103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2964 Introduced 1/31/2024, by Sen. Sue Rezin SYNOPSIS AS INTRODUCED: 55 ILCS 5/3-3013 from Ch. 34, par. 3-3013 Amends the Coroner Division of the Counties Code. In provisions regarding preliminary investigations where a drug overdose is determined to be the cause or a contributing factor in a death, modifies the definition of "overdose" to exclude death caused by fentanyl, which shall be considered poisoning. Provides that, in every case in which fentanyl is determined to be the cause or a contributing factor in the death, the coroner or medical examiner shall report the death to the Department of Public Health as "fentanyl poisoning". Provides that, in the monthly report of overdose deaths, the Department shall also report on fentanyl poisoning deaths. LRB103 36959 AWJ 67073 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2964 Introduced 1/31/2024, by Sen. Sue Rezin SYNOPSIS AS INTRODUCED: 55 ILCS 5/3-3013 from Ch. 34, par. 3-3013 55 ILCS 5/3-3013 from Ch. 34, par. 3-3013 Amends the Coroner Division of the Counties Code. In provisions regarding preliminary investigations where a drug overdose is determined to be the cause or a contributing factor in a death, modifies the definition of "overdose" to exclude death caused by fentanyl, which shall be considered poisoning. Provides that, in every case in which fentanyl is determined to be the cause or a contributing factor in the death, the coroner or medical examiner shall report the death to the Department of Public Health as "fentanyl poisoning". Provides that, in the monthly report of overdose deaths, the Department shall also report on fentanyl poisoning deaths. LRB103 36959 AWJ 67073 b LRB103 36959 AWJ 67073 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2964 Introduced 1/31/2024, by Sen. Sue Rezin SYNOPSIS AS INTRODUCED: 55 ILCS 5/3-3013 from Ch. 34, par. 3-3013 55 ILCS 5/3-3013 from Ch. 34, par. 3-3013 55 ILCS 5/3-3013 from Ch. 34, par. 3-3013 Amends the Coroner Division of the Counties Code. In provisions regarding preliminary investigations where a drug overdose is determined to be the cause or a contributing factor in a death, modifies the definition of "overdose" to exclude death caused by fentanyl, which shall be considered poisoning. Provides that, in every case in which fentanyl is determined to be the cause or a contributing factor in the death, the coroner or medical examiner shall report the death to the Department of Public Health as "fentanyl poisoning". Provides that, in the monthly report of overdose deaths, the Department shall also report on fentanyl poisoning deaths. LRB103 36959 AWJ 67073 b LRB103 36959 AWJ 67073 b LRB103 36959 AWJ 67073 b A BILL FOR SB2964LRB103 36959 AWJ 67073 b SB2964 LRB103 36959 AWJ 67073 b SB2964 LRB103 36959 AWJ 67073 b 1 AN ACT concerning local government. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Counties Code is amended by changing 5 Section 3-3013 as follows: 6 (55 ILCS 5/3-3013) (from Ch. 34, par. 3-3013) 7 Sec. 3-3013. Preliminary investigations; blood and urine 8 analysis; summoning jury; reports. Every coroner, whenever, 9 as soon as he knows or is informed that the dead body of any 10 person is found, or lying within his county, whose death is 11 suspected of being: 12 (a) A sudden or violent death, whether apparently 13 suicidal, homicidal, or accidental, including, but not 14 limited to, deaths apparently caused or contributed to by 15 thermal, traumatic, chemical, electrical, or radiational 16 injury, or a complication of any of them, or by drowning or 17 suffocation, or as a result of domestic violence as 18 defined in the Illinois Domestic Violence Act of 1986; 19 (b) A death due to a sex crime; 20 (c) A death where the circumstances are suspicious, 21 obscure, mysterious, or otherwise unexplained or where, in 22 the written opinion of the attending physician, the cause 23 of death is not determined; 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB2964 Introduced 1/31/2024, by Sen. Sue Rezin SYNOPSIS AS INTRODUCED: 55 ILCS 5/3-3013 from Ch. 34, par. 3-3013 55 ILCS 5/3-3013 from Ch. 34, par. 3-3013 55 ILCS 5/3-3013 from Ch. 34, par. 3-3013 Amends the Coroner Division of the Counties Code. In provisions regarding preliminary investigations where a drug overdose is determined to be the cause or a contributing factor in a death, modifies the definition of "overdose" to exclude death caused by fentanyl, which shall be considered poisoning. Provides that, in every case in which fentanyl is determined to be the cause or a contributing factor in the death, the coroner or medical examiner shall report the death to the Department of Public Health as "fentanyl poisoning". Provides that, in the monthly report of overdose deaths, the Department shall also report on fentanyl poisoning deaths. LRB103 36959 AWJ 67073 b LRB103 36959 AWJ 67073 b LRB103 36959 AWJ 67073 b A BILL FOR 55 ILCS 5/3-3013 from Ch. 34, par. 3-3013 LRB103 36959 AWJ 67073 b SB2964 LRB103 36959 AWJ 67073 b SB2964- 2 -LRB103 36959 AWJ 67073 b SB2964 - 2 - LRB103 36959 AWJ 67073 b SB2964 - 2 - LRB103 36959 AWJ 67073 b 1 (d) A death where addiction to alcohol or to any drug 2 may have been a contributory cause; or 3 (e) A death where the decedent was not attended by a 4 licensed physician; 5 shall go to the place where the dead body is and take charge of 6 the same and shall make a preliminary investigation into the 7 circumstances of the death. In the case of death without 8 attendance by a licensed physician, the body may be moved with 9 the coroner's consent from the place of death to a mortuary in 10 the same county. Coroners in their discretion shall notify 11 such physician as is designated in accordance with Section 12 3-3014 to attempt to ascertain the cause of death, either by 13 autopsy or otherwise. 