HB5373 EnrolledLRB103 36911 RLC 67024 b

1    AN ACT concerning criminal law.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Controlled Substances Act is
5amended by changing Section 318 and by adding Section 315.7 as
6follows:
 
7    (720 ILCS 570/315.7 new)
8    Sec. 315.7. Chronic pain treatment.
9    (a) In this Section:
10    "Chronic pain" means a state in which pain persists beyond
11the usual course of an acute disease or healing of an injury,
12or which may or may not be associated with an acute or chronic
13pathologic process that causes continuous or intermittent pain
14over months or years. "Chronic pain" is considered to be pain
15that persists for more than 12 weeks and is adversely
16affecting the function or well-being of the individual.
17    "Opioid" means a narcotic drug or substance that is a
18Schedule II controlled substance under paragraph (1), (2),
19(3), or (5) of subsection (b) or under subsection (c) of
20Section 206.
21    (b) Decisions regarding the treatment of patients
22experiencing chronic pain shall be made by the prescriber with
23dispensing by the pharmacist in accordance with the

 

 

HB5373 Enrolled- 2 -LRB103 36911 RLC 67024 b

1corresponding responsibility as described in 21 CFR 1306.04(a)
2and 77 Ill. Adm. Code 3100.380(a).
3    (c) Ordering, prescribing, dispensing, administering, or
4paying for controlled substances, including opioids, shall not
5in any way be predetermined by specific morphine milligram
6equivalent guidelines except as provided under federal law.
7    (d) Nothing in this Section shall interfere with the
8review of prescriptions by the Prescription Monitoring
9Program's Peer Review Committee. In reviewing prescriptions
10for chronic pain, the peer review committee members shall
11review the most updated clinical guidelines on treating
12chronic pain for the period the prescriptions were written.
 
13    (720 ILCS 570/318)
14    (Text of Section before amendment by P.A. 103-881)
15    Sec. 318. Confidentiality of information.
16    (a) Information received by the central repository under
17Section 316 and former Section 321 is confidential.
18    (a-1) To ensure the federal Health Insurance Portability
19and Accountability Act and confidentiality of substance use
20disorder patient records rules that mandate the privacy of an
21individual's prescription data reported to the Prescription
22Monitoring Program received from a retail dispenser under this
23Act, and in order to execute the duties and responsibilities
24under Section 316 of this Act and rules for disclosure under
25this Section, the Clinical Director of the Prescription

 

 

HB5373 Enrolled- 3 -LRB103 36911 RLC 67024 b

1Monitoring Program or his or her designee shall maintain
2direct access to all Prescription Monitoring Program data. Any
3request for Prescription Monitoring Program data from any
4other department or agency must be approved in writing by the
5Clinical Director of the Prescription Monitoring Program or
6his or her designee unless otherwise permitted by law.
7Prescription Monitoring Program data shall only be disclosed
8as permitted by law. Confidential information received from
9opioid treatment programs or confidential information
10otherwise protected under federal confidentiality of substance
11use disorder patient records regulations under 42 CFR Part 2
12shall not be included in the information shared.
13    (a-2) As an active step to address the current opioid
14crisis in this State and to prevent and reduce addiction
15resulting from a sports injury or an accident, the
16Prescription Monitoring Program and the Department of Public
17Health shall coordinate a continuous review of the
18Prescription Monitoring Program and the Department of Public
19Health data to determine if a patient may be at risk of opioid
20addiction. Each patient discharged from any medical facility
21with an International Classification of Disease, 10th edition
22code related to a sport or accident injury shall be subject to
23the data review. If the discharged patient is dispensed a
24controlled substance, the Prescription Monitoring Program
25shall alert the patient's prescriber as to the addiction risk
26and urge each to follow the Centers for Disease Control and

 

 

