|
| | SB0029 Engrossed | | LRB099 02785 JLK 22793 b |
|
|
1 | | AN ACT concerning health.
|
2 | | Be it enacted by the People of the State of Illinois,
|
3 | | represented in the General Assembly:
|
4 | | Section 1. Short title. This Act may be cited as the Right |
5 | | to Try Act.
|
6 | | Section 5. Findings. The General Assembly finds that the |
7 | | process of approval for investigational drugs, biological |
8 | | products, and devices in the United States often takes many |
9 | | years, and a patient with a terminal illness does not have the |
10 | | luxury of waiting until such drug, product, or device receives |
11 | | final approval from the United States Food and Drug |
12 | | Administration. As a result, the standards of the United States |
13 | | Food and Drug Administration for the use of investigational |
14 | | drugs, biological products, and devices may deny the benefits |
15 | | of potentially life-saving treatments to terminally ill |
16 | | patients. A patient with a terminal illness has a fundamental |
17 | | right to attempt to preserve his or her own life by accessing |
18 | | investigational drugs, biological products, and devices. |
19 | | Whether to use available investigational drugs, biological |
20 | | products, and devices is a decision that rightfully should be |
21 | | made by the patient with a terminal illness in consultation |
22 | | with his or her physician and is not a decision to be made by |
23 | | the government.
|
|
| | SB0029 Engrossed | - 2 - | LRB099 02785 JLK 22793 b |
|
|
1 | | Section 10. Definitions. For the purposes of this Act: |
2 | | "Accident and health insurer" has the meaning given to that |
3 | | term in Section 126.2 of the Illinois Insurance Code. |
4 | | "Eligible patient" means a person who: |
5 | | (1) has a terminal illness; |
6 | | (2) has considered all other treatment options |
7 | | approved by the United States Food and Drug Administration; |
8 | | (3) has received a prescription or recommendation from |
9 | | his or her physician for an investigational drug, |
10 | | biological product, or device; |
11 | | (4) has given his or her informed consent in writing |
12 | | for the use of the investigational drug, biological |
13 | | product, or device or, if he or she is a minor or lacks the |
14 | | mental capacity to provide informed consent, a parent or |
15 | | legal guardian has given informed consent on his or her |
16 | | behalf; and |
17 | | (5) has documentation from his or her physician |
18 | | indicating that he or she has met the requirements of this |
19 | | Act. |
20 | | "Investigational drug, biological product, or device" |
21 | | means a drug, biological product, or device that has |
22 | | successfully completed Phase I of a clinical trial, but has not |
23 | | been approved for general use by the United States Food and |
24 | | Drug Administration. |
25 | | "Phase I of a clinical trial" means the stage of a clinical |
|
| | SB0029 Engrossed | - 3 - | LRB099 02785 JLK 22793 b |
|
|
1 | | trial where an investigational drug, biological product, or |
2 | | device has been tested in a small group for the first time to |
3 | | evaluate its safety, determine a safe dosage range, and |
4 | | identify side effects. |
5 | | "Terminal illness" means a disease that, without |
6 | | life-sustaining measures, can reasonably be expected to result |
7 | | in death in 24 months or less.
|
8 | | Section 15. Availability of drugs, biological products, |
9 | | and devices. |
10 | | (a) A manufacturer of an investigational drug, biological |
11 | | product, or device may make available such drug, product, or |
12 | | device to eligible patients. Nothing in this Act shall be |
13 | | construed to require a manufacturer to make available any drug, |
14 | | product, or device. |
15 | | (b) A manufacturer may: |
16 | | (1) provide an investigational drug, biological |
17 | | product, or device to an eligible patient without receiving |
18 | | compensation; or |
19 | | (2) require an eligible patient to pay the costs of or |
20 | | associated with the manufacture of the investigational |
21 | | drug, biological product, or device.
|
22 | | Section 20. Insurance coverage. An accident and health |
23 | | insurer may choose to provide coverage for the cost of an |
24 | | investigational drug, biological product, or device. Nothing |
|
| | SB0029 Engrossed | - 4 - | LRB099 02785 JLK 22793 b |
|
|
1 | | in this Act shall be construed to require an accident and |
2 | | health insurer to provide coverage for the cost of any |
3 | | investigational drug, biological product, or device.
|
4 | | Section 80. The Nursing Home Care Act is amended by |
5 | | changing Section 2-104 as follows:
|
6 | | (210 ILCS 45/2-104) (from Ch. 111 1/2, par. 4152-104)
|
7 | | Sec. 2-104.
