103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3503 Introduced , by Rep. William E Hauter SYNOPSIS AS INTRODUCED: 410 ILCS 50/3.2 from Ch. 111 1/2, par. 5403.2 Amends the Medical Patient Rights Act. Provides that, during a period for which the Governor has issued a proclamation under the Illinois Emergency Management Agency Act declaring that a disaster exists or in the event of an outbreak or epidemic of a communicable disease in the community in which the emergency department is located, an emergency department shall ensure an opportunity for at least one medical advocate to be present with a patient for the purposes of communication, care, consent, and advocacy on the patient's behalf. Requires the medical advocate's presence to be subject to the guidelines, conditions, and limitations of the emergency department's policies and any rules or guidelines established by the U.S. Centers for Medicare and Medicaid Services and the Centers for Disease Control and Prevention. Provides that medical advocates may be required by the emergency department to submit to health screenings necessary to prevent the spread of infectious disease. Allows emergency departments to (i) restrict facility access to a medical advocate who does not pass the emergency department's health screening requirement, (ii) require a medical advocate to adhere to infection control procedures, and (iii) deny a medical advocate's request to be present with a patient under the Act if it would endanger the physical health or safety of the patient, the medical advocate, or health care workers or would otherwise create a risk to public health or safety. Defines "medical advocate". LRB103 25522 CPF 51871 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3503 Introduced , by Rep. William E Hauter SYNOPSIS AS INTRODUCED: 410 ILCS 50/3.2 from Ch. 111 1/2, par. 5403.2 410 ILCS 50/3.2 from Ch. 111 1/2, par. 5403.2 Amends the Medical Patient Rights Act. Provides that, during a period for which the Governor has issued a proclamation under the Illinois Emergency Management Agency Act declaring that a disaster exists or in the event of an outbreak or epidemic of a communicable disease in the community in which the emergency department is located, an emergency department shall ensure an opportunity for at least one medical advocate to be present with a patient for the purposes of communication, care, consent, and advocacy on the patient's behalf. Requires the medical advocate's presence to be subject to the guidelines, conditions, and limitations of the emergency department's policies and any rules or guidelines established by the U.S. Centers for Medicare and Medicaid Services and the Centers for Disease Control and Prevention. Provides that medical advocates may be required by the emergency department to submit to health screenings necessary to prevent the spread of infectious disease. Allows emergency departments to (i) restrict facility access to a medical advocate who does not pass the emergency department's health screening requirement, (ii) require a medical advocate to adhere to infection control procedures, and (iii) deny a medical advocate's request to be present with a patient under the Act if it would endanger the physical health or safety of the patient, the medical advocate, or health care workers or would otherwise create a risk to public health or safety. Defines "medical advocate". LRB103 25522 CPF 51871 b LRB103 25522 CPF 51871 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3503 Introduced , by Rep. William E Hauter SYNOPSIS AS INTRODUCED: 410 ILCS 50/3.2 from Ch. 111 1/2, par. 5403.2 410 ILCS 50/3.2 from Ch. 111 1/2, par. 5403.2 410 ILCS 50/3.2 from Ch. 111 1/2, par. 5403.2 Amends the Medical Patient Rights Act. Provides that, during a period for which the Governor has issued a proclamation under the Illinois Emergency Management Agency Act declaring that a disaster exists or in the event of an outbreak or epidemic of a communicable disease in the community in which the emergency department is located, an emergency department shall ensure an opportunity for at least one medical advocate to be present with a patient for the purposes of communication, care, consent, and advocacy on the patient's behalf. Requires the medical advocate's presence to be subject to the guidelines, conditions, and limitations of the emergency department's policies and any rules or guidelines established by the U.S. Centers for Medicare and Medicaid Services and the Centers for Disease Control and Prevention. Provides that medical advocates may be required by the emergency department to submit to health screenings necessary to prevent the spread of infectious disease. Allows emergency departments to (i) restrict facility access to a medical advocate who does not pass the emergency department's health screening requirement, (ii) require a medical advocate to adhere to infection control procedures, and (iii) deny a medical advocate's request to be present with a patient under the Act if it would endanger the physical health or safety of the patient, the medical advocate, or health care workers or would otherwise create a risk to public health or safety. Defines "medical advocate". LRB103 25522 CPF 51871 b LRB103 25522 CPF 51871 b LRB103 25522 CPF 51871 b A BILL FOR HB3503LRB103 25522 CPF 51871 b HB3503 LRB103 25522 CPF 51871 b HB3503 LRB103 25522 CPF 51871 b 1 AN ACT concerning health. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Medical Patient Rights Act is amended by 5 changing Section 3.2 as follows: 6 (410 ILCS 50/3.2) (from Ch. 111 1/2, par. 5403.2) 7 Sec. 3.2. Visitation rights, policies, and procedures. 8 (a) Every health care facility in this State shall permit 9 visitation by any person or persons designated by a patient 10 who is 18 years of age or older and who is allowed rights of 11 visitation unless (1) the facility does not allow any 12 visitation for a patient or patients, or (2) the facility or 13 the patient's physician determines that visitation would 14 endanger the physical health or safety of a patient or 15 visitor, or would interfere with the operations of the 16 facility. 17 (a-5) Notwithstanding subsection (a), during a period for 18 which the Governor has issued a proclamation under Section 7 19 of the Illinois Emergency Management Agency Act declaring that 20 a disaster exists or in the event of an outbreak or epidemic of 21 a communicable disease in the community in which the health 22 care facility is located, a health care facility shall ensure 23 an opportunity for at least one visitor to visit a resident or 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB3503 Introduced , by Rep. William E Hauter SYNOPSIS AS INTRODUCED: 410 ILCS 50/3.2 from Ch. 111 1/2, par. 5403.2 410 ILCS 50/3.2 from Ch. 111 1/2, par. 5403.2 410 ILCS 50/3.2 from Ch. 111 1/2, par. 5403.2 Amends the Medical Patient Rights Act. Provides that, during a period for which the Governor has issued a proclamation under the Illinois Emergency Management Agency Act declaring that a disaster exists or in the event of an outbreak or epidemic of a communicable disease in the community in which the emergency department is located, an emergency department shall ensure an opportunity for at least one medical advocate to be present with a patient for the purposes of communication, care, consent, and advocacy on the patient's behalf. Requires the medical advocate's presence to be subject to the guidelines, conditions, and limitations of the emergency department's policies and any rules or guidelines established by the U.S. Centers for Medicare and Medicaid Services and the Centers for Disease Control and Prevention. Provides that medical advocates may be required by the emergency department to submit to health screenings necessary to prevent the spread of infectious disease. Allows emergency departments to (i) restrict facility access to a medical advocate who does not pass the emergency department's health screening requirement, (ii) require a medical advocate to adhere to infection control procedures, and (iii) deny a medical advocate's request to be present with a patient under the Act if it would endanger the physical health or safety of the patient, the medical advocate, or health care workers or would otherwise create a risk to public health or safety. Defines "medical advocate". LRB103 25522 CPF 51871 b LRB103 25522 CPF 51871 b LRB103 25522 CPF 51871 b A BILL FOR 410 ILCS 50/3.2 from Ch. 111 1/2, par. 5403.2 LRB103 25522 CPF 51871 b HB3503 LRB103 25522 CPF 51871 b HB3503- 2 -LRB103 25522 CPF 51871 b HB3503 - 2 - LRB103 25522 CPF 51871 b HB3503 - 2 - LRB103 25522 CPF 51871 b 1 patient of the health care facility. A health care facility 2 shall not count a clergy member toward any limit on the number 3 of visitors permitted to visit a resident or patient at one 4 time and shall permit a clergy member to visit with a resident 5 or patient in addition to the permitted number of visitors. 6 Visitation shall be subject to the guidelines, conditions, and 7 limitations of the health care facility's visitation policy 8 and any rules or guidelines established by the U.S. Centers 9 for Medicare and Medicaid Services and the Centers for Disease 10 Control and Prevention. 11 Visitors under this subsection may be required by the 12 health care facility to submit to health screenings necessary 13 to prevent the spread of infectious disease. A health care 14 facility may restrict facility access to a visitor who does 15 not pass its health screening requirement. A health care 16 facility may require a visitor to adhere to infection control 17 procedures, including wearing personal protective equipment. A 18 health care facility may deny visitation under this Act if 19 visitation would endanger the physical health or safety of a 20 patient, the visitor, or health care workers or would 21 otherwise create a public health or safety problem. 