Illinois 2023-2024 Regular Session

Illinois Senate Bill SB3548 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	Public Act 103-1013
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3	2		SB3548 Enrolled LRB103 38295 CES 68430 b
4		-	AN ACT concerning regulation.
5		-	Be it enacted by the People of the State of Illinois,
6		-	represented in the General Assembly:
7		-	Section 5. The Emergency Medical Services (EMS) Systems
8		-	Act is amended by changing Sections 3.30, 3.90, 3.95, 3.100,
9		-	3.105, 3.110, 3.115, 3.140, 3.200, and 3.205 and by adding
10		-	Sections 3.101, 3.102, and 3.106 as follows:
11		-	(210 ILCS 50/3.30)
12		-	Sec. 3.30. EMS Region Plan; Content.
13		-	(a) The EMS Medical Directors Committee shall address at
14		-	least the following:
15		-	(1) Protocols for inter-System/inter-Region patient
16		-	transports, including identifying the conditions of
17		-	emergency patients which may not be transported to the
18		-	different levels of emergency department, based on their
19		-	Department classifications and relevant Regional
20		-	considerations (e.g. transport times and distances);
21		-	(2) Regional standing medical orders;
22		-	(3) Patient transfer patterns, including criteria for
23		-	determining whether a patient needs the specialized
24		-	services of a trauma center, along with protocols for the
25		-	bypassing of or diversion to any hospital, trauma center
26		-	or regional trauma center which are consistent with
	3	+	1 AN ACT concerning regulation.
	4	+	2 Be it enacted by the People of the State of Illinois,
	5	+	3 represented in the General Assembly:
	6	+	4 Section 5. The Emergency Medical Services (EMS) Systems
	7	+	5 Act is amended by changing Sections 3.30, 3.90, 3.95, 3.100,
	8	+	6 3.105, 3.110, 3.115, 3.140, 3.200, and 3.205 and by adding
	9	+	7 Sections 3.101, 3.102, and 3.106 as follows:
	10	+	8 (210 ILCS 50/3.30)
	11	+	9 Sec. 3.30. EMS Region Plan; Content.
	12	+	10 (a) The EMS Medical Directors Committee shall address at
	13	+	11 least the following:
	14	+	12 (1) Protocols for inter-System/inter-Region patient
	15	+	13 transports, including identifying the conditions of
	16	+	14 emergency patients which may not be transported to the
	17	+	15 different levels of emergency department, based on their
	18	+	16 Department classifications and relevant Regional
	19	+	17 considerations (e.g. transport times and distances);
	20	+	18 (2) Regional standing medical orders;
	21	+	19 (3) Patient transfer patterns, including criteria for
	22	+	20 determining whether a patient needs the specialized
	23	+	21 services of a trauma center, along with protocols for the
	24	+	22 bypassing of or diversion to any hospital, trauma center
	25	+	23 or regional trauma center which are consistent with
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33		-	individual System bypass or diversion protocols and
34		-	protocols for patient choice or refusal;
35		-	(4) Protocols for resolving Regional or Inter-System
36		-	conflict;
37		-	(5) An EMS disaster preparedness plan which includes
38		-	the actions and responsibilities of all EMS participants
39		-	within the Region. Within 90 days of the effective date of
40		-	this amendatory Act of 1996, an EMS System shall submit to
41		-	the Department for review an internal disaster plan. At a
42		-	minimum, the plan shall include contingency plans for the
43		-	transfer of patients to other facilities if an evacuation
44		-	of the hospital becomes necessary due to a catastrophe,
45		-	including but not limited to, a power failure;
46		-	(6) Regional standardization of continuing education
47		-	requirements;
48		-	(7) Regional standardization of Do Not Resuscitate
49		-	(DNR) policies, and protocols for power of attorney for
50		-	health care;
51		-	(8) Protocols for disbursement of Department grants;
52		-	(9) Protocols for the triage, treatment, and transport
53		-	of possible acute stroke patients; and
54		-	(10) Regional standing medical orders for the
55		-	administration of opioid antagonists.
56		-	(b) The Trauma Center Medical Directors or Trauma Center
57		-	Medical Directors Committee shall address at least the
58		-	following:
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	34	+	1 individual System bypass or diversion protocols and
	35	+	2 protocols for patient choice or refusal;
	36	+	3 (4) Protocols for resolving Regional or Inter-System
	37	+	4 conflict;
	38	+	5 (5) An EMS disaster preparedness plan which includes
	39	+	6 the actions and responsibilities of all EMS participants
	40	+	7 within the Region. Within 90 days of the effective date of
	41	+	8 this amendatory Act of 1996, an EMS System shall submit to
	42	+	9 the Department for review an internal disaster plan. At a
	43	+	10 minimum, the plan shall include contingency plans for the
	44	+	11 transfer of patients to other facilities if an evacuation
	45	+	12 of the hospital becomes necessary due to a catastrophe,
	46	+	13 including but not limited to, a power failure;
	47	+	14 (6) Regional standardization of continuing education
	48	+	15 requirements;
	49	+	16 (7) Regional standardization of Do Not Resuscitate
	50	+	17 (DNR) policies, and protocols for power of attorney for
	51	+	18 health care;
	52	+	19 (8) Protocols for disbursement of Department grants;
	53	+	20 (9) Protocols for the triage, treatment, and transport
	54	+	21 of possible acute stroke patients; and
	55	+	22 (10) Regional standing medical orders for the
	56	+	23 administration of opioid antagonists.
	57	+	24 (b) The Trauma Center Medical Directors or Trauma Center
	58	+	25 Medical Directors Committee shall address at least the
	59	+	26 following:
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60	61
61		-	(1) The identification of Regional Trauma Centers;
62		-	(2) Protocols for inter-System and inter-Region trauma
63		-	patient transports, including identifying the conditions
64		-	of emergency patients which may not be transported to the
65		-	different levels of emergency department, based on their
66		-	Department classifications and relevant Regional
67		-	considerations (e.g. transport times and distances);
68		-	(3) Regional trauma standing medical orders;
69		-	(4) Trauma patient transfer patterns, including
70		-	criteria for determining whether a patient needs the
71		-	specialized services of a trauma center, along with
72		-	protocols for the bypassing of or diversion to any
73		-	hospital, trauma center or regional trauma center which
74		-	are consistent with individual System bypass or diversion
75		-	protocols and protocols for patient choice or refusal;
76		-	(5) The identification of which types of patients can
77		-	be cared for by Level I Trauma Centers, and Level II Trauma
78		-	Centers, and Level III Trauma Centers;
79		-	(6) Criteria for inter-hospital transfer of trauma
80		-	patients;
81		-	(7) The treatment of trauma patients in each trauma
82		-	center within the Region;
83		-	(8) A program for conducting a quarterly conference
84		-	which shall include at a minimum a discussion of morbidity
85		-	and mortality between all professional staff involved in
86		-	the care of trauma patients;
87	62
88	63
89		-	(9) The establishment of a Regional trauma quality
90		-	assurance and improvement subcommittee, consisting of
91		-	trauma surgeons, which shall perform periodic medical
92		-	audits of each trauma center's trauma services, and
93		-	forward tabulated data from such reviews to the
94		-	Department; and
95		-	(10) The establishment, within 90 days of the
96		-	effective date of this amendatory Act of 1996, of an
97		-	internal disaster plan, which shall include, at a minimum,
98		-	contingency plans for the transfer of patients to other
99		-	facilities if an evacuation of the hospital becomes
100		-	necessary due to a catastrophe, including but not limited
101		-	to, a power failure.
102		-	(c) The Region's EMS Medical Directors and Trauma Center
103		-	Medical Directors Committees shall appoint any subcommittees
104		-	which they deem necessary to address specific issues
105		-	concerning Region activities.
106		-	(Source: P.A. 99-480, eff. 9-9-15.)
107		-	(210 ILCS 50/3.90)
108		-	Sec. 3.90. Trauma Center Designations.
109		-	(a) "Trauma Center" means a hospital which: (1) within
110		-	designated capabilities provides optimal care to trauma
111		-	patients; (2) participates in an approved EMS System; and (3)
112		-	is duly designated pursuant to the provisions of this Act.
113		-	Level I Trauma Centers shall provide all essential services
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115	67
116		-	in-house, 24 hours per day, in accordance with rules adopted
117		-	by the Department pursuant to this Act. Level II and Level III
118		-	Trauma Centers shall have some essential services available
119		-	in-house, 24 hours per day, and other essential services
120		-	readily available, 24 hours per day, in accordance with rules
121		-	adopted by the Department pursuant to this Act.
122		-	(a-5) An Acute Injury Stabilization Center shall have a
123		-	basic or comprehensive emergency department capable of initial
124		-	management and transfer of the acutely injured in accordance
125		-	with rules adopted by the Department pursuant to this Act.
