Illinois 2023-2024 Regular Session

Illinois House Bill HB5549 Compare Versions

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1-HB5549 EngrossedLRB103 36438 CES 66540 b HB5549 Engrossed LRB103 36438 CES 66540 b
2- HB5549 Engrossed LRB103 36438 CES 66540 b
1+103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5549 Introduced , by Rep. Barbara Hernandez SYNOPSIS AS INTRODUCED: 210 ILCS 50/3.30210 ILCS 50/3.90210 ILCS 50/3.95210 ILCS 50/3.100210 ILCS 50/3.101 new210 ILCS 50/3.102 new210 ILCS 50/3.105210 ILCS 50/3.106 new210 ILCS 50/3.110210 ILCS 50/3.115210 ILCS 50/3.140210 ILCS 50/3.200210 ILCS 50/3.205 Amends the Emergency Medical Services (EMS) Systems Act. Provides for the re-designation of trauma centers to include Level III Trauma Centers and for designation of Acute Injury Stabilization Centers. Sets forth minimum standard requirements for trauma centers and Acute Injury Stabilization Centers. Makes conforming changes. Adds a representative from a pediatric critical care center to the members of the State Emergency Medical Services Advisory Council. Adds a burn care medical representative to the members of the State Trauma Advisory Council. Effective immediately. LRB103 36438 CES 66540 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5549 Introduced , by Rep. Barbara Hernandez SYNOPSIS AS INTRODUCED: 210 ILCS 50/3.30210 ILCS 50/3.90210 ILCS 50/3.95210 ILCS 50/3.100210 ILCS 50/3.101 new210 ILCS 50/3.102 new210 ILCS 50/3.105210 ILCS 50/3.106 new210 ILCS 50/3.110210 ILCS 50/3.115210 ILCS 50/3.140210 ILCS 50/3.200210 ILCS 50/3.205 210 ILCS 50/3.30 210 ILCS 50/3.90 210 ILCS 50/3.95 210 ILCS 50/3.100 210 ILCS 50/3.101 new 210 ILCS 50/3.102 new 210 ILCS 50/3.105 210 ILCS 50/3.106 new 210 ILCS 50/3.110 210 ILCS 50/3.115 210 ILCS 50/3.140 210 ILCS 50/3.200 210 ILCS 50/3.205 Amends the Emergency Medical Services (EMS) Systems Act. Provides for the re-designation of trauma centers to include Level III Trauma Centers and for designation of Acute Injury Stabilization Centers. Sets forth minimum standard requirements for trauma centers and Acute Injury Stabilization Centers. Makes conforming changes. Adds a representative from a pediatric critical care center to the members of the State Emergency Medical Services Advisory Council. Adds a burn care medical representative to the members of the State Trauma Advisory Council. Effective immediately. LRB103 36438 CES 66540 b LRB103 36438 CES 66540 b A BILL FOR
2+103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5549 Introduced , by Rep. Barbara Hernandez SYNOPSIS AS INTRODUCED:
3+210 ILCS 50/3.30210 ILCS 50/3.90210 ILCS 50/3.95210 ILCS 50/3.100210 ILCS 50/3.101 new210 ILCS 50/3.102 new210 ILCS 50/3.105210 ILCS 50/3.106 new210 ILCS 50/3.110210 ILCS 50/3.115210 ILCS 50/3.140210 ILCS 50/3.200210 ILCS 50/3.205 210 ILCS 50/3.30 210 ILCS 50/3.90 210 ILCS 50/3.95 210 ILCS 50/3.100 210 ILCS 50/3.101 new 210 ILCS 50/3.102 new 210 ILCS 50/3.105 210 ILCS 50/3.106 new 210 ILCS 50/3.110 210 ILCS 50/3.115 210 ILCS 50/3.140 210 ILCS 50/3.200 210 ILCS 50/3.205
4+210 ILCS 50/3.30
5+210 ILCS 50/3.90
6+210 ILCS 50/3.95
7+210 ILCS 50/3.100
8+210 ILCS 50/3.101 new
9+210 ILCS 50/3.102 new
10+210 ILCS 50/3.105
11+210 ILCS 50/3.106 new
12+210 ILCS 50/3.110
13+210 ILCS 50/3.115
14+210 ILCS 50/3.140
15+210 ILCS 50/3.200
16+210 ILCS 50/3.205
17+Amends the Emergency Medical Services (EMS) Systems Act. Provides for the re-designation of trauma centers to include Level III Trauma Centers and for designation of Acute Injury Stabilization Centers. Sets forth minimum standard requirements for trauma centers and Acute Injury Stabilization Centers. Makes conforming changes. Adds a representative from a pediatric critical care center to the members of the State Emergency Medical Services Advisory Council. Adds a burn care medical representative to the members of the State Trauma Advisory Council. Effective immediately.
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323 1 AN ACT concerning regulation.
424 2 Be it enacted by the People of the State of Illinois,
525 3 represented in the General Assembly:
626 4 Section 5. The Emergency Medical Services (EMS) Systems
727 5 Act is amended by changing Sections 3.30, 3.90, 3.95, 3.100,
828 6 3.105, 3.110, 3.115, 3.140, 3.200, and 3.205 and by adding
929 7 Sections 3.101, 3.102, and 3.106 as follows:
1030 8 (210 ILCS 50/3.30)
1131 9 Sec. 3.30. EMS Region Plan; Content.
