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92nd General Assembly

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Public Act 92-0703

SB929 Enrolled                                 LRB9207765DHmb

    AN ACT concerning medical examinations.

    Be it enacted by the People of  the  State  of  Illinois,
represented in the General Assembly:

    Section  5.   The  School  Code  is  amended  by changing
Section 27-8.1 as follows:

    (105 ILCS 5/27-8.1) (from Ch. 122, par. 27-8.1)
    Sec. 27-8.1.  Health examinations and immunizations.
    (1)  In compliance with rules and regulations  which  the
Department  of  Public Health shall promulgate, and except as
hereinafter provided, all children in Illinois shall  have  a
health  examination  as  follows:  within  one  year prior to
entering kindergarten or  the  first  grade  of  any  public,
private,  or  parochial  elementary school; upon entering the
fifth and ninth grades of any public, private,  or  parochial
school;  prior  to  entrance  into  any  public,  private, or
parochial  nursery  school;  and,  irrespective   of   grade,
immediately  prior  to  or  upon  entrance  into  any public,
private, or parochial school or nursery  school,  each  child
shall  present  proof  of  having been examined in accordance
with this Section and the rules and  regulations  promulgated
hereunder.
    A tuberculosis skin test screening shall be included as a
required  part of each health examination included under this
Section if the child resides in an  area  designated  by  the
Department  of  Public  Health  as having a high incidence of
tuberculosis.   Additional  health  examinations  of  pupils,
including dental and vision  examinations,  may  be  required
when  deemed  necessary  by  school authorities.  Parents are
encouraged to have their children undergo dental examinations
at the same points in time required for health examinations.
    (2)  The Department of  Public  Health  shall  promulgate
rules   and   regulations  specifying  the  examinations  and
procedures that  constitute  a  health  examination  and  may
recommend  by  rule  that  certain additional examinations be
performed.  The rules and regulations of  the  Department  of
Public  Health  shall  specify  that a tuberculosis skin test
screening shall be included as a required part of each health
examination included under this Section if the child  resides
in  an  area designated by the Department of Public Health as
having a high incidence of tuberculosis.
    Physicians licensed to practice medicine in  all  of  its
branches,   advanced  practice  nurses  who  have  a  written
collaborative agreement with a collaborating physician  which
authorizes  them to perform health examinations, or physician
assistants who have been delegated the performance of  health
examinations   by   their   supervising  physician  shall  be
responsible for the performance of the  health  examinations,
other   than  dental  examinations  and  vision  and  hearing
screening, and  shall  sign  all  report  forms  required  by
subsection (4) of this Section that pertain to those portions
of  the  health examination for which the physician, advanced
practice nurse, or physician assistant is responsible.  If  a
registered  nurse  performs any part of a health examination,
then a physician licensed to practice medicine in all of  its
branches  must  review  and  sign  all required report forms.
Licensed dentists shall perform all dental  examinations  and
shall  sign  all  report  forms required by subsection (4) of
this  Section  that  pertain  to  the  dental   examinations.
Physicians licensed to practice medicine in all its branches,
or  licensed  optometrists,  shall  perform  all vision exams
required by school authorities  and  shall  sign  all  report
forms required by subsection (4) of this Section that pertain
to  the  vision  exam.   Vision  and hearing screening tests,
which shall not be considered examinations as  that  term  is
used  in  this Section, shall be conducted in accordance with
rules and regulations of the Department of Public Health, and
by individuals whom  the  Department  of  Public  Health  has
certified.
    (3)  Every  child  shall, at or about the same time as he
or she receives a health examination required  by  subsection
(1)  of  this  Section,  present to the local school proof of
having  received  such  immunizations   against   preventable
communicable  diseases  as  the  Department  of Public Health
shall require by rules and regulations  promulgated  pursuant
to this Section and the Communicable Disease Prevention Act.
    (4)  The  individuals  conducting  the health examination
shall record the fact of having  conducted  the  examination,
