Illinois 2023-2024 Regular Session

Illinois House Bill HB2238 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	Public Act 103-0149
2	1		HB2238 EnrolledLRB103 30630 CPF 57082 b HB2238 Enrolled LRB103 30630 CPF 57082 b
3	2		HB2238 Enrolled LRB103 30630 CPF 57082 b
4		-	AN ACT concerning regulation.
5		-	Be it enacted by the People of the State of Illinois,
6		-	represented in the General Assembly:
7		-	Section 5. The Emergency Medical Services (EMS) Systems
8		-	Act is amended by changing Sections 3.116, 3.117, 3.117.5,
9		-	3.118, 3.118.5, 3.119, and 3.226 as follows:
10		-	(210 ILCS 50/3.116)
11		-	Sec. 3.116. Hospital Stroke Care; definitions. As used in
12		-	Sections 3.116 through 3.119, 3.130, 3.200, and 3.226 of this
13		-	Act:
14		-	"Acute Stroke-Ready Hospital" means a hospital that has
15		-	been designated by the Department as meeting the criteria for
16		-	providing emergent stroke care. Designation may be provided
17		-	after a hospital has been certified or through application and
18		-	designation as such.
19		-	"Certification" or "certified" means certification, using
20		-	evidence-based standards, from a nationally recognized
21		-	certifying body approved by the Department.
22		-	"Comprehensive Stroke Center" means a hospital that has
23		-	been certified and has been designated as such.
24		-	"Designation" or "designated" means the Department's
25		-	recognition of a hospital as a Comprehensive Stroke Center,
26		-	Primary Stroke Center, or Acute Stroke-Ready Hospital.
	3	+	1 AN ACT concerning regulation.
	4	+	2 Be it enacted by the People of the State of Illinois,
	5	+	3 represented in the General Assembly:
	6	+	4 Section 5. The Emergency Medical Services (EMS) Systems
	7	+	5 Act is amended by changing Sections 3.116, 3.117, 3.117.5,
	8	+	6 3.118, 3.118.5, 3.119, and 3.226 as follows:
	9	+	7 (210 ILCS 50/3.116)
	10	+	8 Sec. 3.116. Hospital Stroke Care; definitions. As used in
	11	+	9 Sections 3.116 through 3.119, 3.130, 3.200, and 3.226 of this
	12	+	10 Act:
	13	+	11 "Acute Stroke-Ready Hospital" means a hospital that has
	14	+	12 been designated by the Department as meeting the criteria for
	15	+	13 providing emergent stroke care. Designation may be provided
	16	+	14 after a hospital has been certified or through application and
	17	+	15 designation as such.
	18	+	16 "Certification" or "certified" means certification, using
	19	+	17 evidence-based standards, from a nationally recognized
	20	+	18 certifying body approved by the Department.
	21	+	19 "Comprehensive Stroke Center" means a hospital that has
	22	+	20 been certified and has been designated as such.
	23	+	21 "Designation" or "designated" means the Department's
	24	+	22 recognition of a hospital as a Comprehensive Stroke Center,
	25	+	23 Primary Stroke Center, or Acute Stroke-Ready Hospital.
27	26
28	27
29	28
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31	30
32	31
33		-	"Emergent stroke care" is emergency medical care that
34		-	includes diagnosis and emergency medical treatment of acute
35		-	stroke patients.
36		-	"Emergent Stroke Ready Hospital" means a hospital that has
37		-	been designated by the Department as meeting the criteria for
38		-	providing emergent stroke care.
39		-	"Primary Stroke Center" means a hospital that has been
40		-	certified by a Department-approved, nationally recognized
41		-	certifying body and designated as such by the Department.
42		-	"Primary Stroke Center Plus" means a hospital that has
43		-	been certified by a Department-approved, nationally recognized
44		-	certifying body and designated as such by the Department.
45		-	"Regional Stroke Advisory Subcommittee" means a
46		-	subcommittee formed within each Regional EMS Advisory
47		-	Committee to advise the Director and the Region's EMS Medical
48		-	Directors Committee on the triage, treatment, and transport of
49		-	possible acute stroke patients and to select the Region's
50		-	representative to the State Stroke Advisory Subcommittee. At
51		-	minimum, the Regional Stroke Advisory Subcommittee shall
52		-	consist of: one representative from the EMS Medical Directors
53		-	Committee; one EMS coordinator from a Resource Hospital; one
54		-	administrative representative or his or her designee from each
55		-	level of stroke care, including Comprehensive Stroke Centers
56		-	within the Region, if any, Thrombectomy Capable Stroke Centers
57		-	within the Region, if any, Thrombectomy Ready Stroke Centers
58		-	within the Region, if any, Primary Stroke Centers Plus within
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	33	+	HB2238 Enrolled - 2 - LRB103 30630 CPF 57082 b
	34	+	1 "Emergent stroke care" is emergency medical care that
	35	+	2 includes diagnosis and emergency medical treatment of acute
	36	+	3 stroke patients.
	37	+	4 "Emergent Stroke Ready Hospital" means a hospital that has
	38	+	5 been designated by the Department as meeting the criteria for
	39	+	6 providing emergent stroke care.
	40	+	7 "Primary Stroke Center" means a hospital that has been
	41	+	8 certified by a Department-approved, nationally recognized
	42	+	9 certifying body and designated as such by the Department.
	43	+	10 "Primary Stroke Center Plus" means a hospital that has
	44	+	11 been certified by a Department-approved, nationally recognized
	45	+	12 certifying body and designated as such by the Department.
	46	+	13 "Regional Stroke Advisory Subcommittee" means a
	47	+	14 subcommittee formed within each Regional EMS Advisory
	48	+	15 Committee to advise the Director and the Region's EMS Medical
	49	+	16 Directors Committee on the triage, treatment, and transport of
	50	+	17 possible acute stroke patients and to select the Region's
	51	+	18 representative to the State Stroke Advisory Subcommittee. At
	52	+	19 minimum, the Regional Stroke Advisory Subcommittee shall
	53	+	20 consist of: one representative from the EMS Medical Directors
	54	+	21 Committee; one EMS coordinator from a Resource Hospital; one
	55	+	22 administrative representative or his or her designee from each
	56	+	23 level of stroke care, including Comprehensive Stroke Centers
	57	+	24 within the Region, if any, Thrombectomy Capable Stroke Centers
	58	+	25 within the Region, if any, Thrombectomy Ready Stroke Centers
	59	+	26 within the Region, if any, Primary Stroke Centers Plus within
59	60
60	61
61		-	the Region, if any, Primary Stroke Centers within the Region,
62		-	if any, and Acute Stroke-Ready Hospitals within the Region, if
63		-	any; one physician from each level of stroke care, including
64		-	one physician who is a neurologist or who provides advanced
65		-	stroke care at a Comprehensive Stroke Center in the Region, if
66		-	any, one physician who is a neurologist or who provides acute
67		-	stroke care at a Thrombectomy Capable Stroke Center within the
68		-	Region, if any, a Thrombectomy Ready Stroke Center within the
69		-	Region, if any, or a Primary Stroke Center Plus in the Region,
70		-	if any, one physician who is a neurologist or who provides
71		-	acute stroke care at a Primary Stroke Center in the Region, if
72		-	any, and one physician who provides acute stroke care at an
73		-	Acute Stroke-Ready Hospital in the Region, if any; one nurse
74		-	practicing in each level of stroke care, including one nurse
75		-	from a Comprehensive Stroke Center in the Region, if any, one
76		-	nurse from a Thrombectomy Capable Stroke Center, if any, a
77		-	Thrombectomy Ready Stroke Center within the Region, if any, or
78		-	a Primary Stroke Center Plus in the Region, if any, one nurse
79		-	from a Primary Stroke Center in the Region, if any, and one
80		-	nurse from an Acute Stroke-Ready Hospital in the Region, if
81		-	any; one representative from both a public and a private
82		-	vehicle service provider that transports possible acute stroke
83		-	patients within the Region; the State-designated regional EMS
84		-	Coordinator; and a fire chief or his or her designee from the
85		-	EMS Region, if the Region serves a population of more than
86		-	2,000,000. The Regional Stroke Advisory Subcommittee shall
87	62
88	63
89		-	establish bylaws to ensure equal membership that rotates and
90		-	clearly delineates committee responsibilities and structure.
91		-	Of the members first appointed, one-third shall be appointed
92		-	for a term of one year, one-third shall be appointed for a term
93		-	of 2 years, and the remaining members shall be appointed for a
94		-	term of 3 years. The terms of subsequent appointees shall be 3
95		-	years.
96		-	"State Stroke Advisory Subcommittee" means a standing
97		-	advisory body within the State Emergency Medical Services
98		-	Advisory Council.
99		-	"Thrombectomy Capable Stroke Center" means a hospital that
100		-	has been certified by a Department-approved, nationally
101		-	recognized certifying body and designated as such by the
102		-	Department.
103		-	"Thrombectomy Ready Stroke Center" means a hospital that
104		-	has been certified by a Department-approved, nationally
105		-	recognized certifying body and designated as such by the
106		-	Department.
107		-	(Source: P.A. 102-687, eff. 12-17-21.)
108		-	(210 ILCS 50/3.117)
109		-	Sec. 3.117. Hospital designations.
110		-	(a) The Department shall attempt to designate Primary
111		-	Stroke Centers in all areas of the State.
112		-	(1) The Department shall designate as many certified
113		-	Primary Stroke Centers as apply for that designation
	64	+
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115	67
116		-	provided they are certified by a nationally recognized
117		-	certifying body, approved by the Department, and
118		-	certification criteria are consistent with the most
119		-	current nationally recognized, evidence-based stroke
120		-	guidelines related to reducing the occurrence,
121		-	disabilities, and death associated with stroke.
122		-	(2) A hospital certified as a Primary Stroke Center by
123		-	a nationally recognized certifying body approved by the
124		-	Department, shall send a copy of the Certificate and
125		-	annual fee to the Department and shall be deemed, within
126		-	30 business days of its receipt by the Department, to be a
127		-	State-designated Primary Stroke Center.
128		-	(3) A center designated as a Primary Stroke Center
129		-	shall pay an annual fee as determined by the Department
130		-	that shall be no less than $100 and no greater than $500.
131		-	All fees shall be deposited into the Stroke Data
132		-	Collection Fund.
133		-	(3.5) With respect to a hospital that is a designated
134		-	Primary Stroke Center, the Department shall have the
135		-	authority and responsibility to do the following:
136		-	(A) Suspend or revoke a hospital's Primary Stroke
137		-	Center designation upon receiving notice that the
138		-	hospital's Primary Stroke Center certification has
139		-	lapsed or has been revoked by the State recognized
140		-	certifying body.
141		-	(B) Suspend a hospital's Primary Stroke Center
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	69	+	HB2238 Enrolled - 3 - LRB103 30630 CPF 57082 b
	70	+	1 the Region, if any, Primary Stroke Centers within the Region,
	71	+	2 if any, and Acute Stroke-Ready Hospitals within the Region, if
	72	+	3 any; one physician from each level of stroke care, including
	73	+	4 one physician who is a neurologist or who provides advanced
	74	+	5 stroke care at a Comprehensive Stroke Center in the Region, if
	75	+	6 any, one physician who is a neurologist or who provides acute
	76	+	7 stroke care at a Thrombectomy Capable Stroke Center within the
	77	+	8 Region, if any, a Thrombectomy Ready Stroke Center within the
	78	+	9 Region, if any, or a Primary Stroke Center Plus in the Region,
	79	+	10 if any, one physician who is a neurologist or who provides
	80	+	11 acute stroke care at a Primary Stroke Center in the Region, if
	81	+	12 any, and one physician who provides acute stroke care at an
	82	+	13 Acute Stroke-Ready Hospital in the Region, if any; one nurse
	83	+	14 practicing in each level of stroke care, including one nurse
	84	+	15 from a Comprehensive Stroke Center in the Region, if any, one
	85	+	16 nurse from a Thrombectomy Capable Stroke Center, if any, a
	86	+	17 Thrombectomy Ready Stroke Center within the Region, if any, or
	87	+	18 a Primary Stroke Center Plus in the Region, if any, one nurse
	88	+	19 from a Primary Stroke Center in the Region, if any, and one
	89	+	20 nurse from an Acute Stroke-Ready Hospital in the Region, if
	90	+	21 any; one representative from both a public and a private
	91	+	22 vehicle service provider that transports possible acute stroke
	92	+	23 patients within the Region; the State-designated regional EMS
	93	+	24 Coordinator; and a fire chief or his or her designee from the
	94	+	25 EMS Region, if the Region serves a population of more than
	95	+	26 2,000,000. The Regional Stroke Advisory Subcommittee shall
142	96
143	97
144		-	designation, in extreme circumstances where patients
145		-	may be at risk for immediate harm or death, until such
146		-	time as the certifying body investigates and makes a
147		-	final determination regarding certification.
148		-	(C) Restore any previously suspended or revoked
149		-	Department designation upon notice to the Department
150		-	that the certifying body has confirmed or restored the
151		-	Primary Stroke Center certification of that previously
152		-	designated hospital.
