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Public Act 094-0677 |
SB0475 Enrolled |
LRB094 07024 LJB 37163 b |
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AN ACT concerning insurance.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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ARTICLE 1. FINDINGS |
Section 101. Findings. The General Assembly finds as |
follows: |
(1) The increasing cost of medical liability insurance |
results in increased financial burdens on physicians and |
hospitals. |
(2) The increasing cost of medical liability insurance |
in Illinois is believed to have contributed to the |
reduction of the availability of medical care in portions |
of the State and is believed to have discouraged some |
medical students from choosing Illinois as the place they |
will receive their medical education and practice |
medicine. |
(3) The public would benefit from making the services |
of hospitals and physicians more available. |
(4) This health care crisis, which endangers the public |
health, safety, and welfare of the citizens of Illinois, |
requires significant reforms to the civil justice system |
currently endangering health care for citizens of |
Illinois. Limiting non-economic damages is one of these |
significant reforms designed to benefit the people of the |
State of Illinois. An increasing number of citizens or |
municipalities are enacting ordinances that limit damages |
and help maintain the health care delivery system in |
Illinois and protect the health, safety, and welfare of the |
people of Illinois. |
(5) In order to preserve the public health, safety, and |
welfare of the
people of Illinois, the current medical |
malpractice situation requires reforms that enhance
the |
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State's oversight of physicians and ability to discipline |
physicians, that increase the
State's oversight of medical |
liability insurance carriers, that reduce the number of |
nonmeritorious healing art malpractice actions, that limit |
non-economic damages in healing art malpractice actions, |
that encourage physicians to provide
voluntary services at |
free medical clinics, that encourage physicians and |
hospitals to
continue providing health care services in |
Illinois, and that encourage physicians to practice in |
medical care shortage areas. |
ARTICLE 3. AMENDATORY PROVISIONS
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Section 310. The Illinois Insurance Code is amended by |
changing Sections 155.18, 155.19, and 1204 and by adding |
Section 155.18a as follows:
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(215 ILCS 5/155.18) (from Ch. 73, par. 767.18)
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Sec. 155.18. (a) This Section shall apply to insurance on |
risks based
upon negligence by a physician, hospital or other |
health care provider,
referred to herein as medical liability |
insurance. This Section shall not
apply to contracts of |
reinsurance, nor to any farm, county, district or
township |
mutual insurance company transacting business under an Act |
entitled
"An Act relating to local mutual district, county and |
township insurance
companies", approved March 13, 1936, as now |
or hereafter amended, nor to
any such company operating under a |
special charter.
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(b) The following standards shall apply to the making and |
use of rates
pertaining to all classes of medical liability |
insurance:
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(1) Rates shall not be excessive or inadequate , as |
herein defined, nor
shall they be unfairly discriminatory. |
No rate shall be held to be excessive
unless such rate is |
unreasonably high for the insurance provided, and a
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reasonable degree of competition does not exist in the area |
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with respect
to the classification to which such rate is |
applicable.
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No rate shall be held inadequate unless it is |
unreasonably low for the
insurance provided and continued |
use of it would endanger solvency of the company.
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(2) Consideration shall be given, to the extent |
applicable, to past and
prospective loss experience within |
and outside this State, to a reasonable
margin for |
underwriting profit and contingencies, to past and |
prospective
expenses both countrywide and those especially |
applicable to this State,
and to all other factors, |
including judgment factors, deemed relevant within
and |
outside this State.
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Consideration may also be given in the making and use |
of rates to dividends,
savings or unabsorbed premium |
deposits allowed or returned by companies
to their |
policyholders, members or subscribers.
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(3) The systems of expense provisions included in the |
rates for use by
any company or group of companies may |
differ from those of other companies
or groups of companies |
to reflect the operating methods of any such company
or |
group with respect to any kind of insurance, or with |
respect to any subdivision
or combination thereof.
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(4) Risks may be grouped by classifications for the |
establishment of rates
and minimum premiums. |
Classification rates may be modified to produce
rates for |
individual risks in accordance with rating plans which |
establish
standards for measuring variations in hazards or |
expense provisions, or
both. Such standards may measure any |
difference among risks that have a
probable effect upon |
losses or expenses. Such classifications or modifications
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of classifications of risks may be established based upon |
size, expense,
management, individual experience, location |
or dispersion of hazard, or
any other reasonable |
considerations and shall apply to all risks under the
same |
or substantially the same circumstances or conditions.
The |
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rate for
an established classification should be related |
generally to the anticipated
loss and expense factors of |
the class.
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(c) (1) Every company writing medical liability insurance |
shall file with
the Secretary of Financial and Professional |
Regulation
Director of Insurance the rates and rating schedules |
it uses for medical
liability insurance. A rate shall go into |
effect upon filing, except as otherwise provided in this |
Section.
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(2) If (i) 1% of a company's insureds within a specialty or |
25 of the company's insureds (whichever is greater) request a |
public hearing, (ii) the Secretary at his or her discretion |
decides to convene a public hearing, or (iii) the percentage |
increase in a company's rate is greater than 6%, then the |
Secretary shall convene a public hearing in accordance with |
this paragraph (2). The Secretary shall notify the public of |
any application by an insurer for a rate increase to which this |
paragraph (2) applies. A public hearing under this paragraph |
(2) must be concluded within 90 days after the request, |
decision, or increase that gave rise to the hearing. The |
Secretary may, by order, adjust a rate or take any other |
appropriate action at the conclusion of the hearing. |
(3) A rate
(1) This filing shall occur upon a company's |
commencement of medical liability insurance business in this |
State
at least annually
and thereafter as often as the rates
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are changed or amended.
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(4)
(2) For the purposes of this Section , any change in |
premium to the company's
insureds as a result of a change in |
the company's base rates or a change
in its increased limits |
factors shall constitute a change in rates and shall
require a |
filing with the Secretary
Director .
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(5)
(3) It shall be certified in such filing by an officer |
of the company
and a qualified actuary that the company's rates
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are based on sound actuarial
principles and are not |
inconsistent with the company's experience.
The Secretary may |
request any additional statistical data and other pertinent |
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information necessary to determine the manner the company used |
to set the filed rates and the reasonableness of those rates. |
This data and information shall be made available, on a |
company-by-company basis, to the general public.
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(d) If after
a public hearing the Secretary
Director finds:
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(1) that any rate, rating plan or rating system |
violates the provisions
of this Section applicable to it, |
he shall
may issue an order to the company which
has been |
the subject of the hearing specifying in what respects such |
violation
exists and , in that order, may adjust the rate
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stating when, within a reasonable period of time, the |
further
use of such rate or rating system by such company |
in contracts of insurance
made thereafter shall be |
prohibited ;
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(2) that the violation of any of the provisions of this |
Section applicable
to it by any company which has been the |
subject of the hearing was wilful or that any company has |
repeatedly violated any provision of this Section , he
may |
take either or both of the following actions: |
(A) Suspend
suspend or revoke, in whole or in part, |
the certificate of authority
of such company with |
respect to the class of insurance which has been the
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subject of the hearing.
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(B) Impose a penalty of up to $1,000 against the |
company for each violation. Each day during which a |
violation occurs constitutes a separate violation.
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The burden is on the company to justify the rate or |
proposed rate at the public hearing.
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(e) Every company writing medical liability insurance in |
this State shall offer to each of its medical liability |
insureds the option to make premium payments in quarterly |
installments as prescribed by and filed with the Secretary. |
This offer shall be included in the initial offer or in the |
first policy renewal occurring after the effective date of this |
amendatory Act of the 94th General Assembly, but no earlier |
than January 1, 2006.
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(f) Every company writing medical liability insurance is |
encouraged, but not required, to offer the opportunity for |
participation in a plan offering deductibles to its medical |
liability insureds. Any plan to offer deductibles shall be |
filed with the Department. |
(g) Every company writing medical liability insurance is |
encouraged, but not required, to offer their medical liability |
insureds a plan
providing premium discounts for participation |
in risk
management activities. Any
such plan shall be reported |
to the Department.
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(h) A company writing medical liability insurance in |
Illinois must give 180 days' notice before the company |
discontinues the writing of medical liability insurance in |
Illinois.
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(Source: P.A. 79-1434.)
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(215 ILCS 5/155.18a new) |
Sec. 155.18a. Professional Liability Insurance Resource |
Center. The Secretary of Financial and Professional Regulation |
shall establish a Professional Liability Insurance Resource |
Center on the Department's Internet website containing the |
name, telephone number, and base rates of each licensed company |
providing medical liability insurance and the name, address, |
and telephone number of each producer who sells medical |
liability insurance and the name of each licensed company for |
which the producer sells medical liability insurance. Each |
company and producer shall submit the information to the |
Department on or before September 30 of each year in order to |
be listed on the website. Hyperlinks to company websites shall |
be included, if available. The publication of the information |
on the Department's website shall commence on January 1, 2006. |
The Department shall update the information on the Professional |
Liability Insurance Resource Center at least annually.
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(215 ILCS 5/155.19) (from Ch. 73, par. 767.19)
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Sec. 155.19. All claims filed after December 31, 1976 with |
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any insurer
and all suits filed after December 31, 1976 in any |
court in this State,
alleging liability on the part of any |
physician, hospital or other health
care provider for medically |
related injuries, shall be reported to the Secretary of |
Financial and Professional Regulation
Director
of Insurance in |
such form and under such terms and conditions as may be
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prescribed by the Secretary
Director . In addition, and |
notwithstanding any other provision of law to the contrary, any |
insurer, stop loss insurer, captive insurer, risk retention |
group, county risk retention trust, religious or charitable |
risk pooling trust, surplus line insurer, or other entity |
authorized or permitted by law to provide medical liability |
insurance in this State shall report to the Secretary,
in such |
form and under such terms and conditions as may be
prescribed |
by the Secretary, all claims filed
after December 31, 2005 and |
all suits filed
after December 31, 2005 in any court in this |
State alleging liability on the part of any physician, |
hospital, or health
care provider for medically related |
injuries. Each clerk of the circuit court shall provide to the |
Secretary such information as the Secretary may deem necessary |
to verify the accuracy and completeness of reports made to the |
Secretary under this Section. The Secretary
Director shall |
maintain complete and accurate
records of all such claims and |
suits including their nature, amount, disposition
(categorized |
by verdict, settlement, dismissal, or otherwise and including |
disposition of any post-trial motions and types of damages |
awarded, if any, including but not limited to economic damages |
and non-economic damages) and other information as he may deem |
useful or desirable in observing and
reporting on health care |
provider liability trends in this State. Records received by |
the Secretary under this Section shall be available to the |
general public; however, the records made available to the |
general public shall not include the names or addresses of the |
parties to any claims or suits. The Secretary
Director
shall |
release to appropriate disciplinary and licensing agencies any |
such
data or information which may assist such agencies in
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improving the quality of health care or which may be useful to |
such agencies
for the purpose of professional discipline.
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With due regard for appropriate maintenance of the |
confidentiality thereof,
the Secretary
Director
shall
may
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release , on an annual basis,
from time to time to the Governor, |
the General
Assembly and the general public statistical reports |
based on such data and information.
