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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 25. Penalty. Any official, employee, or agent of | ||||||
5 | the State who blocks or attempts to block access by an eligible | ||||||
6 | patient to an investigational drug, biological product, or | ||||||
7 | device shall be guilty of a misdemeanor, punishable by a fine | ||||||
8 | not to exceed $1,500.
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9 | Section 80. The Nursing Home Care Act is amended by | ||||||
10 | changing Section 2-104 as follows:
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11 | (210 ILCS 45/2-104) (from Ch. 111 1/2, par. 4152-104)
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12 | Sec. 2-104.
(a) A resident shall be permitted to retain the | ||||||
13 | services
of his own personal physician at his own expense or | ||||||
14 | under an individual or
group plan of health insurance, or under | ||||||
15 | any public or private
assistance program providing such | ||||||
16 | coverage. However, the facility is
not liable for the | ||||||
17 | negligence of any such personal physician. Every
resident shall | ||||||
18 | be permitted to obtain from his own physician or the
physician | ||||||
19 | attached to the facility complete and current information
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20 | concerning his medical diagnosis, treatment and prognosis in | ||||||
21 | terms and
language the resident can reasonably be expected to | ||||||
22 | understand. Every
resident shall be permitted to participate in | ||||||
23 | the planning of his total
care and medical treatment to the |
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1 | extent that his condition permits. No
resident shall be | ||||||
2 | subjected to experimental research or treatment
without first | ||||||
3 | obtaining his informed, written consent. The conduct of
any | ||||||
4 | experimental research or treatment shall be authorized and | ||||||
5 | monitored
by an institutional review board appointed by the | ||||||
6 | Director. The
membership, operating procedures and review | ||||||
7 | criteria for the institutional
review board shall be prescribed | ||||||
8 | under rules and regulations of the
Department and shall comply | ||||||
9 | with the requirements for institutional review boards | ||||||
10 | established by the federal Food and Drug Administration. No | ||||||
11 | person who has received compensation in the prior 3 years from | ||||||
12 | an entity that manufactures, distributes, or sells | ||||||
13 | pharmaceuticals, biologics, or medical devices may serve on the | ||||||
14 | institutional review board. | ||||||
15 | The institutional review board may approve only research or | ||||||
16 | treatment that meets the standards of the federal Food and Drug | ||||||
17 | Administration with respect to (i) the protection of human | ||||||
18 | subjects and (ii) financial disclosure by clinical | ||||||
19 | investigators. The Office of State Long Term Care Ombudsman and | ||||||
20 | the State Protection and Advocacy organization shall be given | ||||||
21 | an opportunity to comment on any request for approval before | ||||||
22 | the board makes a decision. Those entities shall not be | ||||||
23 | provided information that would allow a potential human subject | ||||||
24 | to be individually identified, unless the board asks the | ||||||
25 | Ombudsman for help in securing information from or about the | ||||||
26 | resident. The board shall require frequent reporting of the |
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1 | progress of the approved research or treatment and its impact | ||||||
2 | on residents, including immediate reporting of any adverse | ||||||
3 | impact to the resident, the resident's representative, the | ||||||
4 | Office of the State Long Term Care Ombudsman, and the State | ||||||
5 | Protection and Advocacy organization. The board may not approve | ||||||
6 | any retrospective study of the records of any resident about | ||||||
7 | the safety or efficacy of any care or treatment if the resident | ||||||
8 | was under the care of the proposed researcher or a business | ||||||
9 | associate when the care or treatment was given, unless the | ||||||
10 | study is under the control of a researcher without any business | ||||||
11 | relationship to any person or entity who could benefit from the | ||||||
12 | findings of the study. | ||||||
13 | No facility shall permit experimental research or | ||||||
14 | treatment to be conducted on a resident, or give access to any | ||||||
15 | person or person's records for a retrospective study about the | ||||||
16 | safety or efficacy of any care or treatment, without the prior | ||||||
17 | written approval of the institutional review board. No nursing | ||||||
18 | home administrator, or person licensed by the State to provide | ||||||
19 | medical care or treatment to any person, may assist or | ||||||
20 | participate in any experimental research on or treatment of a | ||||||
21 | resident, including a retrospective study, that does not have | ||||||
22 | the prior written approval of the board. Such conduct shall be | ||||||
23 | grounds for professional discipline by the Department of | ||||||
24 | Financial and
Professional Regulation. | ||||||
25 | The institutional review board may exempt from ongoing | ||||||
26 | review research or treatment initiated on a resident before the |
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1 | individual's admission to a facility and for which the board | ||||||
2 | determines there is adequate ongoing oversight by another | ||||||
3 | institutional review board. Nothing in this Section shall | ||||||
4 | prevent a facility, any facility employee, or any other person | ||||||
5 | from assisting or participating in any experimental research on | ||||||
6 | or treatment of a resident, if the research or treatment began | ||||||
7 | before the person's admission to a facility, until the board | ||||||
8 | has reviewed the research or treatment and decided to grant or | ||||||
9 | deny approval or to exempt the research or treatment from | ||||||
10 | ongoing review.
