Illinois 2023-2024 Regular Session

Illinois House Bill HB4274 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	HB4274 EngrossedLRB103 35300 CES 65342 b HB4274 Engrossed LRB103 35300 CES 65342 b
2		-	HB4274 Engrossed LRB103 35300 CES 65342 b
	1	+	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB4274 Introduced , by Rep. Dan Swanson SYNOPSIS AS INTRODUCED: 105 ILCS 5/22-100 new Amends the School Code. Provides that a school nurse or other designated person employed by a school district shall remove a tick from a student in accordance with guidelines issued by the Department of Public Health. After the tick has been removed, requires (i) the school nurse or other designated person to notify the parent or guardian of the student (and sets forth what the notice must state), (ii) the school to provide the parent or guardian with an information sheet from the federal Centers for Disease Control and Prevention or the Department of Public Health regarding the signs and symptoms of Lyme disease and Rocky Mountain spotted fever and testing labs for ticks, and (iii) the school to preserve the tick for 72 hours so that the parent or guardian may send the tick to a lab for testing and provide information to the parent or guardian on how to send the tick to a lab for testing (but allows the parent or guardian to give the school permission to dispose of the tick before the 72-hour time period has expired). Provides that the Department of Public Health shall issue guidelines on how to remove a tick, publish those guidelines on the Department of Public Health's Internet website, and, in consultation with the State Board of Education, provide the guidelines to school districts. Provides that a school district and its employees and agents shall incur no liability, except for willful or wanton conduct, as a result of any injury arising from the removal of a tick if the removal of the tick followed the guidelines issued by the Department of Public Health. Effective July 1, 2024. LRB103 35300 CES 65342 b STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB4274 Introduced , by Rep. Dan Swanson SYNOPSIS AS INTRODUCED: 105 ILCS 5/22-100 new 105 ILCS 5/22-100 new Amends the School Code. Provides that a school nurse or other designated person employed by a school district shall remove a tick from a student in accordance with guidelines issued by the Department of Public Health. After the tick has been removed, requires (i) the school nurse or other designated person to notify the parent or guardian of the student (and sets forth what the notice must state), (ii) the school to provide the parent or guardian with an information sheet from the federal Centers for Disease Control and Prevention or the Department of Public Health regarding the signs and symptoms of Lyme disease and Rocky Mountain spotted fever and testing labs for ticks, and (iii) the school to preserve the tick for 72 hours so that the parent or guardian may send the tick to a lab for testing and provide information to the parent or guardian on how to send the tick to a lab for testing (but allows the parent or guardian to give the school permission to dispose of the tick before the 72-hour time period has expired). Provides that the Department of Public Health shall issue guidelines on how to remove a tick, publish those guidelines on the Department of Public Health's Internet website, and, in consultation with the State Board of Education, provide the guidelines to school districts. Provides that a school district and its employees and agents shall incur no liability, except for willful or wanton conduct, as a result of any injury arising from the removal of a tick if the removal of the tick followed the guidelines issued by the Department of Public Health. Effective July 1, 2024. LRB103 35300 CES 65342 b LRB103 35300 CES 65342 b STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY A BILL FOR
	2	+	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB4274 Introduced , by Rep. Dan Swanson SYNOPSIS AS INTRODUCED:
	3	+	105 ILCS 5/22-100 new 105 ILCS 5/22-100 new
	4	+	105 ILCS 5/22-100 new
	5	+	Amends the School Code. Provides that a school nurse or other designated person employed by a school district shall remove a tick from a student in accordance with guidelines issued by the Department of Public Health. After the tick has been removed, requires (i) the school nurse or other designated person to notify the parent or guardian of the student (and sets forth what the notice must state), (ii) the school to provide the parent or guardian with an information sheet from the federal Centers for Disease Control and Prevention or the Department of Public Health regarding the signs and symptoms of Lyme disease and Rocky Mountain spotted fever and testing labs for ticks, and (iii) the school to preserve the tick for 72 hours so that the parent or guardian may send the tick to a lab for testing and provide information to the parent or guardian on how to send the tick to a lab for testing (but allows the parent or guardian to give the school permission to dispose of the tick before the 72-hour time period has expired). Provides that the Department of Public Health shall issue guidelines on how to remove a tick, publish those guidelines on the Department of Public Health's Internet website, and, in consultation with the State Board of Education, provide the guidelines to school districts. Provides that a school district and its employees and agents shall incur no liability, except for willful or wanton conduct, as a result of any injury arising from the removal of a tick if the removal of the tick followed the guidelines issued by the Department of Public Health. Effective July 1, 2024.