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If the Secretary finds that any entity required to report |
information in its possession under this Section has violated |
any provision of this Section by filing late, incomplete, or |
inaccurate reports, the Secretary may fine the entity up to |
$1,000 for each offense. Each day during which a violation |
occurs constitutes a separate offense.
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The Secretary
Director may promulgate such rules and |
regulations as may be necessary
to carry out the provisions of |
this Section.
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(Source: P.A. 79-1434.)
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(215 ILCS 5/1204) (from Ch. 73, par. 1065.904)
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Sec. 1204. (A) The Secretary
Director shall promulgate |
rules and regulations
which shall require each insurer licensed |
to write property or casualty
insurance in the State and each |
syndicate doing business on the Illinois
Insurance Exchange to |
record and report its loss and expense experience
and other |
data as may be necessary to assess the relationship of
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insurance premiums and related income as compared to insurance |
costs and
expenses. The Secretary
Director may designate one or |
more rate service
organizations or advisory organizations to |
gather and compile such
experience and data. The Secretary
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Director shall require each insurer licensed to
write property |
or casualty insurance in this State and each syndicate doing
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business on the Illinois Insurance Exchange to submit a report, |
on
a form furnished by the Secretary
Director , showing its |
direct writings in this
State and companywide.
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(B) Such report required by subsection (A) of this Section |
may include,
but not be limited to, the following specific |
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types of insurance written by
such insurer:
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(1) Political subdivision liability insurance reported |
separately in the
following categories:
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(a) municipalities;
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(b) school districts;
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(c) other political subdivisions;
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(2) Public official liability insurance;
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(3) Dram shop liability insurance;
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(4) Day care center liability insurance;
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(5) Labor, fraternal or religious organizations |
liability insurance;
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(6) Errors and omissions liability insurance;
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(7) Officers and directors liability insurance |
reported separately as
follows:
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(a) non-profit entities;
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(b) for-profit entities;
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(8) Products liability insurance;
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(9) Medical malpractice insurance;
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(10) Attorney malpractice insurance;
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(11) Architects and engineers malpractice insurance; |
and
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(12) Motor vehicle insurance reported separately for |
commercial and
private passenger vehicles as follows:
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(a) motor vehicle physical damage insurance;
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(b) motor vehicle liability insurance.
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(C) Such report may include, but need not be limited to the |
following data,
both
specific to this State and companywide, in |
the aggregate or by type of
insurance for the previous year on |
a calendar year basis:
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(1) Direct premiums written;
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(2) Direct premiums earned;
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(3) Number of policies;
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(4) Net investment income, using appropriate estimates |
where necessary;
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(5) Losses paid;
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(6) Losses incurred;
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(7) Loss reserves:
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(a) Losses unpaid on reported claims;
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(b) Losses unpaid on incurred but not reported |
claims;
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(8) Number of claims:
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(a) Paid claims;
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(b) Arising claims;
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(9) Loss adjustment expenses:
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(a) Allocated loss adjustment expenses;
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(b) Unallocated loss adjustment expenses;
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(10) Net underwriting gain or loss;
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(11) Net operation gain or loss, including net |
investment income;
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(12) Any other information requested by the Secretary
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Director .
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(C-5) Additional information required from medical |
malpractice insurers. |
(1) In addition to the other requirements of this |
Section, the following information shall be included in the |
report required by subsection (A) of this Section in such |
form and under such terms and conditions as may be |
prescribed by the Secretary: |
(a) paid and incurred losses by county for each of |
the past 10 policy years; |
(b) earned exposures by ISO code, policy type, and |
policy year by county for each of the past 10 years; |
and |
(c) the following actuarial information: |
(i) Base class and territory equivalent |
exposures by report year by relative accident |
year. |
(ii) Cumulative loss array by accident year by |
calendar year of development. This array will show |
frequency of claims in the following categories: |
open, closed with indemnity (CWI), closed with |
expense (CWE), and closed no pay (CNP); paid |
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severity in the following categories: indemnity |
and allocated loss adjustment expenses (ALAE) on |
closed claims;
and indemnity and expense reserves |
on pending claims. |
(iii) Cumulative loss array by report year by |
calendar year of development. This array will show |
frequency of claims in the following categories: |
open, closed with indemnity (CWI), closed with |
expense (CWE), and closed no pay (CNP); paid |
severity in the following categories: indemnity |
and allocated loss adjustment expenses (ALAE) on |
closed claims; and indemnity and expense reserves |
on pending claims. |
(iv) Maturity year and tail factors. |
(v) Any expense, contingency ddr (death, |
disability, and retirement), commission, tax, |
and/or off-balance factors. |
(2) The following information must also be annually |
provided to the Department:
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(a) copies of the company's reserve and surplus |
studies; and |
(b) consulting actuarial report and data |
supporting the company's rate
filing. |
(3) All information collected by the Secretary under |
paragraphs (1) and (2) shall be made available, on a |
company-by-company basis, to the General Assembly and the |
general public. This provision shall supersede any other |
provision of State law that may otherwise protect such |
information from public disclosure as confidential.
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(D) In addition to the information which may be requested |
under
subsection (C), the Secretary
Director may also request |
on a companywide, aggregate
basis, Federal Income Tax |
recoverable, net realized capital gain or loss,
net unrealized |
capital gain or loss, and all other expenses not requested
in |
subsection (C) above.
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(E) Violations - Suspensions - Revocations.
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(1) Any company or person
subject to this Article, who |
willfully or repeatedly fails to observe or who
otherwise |
violates any of the provisions of this Article or any rule |
or
regulation promulgated by the Secretary
Director under |
authority of this Article or any
final order of the |
Secretary
Director entered under the authority of this |
Article shall
by civil penalty forfeit to the State of |
Illinois a sum not to exceed
$2,000. Each day during which |
a violation occurs constitutes a
separate
offense.
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(2) No forfeiture liability under paragraph (1) of this |
subsection may
attach unless a written notice of apparent |
liability has been issued by the
Secretary
Director and |
received by the respondent, or the Secretary
Director sends |
written
notice of apparent liability by registered or |
certified mail, return
receipt requested, to the last known |
address of the respondent. Any
respondent so notified must |
be granted an opportunity to request a hearing
within 10 |
days from receipt of notice, or to show in writing, why he |
should
not be held liable. A notice issued under this |
Section must set forth the
date, facts and nature of the |
act or omission with which the respondent is
charged and |
must specifically identify the particular provision of |
this
Article, rule, regulation or order of which a |
violation is charged.
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(3) No forfeiture liability under paragraph (1) of this |
subsection may
attach for any violation occurring more than |
2 years prior to the date of
issuance of the notice of |
apparent liability and in no event may the total
civil |
penalty forfeiture imposed for the acts or omissions set |
forth in any
one notice of apparent liability exceed |
$100,000.
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(4) All administrative hearings conducted pursuant to |
this Article are
subject to 50 Ill. Adm. Code 2402 and all |
administrative hearings are
subject to the Administrative |
Review Law.
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(5) The civil penalty forfeitures provided for in this |
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Section are
payable to the General Revenue Fund of the |
State of Illinois, and may be
recovered in a civil suit in |
the name of the State of Illinois brought in
the Circuit |
Court in Sangamon County or in the Circuit Court of the |
county
where the respondent is domiciled or has its |
principal operating office.
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(6) In any case where the Secretary
Director issues a |
notice of apparent liability
looking toward the imposition |
of a civil penalty forfeiture under this
Section that fact |
may not be used in any other proceeding before the
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Secretary
Director to the prejudice of the respondent to |
whom the notice was issued,
unless (a) the civil penalty |
forfeiture has been paid, or (b) a court has
ordered |
payment of the civil penalty forfeiture and that order has |
become
final.
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(7) When any person or company has a license or |
certificate of authority
under this Code and knowingly |
fails or refuses to comply with a lawful
order of the |
Secretary
Director requiring compliance with this Article, |
entered after
notice and hearing, within the period of time |
specified in the order, the
Secretary
Director may, in |
addition to any other penalty or authority
provided, revoke |
or refuse to renew the license or certificate of authority
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of such person
or company, or may suspend the license or |
certificate of authority
of such
person or company until |
compliance with such order has been obtained.
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(8) When any person or company has a license or |
certificate of authority
under this Code and knowingly |
fails or refuses to comply with any
provisions of this |
Article, the Secretary
Director may, after notice and |
hearing, in
addition to any other penalty provided, revoke |
or refuse to renew the
license or certificate of authority |
of such person or company, or may
suspend the license or |
certificate of authority of such person or company,
until |
compliance with such provision of this Article has been |
obtained.
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(9) No suspension or revocation under this Section may |
become effective
until 5 days from the date that the notice |
of suspension or revocation has
been personally delivered |
or delivered by registered or certified mail to
the company |
or person. A suspension or revocation under this Section is
|
stayed upon the filing, by the company or person, of a |
petition for
judicial review under the Administrative |
Review Law.
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(Source: P.A. 93-32, eff. 7-1-03.)
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Section 315. The Medical Practice Act of 1987 is amended by |
changing Sections 7, 22, 23, 24, and 36 and adding Section 24.1 |
as follows:
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(225 ILCS 60/7) (from Ch. 111, par. 4400-7)
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(Section scheduled to be repealed on January 1, 2007)
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Sec. 7. Medical Disciplinary Board.
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(A) There is hereby created the Illinois
State Medical |
Disciplinary Board (hereinafter referred to as
the |
"Disciplinary Board"). The Disciplinary Board shall
consist of |
11
9 members, to be appointed by the Governor by and
with the |
advice and consent of the Senate. All members shall be
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residents of the State, not more than 6
5 of whom shall be
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members of the same political party. All members shall be |
voting members. Five members shall be
physicians licensed to |
practice medicine in all of its
branches in Illinois possessing |
the degree of doctor of
medicine , and it shall be the goal that |
at least one of the members practice in the field of |
neurosurgery, one of the members practice in the field of |
obstetrics and gynecology, and one of the members practice in |
the field of cardiology . One member shall be a physician |
licensed to practice in Illinois possessing the degree of |
doctor of osteopathy or osteopathic medicine. One member shall |
be a physician licensed to practice in Illinois and possessing |
the degree of doctor of chiropractic. Four members
Two shall be |
members of the public, who shall not
be engaged in any way, |
|
directly or indirectly, as providers
of health care. The
2
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public members shall act as
voting members. One member shall be |
a physician
licensed to practice in Illinois possessing the |
degree of
doctor of osteopathy or osteopathic medicine. One |
member shall be a
physician licensed to practice in Illinois |
and possessing the degree
of doctor of chiropractic.
|
(B) Members of the Disciplinary Board shall be appointed
|
for terms of 4 years. Upon the expiration of the term of
any |
member, their successor shall be appointed for a term of
4 |
years by the Governor by and with the advice and
consent of the |
Senate. The Governor shall fill any vacancy
for the remainder |
of the unexpired term by and with the
advice and consent of the |
Senate. Upon recommendation of
the Board, any member of the |
Disciplinary Board may be
removed by the Governor for |
misfeasance, malfeasance, or
wilful neglect of duty, after |
notice, and a public hearing,
unless such notice and hearing |
shall be expressly waived in
writing. Each member shall serve |
on the Disciplinary Board
until their successor is appointed |
and qualified. No member
of the Disciplinary Board shall serve |
more than 2
consecutive 4 year terms.