14 In cases of accidental death involving a motor vehicle in 15 which the decedent was (1) the operator or a suspected 16 operator of a motor vehicle, or (2) a pedestrian 16 years of 17 age or older, the coroner shall require that a blood specimen 18 of at least 30 cc., and if medically possible a urine specimen 19 of at least 30 cc. or as much as possible up to 30 cc., be 20 withdrawn from the body of the decedent in a timely fashion 21 after the crash causing his death, by such physician as has 22 been designated in accordance with Section 3-3014, or by the 23 coroner or deputy coroner or a qualified person designated by 24 such physician, coroner, or deputy coroner. If the county does 25 not maintain laboratory facilities for making such analysis, 26 the blood and urine so drawn shall be sent to the Illinois SB2964 - 2 - LRB103 36959 AWJ 67073 b SB2964- 3 -LRB103 36959 AWJ 67073 b SB2964 - 3 - LRB103 36959 AWJ 67073 b SB2964 - 3 - LRB103 36959 AWJ 67073 b 1 State Police or any other accredited or State-certified 2 laboratory for analysis of the alcohol, carbon monoxide, and 3 dangerous or narcotic drug content of such blood and urine 4 specimens. Each specimen submitted shall be accompanied by 5 pertinent information concerning the decedent upon a form 6 prescribed by such laboratory. Any person drawing blood and 7 urine and any person making any examination of the blood and 8 urine under the terms of this Division shall be immune from all 9 liability, civil or criminal, that might otherwise be incurred 10 or imposed. 11 In all other cases coming within the jurisdiction of the 12 coroner and referred to in subparagraphs (a) through (e) 13 above, blood, and, whenever possible, urine samples shall be 14 analyzed for the presence of alcohol and other drugs. When the 15 coroner suspects that drugs may have been involved in the 16 death, either directly or indirectly, a toxicological 17 examination shall be performed which may include analyses of 18 blood, urine, bile, gastric contents, and other tissues. When 19 the coroner suspects a death is due to toxic substances, other 20 than drugs, the coroner shall consult with the toxicologist 21 prior to collection of samples. Information submitted to the 22 toxicologist shall include information as to height, weight, 23 age, sex, and race of the decedent as well as medical history, 24 medications used by, and the manner of death of the decedent. 25 When the coroner or medical examiner finds that the cause 26 of death is due to homicidal means, the coroner or medical SB2964 - 3 - LRB103 36959 AWJ 67073 b SB2964- 4 -LRB103 36959 AWJ 67073 b SB2964 - 4 - LRB103 36959 AWJ 67073 b SB2964 - 4 - LRB103 36959 AWJ 67073 b 1 examiner shall cause blood and buccal specimens (tissue may be 2 submitted if no uncontaminated blood or buccal specimen can be 3 obtained), whenever possible, to be withdrawn from the body of 4 the decedent in a timely fashion. For proper preservation of 5 the specimens, collected blood and buccal specimens shall be 6 dried and tissue specimens shall be frozen if available 7 equipment exists. As soon as possible, but no later than 30 8 days after the collection of the specimens, the coroner or 9 medical examiner shall release those specimens to the police 10 agency responsible for investigating the death. As soon as 11 possible, but no later than 30 days after the receipt from the 12 coroner or medical examiner, the police agency shall submit 13 the specimens using the agency case number to a National DNA 14 Index System (NDIS) participating laboratory within this 15 State, such as the Illinois State Police, Division of Forensic 16 Services, for analysis and categorizing into genetic marker 17 groupings. The results of the analysis and categorizing into 18 genetic marker groupings shall be provided to the Illinois 19 State Police and shall be maintained by the Illinois State 20 Police in the State central repository in the same manner, and 21 subject to the same conditions, as provided in Section 5-4-3 22 of the Unified Code of Corrections. The requirements of this 23 paragraph are in addition to any other findings, specimens, or 24 information that the coroner or medical examiner is required 25 to provide during the conduct of a criminal investigation. 