	6	+	LRB103 35300 CES 65342 b LRB103 35300 CES 65342 b
	7	+	LRB103 35300 CES 65342 b
	8	+	STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY
	9	+	STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY
	10	+	A BILL FOR
	11	+	HB4274LRB103 35300 CES 65342 b HB4274 LRB103 35300 CES 65342 b
	12	+	HB4274 LRB103 35300 CES 65342 b
3	13		1 AN ACT concerning education.
4	14		2 Be it enacted by the People of the State of Illinois,
5	15		3 represented in the General Assembly:
6		-	4 Section 5. The ~~Department of Public Health Powers and~~
7		-	5 ~~Duties Law of the Civil Administrative Code of Illinois is~~
8		-	6 ~~amended by adding Section 2310-666 as follows:~~
9		-	7 ~~(20 ILCS 2310/2310-666 new)~~
10		-	8 ~~Sec. 2310-666. Tick removal guidelines and form.~~
11		-	9 (a~~) The Department~~ shall ~~do all of the following no later~~
12		-	10 ~~than July 1,~~ ~~2025:~~
13		-	11 ~~(1) Issue guidelines on how to remove and safely store~~
14		-	12 ~~a tick.~~
15		-	13 (2) ~~Publish~~ the ~~guidelines issued under paragraph (1)~~
16		-	14 ~~and~~ the ~~model form issued under paragraph (4) on~~ the
17		-	15 ~~Department's website~~.
18		-	16 ~~(3) Provide public testing lab information to schools.~~
19		-	17 ~~The lab must have the capability to provide test results~~
20		-	18 ~~to the parents or guardians of students~~.
21		-	19 ~~(4) Issue a model form as provided~~ in ~~subsection (b)~~
22		-	20 ~~that schools shall send to the parents or guardians of~~
23		-	21 ~~students who have been identified as having been bitten by~~
24		-	22 a tick.
25		-	23 ~~(5) Make available to schools, upon request and free~~
	16	+	4 Section 5. The School Code is amended by adding Section
	17	+	5 22-100 as follows:
	18	+	6 (105 ILCS 5/22-100 new)
	19	+	7 Sec. 22-100. Tick removal.
	20	+	8 (a) A school nurse or other designated person employed by
	21	+	9 a school district shall remove a tick from a student in
	22	+	10 accordance with guidelines issued by the Department of Public
	23	+	11 Health. After removal of the tick, all of the following
	24	+	12 requirements apply:
	25	+	13 (1) The school nurse or other designated person shall
	26	+	14 notify the parent or guardian of the student in writing of
	27	+	15 the tick removal. The notice shall be in substantially the
	28	+	16 following form:
	29	+	17 A tick was removed from your child today. Ticks
	30	+	18 can transmit disease and make people sick. Common
	31	+	19 illnesses caused by ticks in Illinois are Lyme disease
	32	+	20 and Rocky Mountain spotted fever.
	33	+	21 Not all tick bites lead to tick-borne diseases.
	34	+	22 You should record the date on which the tick was
	35	+	23 removed.
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34		-	1 of charge, tick removal kits consisting of tweezers,
35		-	2 bandages, a sealable plastic bag, an alcohol wipe,
36		-	3 repellent wipes, an information card, and a tick
37		-	4 identification card.
38		-	5 (b) The initial form issued by the Department under
39		-	6 paragraph (4) of subsection (a) shall be in substantially the
40		-	7 following form and may be updated by the Department based on
41		-	8 recommendations from the Lyme Disease Task Force as necessary:
42		-	9 "This letter is to inform you that a tick was found and
43		-	10 removed from (student's name) (location on body) on
44		-	11 (date).
45		-	12 Due to the high incidences of tick-borne diseases
46		-	13 discovered in Illinois through tick surveillance, the
47		-	14 school will, at your request as the parent or guardian,
48		-	15 preserve the tick for up to 3 school days so that you may
49		-	16 send the tick to a lab for testing. At your request, a
50		-	17 handout will be given to you providing information on how
51		-	18 you may submit the tick to a lab for testing. However, you
52		-	19 may give the school permission to dispose of the tick
53		-	20 before the 3 school-day period has expired. After 3 school
54		-	21 days, the school may dispose of the tick.