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In making appointments the Governor shall attempt to
insure |
that the various social and geographic regions of the
State of |
Illinois are properly represented.
|
In making the designation of persons to act for the
several |
professions represented on the Disciplinary Board,
the |
Governor shall give due consideration to recommendations
by |
members of the respective professions and by
organizations |
therein.
|
(C) The Disciplinary Board shall annually elect one of
its |
voting members as chairperson and one as vice
chairperson. No |
officer shall be elected more than twice
in succession to the |
same office. Each officer shall serve
until their successor has |
been elected and qualified.
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(D) (Blank).
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(E) Six
Four voting members of the Disciplinary Board , at |
least 4 of whom are physicians,
shall constitute a quorum. A |
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vacancy in the membership of
the Disciplinary Board shall not |
impair the right of a
quorum to exercise all the rights and |
perform all the duties
of the Disciplinary Board. Any action |
taken by the
Disciplinary Board under this Act may be |
authorized by
resolution at any regular or special meeting and |
each such
resolution shall take effect immediately. The |
Disciplinary
Board shall meet at least quarterly. The |
Disciplinary Board
is empowered to adopt all rules and |
regulations necessary
and incident to the powers granted to it |
under this Act.
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(F) Each member, and member-officer, of the
Disciplinary |
Board shall receive a per diem stipend
as the
Secretary
|
Director of the Department, hereinafter referred to as the
|
Secretary
Director , shall determine. The Secretary
Director
|
shall also
determine the per diem stipend that each ex-officio |
member
shall receive. Each member shall be paid their necessary
|
expenses while engaged in the performance of their duties.
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(G) The Secretary
Director shall select a Chief Medical
|
Coordinator and not less than 2
a Deputy Medical Coordinators
|
Coordinator
who shall not
be members of the Disciplinary Board. |
Each medical
coordinator shall be a physician licensed to |
practice
medicine in all of its branches, and the Secretary
|
Director shall set
their rates of compensation. The Secretary
|
Director shall assign at least
one
medical
coordinator to
a |
region composed of Cook County and
such other counties as the |
Secretary
Director may deem appropriate,
and such medical |
coordinator or coordinators shall locate their office in
|
Chicago. The Secretary
Director shall assign at least one
the |
remaining medical
coordinator to a region composed of the |
balance of counties
in the State, and such medical coordinator |
or coordinators shall locate
their office in Springfield. Each |
medical coordinator shall
be the chief enforcement officer of |
this Act in his or her
their
assigned region and shall serve at |
the will of the
Disciplinary Board.
|
The Secretary
Director shall employ, in conformity with the
|
Personnel Code, not less than one full time investigator
for |
|
every 2,500
5000 physicians licensed in the State. Each
|
investigator shall be a college graduate with at least 2
years' |
investigative experience or one year advanced medical
|
education. Upon the written request of the Disciplinary
Board, |
the Secretary
Director shall employ, in conformity with the
|
Personnel Code, such other professional, technical,
|
investigative, and clerical help, either on a full or
part-time |
basis as the Disciplinary Board deems necessary
for the proper |
performance of its duties.
|
(H) Upon the specific request of the Disciplinary
Board, |
signed by either the chairman, vice chairman, or a
medical |
coordinator of the Disciplinary Board, the
Department of Human |
Services or the
Department of State Police shall make available |
any and all
information that they have in their possession |
regarding a
particular case then under investigation by the |
Disciplinary
Board.
|
(I) Members of the Disciplinary Board shall be immune
from |
suit in any action based upon any disciplinary
proceedings or |
other acts performed in good faith as members
of the |
Disciplinary Board.
|
(J) The Disciplinary Board may compile and establish a
|
statewide roster of physicians and other medical
|
professionals, including the several medical specialties, of
|
such physicians and medical professionals, who have agreed
to |
serve from time to time as advisors to the medical
|
coordinators. Such advisors shall assist the medical
|
coordinators or the Disciplinary Board in their investigations |
and participation in
complaints against physicians. Such |
advisors shall serve
under contract and shall be reimbursed at |
a reasonable rate for the services
provided, plus reasonable |
expenses incurred.
While serving in this capacity, the advisor, |
for any act
undertaken in good faith and in the conduct of |
their duties
under this Section, shall be immune from civil |
suit.
|
(Source: P.A. 93-138, eff. 7-10-03.)
|
|
(225 ILCS 60/22) (from Ch. 111, par. 4400-22)
|
(Section scheduled to be repealed on January 1, 2007)
|
Sec. 22. Disciplinary action.
|
(A) The Department may revoke, suspend, place on |
probationary
status, refuse to renew, or take any other |
disciplinary action as the Department may deem proper
with |
regard to the license or visiting professor permit of any |
person issued
under this Act to practice medicine, or to treat |
human ailments without the use
of drugs and without operative |
surgery upon any of the following grounds:
|
(1) Performance of an elective abortion in any place, |
locale,
facility, or
institution other than:
|
(a) a facility licensed pursuant to the Ambulatory |
Surgical Treatment
Center Act;
|
(b) an institution licensed under the Hospital |
Licensing Act; or
|
(c) an ambulatory surgical treatment center or |
hospitalization or care
facility maintained by the |
State or any agency thereof, where such department
or |
agency has authority under law to establish and enforce |
standards for the
ambulatory surgical treatment |
centers, hospitalization, or care facilities
under its |
management and control; or
|
(d) ambulatory surgical treatment centers, |
hospitalization or care
facilities maintained by the |
Federal Government; or
|
(e) ambulatory surgical treatment centers, |
hospitalization or care
facilities maintained by any |
university or college established under the laws
of |
this State and supported principally by public funds |
raised by
taxation.
|
(2) Performance of an abortion procedure in a wilful |
and wanton
manner on a
woman who was not pregnant at the |
time the abortion procedure was
performed.
|
(3) The conviction of a felony in this or any other
|
jurisdiction, except as
otherwise provided in subsection B |
|
of this Section, whether or not related to
practice under |
this Act, or the entry of a guilty or nolo contendere plea |
to a
felony charge.
|
(4) Gross negligence in practice under this Act.
|
(5) Engaging in dishonorable, unethical or |
unprofessional
conduct of a
character likely to deceive, |
defraud or harm the public.
|
(6) Obtaining any fee by fraud, deceit, or
|
misrepresentation.
|
(7) Habitual or excessive use or abuse of drugs defined |
in law
as
controlled substances, of alcohol, or of any |
other substances which results in
the inability to practice |
with reasonable judgment, skill or safety.
|
(8) Practicing under a false or, except as provided by |
law, an
assumed
name.
|
(9) Fraud or misrepresentation in applying for, or |
procuring, a
license
under this Act or in connection with |
applying for renewal of a license under
this Act.
|
(10) Making a false or misleading statement regarding |
their
skill or the
efficacy or value of the medicine, |
treatment, or remedy prescribed by them at
their direction |
in the treatment of any disease or other condition of the |
body
or mind.
|
(11) Allowing another person or organization to use |
their
license, procured
under this Act, to practice.
|
(12) Disciplinary action of another state or |
jurisdiction
against a license
or other authorization to |
practice as a medical doctor, doctor of osteopathy,
doctor |
of osteopathic medicine or
doctor of chiropractic, a |
certified copy of the record of the action taken by
the |
other state or jurisdiction being prima facie evidence |
thereof.
|
(13) Violation of any provision of this Act or of the |
Medical
Practice Act
prior to the repeal of that Act, or |
violation of the rules, or a final
administrative action of |
the Secretary
Director , after consideration of the
|
|
recommendation of the Disciplinary Board.
|
(14) Dividing with anyone other than physicians with |
whom the
licensee
practices in a partnership, Professional |
Association, limited liability
company, or Medical or |
Professional
Corporation any fee, commission, rebate or |
other form of compensation for any
professional services |
not actually and personally rendered. Nothing contained
in |
this subsection prohibits persons holding valid and |
current licenses under
this Act from practicing medicine in |
partnership under a partnership
agreement, including a |
limited liability partnership, in a limited liability
|
company under the Limited Liability Company Act, in a |
corporation authorized by
the Medical Corporation Act, as |
an
association authorized by the Professional Association |
Act, or in a
corporation under the
Professional Corporation |
Act or from pooling, sharing, dividing or
apportioning the |
fees and monies received by them or by the partnership,
|
corporation or association in accordance with the |
partnership agreement or the
policies of the Board of |
Directors of the corporation or association. Nothing
|
contained in this subsection prohibits 2 or more |
corporations authorized by the
Medical Corporation Act, |
from forming a partnership or joint venture of such
|
corporations, and providing medical, surgical and |
scientific research and
knowledge by employees of these |
corporations if such employees are licensed
under this Act, |
or from pooling, sharing, dividing, or apportioning the |
fees
and monies received by the partnership or joint |
venture in accordance with the
partnership or joint venture |
agreement. Nothing contained in this subsection
shall |
abrogate the right of 2 or more persons, holding valid and |
current
licenses under this Act, to each receive adequate |
compensation for concurrently
rendering professional |
services to a patient and divide a fee; provided, the
|
patient has full knowledge of the division, and, provided, |
that the division is
made in proportion to the services |
|
performed and responsibility assumed by
each.
|
(15) A finding by the Medical Disciplinary Board that |
the
registrant after
having his or her license placed on |
probationary status or subjected to
conditions or |
restrictions violated the terms of the probation or failed |
to
comply with such terms or conditions.
|
(16) Abandonment of a patient.
|
(17) Prescribing, selling, administering, |
distributing, giving
or
self-administering any drug |
classified as a controlled substance (designated
product) |
or narcotic for other than medically accepted therapeutic
|
purposes.
|
(18) Promotion of the sale of drugs, devices, |
appliances or
goods provided
for a patient in such manner |
as to exploit the patient for financial gain of
the |
physician.
|
(19) Offering, undertaking or agreeing to cure or treat
|
disease by a secret
method, procedure, treatment or |
medicine, or the treating, operating or
prescribing for any |
human condition by a method, means or procedure which the
|
licensee refuses to divulge upon demand of the Department.
|
(20) Immoral conduct in the commission of any act |
including,
but not limited to, commission of an act of |
sexual misconduct related to the
licensee's
practice.
|
(21) Wilfully making or filing false records or reports |
in his
or her
practice as a physician, including, but not |
limited to, false records to
support claims against the |
medical assistance program of the Department of
Public Aid |
under the Illinois Public Aid Code.
|
(22) Wilful omission to file or record, or wilfully |
impeding
the filing or
recording, or inducing another |
person to omit to file or record, medical
reports as |
required by law, or wilfully failing to report an instance |
of
suspected abuse or neglect as required by law.