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11 | The institutional review board requirements of this | ||||||
12 | subsection (a) do not apply to investigational drugs, | ||||||
13 | biological products, or devices used by a resident with a | ||||||
14 | terminal illness as set forth in the Right to Try Act. | ||||||
15 | (b) All medical treatment and procedures shall be | ||||||
16 | administered as
ordered by a physician. All new physician | ||||||
17 | orders shall be reviewed by the
facility's director of nursing | ||||||
18 | or charge nurse designee within 24 hours
after such orders have | ||||||
19 | been issued to assure facility compliance with such orders.
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20 | All physician's orders and plans of treatment shall have | ||||||
21 | the authentication of the physician. For the purposes of this | ||||||
22 | subsection (b), "authentication" means an original written | ||||||
23 | signature or an electronic signature system that allows for the | ||||||
24 | verification of a signer's credentials. A stamp signature, with | ||||||
25 | or without initials, is not sufficient. | ||||||
26 | According to rules adopted by the Department, every woman |
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1 | resident of
child-bearing age shall receive routine | ||||||
2 | obstetrical and gynecological
evaluations as well as necessary | ||||||
3 | prenatal care.
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4 | (c) Every resident shall be permitted to refuse medical | ||||||
5 | treatment
and to know the consequences of such action, unless | ||||||
6 | such refusal would
be harmful to the health and safety of | ||||||
7 | others and such harm is
documented by a physician in the | ||||||
8 | resident's clinical record. The
resident's refusal shall free | ||||||
9 | the facility from the obligation to
provide the treatment.
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10 | (d) Every resident, resident's guardian, or parent if the | ||||||
11 | resident
is a minor shall be permitted to inspect and copy all | ||||||
12 | his clinical and
other records concerning his care and | ||||||
13 | maintenance kept by the facility
or by his physician. The | ||||||
14 | facility may charge a reasonable fee for
duplication of a | ||||||
15 | record.
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16 | (Source: P.A. 96-1372, eff. 7-29-10; 97-179, eff. 1-1-12.)
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17 | Section 90. The Medical Practice Act of 1987 is amended by | ||||||
18 | changing Section 22 as follows:
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19 | (225 ILCS 60/22) (from Ch. 111, par. 4400-22)
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20 | (Section scheduled to be repealed on December 31, 2015)
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21 | Sec. 22. Disciplinary action.
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22 | (A) The Department may revoke, suspend, place on probation, | ||||||
23 | reprimand, refuse to issue or renew, or take any other | ||||||
24 | disciplinary or non-disciplinary action as the Department may |
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1 | deem proper
with regard to the license or permit of any person | ||||||
2 | issued
under this Act, including imposing fines not to exceed | ||||||
3 | $10,000 for each violation, upon any of the following grounds:
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4 | (1) Performance of an elective abortion in any place, | ||||||
5 | locale,
facility, or
institution other than:
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6 | (a) a facility licensed pursuant to the Ambulatory | ||||||
7 | Surgical Treatment
Center Act;
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8 | (b) an institution licensed under the Hospital | ||||||
9 | Licensing Act;
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10 | (c) an ambulatory surgical treatment center or | ||||||
11 | hospitalization or care
facility maintained by the | ||||||
12 | State or any agency thereof, where such department
or | ||||||
13 | agency has authority under law to establish and enforce | ||||||
14 | standards for the
ambulatory surgical treatment | ||||||
15 | centers, hospitalization, or care facilities
under its | ||||||
16 | management and control;
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17 | (d) ambulatory surgical treatment centers, | ||||||
18 | hospitalization or care
facilities maintained by the | ||||||
19 | Federal Government; or
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20 | (e) ambulatory surgical treatment centers, | ||||||
21 | hospitalization or care
facilities maintained by any | ||||||
22 | university or college established under the laws
of | ||||||
23 | this State and supported principally by public funds | ||||||
24 | raised by
taxation.