(a) A resident shall be permitted to retain the |
8 | | services
of his own personal physician at his own expense or |
9 | | under an individual or
group plan of health insurance, or under |
10 | | any public or private
assistance program providing such |
11 | | coverage. However, the facility is
not liable for the |
12 | | negligence of any such personal physician. Every
resident shall |
13 | | be permitted to obtain from his own physician or the
physician |
14 | | attached to the facility complete and current information
|
15 | | concerning his medical diagnosis, treatment and prognosis in |
16 | | terms and
language the resident can reasonably be expected to |
17 | | understand. Every
resident shall be permitted to participate in |
18 | | the planning of his total
care and medical treatment to the |
19 | | extent that his condition permits. No
resident shall be |
20 | | subjected to experimental research or treatment
without first |
21 | | obtaining his informed, written consent. The conduct of
any |
22 | | experimental research or treatment shall be authorized and |
23 | | monitored
by an institutional review board appointed by the |
24 | | Director. The
membership, operating procedures and review |
|
| | SB0029 Engrossed | - 5 - | LRB099 02785 JLK 22793 b |
|
|
1 | | criteria for the institutional
review board shall be prescribed |
2 | | under rules and regulations of the
Department and shall comply |
3 | | with the requirements for institutional review boards |
4 | | established by the federal Food and Drug Administration. No |
5 | | person who has received compensation in the prior 3 years from |
6 | | an entity that manufactures, distributes, or sells |
7 | | pharmaceuticals, biologics, or medical devices may serve on the |
8 | | institutional review board. |
9 | | The institutional review board may approve only research or |
10 | | treatment that meets the standards of the federal Food and Drug |
11 | | Administration with respect to (i) the protection of human |
12 | | subjects and (ii) financial disclosure by clinical |
13 | | investigators. The Office of State Long Term Care Ombudsman and |
14 | | the State Protection and Advocacy organization shall be given |
15 | | an opportunity to comment on any request for approval before |
16 | | the board makes a decision. Those entities shall not be |
17 | | provided information that would allow a potential human subject |
18 | | to be individually identified, unless the board asks the |
19 | | Ombudsman for help in securing information from or about the |
20 | | resident. The board shall require frequent reporting of the |
21 | | progress of the approved research or treatment and its impact |
22 | | on residents, including immediate reporting of any adverse |
23 | | impact to the resident, the resident's representative, the |
24 | | Office of the State Long Term Care Ombudsman, and the State |
25 | | Protection and Advocacy organization. The board may not approve |
26 | | any retrospective study of the records of any resident about |
|
| | SB0029 Engrossed | - 6 - | LRB099 02785 JLK 22793 b |
|
|
1 | | the safety or efficacy of any care or treatment if the resident |
2 | | was under the care of the proposed researcher or a business |
3 | | associate when the care or treatment was given, unless the |
4 | | study is under the control of a researcher without any business |
5 | | relationship to any person or entity who could benefit from the |
6 | | findings of the study. |
7 | | No facility shall permit experimental research or |
8 | | treatment to be conducted on a resident, or give access to any |
9 | | person or person's records for a retrospective study about the |
10 | | safety or efficacy of any care or treatment, without the prior |
11 | | written approval of the institutional review board. No nursing |
12 | | home administrator, or person licensed by the State to provide |
13 | | medical care or treatment to any person, may assist or |
14 | | participate in any experimental research on or treatment of a |
15 | | resident, including a retrospective study, that does not have |
16 | | the prior written approval of the board. Such conduct shall be |
17 | | grounds for professional discipline by the Department of |
18 | | Financial and
Professional Regulation. |
19 | | The institutional review board may exempt from ongoing |
20 | | review research or treatment initiated on a resident before the |
21 | | individual's admission to a facility and for which the board |
22 | | determines there is adequate ongoing oversight by another |
23 | | institutional review board. Nothing in this Section shall |
24 | | prevent a facility, any facility employee, or any other person |
25 | | from assisting or participating in any experimental research on |
26 | | or treatment of a resident, if the research or treatment began |
|
| | SB0029 Engrossed | - 7 - | LRB099 02785 JLK 22793 b |
|
|
1 | | before the person's admission to a facility, until the board |
2 | | has reviewed the research or treatment and decided to grant or |
3 | | deny approval or to exempt the research or treatment from |
4 | | ongoing review.