126		-	(b) The Department shall have the authority and
127		-	responsibility to:
128		-	(1) Establish and enforce minimum standards for
129		-	designation and re-designation of 3 levels of trauma
130		-	centers that meet trauma center national standards, as
131		-	modified by the Department in administrative rules as a
132		-	Level I or Level II Trauma Center, consistent with
133		-	Sections 22 and 23 of this Act, through rules adopted
134		-	pursuant to this Act;
135		-	(2) Require hospitals applying for trauma center
136		-	designation to submit a plan for designation in a manner
137		-	and form prescribed by the Department through rules
138		-	adopted pursuant to this Act;
139		-	(3) Upon receipt of a completed plan for designation,
140		-	conduct a site visit to inspect the hospital for
141		-	compliance with the Department's minimum standards. Such
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	70	+	1 (1) The identification of Regional Trauma Centers;
	71	+	2 (2) Protocols for inter-System and inter-Region trauma
	72	+	3 patient transports, including identifying the conditions
	73	+	4 of emergency patients which may not be transported to the
	74	+	5 different levels of emergency department, based on their
	75	+	6 Department classifications and relevant Regional
	76	+	7 considerations (e.g. transport times and distances);
	77	+	8 (3) Regional trauma standing medical orders;
	78	+	9 (4) Trauma patient transfer patterns, including
	79	+	10 criteria for determining whether a patient needs the
	80	+	11 specialized services of a trauma center, along with
	81	+	12 protocols for the bypassing of or diversion to any
	82	+	13 hospital, trauma center or regional trauma center which
	83	+	14 are consistent with individual System bypass or diversion
	84	+	15 protocols and protocols for patient choice or refusal;
	85	+	16 (5) The identification of which types of patients can
	86	+	17 be cared for by Level I Trauma Centers, and Level II Trauma
	87	+	18 Centers, and Level III Trauma Centers;
	88	+	19 (6) Criteria for inter-hospital transfer of trauma
	89	+	20 patients;
	90	+	21 (7) The treatment of trauma patients in each trauma
	91	+	22 center within the Region;
	92	+	23 (8) A program for conducting a quarterly conference
	93	+	24 which shall include at a minimum a discussion of morbidity
	94	+	25 and mortality between all professional staff involved in
	95	+	26 the care of trauma patients;
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144		-	visit shall be conducted by specially qualified personnel
145		-	with experience in the delivery of emergency medical
146		-	and/or trauma care. A report of the inspection shall be
147		-	provided to the Director within 30 days of the completion
148		-	of the site visit. The report shall note compliance or
149		-	lack of compliance with the individual standards for
150		-	designation, but shall not offer a recommendation on
151		-	granting or denying designation;
152		-	(4) Designate applicant hospitals as Level I, or Level
153		-	II, or Level III Trauma Centers which meet the minimum
154		-	standards established by this Act and the Department. The
155		-	Beginning September 1, 1997 the Department shall designate
156		-	a new trauma center only when a local or regional need for
157		-	such trauma center has been identified. The Department
158		-	shall request an assessment of local or regional need from
159		-	the applicable EMS Region's Trauma Center Medical
160		-	Directors Committee, with advice from the Regional Trauma
161		-	Advisory Committee. This shall not be construed as a needs
162		-	assessment for health planning or other purposes outside
163		-	of this Act;
164		-	(5) Attempt to designate trauma centers in all areas
165		-	of the State. There shall be at least one Level I Trauma
166		-	Center serving each EMS Region, unless waived by the
167		-	Department. This subsection shall not be construed to
168		-	require a Level I Trauma Center to be located in each EMS
169		-	Region. Level I Trauma Centers shall serve as resources
170	98
171	99
172		-	for the Level II and Level III Trauma Centers and Acute
173		-	Injury Stabilization Centers in the EMS Regions. The
174		-	extent of such relationships shall be defined in the EMS
175		-	Region Plan;
176		-	(6) Inspect designated trauma centers to assure
177		-	compliance with the provisions of this Act and the rules
178		-	adopted pursuant to this Act. Information received by the
179		-	Department through filed reports, inspection, or as
180		-	otherwise authorized under this Act shall not be disclosed
181		-	publicly in such a manner as to identify individuals or
182		-	hospitals, except in proceedings involving the denial,
183		-	suspension or revocation of a trauma center designation or
184		-	imposition of a fine on a trauma center;
185		-	(7) Renew trauma center designations every 2 years,
186		-	after an on-site inspection, based on compliance with
187		-	renewal requirements and standards for continuing
188		-	operation, as prescribed by the Department through rules
189		-	adopted pursuant to this Act;
190		-	(8) Refuse to issue or renew a trauma center
191		-	designation, after providing an opportunity for a hearing,
192		-	when findings show that it does not meet the standards and
193		-	criteria prescribed by the Department;
194		-	(9) Review and determine whether a trauma center's
195		-	annual morbidity and mortality rates for trauma patients
196		-	significantly exceed the State average for such rates,
197		-	using a uniform recording methodology based on nationally
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199	103
200		-	recognized standards. Such determination shall be
201		-	considered as a factor in any decision by the Department
202		-	to renew or refuse to renew a trauma center designation
203		-	under this Act, but shall not constitute the sole basis
204		-	for refusing to renew a trauma center designation;
205		-	(10) Take the following action, as appropriate, after
206		-	determining that a trauma center is in violation of this
207		-	Act or any rule adopted pursuant to this Act:
208		-	(A) If the Director determines that the violation
209		-	presents a substantial probability that death or
210		-	serious physical harm will result and if the trauma
211		-	center fails to eliminate the violation immediately or
212		-	within a fixed period of time, not exceeding 10 days,
213		-	as determined by the Director, the Director may
214		-	immediately revoke the trauma center designation. The
215		-	trauma center may appeal the revocation within 15 days
216		-	after receiving the Director's revocation order, by
217		-	requesting a hearing as provided by Section 29 of this
218		-	Act. The Director shall notify the chair of the
219		-	Region's Trauma Center Medical Directors Committee and
220		-	EMS Medical Directors for appropriate EMS Systems of
221		-	such trauma center designation revocation;
222		-	(B) If the Director determines that the violation
223		-	does not present a substantial probability that death
224		-	or serious physical harm will result, the Director
225		-	shall issue a notice of violation and request a plan of
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	106	+	1 (9) The establishment of a Regional trauma quality
	107	+	2 assurance and improvement subcommittee, consisting of
	108	+	3 trauma surgeons, which shall perform periodic medical
	109	+	4 audits of each trauma center's trauma services, and
	110	+	5 forward tabulated data from such reviews to the
	111	+	6 Department; and
	112	+	7 (10) The establishment, within 90 days of the
	113	+	8 effective date of this amendatory Act of 1996, of an
	114	+	9 internal disaster plan, which shall include, at a minimum,
	115	+	10 contingency plans for the transfer of patients to other
	116	+	11 facilities if an evacuation of the hospital becomes
	117	+	12 necessary due to a catastrophe, including but not limited
	118	+	13 to, a power failure.
	119	+	14 (c) The Region's EMS Medical Directors and Trauma Center
	120	+	15 Medical Directors Committees shall appoint any subcommittees
	121	+	16 which they deem necessary to address specific issues
	122	+	17 concerning Region activities.
	123	+	18 (Source: P.A. 99-480, eff. 9-9-15.)
	124	+	19 (210 ILCS 50/3.90)
	125	+	20 Sec. 3.90. Trauma Center Designations.
	126	+	21 (a) "Trauma Center" means a hospital which: (1) within
	127	+	22 designated capabilities provides optimal care to trauma
	128	+	23 patients; (2) participates in an approved EMS System; and (3)
	129	+	24 is duly designated pursuant to the provisions of this Act.
	130	+	25 Level I Trauma Centers shall provide all essential services
226	131
227	132
228		-	correction which shall be subject to the Department's
229		-	approval. The trauma center shall have 10 days after
230		-	receipt of the notice of violation in which to submit a
231		-	plan of correction. The Department may extend this
232		-	period for up to 30 days. The plan shall include a
233		-	fixed time period not in excess of 90 days within which
234		-	violations are to be corrected. The plan of correction
235		-	and the status of its implementation by the trauma
236		-	center shall be provided, as appropriate, to the EMS
237		-	Medical Directors for appropriate EMS Systems. If the
238		-	Department rejects a plan of correction, it shall send
239		-	notice of the rejection and the reason for the
240		-	rejection to the trauma center. The trauma center
241		-	shall have 10 days after receipt of the notice of
242		-	rejection in which to submit a modified plan. If the
243		-	modified plan is not timely submitted, or if the
244		-	modified plan is rejected, the trauma center shall
245		-	follow an approved plan of correction imposed by the
246		-	Department. If, after notice and opportunity for
247		-	hearing, the Director determines that a trauma center
248		-	has failed to comply with an approved plan of
249		-	correction, the Director may suspend or revoke the
250		-	trauma center designation. The trauma center shall
251		-	have 15 days after receiving the Director's notice in
252		-	which to request a hearing. Such hearing shall conform
253		-	to the provisions of Section 3.135 30 of this Act;
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255	134
256		-	(11) The Department may delegate authority to local
257		-	health departments in jurisdictions which include a
258		-	substantial number of trauma centers. The delegated
259		-	authority to those local health departments shall include,
260		-	but is not limited to, the authority to designate trauma
261		-	centers with final approval by the Department, maintain a
262		-	regional data base with concomitant reporting of trauma
263		-	registry data, and monitor, inspect and investigate trauma
264		-	centers within their jurisdiction, in accordance with the
265		-	requirements of this Act and the rules promulgated by the
266		-	Department;
267		-	(A) The Department shall monitor the performance
268		-	of local health departments with authority delegated
269		-	pursuant to this Section, based upon performance
270		-	criteria established in rules promulgated by the
271		-	Department;
272		-	(B) Delegated authority may be revoked for
273		-	substantial non-compliance with the Act or the
274		-	Department's rules. Notice of an intent to revoke
275		-	shall be served upon the local health department by
276		-	certified mail, stating the reasons for revocation and
277		-	offering an opportunity for an administrative hearing
278		-	to contest the proposed revocation. The request for a
279		-	hearing must be in writing and received by the
280		-	Department within 10 working days of the local health
281		-	department's receipt of notification;
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282	137
283	138
284		-	(C) The director of a local health department may
285		-	relinquish its delegated authority upon 60 days
286		-	written notification to the Director of Public Health.