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25 | (2) Performance of an abortion procedure in a wilful | ||||||
26 | and wanton
manner on a
woman who was not pregnant at the |
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1 | time the abortion procedure was
performed.
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2 | (3) A plea of guilty or nolo contendere, finding of | ||||||
3 | guilt, jury verdict, or entry of judgment or sentencing, | ||||||
4 | including, but not limited to, convictions, preceding | ||||||
5 | sentences of supervision, conditional discharge, or first | ||||||
6 | offender probation, under the laws of any jurisdiction of | ||||||
7 | the United States of any crime that is a felony.
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8 | (4) Gross negligence in practice under this Act.
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9 | (5) Engaging in dishonorable, unethical or | ||||||
10 | unprofessional
conduct of a
character likely to deceive, | ||||||
11 | defraud or harm the public.
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12 | (6) Obtaining any fee by fraud, deceit, or
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13 | misrepresentation.
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14 | (7) Habitual or excessive use or abuse of drugs defined | ||||||
15 | in law
as
controlled substances, of alcohol, or of any | ||||||
16 | other substances which results in
the inability to practice | ||||||
17 | with reasonable judgment, skill or safety.
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18 | (8) Practicing under a false or, except as provided by | ||||||
19 | law, an
assumed
name.
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20 | (9) Fraud or misrepresentation in applying for, or | ||||||
21 | procuring, a
license
under this Act or in connection with | ||||||
22 | applying for renewal of a license under
this Act.
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23 | (10) Making a false or misleading statement regarding | ||||||
24 | their
skill or the
efficacy or value of the medicine, | ||||||
25 | treatment, or remedy prescribed by them at
their direction | ||||||
26 | in the treatment of any disease or other condition of the |
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1 | body
or mind.
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2 | (11) Allowing another person or organization to use | ||||||
3 | their
license, procured
under this Act, to practice.
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4 | (12) Adverse action taken by another state or | ||||||
5 | jurisdiction
against a license
or other authorization to | ||||||
6 | practice as a medical doctor, doctor of osteopathy,
doctor | ||||||
7 | of osteopathic medicine or
doctor of chiropractic, a | ||||||
8 | certified copy of the record of the action taken by
the | ||||||
9 | other state or jurisdiction being prima facie evidence | ||||||
10 | thereof. This includes any adverse action taken by a State | ||||||
11 | or federal agency that prohibits a medical doctor, doctor | ||||||
12 | of osteopathy, doctor of osteopathic medicine, or doctor of | ||||||
13 | chiropractic from providing services to the agency's | ||||||
14 | participants.
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15 | (13) Violation of any provision of this Act or of the | ||||||
16 | Medical
Practice Act
prior to the repeal of that Act, or | ||||||
17 | violation of the rules, or a final
administrative action of | ||||||
18 | the Secretary, after consideration of the
recommendation | ||||||
19 | of the Disciplinary Board.
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20 | (14) Violation of the prohibition against fee | ||||||
21 | splitting in Section 22.2 of this Act.
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22 | (15) A finding by the Disciplinary Board that the
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23 | registrant after
having his or her license placed on | ||||||
24 | probationary status or subjected to
conditions or | ||||||
25 | restrictions violated the terms of the probation or failed | ||||||
26 | to
comply with such terms or conditions.
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1 | (16) Abandonment of a patient.