HB5373 Enrolled- 4 -LRB103 36911 RLC 67024 b

1Prevention guidelines or his or her respective profession's
2treatment guidelines related to the patient's injury. This
3subsection (a-2), other than this sentence, is inoperative on
4or after January 1, 2024.
5    (b) The Department must carry out a program to protect the
6confidentiality of the information described in subsection
7(a). The Department may disclose the information to another
8person only under subsection (c), (d), or (f) and may charge a
9fee not to exceed the actual cost of furnishing the
10information.
11    (c) The Department may disclose confidential information
12described in subsection (a) to any person who is engaged in
13receiving, processing, or storing the information.
14    (d) The Department may release confidential information
15described in subsection (a) to the following persons:
16        (1) A governing body that licenses practitioners and
17    is engaged in an investigation, an adjudication, or a
18    prosecution of a violation under any State or federal law
19    that involves a controlled substance.
20        (2) An investigator for the Consumer Protection
21    Division of the office of the Attorney General, a
22    prosecuting attorney, the Attorney General, a deputy
23    Attorney General, or an investigator from the office of
24    the Attorney General, who is engaged in any of the
25    following activities involving controlled substances:
26            (A) an investigation;

 

 

HB5373 Enrolled- 5 -LRB103 36911 RLC 67024 b

1            (B) an adjudication; or
2            (C) a prosecution of a violation under any State
3        or federal law that involves a controlled substance.
4        (3) A law enforcement officer who is:
5            (A) authorized by the Illinois State Police or the
6        office of a county sheriff or State's Attorney or
7        municipal police department of Illinois to receive
8        information of the type requested for the purpose of
9        investigations involving controlled substances; or
10            (B) approved by the Department to receive
11        information of the type requested for the purpose of
12        investigations involving controlled substances; and
13            (C) engaged in the investigation or prosecution of
14        a violation under any State or federal law that
15        involves a controlled substance.
16        (4) Select representatives of the Department of
17    Children and Family Services through the indirect online
18    request process. Access shall be established by an
19    intergovernmental agreement between the Department of
20    Children and Family Services and the Department of Human
21    Services.
22    (e) Before the Department releases confidential
23information under subsection (d), all of the following must be
24demonstrated the applicant must demonstrate in writing to the
25Department by the applicant that:
26        (1) the applicant has reason to believe that a

 

 

HB5373 Enrolled- 6 -LRB103 36911 RLC 67024 b

1    violation under any State or federal law that involves a
2    controlled substance has occurred; and
3        (2) the requested information is reasonably related to
4    the investigation, adjudication, or prosecution of the
5    violation described in subdivision (1); and .
6        (3) the applicant has a valid court order or subpoena,
7    or an administrative subpoena issued by the Department of
8    Financial and Professional Regulation, for the
9    confidential information requested.
10    (f) The Department may receive and release confidential
11prescription record information collected under Sections 316
12and 321 (now repealed) that identifies vendors or
13practitioners, or both, who are prescribing or dispensing
14large quantities of Schedule II, III, IV, or V controlled
15substances outside the scope of their practice, pharmacy, or
16business, as determined by the Advisory Committee created by
17Section 320, prescription record information under Section 316
18and former Section 321 to:
19        (1) a governing body that licenses practitioners;
20        (2) an investigator for the Consumer Protection
21    Division of the office of the Attorney General, a
22    prosecuting attorney, the Attorney General, a deputy
23    Attorney General, or an investigator from the office of
24    the Attorney General;
25        (3) any Illinois law enforcement officer who is:
26            (A) authorized to receive the type of information

 

 

HB5373 Enrolled- 7 -LRB103 36911 RLC 67024 b

1        released; and
2            (B) approved by the Department to receive the type
3        of information released; or
4        (4) prescription monitoring entities in other states
5    per the provisions outlined in subsection (g) and (h)
6    below. ;
7confidential prescription record information collected under
8Sections 316 and 321 (now repealed) that identifies vendors or
9practitioners, or both, who are prescribing or dispensing
10large quantities of Schedule II, III, IV, or V controlled
11substances outside the scope of their practice, pharmacy, or
12business, as determined by the Advisory Committee created by
13Section 320.
14    (f-5) In accordance with a confidentiality agreement
15entered into with the Department, a medical director, or a
16public health administrator and their delegated analysts, of a
17county or municipal health department or the Department of
18Public Health shall have access to data from the system for any
19of the following purposes:
20            (1) developing education programs or public health
21        interventions relating to prescribing trends and
22        controlled substance use; or
23            (2) conducting analyses and publish reports on
24        prescribing trends in their respective jurisdictions.
25    At a minimum, the confidentiality agreement entered into
26with the Department shall:

 

 

