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Public Act 103-1064 | ||||
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AN ACT concerning criminal law. | ||||
Be it enacted by the People of the State of Illinois, | ||||
represented in the General Assembly: | ||||
Section 5. The Illinois Controlled Substances Act is | ||||
amended by changing Section 318 and by adding Section 315.7 as | ||||
follows: | ||||
(720 ILCS 570/315.7 new) | ||||
Sec. 315.7. Chronic pain treatment. | ||||
(a) In this Section: | ||||
"Chronic pain" means a state in which pain persists beyond | ||||
the usual course of an acute disease or healing of an injury, | ||||
or which may or may not be associated with an acute or chronic | ||||
pathologic process that causes continuous or intermittent pain | ||||
over months or years. "Chronic pain" is considered to be pain | ||||
that persists for more than 12 weeks and is adversely | ||||
affecting the function or well-being of the individual. | ||||
"Opioid" means a narcotic drug or substance that is a | ||||
Schedule II controlled substance under paragraph (1), (2), | ||||
(3), or (5) of subsection (b) or under subsection (c) of | ||||
Section 206. | ||||
(b) Decisions regarding the treatment of patients | ||||
experiencing chronic pain shall be made by the prescriber with | ||||
dispensing by the pharmacist in accordance with the |
corresponding responsibility as described in 21 CFR 1306.04(a) | ||
and 77 Ill. Adm. Code 3100.380(a). | ||
(c) Ordering, prescribing, dispensing, administering, or | ||
paying for controlled substances, including opioids, shall not | ||
in any way be predetermined by specific morphine milligram | ||
equivalent guidelines except as provided under federal law. | ||
(d) Nothing in this Section shall interfere with the | ||
review of prescriptions by the Prescription Monitoring | ||
Program's Peer Review Committee. In reviewing prescriptions | ||
for chronic pain, the peer review committee members shall | ||
review the most updated clinical guidelines on treating | ||
chronic pain for the period the prescriptions were written. | ||
(720 ILCS 570/318) | ||
(Text of Section before amendment by P.A. 103-881 ) | ||
Sec. 318. Confidentiality of information. | ||
(a) Information received by the central repository under | ||
Section 316 and former Section 321 is confidential. | ||
(a-1) To ensure the federal Health Insurance Portability | ||
and Accountability Act and confidentiality of substance use | ||
disorder patient records rules that mandate the privacy of an | ||
individual's prescription data reported to the Prescription | ||
Monitoring Program received from a retail dispenser under this | ||
Act, and in order to execute the duties and responsibilities | ||
under Section 316 of this Act and rules for disclosure under | ||
this Section, the Clinical Director of the Prescription |
Monitoring Program or his or her designee shall maintain | ||
direct access to all Prescription Monitoring Program data. Any | ||
request for Prescription Monitoring Program data from any | ||
other department or agency must be approved in writing by the | ||
Clinical Director of the Prescription Monitoring Program or | ||
his or her designee unless otherwise permitted by law. | ||
Prescription Monitoring Program data shall only be disclosed | ||
as permitted by law. Confidential information received from | ||
opioid treatment programs or confidential information | ||
otherwise protected under federal confidentiality of substance | ||
use disorder patient records regulations under 42 CFR Part 2 | ||
shall not be included in the information shared. | ||
(a-2) As an active step to address the current opioid | ||
crisis in this State and to prevent and reduce addiction | ||
resulting from a sports injury or an accident, the | ||
Prescription Monitoring Program and the Department of Public | ||
Health shall coordinate a continuous review of the | ||
Prescription Monitoring Program and the Department of Public | ||
Health data to determine if a patient may be at risk of opioid | ||
addiction. Each patient discharged from any medical facility | ||
with an International Classification of Disease, 10th edition | ||
code related to a sport or accident injury shall be subject to | ||
the data review. If the discharged patient is dispensed a | ||
controlled substance, the Prescription Monitoring Program | ||
shall alert the patient's prescriber as to the addiction risk | ||
and urge each to follow the Centers for Disease Control and |
Prevention guidelines or his or her respective profession's | ||
treatment guidelines related to the patient's injury. This | ||
subsection (a-2), other than this sentence, is inoperative on | ||
or after January 1, 2024. | ||
(b) The Department must carry out a program to protect the | ||
confidentiality of the information described in subsection | ||
(a). The Department may disclose the information to another | ||
person only under subsection (c), (d), or (f) and may charge a | ||