153		-	(D) Suspend a hospital's Primary Stroke Center
154		-	designation at the request of a hospital seeking to
155		-	suspend its own Department designation.
156		-	(4) Primary Stroke Center designation shall remain
157		-	valid at all times while the hospital maintains its
158		-	certification as a Primary Stroke Center, in good
159		-	standing, with the certifying body. The duration of a
160		-	Primary Stroke Center designation shall coincide with the
161		-	duration of its Primary Stroke Center certification. Each
162		-	designated Primary Stroke Center shall have its
163		-	designation automatically renewed upon the Department's
164		-	receipt of a copy of the accrediting body's certification
165		-	renewal.
166		-	(5) A hospital that no longer meets nationally
167		-	recognized, evidence-based standards for Primary Stroke
168		-	Centers, or loses its Primary Stroke Center certification,
169		-	shall notify the Department and the Regional EMS Advisory
170	98
171	99
172		-	Committee within 5 business days.
173		-	(a-5) The Department shall attempt to designate
174		-	Comprehensive Stroke Centers in all areas of the State.
175		-	(1) The Department shall designate as many certified
176		-	Comprehensive Stroke Centers as apply for that
177		-	designation, provided that the Comprehensive Stroke
178		-	Centers are certified by a nationally recognized
179		-	certifying body approved by the Department, and provided
180		-	that the certifying body's certification criteria are
181		-	consistent with the most current nationally recognized and
182		-	evidence-based stroke guidelines for reducing the
183		-	occurrence of stroke and the disabilities and death
184		-	associated with stroke.
185		-	(2) A hospital certified as a Comprehensive Stroke
186		-	Center shall send a copy of the Certificate and annual fee
187		-	to the Department and shall be deemed, within 30 business
188		-	days of its receipt by the Department, to be a
189		-	State-designated Comprehensive Stroke Center.
190		-	(3) A hospital designated as a Comprehensive Stroke
191		-	Center shall pay an annual fee as determined by the
192		-	Department that shall be no less than $100 and no greater
193		-	than $500. All fees shall be deposited into the Stroke
194		-	Data Collection Fund.
195		-	(4) With respect to a hospital that is a designated
196		-	Comprehensive Stroke Center, the Department shall have the
197		-	authority and responsibility to do the following:
	100	+
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198	102
199	103
200		-	(A) Suspend or revoke the hospital's Comprehensive
201		-	Stroke Center designation upon receiving notice that
202		-	the hospital's Comprehensive Stroke Center
203		-	certification has lapsed or has been revoked by the
204		-	State recognized certifying body.
205		-	(B) Suspend the hospital's Comprehensive Stroke
206		-	Center designation, in extreme circumstances in which
207		-	patients may be at risk for immediate harm or death,
208		-	until such time as the certifying body investigates
209		-	and makes a final determination regarding
210		-	certification.
211		-	(C) Restore any previously suspended or revoked
212		-	Department designation upon notice to the Department
213		-	that the certifying body has confirmed or restored the
214		-	Comprehensive Stroke Center certification of that
215		-	previously designated hospital.
216		-	(D) Suspend the hospital's Comprehensive Stroke
217		-	Center designation at the request of a hospital
218		-	seeking to suspend its own Department designation.
219		-	(5) Comprehensive Stroke Center designation shall
220		-	remain valid at all times while the hospital maintains its
221		-	certification as a Comprehensive Stroke Center, in good
222		-	standing, with the certifying body. The duration of a
223		-	Comprehensive Stroke Center designation shall coincide
224		-	with the duration of its Comprehensive Stroke Center
225		-	certification. Each designated Comprehensive Stroke Center
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	105	+	HB2238 Enrolled - 4 - LRB103 30630 CPF 57082 b
	106	+	1 establish bylaws to ensure equal membership that rotates and
	107	+	2 clearly delineates committee responsibilities and structure.
	108	+	3 Of the members first appointed, one-third shall be appointed
	109	+	4 for a term of one year, one-third shall be appointed for a term
	110	+	5 of 2 years, and the remaining members shall be appointed for a
	111	+	6 term of 3 years. The terms of subsequent appointees shall be 3
	112	+	7 years.
	113	+	8 "State Stroke Advisory Subcommittee" means a standing
	114	+	9 advisory body within the State Emergency Medical Services
	115	+	10 Advisory Council.
	116	+	11 "Thrombectomy Capable Stroke Center" means a hospital that
	117	+	12 has been certified by a Department-approved, nationally
	118	+	13 recognized certifying body and designated as such by the
	119	+	14 Department.
	120	+	15 "Thrombectomy Ready Stroke Center" means a hospital that
	121	+	16 has been certified by a Department-approved, nationally
	122	+	17 recognized certifying body and designated as such by the
	123	+	18 Department.
	124	+	19 (Source: P.A. 102-687, eff. 12-17-21.)
	125	+	20 (210 ILCS 50/3.117)
	126	+	21 Sec. 3.117. Hospital designations.
	127	+	22 (a) The Department shall attempt to designate Primary
	128	+	23 Stroke Centers in all areas of the State.
	129	+	24 (1) The Department shall designate as many certified
	130	+	25 Primary Stroke Centers as apply for that designation
226	131
227	132
228		-	shall have its designation automatically renewed upon the
229		-	Department's receipt of a copy of the certifying body's
230		-	certification renewal.
231		-	(6) A hospital that no longer meets nationally
232		-	recognized, evidence-based standards for Comprehensive
233		-	Stroke Centers, or loses its Comprehensive Stroke Center
234		-	certification, shall notify the Department and the
235		-	Regional EMS Advisory Committee within 5 business days.
236		-	(a-5) The Department shall attempt to designate
237		-	Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke
238		-	Centers, and Primary Stroke Centers Plus in all areas of the
239		-	State according to the following requirements:
240		-	(1) The Department shall designate as many certified
241		-	Thrombectomy Capable Stroke Centers, Thrombectomy Ready
242		-	Stroke Centers, and Primary Stroke Centers Plus as apply
243		-	for that designation, provided that the body certifying
244		-	the facility uses certification criteria consistent with
245		-	the most current nationally recognized and evidence-based
246		-	stroke guidelines for reducing the occurrence of strokes
247		-	and the disabilities and death associated with strokes.
248		-	(2) A Thrombectomy Capable Stroke Center, Thrombectomy
249		-	Ready Stroke Center, or Primary Stroke Center Plus shall
250		-	send a copy of the certificate of its designation and
251		-	annual fee to the Department and shall be deemed, within
252		-	30 business days after its receipt by the Department, to
253		-	be a State-designated Thrombectomy Capable Stroke Center,
254	133
255	134
256		-	Thrombectomy Ready Stroke Center, or Primary Stroke Center
257		-	Plus.
258		-	(3) A Thrombectomy Capable Stroke Center, Thrombectomy
259		-	Ready Stroke Center, or Primary Stroke Center Plus shall
260		-	pay an annual fee as determined by the Department that
261		-	shall be no less than $100 and no greater than $500. All
262		-	fees collected under this paragraph shall be deposited
263		-	into the Stroke Data Collection Fund.
264		-	(4) With respect to a Thrombectomy Capable Stroke
265		-	Center, Thrombectomy Ready Stroke Center, or Primary
266		-	Stroke Center Plus, the Department shall:
267		-	(A) suspend or revoke the Thrombectomy Capable
268		-	Stroke Center, Thrombectomy Ready Stroke Center, or
269		-	Primary Stroke Center Plus designation upon receiving
270		-	notice that the Thrombectomy Capable Stroke Center's,
271		-	Thrombectomy Ready Stroke Center's, or Primary Stroke
272		-	Center Plus's certification has lapsed or has been
273		-	revoked by its certifying body;
274		-	(B) in extreme circumstances in which patients may
275		-	be at risk for immediate harm or death, suspend the
276		-	Thrombectomy Capable Stroke Center's, Thrombectomy
277		-	Ready Stroke Center's, or Primary Stroke Center Plus's
278		-	designation until its certifying body investigates the
279		-	circumstances and makes a final determination
280		-	regarding its certification;
281		-	(C) restore any previously suspended or revoked
	135	+
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282	137
283	138
284		-	Department designation upon notice to the Department
285		-	that the certifying body has confirmed or restored the
286		-	Thrombectomy Capable Stroke Center's, Thrombectomy
287		-	Ready Stroke Center's, or Primary Stroke Center Plus's
288		-	certification; and
289		-	(D) suspend the Thrombectomy Capable Stroke
290		-	Center's, Thrombectomy Ready Stroke Center's, or
291		-	Primary Stroke Center Plus's designation at the
292		-	request of a facility seeking to suspend its own
293		-	Department designation.
294		-	(5) A Thrombectomy Capable Stroke Center, Thrombectomy
295		-	Ready Stroke Center, or Primary Stroke Center Plus
296		-	designation shall remain valid at all times while the
297		-	facility maintains its certification as a Thrombectomy
298		-	Capable Stroke Center, Thrombectomy Ready Stroke Center,
299		-	or Primary Stroke Center Plus and is in good standing with
300		-	the certifying body. The duration of a Thrombectomy
301		-	Capable Stroke Center, Thrombectomy Ready Stroke Center,
302		-	or Primary Stroke Center Plus designation shall be the
303		-	same as the duration of its Thrombectomy Capable Stroke
304		-	Center, Thrombectomy Ready Stroke Center, or Primary
305		-	Stroke Center Plus certification. Each designated
306		-	Thrombectomy Capable Stroke Center, Thrombectomy Ready
307		-	Stroke Center, or Primary Stroke Center Plus shall have
308		-	its designation automatically renewed upon the
309		-	Department's receipt of a copy of the certifying body's
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	140	+	HB2238 Enrolled - 5 - LRB103 30630 CPF 57082 b
	141	+	1 provided they are certified by a nationally recognized
	142	+	2 certifying body, approved by the Department, and
	143	+	3 certification criteria are consistent with the most
	144	+	4 current nationally recognized, evidence-based stroke
	145	+	5 guidelines related to reducing the occurrence,
	146	+	6 disabilities, and death associated with stroke.
	147	+	7 (2) A hospital certified as a Primary Stroke Center by
	148	+	8 a nationally recognized certifying body approved by the
	149	+	9 Department, shall send a copy of the Certificate and
	150	+	10 annual fee to the Department and shall be deemed, within
	151	+	11 30 business days of its receipt by the Department, to be a
	152	+	12 State-designated Primary Stroke Center.
	153	+	13 (3) A center designated as a Primary Stroke Center
	154	+	14 shall pay an annual fee as determined by the Department
	155	+	15 that shall be no less than $100 and no greater than $500.
	156	+	16 All fees shall be deposited into the Stroke Data
	157	+	17 Collection Fund.
	158	+	18 (3.5) With respect to a hospital that is a designated
	159	+	19 Primary Stroke Center, the Department shall have the
	160	+	20 authority and responsibility to do the following:
	161	+	21 (A) Suspend or revoke a hospital's Primary Stroke
	162	+	22 Center designation upon receiving notice that the
	163	+	23 hospital's Primary Stroke Center certification has
	164	+	24 lapsed or has been revoked by the State recognized
	165	+	25 certifying body.
	166	+	26 (B) Suspend a hospital's Primary Stroke Center
310	167
311	168
312		-	renewal of the certification.
313		-	(6) A hospital that no longer meets the criteria for
314		-	Thrombectomy Capable Stroke Centers, Thrombectomy Ready
315		-	Stroke Centers, or Primary Stroke Centers Plus, or loses
316		-	its Thrombectomy Capable Stroke Center, Thrombectomy Ready
317		-	Stroke Center, or Primary Stroke Center Plus
318		-	certification, shall notify the Department and the
319		-	Regional EMS Advisory Committee of the situation within 5
320		-	business days after being made aware of it.
321		-	(b) Beginning on the first day of the month that begins 12
322		-	months after the adoption of rules authorized by this
323		-	subsection, the Department shall attempt to designate
324		-	hospitals as Acute Stroke-Ready Hospitals in all areas of the
325		-	State. Designation may be approved by the Department after a
326		-	hospital has been certified as an Acute Stroke-Ready Hospital
327		-	or through application and designation by the Department. For
328		-	any hospital that is designated as an Emergent Stroke Ready
329		-	Hospital at the time that the Department begins the
330		-	designation of Acute Stroke-Ready Hospitals, the Emergent
331		-	Stroke Ready designation shall remain intact for the duration
332		-	of the 12-month period until that designation expires. Until
333		-	the Department begins the designation of hospitals as Acute
334		-	Stroke-Ready Hospitals, hospitals may achieve Emergent Stroke
335		-	Ready Hospital designation utilizing the processes and
336		-	criteria provided in Public Act 96-514.
337		-	(1) (Blank).
338	169
339	170
340		-	(2) Hospitals may apply for, and receive, Acute
341		-	Stroke-Ready Hospital designation from the Department,
342		-	provided that the hospital attests, on a form developed by
343		-	the Department in consultation with the State Stroke
344		-	Advisory Subcommittee, that it meets, and will continue to
345		-	meet, the criteria for Acute Stroke-Ready Hospital
346		-	designation and pays an annual fee.
