Illinois 2023-2024 Regular Session

Illinois House Bill HB5320 Compare Versions

Only one version of the bill is available at this time.

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1	1	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5320 Introduced , by Rep. Kam Buckner SYNOPSIS AS INTRODUCED: See Index Amends the Hospital Licensing Act. Provides that "hospital worker" means any person who receives an hourly wage directly or indirectly via a subcontractor by a hospital licensed under the Act. Replaces references to "nurse" with "hospital worker". Provides for additional staffing transparency and reporting requirements. Provides that hospitals licensed under the Act must employ and schedule enough hospital workers to provide quality patient care and ensure patient safety. Provides that hospitals must make available, at the beginning of each calendar year and upon request, all staffing matrices and other staffing metrics, if any, used to assess and maintain safe staffing levels for hospital workers in each unit. Provides that the Department of Public Health shall produce an annual report based on staffing disclosures. Provides that the Department shall make recommendations for minimum staffing standards for hospital workers in each hospital unit. Provides that hospitals licensed under the Act shall conduct, within the first month of employment and at no cost, a competency validation for each hospital worker hired. Provides that a hospital must submit documentation of each hospital worker's competency validation to the Department within 4 weeks after the worker's start date. Provides that hospitals shall conduct ongoing verification for each hospital worker employed during a given calendar year to determine each worker's continued competency to perform the worker's job and shall submit documentation of each worker's ongoing verification to the Department within 2 weeks of completion. Provides that hospitals shall submit a list of all competent employees currently employed at the end of each calendar year. Provides for a public registry of all competent employees to be maintained by the Department. Provides for the imposition of civil penalties for specified violations of the Act. Describes an assignment despite objection resolution process to be implemented by each hospital that is licensed under the Act. Provides for a Hospital Safety Advocate role to be created within the Department. LRB103 37477 CES 67600 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5320 Introduced , by Rep. Kam Buckner SYNOPSIS AS INTRODUCED: See Index See Index Amends the Hospital Licensing Act. Provides that "hospital worker" means any person who receives an hourly wage directly or indirectly via a subcontractor by a hospital licensed under the Act. Replaces references to "nurse" with "hospital worker". Provides for additional staffing transparency and reporting requirements. Provides that hospitals licensed under the Act must employ and schedule enough hospital workers to provide quality patient care and ensure patient safety. Provides that hospitals must make available, at the beginning of each calendar year and upon request, all staffing matrices and other staffing metrics, if any, used to assess and maintain safe staffing levels for hospital workers in each unit. Provides that the Department of Public Health shall produce an annual report based on staffing disclosures. Provides that the Department shall make recommendations for minimum staffing standards for hospital workers in each hospital unit. Provides that hospitals licensed under the Act shall conduct, within the first month of employment and at no cost, a competency validation for each hospital worker hired. Provides that a hospital must submit documentation of each hospital worker's competency validation to the Department within 4 weeks after the worker's start date. Provides that hospitals shall conduct ongoing verification for each hospital worker employed during a given calendar year to determine each worker's continued competency to perform the worker's job and shall submit documentation of each worker's ongoing verification to the Department within 2 weeks of completion. Provides that hospitals shall submit a list of all competent employees currently employed at the end of each calendar year. Provides for a public registry of all competent employees to be maintained by the Department. Provides for the imposition of civil penalties for specified violations of the Act. Describes an assignment despite objection resolution process to be implemented by each hospital that is licensed under the Act. Provides for a Hospital Safety Advocate role to be created within the Department. LRB103 37477 CES 67600 b LRB103 37477 CES 67600 b A BILL FOR
2	2	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5320 Introduced , by Rep. Kam Buckner SYNOPSIS AS INTRODUCED:
3	3	See Index See Index
4	4	See Index
5	5	Amends the Hospital Licensing Act. Provides that "hospital worker" means any person who receives an hourly wage directly or indirectly via a subcontractor by a hospital licensed under the Act. Replaces references to "nurse" with "hospital worker". Provides for additional staffing transparency and reporting requirements. Provides that hospitals licensed under the Act must employ and schedule enough hospital workers to provide quality patient care and ensure patient safety. Provides that hospitals must make available, at the beginning of each calendar year and upon request, all staffing matrices and other staffing metrics, if any, used to assess and maintain safe staffing levels for hospital workers in each unit. Provides that the Department of Public Health shall produce an annual report based on staffing disclosures. Provides that the Department shall make recommendations for minimum staffing standards for hospital workers in each hospital unit. Provides that hospitals licensed under the Act shall conduct, within the first month of employment and at no cost, a competency validation for each hospital worker hired. Provides that a hospital must submit documentation of each hospital worker's competency validation to the Department within 4 weeks after the worker's start date. Provides that hospitals shall conduct ongoing verification for each hospital worker employed during a given calendar year to determine each worker's continued competency to perform the worker's job and shall submit documentation of each worker's ongoing verification to the Department within 2 weeks of completion. Provides that hospitals shall submit a list of all competent employees currently employed at the end of each calendar year. Provides for a public registry of all competent employees to be maintained by the Department. Provides for the imposition of civil penalties for specified violations of the Act. Describes an assignment despite objection resolution process to be implemented by each hospital that is licensed under the Act. Provides for a Hospital Safety Advocate role to be created within the Department.