fee not to exceed the actual cost of furnishing the | ||
information. | ||
(c) The Department may disclose confidential information | ||
described in subsection (a) to any person who is engaged in | ||
receiving, processing, or storing the information. | ||
(d) The Department may release confidential information | ||
described in subsection (a) to the following persons: | ||
(1) A governing body that licenses practitioners and | ||
is engaged in an investigation, an adjudication, or a | ||
prosecution of a violation under any State or federal law | ||
that involves a controlled substance. | ||
(2) An investigator for the Consumer Protection | ||
Division of the office of the Attorney General, a | ||
prosecuting attorney, the Attorney General, a deputy | ||
Attorney General, or an investigator from the office of | ||
the Attorney General, who is engaged in any of the | ||
following activities involving controlled substances: | ||
(A) an investigation; |
(B) an adjudication; or | ||
(C) a prosecution of a violation under any State | ||
or federal law that involves a controlled substance. | ||
(3) A law enforcement officer who is: | ||
(A) authorized by the Illinois State Police or the | ||
office of a county sheriff or State's Attorney or | ||
municipal police department of Illinois to receive | ||
information of the type requested for the purpose of | ||
investigations involving controlled substances; or | ||
(B) approved by the Department to receive | ||
information of the type requested for the purpose of | ||
investigations involving controlled substances; and | ||
(C) engaged in the investigation or prosecution of | ||
a violation under any State or federal law that | ||
involves a controlled substance. | ||
(4) Select representatives of the Department of | ||
Children and Family Services through the indirect online | ||
request process. Access shall be established by an | ||
intergovernmental agreement between the Department of | ||
Children and Family Services and the Department of Human | ||
Services. | ||
(e) Before the Department releases confidential | ||
information under subsection (d), all of the following must be | ||
demonstrated the applicant must demonstrate in writing to the | ||
Department by the applicant that : | ||
(1) the applicant has reason to believe that a |
violation under any State or federal law that involves a | ||
controlled substance has occurred; and | ||
(2) the requested information is reasonably related to | ||
the investigation, adjudication, or prosecution of the | ||
violation described in subdivision (1) ; and . | ||
(3) the applicant has a valid court order or subpoena, | ||
or an administrative subpoena issued by the Department of | ||
Financial and Professional Regulation, for the | ||
confidential information requested. | ||
(f) The Department may receive and release confidential | ||
prescription record information collected under Sections 316 | ||
and 321 (now repealed) that identifies vendors or | ||
practitioners, or both, who are prescribing or dispensing | ||
large quantities of Schedule II, III, IV, or V controlled | ||
substances outside the scope of their practice, pharmacy, or | ||
business, as determined by the Advisory Committee created by | ||
Section 320, prescription record information under Section 316 | ||
and former Section 321 to: | ||
(1) a governing body that licenses practitioners; | ||
(2) an investigator for the Consumer Protection | ||
Division of the office of the Attorney General, a | ||
prosecuting attorney, the Attorney General, a deputy | ||
Attorney General, or an investigator from the office of | ||
the Attorney General; | ||
(3) any Illinois law enforcement officer who is: | ||
(A) authorized to receive the type of information |
released; and | ||
(B) approved by the Department to receive the type | ||
of information released; or | ||
(4) prescription monitoring entities in other states | ||
per the provisions outlined in subsection (g) and (h) | ||
below . ; | ||
confidential prescription record information collected under | ||
Sections 316 and 321 (now repealed) that identifies vendors or | ||
practitioners, or both, who are prescribing or dispensing | ||
large quantities of Schedule II, III, IV, or V controlled | ||
substances outside the scope of their practice, pharmacy, or | ||
business, as determined by the Advisory Committee created by | ||
Section 320. | ||
(f-5) In accordance with a confidentiality agreement | ||
entered into with the Department, a medical director, or a | ||
public health administrator and their delegated analysts, of a | ||
county or municipal health department or the Department of | ||
Public Health shall have access to data from the system for any | ||
of the following purposes: | ||
(1) developing education programs or public health | ||
interventions relating to prescribing trends and | ||
controlled substance use; or | ||
(2) conducting analyses and publish reports on | ||
prescribing trends in their respective jurisdictions. | ||
At a minimum, the confidentiality agreement entered into | ||