|
(23) Being named as a perpetrator in an indicated |
report by
the Department
of Children and Family Services |
|
under the Abused and Neglected Child Reporting
Act, and |
upon proof by clear and convincing evidence that the |
licensee has
caused a child to be an abused child or |
neglected child as defined in the
Abused and Neglected |
Child Reporting Act.
|
(24) Solicitation of professional patronage by any
|
corporation, agents or
persons, or profiting from those |
representing themselves to be agents of the
licensee.
|
(25) Gross and wilful and continued overcharging for
|
professional services,
including filing false statements |
for collection of fees for which services are
not rendered, |
including, but not limited to, filing such false statements |
for
collection of monies for services not rendered from the |
medical assistance
program of the Department of Public Aid |
under the Illinois Public Aid
Code.
|
(26) A pattern of practice or other behavior which
|
demonstrates
incapacity
or incompetence to practice under |
this Act.
|
(27) Mental illness or disability which results in the
|
inability to
practice under this Act with reasonable |
judgment, skill or safety.
|
(28) Physical illness, including, but not limited to,
|
deterioration through
the aging process, or loss of motor |
skill which results in a physician's
inability to practice |
under this Act with reasonable judgment, skill or
safety.
|
(29) Cheating on or attempt to subvert the licensing
|
examinations
administered under this Act.
|
(30) Wilfully or negligently violating the |
confidentiality
between
physician and patient except as |
required by law.
|
(31) The use of any false, fraudulent, or deceptive |
statement
in any
document connected with practice under |
this Act.
|
(32) Aiding and abetting an individual not licensed |
under this
Act in the
practice of a profession licensed |
under this Act.
|
|
(33) Violating state or federal laws or regulations |
relating
to controlled
substances , legend
drugs, or |
ephedra, as defined in the Ephedra Prohibition Act .
|
(34) Failure to report to the Department any adverse |
final
action taken
against them by another licensing |
jurisdiction (any other state or any
territory of the |
United States or any foreign state or country), by any peer
|
review body, by any health care institution, by any |
professional society or
association related to practice |
under this Act, by any governmental agency, by
any law |
enforcement agency, or by any court for acts or conduct |
similar to acts
or conduct which would constitute grounds |
for action as defined in this
Section.
|
(35) Failure to report to the Department surrender of a
|
license or
authorization to practice as a medical doctor, a |
doctor of osteopathy, a
doctor of osteopathic medicine, or |
doctor
of chiropractic in another state or jurisdiction, or |
surrender of membership on
any medical staff or in any |
medical or professional association or society,
while |
under disciplinary investigation by any of those |
authorities or bodies,
for acts or conduct similar to acts |
or conduct which would constitute grounds
for action as |
defined in this Section.
|
(36) Failure to report to the Department any adverse |
judgment,
settlement,
or award arising from a liability |
claim related to acts or conduct similar to
acts or conduct |
which would constitute grounds for action as defined in |
this
Section.
|
(37) Failure to transfer copies of medical records as |
required
by law.
|
(38) Failure to furnish the Department, its |
investigators or
representatives, relevant information, |
legally requested by the Department
after consultation |
with the Chief Medical Coordinator or the Deputy Medical
|
Coordinator.
|
(39) Violating the Health Care Worker Self-Referral
|
|
Act.
|
(40) Willful failure to provide notice when notice is |
required
under the
Parental Notice of Abortion Act of 1995.
|
(41) Failure to establish and maintain records of |
patient care and
treatment as required by this law.
|
(42) Entering into an excessive number of written |
collaborative
agreements with licensed advanced practice |
nurses resulting in an inability to
adequately collaborate |
and provide medical direction.
|
(43) Repeated failure to adequately collaborate with |
or provide medical
direction to a licensed advanced |
practice nurse.
|
Except
for actions involving the ground numbered (26), all
|
All proceedings to suspend,
revoke, place on probationary |
status, or take any
other disciplinary action as the Department |
may deem proper, with regard to a
license on any of the |
foregoing grounds, must be commenced within 5
3 years next
|
after receipt by the Department of a complaint alleging the |
commission of or
notice of the conviction order for any of the |
acts described herein. Except
for the grounds numbered (8), |
(9) , (26), and (29), no action shall be commenced more
than 10
|
5 years after the date of the incident or act alleged to have |
violated
this Section. For actions involving the ground |
numbered (26), a pattern of practice or other behavior includes |
all incidents alleged to be part of the pattern of practice or |
other behavior that occurred or a report pursuant to Section 23 |
of this Act received within the 10-year period preceding the |
filing of the complaint. In the event of the settlement of any |
claim or cause of action
in favor of the claimant or the |
reduction to final judgment of any civil action
in favor of the |
plaintiff, such claim, cause of action or civil action being
|
grounded on the allegation that a person licensed under this |
Act was negligent
in providing care, the Department shall have |
an additional period of 2 years
one year
from the date of |
notification to the Department under Section 23 of this Act
of |
such settlement or final judgment in which to investigate and
|
|
commence formal disciplinary proceedings under Section 36 of |
this Act, except
as otherwise provided by law. The time during |
which the holder of the license
was outside the State of |
Illinois shall not be included within any period of
time |
limiting the commencement of disciplinary action by the |
Department.
|
The entry of an order or judgment by any circuit court |
establishing that any
person holding a license under this Act |
is a person in need of mental treatment
operates as a |
suspension of that license. That person may resume their
|
practice only upon the entry of a Departmental order based upon |
a finding by
the Medical Disciplinary Board that they have been |
determined to be recovered
from mental illness by the court and |
upon the Disciplinary Board's
recommendation that they be |
permitted to resume their practice.
|
The Department may refuse to issue or take disciplinary |
action concerning the license of any person
who fails to file a |
return, or to pay the tax, penalty or interest shown in a
filed |
return, or to pay any final assessment of tax, penalty or |
interest, as
required by any tax Act administered by the |
Illinois Department of Revenue,
until such time as the |
requirements of any such tax Act are satisfied as
determined by |
the Illinois Department of Revenue.
|
The Department, upon the recommendation of the |
Disciplinary Board, shall
adopt rules which set forth standards |
to be used in determining:
|
(a) when a person will be deemed sufficiently |
rehabilitated to warrant the
public trust;
|
(b) what constitutes dishonorable, unethical or |
unprofessional conduct of
a character likely to deceive, |
defraud, or harm the public;
|
(c) what constitutes immoral conduct in the commission |
of any act,
including, but not limited to, commission of an |
act of sexual misconduct
related
to the licensee's |
practice; and
|
(d) what constitutes gross negligence in the practice |
|
of medicine.
|
However, no such rule shall be admissible into evidence in |
any civil action
except for review of a licensing or other |
disciplinary action under this Act.
|
In enforcing this Section, the Medical Disciplinary Board,
|
upon a showing of a possible violation, may compel any |
individual licensed to
practice under this Act, or who has |
applied for licensure or a permit
pursuant to this Act, to |
submit to a mental or physical examination, or both,
as |
required by and at the expense of the Department. The examining |
physician
or physicians shall be those specifically designated |
by the Disciplinary Board.
The Medical Disciplinary Board or |
the Department may order the examining
physician to present |
testimony concerning this mental or physical examination
of the |
licensee or applicant. No information shall be excluded by |
reason of
any common
law or statutory privilege relating to |
communication between the licensee or
applicant and
the |
examining physician.
The individual to be examined may have, at |
his or her own expense, another
physician of his or her choice |
present during all aspects of the examination.
Failure of any |
individual to submit to mental or physical examination, when
|
directed, shall be grounds for suspension of his or her license |
until such time
as the individual submits to the examination if |
the Disciplinary Board finds,
after notice and hearing, that |
the refusal to submit to the examination was
without reasonable |
cause. If the Disciplinary Board finds a physician unable
to |
practice because of the reasons set forth in this Section, the |
Disciplinary
Board shall require such physician to submit to |
care, counseling, or treatment
by physicians approved or |
designated by the Disciplinary Board, as a condition
for |
continued, reinstated, or renewed licensure to practice. Any |
physician,
whose license was granted pursuant to Sections 9, |
17, or 19 of this Act, or,
continued, reinstated, renewed, |
disciplined or supervised, subject to such
terms, conditions or |
restrictions who shall fail to comply with such terms,
|
conditions or restrictions, or to complete a required program |
|
of care,
counseling, or treatment, as determined by the Chief |
Medical Coordinator or
Deputy Medical Coordinators, shall be |
referred to the Secretary
Director for a
determination as to |
whether the licensee shall have their license suspended
|
immediately, pending a hearing by the Disciplinary Board. In |
instances in
which the Secretary
Director immediately suspends |
a license under this Section, a hearing
upon such person's |
license must be convened by the Disciplinary Board within 15
|
days after such suspension and completed without appreciable |
delay. The
Disciplinary Board shall have the authority to |
review the subject physician's
record of treatment and |
counseling regarding the impairment, to the extent
permitted by |
applicable federal statutes and regulations safeguarding the
|
confidentiality of medical records.
|
An individual licensed under this Act, affected under this |
Section, shall be
afforded an opportunity to demonstrate to the |
Disciplinary Board that they can
resume practice in compliance |
with acceptable and prevailing standards under
the provisions |
of their license.
|
The Department may promulgate rules for the imposition of |
fines in
disciplinary cases, not to exceed
$10,000
$5,000 for |
each violation of this Act. Fines
may be imposed in conjunction |
with other forms of disciplinary action, but
shall not be the |
exclusive disposition of any disciplinary action arising out
of |
conduct resulting in death or injury to a patient. Any funds |
collected from
such fines shall be deposited in the Medical |
Disciplinary Fund.
|
(B) The Department shall revoke the license or visiting
|
permit of any person issued under this Act to practice medicine |
or to treat
human ailments without the use of drugs and without |
operative surgery, who
has been convicted a second time of |
committing any felony under the
Illinois Controlled Substances |
Act, or who has been convicted a second time of
committing a |
Class 1 felony under Sections 8A-3 and 8A-6 of the Illinois |
Public
Aid Code. A person whose license or visiting permit is |
revoked
under
this subsection B of Section 22 of this Act shall |
|
be prohibited from practicing
medicine or treating human |
ailments without the use of drugs and without
operative |
surgery.
|
(C) The Medical Disciplinary Board shall recommend to the
|
Department civil
penalties and any other appropriate |
discipline in disciplinary cases when the
Board finds that a |
physician willfully performed an abortion with actual
|
knowledge that the person upon whom the abortion has been |
performed is a minor
or an incompetent person without notice as |
required under the Parental Notice
of Abortion Act of 1995. |
Upon the Board's recommendation, the Department shall
impose, |
for the first violation, a civil penalty of $1,000 and for a |
second or
subsequent violation, a civil penalty of $5,000.
|
(Source: P.A. 89-18, eff. 6-1-95; 89-201, eff. 1-1-96; 89-626, |
eff.