HB5373 Enrolled- 8 -LRB103 36911 RLC 67024 b

1        (i) prohibit analysis and reports produced under
2    subparagraph (2) from including information that
3    identifies, by name, license, or address, any
4    practitioner, dispenser, ultimate user, or other person
5    administering a controlled substance; and
6        (ii) specify the appropriate technical and physical
7    safeguards that the county or municipal health department
8    must implement to ensure the privacy and security of data
9    obtained from the system. The data from the system shall
10    not be admissible as evidence, nor discoverable in any
11    action of any kind in any court or before any tribunal,
12    board, agency, or person. The disclosure of any such
13    information or data, whether proper or improper, shall not
14    waive or have any effect upon its confidentiality,
15    non-discoverability, or non-admissibility.
16    (g) The information described in subsection (f) may not be
17released until it has been reviewed by an employee of the
18Department who is licensed as a prescriber or a dispenser and
19until that employee has certified that further investigation
20is warranted. Upon review and approval by a licensed
21prescriber or dispenser, or trained designee, the Prescription
22Monitoring Program may release information described in
23subsection (f). However, failure to comply with this
24subsection (g) does not invalidate the use of any evidence
25that is otherwise admissible in a proceeding described in
26subsection (h).

 

 

HB5373 Enrolled- 9 -LRB103 36911 RLC 67024 b

1    (h) An investigator or a law enforcement officer receiving
2confidential information under subsection (c), (d), or (f) may
3disclose the information to a law enforcement officer or an
4attorney for the office of the Attorney General for use as
5evidence in the following:
6        (1) A proceeding under any State or federal law that
7    involves a controlled substance.
8        (2) A criminal proceeding or a proceeding in juvenile
9    court that involves a controlled substance.
10    (i) The Department may compile statistical reports from
11the information described in subsection (a). The reports must
12not include information that identifies, by name, license or
13address, any practitioner, dispenser, ultimate user, or other
14person administering a controlled substance.
15    (j) Based upon federal, initial and maintenance funding, a
16prescriber and dispenser inquiry system shall be developed to
17assist the health care community in its goal of effective
18clinical practice and to prevent patients from diverting or
19abusing medications.
20        (1) An inquirer shall have read-only access to a
21    stand-alone database which shall contain records for the
22    previous 12 months.
23        (2) Dispensers may, upon positive and secure
24    identification, make an inquiry on a patient or customer
25    solely for a medical purpose as delineated within the
26    federal HIPAA law.

 

 

HB5373 Enrolled- 10 -LRB103 36911 RLC 67024 b

1        (3) The Department shall provide a one-to-one secure
2    link and encrypted software necessary to establish the
3    link between an inquirer and the Department. Technical
4    assistance shall also be provided.
5        (4) Written inquiries are acceptable but must include
6    the fee and the requester's Drug Enforcement
7    Administration license number and submitted upon the
8    requester's business stationery.
9        (5) As directed by the Prescription Monitoring Program
10    Advisory Committee and the Clinical Director for the
11    Prescription Monitoring Program, aggregate data that does
12    not indicate any prescriber, practitioner, dispenser, or
13    patient may be used for clinical studies.
14        (6) Tracking analysis shall be established and used
15    per administrative rule.
16        (7) Nothing in this Act or Illinois law shall be
17    construed to require a prescriber or dispenser to make use
18    of this inquiry system.
19        (8) If there is an adverse outcome because of a
20    prescriber or dispenser making an inquiry, which is
21    initiated in good faith, the prescriber or dispenser shall
22    be held harmless from any civil liability.
23    (k) The Department shall establish, by rule, the process
24by which to evaluate possible erroneous association of
25prescriptions to any licensed prescriber or end user of the
26Illinois Prescription Information Library (PIL).