with the Department shall: |
(i) prohibit analysis and reports produced under | ||
subparagraph (2) from including information that | ||
identifies, by name, license, or address, any | ||
practitioner, dispenser, ultimate user, or other person | ||
administering a controlled substance; and | ||
(ii) specify the appropriate technical and physical | ||
safeguards that the county or municipal health department | ||
must implement to ensure the privacy and security of data | ||
obtained from the system. The data from the system shall | ||
not be admissible as evidence, nor discoverable in any | ||
action of any kind in any court or before any tribunal, | ||
board, agency, or person. The disclosure of any such | ||
information or data, whether proper or improper, shall not | ||
waive or have any effect upon its confidentiality, | ||
non-discoverability, or non-admissibility. | ||
(g) The information described in subsection (f) may not be | ||
released until it has been reviewed by an employee of the | ||
Department who is licensed as a prescriber or a dispenser and | ||
until that employee has certified that further investigation | ||
is warranted. Upon review and approval by a licensed | ||
prescriber or dispenser, or trained designee, the Prescription | ||
Monitoring Program may release information described in | ||
subsection (f). However, failure to comply with this | ||
subsection (g) does not invalidate the use of any evidence | ||
that is otherwise admissible in a proceeding described in | ||
subsection (h). |
(h) An investigator or a law enforcement officer receiving | ||
confidential information under subsection (c), (d), or (f) may | ||
disclose the information to a law enforcement officer or an | ||
attorney for the office of the Attorney General for use as | ||
evidence in the following: | ||
(1) A proceeding under any State or federal law that | ||
involves a controlled substance. | ||
(2) A criminal proceeding or a proceeding in juvenile | ||
court that involves a controlled substance. | ||
(i) The Department may compile statistical reports from | ||
the information described in subsection (a). The reports must | ||
not include information that identifies, by name, license or | ||
address, any practitioner, dispenser, ultimate user, or other | ||
person administering a controlled substance. | ||
(j) Based upon federal, initial and maintenance funding, a | ||
prescriber and dispenser inquiry system shall be developed to | ||
assist the health care community in its goal of effective | ||
clinical practice and to prevent patients from diverting or | ||
abusing medications. | ||
(1) An inquirer shall have read-only access to a | ||
stand-alone database which shall contain records for the | ||
previous 12 months. | ||
(2) Dispensers may, upon positive and secure | ||
identification, make an inquiry on a patient or customer | ||
solely for a medical purpose as delineated within the | ||
federal HIPAA law. |
(3) The Department shall provide a one-to-one secure | ||
link and encrypted software necessary to establish the | ||
link between an inquirer and the Department. Technical | ||
assistance shall also be provided. | ||
(4) Written inquiries are acceptable but must include | ||
the fee and the requester's Drug Enforcement | ||
Administration license number and submitted upon the | ||
requester's business stationery. | ||
(5) As directed by the Prescription Monitoring Program | ||
Advisory Committee and the Clinical Director for the | ||
Prescription Monitoring Program, aggregate data that does | ||
not indicate any prescriber, practitioner, dispenser, or | ||
patient may be used for clinical studies. | ||
(6) Tracking analysis shall be established and used | ||
per administrative rule. | ||
(7) Nothing in this Act or Illinois law shall be | ||
construed to require a prescriber or dispenser to make use | ||
of this inquiry system. | ||
(8) If there is an adverse outcome because of a | ||
prescriber or dispenser making an inquiry, which is | ||
initiated in good faith, the prescriber or dispenser shall | ||
be held harmless from any civil liability. | ||
(k) The Department shall establish, by rule, the process | ||
by which to evaluate possible erroneous association of | ||
prescriptions to any licensed prescriber or end user of the | ||
Illinois Prescription Information Library (PIL). |
(l) The Prescription Monitoring Program Advisory Committee | ||
is authorized to evaluate the need for and method of | ||
establishing a patient specific identifier. | ||
(m) Patients who identify prescriptions attributed to them | ||
that were not obtained by them shall be given access to their | ||
personal prescription history pursuant to the validation | ||
process as set forth by administrative rule. | ||
(n) The Prescription Monitoring Program is authorized to | ||
develop operational push reports to entities with compatible | ||
electronic medical records. The process shall be covered | ||
within administrative rule established by the Department. | ||