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2 | (17) Prescribing, selling, administering, | ||||||
3 | distributing, giving
or
self-administering any drug | ||||||
4 | classified as a controlled substance (designated
product) | ||||||
5 | or narcotic for other than medically accepted therapeutic
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6 | purposes.
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7 | (18) Promotion of the sale of drugs, devices, | ||||||
8 | appliances or
goods provided
for a patient in such manner | ||||||
9 | as to exploit the patient for financial gain of
the | ||||||
10 | physician.
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11 | (19) Offering, undertaking or agreeing to cure or treat
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12 | disease by a secret
method, procedure, treatment or | ||||||
13 | medicine, or the treating, operating or
prescribing for any | ||||||
14 | human condition by a method, means or procedure which the
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15 | licensee refuses to divulge upon demand of the Department.
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16 | (20) Immoral conduct in the commission of any act | ||||||
17 | including,
but not limited to, commission of an act of | ||||||
18 | sexual misconduct related to the
licensee's
practice.
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19 | (21) Wilfully making or filing false records or reports | ||||||
20 | in his
or her
practice as a physician, including, but not | ||||||
21 | limited to, false records to
support claims against the | ||||||
22 | medical assistance program of the Department of Healthcare | ||||||
23 | and Family Services (formerly Department of
Public Aid)
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24 | under the Illinois Public Aid Code.
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25 | (22) Wilful omission to file or record, or wilfully | ||||||
26 | impeding
the filing or
recording, or inducing another |
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1 | person to omit to file or record, medical
reports as | ||||||
2 | required by law, or wilfully failing to report an instance | ||||||
3 | of
suspected abuse or neglect as required by law.
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4 | (23) Being named as a perpetrator in an indicated | ||||||
5 | report by
the Department
of Children and Family Services | ||||||
6 | under the Abused and Neglected Child Reporting
Act, and | ||||||
7 | upon proof by clear and convincing evidence that the | ||||||
8 | licensee has
caused a child to be an abused child or | ||||||
9 | neglected child as defined in the
Abused and Neglected | ||||||
10 | Child Reporting Act.
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11 | (24) Solicitation of professional patronage by any
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12 | corporation, agents or
persons, or profiting from those | ||||||
13 | representing themselves to be agents of the
licensee.
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14 | (25) Gross and wilful and continued overcharging for
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15 | professional services,
including filing false statements | ||||||
16 | for collection of fees for which services are
not rendered, | ||||||
17 | including, but not limited to, filing such false statements | ||||||
18 | for
collection of monies for services not rendered from the | ||||||
19 | medical assistance
program of the Department of Healthcare | ||||||
20 | and Family Services (formerly Department of Public Aid)
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21 | under the Illinois Public Aid
Code.
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22 | (26) A pattern of practice or other behavior which
| ||||||
23 | demonstrates
incapacity
or incompetence to practice under | ||||||
24 | this Act.
| ||||||
25 | (27) Mental illness or disability which results in the
| ||||||
26 | inability to
practice under this Act with reasonable |
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1 | judgment, skill or safety.
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2 | (28) Physical illness, including, but not limited to,
| ||||||
3 | deterioration through
the aging process, or loss of motor | ||||||
4 | skill which results in a physician's
inability to practice | ||||||
5 | under this Act with reasonable judgment, skill or
safety.
| ||||||
6 | (29) Cheating on or attempt to subvert the licensing
| ||||||
7 | examinations
administered under this Act.
| ||||||
8 | (30) Wilfully or negligently violating the | ||||||
9 | confidentiality
between
physician and patient except as | ||||||
10 | required by law.
| ||||||
11 | (31) The use of any false, fraudulent, or deceptive | ||||||
12 | statement
in any
document connected with practice under | ||||||
13 | this Act.
| ||||||
14 | (32) Aiding and abetting an individual not licensed | ||||||
15 | under this
Act in the
practice of a profession licensed | ||||||
16 | under this Act.
| ||||||
17 | (33) Violating state or federal laws or regulations | ||||||
18 | relating
to controlled
substances, legend
drugs, or | ||||||
19 | ephedra as defined in the Ephedra Prohibition Act.