1232 10 (a) The EMS Medical Directors Committee shall address at
1333 11 least the following:
1434 12 (1) Protocols for inter-System/inter-Region patient
1535 13 transports, including identifying the conditions of
1636 14 emergency patients which may not be transported to the
1737 15 different levels of emergency department, based on their
1838 16 Department classifications and relevant Regional
1939 17 considerations (e.g. transport times and distances);
2040 18 (2) Regional standing medical orders;
2141 19 (3) Patient transfer patterns, including criteria for
2242 20 determining whether a patient needs the specialized
2343 21 services of a trauma center, along with protocols for the
2444 22 bypassing of or diversion to any hospital, trauma center
2545 23 or regional trauma center which are consistent with
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49+103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB5549 Introduced , by Rep. Barbara Hernandez SYNOPSIS AS INTRODUCED:
50+210 ILCS 50/3.30210 ILCS 50/3.90210 ILCS 50/3.95210 ILCS 50/3.100210 ILCS 50/3.101 new210 ILCS 50/3.102 new210 ILCS 50/3.105210 ILCS 50/3.106 new210 ILCS 50/3.110210 ILCS 50/3.115210 ILCS 50/3.140210 ILCS 50/3.200210 ILCS 50/3.205 210 ILCS 50/3.30 210 ILCS 50/3.90 210 ILCS 50/3.95 210 ILCS 50/3.100 210 ILCS 50/3.101 new 210 ILCS 50/3.102 new 210 ILCS 50/3.105 210 ILCS 50/3.106 new 210 ILCS 50/3.110 210 ILCS 50/3.115 210 ILCS 50/3.140 210 ILCS 50/3.200 210 ILCS 50/3.205
51+210 ILCS 50/3.30
52+210 ILCS 50/3.90
53+210 ILCS 50/3.95
54+210 ILCS 50/3.100
55+210 ILCS 50/3.101 new
56+210 ILCS 50/3.102 new
57+210 ILCS 50/3.105
58+210 ILCS 50/3.106 new
59+210 ILCS 50/3.110
60+210 ILCS 50/3.115
61+210 ILCS 50/3.140
62+210 ILCS 50/3.200
63+210 ILCS 50/3.205
64+Amends the Emergency Medical Services (EMS) Systems Act. Provides for the re-designation of trauma centers to include Level III Trauma Centers and for designation of Acute Injury Stabilization Centers. Sets forth minimum standard requirements for trauma centers and Acute Injury Stabilization Centers. Makes conforming changes. Adds a representative from a pediatric critical care center to the members of the State Emergency Medical Services Advisory Council. Adds a burn care medical representative to the members of the State Trauma Advisory Council. Effective immediately.
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34104 1 individual System bypass or diversion protocols and
35105 2 protocols for patient choice or refusal;
36106 3 (4) Protocols for resolving Regional or Inter-System
37107 4 conflict;
38108 5 (5) An EMS disaster preparedness plan which includes
39109 6 the actions and responsibilities of all EMS participants
40110 7 within the Region. Within 90 days of the effective date of
41111 8 this amendatory Act of 1996, an EMS System shall submit to
42112 9 the Department for review an internal disaster plan. At a
43113 10 minimum, the plan shall include contingency plans for the
44114 11 transfer of patients to other facilities if an evacuation
45115 12 of the hospital becomes necessary due to a catastrophe,
46116 13 including but not limited to, a power failure;
47117 14 (6) Regional standardization of continuing education
48118 15 requirements;
49119 16 (7) Regional standardization of Do Not Resuscitate
50120 17 (DNR) policies, and protocols for power of attorney for
51121 18 health care;
52122 19 (8) Protocols for disbursement of Department grants;
53123 20 (9) Protocols for the triage, treatment, and transport
54124 21 of possible acute stroke patients; and
55125 22 (10) Regional standing medical orders for the
56126 23 administration of opioid antagonists.
57127 24 (b) The Trauma Center Medical Directors or Trauma Center
58128 25 Medical Directors Committee shall address at least the
59129 26 following:
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70140 1 (1) The identification of Regional Trauma Centers;
71141 2 (2) Protocols for inter-System and inter-Region trauma
72142 3 patient transports, including identifying the conditions
73143 4 of emergency patients which may not be transported to the
74144 5 different levels of emergency department, based on their
75145 6 Department classifications and relevant Regional
76146 7 considerations (e.g. transport times and distances);
77147 8 (3) Regional trauma standing medical orders;
78148 9 (4) Trauma patient transfer patterns, including
79149 10 criteria for determining whether a patient needs the
80150 11 specialized services of a trauma center, along with
81151 12 protocols for the bypassing of or diversion to any
82152 13 hospital, trauma center or regional trauma center which
83153 14 are consistent with individual System bypass or diversion
84154 15 protocols and protocols for patient choice or refusal;
85155 16 (5) The identification of which types of patients can
86156 17 be cared for by Level I Trauma Centers, and Level II Trauma
87157 18 Centers, and Level III Trauma Centers;
88158 19 (6) Criteria for inter-hospital transfer of trauma
89159 20 patients;
90160 21 (7) The treatment of trauma patients in each trauma
91161 22 center within the Region;
92162 23 (8) A program for conducting a quarterly conference
93163 24 which shall include at a minimum a discussion of morbidity
94164 25 and mortality between all professional staff involved in
95165 26 the care of trauma patients;
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106176 1 (9) The establishment of a Regional trauma quality
107177 2 assurance and improvement subcommittee, consisting of
108178 3 trauma surgeons, which shall perform periodic medical
109179 4 audits of each trauma center's trauma services, and
110180 5 forward tabulated data from such reviews to the
111181 6 Department; and
112182 7 (10) The establishment, within 90 days of the
113183 8 effective date of this amendatory Act of 1996, of an
114184 9 internal disaster plan, which shall include, at a minimum,
115185 10 contingency plans for the transfer of patients to other
116186 11 facilities if an evacuation of the hospital becomes
117187 12 necessary due to a catastrophe, including but not limited
118188 13 to, a power failure.
119189 14 (c) The Region's EMS Medical Directors and Trauma Center
120190 15 Medical Directors Committees shall appoint any subcommittees
121191 16 which they deem necessary to address specific issues
122192 17 concerning Region activities.
123193 18 (Source: P.A. 99-480, eff. 9-9-15.)
124194 19 (210 ILCS 50/3.90)
125195 20 Sec. 3.90. Trauma Center Designations.
126196 21 (a) "Trauma Center" means a hospital which: (1) within
127197 22 designated capabilities provides optimal care to trauma
128198 23 patients; (2) participates in an approved EMS System; and (3)
129199 24 is duly designated pursuant to the provisions of this Act.
130200 25 Level I Trauma Centers shall provide all essential services
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141211 1 in-house, 24 hours per day, in accordance with rules adopted
142212 2 by the Department pursuant to this Act. Level II and Level III
143213 3 Trauma Centers shall have some essential services available
144214 4 in-house, 24 hours per day, and other essential services
145215 5 readily available, 24 hours per day, in accordance with rules
146216 6 adopted by the Department pursuant to this Act.
147217 7 (a-5) An Acute Injury Stabilization Center shall have a
148218 8 basic or comprehensive emergency department capable of initial
149219 9 management and transfer of the acutely injured in accordance
150220 10 with rules adopted by the Department pursuant to this Act.