287		-	(Source: P.A. 89-177, eff. 7-19-95.)
288		-	(210 ILCS 50/3.95)
289		-	Sec. 3.95. Level I Trauma Center Minimum Standards. The
290		-	Department shall establish, through rules adopted pursuant to
291		-	this Act, standards for Level I Trauma Centers which shall
292		-	include, but need not be limited to:
293		-	(a) The designation by the trauma center of a Trauma
294		-	Center Medical Director and specification of his
295		-	qualifications;
296		-	(b) The types of surgical services the trauma center must
297		-	have available for trauma patients, including but not limited
298		-	to a twenty-four hour in-house surgeon with operating
299		-	privileges and ancillary staff necessary for immediate
300		-	surgical intervention;
301		-	(c) The types of nonsurgical services the trauma center
302		-	must have available for trauma patients;
303		-	(d) The numbers and qualifications of emergency medical
304		-	personnel;
305		-	(e) The types of equipment that must be available to
306		-	trauma patients;
307		-	(f) Requiring the trauma center to be affiliated with an
308		-	EMS System;
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	141	+	1 in-house, 24 hours per day, in accordance with rules adopted
	142	+	2 by the Department pursuant to this Act. Level II and Level III
	143	+	3 Trauma Centers shall have some essential services available
	144	+	4 in-house, 24 hours per day, and other essential services
	145	+	5 readily available, 24 hours per day, in accordance with rules
	146	+	6 adopted by the Department pursuant to this Act.
	147	+	7 (a-5) An Acute Injury Stabilization Center shall have a
	148	+	8 basic or comprehensive emergency department capable of initial
	149	+	9 management and transfer of the acutely injured in accordance
	150	+	10 with rules adopted by the Department pursuant to this Act.
	151	+	11 (b) The Department shall have the authority and
	152	+	12 responsibility to:
	153	+	13 (1) Establish and enforce minimum standards for
	154	+	14 designation and re-designation of 3 levels of trauma
	155	+	15 centers that meet trauma center national standards, as
	156	+	16 modified by the Department in administrative rules as a
	157	+	17 Level I or Level II Trauma Center, consistent with
	158	+	18 Sections 22 and 23 of this Act, through rules adopted
	159	+	19 pursuant to this Act;
	160	+	20 (2) Require hospitals applying for trauma center
	161	+	21 designation to submit a plan for designation in a manner
	162	+	22 and form prescribed by the Department through rules
	163	+	23 adopted pursuant to this Act;
	164	+	24 (3) Upon receipt of a completed plan for designation,
	165	+	25 conduct a site visit to inspect the hospital for
	166	+	26 compliance with the Department's minimum standards. Such
309	167
310	168
311		-	(g) Requiring the trauma center to have a communications
312		-	system that is fully integrated with all Level II Trauma
313		-	Centers, Level III Trauma Centers, Acute Injury Stabilization
314		-	Centers, and EMS Systems with which it is affiliated;
315		-	(h) The types of data the trauma center must collect and
316		-	submit to the Department relating to the trauma services it
317		-	provides. Such data may include information on post-trauma
318		-	care directly related to the initial traumatic injury provided
319		-	to trauma patients until their discharge from the facility and
320		-	information on discharge plans;
321		-	(i) Requiring the trauma center to have helicopter landing
322		-	capabilities approved by appropriate State and federal
323		-	authorities, if the trauma center is located within a
324		-	municipality having a population of less than two million
325		-	people; and
326		-	(j) Requiring written agreements with Level II Trauma
327		-	Centers, Level III Trauma Centers, and Acute Injury
328		-	Stabilization Centers in the EMS Regions it serves, executed
329		-	within a reasonable time designated by the Department.
330		-	(Source: P.A. 89-177, eff. 7-19-95.)
331		-	(210 ILCS 50/3.100)
332		-	Sec. 3.100. Level II Trauma Center Minimum Standards. The
333		-	Department shall establish, through rules adopted pursuant to
334		-	this Act, standards for Level II Trauma Centers which shall
335		-	include, but need not be limited to:
336	169
337	170
338		-	(a) The designation by the trauma center of a Trauma
339		-	Center Medical Director and specification of his
340		-	qualifications;
341		-	(b) The types of surgical services the trauma center must
342		-	have available for trauma patients. The Department shall not
343		-	require the availability of all surgical services required of
344		-	Level I Trauma Centers;
345		-	(c) The types of nonsurgical services the trauma center
346		-	must have available for trauma patients;
347		-	(d) The numbers and qualifications of emergency medical
348		-	personnel, taking into consideration the more limited trauma
349		-	services available in a Level II Trauma Center;
350		-	(e) The types of equipment that must be available for
351		-	trauma patients;
352		-	(f) Requiring the trauma center to have a written
353		-	agreement with a Level I Trauma Centers, Level III Trauma
354		-	Centers, and Acute Injury Stabilization Centers Center serving
355		-	the EMS Region outlining their respective responsibilities in
356		-	providing trauma services, executed within a reasonable time
357		-	designated by the Department, unless the requirement for a
358		-	Level I Trauma Center to serve that EMS Region has been waived
359		-	by the Department;
360		-	(g) Requiring the trauma center to be affiliated with an
361		-	EMS System;
362		-	(h) Requiring the trauma center to have a communications
363		-	system that is fully integrated with the Level I Trauma
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364	173
365	174
366		-	Centers, Level III Trauma Centers, Acute Injury Stabilization
367		-	Centers, and the EMS Systems with which it is affiliated;
368		-	(i) The types of data the trauma center must collect and
369		-	submit to the Department relating to the trauma services it
370		-	provides. Such data may include information on post-trauma
371		-	care directly related to the initial traumatic injury provided
372		-	to trauma patients until their discharge from the facility and
373		-	information on discharge plans;
374		-	(j) Requiring the trauma center to have helicopter landing
375		-	capabilities approved by appropriate State and federal
376		-	authorities, if the trauma center is located within a
377		-	municipality having a population of less than two million
378		-	people.
379		-	(Source: P.A. 89-177, eff. 7-19-95.)
380		-	(210 ILCS 50/3.101 new)
381		-	Sec. 3.101. Level III Trauma Center Minimum Standards. The
382		-	Department shall establish, through rules adopted under this
383		-	Act, standards for Level III Trauma Centers that shall
384		-	include, but need not be limited to:
385		-	(1) The designation by the trauma center of a Trauma
386		-	Center Medical Director and specification of his or her
387		-	qualifications;
388		-	(2) The types of surgical services the trauma center
389		-	must have available for trauma patients; the Department
390		-	shall not require the availability of all surgical
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	177	+	1 visit shall be conducted by specially qualified personnel
	178	+	2 with experience in the delivery of emergency medical
	179	+	3 and/or trauma care. A report of the inspection shall be
	180	+	4 provided to the Director within 30 days of the completion
	181	+	5 of the site visit. The report shall note compliance or
	182	+	6 lack of compliance with the individual standards for
	183	+	7 designation, but shall not offer a recommendation on
	184	+	8 granting or denying designation;
	185	+	9 (4) Designate applicant hospitals as Level I, or Level
	186	+	10 II, or Level III Trauma Centers which meet the minimum
	187	+	11 standards established by this Act and the Department. The
	188	+	12 Beginning September 1, 1997 the Department shall designate
	189	+	13 a new trauma center only when a local or regional need for
	190	+	14 such trauma center has been identified. The Department
	191	+	15 shall request an assessment of local or regional need from
	192	+	16 the applicable EMS Region's Trauma Center Medical
	193	+	17 Directors Committee, with advice from the Regional Trauma
	194	+	18 Advisory Committee. This shall not be construed as a needs
	195	+	19 assessment for health planning or other purposes outside
	196	+	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
	201	+	25 require a Level I Trauma Center to be located in each EMS
	202	+	26 Region. Level I Trauma Centers shall serve as resources
391	203
392	204
393		-	services required of Level I or Level II Trauma Centers;
394		-	(3) The types of nonsurgical services the trauma
395		-	center must have available for trauma patients;
396		-	(4) The numbers and qualifications of emergency
397		-	medical personnel, taking into consideration the more
398		-	limited trauma services available in a Level III Trauma
399		-	Center;
400		-	(5) The types of equipment that must be available for
401		-	trauma patients;
402		-	(6) Requiring the trauma center to have a written
403		-	agreement with Level I Trauma Centers, Level II Trauma
404		-	Centers, and Acute Injury Stabilization Centers serving
405		-	the EMS Region outlining their respective responsibilities
406		-	in providing trauma services, executed within a reasonable
407		-	time designated by the Department, unless the requirement
408		-	for a Level I Trauma Center to serve that EMS Region has
409		-	been waived by the Department;
410		-	(7) Requiring the trauma center to be affiliated with
411		-	an EMS System;
412		-	(8) Requiring the trauma center to have a
413		-	communications system that is fully integrated with the
414		-	Level I Trauma Centers, Level II Trauma Centers, Acute
415		-	Injury Stabilization Centers, and the EMS Systems with
416		-	which it is affiliated;
417		-	(9) The types of data the trauma center must collect
418		-	and submit to the Department relating to the trauma
419	205
420	206
421		-	services it provides; such data may include information on
422		-	post-trauma care directly related to the initial traumatic
423		-	injury provided to trauma patients until their discharge
424		-	from the facility and information on discharge plans; and
425		-	(10) Requiring the trauma center to have helicopter
426		-	landing capabilities approved by appropriate State and
427		-	federal authorities if the trauma center is located within
428		-	a municipality having a population of less than 2,000,000
429		-	people.