(o) Hospital emergency departments and freestanding | ||
healthcare facilities providing healthcare to walk-in patients | ||
may obtain, for the purpose of improving patient care, a | ||
unique identifier for each shift to utilize the PIL system. | ||
(p) The Prescription Monitoring Program shall | ||
automatically create a log-in to the inquiry system when a | ||
prescriber or dispenser obtains or renews his or her | ||
controlled substance license. The Department of Financial and | ||
Professional Regulation must provide the Prescription | ||
Monitoring Program with electronic access to the license | ||
information of a prescriber or dispenser to facilitate the | ||
creation of this profile. The Prescription Monitoring Program | ||
shall send the prescriber or dispenser information regarding | ||
the inquiry system, including instructions on how to log into | ||
the system, instructions on how to use the system to promote |
effective clinical practice, and opportunities for continuing | ||
education for the prescribing of controlled substances. The | ||
Prescription Monitoring Program shall also send to all | ||
enrolled prescribers, dispensers, and designees information | ||
regarding the unsolicited reports produced pursuant to Section | ||
314.5 of this Act. | ||
(q) A prescriber or dispenser may authorize a designee to | ||
consult the inquiry system established by the Department under | ||
this subsection on his or her behalf, provided that all the | ||
following conditions are met: | ||
(1) the designee so authorized is employed by the same | ||
hospital or health care system; is employed by the same | ||
professional practice; or is under contract with such | ||
practice, hospital, or health care system; | ||
(2) the prescriber or dispenser takes reasonable steps | ||
to ensure that such designee is sufficiently competent in | ||
the use of the inquiry system; | ||
(3) the prescriber or dispenser remains responsible | ||
for ensuring that access to the inquiry system by the | ||
designee is limited to authorized purposes and occurs in a | ||
manner that protects the confidentiality of the | ||
information obtained from the inquiry system, and remains | ||
responsible for any breach of confidentiality; and | ||
(4) the ultimate decision as to whether or not to | ||
prescribe or dispense a controlled substance remains with | ||
the prescriber or dispenser. |
The Prescription Monitoring Program shall send to | ||
registered designees information regarding the inquiry system, | ||
including instructions on how to log onto the system. | ||
(r) The Prescription Monitoring Program shall maintain an | ||
Internet website in conjunction with its prescriber and | ||
dispenser inquiry system. This website shall include, at a | ||
minimum, the following information: | ||
(1) current clinical guidelines developed by health | ||
care professional organizations on the prescribing of | ||
opioids or other controlled substances as determined by | ||
the Advisory Committee; | ||
(2) accredited continuing education programs related | ||
to prescribing of controlled substances; | ||
(3) programs or information developed by health care | ||
professionals that may be used to assess patients or help | ||
ensure compliance with prescriptions; | ||
(4) updates from the Food and Drug Administration, the | ||
Centers for Disease Control and Prevention, and other | ||
public and private organizations which are relevant to | ||
prescribing; | ||
(5) relevant medical studies related to prescribing; | ||
(6) other information regarding the prescription of | ||
controlled substances; and | ||
(7) information regarding prescription drug disposal | ||
events, including take-back programs or other disposal | ||
options or events. |
The content of the Internet website shall be periodically | ||
reviewed by the Prescription Monitoring Program Advisory | ||
Committee as set forth in Section 320 and updated in | ||
accordance with the recommendation of the advisory committee. | ||
(s) The Prescription Monitoring Program shall regularly | ||
send electronic updates to the registered users of the | ||
Program. The Prescription Monitoring Program Advisory | ||
Committee shall review any communications sent to registered | ||
users and also make recommendations for communications as set | ||
forth in Section 320. These updates shall include the | ||
following information: | ||
(1) opportunities for accredited continuing education | ||
programs related to prescribing of controlled substances; | ||
(2) current clinical guidelines developed by health | ||
care professional organizations on the prescribing of | ||
opioids or other drugs as determined by the Advisory | ||
Committee; | ||
(3) programs or information developed by health care | ||
professionals that may be used to assess patients or help | ||
ensure compliance with prescriptions; | ||
(4) updates from the Food and Drug Administration, the | ||
Centers for Disease Control and Prevention, and other | ||