347		-	A hospital designated as an Acute Stroke-Ready
348		-	Hospital shall pay an annual fee as determined by the
349		-	Department that shall be no less than $100 and no greater
350		-	than $500. All fees shall be deposited into the Stroke
351		-	Data Collection Fund.
352		-	(2.5) A hospital may apply for, and receive, Acute
353		-	Stroke-Ready Hospital designation from the Department,
354		-	provided that the hospital provides proof of current Acute
355		-	Stroke-Ready Hospital certification and the hospital pays
356		-	an annual fee.
357		-	(A) Acute Stroke-Ready Hospital designation shall
358		-	remain valid at all times while the hospital maintains
359		-	its certification as an Acute Stroke-Ready Hospital,
360		-	in good standing, with the certifying body.
361		-	(B) The duration of an Acute Stroke-Ready Hospital
362		-	designation shall coincide with the duration of its
363		-	Acute Stroke-Ready Hospital certification.
364		-	(C) Each designated Acute Stroke-Ready Hospital
365		-	shall have its designation automatically renewed upon
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367	174
368		-	the Department's receipt of a copy of the certifying
369		-	body's certification renewal and Application for
370		-	Stroke Center Designation form.
371		-	(D) A hospital must submit a copy of its
372		-	certification renewal from the certifying body as soon
373		-	as practical but no later than 30 business days after
374		-	that certification is received by the hospital. Upon
375		-	the Department's receipt of the renewal certification,
376		-	the Department shall renew the hospital's Acute
377		-	Stroke-Ready Hospital designation.
378		-	(E) A hospital designated as an Acute Stroke-Ready
379		-	Hospital shall pay an annual fee as determined by the
380		-	Department that shall be no less than $100 and no
381		-	greater than $500. All fees shall be deposited into
382		-	the Stroke Data Collection Fund.
383		-	(3) Hospitals seeking Acute Stroke-Ready Hospital
384		-	designation that do not have certification shall develop
385		-	policies and procedures that are consistent with
386		-	nationally recognized, evidence-based protocols for the
387		-	provision of emergent stroke care. Hospital policies
388		-	relating to emergent stroke care and stroke patient
389		-	outcomes shall be reviewed at least annually, or more
390		-	often as needed, by a hospital committee that oversees
391		-	quality improvement. Adjustments shall be made as
392		-	necessary to advance the quality of stroke care delivered.
393		-	Criteria for Acute Stroke-Ready Hospital designation of
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	177	+	1 designation, in extreme circumstances where patients
	178	+	2 may be at risk for immediate harm or death, until such
	179	+	3 time as the certifying body investigates and makes a
	180	+	4 final determination regarding certification.
	181	+	5 (C) Restore any previously suspended or revoked
	182	+	6 Department designation upon notice to the Department
	183	+	7 that the certifying body has confirmed or restored the
	184	+	8 Primary Stroke Center certification of that previously
	185	+	9 designated hospital.
	186	+	10 (D) Suspend a hospital's Primary Stroke Center
	187	+	11 designation at the request of a hospital seeking to
	188	+	12 suspend its own Department designation.
	189	+	13 (4) Primary Stroke Center designation shall remain
	190	+	14 valid at all times while the hospital maintains its
	191	+	15 certification as a Primary Stroke Center, in good
	192	+	16 standing, with the certifying body. The duration of a
	193	+	17 Primary Stroke Center designation shall coincide with the
	194	+	18 duration of its Primary Stroke Center certification. Each
	195	+	19 designated Primary Stroke Center shall have its
	196	+	20 designation automatically renewed upon the Department's
	197	+	21 receipt of a copy of the accrediting body's certification
	198	+	22 renewal.
	199	+	23 (5) A hospital that no longer meets nationally
	200	+	24 recognized, evidence-based standards for Primary Stroke
	201	+	25 Centers, or loses its Primary Stroke Center certification,
	202	+	26 shall notify the Department and the Regional EMS Advisory
394	203
395	204
396		-	hospitals shall be limited to the ability of a hospital
397		-	to:
398		-	(A) create written acute care protocols related to
399		-	emergent stroke care;
400		-	(A-5) participate in the data collection system
401		-	provided in Section 3.118, if available;
402		-	(B) maintain a written transfer agreement with one
403		-	or more hospitals that have neurosurgical expertise;
404		-	(C) designate a Clinical Director of Stroke Care
405		-	who shall be a clinical member of the hospital staff
406		-	with training or experience, as defined by the
407		-	facility, in the care of patients with cerebrovascular
408		-	disease. This training or experience may include, but
409		-	is not limited to, completion of a fellowship or other
410		-	specialized training in the area of cerebrovascular
411		-	disease, attendance at national courses, or prior
412		-	experience in neuroscience intensive care units. The
413		-	Clinical Director of Stroke Care may be a neurologist,
414		-	neurosurgeon, emergency medicine physician, internist,
415		-	radiologist, advanced practice registered nurse, or
416		-	physician's assistant;
417		-	(C-5) provide rapid access to an acute stroke
418		-	team, as defined by the facility, that considers and
419		-	reflects nationally recognized, evidence-based
420		-	protocols or guidelines;
421		-	(D) administer thrombolytic therapy, or
422	205
423	206
424		-	subsequently developed medical therapies that meet
425		-	nationally recognized, evidence-based stroke
426		-	guidelines;
427		-	(E) conduct brain image tests at all times;
428		-	(F) conduct blood coagulation studies at all
429		-	times;
430		-	(G) maintain a log of stroke patients, which shall
431		-	be available for review upon request by the Department
432		-	or any hospital that has a written transfer agreement
433		-	with the Acute Stroke-Ready Hospital;
434		-	(H) admit stroke patients to a unit that can
435		-	provide appropriate care that considers and reflects
436		-	nationally recognized, evidence-based protocols or
437		-	guidelines or transfer stroke patients to an Acute
438		-	Stroke-Ready Hospital, Primary Stroke Center, or
439		-	Comprehensive Stroke Center, or another facility that
440		-	can provide the appropriate care that considers and
441		-	reflects nationally recognized, evidence-based
442		-	protocols or guidelines; and
443		-	(I) demonstrate compliance with nationally
444		-	recognized quality indicators.
445		-	(4) With respect to Acute Stroke-Ready Hospital
446		-	designation, the Department shall have the authority and
447		-	responsibility to do the following:
448		-	(A) Require hospitals applying for Acute
449		-	Stroke-Ready Hospital designation to attest, on a form
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451	210
452		-	developed by the Department in consultation with the
453		-	State Stroke Advisory Subcommittee, that the hospital
454		-	meets, and will continue to meet, the criteria for an
455		-	Acute Stroke-Ready Hospital.
456		-	(A-5) Require hospitals applying for Acute
457		-	Stroke-Ready Hospital designation via national Acute
458		-	Stroke-Ready Hospital certification to provide proof
459		-	of current Acute Stroke-Ready Hospital certification,
460		-	in good standing.
461		-	The Department shall require a hospital that is
462		-	already certified as an Acute Stroke-Ready Hospital to
463		-	send a copy of the Certificate to the Department.
464		-	Within 30 business days of the Department's
465		-	receipt of a hospital's Acute Stroke-Ready Certificate
466		-	and Application for Stroke Center Designation form
467		-	that indicates that the hospital is a certified Acute
468		-	Stroke-Ready Hospital, in good standing, the hospital
469		-	shall be deemed a State-designated Acute Stroke-Ready
470		-	Hospital. The Department shall send a designation
471		-	notice to each hospital that it designates as an Acute
472		-	Stroke-Ready Hospital and shall add the names of
473		-	designated Acute Stroke-Ready Hospitals to the website
474		-	listing immediately upon designation. The Department
475		-	shall immediately remove the name of a hospital from
476		-	the website listing when a hospital loses its
477		-	designation after notice and, if requested by the
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	213	+	1 Committee within 5 business days.
	214	+	2 (a-5) The Department shall attempt to designate
	215	+	3 Comprehensive Stroke Centers in all areas of the State.
	216	+	4 (1) The Department shall designate as many certified
	217	+	5 Comprehensive Stroke Centers as apply for that
	218	+	6 designation, provided that the Comprehensive Stroke
	219	+	7 Centers are certified by a nationally recognized
	220	+	8 certifying body approved by the Department, and provided
	221	+	9 that the certifying body's certification criteria are
	222	+	10 consistent with the most current nationally recognized and
	223	+	11 evidence-based stroke guidelines for reducing the
	224	+	12 occurrence of stroke and the disabilities and death
	225	+	13 associated with stroke.
	226	+	14 (2) A hospital certified as a Comprehensive Stroke
	227	+	15 Center shall send a copy of the Certificate and annual fee
	228	+	16 to the Department and shall be deemed, within 30 business
	229	+	17 days of its receipt by the Department, to be a
	230	+	18 State-designated Comprehensive Stroke Center.
	231	+	19 (3) A hospital designated as a Comprehensive Stroke
	232	+	20 Center shall pay an annual fee as determined by the
	233	+	21 Department that shall be no less than $100 and no greater
	234	+	22 than $500. All fees shall be deposited into the Stroke
	235	+	23 Data Collection Fund.
	236	+	24 (4) With respect to a hospital that is a designated
	237	+	25 Comprehensive Stroke Center, the Department shall have the
	238	+	26 authority and responsibility to do the following:
478	239
479	240
480		-	hospital, a hearing.
481		-	The Department shall develop an Application for
482		-	Stroke Center Designation form that contains a
483		-	statement that "The above named facility meets the
484		-	requirements for Acute Stroke-Ready Hospital
485		-	Designation as provided in Section 3.117 of the
486		-	Emergency Medical Services (EMS) Systems Act" and
487		-	shall instruct the applicant facility to provide: the
488		-	hospital name and address; the hospital CEO or
489		-	Administrator's typed name and signature; the hospital
490		-	Clinical Director of Stroke Care's typed name and
491		-	signature; and a contact person's typed name, email
492		-	address, and phone number.
493		-	The Application for Stroke Center Designation form
494		-	shall contain a statement that instructs the hospital
495		-	to "Provide proof of current Acute Stroke-Ready
496		-	Hospital certification from a nationally recognized
497		-	certifying body approved by the Department".
498		-	(B) Designate a hospital as an Acute Stroke-Ready
499		-	Hospital no more than 30 business days after receipt
500		-	of an attestation that meets the requirements for
501		-	attestation, unless the Department, within 30 days of
502		-	receipt of the attestation, chooses to conduct an
503		-	onsite survey prior to designation. If the Department
504		-	chooses to conduct an onsite survey prior to
505		-	designation, then the onsite survey shall be conducted
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507	242
508		-	within 90 days of receipt of the attestation.
509		-	(C) Require annual written attestation, on a form
510		-	developed by the Department in consultation with the
511		-	State Stroke Advisory Subcommittee, by Acute
512		-	Stroke-Ready Hospitals to indicate compliance with
513		-	Acute Stroke-Ready Hospital criteria, as described in
514		-	this Section, and automatically renew Acute
515		-	Stroke-Ready Hospital designation of the hospital.
516		-	(D) Issue an Emergency Suspension of Acute
517		-	Stroke-Ready Hospital designation when the Director,
518		-	or his or her designee, has determined that the
519		-	hospital no longer meets the Acute Stroke-Ready
520		-	Hospital criteria and an immediate and serious danger
521		-	to the public health, safety, and welfare exists. If
522		-	the Acute Stroke-Ready Hospital fails to eliminate the
523		-	violation immediately or within a fixed period of
524		-	time, not exceeding 10 days, as determined by the
525		-	Director, the Director may immediately revoke the
526		-	Acute Stroke-Ready Hospital designation. The Acute
527		-	Stroke-Ready Hospital may appeal the revocation within
528		-	15 business days after receiving the Director's
529		-	revocation order, by requesting an administrative
530		-	hearing.
531		-	(E) After notice and an opportunity for an
532		-	administrative hearing, suspend, revoke, or refuse to
533		-	renew an Acute Stroke-Ready Hospital designation, when
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535	246
536		-	the Department finds the hospital is not in
537		-	substantial compliance with current Acute Stroke-Ready
538		-	Hospital criteria.
539		-	(c) The Department shall consult with the State Stroke
540		-	Advisory Subcommittee for developing the designation,
541		-	re-designation, and de-designation processes for Comprehensive
542		-	Stroke Centers, Thrombectomy Capable Stroke Centers,
543		-	Thrombectomy Ready Stroke Centers, Primary Stroke Centers
544		-	Plus, Primary Stroke Centers, and Acute Stroke-Ready
545		-	Hospitals.
546		-	(d) The Department shall consult with the State Stroke
547		-	Advisory Subcommittee as subject matter experts at least
548		-	annually regarding stroke standards of care.
549		-	(Source: P.A. 102-687, eff. 12-17-21.)
550		-	(210 ILCS 50/3.117.5)
551		-	Sec. 3.117.5. Hospital Stroke Care; grants.