8-9-96; 89-702, eff. 7-1-97; 90-742, eff. 8-13-98.)
|
(225 ILCS 60/23) (from Ch. 111, par. 4400-23)
|
(Section scheduled to be repealed on January 1, 2007)
|
Sec. 23. Reports relating to professional conduct
and |
capacity.
|
(A) Entities required to report.
|
(1) Health care institutions. The chief administrator
|
or executive officer of any health care institution |
licensed
by the Illinois Department of Public Health shall |
report to
the Disciplinary Board when any person's clinical |
privileges
are terminated or are restricted based on a |
final
determination, in accordance with that institution's |
by-laws
or rules and regulations, that a person has either |
committed
an act or acts which may directly threaten |
patient care, and not of an
administrative nature, or that |
a person may be mentally or
physically disabled in such a |
manner as to endanger patients
under that person's care. |
Such officer also shall report if
a person accepts |
voluntary termination or restriction of
clinical |
privileges in lieu of formal action based upon conduct |
related
directly to patient care and
not of an |
|
administrative nature, or in lieu of formal action
seeking |
to determine whether a person may be mentally or
physically |
disabled in such a manner as to endanger patients
under |
that person's care. The Medical Disciplinary Board
shall, |
by rule, provide for the reporting to it of all
instances |
in which a person, licensed under this Act, who is
impaired |
by reason of age, drug or alcohol abuse or physical
or |
mental impairment, is under supervision and, where
|
appropriate, is in a program of rehabilitation. Such
|
reports shall be strictly confidential and may be reviewed
|
and considered only by the members of the Disciplinary
|
Board, or by authorized staff as provided by rules of the
|
Disciplinary Board. Provisions shall be made for the
|
periodic report of the status of any such person not less
|
than twice annually in order that the Disciplinary Board
|
shall have current information upon which to determine the
|
status of any such person. Such initial and periodic
|
reports of impaired physicians shall not be considered
|
records within the meaning of The State Records Act and
|
shall be disposed of, following a determination by the
|
Disciplinary Board that such reports are no longer |
required,
in a manner and at such time as the Disciplinary |
Board shall
determine by rule. The filing of such reports |
shall be
construed as the filing of a report for purposes |
of
subsection (C) of this Section.
|
(2) Professional associations. The President or chief
|
executive officer of any association or society, of persons
|
licensed under this Act, operating within this State shall
|
report to the Disciplinary Board when the association or
|
society renders a final determination that a person has
|
committed unprofessional conduct related directly to |
patient
care or that a person may be mentally or physically |
disabled
in such a manner as to endanger patients under |
that person's
care.
|
(3) Professional liability insurers. Every insurance
|
company which offers policies of professional liability
|
|
insurance to persons licensed under this Act, or any other
|
entity which seeks to indemnify the professional liability
|
of a person licensed under this Act, shall report to the
|
Disciplinary Board the settlement of any claim or cause of
|
action, or final judgment rendered in any cause of action,
|
which alleged negligence in the furnishing of medical care
|
by such licensed person when such settlement or final
|
judgment is in favor of the plaintiff.
|
(4) State's Attorneys. The State's Attorney of each
|
county shall report to the Disciplinary Board all instances
|
in which a person licensed under this Act is convicted or
|
otherwise found guilty of the commission of any felony. The |
State's Attorney
of each county may report to the |
Disciplinary Board through a verified
complaint any |
instance in which the State's Attorney believes that a |
physician
has willfully violated the notice requirements |
of the Parental Notice of
Abortion Act of 1995.
|
(5) State agencies. All agencies, boards,
commissions, |
departments, or other instrumentalities of the
government |
of the State of Illinois shall report to the
Disciplinary |
Board any instance arising in connection with
the |
operations of such agency, including the administration
of |
any law by such agency, in which a person licensed under
|
this Act has either committed an act or acts which may be a
|
violation of this Act or which may constitute |
unprofessional
conduct related directly to patient care or |
which indicates
that a person licensed under this Act may |
be mentally or
physically disabled in such a manner as to |
endanger patients
under that person's care.
|
(B) Mandatory reporting. All reports required by items |
(34), (35), and
(36) of subsection (A) of Section 22 and by |
Section 23 shall be submitted to the Disciplinary Board in a |
timely
fashion. The reports shall be filed in writing within 60
|
days after a determination that a report is required under
this |
Act. All reports shall contain the following
information:
|
(1) The name, address and telephone number of the
|
|
person making the report.
|
(2) The name, address and telephone number of the
|
person who is the subject of the report.
|
(3) The name and date of birth
or other means of |
identification of any
patient or patients whose treatment |
is a subject of the
report, if available, or other means of |
identification if such information is not available, |
identification of the hospital or other
healthcare |
facility where the care at issue in the report was |
rendered,
provided, however, no medical records may be
|
revealed without the written consent of the patient or
|
patients .
|
(4) A brief description of the facts which gave rise
to |
the issuance of the report, including the dates of any
|
occurrences deemed to necessitate the filing of the report.
|
(5) If court action is involved, the identity of the
|
court in which the action is filed, along with the docket
|
number and date of filing of the action.
|
(6) Any further pertinent information which the
|
reporting party deems to be an aid in the evaluation of the
|
report.
|
The Department shall have the right to inform patients of |
the right to
provide written consent for the Department to |
obtain copies of hospital and
medical records.
The Disciplinary |
Board or Department may also exercise the power under Section
|
38 of this Act to subpoena copies of hospital or medical |
records in mandatory
report cases alleging death or permanent |
bodily injury when consent to obtain
records is not provided by |
a patient or legal representative . Appropriate
rules shall be |
adopted by the Department with the approval of the Disciplinary
|
Board.
|
When the Department has received written reports |
concerning incidents
required to be reported in items (34), |
(35), and (36) of subsection (A) of
Section 22, the licensee's |
failure to report the incident to the Department
under those |
items shall not be the sole grounds for disciplinary action.
|
|
Nothing contained in this Section shall act to in any
way, |
waive or modify the confidentiality of medical reports
and |
committee reports to the extent provided by law. Any
|
information reported or disclosed shall be kept for the
|
confidential use of the Disciplinary Board, the Medical
|
Coordinators, the Disciplinary Board's attorneys, the
medical |
investigative staff, and authorized clerical staff,
as |
provided in this Act, and shall be afforded the same
status as |
is provided information concerning medical studies
in Part 21 |
of Article VIII of the Code of Civil Procedure , except that the |
Department may disclose information and documents to a federal, |
State, or local law enforcement agency pursuant to a subpoena |
in an ongoing criminal investigation. Furthermore, information |
and documents disclosed to a federal, State, or local law |
enforcement agency may be used by that agency only for the |
investigation and prosecution of a criminal offense .
|
(C) Immunity from prosecution. Any individual or
|
organization acting in good faith, and not in a wilful and
|
wanton manner, in complying with this Act by providing any
|
report or other information to the Disciplinary Board or a peer |
review committee , or
assisting in the investigation or |
preparation of such
information, or by voluntarily reporting to |
the Disciplinary Board
or a peer review committee information |
regarding alleged errors or negligence by a person licensed |
under this Act, or by participating in proceedings of the
|
Disciplinary Board or a peer review committee , or by serving as |
a member of the
Disciplinary Board or a peer review committee , |
shall not, as a result of such actions,
be subject to criminal |
prosecution or civil damages.
|
(D) Indemnification. Members of the Disciplinary
Board, |
the Medical Coordinators, the Disciplinary Board's
attorneys, |
the medical investigative staff, physicians
retained under |
contract to assist and advise the medical
coordinators in the |
investigation, and authorized clerical
staff shall be |
indemnified by the State for any actions
occurring within the |
scope of services on the Disciplinary
Board, done in good faith |
|
and not wilful and wanton in
nature. The Attorney General shall |
defend all such actions
unless he or she determines either that |
there would be a
conflict of interest in such representation or |
that the
actions complained of were not in good faith or were |
wilful
and wanton.
|
Should the Attorney General decline representation, the
|
member shall have the right to employ counsel of his or her
|
choice, whose fees shall be provided by the State, after
|
approval by the Attorney General, unless there is a
|
determination by a court that the member's actions were not
in |
good faith or were wilful and wanton.
|
The member must notify the Attorney General within 7
days |
of receipt of notice of the initiation of any action
involving |
services of the Disciplinary Board. Failure to so
notify the |
Attorney General shall constitute an absolute
waiver of the |
right to a defense and indemnification.
|
The Attorney General shall determine within 7 days
after |
receiving such notice, whether he or she will
undertake to |
represent the member.
|
(E) Deliberations of Disciplinary Board. Upon the
receipt |
of any report called for by this Act, other than
those reports |
of impaired persons licensed under this Act
required pursuant |
to the rules of the Disciplinary Board,
the Disciplinary Board |
shall notify in writing, by certified
mail, the person who is |
the subject of the report. Such
notification shall be made |
within 30 days of receipt by the
Disciplinary Board of the |
report.
|
The notification shall include a written notice setting
|
forth the person's right to examine the report. Included in
|
such notification shall be the address at which the file is
|
maintained, the name of the custodian of the reports, and
the |
telephone number at which the custodian may be reached.
The |
person who is the subject of the report shall submit a written |
statement responding,
clarifying, adding to, or proposing the |
amending of the
report previously filed. The person who is the |
subject of the report shall also submit with the written |
|
statement any medical records related to the report. The |
statement and accompanying medical records shall become a
|
permanent part of the file and must be received by the
|
Disciplinary Board no more than
30
60 days after the date on
|
which the person was notified by the Disciplinary Board of the |
existence of
the
original report.
|
The Disciplinary Board shall review all reports
received by |
it, together with any supporting information and
responding |
statements submitted by persons who are the
subject of reports. |
The review by the Disciplinary Board
shall be in a timely |
manner but in no event, shall the
Disciplinary Board's initial |
review of the material
contained in each disciplinary file be |
less than 61 days nor
more than 180 days after the receipt of |
the initial report
by the Disciplinary Board.
|
When the Disciplinary Board makes its initial review of
the |
materials contained within its disciplinary files, the
|
Disciplinary Board shall, in writing, make a determination
as |
to whether there are sufficient facts to warrant further
|
investigation or action. Failure to make such determination
|
within the time provided shall be deemed to be a
determination |
that there are not sufficient facts to warrant
further |
investigation or action.
|
Should the Disciplinary Board find that there are not
|
sufficient facts to warrant further investigation, or
action, |
the report shall be accepted for filing and the
matter shall be |
deemed closed and so reported to the Secretary
Director . The |
Secretary
Director
shall then have 30 days to accept the |
Medical Disciplinary Board's decision or
request further |
investigation. The Secretary
Director shall inform the Board in |
writing
of the decision to request further investigation, |
including the specific
reasons for the decision. The
individual |
or entity filing the original report or complaint
and the |
person who is the subject of the report or complaint
shall be |
notified in writing by the Secretary
Director of
any final |
action on their report or complaint.
|
(F) Summary reports. The Disciplinary Board shall
prepare, |
|
on a timely basis, but in no event less than one
every other |
month, a summary report of final actions taken
upon |
disciplinary files maintained by the Disciplinary Board.