151221 11 (b) The Department shall have the authority and
152222 12 responsibility to:
153223 13 (1) Establish and enforce minimum standards for
154224 14 designation and re-designation of 3 levels of trauma
155225 15 centers that meet trauma center national standards, as
156226 16 modified by the Department in administrative rules as a
157227 17 Level I or Level II Trauma Center, consistent with
158228 18 Sections 22 and 23 of this Act, through rules adopted
159229 19 pursuant to this Act;
160230 20 (2) Require hospitals applying for trauma center
161231 21 designation to submit a plan for designation in a manner
162232 22 and form prescribed by the Department through rules
163233 23 adopted pursuant to this Act;
164234 24 (3) Upon receipt of a completed plan for designation,
165235 25 conduct a site visit to inspect the hospital for
166236 26 compliance with the Department's minimum standards. Such
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177247 1 visit shall be conducted by specially qualified personnel
178248 2 with experience in the delivery of emergency medical
179249 3 and/or trauma care. A report of the inspection shall be
180250 4 provided to the Director within 30 days of the completion
181251 5 of the site visit. The report shall note compliance or
182252 6 lack of compliance with the individual standards for
183253 7 designation, but shall not offer a recommendation on
184254 8 granting or denying designation;
185255 9 (4) Designate applicant hospitals as Level I, or Level
186256 10 II, or Level III Trauma Centers which meet the minimum
187257 11 standards established by this Act and the Department. The
188258 12 Beginning September 1, 1997 the Department shall designate
189259 13 a new trauma center only when a local or regional need for
190260 14 such trauma center has been identified. The Department
191261 15 shall request an assessment of local or regional need from
192262 16 the applicable EMS Region's Trauma Center Medical
193263 17 Directors Committee, with advice from the Regional Trauma
194264 18 Advisory Committee. This shall not be construed as a needs
195265 19 assessment for health planning or other purposes outside
196266 20 of this Act;
197-21 (5) Attempt to designate trauma centers in all areas
198-22 of the State. There shall be at least one Level I Trauma
199-23 Center serving each EMS Region, unless waived by the
200-24 Department. This subsection shall not be construed to
267+21 (5) Designate Attempt to designate trauma centers in
268+22 all areas of the State. There shall be at least one Level I
269+23 Trauma Center serving each EMS Region, unless waived by
270+24 the Department. This subsection shall not be construed to
201271 25 require a Level I Trauma Center to be located in each EMS
202272 26 Region. Level I Trauma Centers shall serve as resources
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213283 1 for the Level II and Level III Trauma Centers and Acute
214284 2 Injury Stabilization Centers in the EMS Regions. The
215285 3 extent of such relationships shall be defined in the EMS
216286 4 Region Plan;
217287 5 (6) Inspect designated trauma centers to assure
218288 6 compliance with the provisions of this Act and the rules
219289 7 adopted pursuant to this Act. Information received by the
220290 8 Department through filed reports, inspection, or as
221291 9 otherwise authorized under this Act shall not be disclosed
222292 10 publicly in such a manner as to identify individuals or
223293 11 hospitals, except in proceedings involving the denial,
224294 12 suspension or revocation of a trauma center designation or
225295 13 imposition of a fine on a trauma center;
226296 14 (7) Renew trauma center designations every 2 years,
227297 15 after an on-site inspection, based on compliance with
228298 16 renewal requirements and standards for continuing
229299 17 operation, as prescribed by the Department through rules
230300 18 adopted pursuant to this Act;
231301 19 (8) Refuse to issue or renew a trauma center
232302 20 designation, after providing an opportunity for a hearing,
233303 21 when findings show that it does not meet the standards and
234304 22 criteria prescribed by the Department;
235305 23 (9) Review and determine whether a trauma center's
236306 24 annual morbidity and mortality rates for trauma patients
237307 25 significantly exceed the State average for such rates,
238308 26 using a uniform recording methodology based on nationally
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249319 1 recognized standards. Such determination shall be
250320 2 considered as a factor in any decision by the Department
251321 3 to renew or refuse to renew a trauma center designation
252322 4 under this Act, but shall not constitute the sole basis
253323 5 for refusing to renew a trauma center designation;
254324 6 (10) Take the following action, as appropriate, after
255325 7 determining that a trauma center is in violation of this
256326 8 Act or any rule adopted pursuant to this Act:
257327 9 (A) If the Director determines that the violation
258328 10 presents a substantial probability that death or
259329 11 serious physical harm will result and if the trauma
260330 12 center fails to eliminate the violation immediately or
261331 13 within a fixed period of time, not exceeding 10 days,
262332 14 as determined by the Director, the Director may
263333 15 immediately revoke the trauma center designation. The
264334 16 trauma center may appeal the revocation within 15 days
265335 17 after receiving the Director's revocation order, by
266336 18 requesting a hearing as provided by Section 29 of this
267337 19 Act. The Director shall notify the chair of the
268338 20 Region's Trauma Center Medical Directors Committee and
269339 21 EMS Medical Directors for appropriate EMS Systems of
270340 22 such trauma center designation revocation;
271341 23 (B) If the Director determines that the violation
272342 24 does not present a substantial probability that death
273343 25 or serious physical harm will result, the Director
274344 26 shall issue a notice of violation and request a plan of
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285355 1 correction which shall be subject to the Department's
286356 2 approval. The trauma center shall have 10 days after
287357 3 receipt of the notice of violation in which to submit a
288358 4 plan of correction. The Department may extend this
289359 5 period for up to 30 days. The plan shall include a
290360 6 fixed time period not in excess of 90 days within which
291361 7 violations are to be corrected. The plan of correction
292362 8 and the status of its implementation by the trauma
293363 9 center shall be provided, as appropriate, to the EMS
294364 10 Medical Directors for appropriate EMS Systems. If the
295365 11 Department rejects a plan of correction, it shall send
296366 12 notice of the rejection and the reason for the
297367 13 rejection to the trauma center. The trauma center
298368 14 shall have 10 days after receipt of the notice of
299369 15 rejection in which to submit a modified plan. If the
300370 16 modified plan is not timely submitted, or if the
301371 17 modified plan is rejected, the trauma center shall
302372 18 follow an approved plan of correction imposed by the
303373 19 Department. If, after notice and opportunity for
304374 20 hearing, the Director determines that a trauma center
305375 21 has failed to comply with an approved plan of
306376 22 correction, the Director may suspend or revoke the
307377 23 trauma center designation. The trauma center shall
308378 24 have 15 days after receiving the Director's notice in
309379 25 which to request a hearing. Such hearing shall conform
310380 26 to the provisions of Section 3.135 30 of this Act;
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321391 1 (11) The Department may delegate authority to local
322392 2 health departments in jurisdictions which include a
323393 3 substantial number of trauma centers. The delegated
324394 4 authority to those local health departments shall include,
325395 5 but is not limited to, the authority to designate trauma
326396 6 centers with final approval by the Department, maintain a
327397 7 regional data base with concomitant reporting of trauma
328398 8 registry data, and monitor, inspect and investigate trauma
329399 9 centers within their jurisdiction, in accordance with the
330400 10 requirements of this Act and the rules promulgated by the
331401 11 Department;
332402 12 (A) The Department shall monitor the performance
333403 13 of local health departments with authority delegated
334404 14 pursuant to this Section, based upon performance
335405 15 criteria established in rules promulgated by the
336406 16 Department;
337407 17 (B) Delegated authority may be revoked for
338408 18 substantial non-compliance with the Act or the
339409 19 Department's rules. Notice of an intent to revoke
340410 20 shall be served upon the local health department by
341411 21 certified mail, stating the reasons for revocation and
342412 22 offering an opportunity for an administrative hearing
343413 23 to contest the proposed revocation. The request for a
344414 24 hearing must be in writing and received by the
345415 25 Department within 10 working days of the local health
346416 26 department's receipt of notification;
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357427 1 (C) The director of a local health department may
358428 2 relinquish its delegated authority upon 60 days
359429 3 written notification to the Director of Public Health.
