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Public Act 094-0677 |
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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 |
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 |
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 |
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 |
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 |
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
| ||
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 |
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 |
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.
| ||
(5) The civil penalty forfeitures provided for in this |
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.
| ||
(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
| ||
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.
| ||
(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
| ||
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.
| ||
(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.
|
(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.
| ||
(Source: P.A. 93-32, eff. 7-1-03.)
| ||
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:
| ||
(225 ILCS 60/7) (from Ch. 111, par. 4400-7)
| ||
(Section scheduled to be repealed on January 1, 2007)
| ||
Sec. 7. Medical Disciplinary Board.
| ||
(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
| ||
residents of the State, not more than 6
5 of whom shall be
| ||
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
| ||
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.
| ||
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.
| ||
(D) (Blank).
| ||
(E) Six
Four voting members of the Disciplinary Board , at | ||
least 4 of whom are physicians,
shall constitute a quorum. A |
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.
| ||
(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.
| ||
(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. |