Illinois 2023-2024 Regular Session

Illinois Senate Bill SB3668 Compare Versions

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

Old	New	Differences
1	1	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB3668 Introduced 2/9/2024, by Sen. Laura Ellman SYNOPSIS AS INTRODUCED: 210 ILCS 50/3.30210 ILCS 50/3.90210 ILCS 50/3.95210 ILCS 50/3.100210 ILCS 50/3.101 new210 ILCS 50/3.102 new210 ILCS 50/3.105210 ILCS 50/3.106 new210 ILCS 50/3.110210 ILCS 50/3.115210 ILCS 50/3.140210 ILCS 50/3.200210 ILCS 50/3.205 Amends the Emergency Medical Services (EMS) Systems Act. Provides for the re-designation of trauma centers to include Level III Trauma Centers and for designation of Acute Injury Stabilization Centers. Sets forth minimum standard requirements for trauma centers and Acute Injury Stabilization Centers. Makes conforming changes. Adds a representative from a pediatric critical care center to the members of the State Emergency Medical Services Advisory Council. Adds a burn care medical representative to the members of the State Trauma Advisory Council. Effective immediately. LRB103 39264 CES 69417 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB3668 Introduced 2/9/2024, by Sen. Laura Ellman SYNOPSIS AS INTRODUCED: 210 ILCS 50/3.30210 ILCS 50/3.90210 ILCS 50/3.95210 ILCS 50/3.100210 ILCS 50/3.101 new210 ILCS 50/3.102 new210 ILCS 50/3.105210 ILCS 50/3.106 new210 ILCS 50/3.110210 ILCS 50/3.115210 ILCS 50/3.140210 ILCS 50/3.200210 ILCS 50/3.205 210 ILCS 50/3.30 210 ILCS 50/3.90 210 ILCS 50/3.95 210 ILCS 50/3.100 210 ILCS 50/3.101 new 210 ILCS 50/3.102 new 210 ILCS 50/3.105 210 ILCS 50/3.106 new 210 ILCS 50/3.110 210 ILCS 50/3.115 210 ILCS 50/3.140 210 ILCS 50/3.200 210 ILCS 50/3.205 Amends the Emergency Medical Services (EMS) Systems Act. Provides for the re-designation of trauma centers to include Level III Trauma Centers and for designation of Acute Injury Stabilization Centers. Sets forth minimum standard requirements for trauma centers and Acute Injury Stabilization Centers. Makes conforming changes. Adds a representative from a pediatric critical care center to the members of the State Emergency Medical Services Advisory Council. Adds a burn care medical representative to the members of the State Trauma Advisory Council. Effective immediately. LRB103 39264 CES 69417 b LRB103 39264 CES 69417 b A BILL FOR
2	2	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB3668 Introduced 2/9/2024, by Sen. Laura Ellman SYNOPSIS AS INTRODUCED:
3	3	210 ILCS 50/3.30210 ILCS 50/3.90210 ILCS 50/3.95210 ILCS 50/3.100210 ILCS 50/3.101 new210 ILCS 50/3.102 new210 ILCS 50/3.105210 ILCS 50/3.106 new210 ILCS 50/3.110210 ILCS 50/3.115210 ILCS 50/3.140210 ILCS 50/3.200210 ILCS 50/3.205 210 ILCS 50/3.30 210 ILCS 50/3.90 210 ILCS 50/3.95 210 ILCS 50/3.100 210 ILCS 50/3.101 new 210 ILCS 50/3.102 new 210 ILCS 50/3.105 210 ILCS 50/3.106 new 210 ILCS 50/3.110 210 ILCS 50/3.115 210 ILCS 50/3.140 210 ILCS 50/3.200 210 ILCS 50/3.205
4	4	210 ILCS 50/3.30
5	5	210 ILCS 50/3.90
6	6	210 ILCS 50/3.95
7	7	210 ILCS 50/3.100
8	8	210 ILCS 50/3.101 new
9	9	210 ILCS 50/3.102 new
10	10	210 ILCS 50/3.105
11	11	210 ILCS 50/3.106 new
12	12	210 ILCS 50/3.110
13	13	210 ILCS 50/3.115
14	14	210 ILCS 50/3.140
15	15	210 ILCS 50/3.200
16	16	210 ILCS 50/3.205
17	17	Amends the Emergency Medical Services (EMS) Systems Act. Provides for the re-designation of trauma centers to include Level III Trauma Centers and for designation of Acute Injury Stabilization Centers. Sets forth minimum standard requirements for trauma centers and Acute Injury Stabilization Centers. Makes conforming changes. Adds a representative from a pediatric critical care center to the members of the State Emergency Medical Services Advisory Council. Adds a burn care medical representative to the members of the State Trauma Advisory Council. Effective immediately.
18	18	LRB103 39264 CES 69417 b LRB103 39264 CES 69417 b
19	19	LRB103 39264 CES 69417 b
20	20	A BILL FOR
21	21	SB3668LRB103 39264 CES 69417 b SB3668 LRB103 39264 CES 69417 b
22	22	SB3668 LRB103 39264 CES 69417 b
23	23	1 AN ACT concerning regulation.
24	24	2 Be it enacted by the People of the State of Illinois,
25	25	3 represented in the General Assembly:
26	26	4 Section 5. The Emergency Medical Services (EMS) Systems
27	27	5 Act is amended by changing Sections 3.30, 3.90, 3.95, 3.100,
28	28	6 3.105, 3.110, 3.115, 3.140, 3.200, and 3.205 and by adding
29	29	7 Sections 3.101, 3.102, and 3.106 as follows:
30	30	8 (210 ILCS 50/3.30)
31	31	9 Sec. 3.30. EMS Region Plan; Content.