360430 4 (Source: P.A. 89-177, eff. 7-19-95.)
361431 5 (210 ILCS 50/3.95)
362432 6 Sec. 3.95. Level I Trauma Center Minimum Standards. The
363433 7 Department shall establish, through rules adopted pursuant to
364434 8 this Act, standards for Level I Trauma Centers which shall
365435 9 include, but need not be limited to:
366436 10 (a) The designation by the trauma center of a Trauma
367437 11 Center Medical Director and specification of his
368438 12 qualifications;
369439 13 (b) The types of surgical services the trauma center must
370440 14 have available for trauma patients, including but not limited
371441 15 to a twenty-four hour in-house surgeon with operating
372442 16 privileges and ancillary staff necessary for immediate
373443 17 surgical intervention;
374444 18 (c) The types of nonsurgical services the trauma center
375445 19 must have available for trauma patients;
376446 20 (d) The numbers and qualifications of emergency medical
377447 21 personnel;
378448 22 (e) The types of equipment that must be available to
379449 23 trauma patients;
380450 24 (f) Requiring the trauma center to be affiliated with an
381451 25 EMS System;
382452
383453
384454
385455
386456
387- HB5549 Engrossed - 11 - LRB103 36438 CES 66540 b
457+ HB5549 - 11 - LRB103 36438 CES 66540 b
388458
389459
390-HB5549 Engrossed- 12 -LRB103 36438 CES 66540 b HB5549 Engrossed - 12 - LRB103 36438 CES 66540 b
391- HB5549 Engrossed - 12 - LRB103 36438 CES 66540 b
460+HB5549- 12 -LRB103 36438 CES 66540 b HB5549 - 12 - LRB103 36438 CES 66540 b
461+ HB5549 - 12 - LRB103 36438 CES 66540 b
392462 1 (g) Requiring the trauma center to have a communications
393463 2 system that is fully integrated with all Level II Trauma
394464 3 Centers, Level III Trauma Centers, Acute Injury Stabilization
395465 4 Centers, and EMS Systems with which it is affiliated;
396466 5 (h) The types of data the trauma center must collect and
397467 6 submit to the Department relating to the trauma services it
398468 7 provides. Such data may include information on post-trauma
399469 8 care directly related to the initial traumatic injury provided
400470 9 to trauma patients until their discharge from the facility and
401471 10 information on discharge plans;
402472 11 (i) Requiring the trauma center to have helicopter landing
403473 12 capabilities approved by appropriate State and federal
404474 13 authorities, if the trauma center is located within a
405475 14 municipality having a population of less than two million
406476 15 people; and
407477 16 (j) Requiring written agreements with Level II Trauma
408478 17 Centers, Level III Trauma Centers, and Acute Injury
409479 18 Stabilization Centers in the EMS Regions it serves, executed
410480 19 within a reasonable time designated by the Department.
411481 20 (Source: P.A. 89-177, eff. 7-19-95.)