|
5 | | The institutional review board requirements of this |
6 | | subsection (a) do not apply to investigational drugs, |
7 | | biological products, or devices used by a resident with a |
8 | | terminal illness as set forth in the Right to Try Act. |
9 | | (b) All medical treatment and procedures shall be |
10 | | administered as
ordered by a physician. All new physician |
11 | | orders shall be reviewed by the
facility's director of nursing |
12 | | or charge nurse designee within 24 hours
after such orders have |
13 | | been issued to assure facility compliance with such orders.
|
14 | | All physician's orders and plans of treatment shall have |
15 | | the authentication of the physician. For the purposes of this |
16 | | subsection (b), "authentication" means an original written |
17 | | signature or an electronic signature system that allows for the |
18 | | verification of a signer's credentials. A stamp signature, with |
19 | | or without initials, is not sufficient. |
20 | | According to rules adopted by the Department, every woman |
21 | | resident of
child-bearing age shall receive routine |
22 | | obstetrical and gynecological
evaluations as well as necessary |
23 | | prenatal care.
|
24 | | (c) Every resident shall be permitted to refuse medical |
25 | | treatment
and to know the consequences of such action, unless |
26 | | such refusal would
be harmful to the health and safety of |
|
| | SB0029 Engrossed | - 8 - | LRB099 02785 JLK 22793 b |
|
|
1 | | others and such harm is
documented by a physician in the |
2 | | resident's clinical record. The
resident's refusal shall free |
3 | | the facility from the obligation to
provide the treatment.
|
4 | | (d) Every resident, resident's guardian, or parent if the |
5 | | resident
is a minor shall be permitted to inspect and copy all |
6 | | his clinical and
other records concerning his care and |
7 | | maintenance kept by the facility
or by his physician. The |
8 | | facility may charge a reasonable fee for
duplication of a |
9 | | record.
|
10 | | (Source: P.A. 96-1372, eff. 7-29-10; 97-179, eff. 1-1-12.)
|
11 | | Section 90. The Medical Practice Act of 1987 is amended by |
12 | | changing Section 22 as follows:
|
13 | | (225 ILCS 60/22) (from Ch. 111, par. 4400-22)
|
14 | | (Section scheduled to be repealed on December 31, 2015)
|
15 | | Sec. 22. Disciplinary action.
|
16 | | (A) The Department may revoke, suspend, place on probation, |
17 | | reprimand, refuse to issue or renew, or take any other |
18 | | disciplinary or non-disciplinary action as the Department may |
19 | | deem proper
with regard to the license or permit of any person |
20 | | issued
under this Act, including imposing fines not to exceed |
21 | | $10,000 for each violation, upon any of the following grounds:
|
22 | | (1) Performance of an elective abortion in any place, |
23 | | locale,
facility, or
institution other than:
|
24 | | (a) a facility licensed pursuant to the Ambulatory |
|
| | SB0029 Engrossed | - 9 - | LRB099 02785 JLK 22793 b |
|
|
1 | | Surgical Treatment
Center Act;
|
2 | | (b) an institution licensed under the Hospital |
3 | | Licensing Act;
|
4 | | (c) an ambulatory surgical treatment center or |
5 | | hospitalization or care
facility maintained by the |
6 | | State or any agency thereof, where such department
or |
7 | | agency has authority under law to establish and enforce |
8 | | standards for the
ambulatory surgical treatment |
9 | | centers, hospitalization, or care facilities
under its |
10 | | management and control;
|
11 | | (d) ambulatory surgical treatment centers, |
12 | | hospitalization or care
facilities maintained by the |
13 | | Federal Government; or
|
14 | | (e) ambulatory surgical treatment centers, |
15 | | hospitalization or care
facilities maintained by any |
16 | | university or college established under the laws
of |
17 | | this State and supported principally by public funds |
18 | | raised by
taxation.
|
19 | | (2) Performance of an abortion procedure in a wilful |
20 | | and wanton
manner on a
woman who was not pregnant at the |
21 | | time the abortion procedure was
performed.
|
22 | | (3) A plea of guilty or nolo contendere, finding of |
23 | | guilt, jury verdict, or entry of judgment or sentencing, |
24 | | including, but not limited to, convictions, preceding |
25 | | sentences of supervision, conditional discharge, or first |
26 | | offender probation, under the laws of any jurisdiction of |
|
| | SB0029 Engrossed | - 10 - | LRB099 02785 JLK 22793 b |
|
|
1 | | the United States of any crime that is a felony.