430		-	(210 ILCS 50/3.102 new)
431		-	Sec. 3.102. Acute Injury Stabilization Center minimum
432		-	standards. The Department shall establish, through rules
433		-	adopted pursuant to this Act, standards for Acute Injury
434		-	Stabilization Centers, which shall include, but need not be
435		-	limited to, Comprehensive or Basic Emergency Department
436		-	services pursuant to the Hospital Licensing Act.
437		-	(210 ILCS 50/3.105)
438		-	Sec. 3.105. Trauma Center Misrepresentation. No After the
439		-	effective date of this amendatory Act of 1995, no facility
440		-	shall use the phrase "trauma center" or words of similar
441		-	meaning in relation to itself or hold itself out as a trauma
442		-	center without first obtaining designation pursuant to this
443		-	Act.
444		-	(Source: P.A. 89-177, eff. 7-19-95.)
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445	209
446	210
447		-	(210 ILCS 50/3.106 new)
448		-	Sec. 3.106. Acute Injury Stabilization Center
449		-	Misrepresentation. No facility shall use the phrase "Acute
450		-	Injury Stabilization Center" or words of similar meaning in
451		-	relation to itself or hold itself out as an Acute Injury
452		-	Stabilization Center without first obtaining designation
453		-	pursuant to this Act.
454		-	(210 ILCS 50/3.110)
455		-	Sec. 3.110. EMS system and trauma center confidentiality
456		-	and immunity.
457		-	(a) All information contained in or relating to any
458		-	medical audit performed of a trauma center's trauma services
459		-	or an Acute Injury Stabilization Center pursuant to this Act
460		-	or by an EMS Medical Director or his designee of medical care
461		-	rendered by System personnel, shall be afforded the same
462		-	status as is provided information concerning medical studies
463		-	in Article VIII, Part 21 of the Code of Civil Procedure.
464		-	Disclosure of such information to the Department pursuant to
465		-	this Act shall not be considered a violation of Article VIII,
466		-	Part 21 of the Code of Civil Procedure.
467		-	(b) Hospitals, trauma centers and individuals that perform
468		-	or participate in medical audits pursuant to this Act shall be
469		-	immune from civil liability to the same extent as provided in
470		-	Section 10.2 of the Hospital Licensing Act.
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	213	+	1 for the Level II and Level III Trauma Centers and Acute
	214	+	2 Injury Stabilization Centers in the EMS Regions. The
	215	+	3 extent of such relationships shall be defined in the EMS
	216	+	4 Region Plan;
	217	+	5 (6) Inspect designated trauma centers to assure
	218	+	6 compliance with the provisions of this Act and the rules
	219	+	7 adopted pursuant to this Act. Information received by the
	220	+	8 Department through filed reports, inspection, or as
	221	+	9 otherwise authorized under this Act shall not be disclosed
	222	+	10 publicly in such a manner as to identify individuals or
	223	+	11 hospitals, except in proceedings involving the denial,
	224	+	12 suspension or revocation of a trauma center designation or
	225	+	13 imposition of a fine on a trauma center;
	226	+	14 (7) Renew trauma center designations every 2 years,
	227	+	15 after an on-site inspection, based on compliance with
	228	+	16 renewal requirements and standards for continuing
	229	+	17 operation, as prescribed by the Department through rules
	230	+	18 adopted pursuant to this Act;
	231	+	19 (8) Refuse to issue or renew a trauma center
	232	+	20 designation, after providing an opportunity for a hearing,
	233	+	21 when findings show that it does not meet the standards and
	234	+	22 criteria prescribed by the Department;
	235	+	23 (9) Review and determine whether a trauma center's
	236	+	24 annual morbidity and mortality rates for trauma patients
	237	+	25 significantly exceed the State average for such rates,
	238	+	26 using a uniform recording methodology based on nationally
471	239
472	240
473		-	(c) All information relating to the State Emergency
474		-	Medical Services Disciplinary Review Board or a local review
475		-	board, except final decisions, shall be afforded the same
476		-	status as is provided information concerning medical studies
477		-	in Article VIII, Part 21 of the Code of Civil Procedure.
478		-	Disclosure of such information to the Department pursuant to
479		-	this Act shall not be considered a violation of Article VIII,
480		-	Part 21 of the Code of Civil Procedure.
481		-	(Source: P.A. 92-651, eff. 7-11-02.)
482		-	(210 ILCS 50/3.115)
483		-	Sec. 3.115. Pediatric care; emergency medical services for
484		-	children. Pediatric Trauma. The Director shall appoint an
485		-	advisory council to make recommendations for pediatric care
486		-	needs and develop strategies to address areas of need as
487		-	defined in rules adopted by the Department.
488		-	The Department shall:
489		-	(1) develop or promote recommendations for continuing
490		-	medical education, treatment guidelines, and other
491		-	programs for health practitioners and organizations
492		-	involved in pediatric care;
493		-	(2) support existing pediatric care programs and
494		-	assist in establishing new pediatric care initiatives
495		-	throughout the State;
496		-	(3) designate applicant hospitals that meet the
497		-	minimum standards established by the Department for their
498	241
499	242
500		-	pediatric emergency and critical care capabilities.
501		-	Upon the availability of federal funds for pediatric care
502		-	demonstration projects, the Department shall:
503		-	(a) Convene a work group which will be charged with
504		-	conducting a needs assessment of pediatric trauma care and
505		-	with developing strategies to correct areas of need;
506		-	(b) Contract with the University of Illinois School of
507		-	Public Health to develop a secondary prevention program for
508		-	parents;
509		-	(c) Contract with an Illinois medical school to develop
510		-	training and continuing medical education programs for
511		-	physicians and nurses in treatment of pediatric trauma;
512		-	(d) Contract with an Illinois medical school to develop
513		-	and test triage and field scoring for pediatric trauma if the
514		-	needs assessment by the work group indicates that current
515		-	scoring is inadequate;
516		-	(e) Support existing pediatric trauma programs and assist
517		-	in establishing new pediatric trauma programs throughout the
518		-	State;
519		-	(f) Provide grants to EMS systems for special pediatric
520		-	equipment for prehospital care based on needs identified by
521		-	the work group; and
522		-	(g) Provide grants to EMS systems and trauma centers for
523		-	specialized training in pediatric trauma based on needs
524		-	identified by the work group.
525		-	(Source: P.A. 89-177, eff. 7-19-95.)
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526	245
527	246
528		-	(210 ILCS 50/3.140)
529		-	Sec. 3.140. Violations; Fines.
530		-	(a) The Department shall have the authority to impose
531		-	fines on any licensed vehicle service provider, stretcher van
532		-	provider, designated trauma center, Acute Injury Stabilization
533		-	Center, resource hospital, associate hospital, or
534		-	participating hospital.
535		-	(b) The Department shall adopt rules pursuant to this Act
536		-	which establish a system of fines related to the type and level
537		-	of violation or repeat violation, including, but not limited
538		-	to:
539		-	(1) A fine not exceeding $10,000 for each a violation
540		-	which created a condition or occurrence presenting a
541		-	substantial probability that death or serious harm to an
542		-	individual will or did result therefrom; and
543		-	(2) A fine not exceeding $5,000 for each a violation
544		-	which creates or created a condition or occurrence which
545		-	threatens the health, safety or welfare of an individual.
546		-	(c) A Notice of Intent to Impose Fine may be issued in
547		-	conjunction with or in lieu of a Notice of Intent to Suspend,
548		-	Revoke, Nonrenew or Deny, and shall conform to the
549		-	requirements specified in Section 3.130(d) of this Act. All
550		-	Hearings conducted pursuant to a Notice of Intent to Impose
551		-	Fine shall conform to the requirements specified in Section
552		-	3.135 of this Act.
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	249	+	1 recognized standards. Such determination shall be
	250	+	2 considered as a factor in any decision by the Department
	251	+	3 to renew or refuse to renew a trauma center designation
	252	+	4 under this Act, but shall not constitute the sole basis
	253	+	5 for refusing to renew a trauma center designation;
	254	+	6 (10) Take the following action, as appropriate, after
	255	+	7 determining that a trauma center is in violation of this
	256	+	8 Act or any rule adopted pursuant to this Act:
	257	+	9 (A) If the Director determines that the violation
	258	+	10 presents a substantial probability that death or
	259	+	11 serious physical harm will result and if the trauma
	260	+	12 center fails to eliminate the violation immediately or
	261	+	13 within a fixed period of time, not exceeding 10 days,
	262	+	14 as determined by the Director, the Director may
	263	+	15 immediately revoke the trauma center designation. The
	264	+	16 trauma center may appeal the revocation within 15 days
	265	+	17 after receiving the Director's revocation order, by
	266	+	18 requesting a hearing as provided by Section 29 of this
	267	+	19 Act. The Director shall notify the chair of the
	268	+	20 Region's Trauma Center Medical Directors Committee and
	269	+	21 EMS Medical Directors for appropriate EMS Systems of
	270	+	22 such trauma center designation revocation;
	271	+	23 (B) If the Director determines that the violation
	272	+	24 does not present a substantial probability that death
	273	+	25 or serious physical harm will result, the Director
	274	+	26 shall issue a notice of violation and request a plan of
553	275
554	276
555		-	(d) All fines collected pursuant to this Section shall be
556		-	deposited into the EMS Assistance Fund.
557		-	(Source: P.A. 98-973, eff. 8-15-14.)