412482 21 (210 ILCS 50/3.100)
413483 22 Sec. 3.100. Level II Trauma Center Minimum Standards. The
414484 23 Department shall establish, through rules adopted pursuant to
415485 24 this Act, standards for Level II Trauma Centers which shall
416486 25 include, but need not be limited to:
417487
418488
419489
420490
421491
422- HB5549 Engrossed - 12 - LRB103 36438 CES 66540 b
492+ HB5549 - 12 - LRB103 36438 CES 66540 b
423493
424494
425-HB5549 Engrossed- 13 -LRB103 36438 CES 66540 b HB5549 Engrossed - 13 - LRB103 36438 CES 66540 b
426- HB5549 Engrossed - 13 - LRB103 36438 CES 66540 b
495+HB5549- 13 -LRB103 36438 CES 66540 b HB5549 - 13 - LRB103 36438 CES 66540 b
496+ HB5549 - 13 - LRB103 36438 CES 66540 b
427497 1 (a) The designation by the trauma center of a Trauma
428498 2 Center Medical Director and specification of his
429499 3 qualifications;
430500 4 (b) The types of surgical services the trauma center must
431501 5 have available for trauma patients. The Department shall not
432502 6 require the availability of all surgical services required of
433503 7 Level I Trauma Centers;
434504 8 (c) The types of nonsurgical services the trauma center
435505 9 must have available for trauma patients;
436506 10 (d) The numbers and qualifications of emergency medical
437507 11 personnel, taking into consideration the more limited trauma
438508 12 services available in a Level II Trauma Center;
439509 13 (e) The types of equipment that must be available for
440510 14 trauma patients;
441511 15 (f) Requiring the trauma center to have a written
442512 16 agreement with a Level I Trauma Centers, Level III Trauma
443513 17 Centers, and Acute Injury Stabilization Centers Center serving
444514 18 the EMS Region outlining their respective responsibilities in
445515 19 providing trauma services, executed within a reasonable time
446516 20 designated by the Department, unless the requirement for a
447517 21 Level I Trauma Center to serve that EMS Region has been waived
448518 22 by the Department;
449519 23 (g) Requiring the trauma center to be affiliated with an
450520 24 EMS System;
451521 25 (h) Requiring the trauma center to have a communications
452522 26 system that is fully integrated with the Level I Trauma
453523
454524
455525
456526
457527
458- HB5549 Engrossed - 13 - LRB103 36438 CES 66540 b
528+ HB5549 - 13 - LRB103 36438 CES 66540 b
459529
460530
461-HB5549 Engrossed- 14 -LRB103 36438 CES 66540 b HB5549 Engrossed - 14 - LRB103 36438 CES 66540 b
462- HB5549 Engrossed - 14 - LRB103 36438 CES 66540 b
531+HB5549- 14 -LRB103 36438 CES 66540 b HB5549 - 14 - LRB103 36438 CES 66540 b
532+ HB5549 - 14 - LRB103 36438 CES 66540 b
463533 1 Centers, Level III Trauma Centers, Acute Injury Stabilization
464534 2 Centers, and the EMS Systems with which it is affiliated;
465535 3 (i) The types of data the trauma center must collect and
466536 4 submit to the Department relating to the trauma services it
467537 5 provides. Such data may include information on post-trauma
468538 6 care directly related to the initial traumatic injury provided
469539 7 to trauma patients until their discharge from the facility and
470540 8 information on discharge plans;
471541 9 (j) Requiring the trauma center to have helicopter landing
472542 10 capabilities approved by appropriate State and federal
473543 11 authorities, if the trauma center is located within a
474544 12 municipality having a population of less than two million
475545 13 people.
476546 14 (Source: P.A. 89-177, eff. 7-19-95.)
477547 15 (210 ILCS 50/3.101 new)
478548 16 Sec. 3.101. Level III Trauma Center minimum standards. The
479549 17 Department shall establish, through rules adopted under this
480550 18 Act, standards for Level III Trauma Centers that shall
481551 19 include, but need not be limited to:
482552 20 (1) the designation by the trauma center of a Trauma
483553 21 Center Medical Director and specification of his or her
484554 22 qualifications;
485555 23 (2) the types of surgical services the trauma center
486556 24 must have available for trauma patients; the Department
487557 25 shall not require the availability of all surgical
488558
489559
490560
491561
492562
493- HB5549 Engrossed - 14 - LRB103 36438 CES 66540 b
563+ HB5549 - 14 - LRB103 36438 CES 66540 b
494564
495565
496-HB5549 Engrossed- 15 -LRB103 36438 CES 66540 b HB5549 Engrossed - 15 - LRB103 36438 CES 66540 b
497- HB5549 Engrossed - 15 - LRB103 36438 CES 66540 b
566+HB5549- 15 -LRB103 36438 CES 66540 b HB5549 - 15 - LRB103 36438 CES 66540 b
567+ HB5549 - 15 - LRB103 36438 CES 66540 b
498568 1 services required of Level I or Level II Trauma Centers;
499569 2 (3) the types of nonsurgical services the trauma
500570 3 center must have available for trauma patients;
501571 4 (4) the numbers and qualifications of emergency
502572 5 medical personnel, taking into consideration the more
503573 6 limited trauma services available in a Level III Trauma
504574 7 Center;
505575 8 (5) the types of equipment that must be available for
506576 9 trauma patients;
507577 10 (6) requiring the trauma center to have a written
508578 11 agreement with Level I Trauma Centers, Level II Trauma
509579 12 Centers, and Acute Injury Stabilization Centers serving
510580 13 the EMS Region outlining their respective responsibilities
511581 14 in providing trauma services, executed within a reasonable
512582 15 time designated by the Department, unless the requirement
513583 16 for a Level I Trauma Center to serve that EMS Region has
514584 17 been waived by the Department;
515585 18 (7) requiring the trauma center to be affiliated with
516586 19 an EMS System;
517587 20 (8) requiring the trauma center to have a
518588 21 communications system that is fully integrated with the
519589 22 Level I Trauma Centers, Level II Trauma Centers, Acute
520590 23 Injury Stabilization Centers, and the EMS Systems with
521591 24 which it is affiliated;
522592 25 (9) the types of data the trauma center must collect
523593 26 and submit to the Department relating to the trauma
524594
525595
526596
527597
528598
529- HB5549 Engrossed - 15 - LRB103 36438 CES 66540 b
599+ HB5549 - 15 - LRB103 36438 CES 66540 b
530600
531601
532-HB5549 Engrossed- 16 -LRB103 36438 CES 66540 b HB5549 Engrossed - 16 - LRB103 36438 CES 66540 b
533- HB5549 Engrossed - 16 - LRB103 36438 CES 66540 b
602+HB5549- 16 -LRB103 36438 CES 66540 b HB5549 - 16 - LRB103 36438 CES 66540 b
603+ HB5549 - 16 - LRB103 36438 CES 66540 b
534604 1 services it provides; such data may include information on
535605 2 post-trauma care directly related to the initial traumatic
536606 3 injury provided to trauma patients until their discharge
537607 4 from the facility and information on discharge plans; and
538608 5 (10) requiring the trauma center to have helicopter
539609 6 landing capabilities approved by appropriate State and
540610 7 federal authorities if the trauma center is located within
541611 8 a municipality having a population of less than 2,000,000
542612 9 people.
543613 10 (210 ILCS 50/3.102 new)
544614 11 Sec. 3.102. Acute Injury Stabilization Center minimum
545615 12 standards. The Department shall establish, through rules
546616 13 adopted pursuant to this Act, standards for Acute Injury
547617 14 Stabilization Centers, which shall include, but need not be
548618 15 limited to, Comprehensive or Basic Emergency Department
549619 16 services pursuant to the Hospital Licensing Act.
550620 17 (210 ILCS 50/3.105)
551621 18 Sec. 3.105. Trauma Center Misrepresentation. No After the
552622 19 effective date of this amendatory Act of 1995, no facility
553623 20 shall use the phrase "trauma center" or words of similar
554624 21 meaning in relation to itself or hold itself out as a trauma
555625 22 center without first obtaining designation pursuant to this
556626 23 Act.