55		-	22 Ticks found in Illinois and other nearby states carry
56		-	23 germs that can transmit disease and make people sick. When
57		-	24 ticks bite and attach, the likelihood of exposure to Lyme
58		-	25 disease increases with the length of time the tick is
59		-	26 attached. Symptoms of Lyme disease include a bullseye rash
	39	+	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB4274 Introduced , by Rep. Dan Swanson SYNOPSIS AS INTRODUCED:
	40	+	105 ILCS 5/22-100 new 105 ILCS 5/22-100 new
	41	+	105 ILCS 5/22-100 new
	42	+	Amends the School Code. Provides that a school nurse or other designated person employed by a school district shall remove a tick from a student in accordance with guidelines issued by the Department of Public Health. After the tick has been removed, requires (i) the school nurse or other designated person to notify the parent or guardian of the student (and sets forth what the notice must state), (ii) the school to provide the parent or guardian with an information sheet from the federal Centers for Disease Control and Prevention or the Department of Public Health regarding the signs and symptoms of Lyme disease and Rocky Mountain spotted fever and testing labs for ticks, and (iii) the school to preserve the tick for 72 hours so that the parent or guardian may send the tick to a lab for testing and provide information to the parent or guardian on how to send the tick to a lab for testing (but allows the parent or guardian to give the school permission to dispose of the tick before the 72-hour time period has expired). Provides that the Department of Public Health shall issue guidelines on how to remove a tick, publish those guidelines on the Department of Public Health's Internet website, and, in consultation with the State Board of Education, provide the guidelines to school districts. Provides that a school district and its employees and agents shall incur no liability, except for willful or wanton conduct, as a result of any injury arising from the removal of a tick if the removal of the tick followed the guidelines issued by the Department of Public Health. Effective July 1, 2024.
	43	+	LRB103 35300 CES 65342 b LRB103 35300 CES 65342 b
	44	+	LRB103 35300 CES 65342 b
	45	+	STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY
	46	+	STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY
	47	+	A BILL FOR
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	53	+	105 ILCS 5/22-100 new
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70		-	1 or atypical rash, chills, fever, headache, tiredness,
71		-	2 stiff neck, joint pain or swelling, and swollen lymph
72		-	3 nodes. A bullseye rash occurs only in 70% to 80% of
73		-	4 infected persons.
74		-	5 The most common illnesses caused by ticks that bite
75		-	6 and attach for less than 24 hours include spotted fever
76		-	7 group rickettsiosis, ehrlichiosis, and anaplasmosis.
77		-	8 Symptoms of these illnesses may be similar to Lyme disease
78		-	9 but may also include spotted rash, nausea, vomiting,
79		-	10 diarrhea, and loss of appetite.
80		-	11 It is recommended that you call your child's health
81		-	12 care provider if you notice any signs or symptoms of
82		-	13 illness, such as a skin rash, fever, or flu-like symptoms
83		-	14 for up to one month following the tick bite. Most
84		-	15 tickborne diseases can be treated with antibiotics if
85		-	16 recognized and diagnosed promptly.
86		-	17 For more information about ticks and how to prevent
87		-	18 bites visit: (the Department of Public Health's website on
88		-	19 tickborne illnesses). If you have any questions regarding
89		-	20 your child's health, call your child's health care
90		-	21 provider.
91		-	22 Sincerely,
92		-	23 (Signature)
93		-	24 (Title)"
94		-	25 Section 10. The School Code is amended by adding Sections
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	57	+	LRB103 35300 CES 65342 b
	58	+
	59	+	STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT MAY APPLY
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105		-	1 10-20.87 and 34-18.87 as follows:
106		-	2 (105 ILCS 5/10-20.87 new)
107		-	3 Sec. 10-20.87. Tick removal.
108		-	4 (a) Before the beginning of the 2025-2026 school year,
109		-	5 each school board shall establish procedures on tick removal
110		-	6 consistent with guidelines developed by the Department of
111		-	7 Public Health under Section 2310-666 of the Department of
112		-	8 Public Health Powers and Duties Law of the Civil
113		-	9 Administrative Code of Illinois.