552		-	(a) In order to encourage the establishment and retention
553		-	of Comprehensive Stroke Centers, Thrombectomy Capable Stroke
554		-	Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
555		-	Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready
556		-	Hospitals throughout the State, the Director may award,
557		-	subject to appropriation, matching grants to hospitals to be
558		-	used for the acquisition and maintenance of necessary
559		-	infrastructure, including personnel, equipment, and
560		-	pharmaceuticals for the diagnosis and treatment of acute
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	249	+	1 (A) Suspend or revoke the hospital's Comprehensive
	250	+	2 Stroke Center designation upon receiving notice that
	251	+	3 the hospital's Comprehensive Stroke Center
	252	+	4 certification has lapsed or has been revoked by the
	253	+	5 State recognized certifying body.
	254	+	6 (B) Suspend the hospital's Comprehensive Stroke
	255	+	7 Center designation, in extreme circumstances in which
	256	+	8 patients may be at risk for immediate harm or death,
	257	+	9 until such time as the certifying body investigates
	258	+	10 and makes a final determination regarding
	259	+	11 certification.
	260	+	12 (C) Restore any previously suspended or revoked
	261	+	13 Department designation upon notice to the Department
	262	+	14 that the certifying body has confirmed or restored the
	263	+	15 Comprehensive Stroke Center certification of that
	264	+	16 previously designated hospital.
	265	+	17 (D) Suspend the hospital's Comprehensive Stroke
	266	+	18 Center designation at the request of a hospital
	267	+	19 seeking to suspend its own Department designation.
	268	+	20 (5) Comprehensive Stroke Center designation shall
	269	+	21 remain valid at all times while the hospital maintains its
	270	+	22 certification as a Comprehensive Stroke Center, in good
	271	+	23 standing, with the certifying body. The duration of a
	272	+	24 Comprehensive Stroke Center designation shall coincide
	273	+	25 with the duration of its Comprehensive Stroke Center
	274	+	26 certification. Each designated Comprehensive Stroke Center
561	275
562	276
563		-	stroke patients. Grants may be used to pay the fee for
564		-	certifications by Department approved nationally recognized
565		-	certifying bodies or to provide additional training for
566		-	directors of stroke care or for hospital staff.
567		-	(b) The Director may award grant moneys to Comprehensive
568		-	Stroke Centers, Thrombectomy Capable Stroke Centers,
569		-	Thrombectomy Ready Stroke Centers, Primary Stroke Centers
570		-	Plus, Primary Stroke Centers, and Acute Stroke-Ready Hospitals
571		-	for developing or enlarging stroke networks, for stroke
572		-	education, and to enhance the ability of the EMS System to
573		-	respond to possible acute stroke patients.
574		-	(c) A Comprehensive Stroke Center, Thrombectomy Capable
575		-	Stroke Center, Thrombectomy Ready Stroke Center, Primary
576		-	Stroke Center Plus, Primary Stroke Center, or Acute
577		-	Stroke-Ready Hospital, or a hospital seeking certification as
578		-	a Comprehensive Stroke Center, Thrombectomy Capable Stroke
579		-	Center, Thrombectomy Ready Stroke Center, Primary Stroke
580		-	Center Plus, Primary Stroke Center, or Acute Stroke-Ready
581		-	Hospital or designation as an Acute Stroke-Ready Hospital, may
582		-	apply to the Director for a matching grant in a manner and form
583		-	specified by the Director and shall provide information as the
584		-	Director deems necessary to determine whether the hospital is
585		-	eligible for the grant.
586		-	(d) Matching grant awards shall be made to Comprehensive
587		-	Stroke Centers, Thrombectomy Capable Stroke Centers,
588		-	Thrombectomy Ready Stroke Centers, Primary Stroke Centers
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590	278
591		-	Plus, Primary Stroke Centers, Acute Stroke-Ready Hospitals, or
592		-	hospitals seeking certification or designation as a
593		-	Comprehensive Stroke Center, Thrombectomy Capable Stroke
594		-	Center, Thrombectomy Ready Stroke Center, Primary Stroke
595		-	Center Plus, Primary Stroke Center, or Acute Stroke-Ready
596		-	Hospital. The Department may consider prioritizing grant
597		-	awards to hospitals in areas with the highest incidence of
598		-	stroke, taking into account geographic diversity, where
599		-	possible.
600		-	(Source: P.A. 102-687, eff. 12-17-21.)
601		-	(210 ILCS 50/3.118)
602		-	Sec. 3.118. Reporting.
603		-	(a) The Director shall, not later than July 1, 2012,
604		-	prepare and submit to the Governor and the General Assembly a
605		-	report indicating the total number of hospitals that have
606		-	applied for grants, the project for which the application was
607		-	submitted, the number of those applicants that have been found
608		-	eligible for the grants, the total number of grants awarded,
609		-	the name and address of each grantee, and the amount of the
610		-	award issued to each grantee.
611		-	(b) By July 1, 2010, the Director shall send the list of
612		-	designated Comprehensive Stroke Centers, Thrombectomy Capable
613		-	Stroke Centers, Thrombectomy Ready Stroke Centers, Primary
614		-	Stroke Centers Plus, Primary Stroke Centers, and Acute
615		-	Stroke-Ready Hospitals to all Resource Hospital EMS Medical
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618		-	Directors in this State and shall post a list of designated
619		-	Comprehensive Stroke Centers, Thrombectomy Capable Stroke
620		-	Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
621		-	Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready
622		-	Hospitals on the Department's website, which shall be
623		-	continuously updated.
624		-	(c) The Department shall add the names of designated
625		-	Comprehensive Stroke Centers, Thrombectomy Capable Stroke
626		-	Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
627		-	Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready
628		-	Hospitals to the website listing immediately upon designation
629		-	and shall immediately remove the name when a hospital loses
630		-	its designation after notice and a hearing.
631		-	(d) Stroke data collection systems and all stroke-related
632		-	data collected from hospitals shall comply with the following
633		-	requirements:
634		-	(1) The confidentiality of patient records shall be
635		-	maintained in accordance with State and federal laws.
636		-	(2) Hospital proprietary information and the names of
637		-	any hospital administrator, health care professional, or
638		-	employee shall not be subject to disclosure.
639		-	(3) Information submitted to the Department shall be
640		-	privileged and strictly confidential and shall be used
641		-	only for the evaluation and improvement of hospital stroke
642		-	care. Stroke data collected by the Department shall not be
643		-	directly available to the public and shall not be subject
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	285	+	1 shall have its designation automatically renewed upon the
	286	+	2 Department's receipt of a copy of the certifying body's
	287	+	3 certification renewal.
	288	+	4 (6) A hospital that no longer meets nationally
	289	+	5 recognized, evidence-based standards for Comprehensive
	290	+	6 Stroke Centers, or loses its Comprehensive Stroke Center
	291	+	7 certification, shall notify the Department and the
	292	+	8 Regional EMS Advisory Committee within 5 business days.
	293	+	9 (a-5) The Department shall attempt to designate
	294	+	10 Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke
	295	+	11 Centers, and Primary Stroke Centers Plus in all areas of the
	296	+	12 State according to the following requirements:
	297	+	13 (1) The Department shall designate as many certified
	298	+	14 Thrombectomy Capable Stroke Centers, Thrombectomy Ready
	299	+	15 Stroke Centers, and Primary Stroke Centers Plus as apply
	300	+	16 for that designation, provided that the body certifying
	301	+	17 the facility uses certification criteria consistent with
	302	+	18 the most current nationally recognized and evidence-based
	303	+	19 stroke guidelines for reducing the occurrence of strokes
	304	+	20 and the disabilities and death associated with strokes.
	305	+	21 (2) A Thrombectomy Capable Stroke Center, Thrombectomy
	306	+	22 Ready Stroke Center, or Primary Stroke Center Plus shall
	307	+	23 send a copy of the certificate of its designation and
	308	+	24 annual fee to the Department and shall be deemed, within
	309	+	25 30 business days after its receipt by the Department, to
	310	+	26 be a State-designated Thrombectomy Capable Stroke Center,
644	311
645	312
646		-	to civil subpoena, nor discoverable or admissible in any
647		-	civil, criminal, or administrative proceeding against a
648		-	health care facility or health care professional.
649		-	(e) The Department may administer a data collection system
650		-	to collect data that is already reported by designated
651		-	Comprehensive Stroke Centers, Thrombectomy Capable Stroke
652		-	Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
653		-	Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready
654		-	Hospitals to their certifying body, to fulfill certification
655		-	requirements. Comprehensive Stroke Centers, Thrombectomy
656		-	Capable Stroke Centers, Thrombectomy Ready Stroke Centers,
657		-	Primary Stroke Centers Plus, Primary Stroke Centers, and Acute
658		-	Stroke-Ready Hospitals may provide data used in submission to
659		-	their certifying body, to satisfy any Department reporting
660		-	requirements. The Department may require submission of data
661		-	elements in a format that is used State-wide. In the event the
662		-	Department establishes reporting requirements for designated
663		-	Comprehensive Stroke Centers, Thrombectomy Capable Stroke
664		-	Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
665		-	Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready
666		-	Hospitals, the Department shall permit each designated
667		-	Comprehensive Stroke Center, Thrombectomy Capable Stroke
668		-	Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
669		-	Centers Plus, Primary Stroke Center, or Acute Stroke-Ready
670		-	Hospital to capture information using existing electronic
671		-	reporting tools used for certification purposes. Nothing in
672	313
673	314
674		-	this Section shall be construed to empower the Department to
675		-	specify the form of internal recordkeeping. Three years from
676		-	the effective date of this amendatory Act of the 96th General
677		-	Assembly, the Department may post stroke data submitted by
678		-	Comprehensive Stroke Centers, Thrombectomy Capable Stroke
679		-	Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
680		-	Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready
681		-	Hospitals on its website, subject to the following:
682		-	(1) Data collection and analytical methodologies shall
683		-	be used that meet accepted standards of validity and
684		-	reliability before any information is made available to
685		-	the public.
686		-	(2) The limitations of the data sources and analytic
687		-	methodologies used to develop comparative hospital
688		-	information shall be clearly identified and acknowledged,
689		-	including, but not limited to, the appropriate and
690		-	inappropriate uses of the data.
691		-	(3) To the greatest extent possible, comparative
692		-	hospital information initiatives shall use standard-based
693		-	norms derived from widely accepted provider-developed
694		-	practice guidelines.
695		-	(4) Comparative hospital information and other
696		-	information that the Department has compiled regarding
697		-	hospitals shall be shared with the hospitals under review
698		-	prior to public dissemination of the information.
699		-	Hospitals have 30 days to make corrections and to add
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700	317
701	318
702		-	helpful explanatory comments about the information before
703		-	the publication.
704		-	(5) Comparisons among hospitals shall adjust for
705		-	patient case mix and other relevant risk factors and
706		-	control for provider peer groups, when appropriate.
707		-	(6) Effective safeguards to protect against the
708		-	unauthorized use or disclosure of hospital information
709		-	shall be developed and implemented.
710		-	(7) Effective safeguards to protect against the
711		-	dissemination of inconsistent, incomplete, invalid,
712		-	inaccurate, or subjective hospital data shall be developed
713		-	and implemented.
714		-	(8) The quality and accuracy of hospital information
715		-	reported under this Act and its data collection, analysis,
716		-	and dissemination methodologies shall be evaluated
717		-	regularly.
718		-	(9) None of the information the Department discloses
719		-	to the public under this Act may be used to establish a
720		-	standard of care in a private civil action.
721		-	(10) The Department shall disclose information under
722		-	this Section in accordance with provisions for inspection
723		-	and copying of public records required by the Freedom of
724		-	Information Act, provided that the information satisfies
725		-	the provisions of this Section.
726		-	(11) Notwithstanding any other provision of law, under
727		-	no circumstances shall the Department disclose information
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	320	+	HB2238 Enrolled - 10 - LRB103 30630 CPF 57082 b
	321	+	1 Thrombectomy Ready Stroke Center, or Primary Stroke Center
	322	+	2 Plus.
	323	+	3 (3) A Thrombectomy Capable Stroke Center, Thrombectomy
	324	+	4 Ready Stroke Center, or Primary Stroke Center Plus shall
	325	+	5 pay an annual fee as determined by the Department that
	326	+	6 shall be no less than $100 and no greater than $500. All
	327	+	7 fees collected under this paragraph shall be deposited
	328	+	8 into the Stroke Data Collection Fund.
	329	+	9 (4) With respect to a Thrombectomy Capable Stroke
	330	+	10 Center, Thrombectomy Ready Stroke Center, or Primary
	331	+	11 Stroke Center Plus, the Department shall:
	332	+	12 (A) suspend or revoke the Thrombectomy Capable
	333	+	13 Stroke Center, Thrombectomy Ready Stroke Center, or
	334	+	14 Primary Stroke Center Plus designation upon receiving
	335	+	15 notice that the Thrombectomy Capable Stroke Center's,
	336	+	16 Thrombectomy Ready Stroke Center's, or Primary Stroke
	337	+	17 Center Plus's certification has lapsed or has been
	338	+	18 revoked by its certifying body;
	339	+	19 (B) in extreme circumstances in which patients may
	340	+	20 be at risk for immediate harm or death, suspend the
	341	+	21 Thrombectomy Capable Stroke Center's, Thrombectomy
	342	+	22 Ready Stroke Center's, or Primary Stroke Center Plus's
	343	+	23 designation until its certifying body investigates the
	344	+	24 circumstances and makes a final determination
	345	+	25 regarding its certification;
	346	+	26 (C) restore any previously suspended or revoked
728	347
729	348
730		-	obtained from a hospital that is confidential under Part
731		-	21 of Article VIII of the Code of Civil Procedure.
