma programs and assist
in establishing new pediatric trauma programs throughout the
State;
    (f) Provide grants to EMS systems for special pediatric
equipment for prehospital care based on needs identified by
the work group; and
    (g) Provide grants to EMS systems and trauma centers for
specialized training in pediatric trauma based on needs
identified by the work group.
(Source: P.A. 89-177, eff. 7-19-95.)
 
    (210 ILCS 50/3.140)
    Sec. 3.140. Violations; Fines.
    (a) The Department shall have the authority to impose
fines on any licensed vehicle service provider, stretcher van
provider, designated trauma center, Acute Injury Stabilization
Center, resource hospital, associate hospital, or
participating hospital.
    (b) The Department shall adopt rules pursuant to this Act
which establish a system of fines related to the type and level
of violation or repeat violation, including, but not limited
to:
        (1) A fine not exceeding $10,000 for each a violation
    which created a condition or occurrence presenting a
    substantial probability that death or serious harm to an
    individual will or did result therefrom; and
        (2) A fine not exceeding $5,000 for each a violation
    which creates or created a condition or occurrence which
    threatens the health, safety or welfare of an individual.
    (c) A Notice of Intent to Impose Fine may be issued in
conjunction with or in lieu of a Notice of Intent to Suspend,
Revoke, Nonrenew or Deny, and shall conform to the
requirements specified in Section 3.130(d) of this Act. All
Hearings conducted pursuant to a Notice of Intent to Impose
Fine shall conform to the requirements specified in Section
3.135 of this Act.
    (d) All fines collected pursuant to this Section shall be
deposited into the EMS Assistance Fund.
(Source: P.A. 98-973, eff. 8-15-14.)
 
    (210 ILCS 50/3.200)
    Sec. 3.200. State Emergency Medical Services Advisory
Council.
    (a) There shall be established within the Department of
Public Health a State Emergency Medical Services Advisory
Council, which shall serve as an advisory body to the
Department on matters related to this Act.
    (b) Membership of the Council shall include one
representative from each EMS Region, to be appointed by each
region's EMS Regional Advisory Committee. The Governor shall
appoint additional members to the Council as necessary to
insure that the Council includes one representative from each
of the following categories:
        (1) EMS Medical Director,
        (2) Trauma Center Medical Director,
        (3) Licensed, practicing physician with regular and
    frequent involvement in the provision of emergency care,
        (4) Licensed, practicing physician with special
    expertise in the surgical care of the trauma patient,
        (5) EMS System Coordinator,
        (6) TNS,
        (7) Paramedic,
        (7.5) A-EMT,
        (8) EMT-I,
        (9) EMT,
        (10) Private vehicle service provider,
        (11) Law enforcement officer,
        (12) Chief of a public vehicle service provider,
        (13) Statewide firefighters' union member affiliated
    with a vehicle service provider,
        (14) Administrative representative from a fire
    department vehicle service provider in a municipality with
    a population of over 2 million people, ;
        (15) Administrative representative from a Resource
    Hospital or EMS System Administrative Director, and .
        (16) Representative from a pediatric critical care
    center.
    (c) Members shall be appointed for a term of 3 years. All
appointees shall serve until their successors are appointed
and qualified.
    (d) The Council shall be provided a 90-day period in which
to review and comment, in consultation with the subcommittee
to which the rules are relevant, upon all rules proposed by the
Department pursuant to this Act, except for rules adopted
pursuant to Section 3.190(a) of this Act, rules submitted to
the State Trauma Advisory Council and emergency rules adopted
pursuant to Section 5-45 of the Illinois Administrative
Procedure Act. The 90-day review and comment period may
commence upon the Department's submission of the proposed
rules to the individual Council members, if the Council is not
meeting at the time the proposed rules are ready for Council
review. Any non-emergency rules adopted prior to the Council's
90-day review and comment period shall be null and void. If the
Council fails to advise the Department within its 90-day
review and comment period, the rule shall be considered acted
upon.
    (e) Council members shall be reimbursed for reasonable
travel expenses incurred during the performance of their
duties under this Section.
    (f) The Department shall provide administrative support to
the Council for the preparation of the agenda and minutes for
Council meetings and distribution of proposed rules to Council
members.
    (g) The Council shall act pursuant to bylaws which it
adopts, which shall include the annual election of a Chair and
Vice-Chair.
    (h) The Director or his designee shall be present at all
Council meetings.
    (i) Nothing in this Section shall preclude the Council
from reviewing and commenting on proposed rules which fall
under the purview of the State Trauma Advisory Council.
(Source: P.A. 98-973, eff. 8-15-14.)
 
    (210 ILCS 50/3.205)
    Sec. 3.205. State Trauma Advisory Council.
    (a) There shall be established within the Department of
Public Health a State Trauma Advisory Council, which shall
serve as an advisory body to the Department on matters related
to trauma care and trauma centers.
    (b) Membership of the Council shall include one
representative from each Regional Trauma Advisory Committee,
to be appointed by each Committee. The Governor shall appoint
the following additional members:
        (1) An EMS Medical Director,
        (2) A trauma center medical director,
        (3) A trauma surgeon,
        (4) A trauma nurse coordinator,
        (5) A representative from a private vehicle service
    provider,
        (6) A representative from a public vehicle service
    provider,
        (7) A member of the State EMS Advisory Council, ;and and
        (8) A neurosurgeon.
        (8) A burn care medical representative.
        The Governor may also appoint, as an additional member
of the Council, a neurosurgeon.
    (c) Members shall be appointed for a term of 3 years. All
appointees shall serve until their successors are appointed
and qualified.
    (d) The Council shall be provided a 90-day period in which
to review and comment upon all rules proposed by the
Department pursuant to this Act concerning trauma care, except
for emergency rules adopted pursuant to Section 5-45 of the
Illinois Administrative Procedure Act. The 90-day review and
comment period may commence upon the Department's submission
of the proposed rules to the individual Council members, if
the Council is not meeting at the time the proposed rules are
ready for Council review. Any non-emergency rules adopted
prior to the Council's 90-day review and comment period shall
be null and void. If the Council fails to advise the Department
within its 90-day review and comment period, the rule shall be
considered acted upon;
    (e) Council members shall be reimbursed for reasonable
travel expenses incurred during the performance of their
duties under this Section.
    (f) The Department shall provide administrative support to
the Council for the preparation of the agenda and minutes for
Council meetings and distribution of proposed rules to Council
members.
    (g) The Council shall act pursuant to bylaws which it
adopts, which shall include the annual election of a Chair and
Vice-Chair.
    (h) The Director or his designee shall be present at all
Council meetings.
    (i) Nothing in this Section shall preclude the Council
from reviewing and commenting on proposed rules which fall
under the purview of the State EMS Advisory Council.
(Source: P.A. 98-973, eff. 8-15-14.)
 
    Section 99. Effective date. This Act takes effect upon
becoming law.