557627 24 (Source: P.A. 89-177, eff. 7-19-95.)
558628
559629
560630
561631
562632
563- HB5549 Engrossed - 16 - LRB103 36438 CES 66540 b
633+ HB5549 - 16 - LRB103 36438 CES 66540 b
564634
565635
566-HB5549 Engrossed- 17 -LRB103 36438 CES 66540 b HB5549 Engrossed - 17 - LRB103 36438 CES 66540 b
567- HB5549 Engrossed - 17 - LRB103 36438 CES 66540 b
636+HB5549- 17 -LRB103 36438 CES 66540 b HB5549 - 17 - LRB103 36438 CES 66540 b
637+ HB5549 - 17 - LRB103 36438 CES 66540 b
568638 1 (210 ILCS 50/3.106 new)
569639 2 Sec. 3.106. Acute Injury Stabilization Center
570640 3 misrepresentation. No facility shall use the phrase "Acute
571641 4 Injury Stabilization Center" or words of similar meaning in
572642 5 relation to itself or hold itself out as an Acute Injury
573643 6 Stabilization Center without first obtaining designation
574644 7 pursuant to this Act.
575645 8 (210 ILCS 50/3.110)
576646 9 Sec. 3.110. EMS system and trauma center confidentiality
577647 10 and immunity.
578648 11 (a) All information contained in or relating to any
579649 12 medical audit performed of a trauma center's trauma services
580650 13 or an Acute Injury Stabilization Center pursuant to this Act
581651 14 or by an EMS Medical Director or his designee of medical care
582652 15 rendered by System personnel, shall be afforded the same
583653 16 status as is provided information concerning medical studies
584654 17 in Article VIII, Part 21 of the Code of Civil Procedure.
585655 18 Disclosure of such information to the Department pursuant to
586656 19 this Act shall not be considered a violation of Article VIII,
587657 20 Part 21 of the Code of Civil Procedure.
588658 21 (b) Hospitals, trauma centers and individuals that perform
589659 22 or participate in medical audits pursuant to this Act shall be
590660 23 immune from civil liability to the same extent as provided in
591661 24 Section 10.2 of the Hospital Licensing Act.
592662
593663
594664
595665
596666
597- HB5549 Engrossed - 17 - LRB103 36438 CES 66540 b
667+ HB5549 - 17 - LRB103 36438 CES 66540 b
598668
599669
600-HB5549 Engrossed- 18 -LRB103 36438 CES 66540 b HB5549 Engrossed - 18 - LRB103 36438 CES 66540 b
601- HB5549 Engrossed - 18 - LRB103 36438 CES 66540 b
670+HB5549- 18 -LRB103 36438 CES 66540 b HB5549 - 18 - LRB103 36438 CES 66540 b
671+ HB5549 - 18 - LRB103 36438 CES 66540 b
602672 1 (c) All information relating to the State Emergency
603673 2 Medical Services Disciplinary Review Board or a local review
604674 3 board, except final decisions, shall be afforded the same
605675 4 status as is provided information concerning medical studies
606676 5 in Article VIII, Part 21 of the Code of Civil Procedure.
607677 6 Disclosure of such information to the Department pursuant to
608678 7 this Act shall not be considered a violation of Article VIII,
609679 8 Part 21 of the Code of Civil Procedure.
610680 9 (Source: P.A. 92-651, eff. 7-11-02.)
611681 10 (210 ILCS 50/3.115)
612682 11 Sec. 3.115. Pediatric care. Pediatric Trauma. The Director
613683 12 shall appoint an advisory council to make recommendations for
614684 13 pediatric care needs and develop strategies to address areas
615685 14 of need as defined in rules adopted by the Department.
616686 15 The Department shall:
617687 16 (1) develop or promote recommendations for continuing
618688 17 medical education, treatment guidelines, and other
619689 18 programs for health practitioners and organizations
620690 19 involved in pediatric care;
621691 20 (2) support existing pediatric care programs and
622692 21 assist in establishing new pediatric care initiatives
623693 22 throughout the State;
624694 23 (3) designate applicant hospitals that meet the
625695 24 minimum standards established by the Department for their
626696 25 pediatric emergency and critical care capabilities.
627697
628698
629699
630700
631701
632- HB5549 Engrossed - 18 - LRB103 36438 CES 66540 b
702+ HB5549 - 18 - LRB103 36438 CES 66540 b
633703
634704
635-HB5549 Engrossed- 19 -LRB103 36438 CES 66540 b HB5549 Engrossed - 19 - LRB103 36438 CES 66540 b
636- HB5549 Engrossed - 19 - LRB103 36438 CES 66540 b
705+HB5549- 19 -LRB103 36438 CES 66540 b HB5549 - 19 - LRB103 36438 CES 66540 b
706+ HB5549 - 19 - LRB103 36438 CES 66540 b
637707 1 Upon the availability of federal funds for pediatric care
638708 2 demonstration projects, the Department shall:
639709 3 (a) Convene a work group which will be charged with
640710 4 conducting a needs assessment of pediatric trauma care and
641711 5 with developing strategies to correct areas of need;
642712 6 (b) Contract with the University of Illinois School of
643713 7 Public Health to develop a secondary prevention program for
644714 8 parents;
645715 9 (c) Contract with an Illinois medical school to develop
646716 10 training and continuing medical education programs for
647717 11 physicians and nurses in treatment of pediatric trauma;
648718 12 (d) Contract with an Illinois medical school to develop
649719 13 and test triage and field scoring for pediatric trauma if the
650720 14 needs assessment by the work group indicates that current
651721 15 scoring is inadequate;
652722 16 (e) Support existing pediatric trauma programs and assist
653723 17 in establishing new pediatric trauma programs throughout the
654724 18 State;
655725 19 (f) Provide grants to EMS systems for special pediatric
656726 20 equipment for prehospital care based on needs identified by
657727 21 the work group; and
658728 22 (g) Provide grants to EMS systems and trauma centers for
659729 23 specialized training in pediatric trauma based on needs
660730 24 identified by the work group.
661731 25 (Source: P.A. 89-177, eff. 7-19-95.)