732		-	(12) No hospital report or Department disclosure may
733		-	contain information identifying a patient, employee, or
734		-	licensed professional.
735		-	(Source: P.A. 98-1001, eff. 1-1-15.)
736		-	(210 ILCS 50/3.118.5)
737		-	Sec. 3.118.5. State Stroke Advisory Subcommittee; triage
738		-	and transport of possible acute stroke patients.
739		-	(a) There shall be established within the State Emergency
740		-	Medical Services Advisory Council, or other statewide body
741		-	responsible for emergency health care, a standing State Stroke
742		-	Advisory Subcommittee, which shall serve as an advisory body
743		-	to the Council and the Department on matters related to the
744		-	triage, treatment, and transport of possible acute stroke
745		-	patients. Membership on the Committee shall be as
746		-	geographically diverse as possible and include one
747		-	representative from each Regional Stroke Advisory
748		-	Subcommittee, to be chosen by each Regional Stroke Advisory
749		-	Subcommittee. The Director shall appoint additional members,
750		-	as needed, to ensure there is adequate representation from the
751		-	following:
752		-	(1) an EMS Medical Director;
753		-	(2) a hospital administrator, or designee, from a
754		-	Comprehensive Stroke Center;
755	349
756	350
757		-	(2.5) a hospital administrator, or designee, from a
758		-	Thrombectomy Capable Stroke Center, Thrombectomy Ready
759		-	Stroke Center, or Primary Stroke Center Plus;
760		-	(3) a hospital administrator, or designee, from a
761		-	Primary Stroke Center;
762		-	(3.5) a hospital administrator, or designee, from an
763		-	Acute Stroke-Ready Hospital;
764		-	(3.10) a registered nurse from a Comprehensive Stroke
765		-	Center;
766		-	(3.15) a registered nurse from a Thrombectomy Capable
767		-	Stroke Center, Thrombectomy Ready Stroke Center, or
768		-	Primary Stroke Center Plus;
769		-	(4) a registered nurse from a Primary Stroke Center;
770		-	(5) a registered nurse from an Acute Stroke-Ready
771		-	Hospital;
772		-	(5.5) a physician providing advanced stroke care from
773		-	a Comprehensive Stroke center;
774		-	(5.10) a physician providing stroke care from a
775		-	Thrombectomy Capable Stroke Center, Thrombectomy Ready
776		-	Stroke Center, or Primary Stroke Center Plus;
777		-	(6) a physician providing stroke care from a Primary
778		-	Stroke Center;
779		-	(7) a physician providing stroke care from an Acute
780		-	Stroke-Ready Hospital;
781		-	(8) an EMS Coordinator;
782		-	(9) an acute stroke patient advocate;
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783	353
784	354
785		-	(10) a fire chief, or designee, from an EMS Region
786		-	that serves a population of over 2,000,000 people;
787		-	(11) a fire chief, or designee, from a rural EMS
788		-	Region;
789		-	(12) a representative from a private ambulance
790		-	provider;
791		-	(12.5) a representative from a municipal EMS provider;
792		-	and
793		-	(13) a representative from the State Emergency Medical
794		-	Services Advisory Council.
795		-	(b) Of the members first appointed, 9 members shall be
796		-	appointed for a term of one year, 9 members shall be appointed
797		-	for a term of 2 years, and the remaining members shall be
798		-	appointed for a term of 3 years. The terms of subsequent
799		-	appointees shall be 3 years.
800		-	(c) The State Stroke Advisory Subcommittee shall be
801		-	provided a 90-day period in which to review and comment upon
802		-	all rules proposed by the Department pursuant to this Act
803		-	concerning stroke care, except for emergency rules adopted
804		-	pursuant to Section 5-45 of the Illinois Administrative
805		-	Procedure Act. The 90-day review and comment period shall
806		-	commence prior to publication of the proposed rules and upon
807		-	the Department's submission of the proposed rules to the
808		-	individual Committee members, if the Committee is not meeting
809		-	at the time the proposed rules are ready for Committee review.
810		-	(d) The State Stroke Advisory Subcommittee shall develop
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	357	+	1 Department designation upon notice to the Department
	358	+	2 that the certifying body has confirmed or restored the
	359	+	3 Thrombectomy Capable Stroke Center's, Thrombectomy
	360	+	4 Ready Stroke Center's, or Primary Stroke Center Plus's
	361	+	5 certification; and
	362	+	6 (D) suspend the Thrombectomy Capable Stroke
	363	+	7 Center's, Thrombectomy Ready Stroke Center's, or
	364	+	8 Primary Stroke Center Plus's designation at the
	365	+	9 request of a facility seeking to suspend its own
	366	+	10 Department designation.
	367	+	11 (5) A Thrombectomy Capable Stroke Center, Thrombectomy
	368	+	12 Ready Stroke Center, or Primary Stroke Center Plus
	369	+	13 designation shall remain valid at all times while the
	370	+	14 facility maintains its certification as a Thrombectomy
	371	+	15 Capable Stroke Center, Thrombectomy Ready Stroke Center,
	372	+	16 or Primary Stroke Center Plus and is in good standing with
	373	+	17 the certifying body. The duration of a Thrombectomy
	374	+	18 Capable Stroke Center, Thrombectomy Ready Stroke Center,
	375	+	19 or Primary Stroke Center Plus designation shall be the
	376	+	20 same as the duration of its Thrombectomy Capable Stroke
	377	+	21 Center, Thrombectomy Ready Stroke Center, or Primary
	378	+	22 Stroke Center Plus certification. Each designated
	379	+	23 Thrombectomy Capable Stroke Center, Thrombectomy Ready
	380	+	24 Stroke Center, or Primary Stroke Center Plus shall have
	381	+	25 its designation automatically renewed upon the
	382	+	26 Department's receipt of a copy of the certifying body's
811	383
812	384
813		-	and submit an evidence-based statewide stroke assessment tool
814		-	to clinically evaluate potential stroke patients to the
815		-	Department for final approval. Upon approval, the Department
816		-	shall disseminate the tool to all EMS Systems for adoption.
817		-	The Director shall post the Department-approved stroke
818		-	assessment tool on the Department's website. The State Stroke
819		-	Advisory Subcommittee shall review the Department-approved
820		-	stroke assessment tool at least annually to ensure its
821		-	clinical relevancy and to make changes when clinically
822		-	warranted.
823		-	(d-5) Each EMS Regional Stroke Advisory Subcommittee shall
824		-	submit recommendations for continuing education for
825		-	pre-hospital personnel to that Region's EMS Medical Directors
826		-	Committee.
827		-	(e) Nothing in this Section shall preclude the State
828		-	Stroke Advisory Subcommittee from reviewing and commenting on
829		-	proposed rules which fall under the purview of the State
830		-	Emergency Medical Services Advisory Council. Nothing in this
831		-	Section shall preclude the Emergency Medical Services Advisory
832		-	Council from reviewing and commenting on proposed rules which
833		-	fall under the purview of the State Stroke Advisory
834		-	Subcommittee.
835		-	(f) The Director shall coordinate with and assist the EMS
836		-	System Medical Directors and Regional Stroke Advisory
837		-	Subcommittee within each EMS Region to establish protocols
838		-	related to the assessment, treatment, and transport of
839	385
840	386
841		-	possible acute stroke patients by licensed emergency medical
842		-	services providers. These protocols shall include regional
843		-	transport plans for the triage and transport of possible acute
844		-	stroke patients to the most appropriate Comprehensive Stroke
845		-	Center, Thrombectomy Capable Stroke Center, Thrombectomy Ready
846		-	Stroke Center, Primary Stroke Center Plus, Primary Stroke
847		-	Center, or Acute Stroke-Ready Hospital, unless circumstances
848		-	warrant otherwise.
849		-	(Source: P.A. 98-1001, eff. 1-1-15.)
850		-	(210 ILCS 50/3.119)
851		-	Sec. 3.119. Stroke Care; restricted practices. Sections in
852		-	this Act pertaining to Comprehensive Stroke Centers,
853		-	Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke
854		-	Centers, Primary Stroke Centers Plus, Primary Stroke Centers,
855		-	and Acute Stroke-Ready Hospitals are not medical practice
856		-	guidelines and shall not be used to restrict the authority of a
857		-	hospital to provide services for which it has received a
858		-	license under State law.
859		-	(Source: P.A. 98-1001, eff. 1-1-15.)
860		-	(210 ILCS 50/3.226)
861		-	Sec. 3.226. Hospital Stroke Care Fund.
862		-	(a) The Hospital Stroke Care Fund is created as a special
863		-	fund in the State treasury for the purpose of receiving
864		-	appropriations, donations, and grants collected by the
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865	389
866	390
867		-	Illinois Department of Public Health pursuant to Department
868		-	designation of Comprehensive Stroke Centers, Thrombectomy
869		-	Capable Stroke Centers, Thrombectomy Ready Stroke Centers,
870		-	Primary Stroke Centers Plus, Primary Stroke Centers, and Acute
871		-	Stroke-Ready Hospitals. All moneys collected by the Department
872		-	pursuant to its authority to designate Comprehensive Stroke
873		-	Centers, Thrombectomy Capable Stroke Centers, Thrombectomy
874		-	Ready Stroke Centers, Primary Stroke Centers Plus, Primary
875		-	Stroke Centers, and Acute Stroke-Ready Hospitals shall be
876		-	deposited into the Fund, to be used for the purposes in
877		-	subsection (b).
878		-	(b) The purpose of the Fund is to allow the Director of the
879		-	Department to award matching grants:
880		-	(1) to hospitals that have been certified as
881		-	Comprehensive Stroke Centers, Thrombectomy Capable Stroke
882		-	Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
883		-	Centers Plus, Primary Stroke Centers, or Acute
884		-	Stroke-Ready Hospitals;
885		-	(2) to hospitals that seek certification or
886		-	designation or both as Comprehensive Stroke Centers,
887		-	Thrombectomy Capable Stroke Centers, Thrombectomy Ready
888		-	Stroke Centers, Primary Stroke Centers Plus, Primary
889		-	Stroke Centers, or Acute Stroke-Ready Hospitals;
890		-	(3) to hospitals that have been designated Acute
891		-	Stroke-Ready Hospitals;
892		-	(4) to hospitals that seek designation as Acute
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	393	+	1 renewal of the certification.
	394	+	2 (6) A hospital that no longer meets the criteria for
	395	+	3 Thrombectomy Capable Stroke Centers, Thrombectomy Ready
	396	+	4 Stroke Centers, or Primary Stroke Centers Plus, or loses
	397	+	5 its Thrombectomy Capable Stroke Center, Thrombectomy Ready
	398	+	6 Stroke Center, or Primary Stroke Center Plus
	399	+	7 certification, shall notify the Department and the
	400	+	8 Regional EMS Advisory Committee of the situation within 5
	401	+	9 business days after being made aware of it.
	402	+	10 (b) Beginning on the first day of the month that begins 12
	403	+	11 months after the adoption of rules authorized by this
	404	+	12 subsection, the Department shall attempt to designate
	405	+	13 hospitals as Acute Stroke-Ready Hospitals in all areas of the
	406	+	14 State. Designation may be approved by the Department after a
	407	+	15 hospital has been certified as an Acute Stroke-Ready Hospital
	408	+	16 or through application and designation by the Department. For
	409	+	17 any hospital that is designated as an Emergent Stroke Ready
	410	+	18 Hospital at the time that the Department begins the
	411	+	19 designation of Acute Stroke-Ready Hospitals, the Emergent
	412	+	20 Stroke Ready designation shall remain intact for the duration
	413	+	21 of the 12-month period until that designation expires. Until
	414	+	22 the Department begins the designation of hospitals as Acute
	415	+	23 Stroke-Ready Hospitals, hospitals may achieve Emergent Stroke
	416	+	24 Ready Hospital designation utilizing the processes and
	417	+	25 criteria provided in Public Act 96-514.
	418	+	26 (1) (Blank).
893	419
894	420
895		-	Stroke-Ready Hospitals; and
896		-	(5) for the development of stroke networks.
897		-	Hospitals may use grant funds to work with the EMS System
898		-	to improve outcomes of possible acute stroke patients.
899		-	(c) Moneys deposited in the Hospital Stroke Care Fund
900		-	shall be allocated according to the hospital needs within each
901		-	EMS region and used solely for the purposes described in this
902		-	Act.
903		-	(d) Interfund transfers from the Hospital Stroke Care Fund
904		-	shall be prohibited.
905		-	(Source: P.A. 98-1001, eff. 1-1-15.)