558		-	(210 ILCS 50/3.200)
559		-	Sec. 3.200. State Emergency Medical Services Advisory
560		-	Council.
561		-	(a) There shall be established within the Department of
562		-	Public Health a State Emergency Medical Services Advisory
563		-	Council, which shall serve as an advisory body to the
564		-	Department on matters related to this Act.
565		-	(b) Membership of the Council shall include one
566		-	representative from each EMS Region, to be appointed by each
567		-	region's EMS Regional Advisory Committee. The Governor shall
568		-	appoint additional members to the Council as necessary to
569		-	insure that the Council includes one representative from each
570		-	of the following categories:
571		-	(1) EMS Medical Director,
572		-	(2) Trauma Center Medical Director,
573		-	(3) Licensed, practicing physician with regular and
574		-	frequent involvement in the provision of emergency care,
575		-	(4) Licensed, practicing physician with special
576		-	expertise in the surgical care of the trauma patient,
577		-	(5) EMS System Coordinator,
578		-	(6) TNS,
579		-	(7) Paramedic,
580	277
581	278
582		-	(7.5) A-EMT,
583		-	(8) EMT-I,
584		-	(9) EMT,
585		-	(10) Private vehicle service provider,
586		-	(11) Law enforcement officer,
587		-	(12) Chief of a public vehicle service provider,
588		-	(13) Statewide firefighters' union member affiliated
589		-	with a vehicle service provider,
590		-	(14) Administrative representative from a fire
591		-	department vehicle service provider in a municipality with
592		-	a population of over 2 million people, ;
593		-	(15) Administrative representative from a Resource
594		-	Hospital or EMS System Administrative Director, and .
595		-	(16) Representative from a pediatric critical care
596		-	center.
597		-	(c) Members shall be appointed for a term of 3 years. All
598		-	appointees shall serve until their successors are appointed
599		-	and qualified.
600		-	(d) The Council shall be provided a 90-day period in which
601		-	to review and comment, in consultation with the subcommittee
602		-	to which the rules are relevant, upon all rules proposed by the
603		-	Department pursuant to this Act, except for rules adopted
604		-	pursuant to Section 3.190(a) of this Act, rules submitted to
605		-	the State Trauma Advisory Council and emergency rules adopted
606		-	pursuant to Section 5-45 of the Illinois Administrative
607		-	Procedure Act. The 90-day review and comment period may
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608	281
609	282
610		-	commence upon the Department's submission of the proposed
611		-	rules to the individual Council members, if the Council is not
612		-	meeting at the time the proposed rules are ready for Council
613		-	review. Any non-emergency rules adopted prior to the Council's
614		-	90-day review and comment period shall be null and void. If the
615		-	Council fails to advise the Department within its 90-day
616		-	review and comment period, the rule shall be considered acted
617		-	upon.
618		-	(e) Council members shall be reimbursed for reasonable
619		-	travel expenses incurred during the performance of their
620		-	duties under this Section.
621		-	(f) The Department shall provide administrative support to
622		-	the Council for the preparation of the agenda and minutes for
623		-	Council meetings and distribution of proposed rules to Council
624		-	members.
625		-	(g) The Council shall act pursuant to bylaws which it
626		-	adopts, which shall include the annual election of a Chair and
627		-	Vice-Chair.
628		-	(h) The Director or his designee shall be present at all
629		-	Council meetings.
630		-	(i) Nothing in this Section shall preclude the Council
631		-	from reviewing and commenting on proposed rules which fall
632		-	under the purview of the State Trauma Advisory Council.
633		-	(Source: P.A. 98-973, eff. 8-15-14.)
634		-	(210 ILCS 50/3.205)
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	285	+	1 correction which shall be subject to the Department's
	286	+	2 approval. The trauma center shall have 10 days after
	287	+	3 receipt of the notice of violation in which to submit a
	288	+	4 plan of correction. The Department may extend this
	289	+	5 period for up to 30 days. The plan shall include a
	290	+	6 fixed time period not in excess of 90 days within which
	291	+	7 violations are to be corrected. The plan of correction
	292	+	8 and the status of its implementation by the trauma
	293	+	9 center shall be provided, as appropriate, to the EMS
	294	+	10 Medical Directors for appropriate EMS Systems. If the
	295	+	11 Department rejects a plan of correction, it shall send
	296	+	12 notice of the rejection and the reason for the
	297	+	13 rejection to the trauma center. The trauma center
	298	+	14 shall have 10 days after receipt of the notice of
	299	+	15 rejection in which to submit a modified plan. If the
	300	+	16 modified plan is not timely submitted, or if the
	301	+	17 modified plan is rejected, the trauma center shall
	302	+	18 follow an approved plan of correction imposed by the
	303	+	19 Department. If, after notice and opportunity for
	304	+	20 hearing, the Director determines that a trauma center
	305	+	21 has failed to comply with an approved plan of
	306	+	22 correction, the Director may suspend or revoke the
	307	+	23 trauma center designation. The trauma center shall
	308	+	24 have 15 days after receiving the Director's notice in
	309	+	25 which to request a hearing. Such hearing shall conform
	310	+	26 to the provisions of Section 3.135 30 of this Act;
635	311
636	312
637		-	Sec. 3.205. State Trauma Advisory Council.
638		-	(a) There shall be established within the Department of
639		-	Public Health a State Trauma Advisory Council, which shall
640		-	serve as an advisory body to the Department on matters related
641		-	to trauma care and trauma centers.
642		-	(b) Membership of the Council shall include one
643		-	representative from each Regional Trauma Advisory Committee,
644		-	to be appointed by each Committee. The Governor shall appoint
645		-	the following additional members:
646		-	(1) An EMS Medical Director,
647		-	(2) A trauma center medical director,
648		-	(3) A trauma surgeon,
649		-	(4) A trauma nurse coordinator,
650		-	(5) A representative from a private vehicle service
651		-	provider,
652		-	(6) A representative from a public vehicle service
653		-	provider,
654		-	(7) A member of the State EMS Advisory Council, ;and and
655		-	(8) A neurosurgeon.
656		-	(8) A burn care medical representative.
657		-	The Governor may also appoint, as an additional member
658		-	of the Council, a neurosurgeon.
659		-	(c) Members shall be appointed for a term of 3 years. All
660		-	appointees shall serve until their successors are appointed
661		-	and qualified.
662		-	(d) The Council shall be provided a 90-day period in which
663	313
664	314
665		-	to review and comment upon all rules proposed by the
666		-	Department pursuant to this Act concerning trauma care, except
667		-	for emergency rules adopted pursuant to Section 5-45 of the
668		-	Illinois Administrative Procedure Act. The 90-day review and
669		-	comment period may commence upon the Department's submission
670		-	of the proposed rules to the individual Council members, if
671		-	the Council is not meeting at the time the proposed rules are
672		-	ready for Council review. Any non-emergency rules adopted
673		-	prior to the Council's 90-day review and comment period shall
674		-	be null and void. If the Council fails to advise the Department
675		-	within its 90-day review and comment period, the rule shall be
676		-	considered acted upon;
677		-	(e) Council members shall be reimbursed for reasonable
678		-	travel expenses incurred during the performance of their
679		-	duties under this Section.
680		-	(f) The Department shall provide administrative support to
681		-	the Council for the preparation of the agenda and minutes for
682		-	Council meetings and distribution of proposed rules to Council
683		-	members.
684		-	(g) The Council shall act pursuant to bylaws which it
685		-	adopts, which shall include the annual election of a Chair and
686		-	Vice-Chair.
687		-	(h) The Director or his designee shall be present at all
688		-	Council meetings.
689		-	(i) Nothing in this Section shall preclude the Council
690		-	from reviewing and commenting on proposed rules which fall
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691	317
692	318
693		-	under the purview of the State EMS Advisory Council.
694		-	(Source: P.A. 98-973, eff. 8-15-14.)
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	321	+	1 (11) The Department may delegate authority to local
	322	+	2 health departments in jurisdictions which include a
	323	+	3 substantial number of trauma centers. The delegated
	324	+	4 authority to those local health departments shall include,
	325	+	5 but is not limited to, the authority to designate trauma
	326	+	6 centers with final approval by the Department, maintain a
	327	+	7 regional data base with concomitant reporting of trauma
	328	+	8 registry data, and monitor, inspect and investigate trauma
	329	+	9 centers within their jurisdiction, in accordance with the
	330	+	10 requirements of this Act and the rules promulgated by the
	331	+	11 Department;
	332	+	12 (A) The Department shall monitor the performance
	333	+	13 of local health departments with authority delegated
	334	+	14 pursuant to this Section, based upon performance
	335	+	15 criteria established in rules promulgated by the
	336	+	16 Department;
	337	+	17 (B) Delegated authority may be revoked for
	338	+	18 substantial non-compliance with the Act or the
	339	+	19 Department's rules. Notice of an intent to revoke
	340	+	20 shall be served upon the local health department by
	341	+	21 certified mail, stating the reasons for revocation and
	342	+	22 offering an opportunity for an administrative hearing
	343	+	23 to contest the proposed revocation. The request for a
	344	+	24 hearing must be in writing and received by the
	345	+	25 Department within 10 working days of the local health
	346	+	26 department's receipt of notification;
	347	+
	348	+
	349	+
	350	+
	351	+
	352	+	SB3548 Enrolled - 10 - LRB103 38295 CES 68430 b
	353	+
	354	+
	355	+	SB3548 Enrolled- 11 -LRB103 38295 CES 68430 b SB3548 Enrolled - 11 - LRB103 38295 CES 68430 b
	356	+	SB3548 Enrolled - 11 - LRB103 38295 CES 68430 b
	357	+	1 (C) The director of a local health department may
	358	+	2 relinquish its delegated authority upon 60 days
	359	+	3 written notification to the Director of Public Health.