114		-	10 (b) If a tick is removed at a school, the school shall, at
115		-	11 the request of a parent or guardian, preserve the tick for up
116		-	12 to 3 school days so that the parent or guardian may send the
117		-	13 tick to a lab for testing and shall, at the request of a parent
118		-	14 or guardian, provide information to the parent or guardian on
119		-	15 how to send the tick to a lab for testing. However, the parent
120		-	16 or guardian may give the school permission to dispose of the
121		-	17 tick before the 3 school-day period has expired.
122		-	18 (c) A school district and its employees and agents may not
123		-	19 be held liable, except for willful or wanton conduct, as a
124		-	20 result of any injury arising from the removal of a tick if the
125		-	21 removal of the tick was conducted following the guidelines
126		-	22 issued by the Department of Public Health under Section
127		-	23 2310-666 of the Department of Public Health Powers and Duties
128		-	24 Law of the Civil Administrative Code of Illinois.
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	76	+	1 It is recommended that you seek medical treatment
	77	+	2 from your child's health care provider promptly if you
	78	+	3 notice any early signs or symptoms of illness within 3
	79	+	4 to 30 days after the date of removal.
	80	+	5 Some people with Lyme disease will get a bullseye
	81	+	6 rash. Others may have an atypical rash. Not everyone
	82	+	7 who has Lyme disease will get a rash. Other symptoms
	83	+	8 that may occur during the early state of Lyme disease
	84	+	9 include chills, fever, headache, tiredness, stiff
	85	+	10 neck, joint pain or swelling, and swollen lymph nodes.
	86	+	11 Lyme disease is treated with antibiotics. If
	87	+	12 untreated, infection may progress to joint, heart,
	88	+	13 brain, or nerve abnormalities.
	89	+	14 Rocky Mountain spotted fever (RMSF) is a bacterial
	90	+	15 disease spread through the bite of an infected tick.
	91	+	16 Most people who get sick with RMSF will have a fever,
	92	+	17 headache, and rash. RMSF can be deadly if not treated
	93	+	18 early with the right antibiotic. Early signs and
	94	+	19 symptoms are not specific to RMSF, including fever and
	95	+	20 headache. However, the disease can rapidly progress to
	96	+	21 a serious and life-threatening illness. See your
	97	+	22 child's health care provider if your child becomes ill
	98	+	23 after having been bitten by a tick or having been in
	99	+	24 the woods or in areas with high brush where ticks
	100	+	25 commonly live. Signs and symptoms may include fever,
	101	+	26 headache, rash, nausea, vomiting, stomach pain, muscle
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	112	+	1 pain, and lack of appetite.
	113	+	2 Lyme disease and Rocky Mountain spotted fever are
	114	+	3 not the only tick-borne diseases with which an
	115	+	4 individual can be infected after being bitten by a
	116	+	5 tick.
	117	+	6 (2) In addition to the notice, the school shall
	118	+	7 provide the parent or guardian with an information sheet
	119	+	8 from the federal Centers for Disease Control and
	120	+	9 Prevention or the Department of Public Health regarding
	121	+	10 the signs and symptoms of Lyme disease and Rocky Mountain
	122	+	11 spotted fever and testing labs for ticks.
	123	+	12 (3) The school shall preserve the tick for 72 hours so
	124	+	13 that the parent or guardian may send the tick to a lab for
	125	+	14 testing and shall provide information to the parent or
	126	+	15 guardian on how to send the tick to a lab for testing.
	127	+	16 However, the parent or guardian may give the school
	128	+	17 permission to dispose of the tick before the 72-hour time
	129	+	18 period has expired.
	130	+	19 (c) The Department of Public Health shall issue guidelines
	131	+	20 on how to remove a tick under subsection (a), publish those
	132	+	21 guidelines on the Department of Public Health's Internet
	133	+	22 website, and, in consultation with the State Board of
	134	+	23 Education, provide the guidelines to school districts.
	135	+	24 (d) A school district and its employees and agents shall
	136	+	25 incur no liability, except for willful or wanton conduct, as a
	137	+	26 result of any injury arising from the removal of a tick under
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	148	+	1 subsection (a) if the removal of the tick was conducted
	149	+	2 following the guidelines issued by the Department of Public
	150	+	3 Health under subsection (c).
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