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8	8	A BILL FOR
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11	11	1 AN ACT concerning regulation.
12	12	2 Be it enacted by the People of the State of Illinois,
13	13	3 represented in the General Assembly:
14	14	4 Section 5. The Hospital Licensing Act is amended by
15	15	5 changing Section 10.9 and by adding Sections 10.15 and 10.20
16	16	6 as follows:
17	17	7 (210 ILCS 85/10.9)
18	18	8 Sec. 10.9. Hospital worker Nurse mandated overtime
19	19	9 prohibited.
20	20	10 (a) Definitions. As used in this Section:
21	21	11 "Mandated overtime" means work that is required by the
22	22	12 hospital in excess of an agreed-to, predetermined work shift.
23	23	13 Time spent by nurses required to be available as a condition of
24	24	14 employment in specialized units, such as surgical nursing
25	25	15 services, shall not be counted or considered in calculating
26	26	16 the amount of time worked for the purpose of applying the
27	27	17 prohibition against mandated overtime under subsection (b).
28	28	18 "Hospital worker" means any person who receives an hourly
29	29	19 wage, directly or indirectly, via a subcontractor by a
30	30	20 hospital licensed under this Act.
31	31	21 "Nurse" means any advanced practice registered nurse,
32	32	22 registered professional nurse, or licensed practical nurse, as
33	33	23 defined in the Nurse Practice Act, who receives an hourly wage
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37	37	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5320 Introduced , by Rep. Kam Buckner SYNOPSIS AS INTRODUCED:
38	38	See Index See Index
39	39	See Index
40	40	Amends the Hospital Licensing Act. Provides that "hospital worker" means any person who receives an hourly wage directly or indirectly via a subcontractor by a hospital licensed under the Act. Replaces references to "nurse" with "hospital worker". Provides for additional staffing transparency and reporting requirements. Provides that hospitals licensed under the Act must employ and schedule enough hospital workers to provide quality patient care and ensure patient safety. Provides that hospitals must make available, at the beginning of each calendar year and upon request, all staffing matrices and other staffing metrics, if any, used to assess and maintain safe staffing levels for hospital workers in each unit. Provides that the Department of Public Health shall produce an annual report based on staffing disclosures. Provides that the Department shall make recommendations for minimum staffing standards for hospital workers in each hospital unit. Provides that hospitals licensed under the Act shall conduct, within the first month of employment and at no cost, a competency validation for each hospital worker hired. Provides that a hospital must submit documentation of each hospital worker's competency validation to the Department within 4 weeks after the worker's start date. Provides that hospitals shall conduct ongoing verification for each hospital worker employed during a given calendar year to determine each worker's continued competency to perform the worker's job and shall submit documentation of each worker's ongoing verification to the Department within 2 weeks of completion. Provides that hospitals shall submit a list of all competent employees currently employed at the end of each calendar year. Provides for a public registry of all competent employees to be maintained by the Department. Provides for the imposition of civil penalties for specified violations of the Act. Describes an assignment despite objection resolution process to be implemented by each hospital that is licensed under the Act. Provides for a Hospital Safety Advocate role to be created within the Department.