| ||||||
20 | (34) Failure to report to the Department any adverse | ||||||
21 | final
action taken
against them by another licensing | ||||||
22 | jurisdiction (any other state or any
territory of the | ||||||
23 | United States or any foreign state or country), by any peer
| ||||||
24 | review body, by any health care institution, by any | ||||||
25 | professional society or
association related to practice | ||||||
26 | under this Act, by any governmental agency, by
any law |
| |||||||
| |||||||
1 | enforcement agency, or by any court for acts or conduct | ||||||
2 | similar to acts
or conduct which would constitute grounds | ||||||
3 | for action as defined in this
Section.
| ||||||
4 | (35) Failure to report to the Department surrender of a
| ||||||
5 | license or
authorization to practice as a medical doctor, a | ||||||
6 | doctor of osteopathy, a
doctor of osteopathic medicine, or | ||||||
7 | doctor
of chiropractic in another state or jurisdiction, or | ||||||
8 | surrender of membership on
any medical staff or in any | ||||||
9 | medical or professional association or society,
while | ||||||
10 | under disciplinary investigation by any of those | ||||||
11 | authorities or bodies,
for acts or conduct similar to acts | ||||||
12 | or conduct which would constitute grounds
for action as | ||||||
13 | defined in this Section.
| ||||||
14 | (36) Failure to report to the Department any adverse | ||||||
15 | judgment,
settlement,
or award arising from a liability | ||||||
16 | claim related to acts or conduct similar to
acts or conduct | ||||||
17 | which would constitute grounds for action as defined in | ||||||
18 | this
Section.
| ||||||
19 | (37) Failure to provide copies of medical records as | ||||||
20 | required
by law.
| ||||||
21 | (38) Failure to furnish the Department, its | ||||||
22 | investigators or
representatives, relevant information, | ||||||
23 | legally requested by the Department
after consultation | ||||||
24 | with the Chief Medical Coordinator or the Deputy Medical
| ||||||
25 | Coordinator.
| ||||||
26 | (39) Violating the Health Care Worker Self-Referral
|
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| |||||||
1 | Act.
| ||||||
2 | (40) Willful failure to provide notice when notice is | ||||||
3 | required
under the
Parental Notice of Abortion Act of 1995.
| ||||||
4 | (41) Failure to establish and maintain records of | ||||||
5 | patient care and
treatment as required by this law.
| ||||||
6 | (42) Entering into an excessive number of written | ||||||
7 | collaborative
agreements with licensed advanced practice | ||||||
8 | nurses resulting in an inability to
adequately | ||||||
9 | collaborate.
| ||||||
10 | (43) Repeated failure to adequately collaborate with a | ||||||
11 | licensed advanced practice nurse. | ||||||
12 | (44) Violating the Compassionate Use of Medical | ||||||
13 | Cannabis Pilot Program Act.
| ||||||
14 | (45) Entering into an excessive number of written | ||||||
15 | collaborative agreements with licensed prescribing | ||||||
16 | psychologists resulting in an inability to adequately | ||||||
17 | collaborate. | ||||||
18 | (46) Repeated failure to adequately collaborate with a | ||||||
19 | licensed prescribing psychologist. | ||||||
20 | Except
for actions involving the ground numbered (26), all | ||||||
21 | proceedings to suspend,
revoke, place on probationary status, | ||||||
22 | or take any
other disciplinary action as the Department may | ||||||
23 | deem proper, with regard to a
license on any of the foregoing | ||||||
24 | grounds, must be commenced within 5 years next
after receipt by | ||||||
25 | the Department of a complaint alleging the commission of or
| ||||||
26 | notice of the conviction order for any of the acts described |
| |||||||
| |||||||
1 | herein. Except
for the grounds numbered (8), (9), (26), and | ||||||
2 | (29), no action shall be commenced more
than 10 years after the | ||||||
3 | date of the incident or act alleged to have violated
this | ||||||
4 | Section. For actions involving the ground numbered (26), a | ||||||
5 | pattern of practice or other behavior includes all incidents | ||||||
6 | alleged to be part of the pattern of practice or other behavior | ||||||
7 | that occurred, or a report pursuant to Section 23 of this Act | ||||||
8 | received, within the 10-year period preceding the filing of the | ||||||
9 | complaint. In the event of the settlement of any claim or cause | ||||||
10 | of action
in favor of the claimant or the reduction to final | ||||||
11 | judgment of any civil action
in favor of the plaintiff, such | ||||||
12 | claim, cause of action or civil action being
grounded on the | ||||||
13 | allegation that a person licensed under this Act was negligent
| ||||||
14 | in providing care, the Department shall have an additional | ||||||
15 | period of 2 years
from the date of notification to the | ||||||
16 | Department under Section 23 of this Act
of such settlement or | ||||||
17 | final judgment in which to investigate and
commence formal | ||||||
18 | disciplinary proceedings under Section 36 of this Act, except
| ||||||
19 | as otherwise provided by law. The time during which the holder | ||||||
20 | of the license
was outside the State of Illinois shall not be | ||||||
21 | included within any period of
time limiting the commencement of | ||||||
22 | disciplinary action by the Department.