 

 

HB5373 Enrolled- 11 -LRB103 36911 RLC 67024 b

1    (l) The Prescription Monitoring Program Advisory Committee
2is authorized to evaluate the need for and method of
3establishing a patient specific identifier.
4    (m) Patients who identify prescriptions attributed to them
5that were not obtained by them shall be given access to their
6personal prescription history pursuant to the validation
7process as set forth by administrative rule.
8    (n) The Prescription Monitoring Program is authorized to
9develop operational push reports to entities with compatible
10electronic medical records. The process shall be covered
11within administrative rule established by the Department.
12    (o) Hospital emergency departments and freestanding
13healthcare facilities providing healthcare to walk-in patients
14may obtain, for the purpose of improving patient care, a
15unique identifier for each shift to utilize the PIL system.
16    (p) The Prescription Monitoring Program shall
17automatically create a log-in to the inquiry system when a
18prescriber or dispenser obtains or renews his or her
19controlled substance license. The Department of Financial and
20Professional Regulation must provide the Prescription
21Monitoring Program with electronic access to the license
22information of a prescriber or dispenser to facilitate the
23creation of this profile. The Prescription Monitoring Program
24shall send the prescriber or dispenser information regarding
25the inquiry system, including instructions on how to log into
26the system, instructions on how to use the system to promote

 

 

HB5373 Enrolled- 12 -LRB103 36911 RLC 67024 b

1effective clinical practice, and opportunities for continuing
2education for the prescribing of controlled substances. The
3Prescription Monitoring Program shall also send to all
4enrolled prescribers, dispensers, and designees information
5regarding the unsolicited reports produced pursuant to Section
6314.5 of this Act.
7    (q) A prescriber or dispenser may authorize a designee to
8consult the inquiry system established by the Department under
9this subsection on his or her behalf, provided that all the
10following conditions are met:
11        (1) the designee so authorized is employed by the same
12    hospital or health care system; is employed by the same
13    professional practice; or is under contract with such
14    practice, hospital, or health care system;
15        (2) the prescriber or dispenser takes reasonable steps
16    to ensure that such designee is sufficiently competent in
17    the use of the inquiry system;
18        (3) the prescriber or dispenser remains responsible
19    for ensuring that access to the inquiry system by the
20    designee is limited to authorized purposes and occurs in a
21    manner that protects the confidentiality of the
22    information obtained from the inquiry system, and remains
23    responsible for any breach of confidentiality; and
24        (4) the ultimate decision as to whether or not to
25    prescribe or dispense a controlled substance remains with
26    the prescriber or dispenser.

 

 

HB5373 Enrolled- 13 -LRB103 36911 RLC 67024 b

1    The Prescription Monitoring Program shall send to
2registered designees information regarding the inquiry system,
3including instructions on how to log onto the system.
4    (r) The Prescription Monitoring Program shall maintain an
5Internet website in conjunction with its prescriber and
6dispenser inquiry system. This website shall include, at a
7minimum, the following information:
8        (1) current clinical guidelines developed by health
9    care professional organizations on the prescribing of
10    opioids or other controlled substances as determined by
11    the Advisory Committee;
12        (2) accredited continuing education programs related
13    to prescribing of controlled substances;
14        (3) programs or information developed by health care
15    professionals that may be used to assess patients or help
16    ensure compliance with prescriptions;
17        (4) updates from the Food and Drug Administration, the
18    Centers for Disease Control and Prevention, and other
19    public and private organizations which are relevant to
20    prescribing;
21        (5) relevant medical studies related to prescribing;
22        (6) other information regarding the prescription of
23    controlled substances; and
24        (7) information regarding prescription drug disposal
25    events, including take-back programs or other disposal
26    options or events.

 

 

HB5373 Enrolled- 14 -LRB103 36911 RLC 67024 b

1    The content of the Internet website shall be periodically
2reviewed by the Prescription Monitoring Program Advisory
3Committee as set forth in Section 320 and updated in
4accordance with the recommendation of the advisory committee.
5    (s) The Prescription Monitoring Program shall regularly
6send electronic updates to the registered users of the
7Program. The Prescription Monitoring Program Advisory
8Committee shall review any communications sent to registered
9users and also make recommendations for communications as set
10forth in Section 320. These updates shall include the
11following information:
12        (1) opportunities for accredited continuing education
13    programs related to prescribing of controlled substances;
14        (2) current clinical guidelines developed by health
15    care professional organizations on the prescribing of
16    opioids or other drugs as determined by the Advisory
17    Committee;
18        (3) programs or information developed by health care
19    professionals that may be used to assess patients or help
20    ensure compliance with prescriptions;
21        (4) updates from the Food and Drug Administration, the
22    Centers for Disease Control and Prevention, and other
23    public and private organizations which are relevant to
24    prescribing;
25        (5) relevant medical studies related to prescribing;
26        (6) other information regarding prescribing of