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43	43	A BILL FOR
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68	68	1 and has direct responsibility to oversee or carry out nursing
69	69	2 care. For the purposes of this Section, "advanced practice
70	70	3 registered nurse" does not include a certified registered
71	71	4 nurse anesthetist who is primarily engaged in performing the
72	72	5 duties of a nurse anesthetist.
73	73	6 "Related to the subcontractor" means that the
74	74	7 subcontractor is, to a significant extent, associated or
75	75	8 affiliated with, owns, or is owned by, or has control of or is
76	76	9 controlled by, the organization furnishing services to a
77	77	10 hospital licensed under this Act.
78	78	11 "Subcontractor" means any entity, including an individual
79	79	12 or individuals, that contracts with a hospital licensed under
80	80	13 this Act to supply a service. "Subcontractor" includes
81	81	14 organizations related to the subcontractor that have a
82	82	15 contract with the subcontractor.
83	83	16 "Unforeseen emergent circumstance" means (i) any declared
84	84	17 national, State, or municipal disaster or other catastrophic
85	85	18 event, or any implementation of a hospital's disaster plan,
86	86	19 that will substantially affect or increase the need for health
87	87	20 care services or (ii) any circumstance in which patient care
88	88	21 needs require specialized nursing skills through the
89	89	22 completion of a procedure. An "unforeseen emergent
90	90	23 circumstance" does not include situations in which the
91	91	24 hospital fails to have enough nursing staff to meet the usual
92	92	25 and reasonably predictable patient care nursing needs of its
93	93	26 patients.
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104	104	1 (b) Mandated overtime prohibited. No hospital worker nurse
105	105	2 may be required to work mandated overtime except in the case of
106	106	3 an unforeseen emergent circumstance when such overtime is
107	107	4 required only as a last resort. Such mandated overtime shall
108	108	5 not exceed 4 hours beyond an agreed-to, predetermined work
109	109	6 shift.
110	110	7 (c) Rest period required Off-duty period. When a hospital
111	111	8 worker nurse is mandated to work up to 12 consecutive hours,
112	112	9 the worker nurse must be allowed at least 8 consecutive hours
113	113	10 of off-duty time off immediately following the completion of a
114	114	11 shift.
115	115	12 (d) Retaliation prohibited. No hospital may discipline,
116	116	13 discharge, or take any other adverse employment action against
117	117	14 a hospital worker nurse solely because the worker nurse
118	118	15 refused to work mandated overtime as prohibited under
119	119	16 subsection (b).
120	120	17 (e) Violations. Any employee of a hospital that is subject
121	121	18 to this Act may file a complaint with the Department of Public
122	122	19 Health regarding an alleged violation of this Section. The
123	123	20 complaint must be filed within 45 days following the
124	124	21 occurrence of the incident giving rise to the alleged
125	125	22 violation. The Department must forward notification of the
126	126	23 alleged violation to the hospital in question within 3
127	127	24 business days after the complaint is filed. Upon receiving a
128	128	25 complaint of a violation of this Section, the Department may
129	129	26 take any action authorized under Section 7 or 9 of this Act.
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140	140	1 (f) Proof of violation. Any violation of this Section must
141	141	2 be proved by clear and convincing evidence that a hospital
142	142	3 worker nurse was required to work overtime against the
143	143	4 worker's his or her will. The hospital may defeat the claim of
144	144	5 a violation by presenting clear and convincing evidence that
145	145	6 an unforeseen emergent circumstance, which required overtime
146	146	7 work, existed at the time the employee was required or
147	147	8 compelled to work.
148	148	9 (Source: P.A. 100-513, eff. 1-1-18.)
149	149	10 (210 ILCS 85/10.15 new)
150	150	11 Sec. 10.15. Additional staffing transparency and reporting
151	151	12 requirements.
152	152	13 (a) As used in this Section:
153	153	14 "Hospital worker" means any person who receives an hourly
154	154	15 wage, directly or indirectly, via a subcontractor by a
155	155	16 hospital licensed under this Act.
156	156	17 "Related to the subcontractor" means that the
157	157	18 subcontractor is, to a significant extent, associated or
158	158	19 affiliated with, owns, or is owned by, or has control of or is
159	159	20 controlled by, the organization furnishing services to a
160	160	21 hospital licensed under this Act.
161	161	22 "Staffing metric" means any tool used by hospital
162	162	23 management to determine safe staffing levels in a patient care
163	163	24 or support services unit.