32	32	10 (a) The EMS Medical Directors Committee shall address at
33	33	11 least the following:
34	34	12 (1) Protocols for inter-System/inter-Region patient
35	35	13 transports, including identifying the conditions of
36	36	14 emergency patients which may not be transported to the
37	37	15 different levels of emergency department, based on their
38	38	16 Department classifications and relevant Regional
39	39	17 considerations (e.g. transport times and distances);
40	40	18 (2) Regional standing medical orders;
41	41	19 (3) Patient transfer patterns, including criteria for
42	42	20 determining whether a patient needs the specialized
43	43	21 services of a trauma center, along with protocols for the
44	44	22 bypassing of or diversion to any hospital, trauma center
45	45	23 or regional trauma center which are consistent with
46	46
47	47
48	48
49	49	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB3668 Introduced 2/9/2024, by Sen. Laura Ellman SYNOPSIS AS INTRODUCED:
50	50	210 ILCS 50/3.30210 ILCS 50/3.90210 ILCS 50/3.95210 ILCS 50/3.100210 ILCS 50/3.101 new210 ILCS 50/3.102 new210 ILCS 50/3.105210 ILCS 50/3.106 new210 ILCS 50/3.110210 ILCS 50/3.115210 ILCS 50/3.140210 ILCS 50/3.200210 ILCS 50/3.205 210 ILCS 50/3.30 210 ILCS 50/3.90 210 ILCS 50/3.95 210 ILCS 50/3.100 210 ILCS 50/3.101 new 210 ILCS 50/3.102 new 210 ILCS 50/3.105 210 ILCS 50/3.106 new 210 ILCS 50/3.110 210 ILCS 50/3.115 210 ILCS 50/3.140 210 ILCS 50/3.200 210 ILCS 50/3.205
51	51	210 ILCS 50/3.30
52	52	210 ILCS 50/3.90
53	53	210 ILCS 50/3.95
54	54	210 ILCS 50/3.100
55	55	210 ILCS 50/3.101 new
56	56	210 ILCS 50/3.102 new
57	57	210 ILCS 50/3.105
58	58	210 ILCS 50/3.106 new
59	59	210 ILCS 50/3.110
60	60	210 ILCS 50/3.115
61	61	210 ILCS 50/3.140
62	62	210 ILCS 50/3.200
63	63	210 ILCS 50/3.205
64	64	Amends the Emergency Medical Services (EMS) Systems Act. Provides for the re-designation of trauma centers to include Level III Trauma Centers and for designation of Acute Injury Stabilization Centers. Sets forth minimum standard requirements for trauma centers and Acute Injury Stabilization Centers. Makes conforming changes. Adds a representative from a pediatric critical care center to the members of the State Emergency Medical Services Advisory Council. Adds a burn care medical representative to the members of the State Trauma Advisory Council. Effective immediately.
65	65	LRB103 39264 CES 69417 b LRB103 39264 CES 69417 b
66	66	LRB103 39264 CES 69417 b
67	67	A BILL FOR
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72	72
73	73	210 ILCS 50/3.30
74	74	210 ILCS 50/3.90
75	75	210 ILCS 50/3.95
76	76	210 ILCS 50/3.100
77	77	210 ILCS 50/3.101 new
78	78	210 ILCS 50/3.102 new
79	79	210 ILCS 50/3.105
80	80	210 ILCS 50/3.106 new
81	81	210 ILCS 50/3.110
82	82	210 ILCS 50/3.115
83	83	210 ILCS 50/3.140
84	84	210 ILCS 50/3.200
85	85	210 ILCS 50/3.205
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104	104	1 individual System bypass or diversion protocols and
105	105	2 protocols for patient choice or refusal;
106	106	3 (4) Protocols for resolving Regional or Inter-System
107	107	4 conflict;
108	108	5 (5) An EMS disaster preparedness plan which includes
109	109	6 the actions and responsibilities of all EMS participants
110	110	7 within the Region. Within 90 days of the effective date of
111	111	8 this amendatory Act of 1996, an EMS System shall submit to
112	112	9 the Department for review an internal disaster plan. At a
113	113	10 minimum, the plan shall include contingency plans for the
114	114	11 transfer of patients to other facilities if an evacuation
115	115	12 of the hospital becomes necessary due to a catastrophe,
116	116	13 including but not limited to, a power failure;
117	117	14 (6) Regional standardization of continuing education
118	118	15 requirements;
119	119	16 (7) Regional standardization of Do Not Resuscitate
120	120	17 (DNR) policies, and protocols for power of attorney for
121	121	18 health care;
122	122	19 (8) Protocols for disbursement of Department grants;
123	123	20 (9) Protocols for the triage, treatment, and transport
124	124	21 of possible acute stroke patients; and
125	125	22 (10) Regional standing medical orders for the
126	126	23 administration of opioid antagonists.
127	127	24 (b) The Trauma Center Medical Directors or Trauma Center
128	128	25 Medical Directors Committee shall address at least the
129	129	26 following:
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140	140	1 (1) The identification of Regional Trauma Centers;
141	141	2 (2) Protocols for inter-System and inter-Region trauma
142	142	3 patient transports, including identifying the conditions
143	143	4 of emergency patients which may not be transported to the
144	144	5 different levels of emergency department, based on their
145	145	6 Department classifications and relevant Regional
146	146	7 considerations (e.g. transport times and distances);
147	147	8 (3) Regional trauma standing medical orders;
148	148	9 (4) Trauma patient transfer patterns, including
149	149	10 criteria for determining whether a patient needs the
150	150	11 specialized services of a trauma center, along with
151	151	12 protocols for the bypassing of or diversion to any
152	152	13 hospital, trauma center or regional trauma center which
153	153	14 are consistent with individual System bypass or diversion
154	154	15 protocols and protocols for patient choice or refusal;
155	155	16 (5) The identification of which types of patients can
156	156	17 be cared for by Level I Trauma Centers, and Level II Trauma
157	157	18 Centers, and Level III Trauma Centers;
158	158	19 (6) Criteria for inter-hospital transfer of trauma
159	159	20 patients;
160	160	21 (7) The treatment of trauma patients in each trauma
161	161	22 center within the Region;
162	162	23 (8) A program for conducting a quarterly conference
163	163	24 which shall include at a minimum a discussion of morbidity
164	164	25 and mortality between all professional staff involved in
165	165	26 the care of trauma patients;
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176	176	1 (9) The establishment of a Regional trauma quality
177	177	2 assurance and improvement subcommittee, consisting of
178	178	3 trauma surgeons, which shall perform periodic medical
179	179	4 audits of each trauma center's trauma services, and
180	180	5 forward tabulated data from such reviews to the
181	181	6 Department; and
182	182	7 (10) The establishment, within 90 days of the
183	183	8 effective date of this amendatory Act of 1996, of an
184	184	9 internal disaster plan, which shall include, at a minimum,
185	185	10 contingency plans for the transfer of patients to other
186	186	11 facilities if an evacuation of the hospital becomes
187	187	12 necessary due to a catastrophe, including but not limited
188	188	13 to, a power failure.