| ||||||
23 | The entry of an order or judgment by any circuit court | ||||||
24 | establishing that any
person holding a license under this Act | ||||||
25 | is a person in need of mental treatment
operates as a | ||||||
26 | suspension of that license. That person may resume their
|
| |||||||
| |||||||
1 | practice only upon the entry of a Departmental order based upon | ||||||
2 | a finding by
the Disciplinary Board that they have been | ||||||
3 | determined to be recovered
from mental illness by the court and | ||||||
4 | upon the Disciplinary Board's
recommendation that they be | ||||||
5 | permitted to resume their practice.
| ||||||
6 | The Department may refuse to issue or take disciplinary | ||||||
7 | action concerning the license of any person
who fails to file a | ||||||
8 | return, or to pay the tax, penalty or interest shown in a
filed | ||||||
9 | return, or to pay any final assessment of tax, penalty or | ||||||
10 | interest, as
required by any tax Act administered by the | ||||||
11 | Illinois Department of Revenue,
until such time as the | ||||||
12 | requirements of any such tax Act are satisfied as
determined by | ||||||
13 | the Illinois Department of Revenue.
| ||||||
14 | The Department, upon the recommendation of the | ||||||
15 | Disciplinary Board, shall
adopt rules which set forth standards | ||||||
16 | to be used in determining:
| ||||||
17 | (a) when a person will be deemed sufficiently | ||||||
18 | rehabilitated to warrant the
public trust;
| ||||||
19 | (b) what constitutes dishonorable, unethical or | ||||||
20 | unprofessional conduct of
a character likely to deceive, | ||||||
21 | defraud, or harm the public;
| ||||||
22 | (c) what constitutes immoral conduct in the commission | ||||||
23 | of any act,
including, but not limited to, commission of an | ||||||
24 | act of sexual misconduct
related
to the licensee's | ||||||
25 | practice; and
| ||||||
26 | (d) what constitutes gross negligence in the practice |
| |||||||
| |||||||
1 | of medicine.
| ||||||
2 | However, no such rule shall be admissible into evidence in | ||||||
3 | any civil action
except for review of a licensing or other | ||||||
4 | disciplinary action under this Act.