22 (a-10) Notwithstanding subsection (a), a skilled nursing 23 home, extended care facility, or intermediate care facility 24 may prohibit an individual from visiting a resident or patient 25 of the nursing home or facility if specific facts demonstrate 26 that the individual would endanger his or her physical health HB3503 - 2 - LRB103 25522 CPF 51871 b HB3503- 3 -LRB103 25522 CPF 51871 b HB3503 - 3 - LRB103 25522 CPF 51871 b HB3503 - 3 - LRB103 25522 CPF 51871 b 1 or safety or the health or safety of a resident, patient, or 2 health care worker of the nursing home or facility. Any denial 3 of visitation under this subsection (a-10) shall be in writing 4 and shall be provided to the individual and the resident or 5 patient with whom the individual was denied visitation. 6 (a-15) Each skilled nursing home, extended care facility, 7 and intermediate care facility shall: 8 (1) inform each resident of the nursing home or 9 facility (or that individual's representative) of the 10 resident's visitation rights and the nursing home or 11 facility's visitation-related policies and procedures, 12 including any clinical or safety-related restriction or 13 limitation on visitation rights, the reasons for the 14 restriction or limitation, and the persons to whom the 15 restriction or limitation may apply; 16 (2) inform each resident of the resident's right: 17 (A) to consent to receive designated visitors, 18 such as a spouse, including, without limitation, a 19 same-sex spouse; a domestic partner, including, 20 without limitation, a same-sex domestic partner; 21 another family member; or a friend; and 22 (B) to withdraw or deny that consent at any time; 23 (3) not restrict, limit, or otherwise deny visitation 24 privileges on the basis of race, color, national origin, 25 religion, sex, gender identity, sexual orientation, or 26 disability; and HB3503 - 3 - LRB103 25522 CPF 51871 b HB3503- 4 -LRB103 25522 CPF 51871 b HB3503 - 4 - LRB103 25522 CPF 51871 b HB3503 - 4 - LRB103 25522 CPF 51871 b 1 (4) ensure that all of the resident's visitors enjoy 2 full and equal visitation privileges, consistent with the 3 resident's preferences. 4 (a-20) Notwithstanding subsection (a), during a period for 5 which the Governor has issued a proclamation under Section 7 6 of the Illinois Emergency Management Agency Act declaring that 7 a disaster exists or in the event of an outbreak or epidemic of 8 a communicable disease in the community in which the emergency 9 department is located, an emergency department shall ensure an 10 opportunity for at least one medical advocate to be present 11 with a patient for the purposes of communication, care, 12 consent, and advocacy on the patient's behalf. The medical 13 advocate's presence shall be subject to the guidelines, 14 conditions, and limitations of the emergency department's 15 policies and any rules or guidelines established by the U.S. 16 Centers for Medicare and Medicaid Services and the Centers for 17 Disease Control and Prevention. Medical advocates under this 18 subsection may be required by the emergency department to 19 submit to health screenings necessary to prevent the spread of 20 infectious disease. An emergency department may restrict 21 facility access to a medical advocate who does not pass the 22 emergency department's health screening requirement. An 23 emergency department may require a medical advocate to adhere 24 to infection control procedures, including, but not limited 25 to, wearing personal protective equipment. An emergency 26 department may deny a medical advocate's request to be present HB3503 - 4 - LRB103 25522 CPF 51871 b HB3503- 5 -LRB103 25522 CPF 51871 b HB3503 - 5 - LRB103 25522 CPF 51871 b HB3503 - 5 - LRB103 25522 CPF 51871 b 1 with a patient under this Act if it would endanger the physical 2 health or safety of the patient, the medical advocate, or 3 health care workers or would otherwise create a risk to public 4 health or safety. In this subsection, "medical advocate" means 5 a patient's health care power of attorney, a person who 6 arrived at the emergency department with the patient, or any 7 other person who can demonstrate that he or she has knowledge 8 of the patient's medical condition or is otherwise authorized 9 to make health care decisions for the patient. 10 (b) Except as provided in subsection (a-5), nothing in 11 this Section shall be construed to further limit or restrict 12 the right of visitation provided by other provisions of law or 13 to restrict the ability of a health care facility to regulate 14 hours of visitation, the number of visitors per patient, or 15 the movement of visitors within the health care facility. 16 (c) For the purposes of this Section a "health care 17 facility" does not include a developmental disability 18 facility, a mental health facility or a mental health center. 19 (Source: P.A. 102-989, eff. 5-27-22.) HB3503 - 5 - LRB103 25522 CPF 51871 b