189	189	14 (c) The Region's EMS Medical Directors and Trauma Center
190	190	15 Medical Directors Committees shall appoint any subcommittees
191	191	16 which they deem necessary to address specific issues
192	192	17 concerning Region activities.
193	193	18 (Source: P.A. 99-480, eff. 9-9-15.)
194	194	19 (210 ILCS 50/3.90)
195	195	20 Sec. 3.90. Trauma Center Designations.
196	196	21 (a) "Trauma Center" means a hospital which: (1) within
197	197	22 designated capabilities provides optimal care to trauma
198	198	23 patients; (2) participates in an approved EMS System; and (3)
199	199	24 is duly designated pursuant to the provisions of this Act.
200	200	25 Level I Trauma Centers shall provide all essential services
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211	211	1 in-house, 24 hours per day, in accordance with rules adopted
212	212	2 by the Department pursuant to this Act. Level II and Level III
213	213	3 Trauma Centers shall have some essential services available
214	214	4 in-house, 24 hours per day, and other essential services
215	215	5 readily available, 24 hours per day, in accordance with rules
216	216	6 adopted by the Department pursuant to this Act.
217	217	7 (a-5) An Acute Injury Stabilization Center shall have a
218	218	8 basic or comprehensive emergency department capable of initial
219	219	9 management and transfer of the acutely injured in accordance
220	220	10 with rules adopted by the Department pursuant to this Act.
221	221	11 (b) The Department shall have the authority and
222	222	12 responsibility to:
223	223	13 (1) Establish and enforce minimum standards for
224	224	14 designation and re-designation of 3 levels of trauma
225	225	15 centers that meet trauma center national standards, as
226	226	16 modified by the Department in administrative rules as a
227	227	17 Level I or Level II Trauma Center, consistent with
228	228	18 Sections 22 and 23 of this Act, through rules adopted
229	229	19 pursuant to this Act;
230	230	20 (2) Require hospitals applying for trauma center
231	231	21 designation to submit a plan for designation in a manner
232	232	22 and form prescribed by the Department through rules
233	233	23 adopted pursuant to this Act;
234	234	24 (3) Upon receipt of a completed plan for designation,
235	235	25 conduct a site visit to inspect the hospital for
236	236	26 compliance with the Department's minimum standards. Such
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247	247	1 visit shall be conducted by specially qualified personnel
248	248	2 with experience in the delivery of emergency medical
249	249	3 and/or trauma care. A report of the inspection shall be
250	250	4 provided to the Director within 30 days of the completion
251	251	5 of the site visit. The report shall note compliance or
252	252	6 lack of compliance with the individual standards for
253	253	7 designation, but shall not offer a recommendation on
254	254	8 granting or denying designation;
255	255	9 (4) Designate applicant hospitals as Level I, or Level
256	256	10 II, or Level III Trauma Centers which meet the minimum
257	257	11 standards established by this Act and the Department. The
258	258	12 Beginning September 1, 1997 the Department shall designate
259	259	13 a new trauma center only when a local or regional need for
260	260	14 such trauma center has been identified. The Department
261	261	15 shall request an assessment of local or regional need from
262	262	16 the applicable EMS Region's Trauma Center Medical
263	263	17 Directors Committee, with advice from the Regional Trauma
264	264	18 Advisory Committee. This shall not be construed as a needs
265	265	19 assessment for health planning or other purposes outside
266	266	20 of this Act;
267	267	21 (5) Attempt to designate trauma centers in all areas
268	268	22 of the State. There shall be at least one Level I Trauma
269	269	23 Center serving each EMS Region, unless waived by the
270	270	24 Department. This subsection shall not be construed to
271	271	25 require a Level I Trauma Center to be located in each EMS
272	272	26 Region. Level I Trauma Centers shall serve as resources
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283	283	1 for the Level II and Level III Trauma Centers and Acute
284	284	2 Injury Stabilization Centers in the EMS Regions. The
285	285	3 extent of such relationships shall be defined in the EMS
286	286	4 Region Plan;
287	287	5 (6) Inspect designated trauma centers to assure
288	288	6 compliance with the provisions of this Act and the rules
289	289	7 adopted pursuant to this Act. Information received by the
290	290	8 Department through filed reports, inspection, or as
291	291	9 otherwise authorized under this Act shall not be disclosed
292	292	10 publicly in such a manner as to identify individuals or
293	293	11 hospitals, except in proceedings involving the denial,
294	294	12 suspension or revocation of a trauma center designation or
295	295	13 imposition of a fine on a trauma center;
296	296	14 (7) Renew trauma center designations every 2 years,
297	297	15 after an on-site inspection, based on compliance with
298	298	16 renewal requirements and standards for continuing
299	299	17 operation, as prescribed by the Department through rules
300	300	18 adopted pursuant to this Act;
301	301	19 (8) Refuse to issue or renew a trauma center
302	302	20 designation, after providing an opportunity for a hearing,
303	303	21 when findings show that it does not meet the standards and
304	304	22 criteria prescribed by the Department;