164	164	25 "Subcontractor" means any entity, including an individual
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175	175	1 or individuals, that contracts with a hospital licensed under
176	176	2 this Act to supply a service. This includes organizations
177	177	3 related to the subcontractor that have a contract with the
178	178	4 subcontractor.
179	179	5 "Unit" means a functional division of a hospital that
180	180	6 provides patient care or support services.
181	181	7 (b) Hospitals licensed under this Act must employ and
182	182	8 schedule enough hospital workers to provide quality patient
183	183	9 care and ensure patient safety.
184	184	10 (c) In order to ensure compliance with safe staffing
185	185	11 practices, hospitals licensed under this Act shall make
186	186	12 available, upon request, all the staffing matrices and other
187	187	13 staffing metrics, if any, used to assess and maintain safe
188	188	14 staffing levels for hospital workers in each unit.
189	189	15 (d) Hospitals shall share any and all staffing matrices,
190	190	16 staffing metrics, and underlying materials used to determine
191	191	17 staffing levels with the Department at the beginning of each
192	192	18 calendar year.
193	193	19 (e) The Department shall produce an annual report based on
194	194	20 staffing disclosures required under this Section beginning the
195	195	21 first year after implementation.
196	196	22 (f) The Department shall make recommendations for minimum
197	197	23 staffing standards for hospital workers in each hospital unit
198	198	24 based on the information collected under this Section.
199	199	25 (210 ILCS 85/10.20 new)
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210	210	1 Sec. 10.20. Hospital worker competency validation and
211	211	2 assignment despite objection process.
212	212	3 (a) Findings. The Legislature finds and declares all of
213	213	4 the following:
214	214	5 (1) The State of Illinois has an obligation to ensure
215	215	6 hospitals provide quality patient care.
216	216	7 (2) Numerous studies have linked patient outcomes,
217	217	8 including in-hospital mortality rates, to hospital worker
218	218	9 staffing.
219	219	10 (3) In spite of the preponderance of evidence that
220	220	11 adequate staffing improves patient outcomes, hospitals in
221	221	12 Illinois and elsewhere too often systemically and
222	222	13 intentionally understaff to maximize profit even at the
223	223	14 expense of quality patient care.
224	224	15 (4) The COVID-19 pandemic both exposed and exacerbated
225	225	16 these unsafe staffing practices.
226	226	17 (5) The State asserts that based on their demonstrated
227	227	18 competencies and training, hospital workers themselves are
228	228	19 best positioned to identify unsafe conditions that
229	229	20 jeopardize quality patient care, including, especially,
230	230	21 short staffing.
231	231	22 (6) Hospitals perform competency validations and
232	232	23 ongoing verifications to ensure workers know how to
233	233	24 perform their jobs safely and to identify unsafe practices
234	234	25 including short staffing.
235	235	26 (7) The State should require hospitals to affirm that
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246	246	1 hospital workers have received the necessary training to
247	247	2 safely perform their work via competency validations and
248	248	3 ongoing verification and empower these workers to identify
249	249	4 and formally object to unsafe working conditions,
250	250	5 including short staffing.
251	251	6 (8) To facilitate this, the State should create a
252	252	7 dispute resolution process for hospital workers to
253	253	8 formally object to unsafe working conditions.
254	254	9 (b) Definitions. As used in this Section:
255	255	10 "Assignment despite objection" means a formal process by
256	256	11 which hospital workers notify management when they receive an
257	257	12 assignment that, based on their training, is potentially
258	258	13 unsafe.
259	259	14 "Competent employee" means a hospital worker whose
260	260	15 employer has received a competency validation or ongoing
261	261	16 verification during a given calendar year.
262	262	17 "Competency validation" means a determination based on a
263	263	18 hospital worker's satisfactory performance of each specific
264	264	19 element of the employee's job description and of specific
265	265	20 requirements of the unit in which they are employed in a safe
266	266	21 and ethical manner.
267	267	22 "Hospital worker" means any person who receives an hourly
268	268	23 wage, directly or indirectly, via a subcontractor by a
269	269	24 hospital licensed under this Act.
270	270	25 "Ongoing verification" means annual redetermination based
271	271	26 on a hospital worker's satisfactory performance of each
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282	282	1 specific element of the hospital worker's job description and
283	283	2 the specific requirements of the unit in which the worker is
284	284	3 employed in a safe and ethical manner.