| ||||||
5 | In enforcing this Section, the Disciplinary Board or the | ||||||
6 | Licensing Board,
upon a showing of a possible violation, may | ||||||
7 | compel, in the case of the Disciplinary Board, any individual | ||||||
8 | who is licensed to
practice under this Act or holds a permit to | ||||||
9 | practice under this Act, or, in the case of the Licensing | ||||||
10 | Board, any individual who has applied for licensure or a permit
| ||||||
11 | pursuant to this Act, to submit to a mental or physical | ||||||
12 | examination and evaluation, or both,
which may include a | ||||||
13 | substance abuse or sexual offender evaluation, as required by | ||||||
14 | the Licensing Board or Disciplinary Board and at the expense of | ||||||
15 | the Department. The Disciplinary Board or Licensing Board shall | ||||||
16 | specifically designate the examining physician licensed to | ||||||
17 | practice medicine in all of its branches or, if applicable, the | ||||||
18 | multidisciplinary team involved in providing the mental or | ||||||
19 | physical examination and evaluation, or both. The | ||||||
20 | multidisciplinary team shall be led by a physician licensed to | ||||||
21 | practice medicine in all of its branches and may consist of one | ||||||
22 | or more or a combination of physicians licensed to practice | ||||||
23 | medicine in all of its branches, licensed chiropractic | ||||||
24 | physicians, licensed clinical psychologists, licensed clinical | ||||||
25 | social workers, licensed clinical professional counselors, and | ||||||
26 | other professional and administrative staff. Any examining |
| |||||||
| |||||||
1 | physician or member of the multidisciplinary team may require | ||||||
2 | any person ordered to submit to an examination and evaluation | ||||||
3 | pursuant to this Section to submit to any additional | ||||||
4 | supplemental testing deemed necessary to complete any | ||||||
5 | examination or evaluation process, including, but not limited | ||||||
6 | to, blood testing, urinalysis, psychological testing, or | ||||||
7 | neuropsychological testing.
The Disciplinary Board, the | ||||||
8 | Licensing Board, or the Department may order the examining
| ||||||
9 | physician or any member of the multidisciplinary team to | ||||||
10 | provide to the Department, the Disciplinary Board, or the | ||||||
11 | Licensing Board any and all records, including business | ||||||
12 | records, that relate to the examination and evaluation, | ||||||
13 | including any supplemental testing performed. The Disciplinary | ||||||
14 | Board, the Licensing Board, or the Department may order the | ||||||
15 | examining physician or any member of the multidisciplinary team | ||||||
16 | to present testimony concerning this examination
and | ||||||
17 | evaluation of the licensee, permit holder, or applicant, | ||||||
18 | including testimony concerning any supplemental testing or | ||||||
19 | documents relating to the examination and evaluation. No | ||||||
20 | information, report, record, or other documents in any way | ||||||
21 | related to the examination and evaluation shall be excluded by | ||||||
22 | reason of
any common
law or statutory privilege relating to | ||||||
23 | communication between the licensee, permit holder, or
| ||||||
24 | applicant and
the examining physician or any member of the | ||||||
25 | multidisciplinary team.
No authorization is necessary from the | ||||||
26 | licensee, permit holder, or applicant ordered to undergo an |
| |||||||
| |||||||
1 | evaluation and examination for the examining physician or any | ||||||
2 | member of the multidisciplinary team to provide information, | ||||||
3 | reports, records, or other documents or to provide any | ||||||
4 | testimony regarding the examination and evaluation. The | ||||||
5 | individual to be examined may have, at his or her own expense, | ||||||
6 | another
physician of his or her choice present during all | ||||||
7 | aspects of the examination.
Failure of any individual to submit | ||||||
8 | to mental or physical examination and evaluation, or both, when
| ||||||
9 | directed, shall result in an automatic suspension, without | ||||||
10 | hearing, until such time
as the individual submits to the | ||||||
11 | examination. If the Disciplinary Board or Licensing Board finds | ||||||
12 | a physician unable
to practice following an examination and | ||||||
13 | evaluation because of the reasons set forth in this Section, | ||||||
14 | the Disciplinary
Board or Licensing Board shall require such | ||||||
15 | physician to submit to care, counseling, or treatment
by | ||||||
16 | physicians, or other health care professionals, approved or | ||||||
17 | designated by the Disciplinary Board, as a condition
for | ||||||
18 | issued, continued, reinstated, or renewed licensure to | ||||||
19 | practice. Any physician,
whose license was granted pursuant to | ||||||
20 | Sections 9, 17, or 19 of this Act, or,
continued, reinstated, | ||||||
21 | renewed, disciplined or supervised, subject to such
terms, | ||||||
22 | conditions or restrictions who shall fail to comply with such | ||||||
23 | terms,
conditions or restrictions, or to complete a required | ||||||
24 | program of care,
counseling, or treatment, as determined by the | ||||||
25 | Chief Medical Coordinator or
Deputy Medical Coordinators, | ||||||
26 | shall be referred to the Secretary for a
determination as to |
| |||||||
| |||||||
1 | whether the licensee shall have their license suspended
| ||||||
2 | immediately, pending a hearing by the Disciplinary Board. In | ||||||
3 | instances in
which the Secretary immediately suspends a license | ||||||
4 | under this Section, a hearing
upon such person's license must | ||||||
5 | be convened by the Disciplinary Board within 15
days after such | ||||||
6 | suspension and completed without appreciable delay. The
| ||||||
7 | Disciplinary Board shall have the authority to review the | ||||||
8 | subject physician's
record of treatment and counseling | ||||||
9 | regarding the impairment, to the extent
permitted by applicable | ||||||
10 | federal statutes and regulations safeguarding the
| ||||||
11 | confidentiality of medical records.