The |
summary reports shall be sent by the Disciplinary Board
to |
every health care facility licensed by the Illinois
Department |
of Public Health, every professional association
and society of |
persons licensed under this Act functioning
on a statewide |
basis in this State, the American Medical
Association, the |
American Osteopathic Association, the
American Chiropractic |
Association, all insurers providing
professional liability |
insurance to persons licensed under
this Act in the State of |
Illinois, the Federation of State
Medical Licensing Boards, and |
the Illinois Pharmacists
Association.
|
(G) Any violation of this Section shall be a Class A
|
misdemeanor.
|
(H) If any such person violates the provisions of this
|
Section an action may be brought in the name of the People
of |
the State of Illinois, through the Attorney General of
the |
State of Illinois, for an order enjoining such violation
or for |
an order enforcing compliance with this Section.
Upon filing of |
a verified petition in such court, the court
may issue a |
temporary restraining order without notice or
bond and may |
preliminarily or permanently enjoin such
violation, and if it |
is established that such person has
violated or is violating |
the injunction, the court may
punish the offender for contempt |
of court. Proceedings
under this paragraph shall be in addition |
to, and not in
lieu of, all other remedies and penalties |
provided for by
this Section.
|
(Source: P.A. 89-18, eff. 6-1-95; 89-702, eff. 7-1-97; 90-699, |
eff.
1-1-99.)
|
(225 ILCS 60/24) (from Ch. 111, par. 4400-24)
|
(Section scheduled to be repealed on January 1, 2007)
|
Sec. 24. Report of violations; medical associations. Any |
physician
licensed under this Act, the
Illinois State Medical |
Society, the Illinois Association of
Osteopathic Physicians |
|
and Surgeons, the Illinois
Chiropractic Society, the Illinois |
Prairie State Chiropractic Association,
or any component |
societies of any of
these 4 groups, and any other person, may |
report to the
Disciplinary Board any information the physician,
|
association, society, or person may have that appears to
show |
that a physician is or may be in violation of any of
the |
provisions of Section 22 of this Act.
|
The Department may enter into agreements with the
Illinois |
State Medical Society, the Illinois Association of
Osteopathic |
Physicians and Surgeons, the Illinois Prairie State |
Chiropractic
Association, or the Illinois
Chiropractic Society |
to allow these
organizations to assist the Disciplinary Board |
in the review
of alleged violations of this Act. Subject to the |
approval
of the Department, any organization party to such an
|
agreement may subcontract with other individuals or
|
organizations to assist in review.
|
Any physician, association, society, or person
|
participating in good faith in the making of a report , under
|
this Act or participating in or assisting with an
investigation |
or review under this Act
Section shall have
immunity from any |
civil, criminal, or other liability that might result by reason |
of those actions.
|
The medical information in the custody of an entity
under |
contract with the Department participating in an
investigation |
or review shall be privileged and confidential
to the same |
extent as are information and reports under the
provisions of |
Part 21 of Article VIII of the Code of Civil
Procedure.
|
Upon request by the Department after a mandatory report has |
been filed with the Department, an attorney for any party |
seeking to recover damages for
injuries or death by reason of |
medical, hospital, or other healing art
malpractice shall |
provide patient records related to the physician involved in |
the disciplinary proceeding to the Department within 30 days of |
the Department's request for use by the Department in any |
disciplinary matter under this Act. An attorney who provides |
patient records to the Department in accordance with this |
|
requirement shall not be deemed to have violated any |
attorney-client privilege. Notwithstanding any other provision |
of law, consent by a patient shall not be required for the |
provision of patient records in accordance with this |
requirement.
|
For the purpose of any civil or criminal proceedings,
the |
good faith of any physician, association, society
or person |
shall be presumed. The Disciplinary Board may
request the |
Illinois State Medical Society, the Illinois
Association of |
Osteopathic Physicians and Surgeons, the Illinois Prairie
|
State Chiropractic Association, or the
Illinois Chiropractic |
Society to assist the Disciplinary
Board in preparing for or |
conducting any medical competency
examination as the Board may |
deem appropriate.
|
(Source: P.A. 88-324.)
|
(225 ILCS 60/24.1 new) |
Sec. 24.1. Physician profile. |
(a) This Section may be cited as the Patients' Right to |
Know Law.
|
(b) The Department shall make available to the public a |
profile of each physician. The Department shall make this |
information available through an Internet web site and, if |
requested, in writing. The physician profile shall contain the |
following information: |
(1) the full name of the physician;
|
(2) a description of any criminal convictions for |
felonies and Class A misdemeanors, as determined by the |
Department, within the most recent 5 years. For the |
purposes of this Section, a person shall be deemed to be |
convicted of a crime if he or she pleaded guilty or if he |
was found or adjudged guilty by a court of competent |
jurisdiction;
|
(3) a description of any final Department disciplinary |
actions within the most recent 5 years;
|
(4) a description of any final disciplinary actions by |
|
licensing boards in other states within the most recent 5 |
years;
|
(5) a description of revocation or involuntary |
restriction of hospital privileges for reasons related to |
competence or character that have been taken by the |
hospital's governing body or any other official of the |
hospital after procedural due process has been afforded, or |
the resignation from or nonrenewal of medical staff |
membership or the restriction of privileges at a hospital |
taken in lieu of or in settlement of a pending disciplinary |
case related to competence or character in that hospital. |
Only cases which have occurred within the most recent 5 |
years shall be disclosed by the Department to the public;
|
(6) all medical malpractice court judgments and all |
medical malpractice arbitration awards in which a payment |
was awarded to a complaining party during the most recent 5 |
years and all settlements of medical malpractice claims in |
which a payment was made to a complaining party within the |
most recent 5 years. A medical malpractice judgment or |
award that has been appealed shall be identified |
prominently as "Under Appeal" on the profile within 20 days |
of formal written notice to the Department. Information |
concerning all settlements shall be accompanied by the |
following statement: "Settlement of a claim may occur for a |
variety of reasons which do not necessarily reflect |
negatively on the professional competence or conduct of the |
physician. A payment in settlement of a medical malpractice |
action or claim should not be construed as creating a |
presumption that medical malpractice has occurred." |
Nothing in this subdivision (6) shall be construed to limit |
or prevent the Disciplinary Board from providing further |
explanatory information regarding the significance of |
categories in which settlements are reported. Pending |
malpractice claims shall not be disclosed by the Department |
to the public. Nothing in this subdivision (6) shall be |
construed to prevent the Disciplinary Board from |
|
investigating and the Department from disciplining a |
physician on the basis of medical malpractice claims that |
are pending;
|
(7) names of medical schools attended, dates of |
attendance, and date of graduation;
|
(8) graduate medical education;
|
(9) specialty board certification. The toll-free |
number of the American Board of Medical Specialties shall |
be included to verify current board certification status;
|
(10) number of years in practice and locations;
|
(11) names of the hospitals where the physician has |
privileges;
|
(12) appointments to medical school faculties and |
indication as to whether a physician has a responsibility |
for graduate medical education within the most recent 5 |
years;
|
(13) information regarding publications in |
peer-reviewed medical literature within the most recent 5 |
years;
|
(14) information regarding professional or community |
service activities and awards;
|
(15) the location of the physician's primary practice |
setting;
|
(16) identification of any translating services that |
may be available at the physician's primary practice |
location;
|
(17) an indication of whether the physician |
participates in the Medicaid program.
|
(c) The Disciplinary Board shall provide individual |
physicians with a copy of their profiles prior to release to |
the public. A physician shall be provided 60 days to correct |
factual inaccuracies that appear in such profile.
|
(d) A physician may elect to have his or her profile omit |
certain information provided pursuant to subdivisions (12) |
through (14) of subsection (b) concerning academic |
appointments and teaching responsibilities, publication in |
|
peer-reviewed journals and professional and community service |
awards. In collecting information for such profiles and in |
disseminating the same, the Disciplinary Board shall inform |
physicians that they may choose not to provide such information |
required pursuant to subdivisions (12) through (14) of |
subsection (b).
|
(e) The Department shall promulgate such rules as it deems |
necessary to accomplish the requirements of this Section.
|
(225 ILCS 60/36) (from Ch. 111, par. 4400-36)
|
(Section scheduled to be repealed on January 1, 2007)
|
Sec. 36. Upon the motion of either the Department
or the |
Disciplinary Board or upon the verified complaint in
writing of |
any person setting forth facts which, if proven,
would |
constitute grounds for suspension or revocation under
Section |
22 of this Act, the Department shall investigate the
actions of |
any person, so accused, who holds or represents
that they hold |
a license. Such person is hereinafter called
the accused.
|
The Department shall, before suspending, revoking,
placing |
on probationary status, or taking any other
disciplinary action |
as the Department may deem proper with
regard to any license at |
least 30 days prior to the date set
for the hearing, notify the |
accused in writing of any
charges made and the time and place |
for a hearing of the
charges before the Disciplinary Board, |
direct them to file
their written answer thereto to the |
Disciplinary Board under
oath within 20 days after the service |
on them of such notice
and inform them that if they fail to |
file such answer
default will be taken against them and their |
license may be
suspended, revoked, placed on probationary |
status, or have
other disciplinary action, including limiting |
the scope,
nature or extent of their practice, as the |
Department may
deem proper taken with regard thereto.
|
Where a physician has been found, upon complaint and
|
investigation of the Department, and after hearing, to have
|
performed an abortion procedure in a wilful and wanton
manner |
upon a woman who was not pregnant at the time such
abortion |
|
procedure was performed, the Department shall
automatically |
revoke the license of such physician to
practice medicine in |
Illinois.
|
Such written notice and any notice in such proceedings
|
thereafter may be served by delivery of the same,
personally, |
to the accused person, or by mailing the same by
registered or |
certified mail to the address last theretofore
specified by the |
accused in their last notification to the
Department.
|
All information gathered by the Department during its |
investigation
including information subpoenaed
under Section |
23 or 38 of this Act and the investigative file shall be kept |
for
the confidential use of the Secretary
Director , |
Disciplinary Board, the Medical
Coordinators, persons employed |
by contract to advise the Medical Coordinator or
the |
Department, the
Disciplinary Board's attorneys, the medical |
investigative staff, and authorized
clerical staff, as |
provided in this Act and shall be afforded the same status
as |
is provided information concerning medical studies in Part 21 |
of Article
VIII of the Code of Civil Procedure , except that the |
Department may disclose information and documents to a federal, |
State, or local law enforcement agency pursuant to a subpoena |
in an ongoing criminal investigation. Furthermore, information |
and documents disclosed to a federal, State, or local law |
enforcement agency may be used by that agency only for the |
investigation and prosecution of a criminal offense .
|
(Source: P.A. 90-699, eff. 1-1-99.)
|
Section 320. The Clerks of Courts Act is amended by adding |
Section 27.10 as follows: |
(705 ILCS 105/27.10 new)
|
Sec. 27.10. Secretary of Financial and Professional |
Regulation. Each clerk of the circuit court shall provide to |
the Secretary of Financial and Professional Regulation such |
information as the Secretary of Financial and Professional |
Regulation requests under Section 155.19 of the Illinois |
|
Insurance Code.