285	285	4 "Related to the subcontractor" means that the
286	286	5 subcontractor is, to a significant extent, associated or
287	287	6 affiliated with, owns, or is owned by, or has control of or is
288	288	7 controlled by, the organization furnishing services to a
289	289	8 hospital licensed under this Act.
290	290	9 "Subcontractor" means any entity, including an individual
291	291	10 or individuals, that contracts with a hospital licensed under
292	292	11 this Act to supply a service. "Subcontractor" includes
293	293	12 organizations related to the subcontractor that have a
294	294	13 contract with the subcontractor.
295	295	14 (c) Competency Validation Credential.
296	296	15 (1) Hospitals licensed under this Act shall conduct a
297	297	16 competency validation for each hospital worker hired as a
298	298	17 condition of employment within the first month after
299	299	18 employment and at no cost to the new hire.
300	300	19 (2) The competency validation formally affirms the
301	301	20 hospital has adequately trained a hospital worker to
302	302	21 perform all aspects of the hospital worker's job safely
303	303	22 and to identify unsafe conditions, including inadequate
304	304	23 staffing.
305	305	24 (3) Hospitals must submit documentation of each
306	306	25 hospital worker's competency validation to the Department
307	307	26 of Public Health within 4 weeks after the worker's start
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318	318	1 date.
319	319	2 (4) Hospitals licensed under this Act shall also
320	320	3 conduct an ongoing verification for each hospital worker
321	321	4 employed during a given calendar year to determine the
322	322	5 continued competency of each hospital worker to perform
323	323	6 the worker's job and shall submit documentation of ongoing
324	324	7 verification of each hospital worker to the Department of
325	325	8 Public Health within 2 weeks after completion.
326	326	9 (5) Hospitals licensed under this Act shall submit a
327	327	10 list of all competent employees currently employed at the
328	328	11 end of each calendar year.
329	329	12 (6) The Department shall maintain a registry of all
330	330	13 competent employees that includes the name, address,
331	331	14 contact information and current employer of the worker and
332	332	15 make this registry available to the public.
333	333	16 (7) Following notice and an opportunity to be heard,
334	334	17 the Department shall impose, for each day that a hospital
335	335	18 licensed under this Act is in violation of this subsection
336	336	19 (c), a civil penalty against the hospital in an amount
337	337	20 equal to 0.1% of the hospital's annual revenue during the
338	338	21 most recently completed fiscal year.
339	339	22 (d) Assignment despite objection.
340	340	23 (1) A hospital licensed under this Act must create an
341	341	24 assignment despite objection form that is applicable and
342	342	25 accessible to all of its hospital workers that enables the
343	343	26 hospital workers to formally object to unsafe working
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354	354	1 conditions, including unsafe staffing levels, and that
355	355	2 assigns to the hospital liability for requiring a hospital
356	356	3 worker to work in an unsafe manner.
357	357	4 (2) The assignment despite objection form must include
358	358	5 the following language: "This is to confirm that I
359	359	6 notified you that, in my professional judgment derived
360	360	7 from my competency validation, today's assignment is
361	361	8 unsafe and places patients at risk. As a result, the
362	362	9 facility is responsible for any adverse effects on patient
363	363	10 care."
364	364	11 (3) The hospital must retain a copy of each assignment
365	365	12 despite objection form and provide a copy to the hospital
366	366	13 worker's union, if any, and the Department. Hospitals must
367	367	14 provide, at the end of each calendar year, a report of all
368	368	15 assignment despite objection forms filed during the
369	369	16 calendar year and must maintain these records for a
370	370	17 minimum of 5 years.
371	371	18 (4) Hospitals must not retaliate against hospital
372	372	19 workers for filing an assignment despite objection form or
373	373	20 otherwise reporting or objecting to unsafe conditions.
374	374	21 (e) Resolution Process.
375	375	22 (1) Hospitals must develop a transparent, fair, and
376	376	23 expedient assignment despite objection resolution process
377	377	24 for all hospital workers either via collective bargaining
378	378	25 or in accordance with Department process articulated
379	379	26 below.