and such additional information as required, on uniform forms
which  the Department of Public Health and the State Board of
Education shall prescribe for statewide  use.   The  examiner
shall  summarize  on the report form any condition that he or
she suspects indicates a  need  for  special  services.   The
individuals   confirming   the   administration  of  required
immunizations shall record as indicated on the form that  the
immunizations were administered.
    (5)  If  a  child  does  not  submit  proof of having had
either  the  health  examination  or  the   immunization   as
required,  then  the  child  shall be examined or receive the
immunization, as the  case  may  be,  and  present  proof  by
October  15 of the current school year, or by an earlier date
of the current school year established by a school  district.
To  establish  a date before October 15 of the current school
year for the health examination or immunization as  required,
a  school  district  must  give notice of the requirements of
this Section 60 days prior to the earlier  established  date.
If   for   medical  reasons  one  or  more  of  the  required
immunizations must be given after October 15 of  the  current
school  year,  or  after  an  earlier established date of the
current school year, then the child shall present, by October
15, or by the earlier established date, a  schedule  for  the
administration  of  the  immunizations and a statement of the
medical reasons causing the delay, both the schedule and  the
statement  being  issued  by the physician, advanced practice
nurse, physician assistant, registered nurse, or local health
department that will be responsible for administration of the
remaining required immunizations.  If a child does not comply
by October 15, or by the  earlier  established  date  of  the
current   school   year,   with   the  requirements  of  this
subsection, then the local  school  authority  shall  exclude
that  child from school until such time as the child presents
proof of having had the health examination  as  required  and
presents    proof   of   having   received   those   required
immunizations  which  are  medically  possible   to   receive
immediately.   During  a  child's  exclusion  from school for
noncompliance with this subsection, the  child's  parents  or
legal  guardian  shall  be considered in violation of Section
26-1 and subject to any penalty imposed by Section 26-10.
    (6)  Every school shall report  to  the  State  Board  of
Education  by  November  15,  in the manner which that agency
shall require, the number of children who have  received  the
necessary   immunizations   and  the  health  examination  as
required, indicating, of those  who  have  not  received  the
immunizations  and  examination  as  required,  the number of
children  who  are  exempt  from   health   examination   and
immunization  requirements on religious or medical grounds as
provided in subsection (8).  This reported information  shall
be  provided  to the Department of Public Health by the State
Board of Education.
    (7)  Upon determining that the number of pupils  who  are
required  to  be  in  compliance  with subsection (5) of this
Section is below 90% of the number of pupils enrolled in  the
school  district, 10% of each State aid payment made pursuant
to Section 18-8 to the school district for such year shall be
withheld by the regional superintendent until the  number  of
students  in compliance with subsection (5) is the applicable
specified percentage or higher.
    (8)  Parents or legal  guardians  who  object  to  health
examinations  or  any  part  thereof, or to immunizations, on
religious grounds shall  not  be  required  to  submit  their
children  or  wards  to  the examinations or immunizations to
which they so object  if  such  parents  or  legal  guardians
present  to  the  appropriate local school authority a signed
statement  of  objection,  detailing  the  grounds  for   the
objection.   If  the  physical condition of the child is such
that any one or more of the immunizing agents should  not  be
administered,  the  examining  physician,  advanced  practice
nurse, or physician assistant responsible for the performance
of  the  health  examination shall endorse that fact upon the
health examination form.  Exempting a child from  the  health
examination  does  not exempt the child from participation in
the  program  of  physical  education  training  provided  in
Sections 27-5 through 27-7 of this Code.
    (9)  For the purposes of this Section, "nursery  schools"
means  those  nursery  schools  operated by elementary school
systems or secondary level school units  or  institutions  of
higher learning.
(Source: P.A. 91-357, eff. 7-29-99.)