	360	+	4 (Source: P.A. 89-177, eff. 7-19-95.)
	361	+	5 (210 ILCS 50/3.95)
	362	+	6 Sec. 3.95. Level I Trauma Center Minimum Standards. The
	363	+	7 Department shall establish, through rules adopted pursuant to
	364	+	8 this Act, standards for Level I Trauma Centers which shall
	365	+	9 include, but need not be limited to:
	366	+	10 (a) The designation by the trauma center of a Trauma
	367	+	11 Center Medical Director and specification of his
	368	+	12 qualifications;
	369	+	13 (b) The types of surgical services the trauma center must
	370	+	14 have available for trauma patients, including but not limited
	371	+	15 to a twenty-four hour in-house surgeon with operating
	372	+	16 privileges and ancillary staff necessary for immediate
	373	+	17 surgical intervention;
	374	+	18 (c) The types of nonsurgical services the trauma center
	375	+	19 must have available for trauma patients;
	376	+	20 (d) The numbers and qualifications of emergency medical
	377	+	21 personnel;
	378	+	22 (e) The types of equipment that must be available to
	379	+	23 trauma patients;
	380	+	24 (f) Requiring the trauma center to be affiliated with an
	381	+	25 EMS System;
	382	+
	383	+
	384	+
	385	+
	386	+
	387	+	SB3548 Enrolled - 11 - LRB103 38295 CES 68430 b
	388	+
	389	+
	390	+	SB3548 Enrolled- 12 -LRB103 38295 CES 68430 b SB3548 Enrolled - 12 - LRB103 38295 CES 68430 b
	391	+	SB3548 Enrolled - 12 - LRB103 38295 CES 68430 b
	392	+	1 (g) Requiring the trauma center to have a communications
	393	+	2 system that is fully integrated with all Level II Trauma
	394	+	3 Centers, Level III Trauma Centers, Acute Injury Stabilization
	395	+	4 Centers, and EMS Systems with which it is affiliated;
	396	+	5 (h) The types of data the trauma center must collect and
	397	+	6 submit to the Department relating to the trauma services it
	398	+	7 provides. Such data may include information on post-trauma
	399	+	8 care directly related to the initial traumatic injury provided
	400	+	9 to trauma patients until their discharge from the facility and
	401	+	10 information on discharge plans;
	402	+	11 (i) Requiring the trauma center to have helicopter landing
	403	+	12 capabilities approved by appropriate State and federal
	404	+	13 authorities, if the trauma center is located within a
	405	+	14 municipality having a population of less than two million
	406	+	15 people; and
	407	+	16 (j) Requiring written agreements with Level II Trauma
	408	+	17 Centers, Level III Trauma Centers, and Acute Injury
	409	+	18 Stabilization Centers in the EMS Regions it serves, executed
	410	+	19 within a reasonable time designated by the Department.
	411	+	20 (Source: P.A. 89-177, eff. 7-19-95.)
	412	+	21 (210 ILCS 50/3.100)
	413	+	22 Sec. 3.100. Level II Trauma Center Minimum Standards. The
	414	+	23 Department shall establish, through rules adopted pursuant to
	415	+	24 this Act, standards for Level II Trauma Centers which shall
	416	+	25 include, but need not be limited to:
	417	+
	418	+
	419	+
	420	+
	421	+
	422	+	SB3548 Enrolled - 12 - LRB103 38295 CES 68430 b
	423	+
	424	+
	425	+	SB3548 Enrolled- 13 -LRB103 38295 CES 68430 b SB3548 Enrolled - 13 - LRB103 38295 CES 68430 b
	426	+	SB3548 Enrolled - 13 - LRB103 38295 CES 68430 b
	427	+	1 (a) The designation by the trauma center of a Trauma
	428	+	2 Center Medical Director and specification of his
	429	+	3 qualifications;
	430	+	4 (b) The types of surgical services the trauma center must
	431	+	5 have available for trauma patients. The Department shall not
	432	+	6 require the availability of all surgical services required of
	433	+	7 Level I Trauma Centers;
	434	+	8 (c) The types of nonsurgical services the trauma center
	435	+	9 must have available for trauma patients;
	436	+	10 (d) The numbers and qualifications of emergency medical
	437	+	11 personnel, taking into consideration the more limited trauma
	438	+	12 services available in a Level II Trauma Center;
	439	+	13 (e) The types of equipment that must be available for
	440	+	14 trauma patients;
	441	+	15 (f) Requiring the trauma center to have a written
	442	+	16 agreement with a Level I Trauma Centers, Level III Trauma
	443	+	17 Centers, and Acute Injury Stabilization Centers Center serving
	444	+	18 the EMS Region outlining their respective responsibilities in
	445	+	19 providing trauma services, executed within a reasonable time
	446	+	20 designated by the Department, unless the requirement for a
	447	+	21 Level I Trauma Center to serve that EMS Region has been waived
	448	+	22 by the Department;
	449	+	23 (g) Requiring the trauma center to be affiliated with an
	450	+	24 EMS System;
	451	+	25 (h) Requiring the trauma center to have a communications
	452	+	26 system that is fully integrated with the Level I Trauma
	453	+
	454	+
	455	+
	456	+
	457	+
	458	+	SB3548 Enrolled - 13 - LRB103 38295 CES 68430 b
	459	+
	460	+
	461	+	SB3548 Enrolled- 14 -LRB103 38295 CES 68430 b SB3548 Enrolled - 14 - LRB103 38295 CES 68430 b
	462	+	SB3548 Enrolled - 14 - LRB103 38295 CES 68430 b
	463	+	1 Centers, Level III Trauma Centers, Acute Injury Stabilization
	464	+	2 Centers, and the EMS Systems with which it is affiliated;
	465	+	3 (i) The types of data the trauma center must collect and
	466	+	4 submit to the Department relating to the trauma services it
	467	+	5 provides. Such data may include information on post-trauma
	468	+	6 care directly related to the initial traumatic injury provided
	469	+	7 to trauma patients until their discharge from the facility and
	470	+	8 information on discharge plans;
	471	+	9 (j) Requiring the trauma center to have helicopter landing
	472	+	10 capabilities approved by appropriate State and federal
	473	+	11 authorities, if the trauma center is located within a
	474	+	12 municipality having a population of less than two million
	475	+	13 people.
	476	+	14 (Source: P.A. 89-177, eff. 7-19-95.)
	477	+	15 (210 ILCS 50/3.101 new)
	478	+	16 Sec. 3.101. Level III Trauma Center Minimum Standards. The
	479	+	17 Department shall establish, through rules adopted under this
	480	+	18 Act, standards for Level III Trauma Centers that shall
	481	+	19 include, but need not be limited to:
	482	+	20 (1) The designation by the trauma center of a Trauma
	483	+	21 Center Medical Director and specification of his or her
	484	+	22 qualifications;
	485	+	23 (2) The types of surgical services the trauma center
	486	+	24 must have available for trauma patients; the Department
	487	+	25 shall not require the availability of all surgical
	488	+
	489	+
	490	+
	491	+
	492	+
	493	+	SB3548 Enrolled - 14 - LRB103 38295 CES 68430 b
	494	+
	495	+
	496	+	SB3548 Enrolled- 15 -LRB103 38295 CES 68430 b SB3548 Enrolled - 15 - LRB103 38295 CES 68430 b
	497	+	SB3548 Enrolled - 15 - LRB103 38295 CES 68430 b
	498	+	1 services required of Level I or Level II Trauma Centers;
	499	+	2 (3) The types of nonsurgical services the trauma
	500	+	3 center must have available for trauma patients;
	501	+	4 (4) The numbers and qualifications of emergency
	502	+	5 medical personnel, taking into consideration the more
	503	+	6 limited trauma services available in a Level III Trauma
	504	+	7 Center;
	505	+	8 (5) The types of equipment that must be available for
	506	+	9 trauma patients;
	507	+	10 (6) Requiring the trauma center to have a written
	508	+	11 agreement with Level I Trauma Centers, Level II Trauma
	509	+	12 Centers, and Acute Injury Stabilization Centers serving
	510	+	13 the EMS Region outlining their respective responsibilities
	511	+	14 in providing trauma services, executed within a reasonable
	512	+	15 time designated by the Department, unless the requirement
	513	+	16 for a Level I Trauma Center to serve that EMS Region has
	514	+	17 been waived by the Department;
	515	+	18 (7) Requiring the trauma center to be affiliated with
	516	+	19 an EMS System;
	517	+	20 (8) Requiring the trauma center to have a
	518	+	21 communications system that is fully integrated with the
	519	+	22 Level I Trauma Centers, Level II Trauma Centers, Acute
	520	+	23 Injury Stabilization Centers, and the EMS Systems with
	521	+	24 which it is affiliated;
	522	+	25 (9) The types of data the trauma center must collect
	523	+	26 and submit to the Department relating to the trauma
	524	+
	525	+
	526	+
	527	+
	528	+
	529	+	SB3548 Enrolled - 15 - LRB103 38295 CES 68430 b
	530	+
	531	+
	532	+	SB3548 Enrolled- 16 -LRB103 38295 CES 68430 b SB3548 Enrolled - 16 - LRB103 38295 CES 68430 b
	533	+	SB3548 Enrolled - 16 - LRB103 38295 CES 68430 b
	534	+	1 services it provides; such data may include information on
	535	+	2 post-trauma care directly related to the initial traumatic
	536	+	3 injury provided to trauma patients until their discharge
	537	+	4 from the facility and information on discharge plans; and
	538	+	5 (10) Requiring the trauma center to have helicopter
	539	+	6 landing capabilities approved by appropriate State and
	540	+	7 federal authorities if the trauma center is located within
	541	+	8 a municipality having a population of less than 2,000,000
	542	+	9 people.