305	305	23 (9) Review and determine whether a trauma center's
306	306	24 annual morbidity and mortality rates for trauma patients
307	307	25 significantly exceed the State average for such rates,
308	308	26 using a uniform recording methodology based on nationally
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319	319	1 recognized standards. Such determination shall be
320	320	2 considered as a factor in any decision by the Department
321	321	3 to renew or refuse to renew a trauma center designation
322	322	4 under this Act, but shall not constitute the sole basis
323	323	5 for refusing to renew a trauma center designation;
324	324	6 (10) Take the following action, as appropriate, after
325	325	7 determining that a trauma center is in violation of this
326	326	8 Act or any rule adopted pursuant to this Act:
327	327	9 (A) If the Director determines that the violation
328	328	10 presents a substantial probability that death or
329	329	11 serious physical harm will result and if the trauma
330	330	12 center fails to eliminate the violation immediately or
331	331	13 within a fixed period of time, not exceeding 10 days,
332	332	14 as determined by the Director, the Director may
333	333	15 immediately revoke the trauma center designation. The
334	334	16 trauma center may appeal the revocation within 15 days
335	335	17 after receiving the Director's revocation order, by
336	336	18 requesting a hearing as provided by Section 29 of this
337	337	19 Act. The Director shall notify the chair of the
338	338	20 Region's Trauma Center Medical Directors Committee and
339	339	21 EMS Medical Directors for appropriate EMS Systems of
340	340	22 such trauma center designation revocation;
341	341	23 (B) If the Director determines that the violation
342	342	24 does not present a substantial probability that death
343	343	25 or serious physical harm will result, the Director
344	344	26 shall issue a notice of violation and request a plan of
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355	355	1 correction which shall be subject to the Department's
356	356	2 approval. The trauma center shall have 10 days after
357	357	3 receipt of the notice of violation in which to submit a
358	358	4 plan of correction. The Department may extend this
359	359	5 period for up to 30 days. The plan shall include a
360	360	6 fixed time period not in excess of 90 days within which
361	361	7 violations are to be corrected. The plan of correction
362	362	8 and the status of its implementation by the trauma
363	363	9 center shall be provided, as appropriate, to the EMS
364	364	10 Medical Directors for appropriate EMS Systems. If the
365	365	11 Department rejects a plan of correction, it shall send
366	366	12 notice of the rejection and the reason for the
367	367	13 rejection to the trauma center. The trauma center
368	368	14 shall have 10 days after receipt of the notice of
369	369	15 rejection in which to submit a modified plan. If the
370	370	16 modified plan is not timely submitted, or if the
371	371	17 modified plan is rejected, the trauma center shall
372	372	18 follow an approved plan of correction imposed by the
373	373	19 Department. If, after notice and opportunity for
374	374	20 hearing, the Director determines that a trauma center
375	375	21 has failed to comply with an approved plan of
376	376	22 correction, the Director may suspend or revoke the
377	377	23 trauma center designation. The trauma center shall
378	378	24 have 15 days after receiving the Director's notice in
379	379	25 which to request a hearing. Such hearing shall conform
380	380	26 to the provisions of Section 3.135 30 of this Act;
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391	391	1 (11) The Department may delegate authority to local
392	392	2 health departments in jurisdictions which include a
393	393	3 substantial number of trauma centers. The delegated
394	394	4 authority to those local health departments shall include,
395	395	5 but is not limited to, the authority to designate trauma
396	396	6 centers with final approval by the Department, maintain a
397	397	7 regional data base with concomitant reporting of trauma
398	398	8 registry data, and monitor, inspect and investigate trauma
399	399	9 centers within their jurisdiction, in accordance with the
400	400	10 requirements of this Act and the rules promulgated by the
401	401	11 Department;
402	402	12 (A) The Department shall monitor the performance
403	403	13 of local health departments with authority delegated
404	404	14 pursuant to this Section, based upon performance
405	405	15 criteria established in rules promulgated by the
406	406	16 Department;
407	407	17 (B) Delegated authority may be revoked for
408	408	18 substantial non-compliance with the Act or the
409	409	19 Department's rules. Notice of an intent to revoke
410	410	20 shall be served upon the local health department by
411	411	21 certified mail, stating the reasons for revocation and
412	412	22 offering an opportunity for an administrative hearing
413	413	23 to contest the proposed revocation. The request for a
414	414	24 hearing must be in writing and received by the
415	415	25 Department within 10 working days of the local health
416	416	26 department's receipt of notification;
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427	427	1 (C) The director of a local health department may
428	428	2 relinquish its delegated authority upon 60 days
429	429	3 written notification to the Director of Public Health.
430	430	4 (Source: P.A. 89-177, eff. 7-19-95.)