public and private organizations which are relevant to | ||
prescribing; | ||
(5) relevant medical studies related to prescribing; | ||
(6) other information regarding prescribing of |
controlled substances; | ||
(7) information regarding prescription drug disposal | ||
events, including take-back programs or other disposal | ||
options or events; and | ||
(8) reminders that the Prescription Monitoring Program | ||
is a useful clinical tool. | ||
(t) Notwithstanding any other provision of this Act, | ||
neither the Prescription Monitoring Program nor any other | ||
person shall disclose any information in violation of the | ||
restrictions and requirements of paragraph (3.5) of subsection | ||
(a) of Section 316 as implemented under Public Act 102-527. | ||
(Source: P.A. 102-751, eff. 1-1-23 .) | ||
(Text of Section after amendment by P.A. 103-881 ) | ||
Sec. 318. Confidentiality of information. | ||
(a) Information received by the central repository under | ||
Section 316 and former Section 321 is confidential. | ||
(a-1) To ensure the federal Health Insurance Portability | ||
and Accountability Act and confidentiality of substance use | ||
disorder patient records rules that mandate the privacy of an | ||
individual's prescription data reported to the Prescription | ||
Monitoring Program received from a retail dispenser under this | ||
Act, and in order to execute the duties and responsibilities | ||
under Section 316 of this Act and rules for disclosure under | ||
this Section, the Clinical Director of the Prescription | ||
Monitoring Program or his or her designee shall maintain |
direct access to all Prescription Monitoring Program data. Any | ||
request for Prescription Monitoring Program data from any | ||
other department or agency must be approved in writing by the | ||
Clinical Director of the Prescription Monitoring Program or | ||
his or her designee unless otherwise permitted by law. | ||
Prescription Monitoring Program data shall only be disclosed | ||
as permitted by law. Confidential information received from | ||
opioid treatment programs or confidential information | ||
otherwise protected under federal confidentiality of substance | ||
use disorder patient records regulations under 42 CFR Part 2 | ||
shall not be included in the information shared. | ||
(a-2) As an active step to address the current opioid | ||
crisis in this State and to prevent and reduce substance use | ||
disorders resulting from a sports injury or an accident, the | ||
Prescription Monitoring Program and the Department of Public | ||
Health shall coordinate a continuous review of the | ||
Prescription Monitoring Program and the Department of Public | ||
Health data to determine if a patient may be at risk of opioid | ||
use disorder. Each patient discharged from any medical | ||
facility with an International Classification of Disease, 10th | ||
edition code related to a sport or accident injury shall be | ||
subject to the data review. If the discharged patient is | ||
dispensed a controlled substance, the Prescription Monitoring | ||
Program shall alert the patient's prescriber as to the risk of | ||
developing a substance use disorder and urge each to follow | ||
the Centers for Disease Control and Prevention guidelines or |
his or her respective profession's treatment guidelines | ||
related to the patient's injury. This subsection (a-2), other | ||
than this sentence, is inoperative on or after January 1, | ||
2024. | ||
(b) The Department must carry out a program to protect the | ||
confidentiality of the information described in subsection | ||
(a). The Department may disclose the information to another | ||
person only under subsection (c), (d), or (f) and may charge a | ||
fee not to exceed the actual cost of furnishing the | ||
information. | ||
(c) The Department may disclose confidential information | ||
described in subsection (a) to any person who is engaged in | ||
receiving, processing, or storing the information. | ||
(d) The Department may release confidential information | ||
described in subsection (a) to the following persons: | ||
(1) A governing body that licenses practitioners and | ||
is engaged in an investigation, an adjudication, or a | ||
prosecution of a violation under any State or federal law | ||
that involves a controlled substance. | ||
(2) An investigator for the Consumer Protection | ||
Division of the office of the Attorney General, a | ||
prosecuting attorney, the Attorney General, a deputy | ||
Attorney General, or an investigator from the office of | ||
the Attorney General, who is engaged in any of the | ||
following activities involving controlled substances: | ||
(A) an investigation; |
(B) an adjudication; or | ||
(C) a prosecution of a violation under any State | ||
or federal law that involves a controlled substance. | ||
(3) A law enforcement officer who is: | ||
(A) authorized by the Illinois State Police or the | ||
office of a county sheriff or State's Attorney or | ||
municipal police department of Illinois to receive | ||