 

 

HB5373 Enrolled- 15 -LRB103 36911 RLC 67024 b

1    controlled substances;
2        (7) information regarding prescription drug disposal
3    events, including take-back programs or other disposal
4    options or events; and
5        (8) reminders that the Prescription Monitoring Program
6    is a useful clinical tool.
7    (t) Notwithstanding any other provision of this Act,
8neither the Prescription Monitoring Program nor any other
9person shall disclose any information in violation of the
10restrictions and requirements of paragraph (3.5) of subsection
11(a) of Section 316 as implemented under Public Act 102-527.
12(Source: P.A. 102-751, eff. 1-1-23.)
 
13    (Text of Section after amendment by P.A. 103-881)
14    Sec. 318. Confidentiality of information.
15    (a) Information received by the central repository under
16Section 316 and former Section 321 is confidential.
17    (a-1) To ensure the federal Health Insurance Portability
18and Accountability Act and confidentiality of substance use
19disorder patient records rules that mandate the privacy of an
20individual's prescription data reported to the Prescription
21Monitoring Program received from a retail dispenser under this
22Act, and in order to execute the duties and responsibilities
23under Section 316 of this Act and rules for disclosure under
24this Section, the Clinical Director of the Prescription
25Monitoring Program or his or her designee shall maintain

 

 

HB5373 Enrolled- 16 -LRB103 36911 RLC 67024 b

1direct access to all Prescription Monitoring Program data. Any
2request for Prescription Monitoring Program data from any
3other department or agency must be approved in writing by the
4Clinical Director of the Prescription Monitoring Program or
5his or her designee unless otherwise permitted by law.
6Prescription Monitoring Program data shall only be disclosed
7as permitted by law. Confidential information received from
8opioid treatment programs or confidential information
9otherwise protected under federal confidentiality of substance
10use disorder patient records regulations under 42 CFR Part 2
11shall not be included in the information shared.
12    (a-2) As an active step to address the current opioid
13crisis in this State and to prevent and reduce substance use
14disorders resulting from a sports injury or an accident, the
15Prescription Monitoring Program and the Department of Public
16Health shall coordinate a continuous review of the
17Prescription Monitoring Program and the Department of Public
18Health data to determine if a patient may be at risk of opioid
19use disorder. Each patient discharged from any medical
20facility with an International Classification of Disease, 10th
21edition code related to a sport or accident injury shall be
22subject to the data review. If the discharged patient is
23dispensed a controlled substance, the Prescription Monitoring
24Program shall alert the patient's prescriber as to the risk of
25developing a substance use disorder and urge each to follow
26the Centers for Disease Control and Prevention guidelines or

 

 

HB5373 Enrolled- 17 -LRB103 36911 RLC 67024 b

1his or her respective profession's treatment guidelines
2related to the patient's injury. This subsection (a-2), other
3than this sentence, is inoperative on or after January 1,
42024.
5    (b) The Department must carry out a program to protect the
6confidentiality of the information described in subsection
7(a). The Department may disclose the information to another
8person only under subsection (c), (d), or (f) and may charge a
9fee not to exceed the actual cost of furnishing the
10information.
11    (c) The Department may disclose confidential information
12described in subsection (a) to any person who is engaged in
13receiving, processing, or storing the information.
14    (d) The Department may release confidential information
15described in subsection (a) to the following persons:
16        (1) A governing body that licenses practitioners and
17    is engaged in an investigation, an adjudication, or a
18    prosecution of a violation under any State or federal law
19    that involves a controlled substance.
20        (2) An investigator for the Consumer Protection
21    Division of the office of the Attorney General, a
22    prosecuting attorney, the Attorney General, a deputy
23    Attorney General, or an investigator from the office of
24    the Attorney General, who is engaged in any of the
25    following activities involving controlled substances:
26            (A) an investigation;

 

 