    Section  10.   The  Illinois  Vehicle  Code is amended by
changing Sections 6-106.1, 6-901, and 18b-105 as follows:

    (625 ILCS 5/6-106.1) (from Ch. 95 1/2, par. 6-106.1)
    Sec. 6-106.1.  School bus driver permit.
    (a)  The Secretary of State  shall  issue  a  school  bus
driver  permit  to  those  applicants  who  have  met all the
requirements of the application and screening  process  under
this Section to insure the welfare and safety of children who
are  transported  on  school  buses  throughout  the State of
Illinois.  Applicants shall  obtain  the  proper  application
required  by the Secretary of State from their prospective or
current employer and submit the completed application to  the
prospective  or  current  employer  along  with the necessary
fingerprint submission as required by the Department of State
Police  to  conduct  fingerprint  based  criminal  background
checks on current and future  information  available  in  the
state  system  and  current information available through the
Federal Bureau of  Investigation's  system.   Applicants  who
have  completed  the fingerprinting requirements shall not be
subjected to the fingerprinting  process  when  applying  for
subsequent   permits   or   submitting  proof  of  successful
completion of the annual refresher course.   Individuals  who
on  the effective date of this Act possess a valid school bus
driver  permit  that  has  been  previously  issued  by   the
appropriate Regional School Superintendent are not subject to
the  fingerprinting provisions of this Section as long as the
permit remains valid and does not lapse.  The applicant shall
be required to pay all related application and fingerprinting
fees as established by rule including, but  not  limited  to,
the amounts established by the Department of State Police and
the  Federal  Bureau  of Investigation to process fingerprint
based criminal background investigations. All fees  paid  for
fingerprint  processing  services under this Section shall be
deposited into the State Police Services Fund  for  the  cost
incurred   in   processing  the  fingerprint  based  criminal
background investigations.  All other fees  paid  under  this
Section shall be deposited into the Road Fund for the purpose
of   defraying  the  costs  of  the  Secretary  of  State  in
administering this Section.  All applicants must:
         1.  be 21 years of age or older;
         2.  possess a valid and properly classified driver's
    license issued by the Secretary of State;
         3.  possess a valid driver's license, which has  not
    been   revoked,   suspended,  or  canceled  for  3  years
    immediately prior to the date of application, or have not
    had  his  or  her  commercial   motor   vehicle   driving
    privileges  disqualified  within  the 3 years immediately
    prior to the date of application;
         4.  successfully pass a written  test,  administered
    by  the  Secretary  of  State,  on  school bus operation,
    school bus safety, and special traffic laws  relating  to
    school  buses  and  submit to a review of the applicant's
    driving habits by the Secretary of State at the time  the
    written test is given;
         5.  demonstrate  ability to exercise reasonable care
    in the operation of school buses in accordance with rules
    promulgated by the Secretary of State;
         6.  demonstrate physical fitness to  operate  school
    buses by submitting the results of a medical examination,
    including  tests  for  drug  use  for  each applicant not
    subject  to  such  testing  pursuant  to   federal   law,
    conducted  by  a licensed physician, an advanced practice
    nurse who has a written collaborative  agreement  with  a
    collaborating  physician  which  authorizes him or her to
    perform medical examinations, or  a  physician  assistant
    who   has  been  delegated  the  performance  of  medical
    examinations by his or her supervising  physician  within
    90 days of the date of application according to standards
    promulgated by the Secretary of State;
         7.  affirm under penalties of perjury that he or she
    has  not  made a false statement or knowingly concealed a
    material fact in any application for permit;
         8.  have  completed  an  initial  classroom  course,
    including first aid  procedures,  in  school  bus  driver
    safety  as  promulgated  by  the  Secretary of State; and
    after satisfactory completion of said initial  course  an