|
2 | | (4) Gross negligence in practice under this Act.
|
3 | | (5) Engaging in dishonorable, unethical or |
4 | | unprofessional
conduct of a
character likely to deceive, |
5 | | defraud or harm the public.
|
6 | | (6) Obtaining any fee by fraud, deceit, or
|
7 | | misrepresentation.
|
8 | | (7) Habitual or excessive use or abuse of drugs defined |
9 | | in law
as
controlled substances, of alcohol, or of any |
10 | | other substances which results in
the inability to practice |
11 | | with reasonable judgment, skill or safety.
|
12 | | (8) Practicing under a false or, except as provided by |
13 | | law, an
assumed
name.
|
14 | | (9) Fraud or misrepresentation in applying for, or |
15 | | procuring, a
license
under this Act or in connection with |
16 | | applying for renewal of a license under
this Act.
|
17 | | (10) Making a false or misleading statement regarding |
18 | | their
skill or the
efficacy or value of the medicine, |
19 | | treatment, or remedy prescribed by them at
their direction |
20 | | in the treatment of any disease or other condition of the |
21 | | body
or mind.
|
22 | | (11) Allowing another person or organization to use |
23 | | their
license, procured
under this Act, to practice.
|
24 | | (12) Adverse action taken by another state or |
25 | | jurisdiction
against a license
or other authorization to |
26 | | practice as a medical doctor, doctor of osteopathy,
doctor |
|
| | SB0029 Engrossed | - 11 - | LRB099 02785 JLK 22793 b |
|
|
1 | | of osteopathic medicine or
doctor of chiropractic, a |
2 | | certified copy of the record of the action taken by
the |
3 | | other state or jurisdiction being prima facie evidence |
4 | | thereof. This includes any adverse action taken by a State |
5 | | or federal agency that prohibits a medical doctor, doctor |
6 | | of osteopathy, doctor of osteopathic medicine, or doctor of |
7 | | chiropractic from providing services to the agency's |
8 | | participants.
|
9 | | (13) Violation of any provision of this Act or of the |
10 | | Medical
Practice Act
prior to the repeal of that Act, or |
11 | | violation of the rules, or a final
administrative action of |
12 | | the Secretary, after consideration of the
recommendation |
13 | | of the Disciplinary Board.
|
14 | | (14) Violation of the prohibition against fee |
15 | | splitting in Section 22.2 of this Act.
|
16 | | (15) A finding by the Disciplinary Board that the
|
17 | | registrant after
having his or her license placed on |
18 | | probationary status or subjected to
conditions or |
19 | | restrictions violated the terms of the probation or failed |
20 | | to
comply with such terms or conditions.
|
21 | | (16) Abandonment of a patient.
|
22 | | (17) Prescribing, selling, administering, |
23 | | distributing, giving
or
self-administering any drug |
24 | | classified as a controlled substance (designated
product) |
25 | | or narcotic for other than medically accepted therapeutic
|
26 | | purposes.
|
|
| | SB0029 Engrossed | - 12 - | LRB099 02785 JLK 22793 b |
|
|
1 | | (18) Promotion of the sale of drugs, devices, |
2 | | appliances or
goods provided
for a patient in such manner |
3 | | as to exploit the patient for financial gain of
the |
4 | | physician.
|
5 | | (19) Offering, undertaking or agreeing to cure or treat
|
6 | | disease by a secret
method, procedure, treatment or |
7 | | medicine, or the treating, operating or
prescribing for any |
8 | | human condition by a method, means or procedure which the
|
9 | | licensee refuses to divulge upon demand of the Department.
|
10 | | (20) Immoral conduct in the commission of any act |
11 | | including,
but not limited to, commission of an act of |
12 | | sexual misconduct related to the
licensee's
practice.
|
13 | | (21) Wilfully making or filing false records or reports |
14 | | in his
or her
practice as a physician, including, but not |
15 | | limited to, false records to
support claims against the |
16 | | medical assistance program of the Department of Healthcare |
17 | | and Family Services (formerly Department of
Public Aid)
|
18 | | under the Illinois Public Aid Code.
|
19 | | (22) Wilful omission to file or record, or wilfully |
20 | | impeding
the filing or
recording, or inducing another |
21 | | person to omit to file or record, medical
reports as |
22 | | required by law, or wilfully failing to report an instance |
23 | | of
suspected abuse or neglect as required by law.