| ||||||
12 | An individual licensed under this Act, affected under this | ||||||
13 | Section, shall be
afforded an opportunity to demonstrate to the | ||||||
14 | Disciplinary Board that they can
resume practice in compliance | ||||||
15 | with acceptable and prevailing standards under
the provisions | ||||||
16 | of their license.
| ||||||
17 | The Department may promulgate rules for the imposition of | ||||||
18 | fines in
disciplinary cases, not to exceed
$10,000 for each | ||||||
19 | violation of this Act. Fines
may be imposed in conjunction with | ||||||
20 | other forms of disciplinary action, but
shall not be the | ||||||
21 | exclusive disposition of any disciplinary action arising out
of | ||||||
22 | conduct resulting in death or injury to a patient. Any funds | ||||||
23 | collected from
such fines shall be deposited in the Medical | ||||||
24 | Disciplinary Fund.
| ||||||
25 | All fines imposed under this Section shall be paid within | ||||||
26 | 60 days after the effective date of the order imposing the fine |
| |||||||
| |||||||
1 | or in accordance with the terms set forth in the order imposing | ||||||
2 | the fine. | ||||||
3 | (B) The Department shall revoke the license or
permit | ||||||
4 | issued under this Act to practice medicine or a chiropractic | ||||||
5 | physician who
has been convicted a second time of committing | ||||||
6 | any felony under the
Illinois Controlled Substances Act or the | ||||||
7 | Methamphetamine Control and Community Protection Act, or who | ||||||
8 | has been convicted a second time of
committing a Class 1 felony | ||||||
9 | under Sections 8A-3 and 8A-6 of the Illinois Public
Aid Code. A | ||||||
10 | person whose license or permit is revoked
under
this subsection | ||||||
11 | B shall be prohibited from practicing
medicine or treating | ||||||
12 | human ailments without the use of drugs and without
operative | ||||||
13 | surgery.
| ||||||
14 | (C) The Department shall not revoke, suspend, place on | ||||||
15 | probation, reprimand, refuse to issue or renew, or take any | ||||||
16 | other disciplinary or non-disciplinary action against the | ||||||
17 | license or permit issued under this Act to practice medicine to | ||||||
18 | a physician based solely upon the recommendation of the | ||||||
19 | physician to an eligible patient regarding, or prescription | ||||||
20 | for, or treatment with, an investigational drug, biological | ||||||
21 | product, or device. | ||||||
22 | (D) (C) The Disciplinary Board shall recommend to the
| ||||||
23 | Department civil
penalties and any other appropriate | ||||||
24 | discipline in disciplinary cases when the
Board finds that a | ||||||
25 | physician willfully performed an abortion with actual
| ||||||
26 | knowledge that the person upon whom the abortion has been |
| |||||||
| |||||||
1 | performed is a minor
or an incompetent person without notice as | ||||||
2 | required under the Parental Notice
of Abortion Act of 1995. | ||||||
3 | Upon the Board's recommendation, the Department shall
impose, | ||||||
4 | for the first violation, a civil penalty of $1,000 and for a | ||||||
5 | second or
subsequent violation, a civil penalty of $5,000.
| ||||||
6 | (Source: P.A. 97-622, eff. 11-23-11; 98-601, eff. 12-30-13; | ||||||
7 | 98-668, eff. 6-25-14; 98-1140, eff. 12-30-14.)
|