431	431	5 (210 ILCS 50/3.95)
432	432	6 Sec. 3.95. Level I Trauma Center Minimum Standards. The
433	433	7 Department shall establish, through rules adopted pursuant to
434	434	8 this Act, standards for Level I Trauma Centers which shall
435	435	9 include, but need not be limited to:
436	436	10 (a) The designation by the trauma center of a Trauma
437	437	11 Center Medical Director and specification of his
438	438	12 qualifications;
439	439	13 (b) The types of surgical services the trauma center must
440	440	14 have available for trauma patients, including but not limited
441	441	15 to a twenty-four hour in-house surgeon with operating
442	442	16 privileges and ancillary staff necessary for immediate
443	443	17 surgical intervention;
444	444	18 (c) The types of nonsurgical services the trauma center
445	445	19 must have available for trauma patients;
446	446	20 (d) The numbers and qualifications of emergency medical
447	447	21 personnel;
448	448	22 (e) The types of equipment that must be available to
449	449	23 trauma patients;
450	450	24 (f) Requiring the trauma center to be affiliated with an
451	451	25 EMS System;
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455	455
456	456
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458	458
459	459
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461	461	SB3668 - 12 - LRB103 39264 CES 69417 b
462	462	1 (g) Requiring the trauma center to have a communications
463	463	2 system that is fully integrated with all Level II Trauma
464	464	3 Centers, Level III Trauma Centers, Acute Injury Stabilization
465	465	4 Centers, and EMS Systems with which it is affiliated;
466	466	5 (h) The types of data the trauma center must collect and
467	467	6 submit to the Department relating to the trauma services it
468	468	7 provides. Such data may include information on post-trauma
469	469	8 care directly related to the initial traumatic injury provided
470	470	9 to trauma patients until their discharge from the facility and
471	471	10 information on discharge plans;
472	472	11 (i) Requiring the trauma center to have helicopter landing
473	473	12 capabilities approved by appropriate State and federal
474	474	13 authorities, if the trauma center is located within a
475	475	14 municipality having a population of less than two million
476	476	15 people; and
477	477	16 (j) Requiring written agreements with Level II Trauma
478	478	17 Centers, Level III Trauma Centers, and Acute Injury
479	479	18 Stabilization Centers in the EMS Regions it serves, executed
480	480	19 within a reasonable time designated by the Department.
481	481	20 (Source: P.A. 89-177, eff. 7-19-95.)
482	482	21 (210 ILCS 50/3.100)
483	483	22 Sec. 3.100. Level II Trauma Center Minimum Standards. The
484	484	23 Department shall establish, through rules adopted pursuant to
485	485	24 this Act, standards for Level II Trauma Centers which shall
486	486	25 include, but need not be limited to:
487	487
488	488
489	489
490	490
491	491
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493	493
494	494
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496	496	SB3668 - 13 - LRB103 39264 CES 69417 b
497	497	1 (a) The designation by the trauma center of a Trauma
498	498	2 Center Medical Director and specification of his
499	499	3 qualifications;
500	500	4 (b) The types of surgical services the trauma center must
501	501	5 have available for trauma patients. The Department shall not
502	502	6 require the availability of all surgical services required of
503	503	7 Level I Trauma Centers;
504	504	8 (c) The types of nonsurgical services the trauma center
505	505	9 must have available for trauma patients;
506	506	10 (d) The numbers and qualifications of emergency medical
507	507	11 personnel, taking into consideration the more limited trauma
508	508	12 services available in a Level II Trauma Center;
509	509	13 (e) The types of equipment that must be available for
510	510	14 trauma patients;
511	511	15 (f) Requiring the trauma center to have a written
512	512	16 agreement with a Level I Trauma Centers, Level III Trauma
513	513	17 Centers, and Acute Injury Stabilization Centers Center serving
514	514	18 the EMS Region outlining their respective responsibilities in
515	515	19 providing trauma services, executed within a reasonable time
516	516	20 designated by the Department, unless the requirement for a
517	517	21 Level I Trauma Center to serve that EMS Region has been waived
518	518	22 by the Department;
519	519	23 (g) Requiring the trauma center to be affiliated with an
520	520	24 EMS System;
521	521	25 (h) Requiring the trauma center to have a communications
522	522	26 system that is fully integrated with the Level I Trauma
523	523
524	524
525	525
526	526
527	527
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529	529
530	530
531	531	SB3668- 14 -LRB103 39264 CES 69417 b SB3668 - 14 - LRB103 39264 CES 69417 b
532	532	SB3668 - 14 - LRB103 39264 CES 69417 b
533	533	1 Centers, Level III Trauma Centers, Acute Injury Stabilization
534	534	2 Centers, and the EMS Systems with which it is affiliated;
535	535	3 (i) The types of data the trauma center must collect and
536	536	4 submit to the Department relating to the trauma services it
537	537	5 provides. Such data may include information on post-trauma
538	538	6 care directly related to the initial traumatic injury provided
539	539	7 to trauma patients until their discharge from the facility and
540	540	8 information on discharge plans;
541	541	9 (j) Requiring the trauma center to have helicopter landing
542	542	10 capabilities approved by appropriate State and federal
543	543	11 authorities, if the trauma center is located within a
544	544	12 municipality having a population of less than two million
545	545	13 people.
546	546	14 (Source: P.A. 89-177, eff. 7-19-95.)