|
24 | | (23) Being named as a perpetrator in an indicated |
25 | | report by
the Department
of Children and Family Services |
26 | | under the Abused and Neglected Child Reporting
Act, and |
|
| | SB0029 Engrossed | - 13 - | LRB099 02785 JLK 22793 b |
|
|
1 | | upon proof by clear and convincing evidence that the |
2 | | licensee has
caused a child to be an abused child or |
3 | | neglected child as defined in the
Abused and Neglected |
4 | | Child Reporting Act.
|
5 | | (24) Solicitation of professional patronage by any
|
6 | | corporation, agents or
persons, or profiting from those |
7 | | representing themselves to be agents of the
licensee.
|
8 | | (25) Gross and wilful and continued overcharging for
|
9 | | professional services,
including filing false statements |
10 | | for collection of fees for which services are
not rendered, |
11 | | including, but not limited to, filing such false statements |
12 | | for
collection of monies for services not rendered from the |
13 | | medical assistance
program of the Department of Healthcare |
14 | | and Family Services (formerly Department of Public Aid)
|
15 | | under the Illinois Public Aid
Code.
|
16 | | (26) A pattern of practice or other behavior which
|
17 | | demonstrates
incapacity
or incompetence to practice under |
18 | | this Act.
|
19 | | (27) Mental illness or disability which results in the
|
20 | | inability to
practice under this Act with reasonable |
21 | | judgment, skill or safety.
|
22 | | (28) Physical illness, including, but not limited to,
|
23 | | deterioration through
the aging process, or loss of motor |
24 | | skill which results in a physician's
inability to practice |
25 | | under this Act with reasonable judgment, skill or
safety.
|
26 | | (29) Cheating on or attempt to subvert the licensing
|
|
| | SB0029 Engrossed | - 14 - | LRB099 02785 JLK 22793 b |
|
|
1 | | examinations
administered under this Act.
|
2 | | (30) Wilfully or negligently violating the |
3 | | confidentiality
between
physician and patient except as |
4 | | required by law.
|
5 | | (31) The use of any false, fraudulent, or deceptive |
6 | | statement
in any
document connected with practice under |
7 | | this Act.
|
8 | | (32) Aiding and abetting an individual not licensed |
9 | | under this
Act in the
practice of a profession licensed |
10 | | under this Act.
|
11 | | (33) Violating state or federal laws or regulations |
12 | | relating
to controlled
substances, legend
drugs, or |
13 | | ephedra as defined in the Ephedra Prohibition Act.
|
14 | | (34) Failure to report to the Department any adverse |
15 | | final
action taken
against them by another licensing |
16 | | jurisdiction (any other state or any
territory of the |
17 | | United States or any foreign state or country), by any peer
|
18 | | review body, by any health care institution, by any |
19 | | professional society or
association related to practice |
20 | | under this Act, by any governmental agency, by
any law |
21 | | enforcement agency, or by any court for acts or conduct |
22 | | similar to acts
or conduct which would constitute grounds |
23 | | for action as defined in this
Section.
|
24 | | (35) Failure to report to the Department surrender of a
|
25 | | license or
authorization to practice as a medical doctor, a |
26 | | doctor of osteopathy, a
doctor of osteopathic medicine, or |
|
| | SB0029 Engrossed | - 15 - | LRB099 02785 JLK 22793 b |
|
|
1 | | doctor
of chiropractic in another state or jurisdiction, or |
2 | | surrender of membership on
any medical staff or in any |
3 | | medical or professional association or society,
while |
4 | | under disciplinary investigation by any of those |
5 | | authorities or bodies,
for acts or conduct similar to acts |
6 | | or conduct which would constitute grounds
for action as |
7 | | defined in this Section.
|
8 | | (36) Failure to report to the Department any adverse |
9 | | judgment,
settlement,
or award arising from a liability |
10 | | claim related to acts or conduct similar to
acts or conduct |
11 | | which would constitute grounds for action as defined in |
12 | | this
Section.
|
13 | | (37) Failure to provide copies of medical records as |
14 | | required
by law.
|
15 | | (38) Failure to furnish the Department, its |
16 | | investigators or
representatives, relevant information, |
17 | | legally requested by the Department
after consultation |
18 | | with the Chief Medical Coordinator or the Deputy Medical
|
19 | | Coordinator.
|
20 | | (39) Violating the Health Care Worker Self-Referral
|
21 | | Act.