    annual  refresher  course; such courses and the agency or
    organization conducting such courses shall be approved by
    the Secretary of State; failure to  complete  the  annual
    refresher  course,  shall  result  in cancellation of the
    permit until such course is completed;
         9.  not have been convicted of  2  or  more  serious
    traffic  offenses,  as  defined  by rule, within one year
    prior to the date of application that  may  endanger  the
    life  or  safety of any of the driver's passengers within
    the duration of the permit period;
         10.  not have been convicted  of  reckless  driving,
    driving while intoxicated, or reckless homicide resulting
    from  the  operation of a motor vehicle within 3 years of
    the date of application;
         11.  not  have  been  convicted  of  committing   or
    attempting  to  commit  any  one or more of the following
    offenses:  (i) those offenses defined  in  Sections  9-1,
    9-1.2, 9-2, 9-2.1, 9-3, 9-3.2, 9-3.3, 10-1, 10-2, 10-3.1,
    10-4, 10-5, 10-6, 10-7, 11-6, 11-9, 11-9.1, 11-14, 11-15,
    11-15.1,  11-16,  11-17,  11-18, 11-19, 11-19.1, 11-19.2,
    11-20, 11-20.1, 11-21,  11-22,  12-3.1,  12-4.1,  12-4.2,
    12-4.3,  12-4.4,  12-4.5,  12-6,  12-6.2, 12-7.1, 12-7.3,
    12-7.4,  12-11,  12-13,  12-14,  12-14.1,  12-15,  12-16,
    12-16.2, 12-21.5, 12-21.6, 12-33, 18-1, 18-2, 18-3, 18-4,
    18-5, 20-1, 20-1.1, 20-2, 24-1, 24-1.1,  24-1.2,  24-3.3,
    31A-1,  31A-1.1,  and  33A-2,  and  in subsection (a) and
    subsection (b),  clause  (1),  of  Section  12-4  of  the
    Criminal Code of 1961; (ii) those offenses defined in the
    Cannabis  Control  Act  except  those offenses defined in
    subsections (a) and (b) of Section 4, and subsection  (a)
    of  Section  5  of  the Cannabis Control Act; (iii) those
    offenses defined in the  Illinois  Controlled  Substances
    Act; (iv) any offense committed or attempted in any other
    state  or against the laws of the United States, which if
    committed or attempted in this State would be  punishable
    as  one  or  more  of  the  foregoing  offenses;  (v) the
    offenses defined in Section 4.1 and 5.1 of the Wrongs  to
    Children  Act  and (vi) those offenses defined in Section
    6-16 of the Liquor Control Act of 1934;
         12.  not have been repeatedly involved as  a  driver
    in  motor vehicle collisions or been repeatedly convicted
    of offenses against laws and  ordinances  regulating  the
    movement  of traffic, to a degree which indicates lack of
    ability to exercise ordinary and reasonable care  in  the
    safe  operation  of a motor vehicle or disrespect for the
    traffic laws and the safety of  other  persons  upon  the
    highway;
         13.  not  have,  through the unlawful operation of a
    motor vehicle, caused an accident resulting in the  death
    of any person; and
         14.  not   have,  within  the  last  5  years,  been
    adjudged to be  afflicted  with  or  suffering  from  any
    mental disability or disease.
    (b)  A  school  bus  driver  permit  shall be valid for a
period specified by the Secretary of State as  set  forth  by
rule.   It shall be renewable upon compliance with subsection
(a) of this Section.
    (c)  A  school  bus  driver  permit  shall  contain   the
holder's  driver's  license  number, name, address, zip code,
social security number and date of birth, a brief description
of the holder and a space for signature.   The  Secretary  of
State may require a suitable photograph of the holder.
    (d)  The  employer  shall be responsible for conducting a
pre-employment interview with prospective school  bus  driver
candidates,  distributing  school bus driver applications and
medical  forms  to  be  completed  by  the   applicant,   and
submitting   the   applicant's   fingerprint   cards  to  the
Department of State Police that are required for the criminal
background investigations.  The  employer  shall  certify  in
writing  to  the  Secretary  of State that all pre-employment
conditions have been  successfully  completed  including  the
successful   completion  of  an  Illinois  specific  criminal
background investigation  through  the  Department  of  State
Police  and  the  submission of necessary fingerprints to the
Federal  Bureau  of  Investigation   for   criminal   history
information   available   through   the   Federal  Bureau  of
Investigation  system.   The  applicant  shall  present   the
certification  to  the  Secretary  of  State  at  the time of