HB5373 Enrolled- 18 -LRB103 36911 RLC 67024 b

1            (B) an adjudication; or
2            (C) a prosecution of a violation under any State
3        or federal law that involves a controlled substance.
4        (3) A law enforcement officer who is:
5            (A) authorized by the Illinois State Police or the
6        office of a county sheriff or State's Attorney or
7        municipal police department of Illinois to receive
8        information of the type requested for the purpose of
9        investigations involving controlled substances; or
10            (B) approved by the Department to receive
11        information of the type requested for the purpose of
12        investigations involving controlled substances; and
13            (C) engaged in the investigation or prosecution of
14        a violation under any State or federal law that
15        involves a controlled substance.
16        (4) Select representatives of the Department of
17    Children and Family Services through the indirect online
18    request process. Access shall be established by an
19    intergovernmental agreement between the Department of
20    Children and Family Services and the Department of Human
21    Services.
22    (e) Before the Department releases confidential
23information under subsection (d), all of the following must be
24demonstrated the applicant must demonstrate in writing to the
25Department by the applicant that:
26        (1) the applicant has reason to believe that a

 

 

HB5373 Enrolled- 19 -LRB103 36911 RLC 67024 b

1    violation under any State or federal law that involves a
2    controlled substance has occurred; and
3        (2) the requested information is reasonably related to
4    the investigation, adjudication, or prosecution of the
5    violation described in subdivision (1); and .
6        (3) the applicant has a valid court order or subpoena,
7    or an administrative subpoena issued by the Department of
8    Financial and Professional Regulation, for the
9    confidential information requested.
10    (f) The Department may receive and release confidential
11prescription record information collected under Sections 316
12and 321 (now repealed) that identifies vendors or
13practitioners, or both, who are prescribing or dispensing
14large quantities of Schedule II, III, IV, or V controlled
15substances outside the scope of their practice, pharmacy, or
16business, as determined by the Advisory Committee created by
17Section 320, prescription record information under Section 316
18and former Section 321 to:
19        (1) a governing body that licenses practitioners;
20        (2) an investigator for the Consumer Protection
21    Division of the office of the Attorney General, a
22    prosecuting attorney, the Attorney General, a deputy
23    Attorney General, or an investigator from the office of
24    the Attorney General;
25        (3) any Illinois law enforcement officer who is:
26            (A) authorized to receive the type of information

 

 

HB5373 Enrolled- 20 -LRB103 36911 RLC 67024 b

1        released; and
2            (B) approved by the Department to receive the type
3        of information released; or
4        (4) prescription monitoring entities in other states
5    per the provisions outlined in subsection (g) and (h)
6    below. ;
7confidential prescription record information collected under
8Sections 316 and 321 (now repealed) that identifies vendors or
9practitioners, or both, who are prescribing or dispensing
10large quantities of Schedule II, III, IV, or V controlled
11substances outside the scope of their practice, pharmacy, or
12business, as determined by the Advisory Committee created by
13Section 320.
14    (f-5) In accordance with a confidentiality agreement
15entered into with the Department, a medical director, or a
16public health administrator and their delegated analysts, of a
17county or municipal health department or the Department of
18Public Health shall have access to data from the system for any
19of the following purposes:
20            (1) developing education programs or public health
21        interventions relating to prescribing trends and
22        controlled substance use; or
23            (2) conducting analyses and publish reports on
24        prescribing trends in their respective jurisdictions.
25    At a minimum, the confidentiality agreement entered into
26with the Department shall:

 

 

HB5373 Enrolled- 21 -LRB103 36911 RLC 67024 b

1        (i) prohibit analysis and reports produced under
2    subparagraph (2) from including information that
3    identifies, by name, license, or address, any
4    practitioner, dispenser, ultimate user, or other person
5    administering a controlled substance; and
6        (ii) specify the appropriate technical and physical
7    safeguards that the county or municipal health department
8    must implement to ensure the privacy and security of data
9    obtained from the system. The data from the system shall
10    not be admissible as evidence, nor discoverable in any
11    action of any kind in any court or before any tribunal,
12    board, agency, or person. The disclosure of any such
13    information or data, whether proper or improper, shall not
14    waive or have any effect upon its confidentiality,
15    non-discoverability, or non-admissibility.
16    (g) The information described in subsection (f) may not be
17released until it has been reviewed by an employee of the
18Department who is licensed as a prescriber or a dispenser and
19until that employee has certified that further investigation
20is warranted. Upon review and approval by a licensed
21prescriber or dispenser, or trained designee, the Prescription
22Monitoring Program may release information described in
23subsection (f). However, failure to comply with this
24subsection (g) does not invalidate the use of any evidence
25that is otherwise admissible in a proceeding described in
26subsection (h).