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	429	+	1 (2) Hospitals may apply for, and receive, Acute
	430	+	2 Stroke-Ready Hospital designation from the Department,
	431	+	3 provided that the hospital attests, on a form developed by
	432	+	4 the Department in consultation with the State Stroke
	433	+	5 Advisory Subcommittee, that it meets, and will continue to
	434	+	6 meet, the criteria for Acute Stroke-Ready Hospital
	435	+	7 designation and pays an annual fee.
	436	+	8 A hospital designated as an Acute Stroke-Ready
	437	+	9 Hospital shall pay an annual fee as determined by the
	438	+	10 Department that shall be no less than $100 and no greater
	439	+	11 than $500. All fees shall be deposited into the Stroke
	440	+	12 Data Collection Fund.
	441	+	13 (2.5) A hospital may apply for, and receive, Acute
	442	+	14 Stroke-Ready Hospital designation from the Department,
	443	+	15 provided that the hospital provides proof of current Acute
	444	+	16 Stroke-Ready Hospital certification and the hospital pays
	445	+	17 an annual fee.
	446	+	18 (A) Acute Stroke-Ready Hospital designation shall
	447	+	19 remain valid at all times while the hospital maintains
	448	+	20 its certification as an Acute Stroke-Ready Hospital,
	449	+	21 in good standing, with the certifying body.
	450	+	22 (B) The duration of an Acute Stroke-Ready Hospital
	451	+	23 designation shall coincide with the duration of its
	452	+	24 Acute Stroke-Ready Hospital certification.
	453	+	25 (C) Each designated Acute Stroke-Ready Hospital
	454	+	26 shall have its designation automatically renewed upon
	455	+
	456	+
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	465	+	1 the Department's receipt of a copy of the certifying
	466	+	2 body's certification renewal and Application for
	467	+	3 Stroke Center Designation form.
	468	+	4 (D) A hospital must submit a copy of its
	469	+	5 certification renewal from the certifying body as soon
	470	+	6 as practical but no later than 30 business days after
	471	+	7 that certification is received by the hospital. Upon
	472	+	8 the Department's receipt of the renewal certification,
	473	+	9 the Department shall renew the hospital's Acute
	474	+	10 Stroke-Ready Hospital designation.
	475	+	11 (E) A hospital designated as an Acute Stroke-Ready
	476	+	12 Hospital shall pay an annual fee as determined by the
	477	+	13 Department that shall be no less than $100 and no
	478	+	14 greater than $500. All fees shall be deposited into
	479	+	15 the Stroke Data Collection Fund.
	480	+	16 (3) Hospitals seeking Acute Stroke-Ready Hospital
	481	+	17 designation that do not have certification shall develop
	482	+	18 policies and procedures that are consistent with
	483	+	19 nationally recognized, evidence-based protocols for the
	484	+	20 provision of emergent stroke care. Hospital policies
	485	+	21 relating to emergent stroke care and stroke patient
	486	+	22 outcomes shall be reviewed at least annually, or more
	487	+	23 often as needed, by a hospital committee that oversees
	488	+	24 quality improvement. Adjustments shall be made as
	489	+	25 necessary to advance the quality of stroke care delivered.
	490	+	26 Criteria for Acute Stroke-Ready Hospital designation of
	491	+
	492	+
	493	+
	494	+
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	501	+	1 hospitals shall be limited to the ability of a hospital
	502	+	2 to:
	503	+	3 (A) create written acute care protocols related to
	504	+	4 emergent stroke care;
	505	+	5 (A-5) participate in the data collection system
	506	+	6 provided in Section 3.118, if available;
	507	+	7 (B) maintain a written transfer agreement with one
	508	+	8 or more hospitals that have neurosurgical expertise;
	509	+	9 (C) designate a Clinical Director of Stroke Care
	510	+	10 who shall be a clinical member of the hospital staff
	511	+	11 with training or experience, as defined by the
	512	+	12 facility, in the care of patients with cerebrovascular
	513	+	13 disease. This training or experience may include, but
	514	+	14 is not limited to, completion of a fellowship or other
	515	+	15 specialized training in the area of cerebrovascular
	516	+	16 disease, attendance at national courses, or prior
	517	+	17 experience in neuroscience intensive care units. The
	518	+	18 Clinical Director of Stroke Care may be a neurologist,
	519	+	19 neurosurgeon, emergency medicine physician, internist,
	520	+	20 radiologist, advanced practice registered nurse, or
	521	+	21 physician's assistant;
	522	+	22 (C-5) provide rapid access to an acute stroke
	523	+	23 team, as defined by the facility, that considers and
	524	+	24 reflects nationally recognized, evidence-based
	525	+	25 protocols or guidelines;
	526	+	26 (D) administer thrombolytic therapy, or
	527	+
	528	+
	529	+
	530	+
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	537	+	1 subsequently developed medical therapies that meet
	538	+	2 nationally recognized, evidence-based stroke
	539	+	3 guidelines;
	540	+	4 (E) conduct brain image tests at all times;
	541	+	5 (F) conduct blood coagulation studies at all
	542	+	6 times;
	543	+	7 (G) maintain a log of stroke patients, which shall
	544	+	8 be available for review upon request by the Department
	545	+	9 or any hospital that has a written transfer agreement
	546	+	10 with the Acute Stroke-Ready Hospital;
	547	+	11 (H) admit stroke patients to a unit that can
	548	+	12 provide appropriate care that considers and reflects
	549	+	13 nationally recognized, evidence-based protocols or
	550	+	14 guidelines or transfer stroke patients to an Acute
	551	+	15 Stroke-Ready Hospital, Primary Stroke Center, or
	552	+	16 Comprehensive Stroke Center, or another facility that
	553	+	17 can provide the appropriate care that considers and
	554	+	18 reflects nationally recognized, evidence-based
	555	+	19 protocols or guidelines; and
	556	+	20 (I) demonstrate compliance with nationally
	557	+	21 recognized quality indicators.
	558	+	22 (4) With respect to Acute Stroke-Ready Hospital
	559	+	23 designation, the Department shall have the authority and
	560	+	24 responsibility to do the following:
	561	+	25 (A) Require hospitals applying for Acute
	562	+	26 Stroke-Ready Hospital designation to attest, on a form
	563	+
	564	+
	565	+
	566	+
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	573	+	1 developed by the Department in consultation with the
	574	+	2 State Stroke Advisory Subcommittee, that the hospital
	575	+	3 meets, and will continue to meet, the criteria for an
	576	+	4 Acute Stroke-Ready Hospital.
	577	+	5 (A-5) Require hospitals applying for Acute
	578	+	6 Stroke-Ready Hospital designation via national Acute
	579	+	7 Stroke-Ready Hospital certification to provide proof
	580	+	8 of current Acute Stroke-Ready Hospital certification,
	581	+	9 in good standing.
	582	+	10 The Department shall require a hospital that is
	583	+	11 already certified as an Acute Stroke-Ready Hospital to
	584	+	12 send a copy of the Certificate to the Department.
	585	+	13 Within 30 business days of the Department's
	586	+	14 receipt of a hospital's Acute Stroke-Ready Certificate
	587	+	15 and Application for Stroke Center Designation form
	588	+	16 that indicates that the hospital is a certified Acute
	589	+	17 Stroke-Ready Hospital, in good standing, the hospital
	590	+	18 shall be deemed a State-designated Acute Stroke-Ready
	591	+	19 Hospital. The Department shall send a designation
	592	+	20 notice to each hospital that it designates as an Acute
	593	+	21 Stroke-Ready Hospital and shall add the names of
	594	+	22 designated Acute Stroke-Ready Hospitals to the website
	595	+	23 listing immediately upon designation. The Department
	596	+	24 shall immediately remove the name of a hospital from
	597	+	25 the website listing when a hospital loses its
	598	+	26 designation after notice and, if requested by the
	599	+
	600	+
	601	+
	602	+
	603	+
	604	+	HB2238 Enrolled - 17 - LRB103 30630 CPF 57082 b
	605	+
	606	+
	607	+	HB2238 Enrolled- 18 -LRB103 30630 CPF 57082 b HB2238 Enrolled - 18 - LRB103 30630 CPF 57082 b
	608	+	HB2238 Enrolled - 18 - LRB103 30630 CPF 57082 b
	609	+	1 hospital, a hearing.
	610	+	2 The Department shall develop an Application for
	611	+	3 Stroke Center Designation form that contains a
	612	+	4 statement that "The above named facility meets the
	613	+	5 requirements for Acute Stroke-Ready Hospital
	614	+	6 Designation as provided in Section 3.117 of the
	615	+	7 Emergency Medical Services (EMS) Systems Act" and
	616	+	8 shall instruct the applicant facility to provide: the
	617	+	9 hospital name and address; the hospital CEO or
	618	+	10 Administrator's typed name and signature; the hospital
	619	+	11 Clinical Director of Stroke Care's typed name and
	620	+	12 signature; and a contact person's typed name, email
	621	+	13 address, and phone number.
	622	+	14 The Application for Stroke Center Designation form
	623	+	15 shall contain a statement that instructs the hospital
	624	+	16 to "Provide proof of current Acute Stroke-Ready
	625	+	17 Hospital certification from a nationally recognized
	626	+	18 certifying body approved by the Department".
	627	+	19 (B) Designate a hospital as an Acute Stroke-Ready
	628	+	20 Hospital no more than 30 business days after receipt
	629	+	21 of an attestation that meets the requirements for
	630	+	22 attestation, unless the Department, within 30 days of
	631	+	23 receipt of the attestation, chooses to conduct an
	632	+	24 onsite survey prior to designation. If the Department
	633	+	25 chooses to conduct an onsite survey prior to
	634	+	26 designation, then the onsite survey shall be conducted
	635	+
	636	+
	637	+
	638	+
	639	+
	640	+	HB2238 Enrolled - 18 - LRB103 30630 CPF 57082 b
	641	+
	642	+
	643	+	HB2238 Enrolled- 19 -LRB103 30630 CPF 57082 b HB2238 Enrolled - 19 - LRB103 30630 CPF 57082 b
	644	+	HB2238 Enrolled - 19 - LRB103 30630 CPF 57082 b
	645	+	1 within 90 days of receipt of the attestation.
	646	+	2 (C) Require annual written attestation, on a form
	647	+	3 developed by the Department in consultation with the
	648	+	4 State Stroke Advisory Subcommittee, by Acute
	649	+	5 Stroke-Ready Hospitals to indicate compliance with
	650	+	6 Acute Stroke-Ready Hospital criteria, as described in
	651	+	7 this Section, and automatically renew Acute
	652	+	8 Stroke-Ready Hospital designation of the hospital.
	653	+	9 (D) Issue an Emergency Suspension of Acute
	654	+	10 Stroke-Ready Hospital designation when the Director,
	655	+	11 or his or her designee, has determined that the
	656	+	12 hospital no longer meets the Acute Stroke-Ready
	657	+	13 Hospital criteria and an immediate and serious danger
	658	+	14 to the public health, safety, and welfare exists. If
	659	+	15 the Acute Stroke-Ready Hospital fails to eliminate the
	660	+	16 violation immediately or within a fixed period of
	661	+	17 time, not exceeding 10 days, as determined by the
	662	+	18 Director, the Director may immediately revoke the
	663	+	19 Acute Stroke-Ready Hospital designation. The Acute
	664	+	20 Stroke-Ready Hospital may appeal the revocation within
	665	+	21 15 business days after receiving the Director's
	666	+	22 revocation order, by requesting an administrative
	667	+	23 hearing.
	668	+	24 (E) After notice and an opportunity for an
	669	+	25 administrative hearing, suspend, revoke, or refuse to
	670	+	26 renew an Acute Stroke-Ready Hospital designation, when
	671	+
	672	+
	673	+
	674	+
	675	+
	676	+	HB2238 Enrolled - 19 - LRB103 30630 CPF 57082 b
	677	+
	678	+
	679	+	HB2238 Enrolled- 20 -LRB103 30630 CPF 57082 b HB2238 Enrolled - 20 - LRB103 30630 CPF 57082 b
	680	+	HB2238 Enrolled - 20 - LRB103 30630 CPF 57082 b
	681	+	1 the Department finds the hospital is not in
	682	+	2 substantial compliance with current Acute Stroke-Ready
	683	+	3 Hospital criteria.
	684	+	4 (c) The Department shall consult with the State Stroke
	685	+	5 Advisory Subcommittee for developing the designation,
	686	+	6 re-designation, and de-designation processes for Comprehensive
	687	+	7 Stroke Centers, Thrombectomy Capable Stroke Centers,
	688	+	8 Thrombectomy Ready Stroke Centers, Primary Stroke Centers
	689	+	9 Plus, Primary Stroke Centers, and Acute Stroke-Ready
	690	+	10 Hospitals.
	691	+	11 (d) The Department shall consult with the State Stroke
	692	+	12 Advisory Subcommittee as subject matter experts at least
	693	+	13 annually regarding stroke standards of care.
	694	+	14 (Source: P.A. 102-687, eff. 12-17-21.)
	695	+	15 (210 ILCS 50/3.117.5)
	696	+	16 Sec. 3.117.5. Hospital Stroke Care; grants.