547	547	15 (210 ILCS 50/3.101 new)
548	548	16 Sec. 3.101. Level III Trauma Center Minimum Standards. The
549	549	17 Department shall establish, through rules adopted under this
550	550	18 Act, standards for Level III Trauma Centers that shall
551	551	19 include, but need not be limited to:
552	552	20 (1) The designation by the trauma center of a Trauma
553	553	21 Center Medical Director and specification of his or her
554	554	22 qualifications;
555	555	23 (2) The types of surgical services the trauma center
556	556	24 must have available for trauma patients; the Department
557	557	25 shall not require the availability of all surgical
558	558
559	559
560	560
561	561
562	562
563	563	SB3668 - 14 - LRB103 39264 CES 69417 b
564	564
565	565
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567	567	SB3668 - 15 - LRB103 39264 CES 69417 b
568	568	1 services required of Level I or Level II Trauma Centers;
569	569	2 (3) The types of nonsurgical services the trauma
570	570	3 center must have available for trauma patients;
571	571	4 (4) The numbers and qualifications of emergency
572	572	5 medical personnel, taking into consideration the more
573	573	6 limited trauma services available in a Level III Trauma
574	574	7 Center;
575	575	8 (5) The types of equipment that must be available for
576	576	9 trauma patients;
577	577	10 (6) Requiring the trauma center to have a written
578	578	11 agreement with Level I Trauma Centers, Level II Trauma
579	579	12 Centers, and Acute Injury Stabilization Centers serving
580	580	13 the EMS Region outlining their respective responsibilities
581	581	14 in providing trauma services, executed within a reasonable
582	582	15 time designated by the Department, unless the requirement
583	583	16 for a Level I Trauma Center to serve that EMS Region has
584	584	17 been waived by the Department;
585	585	18 (7) Requiring the trauma center to be affiliated with
586	586	19 an EMS System;
587	587	20 (8) Requiring the trauma center to have a
588	588	21 communications system that is fully integrated with the
589	589	22 Level I Trauma Centers, Level II Trauma Centers, Acute
590	590	23 Injury Stabilization Centers, and the EMS Systems with
591	591	24 which it is affiliated;
592	592	25 (9) The types of data the trauma center must collect
593	593	26 and submit to the Department relating to the trauma
594	594
595	595
596	596
597	597
598	598
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600	600
601	601
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603	603	SB3668 - 16 - LRB103 39264 CES 69417 b
604	604	1 services it provides; such data may include information on
605	605	2 post-trauma care directly related to the initial traumatic
606	606	3 injury provided to trauma patients until their discharge
607	607	4 from the facility and information on discharge plans; and
608	608	5 (10) Requiring the trauma center to have helicopter
609	609	6 landing capabilities approved by appropriate State and
610	610	7 federal authorities if the trauma center is located within
611	611	8 a municipality having a population of less than 2,000,000
612	612	9 people.
613	613	10 (210 ILCS 50/3.102 new)
614	614	11 Sec. 3.102. Acute Injury Stabilization Center minimum
615	615	12 standards. The Department shall establish, through rules
616	616	13 adopted pursuant to this Act, standards for Acute Injury
617	617	14 Stabilization Centers, which shall include, but need not be
618	618	15 limited to, Comprehensive or Basic Emergency Department
619	619	16 services pursuant to the Hospital Licensing Act.
620	620	17 (210 ILCS 50/3.105)
621	621	18 Sec. 3.105. Trauma Center Misrepresentation. No After the
622	622	19 effective date of this amendatory Act of 1995, no facility
623	623	20 shall use the phrase "trauma center" or words of similar
624	624	21 meaning in relation to itself or hold itself out as a trauma
625	625	22 center without first obtaining designation pursuant to this
626	626	23 Act.
627	627	24 (Source: P.A. 89-177, eff. 7-19-95.)
628	628
629	629
630	630
631	631
632	632
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634	634
635	635
636	636	SB3668- 17 -LRB103 39264 CES 69417 b SB3668 - 17 - LRB103 39264 CES 69417 b
637	637	SB3668 - 17 - LRB103 39264 CES 69417 b
638	638	1 (210 ILCS 50/3.106 new)
639	639	2 Sec. 3.106. Acute Injury Stabilization Center
640	640	3 Misrepresentation. No facility shall use the phrase "Acute
641	641	4 Injury Stabilization Center" or words of similar meaning in
642	642	5 relation to itself or hold itself out as an Acute Injury
643	643	6 Stabilization Center without first obtaining designation
644	644	7 pursuant to this Act.
645	645	8 (210 ILCS 50/3.110)
646	646	9 Sec. 3.110. EMS system and trauma center confidentiality
647	647	10 and immunity.
648	648	11 (a) All information contained in or relating to any
649	649	12 medical audit performed of a trauma center's trauma services
650	650	13 or an Acute Injury Stabilization Center pursuant to this Act
651	651	14 or by an EMS Medical Director or his designee of medical care
652	652	15 rendered by System personnel, shall be afforded the same
653	653	16 status as is provided information concerning medical studies
654	654	17 in Article VIII, Part 21 of the Code of Civil Procedure.
655	655	18 Disclosure of such information to the Department pursuant to
656	656	19 this Act shall not be considered a violation of Article VIII,
657	657	20 Part 21 of the Code of Civil Procedure.
658	658	21 (b) Hospitals, trauma centers and individuals that perform
659	659	22 or participate in medical audits pursuant to this Act shall be
660	660	23 immune from civil liability to the same extent as provided in
661	661	24 Section 10.2 of the Hospital Licensing Act.
662	662
663	663
664	664
665	665
666	666
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668	668
669	669
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671	671	SB3668 - 18 - LRB103 39264 CES 69417 b
672	672	1 (c) All information relating to the State Emergency
673	673	2 Medical Services Disciplinary Review Board or a local review
674	674	3 board, except final decisions, shall be afforded the same
675	675	4 status as is provided information concerning medical studies
676	676	5 in Article VIII, Part 21 of the Code of Civil Procedure.
677	677	6 Disclosure of such information to the Department pursuant to
678	678	7 this Act shall not be considered a violation of Article VIII,
679	679	8 Part 21 of the Code of Civil Procedure.
680	680	9 (Source: P.A. 92-651, eff. 7-11-02.)
681	681	10 (210 ILCS 50/3.115)
682	682	11 Sec. 3.115. Pediatric care. Pediatric Trauma. The Director
683	683	12 shall appoint an advisory council to make recommendations for
684	684	13 pediatric care needs and develop strategies to address areas
685	685	14 of need as defined in rules adopted by the Department.
686	686	15 The Department shall:
687	687	16 (1) develop or promote recommendations for continuing
688	688	17 medical education, treatment guidelines, and other
689	689	18 programs for health practitioners and organizations
690	690	19 involved in pediatric care;
691	691	20 (2) support existing pediatric care programs and
692	692	21 assist in establishing new pediatric care initiatives
693	693	22 throughout the State;
694	694	23 (3) designate applicant hospitals that meet the
695	695	24 minimum standards established by the Department for their
696	696	25 pediatric emergency and critical care capabilities.