information of the type requested for the purpose of | ||
investigations involving controlled substances; or | ||
(B) approved by the Department to receive | ||
information of the type requested for the purpose of | ||
investigations involving controlled substances; and | ||
(C) engaged in the investigation or prosecution of | ||
a violation under any State or federal law that | ||
involves a controlled substance. | ||
(4) Select representatives of the Department of | ||
Children and Family Services through the indirect online | ||
request process. Access shall be established by an | ||
intergovernmental agreement between the Department of | ||
Children and Family Services and the Department of Human | ||
Services. | ||
(e) Before the Department releases confidential | ||
information under subsection (d), all of the following must be | ||
demonstrated the applicant must demonstrate in writing to the | ||
Department by the applicant that : | ||
(1) the applicant has reason to believe that a |
violation under any State or federal law that involves a | ||
controlled substance has occurred; and | ||
(2) the requested information is reasonably related to | ||
the investigation, adjudication, or prosecution of the | ||
violation described in subdivision (1) ; and . | ||
(3) the applicant has a valid court order or subpoena, | ||
or an administrative subpoena issued by the Department of | ||
Financial and Professional Regulation, for the | ||
confidential information requested. | ||
(f) The Department may receive and release confidential | ||
prescription record information collected under Sections 316 | ||
and 321 (now repealed) that identifies vendors or | ||
practitioners, or both, who are prescribing or dispensing | ||
large quantities of Schedule II, III, IV, or V controlled | ||
substances outside the scope of their practice, pharmacy, or | ||
business, as determined by the Advisory Committee created by | ||
Section 320, prescription record information under Section 316 | ||
and former Section 321 to: | ||
(1) a governing body that licenses practitioners; | ||
(2) an investigator for the Consumer Protection | ||
Division of the office of the Attorney General, a | ||
prosecuting attorney, the Attorney General, a deputy | ||
Attorney General, or an investigator from the office of | ||
the Attorney General; | ||
(3) any Illinois law enforcement officer who is: | ||
(A) authorized to receive the type of information |
released; and | ||
(B) approved by the Department to receive the type | ||
of information released; or | ||
(4) prescription monitoring entities in other states | ||
per the provisions outlined in subsection (g) and (h) | ||
below . ; | ||
confidential prescription record information collected under | ||
Sections 316 and 321 (now repealed) that identifies vendors or | ||
practitioners, or both, who are prescribing or dispensing | ||
large quantities of Schedule II, III, IV, or V controlled | ||
substances outside the scope of their practice, pharmacy, or | ||
business, as determined by the Advisory Committee created by | ||
Section 320. | ||
(f-5) In accordance with a confidentiality agreement | ||
entered into with the Department, a medical director, or a | ||
public health administrator and their delegated analysts, of a | ||
county or municipal health department or the Department of | ||
Public Health shall have access to data from the system for any | ||
of the following purposes: | ||
(1) developing education programs or public health | ||
interventions relating to prescribing trends and | ||
controlled substance use; or | ||
(2) conducting analyses and publish reports on | ||
prescribing trends in their respective jurisdictions. | ||
At a minimum, the confidentiality agreement entered into | ||
with the Department shall: |
(i) prohibit analysis and reports produced under | ||
subparagraph (2) from including information that | ||
identifies, by name, license, or address, any | ||
practitioner, dispenser, ultimate user, or other person | ||
administering a controlled substance; and | ||
(ii) specify the appropriate technical and physical | ||
safeguards that the county or municipal health department | ||
must implement to ensure the privacy and security of data | ||
obtained from the system. The data from the system shall | ||
not be admissible as evidence, nor discoverable in any | ||
action of any kind in any court or before any tribunal, | ||
board, agency, or person. The disclosure of any such | ||
information or data, whether proper or improper, shall not | ||
waive or have any effect upon its confidentiality, | ||
non-discoverability, or non-admissibility. | ||
(g) The information described in subsection (f) may not be | ||
released until it has been reviewed by an employee of the | ||
Department who is licensed as a prescriber or a dispenser and | ||
until that employee has certified that further investigation | ||
is warranted. Upon review and approval by a licensed | ||
prescriber or dispenser, or trained designee, the Prescription | ||