	697	+	17 (a) In order to encourage the establishment and retention
	698	+	18 of Comprehensive Stroke Centers, Thrombectomy Capable Stroke
	699	+	19 Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
	700	+	20 Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready
	701	+	21 Hospitals throughout the State, the Director may award,
	702	+	22 subject to appropriation, matching grants to hospitals to be
	703	+	23 used for the acquisition and maintenance of necessary
	704	+	24 infrastructure, including personnel, equipment, and
	705	+	25 pharmaceuticals for the diagnosis and treatment of acute
	706	+
	707	+
	708	+
	709	+
	710	+
	711	+	HB2238 Enrolled - 20 - LRB103 30630 CPF 57082 b
	712	+
	713	+
	714	+	HB2238 Enrolled- 21 -LRB103 30630 CPF 57082 b HB2238 Enrolled - 21 - LRB103 30630 CPF 57082 b
	715	+	HB2238 Enrolled - 21 - LRB103 30630 CPF 57082 b
	716	+	1 stroke patients. Grants may be used to pay the fee for
	717	+	2 certifications by Department approved nationally recognized
	718	+	3 certifying bodies or to provide additional training for
	719	+	4 directors of stroke care or for hospital staff.
	720	+	5 (b) The Director may award grant moneys to Comprehensive
	721	+	6 Stroke Centers, Thrombectomy Capable Stroke Centers,
	722	+	7 Thrombectomy Ready Stroke Centers, Primary Stroke Centers
	723	+	8 Plus, Primary Stroke Centers, and Acute Stroke-Ready Hospitals
	724	+	9 for developing or enlarging stroke networks, for stroke
	725	+	10 education, and to enhance the ability of the EMS System to
	726	+	11 respond to possible acute stroke patients.
	727	+	12 (c) A Comprehensive Stroke Center, Thrombectomy Capable
	728	+	13 Stroke Center, Thrombectomy Ready Stroke Center, Primary
	729	+	14 Stroke Center Plus, Primary Stroke Center, or Acute
	730	+	15 Stroke-Ready Hospital, or a hospital seeking certification as
	731	+	16 a Comprehensive Stroke Center, Thrombectomy Capable Stroke
	732	+	17 Center, Thrombectomy Ready Stroke Center, Primary Stroke
	733	+	18 Center Plus, Primary Stroke Center, or Acute Stroke-Ready
	734	+	19 Hospital or designation as an Acute Stroke-Ready Hospital, may
	735	+	20 apply to the Director for a matching grant in a manner and form
	736	+	21 specified by the Director and shall provide information as the
	737	+	22 Director deems necessary to determine whether the hospital is
	738	+	23 eligible for the grant.
	739	+	24 (d) Matching grant awards shall be made to Comprehensive
	740	+	25 Stroke Centers, Thrombectomy Capable Stroke Centers,
	741	+	26 Thrombectomy Ready Stroke Centers, Primary Stroke Centers
	742	+
	743	+
	744	+
	745	+
	746	+
	747	+	HB2238 Enrolled - 21 - LRB103 30630 CPF 57082 b
	748	+
	749	+
	750	+	HB2238 Enrolled- 22 -LRB103 30630 CPF 57082 b HB2238 Enrolled - 22 - LRB103 30630 CPF 57082 b
	751	+	HB2238 Enrolled - 22 - LRB103 30630 CPF 57082 b
	752	+	1 Plus, Primary Stroke Centers, Acute Stroke-Ready Hospitals, or
	753	+	2 hospitals seeking certification or designation as a
	754	+	3 Comprehensive Stroke Center, Thrombectomy Capable Stroke
	755	+	4 Center, Thrombectomy Ready Stroke Center, Primary Stroke
	756	+	5 Center Plus, Primary Stroke Center, or Acute Stroke-Ready
	757	+	6 Hospital. The Department may consider prioritizing grant
	758	+	7 awards to hospitals in areas with the highest incidence of
	759	+	8 stroke, taking into account geographic diversity, where
	760	+	9 possible.
	761	+	10 (Source: P.A. 102-687, eff. 12-17-21.)
	762	+	11 (210 ILCS 50/3.118)
	763	+	12 Sec. 3.118. Reporting.
	764	+	13 (a) The Director shall, not later than July 1, 2012,
	765	+	14 prepare and submit to the Governor and the General Assembly a
	766	+	15 report indicating the total number of hospitals that have
	767	+	16 applied for grants, the project for which the application was
	768	+	17 submitted, the number of those applicants that have been found
	769	+	18 eligible for the grants, the total number of grants awarded,
	770	+	19 the name and address of each grantee, and the amount of the
	771	+	20 award issued to each grantee.
	772	+	21 (b) By July 1, 2010, the Director shall send the list of
	773	+	22 designated Comprehensive Stroke Centers, Thrombectomy Capable
	774	+	23 Stroke Centers, Thrombectomy Ready Stroke Centers, Primary
	775	+	24 Stroke Centers Plus, Primary Stroke Centers, and Acute
	776	+	25 Stroke-Ready Hospitals to all Resource Hospital EMS Medical
	777	+
	778	+
	779	+
	780	+
	781	+
	782	+	HB2238 Enrolled - 22 - LRB103 30630 CPF 57082 b
	783	+
	784	+
	785	+	HB2238 Enrolled- 23 -LRB103 30630 CPF 57082 b HB2238 Enrolled - 23 - LRB103 30630 CPF 57082 b
	786	+	HB2238 Enrolled - 23 - LRB103 30630 CPF 57082 b
	787	+	1 Directors in this State and shall post a list of designated
	788	+	2 Comprehensive Stroke Centers, Thrombectomy Capable Stroke
	789	+	3 Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
	790	+	4 Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready
	791	+	5 Hospitals on the Department's website, which shall be
	792	+	6 continuously updated.
	793	+	7 (c) The Department shall add the names of designated
	794	+	8 Comprehensive Stroke Centers, Thrombectomy Capable Stroke
	795	+	9 Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
	796	+	10 Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready
	797	+	11 Hospitals to the website listing immediately upon designation
	798	+	12 and shall immediately remove the name when a hospital loses
	799	+	13 its designation after notice and a hearing.
	800	+	14 (d) Stroke data collection systems and all stroke-related
	801	+	15 data collected from hospitals shall comply with the following
	802	+	16 requirements:
	803	+	17 (1) The confidentiality of patient records shall be
	804	+	18 maintained in accordance with State and federal laws.
	805	+	19 (2) Hospital proprietary information and the names of
	806	+	20 any hospital administrator, health care professional, or
	807	+	21 employee shall not be subject to disclosure.
	808	+	22 (3) Information submitted to the Department shall be
	809	+	23 privileged and strictly confidential and shall be used
	810	+	24 only for the evaluation and improvement of hospital stroke
	811	+	25 care. Stroke data collected by the Department shall not be
	812	+	26 directly available to the public and shall not be subject
	813	+
	814	+
	815	+
	816	+
	817	+
	818	+	HB2238 Enrolled - 23 - LRB103 30630 CPF 57082 b
	819	+
	820	+
	821	+	HB2238 Enrolled- 24 -LRB103 30630 CPF 57082 b HB2238 Enrolled - 24 - LRB103 30630 CPF 57082 b
	822	+	HB2238 Enrolled - 24 - LRB103 30630 CPF 57082 b
	823	+	1 to civil subpoena, nor discoverable or admissible in any
	824	+	2 civil, criminal, or administrative proceeding against a
	825	+	3 health care facility or health care professional.
	826	+	4 (e) The Department may administer a data collection system
	827	+	5 to collect data that is already reported by designated
	828	+	6 Comprehensive Stroke Centers, Thrombectomy Capable Stroke
	829	+	7 Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
	830	+	8 Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready
	831	+	9 Hospitals to their certifying body, to fulfill certification
	832	+	10 requirements. Comprehensive Stroke Centers, Thrombectomy
	833	+	11 Capable Stroke Centers, Thrombectomy Ready Stroke Centers,
	834	+	12 Primary Stroke Centers Plus, Primary Stroke Centers, and Acute
	835	+	13 Stroke-Ready Hospitals may provide data used in submission to
	836	+	14 their certifying body, to satisfy any Department reporting
	837	+	15 requirements. The Department may require submission of data
	838	+	16 elements in a format that is used State-wide. In the event the
	839	+	17 Department establishes reporting requirements for designated
	840	+	18 Comprehensive Stroke Centers, Thrombectomy Capable Stroke
	841	+	19 Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
	842	+	20 Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready
	843	+	21 Hospitals, the Department shall permit each designated
	844	+	22 Comprehensive Stroke Center, Thrombectomy Capable Stroke
	845	+	23 Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
	846	+	24 Centers Plus, Primary Stroke Center, or Acute Stroke-Ready
	847	+	25 Hospital to capture information using existing electronic
	848	+	26 reporting tools used for certification purposes. Nothing in
	849	+
	850	+
	851	+
	852	+
	853	+
	854	+	HB2238 Enrolled - 24 - LRB103 30630 CPF 57082 b
	855	+
	856	+
	857	+	HB2238 Enrolled- 25 -LRB103 30630 CPF 57082 b HB2238 Enrolled - 25 - LRB103 30630 CPF 57082 b
	858	+	HB2238 Enrolled - 25 - LRB103 30630 CPF 57082 b
	859	+	1 this Section shall be construed to empower the Department to
	860	+	2 specify the form of internal recordkeeping. Three years from
	861	+	3 the effective date of this amendatory Act of the 96th General
	862	+	4 Assembly, the Department may post stroke data submitted by
	863	+	5 Comprehensive Stroke Centers, Thrombectomy Capable Stroke
	864	+	6 Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
	865	+	7 Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready
	866	+	8 Hospitals on its website, subject to the following:
	867	+	9 (1) Data collection and analytical methodologies shall
	868	+	10 be used that meet accepted standards of validity and
	869	+	11 reliability before any information is made available to
	870	+	12 the public.
	871	+	13 (2) The limitations of the data sources and analytic
	872	+	14 methodologies used to develop comparative hospital
	873	+	15 information shall be clearly identified and acknowledged,
	874	+	16 including, but not limited to, the appropriate and
	875	+	17 inappropriate uses of the data.
	876	+	18 (3) To the greatest extent possible, comparative
	877	+	19 hospital information initiatives shall use standard-based
	878	+	20 norms derived from widely accepted provider-developed
	879	+	21 practice guidelines.
	880	+	22 (4) Comparative hospital information and other
	881	+	23 information that the Department has compiled regarding
	882	+	24 hospitals shall be shared with the hospitals under review
	883	+	25 prior to public dissemination of the information.
	884	+	26 Hospitals have 30 days to make corrections and to add
	885	+
	886	+
	887	+
	888	+
	889	+
	890	+	HB2238 Enrolled - 25 - LRB103 30630 CPF 57082 b
	891	+
	892	+
	893	+	HB2238 Enrolled- 26 -LRB103 30630 CPF 57082 b HB2238 Enrolled - 26 - LRB103 30630 CPF 57082 b
	894	+	HB2238 Enrolled - 26 - LRB103 30630 CPF 57082 b
	895	+	1 helpful explanatory comments about the information before
	896	+	2 the publication.
	897	+	3 (5) Comparisons among hospitals shall adjust for
	898	+	4 patient case mix and other relevant risk factors and
	899	+	5 control for provider peer groups, when appropriate.
	900	+	6 (6) Effective safeguards to protect against the
	901	+	7 unauthorized use or disclosure of hospital information
	902	+	8 shall be developed and implemented.
	903	+	9 (7) Effective safeguards to protect against the
	904	+	10 dissemination of inconsistent, incomplete, invalid,
	905	+	11 inaccurate, or subjective hospital data shall be developed
	906	+	12 and implemented.
	907	+	13 (8) The quality and accuracy of hospital information
	908	+	14 reported under this Act and its data collection, analysis,
	909	+	15 and dissemination methodologies shall be evaluated
	910	+	16 regularly.
	911	+	17 (9) None of the information the Department discloses
	912	+	18 to the public under this Act may be used to establish a
	913	+	19 standard of care in a private civil action.
	914	+	20 (10) The Department shall disclose information under
	915	+	21 this Section in accordance with provisions for inspection
	916	+	22 and copying of public records required by the Freedom of
	917	+	23 Information Act, provided that the information satisfies
	918	+	24 the provisions of this Section.
	919	+	25 (11) Notwithstanding any other provision of law, under
	920	+	26 no circumstances shall the Department disclose information
	921	+
	922	+
	923	+
	924	+
	925	+
	926	+	HB2238 Enrolled - 26 - LRB103 30630 CPF 57082 b
	927	+
	928	+
	929	+	HB2238 Enrolled- 27 -LRB103 30630 CPF 57082 b HB2238 Enrolled - 27 - LRB103 30630 CPF 57082 b
	930	+	HB2238 Enrolled - 27 - LRB103 30630 CPF 57082 b
	931	+	1 obtained from a hospital that is confidential under Part
	932	+	2 21 of Article VIII of the Code of Civil Procedure.
	933	+	3 (12) No hospital report or Department disclosure may
	934	+	4 contain information identifying a patient, employee, or
	935	+	5 licensed professional.
	936	+	6 (Source: P.A. 98-1001, eff. 1-1-15.)