697	697
698	698
699	699
700	700
701	701
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703	703
704	704
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706	706	SB3668 - 19 - LRB103 39264 CES 69417 b
707	707	1 Upon the availability of federal funds for pediatric care
708	708	2 demonstration projects, the Department shall:
709	709	3 (a) Convene a work group which will be charged with
710	710	4 conducting a needs assessment of pediatric trauma care and
711	711	5 with developing strategies to correct areas of need;
712	712	6 (b) Contract with the University of Illinois School of
713	713	7 Public Health to develop a secondary prevention program for
714	714	8 parents;
715	715	9 (c) Contract with an Illinois medical school to develop
716	716	10 training and continuing medical education programs for
717	717	11 physicians and nurses in treatment of pediatric trauma;
718	718	12 (d) Contract with an Illinois medical school to develop
719	719	13 and test triage and field scoring for pediatric trauma if the
720	720	14 needs assessment by the work group indicates that current
721	721	15 scoring is inadequate;
722	722	16 (e) Support existing pediatric trauma programs and assist
723	723	17 in establishing new pediatric trauma programs throughout the
724	724	18 State;
725	725	19 (f) Provide grants to EMS systems for special pediatric
726	726	20 equipment for prehospital care based on needs identified by
727	727	21 the work group; and
728	728	22 (g) Provide grants to EMS systems and trauma centers for
729	729	23 specialized training in pediatric trauma based on needs
730	730	24 identified by the work group.
731	731	25 (Source: P.A. 89-177, eff. 7-19-95.)
732	732
733	733
734	734
735	735
736	736
737	737	SB3668 - 19 - LRB103 39264 CES 69417 b
738	738
739	739
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741	741	SB3668 - 20 - LRB103 39264 CES 69417 b
742	742	1 (210 ILCS 50/3.140)
743	743	2 Sec. 3.140. Violations; Fines.
744	744	3 (a) The Department shall have the authority to impose
745	745	4 fines on any licensed vehicle service provider, stretcher van
746	746	5 provider, designated trauma center, Acute Injury Stabilization
747	747	6 Center, resource hospital, associate hospital, or
748	748	7 participating hospital.
749	749	8 (b) The Department shall adopt rules pursuant to this Act
750	750	9 which establish a system of fines related to the type and level
751	751	10 of violation or repeat violation, including, but not limited
752	752	11 to:
753	753	12 (1) A fine not exceeding $10,000 for each a violation
754	754	13 which created a condition or occurrence presenting a
755	755	14 substantial probability that death or serious harm to an
756	756	15 individual will or did result therefrom; and
757	757	16 (2) A fine not exceeding $5,000 for each a violation
758	758	17 which creates or created a condition or occurrence which
759	759	18 threatens the health, safety or welfare of an individual.
760	760	19 (c) A Notice of Intent to Impose Fine may be issued in
761	761	20 conjunction with or in lieu of a Notice of Intent to Suspend,
762	762	21 Revoke, Nonrenew or Deny, and shall conform to the
763	763	22 requirements specified in Section 3.130(d) of this Act. All
764	764	23 Hearings conducted pursuant to a Notice of Intent to Impose
765	765	24 Fine shall conform to the requirements specified in Section
766	766	25 3.135 of this Act.
767	767	26 (d) All fines collected pursuant to this Section shall be
768	768
769	769
770	770
771	771
772	772
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774	774
775	775
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777	777	SB3668 - 21 - LRB103 39264 CES 69417 b
778	778	1 deposited into the EMS Assistance Fund.
779	779	2 (Source: P.A. 98-973, eff. 8-15-14.)
780	780	3 (210 ILCS 50/3.200)
781	781	4 Sec. 3.200. State Emergency Medical Services Advisory
782	782	5 Council.
783	783	6 (a) There shall be established within the Department of
784	784	7 Public Health a State Emergency Medical Services Advisory
785	785	8 Council, which shall serve as an advisory body to the
786	786	9 Department on matters related to this Act.
787	787	10 (b) Membership of the Council shall include one
788	788	11 representative from each EMS Region, to be appointed by each
789	789	12 region's EMS Regional Advisory Committee. The Governor shall
790	790	13 appoint additional members to the Council as necessary to
791	791	14 insure that the Council includes one representative from each
792	792	15 of the following categories:
793	793	16 (1) EMS Medical Director,
794	794	17 (2) Trauma Center Medical Director,
795	795	18 (3) Licensed, practicing physician with regular and
796	796	19 frequent involvement in the provision of emergency care,
797	797	20 (4) Licensed, practicing physician with special
798	798	21 expertise in the surgical care of the trauma patient,
799	799	22 (5) EMS System Coordinator,
800	800	23 (6) TNS,
801	801	24 (7) Paramedic,
802	802	25 (7.5) A-EMT,
803	803
804	804
805	805
806	806
807	807
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809	809
810	810
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812	812	SB3668 - 22 - LRB103 39264 CES 69417 b
813	813	1 (8) EMT-I,
814	814	2 (9) EMT,
815	815	3 (10) Private vehicle service provider,
816	816	4 (11) Law enforcement officer,
817	817	5 (12) Chief of a public vehicle service provider,
818	818	6 (13) Statewide firefighters' union member affiliated
819	819	7 with a vehicle service provider,
820	820	8 (14) Administrative representative from a fire
821	821	9 department vehicle service provider in a municipality with
822	822	10 a population of over 2 million people, ;
823	823	11 (15) Administrative representative from a Resource
824	824	12 Hospital or EMS System Administrative Director, and .
825	825	13 (16) Representative from a pediatric critical care
826	826	14 center.
827	827	15 (c) Members shall be appointed for a term of 3 years. All
828	828	16 appointees shall serve until their successors are appointed
829	829	17 and qualified.