Monitoring Program may release information described in | ||
subsection (f). However, failure to comply with this | ||
subsection (g) does not invalidate the use of any evidence | ||
that is otherwise admissible in a proceeding described in | ||
subsection (h). |
(h) An investigator or a law enforcement officer receiving | ||
confidential information under subsection (c), (d), or (f) may | ||
disclose the information to a law enforcement officer or an | ||
attorney for the office of the Attorney General for use as | ||
evidence in the following: | ||
(1) A proceeding under any State or federal law that | ||
involves a controlled substance. | ||
(2) A criminal proceeding or a proceeding in juvenile | ||
court that involves a controlled substance. | ||
(i) The Department may compile statistical reports from | ||
the information described in subsection (a). The reports must | ||
not include information that identifies, by name, license or | ||
address, any practitioner, dispenser, ultimate user, or other | ||
person administering a controlled substance. | ||
(j) Based upon federal, initial and maintenance funding, a | ||
prescriber and dispenser inquiry system shall be developed to | ||
assist the health care community in its goal of effective | ||
clinical practice and to prevent patients from diverting or | ||
abusing medications. | ||
(1) An inquirer shall have read-only access to a | ||
stand-alone database which shall contain records for the | ||
previous 12 months. | ||
(2) Dispensers may, upon positive and secure | ||
identification, make an inquiry on a patient or customer | ||
solely for a medical purpose as delineated within the | ||
federal HIPAA law. |
(3) The Department shall provide a one-to-one secure | ||
link and encrypted software necessary to establish the | ||
link between an inquirer and the Department. Technical | ||
assistance shall also be provided. | ||
(4) Written inquiries are acceptable but must include | ||
the fee and the requester's Drug Enforcement | ||
Administration license number and submitted upon the | ||
requester's business stationery. | ||
(5) As directed by the Prescription Monitoring Program | ||
Advisory Committee and the Clinical Director for the | ||
Prescription Monitoring Program, aggregate data that does | ||
not indicate any prescriber, practitioner, dispenser, or | ||
patient may be used for clinical studies. | ||
(6) Tracking analysis shall be established and used | ||
per administrative rule. | ||
(7) Nothing in this Act or Illinois law shall be | ||
construed to require a prescriber or dispenser to make use | ||
of this inquiry system. | ||
(8) If there is an adverse outcome because of a | ||
prescriber or dispenser making an inquiry, which is | ||
initiated in good faith, the prescriber or dispenser shall | ||
be held harmless from any civil liability. | ||
(k) The Department shall establish, by rule, the process | ||
by which to evaluate possible erroneous association of | ||
prescriptions to any licensed prescriber or end user of the | ||
Illinois Prescription Information Library (PIL). |
(l) The Prescription Monitoring Program Advisory Committee | ||
is authorized to evaluate the need for and method of | ||
establishing a patient specific identifier. | ||
(m) Patients who identify prescriptions attributed to them | ||
that were not obtained by them shall be given access to their | ||
personal prescription history pursuant to the validation | ||
process as set forth by administrative rule. | ||
(n) The Prescription Monitoring Program is authorized to | ||
develop operational push reports to entities with compatible | ||
electronic medical records. The process shall be covered | ||
within administrative rule established by the Department. | ||
(o) Hospital emergency departments and freestanding | ||
healthcare facilities providing healthcare to walk-in patients | ||
may obtain, for the purpose of improving patient care, a | ||
unique identifier for each shift to utilize the PIL system. | ||
(p) The Prescription Monitoring Program shall | ||
automatically create a log-in to the inquiry system when a | ||
prescriber or dispenser obtains or renews his or her | ||
controlled substance license. The Department of Financial and | ||
Professional Regulation must provide the Prescription | ||
Monitoring Program with electronic access to the license | ||
information of a prescriber or dispenser to facilitate the | ||
creation of this profile. The Prescription Monitoring Program | ||
shall send the prescriber or dispenser information regarding | ||
the inquiry system, including instructions on how to log into | ||
the system, instructions on how to use the system to promote |
effective clinical practice, and opportunities for continuing | ||
education for the prescribing of controlled substances. The | ||
Prescription Monitoring Program shall also send to all | ||
enrolled prescribers, dispensers, and designees information | ||
regarding the unsolicited reports produced pursuant to Section | ||
314.5 of this Act. | ||