 

 

HB5373 Enrolled- 22 -LRB103 36911 RLC 67024 b

1    (h) An investigator or a law enforcement officer receiving
2confidential information under subsection (c), (d), or (f) may
3disclose the information to a law enforcement officer or an
4attorney for the office of the Attorney General for use as
5evidence in the following:
6        (1) A proceeding under any State or federal law that
7    involves a controlled substance.
8        (2) A criminal proceeding or a proceeding in juvenile
9    court that involves a controlled substance.
10    (i) The Department may compile statistical reports from
11the information described in subsection (a). The reports must
12not include information that identifies, by name, license or
13address, any practitioner, dispenser, ultimate user, or other
14person administering a controlled substance.
15    (j) Based upon federal, initial and maintenance funding, a
16prescriber and dispenser inquiry system shall be developed to
17assist the health care community in its goal of effective
18clinical practice and to prevent patients from diverting or
19abusing medications.
20        (1) An inquirer shall have read-only access to a
21    stand-alone database which shall contain records for the
22    previous 12 months.
23        (2) Dispensers may, upon positive and secure
24    identification, make an inquiry on a patient or customer
25    solely for a medical purpose as delineated within the
26    federal HIPAA law.

 

 

HB5373 Enrolled- 23 -LRB103 36911 RLC 67024 b

1        (3) The Department shall provide a one-to-one secure
2    link and encrypted software necessary to establish the
3    link between an inquirer and the Department. Technical
4    assistance shall also be provided.
5        (4) Written inquiries are acceptable but must include
6    the fee and the requester's Drug Enforcement
7    Administration license number and submitted upon the
8    requester's business stationery.
9        (5) As directed by the Prescription Monitoring Program
10    Advisory Committee and the Clinical Director for the
11    Prescription Monitoring Program, aggregate data that does
12    not indicate any prescriber, practitioner, dispenser, or
13    patient may be used for clinical studies.
14        (6) Tracking analysis shall be established and used
15    per administrative rule.
16        (7) Nothing in this Act or Illinois law shall be
17    construed to require a prescriber or dispenser to make use
18    of this inquiry system.
19        (8) If there is an adverse outcome because of a
20    prescriber or dispenser making an inquiry, which is
21    initiated in good faith, the prescriber or dispenser shall
22    be held harmless from any civil liability.
23    (k) The Department shall establish, by rule, the process
24by which to evaluate possible erroneous association of
25prescriptions to any licensed prescriber or end user of the
26Illinois Prescription Information Library (PIL).

 

 

HB5373 Enrolled- 24 -LRB103 36911 RLC 67024 b

1    (l) The Prescription Monitoring Program Advisory Committee
2is authorized to evaluate the need for and method of
3establishing a patient specific identifier.
4    (m) Patients who identify prescriptions attributed to them
5that were not obtained by them shall be given access to their
6personal prescription history pursuant to the validation
7process as set forth by administrative rule.
8    (n) The Prescription Monitoring Program is authorized to
9develop operational push reports to entities with compatible
10electronic medical records. The process shall be covered
11within administrative rule established by the Department.
12    (o) Hospital emergency departments and freestanding
13healthcare facilities providing healthcare to walk-in patients
14may obtain, for the purpose of improving patient care, a
15unique identifier for each shift to utilize the PIL system.
16    (p) The Prescription Monitoring Program shall
17automatically create a log-in to the inquiry system when a
18prescriber or dispenser obtains or renews his or her
19controlled substance license. The Department of Financial and
20Professional Regulation must provide the Prescription
21Monitoring Program with electronic access to the license
22information of a prescriber or dispenser to facilitate the
23creation of this profile. The Prescription Monitoring Program
24shall send the prescriber or dispenser information regarding
25the inquiry system, including instructions on how to log into
26the system, instructions on how to use the system to promote

 

 