26 In all counties, in cases of apparent suicide, homicide, SB2964 - 4 - LRB103 36959 AWJ 67073 b SB2964- 5 -LRB103 36959 AWJ 67073 b SB2964 - 5 - LRB103 36959 AWJ 67073 b SB2964 - 5 - LRB103 36959 AWJ 67073 b 1 or accidental death or in other cases, within the discretion 2 of the coroner, the coroner may summon 8 persons of lawful age 3 from those persons drawn for petit jurors in the county. The 4 summons shall command these persons to present themselves 5 personally at such a place and time as the coroner shall 6 determine, and may be in any form which the coroner shall 7 determine and may incorporate any reasonable form of request 8 for acknowledgment which the coroner deems practical and 9 provides a reliable proof of service. The summons may be 10 served by first class mail. From the 8 persons so summoned, the 11 coroner shall select 6 to serve as the jury for the inquest. 12 Inquests may be continued from time to time, as the coroner may 13 deem necessary. The 6 jurors selected in a given case may view 14 the body of the deceased. If at any continuation of an inquest 15 one or more of the original jurors shall be unable to continue 16 to serve, the coroner shall fill the vacancy or vacancies. A 17 juror serving pursuant to this paragraph shall receive 18 compensation from the county at the same rate as the rate of 19 compensation that is paid to petit or grand jurors in the 20 county. The coroner shall furnish to each juror without fee at 21 the time of his discharge a certificate of the number of days 22 in attendance at an inquest, and, upon being presented with 23 such certificate, the county treasurer shall pay to the juror 24 the sum provided for his services. 25 In counties which have a jury commission, in cases of 26 apparent suicide or homicide or of accidental death, the SB2964 - 5 - LRB103 36959 AWJ 67073 b SB2964- 6 -LRB103 36959 AWJ 67073 b SB2964 - 6 - LRB103 36959 AWJ 67073 b SB2964 - 6 - LRB103 36959 AWJ 67073 b 1 coroner may conduct an inquest. The jury commission shall 2 provide at least 8 jurors to the coroner, from whom the coroner 3 shall select any 6 to serve as the jury for the inquest. 4 Inquests may be continued from time to time as the coroner may 5 deem necessary. The 6 jurors originally chosen in a given case 6 may view the body of the deceased. If at any continuation of an 7 inquest one or more of the 6 jurors originally chosen shall be 8 unable to continue to serve, the coroner shall fill the 9 vacancy or vacancies. At the coroner's discretion, additional 10 jurors to fill such vacancies shall be supplied by the jury 11 commission. A juror serving pursuant to this paragraph in such 12 county shall receive compensation from the county at the same 13 rate as the rate of compensation that is paid to petit or grand 14 jurors in the county. 15 In every case in which a fire is determined to be a 16 contributing factor in a death, the coroner shall report the 17 death to the Office of the State Fire Marshal. The coroner 18 shall provide a copy of the death certificate (i) within 30 19 days after filing the permanent death certificate and (ii) in 20 a manner that is agreed upon by the coroner and the State Fire 21 Marshal. 22 In every case in which a drug overdose is determined to be 23 the cause or a contributing factor in the death, the coroner or 24 medical examiner shall report the death to the Department of 25 Public Health. The Department of Public Health shall adopt 26 rules regarding specific information that must be reported in SB2964 - 6 - LRB103 36959 AWJ 67073 b SB2964- 7 -LRB103 36959 AWJ 67073 b SB2964 - 7 - LRB103 36959 AWJ 67073 b SB2964 - 7 - LRB103 36959 AWJ 67073 b 1 the event of such a death. If possible, the coroner shall 2 report the cause of the overdose. As used in this Section, 3 "overdose" has the same meaning as it does in Section 414 of 4 the Illinois Controlled Substances Act, but does not include 5 any cause of death caused by fentanyl, which shall be 6 considered poisoning. In every case in which fentanyl is 7 determined to be the cause or a contributing factor in the 8 death, the coroner or medical examiner shall report the death 9 to the Department of Public Health as "fentanyl poisoning". 10 The Department of Public Health shall issue a semiannual 11 report to the General Assembly summarizing the reports 12 received. The Department shall also provide on its website a 13 monthly report of overdose and fentanyl poisoning death 14 figures organized by location, age, and any other factors the 15 Department deems appropriate. 16 In addition, in every case in which domestic violence is 17 determined to be a contributing factor in a death, the coroner 18 shall report the death to the Illinois State Police. 19 All deaths in State institutions and all deaths of wards 20 of the State or youth in care as defined in Section 4d of the 21 Children and Family Services Act in private care facilities or 22 in programs funded by the Department of Human Services under 23 its powers relating to mental health and developmental 24 disabilities or alcoholism and substance abuse or funded by 25 the Department of Children and Family Services shall be 26 reported to the coroner of the county in which the facility is SB2964 - 7 - LRB103 36959 AWJ 67073 b SB2964- 8 -LRB103 36959 AWJ 67073 b SB2964 - 8 - LRB103 36959 AWJ 67073 b SB2964 - 8 - LRB103 36959 AWJ 67073 b SB2964 - 8 - LRB103 36959 AWJ 67073 b