submitting the school bus driver permit application.
    (e)  Permits  shall   initially   be   provisional   upon
receiving   certification   from   the   employer   that  all
pre-employment conditions have been  successfully  completed,
and   upon   successful   completion   of  all  training  and
examination  requirements  for  the  classification  of   the
vehicle   to  be  operated,  the  Secretary  of  State  shall
provisionally issue a School Bus Driver Permit.   The  permit
shall  remain  in a provisional status pending the completion
of the Federal Bureau of Investigation's criminal  background
investigation  based  upon fingerprinting specimens submitted
to the Federal Bureau of Investigation by the  Department  of
State  Police.   The  Federal  Bureau  of Investigation shall
report the findings directly to the Secretary of State.   The
Secretary  of  State  shall remove the bus driver permit from
provisional status upon the applicant's successful completion
of the Federal Bureau of Investigation's criminal  background
investigation.
    (f)  A  school  bus driver permit holder shall notify the
employer and the Secretary of State if he or she is convicted
in another state of an offense that would  make  him  or  her
ineligible for a permit under subsection (a) of this Section.
The  written  notification shall be made within 5 days of the
entry of the conviction.  Failure of  the  permit  holder  to
provide the notification is punishable as a petty offense for
a  first  violation and a Class B misdemeanor for a second or
subsequent violation.
    (g)  Cancellation; suspension; notice and procedure.
         (1)  The Secretary of State shall  cancel  a  school
    bus   driver   permit  of  an  applicant  whose  criminal
    background investigation discloses that he or she is  not
    in  compliance  with  the provisions of subsection (a) of
    this Section.
         (2)  The Secretary of State shall  cancel  a  school
    bus driver permit when he or she receives notice that the
    permit  holder fails to comply with any provision of this
    Section or any rule promulgated for the administration of
    this Section.
         (3)  The Secretary of State shall  cancel  a  school
    bus  driver  permit  if  the  permit  holder's restricted
    commercial or commercial driving privileges are withdrawn
    or otherwise invalidated.
         (4)  The Secretary of State may not issue  a  school
    bus driver permit for a period of 3 years to an applicant
    who  fails  to obtain a negative result on a drug test as
    required in item 6 of subsection (a) of this  Section  or
    under federal law.
         (5)  The  Secretary of State shall forthwith suspend
    a school bus driver permit for a period of 3  years  upon
    receiving  notice  that the holder has failed to obtain a
    negative result on a drug test as required in item  6  of
    subsection (a) of this Section or under federal law.
    The   Secretary   of   State   shall   notify  the  State
Superintendent  of  Education   and   the   permit   holder's
prospective  or  current  employer that the applicant has (1)
has failed a criminal background investigation or (2)  is  no
longer  eligible  for  a school bus driver permit; and of the
related cancellation of the  applicant's  provisional  school
bus  driver  permit.  The cancellation shall remain in effect
pending the outcome of a hearing pursuant  to  Section  2-118
of  this  Code.  The scope of the hearing shall be limited to
the issuance criteria contained in  subsection  (a)  of  this
Section.   A petition requesting a hearing shall be submitted
to the Secretary of State and shall contain  the  reason  the
individual feels he or she is entitled to a school bus driver
permit.  The permit holder's employer shall notify in writing
to the Secretary of State that the employer has certified the
removal of the offending school bus driver from service prior
to  the start of that school bus driver's next workshift.  An
employing school board that fails  to  remove  the  offending
school  bus  driver  from service is subject to the penalties
defined in Section 3-14.23 of the School Code. A  school  bus
contractor  who  violates  a  provision  of  this  Section is
subject to the penalties defined in Section 6-106.11.
    All valid school bus driver  permits  issued  under  this
Section  prior  to  January  1,  1995, shall remain effective
until their expiration date unless otherwise invalidated.
(Source: P.A. 90-191, eff. 1-1-98; 91-500, eff. 8-13-99.)