	937	+	7 (210 ILCS 50/3.118.5)
	938	+	8 Sec. 3.118.5. State Stroke Advisory Subcommittee; triage
	939	+	9 and transport of possible acute stroke patients.
	940	+	10 (a) There shall be established within the State Emergency
	941	+	11 Medical Services Advisory Council, or other statewide body
	942	+	12 responsible for emergency health care, a standing State Stroke
	943	+	13 Advisory Subcommittee, which shall serve as an advisory body
	944	+	14 to the Council and the Department on matters related to the
	945	+	15 triage, treatment, and transport of possible acute stroke
	946	+	16 patients. Membership on the Committee shall be as
	947	+	17 geographically diverse as possible and include one
	948	+	18 representative from each Regional Stroke Advisory
	949	+	19 Subcommittee, to be chosen by each Regional Stroke Advisory
	950	+	20 Subcommittee. The Director shall appoint additional members,
	951	+	21 as needed, to ensure there is adequate representation from the
	952	+	22 following:
	953	+	23 (1) an EMS Medical Director;
	954	+	24 (2) a hospital administrator, or designee, from a
	955	+	25 Comprehensive Stroke Center;
	956	+
	957	+
	958	+
	959	+
	960	+
	961	+	HB2238 Enrolled - 27 - LRB103 30630 CPF 57082 b
	962	+
	963	+
	964	+	HB2238 Enrolled- 28 -LRB103 30630 CPF 57082 b HB2238 Enrolled - 28 - LRB103 30630 CPF 57082 b
	965	+	HB2238 Enrolled - 28 - LRB103 30630 CPF 57082 b
	966	+	1 (2.5) a hospital administrator, or designee, from a
	967	+	2 Thrombectomy Capable Stroke Center, Thrombectomy Ready
	968	+	3 Stroke Center, or Primary Stroke Center Plus;
	969	+	4 (3) a hospital administrator, or designee, from a
	970	+	5 Primary Stroke Center;
	971	+	6 (3.5) a hospital administrator, or designee, from an
	972	+	7 Acute Stroke-Ready Hospital;
	973	+	8 (3.10) a registered nurse from a Comprehensive Stroke
	974	+	9 Center;
	975	+	10 (3.15) a registered nurse from a Thrombectomy Capable
	976	+	11 Stroke Center, Thrombectomy Ready Stroke Center, or
	977	+	12 Primary Stroke Center Plus;
	978	+	13 (4) a registered nurse from a Primary Stroke Center;
	979	+	14 (5) a registered nurse from an Acute Stroke-Ready
	980	+	15 Hospital;
	981	+	16 (5.5) a physician providing advanced stroke care from
	982	+	17 a Comprehensive Stroke center;
	983	+	18 (5.10) a physician providing stroke care from a
	984	+	19 Thrombectomy Capable Stroke Center, Thrombectomy Ready
	985	+	20 Stroke Center, or Primary Stroke Center Plus;
	986	+	21 (6) a physician providing stroke care from a Primary
	987	+	22 Stroke Center;
	988	+	23 (7) a physician providing stroke care from an Acute
	989	+	24 Stroke-Ready Hospital;
	990	+	25 (8) an EMS Coordinator;
	991	+	26 (9) an acute stroke patient advocate;
	992	+
	993	+
	994	+
	995	+
	996	+
	997	+	HB2238 Enrolled - 28 - LRB103 30630 CPF 57082 b
	998	+
	999	+
	1000	+	HB2238 Enrolled- 29 -LRB103 30630 CPF 57082 b HB2238 Enrolled - 29 - LRB103 30630 CPF 57082 b
	1001	+	HB2238 Enrolled - 29 - LRB103 30630 CPF 57082 b
	1002	+	1 (10) a fire chief, or designee, from an EMS Region
	1003	+	2 that serves a population of over 2,000,000 people;
	1004	+	3 (11) a fire chief, or designee, from a rural EMS
	1005	+	4 Region;
	1006	+	5 (12) a representative from a private ambulance
	1007	+	6 provider;
	1008	+	7 (12.5) a representative from a municipal EMS provider;
	1009	+	8 and
	1010	+	9 (13) a representative from the State Emergency Medical
	1011	+	10 Services Advisory Council.
	1012	+	11 (b) Of the members first appointed, 9 members shall be
	1013	+	12 appointed for a term of one year, 9 members shall be appointed
	1014	+	13 for a term of 2 years, and the remaining members shall be
	1015	+	14 appointed for a term of 3 years. The terms of subsequent
	1016	+	15 appointees shall be 3 years.
	1017	+	16 (c) The State Stroke Advisory Subcommittee shall be
	1018	+	17 provided a 90-day period in which to review and comment upon
	1019	+	18 all rules proposed by the Department pursuant to this Act
	1020	+	19 concerning stroke care, except for emergency rules adopted
	1021	+	20 pursuant to Section 5-45 of the Illinois Administrative
	1022	+	21 Procedure Act. The 90-day review and comment period shall
	1023	+	22 commence prior to publication of the proposed rules and upon
	1024	+	23 the Department's submission of the proposed rules to the
	1025	+	24 individual Committee members, if the Committee is not meeting
	1026	+	25 at the time the proposed rules are ready for Committee review.
	1027	+	26 (d) The State Stroke Advisory Subcommittee shall develop
	1028	+
	1029	+
	1030	+
	1031	+
	1032	+
	1033	+	HB2238 Enrolled - 29 - LRB103 30630 CPF 57082 b
	1034	+
	1035	+
	1036	+	HB2238 Enrolled- 30 -LRB103 30630 CPF 57082 b HB2238 Enrolled - 30 - LRB103 30630 CPF 57082 b
	1037	+	HB2238 Enrolled - 30 - LRB103 30630 CPF 57082 b
	1038	+	1 and submit an evidence-based statewide stroke assessment tool
	1039	+	2 to clinically evaluate potential stroke patients to the
	1040	+	3 Department for final approval. Upon approval, the Department
	1041	+	4 shall disseminate the tool to all EMS Systems for adoption.
	1042	+	5 The Director shall post the Department-approved stroke
	1043	+	6 assessment tool on the Department's website. The State Stroke
	1044	+	7 Advisory Subcommittee shall review the Department-approved
	1045	+	8 stroke assessment tool at least annually to ensure its
	1046	+	9 clinical relevancy and to make changes when clinically
	1047	+	10 warranted.
	1048	+	11 (d-5) Each EMS Regional Stroke Advisory Subcommittee shall
	1049	+	12 submit recommendations for continuing education for
	1050	+	13 pre-hospital personnel to that Region's EMS Medical Directors
	1051	+	14 Committee.
	1052	+	15 (e) Nothing in this Section shall preclude the State
	1053	+	16 Stroke Advisory Subcommittee from reviewing and commenting on
	1054	+	17 proposed rules which fall under the purview of the State
	1055	+	18 Emergency Medical Services Advisory Council. Nothing in this
	1056	+	19 Section shall preclude the Emergency Medical Services Advisory
	1057	+	20 Council from reviewing and commenting on proposed rules which
	1058	+	21 fall under the purview of the State Stroke Advisory
	1059	+	22 Subcommittee.
	1060	+	23 (f) The Director shall coordinate with and assist the EMS
	1061	+	24 System Medical Directors and Regional Stroke Advisory
	1062	+	25 Subcommittee within each EMS Region to establish protocols
	1063	+	26 related to the assessment, treatment, and transport of
	1064	+
	1065	+
	1066	+
	1067	+
	1068	+
	1069	+	HB2238 Enrolled - 30 - LRB103 30630 CPF 57082 b
	1070	+
	1071	+
	1072	+	HB2238 Enrolled- 31 -LRB103 30630 CPF 57082 b HB2238 Enrolled - 31 - LRB103 30630 CPF 57082 b
	1073	+	HB2238 Enrolled - 31 - LRB103 30630 CPF 57082 b
	1074	+	1 possible acute stroke patients by licensed emergency medical
	1075	+	2 services providers. These protocols shall include regional
	1076	+	3 transport plans for the triage and transport of possible acute
	1077	+	4 stroke patients to the most appropriate Comprehensive Stroke
	1078	+	5 Center, Thrombectomy Capable Stroke Center, Thrombectomy Ready
	1079	+	6 Stroke Center, Primary Stroke Center Plus, Primary Stroke
	1080	+	7 Center, or Acute Stroke-Ready Hospital, unless circumstances
	1081	+	8 warrant otherwise.
	1082	+	9 (Source: P.A. 98-1001, eff. 1-1-15.)
	1083	+	10 (210 ILCS 50/3.119)
	1084	+	11 Sec. 3.119. Stroke Care; restricted practices. Sections in
	1085	+	12 this Act pertaining to Comprehensive Stroke Centers,
	1086	+	13 Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke
	1087	+	14 Centers, Primary Stroke Centers Plus, Primary Stroke Centers,
	1088	+	15 and Acute Stroke-Ready Hospitals are not medical practice
	1089	+	16 guidelines and shall not be used to restrict the authority of a
	1090	+	17 hospital to provide services for which it has received a
	1091	+	18 license under State law.
	1092	+	19 (Source: P.A. 98-1001, eff. 1-1-15.)
	1093	+	20 (210 ILCS 50/3.226)
	1094	+	21 Sec. 3.226. Hospital Stroke Care Fund.
	1095	+	22 (a) The Hospital Stroke Care Fund is created as a special
	1096	+	23 fund in the State treasury for the purpose of receiving
	1097	+	24 appropriations, donations, and grants collected by the
	1098	+
	1099	+
	1100	+
	1101	+
	1102	+
	1103	+	HB2238 Enrolled - 31 - LRB103 30630 CPF 57082 b
	1104	+
	1105	+
	1106	+	HB2238 Enrolled- 32 -LRB103 30630 CPF 57082 b HB2238 Enrolled - 32 - LRB103 30630 CPF 57082 b
	1107	+	HB2238 Enrolled - 32 - LRB103 30630 CPF 57082 b
	1108	+	1 Illinois Department of Public Health pursuant to Department
	1109	+	2 designation of Comprehensive Stroke Centers, Thrombectomy
	1110	+	3 Capable Stroke Centers, Thrombectomy Ready Stroke Centers,
	1111	+	4 Primary Stroke Centers Plus, Primary Stroke Centers, and Acute
	1112	+	5 Stroke-Ready Hospitals. All moneys collected by the Department
	1113	+	6 pursuant to its authority to designate Comprehensive Stroke
	1114	+	7 Centers, Thrombectomy Capable Stroke Centers, Thrombectomy
	1115	+	8 Ready Stroke Centers, Primary Stroke Centers Plus, Primary
	1116	+	9 Stroke Centers, and Acute Stroke-Ready Hospitals shall be
	1117	+	10 deposited into the Fund, to be used for the purposes in
	1118	+	11 subsection (b).
	1119	+	12 (b) The purpose of the Fund is to allow the Director of the
	1120	+	13 Department to award matching grants:
	1121	+	14 (1) to hospitals that have been certified as
	1122	+	15 Comprehensive Stroke Centers, Thrombectomy Capable Stroke
	1123	+	16 Centers, Thrombectomy Ready Stroke Centers, Primary Stroke
	1124	+	17 Centers Plus, Primary Stroke Centers, or Acute
	1125	+	18 Stroke-Ready Hospitals;
	1126	+	19 (2) to hospitals that seek certification or
	1127	+	20 designation or both as Comprehensive Stroke Centers,
	1128	+	21 Thrombectomy Capable Stroke Centers, Thrombectomy Ready
	1129	+	22 Stroke Centers, Primary Stroke Centers Plus, Primary
	1130	+	23 Stroke Centers, or Acute Stroke-Ready Hospitals;
	1131	+	24 (3) to hospitals that have been designated Acute
	1132	+	25 Stroke-Ready Hospitals;
	1133	+	26 (4) to hospitals that seek designation as Acute
	1134	+
	1135	+
	1136	+
	1137	+
	1138	+
	1139	+	HB2238 Enrolled - 32 - LRB103 30630 CPF 57082 b
	1140	+
	1141	+
	1142	+	HB2238 Enrolled- 33 -LRB103 30630 CPF 57082 b HB2238 Enrolled - 33 - LRB103 30630 CPF 57082 b
	1143	+	HB2238 Enrolled - 33 - LRB103 30630 CPF 57082 b
	1144	+	1 Stroke-Ready Hospitals; and
	1145	+	2 (5) for the development of stroke networks.
	1146	+	3 Hospitals may use grant funds to work with the EMS System
	1147	+	4 to improve outcomes of possible acute stroke patients.
	1148	+	5 (c) Moneys deposited in the Hospital Stroke Care Fund
	1149	+	6 shall be allocated according to the hospital needs within each
	1150	+	7 EMS region and used solely for the purposes described in this
	1151	+	8 Act.
	1152	+	9 (d) Interfund transfers from the Hospital Stroke Care Fund
	1153	+	10 shall be prohibited.
	1154	+	11 (Source: P.A. 98-1001, eff. 1-1-15.)
	1155	+
	1156	+
	1157	+
	1158	+
	1159	+
	1160	+	HB2238 Enrolled - 33 - LRB103 30630 CPF 57082 b