|
22 | | (40) Willful failure to provide notice when notice is |
23 | | required
under the
Parental Notice of Abortion Act of 1995.
|
24 | | (41) Failure to establish and maintain records of |
25 | | patient care and
treatment as required by this law.
|
26 | | (42) Entering into an excessive number of written |
|
| | SB0029 Engrossed | - 16 - | LRB099 02785 JLK 22793 b |
|
|
1 | | collaborative
agreements with licensed advanced practice |
2 | | nurses resulting in an inability to
adequately |
3 | | collaborate.
|
4 | | (43) Repeated failure to adequately collaborate with a |
5 | | licensed advanced practice nurse. |
6 | | (44) Violating the Compassionate Use of Medical |
7 | | Cannabis Pilot Program Act.
|
8 | | (45) Entering into an excessive number of written |
9 | | collaborative agreements with licensed prescribing |
10 | | psychologists resulting in an inability to adequately |
11 | | collaborate. |
12 | | (46) Repeated failure to adequately collaborate with a |
13 | | licensed prescribing psychologist. |
14 | | Except
for actions involving the ground numbered (26), all |
15 | | proceedings to suspend,
revoke, place on probationary status, |
16 | | or take any
other disciplinary action as the Department may |
17 | | deem proper, with regard to a
license on any of the foregoing |
18 | | grounds, must be commenced within 5 years next
after receipt by |
19 | | the Department of a complaint alleging the commission of or
|
20 | | notice of the conviction order for any of the acts described |
21 | | herein. Except
for the grounds numbered (8), (9), (26), and |
22 | | (29), no action shall be commenced more
than 10 years after the |
23 | | date of the incident or act alleged to have violated
this |
24 | | Section. For actions involving the ground numbered (26), a |
25 | | pattern of practice or other behavior includes all incidents |
26 | | alleged to be part of the pattern of practice or other behavior |
|
| | SB0029 Engrossed | - 17 - | LRB099 02785 JLK 22793 b |
|
|
1 | | that occurred, or a report pursuant to Section 23 of this Act |
2 | | received, within the 10-year period preceding the filing of the |
3 | | complaint. In the event of the settlement of any claim or cause |
4 | | of action
in favor of the claimant or the reduction to final |
5 | | judgment of any civil action
in favor of the plaintiff, such |
6 | | claim, cause of action or civil action being
grounded on the |
7 | | allegation that a person licensed under this Act was negligent
|
8 | | in providing care, the Department shall have an additional |
9 | | period of 2 years
from the date of notification to the |
10 | | Department under Section 23 of this Act
of such settlement or |
11 | | final judgment in which to investigate and
commence formal |
12 | | disciplinary proceedings under Section 36 of this Act, except
|
13 | | as otherwise provided by law. The time during which the holder |
14 | | of the license
was outside the State of Illinois shall not be |
15 | | included within any period of
time limiting the commencement of |
16 | | disciplinary action by the Department.
|
17 | | The entry of an order or judgment by any circuit court |
18 | | establishing that any
person holding a license under this Act |
19 | | is a person in need of mental treatment
operates as a |
20 | | suspension of that license. That person may resume their
|
21 | | practice only upon the entry of a Departmental order based upon |
22 | | a finding by
the Disciplinary Board that they have been |
23 | | determined to be recovered
from mental illness by the court and |
24 | | upon the Disciplinary Board's
recommendation that they be |
25 | | permitted to resume their practice.
|
26 | | The Department may refuse to issue or take disciplinary |
|
| | SB0029 Engrossed | - 18 - | LRB099 02785 JLK 22793 b |
|
|
1 | | action concerning the license of any person
who fails to file a |
2 | | return, or to pay the tax, penalty or interest shown in a
filed |
3 | | return, or to pay any final assessment of tax, penalty or |
4 | | interest, as
required by any tax Act administered by the |
5 | | Illinois Department of Revenue,
until such time as the |
6 | | requirements of any such tax Act are satisfied as
determined by |
7 | | the Illinois Department of Revenue.
|
8 | | The Department, upon the recommendation of the |
9 | | Disciplinary Board, shall
adopt rules which set forth standards |
10 | | to be used in determining:
|
11 | | (a) when a person will be deemed sufficiently |
12 | | rehabilitated to warrant the
public trust;
|
13 | | (b) what constitutes dishonorable, unethical or |
14 | | unprofessional conduct of
a character likely to deceive, |
15 | | defraud, or harm the public;
|
16 | | (c) what constitutes immoral conduct in the commission |
17 | | of any act,
including, but not limited to, commission of an |
18 | | act of sexual misconduct
related
to the licensee's |
19 | | practice; and
|
20 | | (d) what constitutes gross negligence in the practice |
21 | | of medicine.