|
Section 330. The Code of Civil Procedure is amended by |
reenacting and changing Sections 2-622 and 8-2501, by changing |
Section 8-1901, and by adding Sections 2-1704.5 and 2-1706.5 as |
follows:
|
(735 ILCS 5/2-622) (from Ch. 110, par. 2-622)
|
(Text of Section WITHOUT the changes made by P.A. 89-7, |
which has been held
unconstitutional)
|
Sec. 2-622. Healing art malpractice.
|
(a) In any action, whether in
tort, contract or otherwise, |
in which the plaintiff seeks damages for
injuries or death by |
reason of medical, hospital, or other healing art
malpractice, |
the plaintiff's attorney or the plaintiff, if the plaintiff is
|
proceeding pro se, shall file an affidavit, attached to the |
original and
all copies of the complaint, declaring one of the |
following:
|
1. That the affiant has consulted and reviewed the |
facts of the case
with a health professional who the |
affiant reasonably believes: (i) is
knowledgeable in the |
relevant issues involved in the particular action;
(ii) |
practices or has practiced within the last 5
6 years or |
teaches or
has taught within the last 5
6 years in the same |
area of health care or
medicine that is at issue in the |
particular action; and (iii) meets the expert witness |
standards set forth in paragraphs (a) through (d) of |
Section 8-2501;
is qualified
by experience or demonstrated |
competence in the subject of the case; that
the reviewing |
health professional has determined in a
written report, |
after a review of the medical record and other relevant
|
material involved in the particular action that there is a |
reasonable and
meritorious cause for the filing of such |
action; and that the affiant has
concluded on the basis of |
the reviewing health professional's review and
|
consultation that there is a reasonable and meritorious |
|
cause for filing of
such action. A single written report |
must be filed to cover each defendant in the action. As to |
defendants who are individuals, the
If the affidavit is |
filed as to a defendant who is a physician
licensed to |
treat human ailments without the use of drugs or medicines |
and
without operative surgery, a dentist, a podiatrist, a |
psychologist, or a
naprapath,
The written report must be |
from a health professional
licensed in the same profession, |
with the same class of license, as the
defendant. For |
written reports
affidavits filed as to all other |
defendants, who are not individuals, the written
report |
must be from a physician licensed to practice medicine in |
all its
branches who is qualified by experience with the |
standard of care, methods, procedures and treatments |
relevant to the allegations at issue in the case . In either |
event, the written report
affidavit must identify the |
profession of
the reviewing health professional. A copy of |
the written report, clearly
identifying the plaintiff and |
the reasons for the reviewing health
professional's |
determination that a reasonable and meritorious cause for
|
the filing of the action exists, including the reviewing |
health care professional's name, address, current license |
number, and state of licensure, must be attached to the |
affidavit , but
information which would identify the |
reviewing health professional may be
deleted from the copy |
so attached .
Information regarding the preparation of a |
written report by the reviewing health professional shall |
not be used to discriminate against that professional in |
the issuance of medical liability insurance or in the |
setting of that professional's medical liability insurance |
premium. No professional organization may discriminate |
against a reviewing health professional on the basis that |
the reviewing health professional has prepared a written |
report.
|
2.
That the affiant was unable to obtain a consultation |
required by
paragraph 1 because a statute of limitations |
|
would impair the action and
the consultation required could |
not be obtained before the expiration of
the statute of |
limitations. If an affidavit is executed pursuant to this
|
paragraph, the affidavit
certificate and written report |
required by paragraph 1 shall
be filed within 90 days after |
the filing of the complaint. No additional 90-day |
extensions pursuant to this paragraph shall be granted, |
except where there has been a withdrawal of the plaintiff's |
counsel. The defendant
shall be excused from answering or |
otherwise pleading until 30 days after
being served with an |
affidavit and a report
a certificate
required by paragraph |
1.
|
3.
That a request has been made by the plaintiff or his |
attorney for
examination and copying of records pursuant to |
Part 20 of Article VIII of
this Code and the party required |
to comply under those Sections has failed
to produce such |
records within 60 days of the receipt of the request. If an
|
affidavit is executed pursuant to this paragraph, the |
affidavit
certificate and
written report required by |
paragraph 1 shall be filed within 90 days
following receipt |
of the requested records. All defendants except those
whose |
failure to comply with Part 20 of Article VIII of this Code |
is the
basis for an affidavit under this paragraph shall be |
excused from answering
or otherwise pleading until 30 days |
after being served with the affidavit and report
|
certificate
required by paragraph 1.
|
(b)
Where an affidavit
a certificate and written report are |
required pursuant to this
Section a separate affidavit
|
certificate and written report shall be filed as to each
|
defendant who has been named in the complaint and shall be |
filed as to each
defendant named at a later time.
|
(c)
Where the plaintiff intends to rely on the doctrine of |
"res ipsa
loquitur", as defined by Section 2-1113 of this Code, |
the affidavit
certificate and
written report must state that, |
in the opinion of the reviewing health
professional, negligence |
has occurred in the course of medical treatment.
The affiant |
|
shall certify upon filing of the complaint that he is relying
|
on the doctrine of "res ipsa loquitur".
|
(d)
When the attorney intends to rely on the doctrine of |
failure to
inform of the consequences of the procedure, the |
attorney shall certify
upon the filing of the complaint that |
the reviewing health professional
has, after reviewing the |
medical record and other relevant materials involved
in the |
particular action, concluded that a reasonable health |
professional
would have informed the patient of the |
consequences of the procedure.
|
(e)
Allegations and denials in the affidavit, made without |
reasonable
cause and found to be untrue, shall subject the |
party pleading them or his
attorney, or both, to the payment of |
reasonable expenses, actually incurred
by the other party by |
reason of the untrue pleading, together with
reasonable |
attorneys' fees to be summarily taxed by the court upon motion
|
made within 30 days of the judgment or dismissal. In no event |
shall the
award for attorneys' fees and expenses exceed those |
actually paid by the
moving party, including the insurer, if |
any. In proceedings under this
paragraph (e), the moving party |
shall have the right to depose and examine
any and all |
reviewing health professionals who prepared reports used in
|
conjunction with an affidavit required by this Section. |
(f)
A reviewing health professional who in good faith |
prepares a report
used in conjunction with an affidavit |
required by this Section shall have
civil immunity from |
liability which otherwise might result from the
preparation of |
such report.
|
(g)
The failure of the plaintiff to file an affidavit and |
report in compliance with
to file a certificate required by
|
this Section shall be
grounds for dismissal
under Section |
2-619.
|
(h) This Section does not apply to or affect any actions |
pending
at the time of its effective date, but applies to cases |
filed on or
after its effective date.
|
(i) This amendatory Act of 1997 does not apply to or |
|
affect any actions
pending at the time of its effective date, |
but applies to cases filed on or
after its effective date.
|
(j) The changes to this Section made by this amendatory Act |
of the 94th General Assembly apply to causes of action
accruing |
on or after its effective date.
|
(Source: P.A. 86-646; 90-579, eff. 5-1-98.)
|
(735 ILCS 5/2-1704.5 new)
|
Sec. 2-1704.5. Guaranteed payment of future medical |
expenses and costs of life care. |
(a) At any time, but no later than 5 days after a verdict |
in the plaintiff's favor for a plaintiff's future medical |
expenses and costs of life care is reached, either party in a |
medical malpractice action may elect, or the court may enter an |
order, to have the payment of the plaintiff's future medical |
expenses and costs of life care made under this Section. |
(b) In all cases in which a defendant in a medical |
malpractice action is found liable for the plaintiff's future |
medical expenses and costs of care, the trier of fact shall |
make the following findings based on evidence presented at |
trial: |
(1) the present cash value of the plaintiff's future |
medical expenses and costs of life care; |
(2) the current year annual cost of the plaintiff's |
future medical expenses and costs of life care; and |
(3) the annual composite rate of inflation that should |
be applied to the costs specified in item (2). |
Based upon evidence presented at trial, the trier of fact |
may also vary the amount of future costs under this Section |
from year to year to account for different annual expenditures, |
including the immediate medical and life care needs of the |
plaintiff. The jury shall not be informed of an election to pay |
for future medical expenses and costs of life care by |
purchasing an annuity.
|
(c) When an election is made to pay for future medical |
expenses and costs of life care by purchasing an annuity, the |
|
court shall enter a judgment ordering that the defendant pay |
the plaintiff an amount equal to 20% of the present cash value |
of future medical expenses and cost of life care determined |
under subsection (b)(1) of this Section and ordering that the |
remaining future expenses and costs be paid by the purchase of |
an annuity by or on behalf of the defendant from a company that |
has itself, or is irrevocably supported financially by a |
company that has, at least 2 of the following 4 ratings: "A+ X" |
or higher from A.M. Best Company; "AA-" or higher from Standard & |
Poor's; "Aa3" or higher from Moody's; and "AA-" or higher |
from Fitch. The annuity must guarantee that the plaintiff will |
receive annual payments equal to 80% of the amount determined |
in subsection (b)(2) inflated by the rate determined in |
subsection (b)(3) for the life of the plaintiff. |
(d) If the company providing the annuity becomes unable to |
pay amounts required by the annuity, the defendant shall secure |
a replacement annuity for the remainder of the plaintiff's life |
from a company that satisfies the requirements of subsection |
(c). |
(e) A plaintiff receiving future payments by means of an |
annuity under this Section may seek leave of court to assign or |
otherwise transfer the right to receive such payments in |
exchange for a negotiated lump sum value of the remaining |
future payments or any portion of the remaining future payments |
under the annuity to address an unanticipated financial |
hardship under such terms as approved by the court. |
(f) This Section applies to all causes of action accruing |
on or after the effective date of this amendatory Act of the |
94th General Assembly.
|
(735 ILCS 5/2-1706.5 new) |
Sec. 2-1706.5. Standards for economic and non-economic |
damages. |
(a) In any medical malpractice action or wrongful death |
action based on medical malpractice in which economic and |
non-economic damages may be awarded, the following standards |
|
shall apply: |
(1) In a case of an award against a hospital and its |
personnel or hospital affiliates, as defined in Section |
10.8 of the Hospital Licensing Act, the total amount of |
non-economic damages shall not exceed $1,000,000 awarded |
to all plaintiffs in any civil action arising out of the |
care. |
(2) In a case of an award against a physician and the |
physician's business or corporate entity and personnel or |
health care professional, the total amount of non-economic |
damages shall not exceed $500,000 awarded to all plaintiffs |
in any civil action arising out of the care. |
(3) In awarding damages in a medical malpractice case, |
the finder of fact shall render verdicts with a specific |
award of damages for economic loss, if any, and a specific |
award of damages for non-economic loss, if any. |
The trier of fact shall not be informed of the provisions |
of items (1) and (2) of this subsection (a).