    (625 ILCS 5/6-901) (from Ch. 95 1/2, par. 6-901)
    Sec. 6-901. Definitions Definition.  For the purposes  of
this Article:
    "Board"  means  the  Driver's  License  Medical  Advisory
Board.
    "Medical  examiner"  or  "medical practitioner" means any
person licensed to practice medicine in all its  branches  in
the State of Illinois.
(Source: P.A. 90-89, eff. 1-1-98.)

    (625 ILCS 5/18b-105) (from Ch. 95 1/2, par. 18b-105)
    Sec. 18b-105.  Rules and Regulations.
    (a)  The  Department  is  authorized  to  make  and adopt
reasonable rules and regulations and orders  consistent  with
law necessary to carry out the provisions of this Chapter.
    (b)  The  following  parts  of  Title  49  of the Code of
Federal Regulations, as now in effect, are hereby adopted  by
reference as though they were set out in full:
    Part 385-Safety Fitness Procedures;
    Part   390-Federal   Motor  Carrier  Safety  Regulations:
General;
    Part 391-Qualifications of Drivers;
    Part 392-Driving of Motor Vehicles;
    Part  393-Parts  and  Accessories  Necessary   for   Safe
Operation;
    Part 395-Hours of Service of Drivers; and
    Part 396-Inspection, Repair and Maintenance.
    (b-5)  Individuals who meet the requirements set forth in
the definition of "medical examiner" in Section 390.5 of Part
390 of Title 49 of the Code of Federal Regulations may act as
medical examiners in accordance with Part 391 of Title 49  of
the Code of Federal Regulations.
    (c)  The  following  parts  and  Sections  of the Federal
Motor Carrier Safety Regulations shall  not  apply  to  those
intrastate   carriers,   drivers   or   vehicles  subject  to
subsection (b).
         (1)  Section 393.93 of Part 393 for  those  vehicles
    manufactured before June 30, 1972.
         (2)  Section  393.86  of Part 393 for those vehicles
    which are registered as farm trucks under subsection  (c)
    of Section 3-815 of The Illinois Vehicle Code.
         (3)  (Blank).
         (4)  (Blank).
         (5)  Paragraph (b)(1) of Section 391.11 of Part 391.
         (6)  All  of Part 395 for all agricultural movements
    as defined in Chapter 1, between the period of February 1
    through November 30 each year, and  all  farm  to  market
    agricultural  transportation  as defined in Chapter 1 and
    for grain hauling operations within a radius of  200  air
    miles of the normal work reporting location.
         (7)  Paragraphs  (b)(3) (insulin dependent diabetic)
    and (b)(10) (minimum visual acuity) of Section 391.41  of
    part  391,  but only for any driver who immediately prior
    to July 29, 1986 was eligible and licensed to  operate  a
    motor  vehicle subject to this Section and was engaged in
    operating such vehicles, and who was disqualified on July
    29, 1986 by the adoption of Part 391  by  reason  of  the
    application  of  paragraphs (b)(3) and (b)(10) of Section
    391.41 with respect to a physical condition  existing  at
    that  time  unless  such driver has a record of accidents
    which would indicate a lack of ability to operate a motor
    vehicle in a safe manner.
    (d)  Intrastate  carriers  subject   to   the   recording
provisions  of Section 395.8 of Part 395 of the Federal Motor
Carrier Safety Regulations shall  be  exempt  as  established
under  paragraph (1) of Section 395.8; provided, however, for
the purpose of this Code, drivers shall operate within a  150
air-mile  radius  of  the  normal  work reporting location to
qualify for exempt status.
    (e)  Regulations adopted by the Department subsequent  to
those  adopted under subsection (b) hereof shall be identical
in substance to the Federal Motor Carrier Safety  Regulations
of the United States Department of Transportation and adopted
in  accordance  with the procedures for rulemaking in Section
5-35 of the Illinois Administrative Procedure Act.
(Source: P.A.  90-89,  eff.  1-1-98;  90-228,  eff.  7-25-97;
90-655, eff. 7-30-98; 91-179, eff. 1-1-00.)

    (625 ILCS 5/1-142.1a rep.)
    Section  15.  The  Illinois  Vehicle  Code  is amended by
repealing Section 1-142.1a.
    Section 99.  Effective date.  This Act takes effect  upon
becoming law.
    Passed in the General Assembly April 23, 2002.
    Approved July 19, 2002.
    Effective July 19, 2002.

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