	543	+	10 (210 ILCS 50/3.102 new)
	544	+	11 Sec. 3.102. Acute Injury Stabilization Center minimum
	545	+	12 standards. The Department shall establish, through rules
	546	+	13 adopted pursuant to this Act, standards for Acute Injury
	547	+	14 Stabilization Centers, which shall include, but need not be
	548	+	15 limited to, Comprehensive or Basic Emergency Department
	549	+	16 services pursuant to the Hospital Licensing Act.
	550	+	17 (210 ILCS 50/3.105)
	551	+	18 Sec. 3.105. Trauma Center Misrepresentation. No After the
	552	+	19 effective date of this amendatory Act of 1995, no facility
	553	+	20 shall use the phrase "trauma center" or words of similar
	554	+	21 meaning in relation to itself or hold itself out as a trauma
	555	+	22 center without first obtaining designation pursuant to this
	556	+	23 Act.
	557	+	24 (Source: P.A. 89-177, eff. 7-19-95.)
	558	+
	559	+
	560	+
	561	+
	562	+
	563	+	SB3548 Enrolled - 16 - LRB103 38295 CES 68430 b
	564	+
	565	+
	566	+	SB3548 Enrolled- 17 -LRB103 38295 CES 68430 b SB3548 Enrolled - 17 - LRB103 38295 CES 68430 b
	567	+	SB3548 Enrolled - 17 - LRB103 38295 CES 68430 b
	568	+	1 (210 ILCS 50/3.106 new)
	569	+	2 Sec. 3.106. Acute Injury Stabilization Center
	570	+	3 Misrepresentation. No facility shall use the phrase "Acute
	571	+	4 Injury Stabilization Center" or words of similar meaning in
	572	+	5 relation to itself or hold itself out as an Acute Injury
	573	+	6 Stabilization Center without first obtaining designation
	574	+	7 pursuant to this Act.
	575	+	8 (210 ILCS 50/3.110)
	576	+	9 Sec. 3.110. EMS system and trauma center confidentiality
	577	+	10 and immunity.
	578	+	11 (a) All information contained in or relating to any
	579	+	12 medical audit performed of a trauma center's trauma services
	580	+	13 or an Acute Injury Stabilization Center pursuant to this Act
	581	+	14 or by an EMS Medical Director or his designee of medical care
	582	+	15 rendered by System personnel, shall be afforded the same
	583	+	16 status as is provided information concerning medical studies
	584	+	17 in Article VIII, Part 21 of the Code of Civil Procedure.
	585	+	18 Disclosure of such information to the Department pursuant to
	586	+	19 this Act shall not be considered a violation of Article VIII,
	587	+	20 Part 21 of the Code of Civil Procedure.
	588	+	21 (b) Hospitals, trauma centers and individuals that perform
	589	+	22 or participate in medical audits pursuant to this Act shall be
	590	+	23 immune from civil liability to the same extent as provided in
	591	+	24 Section 10.2 of the Hospital Licensing Act.
	592	+
	593	+
	594	+
	595	+
	596	+
	597	+	SB3548 Enrolled - 17 - LRB103 38295 CES 68430 b
	598	+
	599	+
	600	+	SB3548 Enrolled- 18 -LRB103 38295 CES 68430 b SB3548 Enrolled - 18 - LRB103 38295 CES 68430 b
	601	+	SB3548 Enrolled - 18 - LRB103 38295 CES 68430 b
	602	+	1 (c) All information relating to the State Emergency
	603	+	2 Medical Services Disciplinary Review Board or a local review
	604	+	3 board, except final decisions, shall be afforded the same
	605	+	4 status as is provided information concerning medical studies
	606	+	5 in Article VIII, Part 21 of the Code of Civil Procedure.
	607	+	6 Disclosure of such information to the Department pursuant to
	608	+	7 this Act shall not be considered a violation of Article VIII,
	609	+	8 Part 21 of the Code of Civil Procedure.
	610	+	9 (Source: P.A. 92-651, eff. 7-11-02.)
	611	+	10 (210 ILCS 50/3.115)
	612	+	11 Sec. 3.115. Pediatric care; emergency medical services for
	613	+	12 children. Pediatric Trauma. The Director shall appoint an
	614	+	13 advisory council to make recommendations for pediatric care
	615	+	14 needs and develop strategies to address areas of need as
	616	+	15 defined in rules adopted by the Department.
	617	+	16 The Department shall:
	618	+	17 (1) develop or promote recommendations for continuing
	619	+	18 medical education, treatment guidelines, and other
	620	+	19 programs for health practitioners and organizations
	621	+	20 involved in pediatric care;
	622	+	21 (2) support existing pediatric care programs and
	623	+	22 assist in establishing new pediatric care initiatives
	624	+	23 throughout the State;
	625	+	24 (3) designate applicant hospitals that meet the
	626	+	25 minimum standards established by the Department for their
	627	+
	628	+
	629	+
	630	+
	631	+
	632	+	SB3548 Enrolled - 18 - LRB103 38295 CES 68430 b
	633	+
	634	+
	635	+	SB3548 Enrolled- 19 -LRB103 38295 CES 68430 b SB3548 Enrolled - 19 - LRB103 38295 CES 68430 b
	636	+	SB3548 Enrolled - 19 - LRB103 38295 CES 68430 b
	637	+	1 pediatric emergency and critical care capabilities.
	638	+	2 Upon the availability of federal funds for pediatric care
	639	+	3 demonstration projects, the Department shall:
	640	+	4 (a) Convene a work group which will be charged with
	641	+	5 conducting a needs assessment of pediatric trauma care and
	642	+	6 with developing strategies to correct areas of need;
	643	+	7 (b) Contract with the University of Illinois School of
	644	+	8 Public Health to develop a secondary prevention program for
	645	+	9 parents;
	646	+	10 (c) Contract with an Illinois medical school to develop
	647	+	11 training and continuing medical education programs for
	648	+	12 physicians and nurses in treatment of pediatric trauma;
	649	+	13 (d) Contract with an Illinois medical school to develop
	650	+	14 and test triage and field scoring for pediatric trauma if the
	651	+	15 needs assessment by the work group indicates that current
	652	+	16 scoring is inadequate;
	653	+	17 (e) Support existing pediatric trauma programs and assist
	654	+	18 in establishing new pediatric trauma programs throughout the
	655	+	19 State;
	656	+	20 (f) Provide grants to EMS systems for special pediatric
	657	+	21 equipment for prehospital care based on needs identified by
	658	+	22 the work group; and
	659	+	23 (g) Provide grants to EMS systems and trauma centers for
	660	+	24 specialized training in pediatric trauma based on needs
	661	+	25 identified by the work group.
	662	+	26 (Source: P.A. 89-177, eff. 7-19-95.)
	663	+
	664	+
	665	+
	666	+
	667	+
	668	+	SB3548 Enrolled - 19 - LRB103 38295 CES 68430 b
	669	+
	670	+
	671	+	SB3548 Enrolled- 20 -LRB103 38295 CES 68430 b SB3548 Enrolled - 20 - LRB103 38295 CES 68430 b
	672	+	SB3548 Enrolled - 20 - LRB103 38295 CES 68430 b
	673	+	1 (210 ILCS 50/3.140)
	674	+	2 Sec. 3.140. Violations; Fines.
	675	+	3 (a) The Department shall have the authority to impose
	676	+	4 fines on any licensed vehicle service provider, stretcher van
	677	+	5 provider, designated trauma center, Acute Injury Stabilization
	678	+	6 Center, resource hospital, associate hospital, or
	679	+	7 participating hospital.
	680	+	8 (b) The Department shall adopt rules pursuant to this Act
	681	+	9 which establish a system of fines related to the type and level
	682	+	10 of violation or repeat violation, including, but not limited
	683	+	11 to:
	684	+	12 (1) A fine not exceeding $10,000 for each a violation
	685	+	13 which created a condition or occurrence presenting a
	686	+	14 substantial probability that death or serious harm to an
	687	+	15 individual will or did result therefrom; and
	688	+	16 (2) A fine not exceeding $5,000 for each a violation
	689	+	17 which creates or created a condition or occurrence which
	690	+	18 threatens the health, safety or welfare of an individual.
	691	+	19 (c) A Notice of Intent to Impose Fine may be issued in
	692	+	20 conjunction with or in lieu of a Notice of Intent to Suspend,
	693	+	21 Revoke, Nonrenew or Deny, and shall conform to the
	694	+	22 requirements specified in Section 3.130(d) of this Act. All
	695	+	23 Hearings conducted pursuant to a Notice of Intent to Impose
	696	+	24 Fine shall conform to the requirements specified in Section
	697	+	25 3.135 of this Act.
	698	+
	699	+
	700	+
	701	+
	702	+
	703	+	SB3548 Enrolled - 20 - LRB103 38295 CES 68430 b
	704	+
	705	+
	706	+	SB3548 Enrolled- 21 -LRB103 38295 CES 68430 b SB3548 Enrolled - 21 - LRB103 38295 CES 68430 b
	707	+	SB3548 Enrolled - 21 - LRB103 38295 CES 68430 b
	708	+	1 (d) All fines collected pursuant to this Section shall be
	709	+	2 deposited into the EMS Assistance Fund.