662732
663733
664734
665735
666736
667- HB5549 Engrossed - 19 - LRB103 36438 CES 66540 b
737+ HB5549 - 19 - LRB103 36438 CES 66540 b
668738
669739
670-HB5549 Engrossed- 20 -LRB103 36438 CES 66540 b HB5549 Engrossed - 20 - LRB103 36438 CES 66540 b
671- HB5549 Engrossed - 20 - LRB103 36438 CES 66540 b
740+HB5549- 20 -LRB103 36438 CES 66540 b HB5549 - 20 - LRB103 36438 CES 66540 b
741+ HB5549 - 20 - LRB103 36438 CES 66540 b
672742 1 (210 ILCS 50/3.140)
673743 2 Sec. 3.140. Violations; Fines.
674744 3 (a) The Department shall have the authority to impose
675745 4 fines on any licensed vehicle service provider, stretcher van
676746 5 provider, designated trauma center, Acute Injury Stabilization
677747 6 Center, resource hospital, associate hospital, or
678748 7 participating hospital.
679749 8 (b) The Department shall adopt rules pursuant to this Act
680750 9 which establish a system of fines related to the type and level
681751 10 of violation or repeat violation, including, but not limited
682752 11 to:
683753 12 (1) A fine not exceeding $10,000 for each a violation
684754 13 which created a condition or occurrence presenting a
685755 14 substantial probability that death or serious harm to an
686756 15 individual will or did result therefrom; and
687757 16 (2) A fine not exceeding $5,000 for each a violation
688758 17 which creates or created a condition or occurrence which
689759 18 threatens the health, safety or welfare of an individual.
690760 19 (c) A Notice of Intent to Impose Fine may be issued in
691761 20 conjunction with or in lieu of a Notice of Intent to Suspend,
692762 21 Revoke, Nonrenew or Deny, and shall conform to the
693763 22 requirements specified in Section 3.130(d) of this Act. All
694764 23 Hearings conducted pursuant to a Notice of Intent to Impose
695765 24 Fine shall conform to the requirements specified in Section
696766 25 3.135 of this Act.
697767 26 (d) All fines collected pursuant to this Section shall be
698768
699769
700770
701771
702772
703- HB5549 Engrossed - 20 - LRB103 36438 CES 66540 b
773+ HB5549 - 20 - LRB103 36438 CES 66540 b
704774
705775
706-HB5549 Engrossed- 21 -LRB103 36438 CES 66540 b HB5549 Engrossed - 21 - LRB103 36438 CES 66540 b
707- HB5549 Engrossed - 21 - LRB103 36438 CES 66540 b
776+HB5549- 21 -LRB103 36438 CES 66540 b HB5549 - 21 - LRB103 36438 CES 66540 b
777+ HB5549 - 21 - LRB103 36438 CES 66540 b
708778 1 deposited into the EMS Assistance Fund.
709779 2 (Source: P.A. 98-973, eff. 8-15-14.)
710780 3 (210 ILCS 50/3.200)
711781 4 Sec. 3.200. State Emergency Medical Services Advisory
712782 5 Council.
713783 6 (a) There shall be established within the Department of
714784 7 Public Health a State Emergency Medical Services Advisory
715785 8 Council, which shall serve as an advisory body to the
716786 9 Department on matters related to this Act.
717787 10 (b) Membership of the Council shall include one
718788 11 representative from each EMS Region, to be appointed by each
719789 12 region's EMS Regional Advisory Committee. The Governor shall
720790 13 appoint additional members to the Council as necessary to
721791 14 insure that the Council includes one representative from each
722792 15 of the following categories:
723793 16 (1) EMS Medical Director,
724794 17 (2) Trauma Center Medical Director,
725795 18 (3) Licensed, practicing physician with regular and
726796 19 frequent involvement in the provision of emergency care,
727797 20 (4) Licensed, practicing physician with special
728798 21 expertise in the surgical care of the trauma patient,
729799 22 (5) EMS System Coordinator,
730800 23 (6) TNS,
731801 24 (7) Paramedic,
732802 25 (7.5) A-EMT,
733803
734804
735805
736806
737807
738- HB5549 Engrossed - 21 - LRB103 36438 CES 66540 b
808+ HB5549 - 21 - LRB103 36438 CES 66540 b
739809
740810
741-HB5549 Engrossed- 22 -LRB103 36438 CES 66540 b HB5549 Engrossed - 22 - LRB103 36438 CES 66540 b
742- HB5549 Engrossed - 22 - LRB103 36438 CES 66540 b
811+HB5549- 22 -LRB103 36438 CES 66540 b HB5549 - 22 - LRB103 36438 CES 66540 b
812+ HB5549 - 22 - LRB103 36438 CES 66540 b
743813 1 (8) EMT-I,
744814 2 (9) EMT,
745815 3 (10) Private vehicle service provider,
746816 4 (11) Law enforcement officer,
747817 5 (12) Chief of a public vehicle service provider,
748818 6 (13) Statewide firefighters' union member affiliated
749819 7 with a vehicle service provider,
750820 8 (14) Administrative representative from a fire
751821 9 department vehicle service provider in a municipality with
752822 10 a population of over 2 million people, ;
753823 11 (15) Administrative representative from a Resource
754824 12 Hospital or EMS System Administrative Director, and .
755825 13 (16) Representative from a pediatric critical care
756826 14 center.
757827 15 (c) Members shall be appointed for a term of 3 years. All
758828 16 appointees shall serve until their successors are appointed
759829 17 and qualified.
760830 18 (d) The Council shall be provided a 90-day period in which
761831 19 to review and comment, in consultation with the subcommittee
762832 20 to which the rules are relevant, upon all rules proposed by the
763833 21 Department pursuant to this Act, except for rules adopted
764834 22 pursuant to Section 3.190(a) of this Act, rules submitted to
765835 23 the State Trauma Advisory Council and emergency rules adopted
766836 24 pursuant to Section 5-45 of the Illinois Administrative
767837 25 Procedure Act. The 90-day review and comment period may
768838 26 commence upon the Department's submission of the proposed
769839
770840
771841
772842
773843
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844+ HB5549 - 22 - LRB103 36438 CES 66540 b
775845
776846
777-HB5549 Engrossed- 23 -LRB103 36438 CES 66540 b HB5549 Engrossed - 23 - LRB103 36438 CES 66540 b
778- HB5549 Engrossed - 23 - LRB103 36438 CES 66540 b
847+HB5549- 23 -LRB103 36438 CES 66540 b HB5549 - 23 - LRB103 36438 CES 66540 b
848+ HB5549 - 23 - LRB103 36438 CES 66540 b
779849 1 rules to the individual Council members, if the Council is not
780850 2 meeting at the time the proposed rules are ready for Council
781851 3 review. Any non-emergency rules adopted prior to the Council's
782852 4 90-day review and comment period shall be null and void. If the
783853 5 Council fails to advise the Department within its 90-day
784854 6 review and comment period, the rule shall be considered acted
785855 7 upon.