|
(b) In any medical malpractice action where an individual |
plaintiff earns less than the annual average weekly wage, as |
determined by the Illinois Workers' Compensation Commission, |
at the time the action is filed, any award may include an |
amount equal to the wage the individual plaintiff earns or the |
annual average weekly wage. |
(c) This Section applies to all causes of action accruing |
on or after the effective date of this amendatory Act of the |
94th General Assembly.
|
(735 ILCS 5/8-1901) (from Ch. 110, par. 8-1901)
|
Sec. 8-1901. Admission of liability - Effect. |
(a) The providing of, or payment
for, medical, surgical,
|
hospital, or rehabilitation services, facilities, or equipment |
by or on
behalf of any person, or the offer to provide, or pay |
for, any one or
more of the foregoing, shall not be construed |
as an admission of any
liability by such person or persons. |
Testimony, writings, records,
reports or information with |
|
respect to the foregoing shall not be
admissible in evidence as |
an admission of any liability in any action of
any kind in any |
court or before any commission, administrative agency,
or other |
tribunal in this State, except at the instance of the person or
|
persons so making any such provision, payment or offer.
|
(b) Any expression of grief, apology, or explanation |
provided by a health care provider, including, but not limited |
to, a statement that the health care provider is "sorry" for |
the outcome to a patient, the patient's family, or the |
patient's legal representative about an inadequate or |
unanticipated treatment or care outcome that is provided within |
72 hours of when the provider knew or should have known of the |
potential cause of such outcome shall not be admissible as |
evidence in any action of any kind in any court or before any |
tribunal, board, agency, or person. The disclosure of any such |
information, whether proper, or improper, shall not waive or |
have any effect upon its confidentiality or inadmissibility. As |
used in this Section, a "health care provider" is any hospital, |
nursing home or other facility, or employee or agent thereof, a |
physician, or other licensed health care professional. Nothing |
in this Section precludes the discovery or admissibility of any |
other facts regarding the patient's treatment or outcome as |
otherwise permitted by law.
|
(c) The changes to this Section made by this amendatory Act |
of the 94th General Assembly apply to causes of action accruing |
on or after its effective date. |
(Source: P.A. 82-280.)
|
(735 ILCS 5/8-2501) (from Ch. 110, par. 8-2501)
|
(Text of Section WITHOUT the changes made by P.A. 89-7, |
which has been held
unconstitutional)
|
Sec. 8-2501. Expert Witness Standards. In any case in which |
the standard of
care applicable to
given by a medical |
professional
profession is at issue, the court shall apply the
|
following standards to determine if a witness qualifies as an |
expert witness
and can testify on the issue of the appropriate |
|
standard of care.
|
(a) Whether the witness is board certified or board |
eligible, or has completed a residency, in the same or |
substantially similar medical specialties as the defendant and |
is otherwise qualified by significant experience with the |
standard of care, methods, procedures, and treatments relevant |
to the allegations against the defendant
Relationship of the |
medical specialties of the witness to the medical
problem or |
problems
and the type of treatment administered in the case ;
|
(b) Whether the witness has devoted
a majority
substantial |
portion of his or her
work time to the practice of medicine, |
teaching or University based research
in relation to the |
medical care and type of treatment at issue which gave
rise to |
the medical problem of which the plaintiff complains;
|
(c)
whether the witness is licensed
in the same profession |
with the same class of license as the defendant if the |
defendant is an individual ; and
|
(d) whether, in the case against a nonspecialist, the |
witness can
demonstrate a sufficient familiarity with the |
standard of care practiced in
this State.
|
An expert shall provide evidence of active practice, |
teaching, or engaging in university-based research. If |
retired, an expert must provide evidence of attendance and |
completion of continuing education courses for 3 years previous |
to giving testimony. An expert who has not actively practiced, |
taught, or been engaged in university-based research, or any |
combination thereof, during the preceding 5 years may not be |
qualified as an expert witness.
|
The changes to this Section made by this amendatory Act of |
the 94th General Assembly apply to causes of action accruing on |
or after its effective date.
|
(Source: P.A. 84-7.)
|
Section 340. The Good Samaritan Act is amended by changing |
Section 30 as follows:
|
|
(745 ILCS 49/30)
|
Sec. 30. Free medical clinic; exemption from civil |
liability for services
performed without compensation.
|
(a) A person licensed under the Medical Practice Act of |
1987, a person
licensed to practice the treatment of human |
ailments in any
other state or territory of the United States, |
or a health care professional,
including but not limited to an |
advanced practice nurse, retired physician, physician
|
assistant, nurse, pharmacist, physical therapist, podiatrist, |
or social worker
licensed in this State or any other state or |
territory of the United States,
who, in good faith, provides |
medical treatment,
diagnosis, or advice as a part of the |
services of an
established free medical clinic providing care , |
including but not limited to home visits, without charge to |
medically indigent patients
which is limited to care that does |
not require the services of a
licensed hospital or ambulatory |
surgical treatment center and who receives
no fee or |
compensation from that source shall not be liable for civil
|
damages as a result of his or her acts or omissions in
|
providing that medical treatment, except for willful or wanton |
misconduct.
|
(b) For purposes of this Section, a "free medical clinic" |
is an
organized community based program providing medical care |
without
charge to individuals unable to pay for it , at which |
the
care provided does not include the use
of general |
anesthesia or require an overnight stay in a health-care |
facility.
|
(c) The provisions of subsection (a) of this Section do not |
apply to a
particular case unless the free medical
clinic has |
posted in a conspicuous place on its premises an explanation of |
the
exemption from civil liability provided herein.
|
(d) The immunity from civil damages provided under |
subsection (a) also
applies to physicians, retired physicians,
|
hospitals, and other health care providers that provide
further |
medical treatment, diagnosis, or advice , including but not |
limited to hospitalization, office visits, and home visits, to |
|
a patient upon referral from
an established free medical clinic |
without fee or compensation.
|
(d-5) A free medical clinic may receive reimbursement from |
the Illinois
Department of Public Aid, provided any |
reimbursements shall be used only to pay
overhead expenses of |
operating the free medical clinic and may not be used, in
whole |
or in
part, to provide a fee or other compensation to any |
person licensed under the
Medical
Practice Act of 1987 or any |
other health care professional
who is receiving an exemption |
under this Section. Any health care professional receiving an |
exemption under this Section may not receive any fee or other |
compensation in connection with any services provided to, or |
any ownership interest in, the clinic. Medical care shall
not |
include
an overnight stay in a health care
facility. |
(e) Nothing in this Section prohibits a free medical clinic |
from accepting
voluntary contributions for medical services |
provided to a patient who has
acknowledged his or her ability |
and willingness to pay a portion of the value
of the medical |
services provided.
|
(f) Any voluntary contribution collected for providing |
care at a free medical
clinic shall be used only to pay |
overhead expenses of operating the clinic. No
portion of any |
moneys collected shall be used to provide a fee or other
|
compensation to any person licensed under Medical Practice Act |
of 1987.
|
(g) The changes to this Section made by this amendatory Act |
of the 94th General Assembly apply to causes of action
accruing |
on or after its effective date.
|
(Source: P.A. 89-607, eff. 1-1-97; 90-742, eff. 8-13-98.)
|
ARTICLE 4. SORRY WORKS! PILOT PROGRAM ACT |
Section 401. Short title. This Article 4 may be cited as |
the Sorry Works! Pilot Program Act , and references in this |
Article to "this Act" mean this Article. |
|
Section 405. Sorry Works! pilot program. The Sorry Works! |
pilot program is established. During the first year of the |
program's operation, participation in the program shall be open |
to one hospital.
Hospitals may participate only with the |
approval of the hospital administration and the hospital's |
organized medical staff. During the second year of the |
program's operation, participation in the program shall be open |
to one additional hospital.
|
The first participating hospital selected by the committee |
established under Section 410 shall be located in a county with |
a population greater than 200,000 that is contiguous with the |
Mississippi River. |
Under the program, participating hospitals and physicians |
shall promptly acknowledge and apologize for mistakes in |
patient care and promptly offer fair settlements. |
Participating hospitals shall encourage patients and families |
to retain their own legal counsel to ensure that their rights |
are protected and to help facilitate negotiations for fair |
settlements. Participating hospitals shall report to the |
committee their total costs for healing art malpractice |
verdicts, settlements, and defense litigation for the |
preceding 5 years to enable the committee to determine average |
costs for that hospital during that period. The committee shall |
develop standards and protocols to compare costs for cases |
handled by traditional means and cases handled under the Sorry |
Works! protocol. |
If the committee determines that the total costs of cases |
handled under the Sorry Works! protocol by a hospital |
participating in the program exceed the total costs that would |
have been incurred if the cases had been handled by traditional |
means, the hospital may apply for a grant from the Sorry Works! |
Fund, a special fund that is created in the State Treasury, for |
an amount, as determined by the committee, by which the total |
costs exceed the total costs that would have been incurred if |
the cases had been handled by traditional means; however, the |
total of all grants from the Fund for cases in any single |
|
participating hospital in any year may not exceed the amount in |
the Fund or $2,000,000, whichever is less.
All grants shall be |
subject to appropriation. Moneys in the Fund shall consist of |
funds transferred into the Fund or otherwise made available |
from any source. |
Section 410. Establishment of committee. |
(a) A committee is established to develop, oversee, and |
implement the Sorry Works! pilot program. The committee shall |
have 9 members, each of whom shall be a voting member. Six |
members of the committee shall constitute a quorum. The |
committee shall be comprised as follows:
|
(1) The President of the Senate, the Minority Leader of |
the Senate, the Speaker of the House of Representatives, |
and the Minority Leader of the House of Representatives |
shall each appoint 2 members. |
(2) The Secretary of Financial and Professional |
Regulation or his or her designee. |
(b) The committee shall establish criteria for the program, |
including but not limited to: selection of hospitals, |
physicians, and insurers to participate in the program; and |
creation of a subcommittee to review cases from hospitals and |
determine whether hospitals, physicians, and insurers are |
entitled to compensation under the program.
|
(c) The committee shall communicate with hospitals, |
physicians, and insurers that are interested in participating |
in the program. The committee shall make final decisions as to |
which applicants are accepted for the program. |
(d) The committee shall report to the Governor and the |
General Assembly annually. |
(e) The committee shall publish data regarding the program. |
(f) Committee members shall receive no compensation for the |
performance of their duties as members, but each member shall |
be paid necessary expenses while engaged in the performance of |
those duties. |
|
Section 415. Termination of program. |
(a) The program may be terminated at any time if the |
committee, by a vote of two-thirds of its members, votes to |
terminate the program.
|
(b) If the program is not terminated under subsection (a), |
the program shall terminate after its second year of operation.
|
Section 495. The State Finance Act is amended by adding |
Section
5.640 as follows:
|
(30 ILCS 105/5.640 new)
|
Sec. 5.640. The Sorry Works! Fund.
|
ARTICLE 9. MISCELLANEOUS |
Section 995. Inseverability. The provisions of this Act are |
mutually dependent and inseverable. If any provision is held |
invalid, then this entire Act, including all new and amendatory |
provisions, is invalid. |
Section 999. Effective date. This Act takes effect upon |
becoming law. |