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| 1 |  |  AN ACT concerning health.
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| 2 |  |  Be it enacted by the People of the State of Illinois,
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| 3 |  | represented in the General Assembly:
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| 4 |  |  Section 1. Short title. This Act may be cited as the Right  | 
| 5 |  | to Try Act.
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| 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.
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| 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  | 
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| 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.
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| 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.
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| 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  | 
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| 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.
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| 4 |  |  Section 80. The Nursing Home Care Act is amended by  | 
| 5 |  | changing Section 2-104 as follows:
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| 6 |  |  (210 ILCS 45/2-104) (from Ch. 111 1/2, par. 4152-104)
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| 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
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| 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  | 
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| 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  | 
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| 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  | 
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| 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.
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| 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.
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| 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.
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| 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  | 
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| 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.
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| 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.
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| 10 |  | (Source: P.A. 96-1372, eff. 7-29-10; 97-179, eff. 1-1-12.)
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| 11 |  |  Section 90. The Medical Practice Act of 1987 is amended by  | 
| 12 |  | changing Section 22 as follows:
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| 13 |  |  (225 ILCS 60/22) (from Ch. 111, par. 4400-22)
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| 14 |  |  (Section scheduled to be repealed on December 31, 2015)
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| 15 |  |  Sec. 22. Disciplinary action. 
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| 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:
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| 22 |  |   (1) Performance of an elective abortion in any place,  | 
| 23 |  |  locale,
facility, or
institution other than:
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| 24 |  |    (a) a facility licensed pursuant to the Ambulatory  | 
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| 1 |  |  Surgical Treatment
Center Act;
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| 2 |  |    (b) an institution licensed under the Hospital  | 
| 3 |  |  Licensing Act;
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| 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;
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| 11 |  |    (d) ambulatory surgical treatment centers,  | 
| 12 |  |  hospitalization or care
facilities maintained by the  | 
| 13 |  |  Federal Government; or
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| 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.
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| 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.
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| 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  | 
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| 1 |  |  the United States of any crime that is a felony.
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| 2 |  |   (4) Gross negligence in practice under this Act.
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| 3 |  |   (5) Engaging in dishonorable, unethical or  | 
| 4 |  |  unprofessional
conduct of a
character likely to deceive,  | 
| 5 |  |  defraud or harm the public.
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| 6 |  |   (6) Obtaining any fee by fraud, deceit, or
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| 7 |  |  misrepresentation.
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| 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.
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| 12 |  |   (8) Practicing under a false or, except as provided by  | 
| 13 |  |  law, an
assumed
name.
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| 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.
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| 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.
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| 22 |  |   (11) Allowing another person or organization to use  | 
| 23 |  |  their
license, procured
under this Act, to practice.
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| 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  | 
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| 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. 
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| 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.
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| 14 |  |   (14) Violation of the prohibition against fee  | 
| 15 |  |  splitting in Section 22.2 of this Act.
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| 16 |  |   (15) A finding by the Disciplinary Board that the
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| 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.
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| 21 |  |   (16) Abandonment of a patient.
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| 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
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| 26 |  |  purposes.
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| 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.
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| 5 |  |   (19) Offering, undertaking or agreeing to cure or treat
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| 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
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| 9 |  |  licensee refuses to divulge upon demand of the Department.
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| 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.
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| 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)
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| 18 |  |  under the Illinois Public Aid Code.
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| 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.
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| 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  | 
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| 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.
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| 5 |  |   (24) Solicitation of professional patronage by any
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| 6 |  |  corporation, agents or
persons, or profiting from those  | 
| 7 |  |  representing themselves to be agents of the
licensee.
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| 8 |  |   (25) Gross and wilful and continued overcharging for
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| 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)
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| 15 |  |  under the Illinois Public Aid
Code.
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| 16 |  |   (26) A pattern of practice or other behavior which
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| 17 |  |  demonstrates
incapacity
or incompetence to practice under  | 
| 18 |  |  this Act.
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| 19 |  |   (27) Mental illness or disability which results in the
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| 20 |  |  inability to
practice under this Act with reasonable  | 
| 21 |  |  judgment, skill or safety.
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| 22 |  |   (28) Physical illness, including, but not limited to,
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| 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.
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| 26 |  |   (29) Cheating on or attempt to subvert the licensing
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| 1 |  |  examinations
administered under this Act.
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| 2 |  |   (30) Wilfully or negligently violating the  | 
| 3 |  |  confidentiality
between
physician and patient except as  | 
| 4 |  |  required by law.
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| 5 |  |   (31) The use of any false, fraudulent, or deceptive  | 
| 6 |  |  statement
in any
document connected with practice under  | 
| 7 |  |  this Act.
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| 8 |  |   (32) Aiding and abetting an individual not licensed  | 
| 9 |  |  under this
Act in the
practice of a profession licensed  | 
| 10 |  |  under this Act.
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| 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.
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| 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
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| 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.
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| 24 |  |   (35) Failure to report to the Department surrender of a
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| 25 |  |  license or
authorization to practice as a medical doctor, a  | 
| 26 |  |  doctor of osteopathy, a
doctor of osteopathic medicine, or  | 
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| 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.
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| 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 |  
  | 
| 
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| 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.
 |