|
22 | | However, no such rule shall be admissible into evidence in |
23 | | any civil action
except for review of a licensing or other |
24 | | disciplinary action under this Act.
|
25 | | In enforcing this Section, the Disciplinary Board or the |
26 | | Licensing Board,
upon a showing of a possible violation, may |
|
| | SB0029 Engrossed | - 19 - | LRB099 02785 JLK 22793 b |
|
|
1 | | compel, in the case of the Disciplinary Board, any individual |
2 | | who is licensed to
practice under this Act or holds a permit to |
3 | | practice under this Act, or, in the case of the Licensing |
4 | | Board, any individual who has applied for licensure or a permit
|
5 | | pursuant to this Act, to submit to a mental or physical |
6 | | examination and evaluation, or both,
which may include a |
7 | | substance abuse or sexual offender evaluation, as required by |
8 | | the Licensing Board or Disciplinary Board and at the expense of |
9 | | the Department. The Disciplinary Board or Licensing Board shall |
10 | | specifically designate the examining physician licensed to |
11 | | practice medicine in all of its branches or, if applicable, the |
12 | | multidisciplinary team involved in providing the mental or |
13 | | physical examination and evaluation, or both. The |
14 | | multidisciplinary team shall be led by a physician licensed to |
15 | | practice medicine in all of its branches and may consist of one |
16 | | or more or a combination of physicians licensed to practice |
17 | | medicine in all of its branches, licensed chiropractic |
18 | | physicians, licensed clinical psychologists, licensed clinical |
19 | | social workers, licensed clinical professional counselors, and |
20 | | other professional and administrative staff. Any examining |
21 | | physician or member of the multidisciplinary team may require |
22 | | any person ordered to submit to an examination and evaluation |
23 | | pursuant to this Section to submit to any additional |
24 | | supplemental testing deemed necessary to complete any |
25 | | examination or evaluation process, including, but not limited |
26 | | to, blood testing, urinalysis, psychological testing, or |
|
| | SB0029 Engrossed | - 20 - | LRB099 02785 JLK 22793 b |
|
|
1 | | neuropsychological testing.
The Disciplinary Board, the |
2 | | Licensing Board, or the Department may order the examining
|
3 | | physician or any member of the multidisciplinary team to |
4 | | provide to the Department, the Disciplinary Board, or the |
5 | | Licensing Board any and all records, including business |
6 | | records, that relate to the examination and evaluation, |
7 | | including any supplemental testing performed. The Disciplinary |
8 | | Board, the Licensing Board, or the Department may order the |
9 | | examining physician or any member of the multidisciplinary team |
10 | | to present testimony concerning this examination
and |
11 | | evaluation of the licensee, permit holder, or applicant, |
12 | | including testimony concerning any supplemental testing or |
13 | | documents relating to the examination and evaluation. No |
14 | | information, report, record, or other documents in any way |
15 | | related to the examination and evaluation shall be excluded by |
16 | | reason of
any common
law or statutory privilege relating to |
17 | | communication between the licensee, permit holder, or
|
18 | | applicant and
the examining physician or any member of the |
19 | | multidisciplinary team.
No authorization is necessary from the |
20 | | licensee, permit holder, or applicant ordered to undergo an |
21 | | evaluation and examination for the examining physician or any |
22 | | member of the multidisciplinary team to provide information, |
23 | | reports, records, or other documents or to provide any |
24 | | testimony regarding the examination and evaluation. The |
25 | | individual to be examined may have, at his or her own expense, |
26 | | another
physician of his or her choice present during all |
|
| | SB0029 Engrossed | - 21 - | LRB099 02785 JLK 22793 b |
|
|
1 | | aspects of the examination.