	710	+	3 (Source: P.A. 98-973, eff. 8-15-14.)
	711	+	4 (210 ILCS 50/3.200)
	712	+	5 Sec. 3.200. State Emergency Medical Services Advisory
	713	+	6 Council.
	714	+	7 (a) There shall be established within the Department of
	715	+	8 Public Health a State Emergency Medical Services Advisory
	716	+	9 Council, which shall serve as an advisory body to the
	717	+	10 Department on matters related to this Act.
	718	+	11 (b) Membership of the Council shall include one
	719	+	12 representative from each EMS Region, to be appointed by each
	720	+	13 region's EMS Regional Advisory Committee. The Governor shall
	721	+	14 appoint additional members to the Council as necessary to
	722	+	15 insure that the Council includes one representative from each
	723	+	16 of the following categories:
	724	+	17 (1) EMS Medical Director,
	725	+	18 (2) Trauma Center Medical Director,
	726	+	19 (3) Licensed, practicing physician with regular and
	727	+	20 frequent involvement in the provision of emergency care,
	728	+	21 (4) Licensed, practicing physician with special
	729	+	22 expertise in the surgical care of the trauma patient,
	730	+	23 (5) EMS System Coordinator,
	731	+	24 (6) TNS,
	732	+	25 (7) Paramedic,
	733	+
	734	+
	735	+
	736	+
	737	+
	738	+	SB3548 Enrolled - 21 - LRB103 38295 CES 68430 b
	739	+
	740	+
	741	+	SB3548 Enrolled- 22 -LRB103 38295 CES 68430 b SB3548 Enrolled - 22 - LRB103 38295 CES 68430 b
	742	+	SB3548 Enrolled - 22 - LRB103 38295 CES 68430 b
	743	+	1 (7.5) A-EMT,
	744	+	2 (8) EMT-I,
	745	+	3 (9) EMT,
	746	+	4 (10) Private vehicle service provider,
	747	+	5 (11) Law enforcement officer,
	748	+	6 (12) Chief of a public vehicle service provider,
	749	+	7 (13) Statewide firefighters' union member affiliated
	750	+	8 with a vehicle service provider,
	751	+	9 (14) Administrative representative from a fire
	752	+	10 department vehicle service provider in a municipality with
	753	+	11 a population of over 2 million people, ;
	754	+	12 (15) Administrative representative from a Resource
	755	+	13 Hospital or EMS System Administrative Director, and .
	756	+	14 (16) Representative from a pediatric critical care
	757	+	15 center.
	758	+	16 (c) Members shall be appointed for a term of 3 years. All
	759	+	17 appointees shall serve until their successors are appointed
	760	+	18 and qualified.
	761	+	19 (d) The Council shall be provided a 90-day period in which
	762	+	20 to review and comment, in consultation with the subcommittee
	763	+	21 to which the rules are relevant, upon all rules proposed by the
	764	+	22 Department pursuant to this Act, except for rules adopted
	765	+	23 pursuant to Section 3.190(a) of this Act, rules submitted to
	766	+	24 the State Trauma Advisory Council and emergency rules adopted
	767	+	25 pursuant to Section 5-45 of the Illinois Administrative
	768	+	26 Procedure Act. The 90-day review and comment period may
	769	+
	770	+
	771	+
	772	+
	773	+
	774	+	SB3548 Enrolled - 22 - LRB103 38295 CES 68430 b
	775	+
	776	+
	777	+	SB3548 Enrolled- 23 -LRB103 38295 CES 68430 b SB3548 Enrolled - 23 - LRB103 38295 CES 68430 b
	778	+	SB3548 Enrolled - 23 - LRB103 38295 CES 68430 b
	779	+	1 commence upon the Department's submission of the proposed
	780	+	2 rules to the individual Council members, if the Council is not
	781	+	3 meeting at the time the proposed rules are ready for Council
	782	+	4 review. Any non-emergency rules adopted prior to the Council's
	783	+	5 90-day review and comment period shall be null and void. If the
	784	+	6 Council fails to advise the Department within its 90-day
	785	+	7 review and comment period, the rule shall be considered acted
	786	+	8 upon.
	787	+	9 (e) Council members shall be reimbursed for reasonable
	788	+	10 travel expenses incurred during the performance of their
	789	+	11 duties under this Section.
	790	+	12 (f) The Department shall provide administrative support to
	791	+	13 the Council for the preparation of the agenda and minutes for
	792	+	14 Council meetings and distribution of proposed rules to Council
	793	+	15 members.
	794	+	16 (g) The Council shall act pursuant to bylaws which it
	795	+	17 adopts, which shall include the annual election of a Chair and
	796	+	18 Vice-Chair.
	797	+	19 (h) The Director or his designee shall be present at all
	798	+	20 Council meetings.
	799	+	21 (i) Nothing in this Section shall preclude the Council
	800	+	22 from reviewing and commenting on proposed rules which fall
	801	+	23 under the purview of the State Trauma Advisory Council.
	802	+	24 (Source: P.A. 98-973, eff. 8-15-14.)
	803	+	25 (210 ILCS 50/3.205)
	804	+
	805	+
	806	+
	807	+
	808	+
	809	+	SB3548 Enrolled - 23 - LRB103 38295 CES 68430 b
	810	+
	811	+
	812	+	SB3548 Enrolled- 24 -LRB103 38295 CES 68430 b SB3548 Enrolled - 24 - LRB103 38295 CES 68430 b
	813	+	SB3548 Enrolled - 24 - LRB103 38295 CES 68430 b
	814	+	1 Sec. 3.205. State Trauma Advisory Council.
	815	+	2 (a) There shall be established within the Department of
	816	+	3 Public Health a State Trauma Advisory Council, which shall
	817	+	4 serve as an advisory body to the Department on matters related
	818	+	5 to trauma care and trauma centers.
	819	+	6 (b) Membership of the Council shall include one
	820	+	7 representative from each Regional Trauma Advisory Committee,
	821	+	8 to be appointed by each Committee. The Governor shall appoint
	822	+	9 the following additional members:
	823	+	10 (1) An EMS Medical Director,
	824	+	11 (2) A trauma center medical director,
	825	+	12 (3) A trauma surgeon,
	826	+	13 (4) A trauma nurse coordinator,
	827	+	14 (5) A representative from a private vehicle service
	828	+	15 provider,
	829	+	16 (6) A representative from a public vehicle service
	830	+	17 provider,
	831	+	18 (7) A member of the State EMS Advisory Council, ;and and
	832	+	19 (8) A neurosurgeon.
	833	+	20 (8) A burn care medical representative.
	834	+	21 The Governor may also appoint, as an additional member
	835	+	22 of the Council, a neurosurgeon.
	836	+	23 (c) Members shall be appointed for a term of 3 years. All
	837	+	24 appointees shall serve until their successors are appointed
	838	+	25 and qualified.
	839	+	26 (d) The Council shall be provided a 90-day period in which
	840	+
	841	+
	842	+
	843	+
	844	+
	845	+	SB3548 Enrolled - 24 - LRB103 38295 CES 68430 b
	846	+
	847	+
	848	+	SB3548 Enrolled- 25 -LRB103 38295 CES 68430 b SB3548 Enrolled - 25 - LRB103 38295 CES 68430 b
	849	+	SB3548 Enrolled - 25 - LRB103 38295 CES 68430 b
	850	+	1 to review and comment upon all rules proposed by the
	851	+	2 Department pursuant to this Act concerning trauma care, except
	852	+	3 for emergency rules adopted pursuant to Section 5-45 of the
	853	+	4 Illinois Administrative Procedure Act. The 90-day review and
	854	+	5 comment period may commence upon the Department's submission
	855	+	6 of the proposed rules to the individual Council members, if
	856	+	7 the Council is not meeting at the time the proposed rules are
	857	+	8 ready for Council review. Any non-emergency rules adopted
	858	+	9 prior to the Council's 90-day review and comment period shall
	859	+	10 be null and void. If the Council fails to advise the Department
	860	+	11 within its 90-day review and comment period, the rule shall be
	861	+	12 considered acted upon;
	862	+	13 (e) Council members shall be reimbursed for reasonable
	863	+	14 travel expenses incurred during the performance of their
	864	+	15 duties under this Section.
	865	+	16 (f) The Department shall provide administrative support to
	866	+	17 the Council for the preparation of the agenda and minutes for
	867	+	18 Council meetings and distribution of proposed rules to Council
	868	+	19 members.
	869	+	20 (g) The Council shall act pursuant to bylaws which it
	870	+	21 adopts, which shall include the annual election of a Chair and
	871	+	22 Vice-Chair.
	872	+	23 (h) The Director or his designee shall be present at all
	873	+	24 Council meetings.
	874	+	25 (i) Nothing in this Section shall preclude the Council
	875	+	26 from reviewing and commenting on proposed rules which fall
	876	+
	877	+
	878	+
	879	+
	880	+
	881	+	SB3548 Enrolled - 25 - LRB103 38295 CES 68430 b
	882	+
	883	+
	884	+	SB3548 Enrolled- 26 -LRB103 38295 CES 68430 b SB3548 Enrolled - 26 - LRB103 38295 CES 68430 b
	885	+	SB3548 Enrolled - 26 - LRB103 38295 CES 68430 b
	886	+	1 under the purview of the State EMS Advisory Council.
	887	+	2 (Source: P.A. 98-973, eff. 8-15-14.)
	888	+
	889	+
	890	+
	891	+
	892	+
	893	+	SB3548 Enrolled - 26 - LRB103 38295 CES 68430 b