(q) A prescriber or dispenser may authorize a designee to | ||
consult the inquiry system established by the Department under | ||
this subsection on his or her behalf, provided that all the | ||
following conditions are met: | ||
(1) the designee so authorized is employed by the same | ||
hospital or health care system; is employed by the same | ||
professional practice; or is under contract with such | ||
practice, hospital, or health care system; | ||
(2) the prescriber or dispenser takes reasonable steps | ||
to ensure that such designee is sufficiently competent in | ||
the use of the inquiry system; | ||
(3) the prescriber or dispenser remains responsible | ||
for ensuring that access to the inquiry system by the | ||
designee is limited to authorized purposes and occurs in a | ||
manner that protects the confidentiality of the | ||
information obtained from the inquiry system, and remains | ||
responsible for any breach of confidentiality; and | ||
(4) the ultimate decision as to whether or not to | ||
prescribe or dispense a controlled substance remains with | ||
the prescriber or dispenser. |
The Prescription Monitoring Program shall send to | ||
registered designees information regarding the inquiry system, | ||
including instructions on how to log onto the system. | ||
(r) The Prescription Monitoring Program shall maintain an | ||
Internet website in conjunction with its prescriber and | ||
dispenser inquiry system. This website shall include, at a | ||
minimum, the following information: | ||
(1) current clinical guidelines developed by health | ||
care professional organizations on the prescribing of | ||
opioids or other controlled substances as determined by | ||
the Advisory Committee; | ||
(2) accredited continuing education programs related | ||
to prescribing of controlled substances; | ||
(3) programs or information developed by health care | ||
professionals that may be used to assess patients or help | ||
ensure compliance with prescriptions; | ||
(4) updates from the Food and Drug Administration, the | ||
Centers for Disease Control and Prevention, and other | ||
public and private organizations which are relevant to | ||
prescribing; | ||
(5) relevant medical studies related to prescribing; | ||
(6) other information regarding the prescription of | ||
controlled substances; and | ||
(7) information regarding prescription drug disposal | ||
events, including take-back programs or other disposal | ||
options or events. |
The content of the Internet website shall be periodically | ||
reviewed by the Prescription Monitoring Program Advisory | ||
Committee as set forth in Section 320 and updated in | ||
accordance with the recommendation of the advisory committee. | ||
(s) The Prescription Monitoring Program shall regularly | ||
send electronic updates to the registered users of the | ||
Program. The Prescription Monitoring Program Advisory | ||
Committee shall review any communications sent to registered | ||
users and also make recommendations for communications as set | ||
forth in Section 320. These updates shall include the | ||
following information: | ||
(1) opportunities for accredited continuing education | ||
programs related to prescribing of controlled substances; | ||
(2) current clinical guidelines developed by health | ||
care professional organizations on the prescribing of | ||
opioids or other drugs as determined by the Advisory | ||
Committee; | ||
(3) programs or information developed by health care | ||
professionals that may be used to assess patients or help | ||
ensure compliance with prescriptions; | ||
(4) updates from the Food and Drug Administration, the | ||
Centers for Disease Control and Prevention, and other | ||
public and private organizations which are relevant to | ||
prescribing; | ||
(5) relevant medical studies related to prescribing; | ||
(6) other information regarding prescribing of |
controlled substances; | ||
(7) information regarding prescription drug disposal | ||
events, including take-back programs or other disposal | ||
options or events; and | ||
(8) reminders that the Prescription Monitoring Program | ||
is a useful clinical tool. | ||
(t) Notwithstanding any other provision of this Act, | ||
neither the Prescription Monitoring Program nor any other | ||
person shall disclose any information in violation of the | ||
restrictions and requirements of paragraph (3.5) of subsection | ||
(a) of Section 316 as implemented under Public Act 102-527. | ||
(Source: P.A. 102-751, eff. 1-1-23; 103-881, eff. 1-1-25.) | ||
Section 95. No acceleration or delay. Where this Act makes | ||
changes in a statute that is represented in this Act by text | ||
that is not yet or no longer in effect (for example, a Section | ||
represented by multiple versions), the use of that text does | ||
not accelerate or delay the taking effect of (i) the changes | ||
made by this Act or (ii) provisions derived from any other | ||
Public Act. | ||
Section 99. Effective date. This Act takes effect upon | ||
becoming law. |