HB5373 Enrolled- 25 -LRB103 36911 RLC 67024 b

1effective clinical practice, and opportunities for continuing
2education for the prescribing of controlled substances. The
3Prescription Monitoring Program shall also send to all
4enrolled prescribers, dispensers, and designees information
5regarding the unsolicited reports produced pursuant to Section
6314.5 of this Act.
7    (q) A prescriber or dispenser may authorize a designee to
8consult the inquiry system established by the Department under
9this subsection on his or her behalf, provided that all the
10following conditions are met:
11        (1) the designee so authorized is employed by the same
12    hospital or health care system; is employed by the same
13    professional practice; or is under contract with such
14    practice, hospital, or health care system;
15        (2) the prescriber or dispenser takes reasonable steps
16    to ensure that such designee is sufficiently competent in
17    the use of the inquiry system;
18        (3) the prescriber or dispenser remains responsible
19    for ensuring that access to the inquiry system by the
20    designee is limited to authorized purposes and occurs in a
21    manner that protects the confidentiality of the
22    information obtained from the inquiry system, and remains
23    responsible for any breach of confidentiality; and
24        (4) the ultimate decision as to whether or not to
25    prescribe or dispense a controlled substance remains with
26    the prescriber or dispenser.

 

 

HB5373 Enrolled- 26 -LRB103 36911 RLC 67024 b

1    The Prescription Monitoring Program shall send to
2registered designees information regarding the inquiry system,
3including instructions on how to log onto the system.
4    (r) The Prescription Monitoring Program shall maintain an
5Internet website in conjunction with its prescriber and
6dispenser inquiry system. This website shall include, at a
7minimum, the following information:
8        (1) current clinical guidelines developed by health
9    care professional organizations on the prescribing of
10    opioids or other controlled substances as determined by
11    the Advisory Committee;
12        (2) accredited continuing education programs related
13    to prescribing of controlled substances;
14        (3) programs or information developed by health care
15    professionals that may be used to assess patients or help
16    ensure compliance with prescriptions;
17        (4) updates from the Food and Drug Administration, the
18    Centers for Disease Control and Prevention, and other
19    public and private organizations which are relevant to
20    prescribing;
21        (5) relevant medical studies related to prescribing;
22        (6) other information regarding the prescription of
23    controlled substances; and
24        (7) information regarding prescription drug disposal
25    events, including take-back programs or other disposal
26    options or events.

 

 

HB5373 Enrolled- 27 -LRB103 36911 RLC 67024 b

1    The content of the Internet website shall be periodically
2reviewed by the Prescription Monitoring Program Advisory
3Committee as set forth in Section 320 and updated in
4accordance with the recommendation of the advisory committee.
5    (s) The Prescription Monitoring Program shall regularly
6send electronic updates to the registered users of the
7Program. The Prescription Monitoring Program Advisory
8Committee shall review any communications sent to registered
9users and also make recommendations for communications as set
10forth in Section 320. These updates shall include the
11following information:
12        (1) opportunities for accredited continuing education
13    programs related to prescribing of controlled substances;
14        (2) current clinical guidelines developed by health
15    care professional organizations on the prescribing of
16    opioids or other drugs as determined by the Advisory
17    Committee;
18        (3) programs or information developed by health care
19    professionals that may be used to assess patients or help
20    ensure compliance with prescriptions;
21        (4) updates from the Food and Drug Administration, the
22    Centers for Disease Control and Prevention, and other
23    public and private organizations which are relevant to
24    prescribing;
25        (5) relevant medical studies related to prescribing;
26        (6) other information regarding prescribing of

 

 

HB5373 Enrolled- 28 -LRB103 36911 RLC 67024 b

1    controlled substances;
2        (7) information regarding prescription drug disposal
3    events, including take-back programs or other disposal
4    options or events; and
5        (8) reminders that the Prescription Monitoring Program
6    is a useful clinical tool.
7    (t) Notwithstanding any other provision of this Act,
8neither the Prescription Monitoring Program nor any other
9person shall disclose any information in violation of the
10restrictions and requirements of paragraph (3.5) of subsection
11(a) of Section 316 as implemented under Public Act 102-527.
12(Source: P.A. 102-751, eff. 1-1-23; 103-881, eff. 1-1-25.)
 
13    Section 95. No acceleration or delay. Where this Act makes
14changes in a statute that is represented in this Act by text
15that is not yet or no longer in effect (for example, a Section
16represented by multiple versions), the use of that text does
17not accelerate or delay the taking effect of (i) the changes
18made by this Act or (ii) provisions derived from any other
19Public Act.
 
20    Section 99. Effective date. This Act takes effect upon
21becoming law.