786856 8 (e) Council members shall be reimbursed for reasonable
787857 9 travel expenses incurred during the performance of their
788858 10 duties under this Section.
789859 11 (f) The Department shall provide administrative support to
790860 12 the Council for the preparation of the agenda and minutes for
791861 13 Council meetings and distribution of proposed rules to Council
792862 14 members.
793863 15 (g) The Council shall act pursuant to bylaws which it
794864 16 adopts, which shall include the annual election of a Chair and
795865 17 Vice-Chair.
796866 18 (h) The Director or his designee shall be present at all
797867 19 Council meetings.
798868 20 (i) Nothing in this Section shall preclude the Council
799869 21 from reviewing and commenting on proposed rules which fall
800870 22 under the purview of the State Trauma Advisory Council.
801871 23 (Source: P.A. 98-973, eff. 8-15-14.)
802872 24 (210 ILCS 50/3.205)
803873 25 Sec. 3.205. State Trauma Advisory Council.
804874
805875
806876
807877
808878
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879+ HB5549 - 23 - LRB103 36438 CES 66540 b
810880
811881
812-HB5549 Engrossed- 24 -LRB103 36438 CES 66540 b HB5549 Engrossed - 24 - LRB103 36438 CES 66540 b
813- HB5549 Engrossed - 24 - LRB103 36438 CES 66540 b
882+HB5549- 24 -LRB103 36438 CES 66540 b HB5549 - 24 - LRB103 36438 CES 66540 b
883+ HB5549 - 24 - LRB103 36438 CES 66540 b
814884 1 (a) There shall be established within the Department of
815885 2 Public Health a State Trauma Advisory Council, which shall
816886 3 serve as an advisory body to the Department on matters related
817887 4 to trauma care and trauma centers.
818888 5 (b) Membership of the Council shall include one
819889 6 representative from each Regional Trauma Advisory Committee,
820890 7 to be appointed by each Committee. The Governor shall appoint
821891 8 the following additional members:
822892 9 (1) An EMS Medical Director,
823893 10 (2) A trauma center medical director,
824894 11 (3) A trauma surgeon,
825895 12 (4) A trauma nurse coordinator,
826896 13 (5) A representative from a private vehicle service
827897 14 provider,
828898 15 (6) A representative from a public vehicle service
829899 16 provider,
830900 17 (7) A member of the State EMS Advisory Council, and
831-18 (8) (Blank), and A neurosurgeon.
901+18 (8) A neurosurgeon, and .
832902 19 (9) A burn care medical representative.
833-20 The Governor may appoint a neurosurgeon to the membership
834-21 of the Council.
835-22 (c) Members shall be appointed for a term of 3 years. All
836-23 appointees shall serve until their successors are appointed
837-24 and qualified.
838-25 (d) The Council shall be provided a 90-day period in which
839-26 to review and comment upon all rules proposed by the
903+20 (c) Members shall be appointed for a term of 3 years. All
904+21 appointees shall serve until their successors are appointed
905+22 and qualified.
906+23 (d) The Council shall be provided a 90-day period in which
907+24 to review and comment upon all rules proposed by the
908+25 Department pursuant to this Act concerning trauma care, except
909+26 for emergency rules adopted pursuant to Section 5-45 of the
840910
841911
842912
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850-1 Department pursuant to this Act concerning trauma care, except
851-2 for emergency rules adopted pursuant to Section 5-45 of the
852-3 Illinois Administrative Procedure Act. The 90-day review and
853-4 comment period may commence upon the Department's submission
854-5 of the proposed rules to the individual Council members, if
855-6 the Council is not meeting at the time the proposed rules are
856-7 ready for Council review. Any non-emergency rules adopted
857-8 prior to the Council's 90-day review and comment period shall
858-9 be null and void. If the Council fails to advise the Department
859-10 within its 90-day review and comment period, the rule shall be
860-11 considered acted upon;
861-12 (e) Council members shall be reimbursed for reasonable
862-13 travel expenses incurred during the performance of their
863-14 duties under this Section.
864-15 (f) The Department shall provide administrative support to
865-16 the Council for the preparation of the agenda and minutes for
866-17 Council meetings and distribution of proposed rules to Council
867-18 members.
868-19 (g) The Council shall act pursuant to bylaws which it
869-20 adopts, which shall include the annual election of a Chair and
870-21 Vice-Chair.
871-22 (h) The Director or his designee shall be present at all
872-23 Council meetings.
873-24 (i) Nothing in this Section shall preclude the Council
874-25 from reviewing and commenting on proposed rules which fall
875-26 under the purview of the State EMS Advisory Council.
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920+1 Illinois Administrative Procedure Act. The 90-day review and
921+2 comment period may commence upon the Department's submission
922+3 of the proposed rules to the individual Council members, if
923+4 the Council is not meeting at the time the proposed rules are
924+5 ready for Council review. Any non-emergency rules adopted
925+6 prior to the Council's 90-day review and comment period shall
926+7 be null and void. If the Council fails to advise the Department
927+8 within its 90-day review and comment period, the rule shall be
928+9 considered acted upon;
929+10 (e) Council members shall be reimbursed for reasonable
930+11 travel expenses incurred during the performance of their
931+12 duties under this Section.
932+13 (f) The Department shall provide administrative support to
933+14 the Council for the preparation of the agenda and minutes for
934+15 Council meetings and distribution of proposed rules to Council
935+16 members.
936+17 (g) The Council shall act pursuant to bylaws which it
937+18 adopts, which shall include the annual election of a Chair and
938+19 Vice-Chair.
939+20 (h) The Director or his designee shall be present at all
940+21 Council meetings.
941+22 (i) Nothing in this Section shall preclude the Council
942+23 from reviewing and commenting on proposed rules which fall
943+24 under the purview of the State EMS Advisory Council.
944+25 (Source: P.A. 98-973, eff. 8-15-14.)
945+26 Section 99. Effective date. This Act takes effect upon
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886-1 (Source: P.A. 98-973, eff. 8-15-14.)
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