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390	390	1 (2) Hospital workers currently covered by a collective
391	391	2 bargaining agreement that includes an assignment despite
392	392	3 objection resolution process shall abide by the process
393	393	4 included in the collective bargaining agreement.
394	394	5 (3) Hospital workers not covered by a collective
395	395	6 bargaining agreement that includes an assignment despite
396	396	7 objection resolution process may access the following
397	397	8 Department mandated assignment despite objection
398	398	9 resolution process:
399	399	10 (A) The objecting hospital worker shall make a
400	400	11 good faith effort to inform the hospital worker's
401	401	12 manager or supervisor at the time of the objection to
402	402	13 assignment.
403	403	14 (B) If the manager or supervisor fails to resolve
404	404	15 the unsafe situation to the reporting hospital
405	405	16 worker's satisfaction, the hospital worker shall then
406	406	17 complete an assignment despite objection form, shall
407	407	18 submit a copy to that person's manager or supervisor
408	408	19 and that person's representative organization, if
409	409	20 covered by a collective bargaining agreement, and
410	410	21 shall keep a copy for their records.
411	411	22 (C) Hospital management must respond in writing to
412	412	23 the assignment despite objection form within one week
413	413	24 after its receipt and shall provide a copy of the
414	414	25 response to the hospital worker's representative
415	415	26 organization, if the hospital worker is covered by a
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426	426	1 collective bargaining agreement.
427	427	2 (D) In any instance in which the affected hospital
428	428	3 worker(s) is unsatisfied with management's response,
429	429	4 the hospital must convene a Safety Review Panel
430	430	5 composed of 3 representatives selected by the hospital
431	431	6 and 3 representatives selected by hospital workers via
432	432	7 a transparent democratic process. The representatives
433	433	8 selected by hospital workers are not required to be
434	434	9 hospital employees. The panel shall attempt to resolve
435	435	10 the dispute within 15 days of referral, unless
436	436	11 extended by mutual consent.
437	437	12 (E) If the Safety Review Panel cannot resolve the
438	438	13 dispute within 15 days after referral, the Department
439	439	14 shall appoint a mutually agreed upon neutral
440	440	15 third-party to assist in resolving the dispute. The
441	441	16 neutral third-party shall make a binding decision to
442	442	17 resolve the dispute.
443	443	18 (4) Following notice and an opportunity to be heard,
444	444	19 the Department shall impose, for each day that a hospital
445	445	20 licensed under this Act is in violation of subsection (d)
446	446	21 or this subsection, a civil penalty against the hospital
447	447	22 in an amount equal to 0.1% of the hospital's annual
448	448	23 revenue during the most recently completed fiscal year.
449	449	24 (5) The Department shall create a Hospital Safety
450	450	25 Advocate position responsible for enforcing the new
451	451	26 competency credentialing and assignment despite objection
452	452
453	453
454	454
455	455
456	456
457	457	HB5320 - 12 - LRB103 37477 CES 67600 b
458	458
459	459
460	460	HB5320- 13 -LRB103 37477 CES 67600 b HB5320 - 13 - LRB103 37477 CES 67600 b
461	461	HB5320 - 13 - LRB103 37477 CES 67600 b
462	462	1 requirements and developing additional rules, as needed.
463	463	HB5320- 14 -LRB103 37477 CES 67600 b 1 INDEX 2 Statutes amended in order of appearance HB5320- 14 -LRB103 37477 CES 67600 b HB5320 - 14 - LRB103 37477 CES 67600 b 1 INDEX 2 Statutes amended in order of appearance
464	464	HB5320- 14 -LRB103 37477 CES 67600 b HB5320 - 14 - LRB103 37477 CES 67600 b
465	465	HB5320 - 14 - LRB103 37477 CES 67600 b
466	466	1 INDEX
467	467	2 Statutes amended in order of appearance
468	468
469	469
470	470
471	471
472	472
473	473	HB5320 - 13 - LRB103 37477 CES 67600 b
474	474
475	475
476	476
477	477	HB5320- 14 -LRB103 37477 CES 67600 b HB5320 - 14 - LRB103 37477 CES 67600 b
478	478	HB5320 - 14 - LRB103 37477 CES 67600 b
479	479	1 INDEX
480	480	2 Statutes amended in order of appearance
481	481
482	482
483	483
484	484
485	485
486	486	HB5320 - 14 - LRB103 37477 CES 67600 b