830	830	18 (d) The Council shall be provided a 90-day period in which
831	831	19 to review and comment, in consultation with the subcommittee
832	832	20 to which the rules are relevant, upon all rules proposed by the
833	833	21 Department pursuant to this Act, except for rules adopted
834	834	22 pursuant to Section 3.190(a) of this Act, rules submitted to
835	835	23 the State Trauma Advisory Council and emergency rules adopted
836	836	24 pursuant to Section 5-45 of the Illinois Administrative
837	837	25 Procedure Act. The 90-day review and comment period may
838	838	26 commence upon the Department's submission of the proposed
839	839
840	840
841	841
842	842
843	843
844	844	SB3668 - 22 - LRB103 39264 CES 69417 b
845	845
846	846
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848	848	SB3668 - 23 - LRB103 39264 CES 69417 b
849	849	1 rules to the individual Council members, if the Council is not
850	850	2 meeting at the time the proposed rules are ready for Council
851	851	3 review. Any non-emergency rules adopted prior to the Council's
852	852	4 90-day review and comment period shall be null and void. If the
853	853	5 Council fails to advise the Department within its 90-day
854	854	6 review and comment period, the rule shall be considered acted
855	855	7 upon.
856	856	8 (e) Council members shall be reimbursed for reasonable
857	857	9 travel expenses incurred during the performance of their
858	858	10 duties under this Section.
859	859	11 (f) The Department shall provide administrative support to
860	860	12 the Council for the preparation of the agenda and minutes for
861	861	13 Council meetings and distribution of proposed rules to Council
862	862	14 members.
863	863	15 (g) The Council shall act pursuant to bylaws which it
864	864	16 adopts, which shall include the annual election of a Chair and
865	865	17 Vice-Chair.
866	866	18 (h) The Director or his designee shall be present at all
867	867	19 Council meetings.
868	868	20 (i) Nothing in this Section shall preclude the Council
869	869	21 from reviewing and commenting on proposed rules which fall
870	870	22 under the purview of the State Trauma Advisory Council.
871	871	23 (Source: P.A. 98-973, eff. 8-15-14.)
872	872	24 (210 ILCS 50/3.205)
873	873	25 Sec. 3.205. State Trauma Advisory Council.
874	874
875	875
876	876
877	877
878	878
879	879	SB3668 - 23 - LRB103 39264 CES 69417 b
880	880
881	881
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883	883	SB3668 - 24 - LRB103 39264 CES 69417 b
884	884	1 (a) There shall be established within the Department of
885	885	2 Public Health a State Trauma Advisory Council, which shall
886	886	3 serve as an advisory body to the Department on matters related
887	887	4 to trauma care and trauma centers.
888	888	5 (b) Membership of the Council shall include one
889	889	6 representative from each Regional Trauma Advisory Committee,
890	890	7 to be appointed by each Committee. The Governor shall appoint
891	891	8 the following additional members:
892	892	9 (1) An EMS Medical Director,
893	893	10 (2) A trauma center medical director,
894	894	11 (3) A trauma surgeon,
895	895	12 (4) A trauma nurse coordinator,
896	896	13 (5) A representative from a private vehicle service
897	897	14 provider,
898	898	15 (6) A representative from a public vehicle service
899	899	16 provider,
900	900	17 (7) A member of the State EMS Advisory Council, ;and and
901	901	18 (8) A neurosurgeon.
902	902	19 (8) A burn care medical representative.
903	903	20 The Governor may also appoint, as an additional member
904	904	21 of the Council, a neurosurgeon.
905	905	22 (c) Members shall be appointed for a term of 3 years. All
906	906	23 appointees shall serve until their successors are appointed
907	907	24 and qualified.
908	908	25 (d) The Council shall be provided a 90-day period in which
909	909	26 to review and comment upon all rules proposed by the
910	910
911	911
912	912
913	913
914	914
915	915	SB3668 - 24 - LRB103 39264 CES 69417 b
916	916
917	917
918	918	SB3668- 25 -LRB103 39264 CES 69417 b SB3668 - 25 - LRB103 39264 CES 69417 b
919	919	SB3668 - 25 - LRB103 39264 CES 69417 b
920	920	1 Department pursuant to this Act concerning trauma care, except
921	921	2 for emergency rules adopted pursuant to Section 5-45 of the
922	922	3 Illinois Administrative Procedure Act. The 90-day review and
923	923	4 comment period may commence upon the Department's submission
924	924	5 of the proposed rules to the individual Council members, if
925	925	6 the Council is not meeting at the time the proposed rules are
926	926	7 ready for Council review. Any non-emergency rules adopted
927	927	8 prior to the Council's 90-day review and comment period shall
928	928	9 be null and void. If the Council fails to advise the Department
929	929	10 within its 90-day review and comment period, the rule shall be
930	930	11 considered acted upon;
931	931	12 (e) Council members shall be reimbursed for reasonable
932	932	13 travel expenses incurred during the performance of their
933	933	14 duties under this Section.
934	934	15 (f) The Department shall provide administrative support to
935	935	16 the Council for the preparation of the agenda and minutes for
936	936	17 Council meetings and distribution of proposed rules to Council
937	937	18 members.
938	938	19 (g) The Council shall act pursuant to bylaws which it
939	939	20 adopts, which shall include the annual election of a Chair and
940	940	21 Vice-Chair.
941	941	22 (h) The Director or his designee shall be present at all
942	942	23 Council meetings.
943	943	24 (i) Nothing in this Section shall preclude the Council
944	944	25 from reviewing and commenting on proposed rules which fall
945	945	26 under the purview of the State EMS Advisory Council.
946	946
947	947
948	948
949	949
950	950
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952	952
953	953
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955	955	SB3668 - 26 - LRB103 39264 CES 69417 b
956	956	1 (Source: P.A. 98-973, eff. 8-15-14.)
957	957
958	958
959	959
960	960
961	961
962	962	SB3668 - 26 - LRB103 39264 CES 69417 b