Failure of any individual to submit |
2 | | to mental or physical examination and evaluation, or both, when
|
3 | | directed, shall result in an automatic suspension, without |
4 | | hearing, until such time
as the individual submits to the |
5 | | examination. If the Disciplinary Board or Licensing Board finds |
6 | | a physician unable
to practice following an examination and |
7 | | evaluation because of the reasons set forth in this Section, |
8 | | the Disciplinary
Board or Licensing Board shall require such |
9 | | physician to submit to care, counseling, or treatment
by |
10 | | physicians, or other health care professionals, approved or |
11 | | designated by the Disciplinary Board, as a condition
for |
12 | | issued, continued, reinstated, or renewed licensure to |
13 | | practice. Any physician,
whose license was granted pursuant to |
14 | | Sections 9, 17, or 19 of this Act, or,
continued, reinstated, |
15 | | renewed, disciplined or supervised, subject to such
terms, |
16 | | conditions or restrictions who shall fail to comply with such |
17 | | terms,
conditions or restrictions, or to complete a required |
18 | | program of care,
counseling, or treatment, as determined by the |
19 | | Chief Medical Coordinator or
Deputy Medical Coordinators, |
20 | | shall be referred to the Secretary for a
determination as to |
21 | | whether the licensee shall have their license suspended
|
22 | | immediately, pending a hearing by the Disciplinary Board. In |
23 | | instances in
which the Secretary immediately suspends a license |
24 | | under this Section, a hearing
upon such person's license must |
25 | | be convened by the Disciplinary Board within 15
days after such |
26 | | suspension and completed without appreciable delay. The
|
|
| | SB0029 Engrossed | - 22 - | LRB099 02785 JLK 22793 b |
|
|
1 | | Disciplinary Board shall have the authority to review the |
2 | | subject physician's
record of treatment and counseling |
3 | | regarding the impairment, to the extent
permitted by applicable |
4 | | federal statutes and regulations safeguarding the
|
5 | | confidentiality of medical records.
|
6 | | An individual licensed under this Act, affected under this |
7 | | Section, shall be
afforded an opportunity to demonstrate to the |
8 | | Disciplinary Board that they can
resume practice in compliance |
9 | | with acceptable and prevailing standards under
the provisions |
10 | | of their license.
|
11 | | The Department may promulgate rules for the imposition of |
12 | | fines in
disciplinary cases, not to exceed
$10,000 for each |
13 | | violation of this Act. Fines
may be imposed in conjunction with |
14 | | other forms of disciplinary action, but
shall not be the |
15 | | exclusive disposition of any disciplinary action arising out
of |
16 | | conduct resulting in death or injury to a patient. Any funds |
17 | | collected from
such fines shall be deposited in the Medical |
18 | | Disciplinary Fund.
|
19 | | All fines imposed under this Section shall be paid within |
20 | | 60 days after the effective date of the order imposing the fine |
21 | | or in accordance with the terms set forth in the order imposing |
22 | | the fine. |
23 | | (B) The Department shall revoke the license or
permit |
24 | | issued under this Act to practice medicine or a chiropractic |
25 | | physician who
has been convicted a second time of committing |
26 | | any felony under the
Illinois Controlled Substances Act or the |
|
| | SB0029 Engrossed | - 23 - | LRB099 02785 JLK 22793 b |
|
|
1 | | Methamphetamine Control and Community Protection Act, or who |
2 | | has been convicted a second time of
committing a Class 1 felony |
3 | | under Sections 8A-3 and 8A-6 of the Illinois Public
Aid Code. A |
4 | | person whose license or permit is revoked
under
this subsection |
5 | | B shall be prohibited from practicing
medicine or treating |
6 | | human ailments without the use of drugs and without
operative |
7 | | surgery.
|
8 | | (C) The Department shall not revoke, suspend, place on |
9 | | probation, reprimand, refuse to issue or renew, or take any |
10 | | other disciplinary or non-disciplinary action against the |
11 | | license or permit issued under this Act to practice medicine to |
12 | | a physician based solely upon the recommendation of the |
13 | | physician to an eligible patient, as defined under Section 10 |
14 | | of the Right to Try Act, regarding, or prescription for, or |
15 | | treatment with, an investigational drug, biological product, |
16 | | or device. |
17 | | (D) (C) The Disciplinary Board shall recommend to the
|
18 | | Department civil
penalties and any other appropriate |
19 | | discipline in disciplinary cases when the
Board finds that a |
20 | | physician willfully performed an abortion with actual
|
21 | | knowledge that the person upon whom the abortion has been |
22 | | performed is a minor
or an incompetent person without notice as |
23 | | required under the Parental Notice
of Abortion Act of 1995. |
24 | | Upon the Board's recommendation, the Department shall
impose, |
25 | | for the first violation, a civil penalty of $1,000 and for a |
26 | | second or
subsequent violation, a civil penalty of $5,000.
|