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90_HB0274eng 5 ILCS 120/2 from Ch. 102, par. 42 210 ILCS 50/3.45 210 ILCS 50/3.110 Amends the Emergency Medical Services (EMS) Systems Act and the Open Meetings Act to provide that deliberations for decisions, and not meetings, of the State Emergency Medical Services Disciplinary Review Board are exempt from the requirements of the Open Meetings Act. Further amends the Emergency Medical Services (EMS) Systems Act to provide that information relating to the Board or a local review board, except final decisions, shall be inadmissible and nondiscoverable. LRB9000456DPcc HB0274 Engrossed LRB9000456DPcc 1 AN ACT concerning the State Emergency Medical Services 2 Disciplinary Review Board, amending named Acts. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 5. The Open Meetings Act is amended by changing 6 Section 2 as follows: 7 (5 ILCS 120/2) (from Ch. 102, par. 42) 8 Sec. 2. Open meetings. 9 (a) Openness required. All meetings of public bodies 10 shall be open to the public unless excepted in subsection (c) 11 and closed in accordance with Section 2a. 12 (b) Construction of exceptions. The exceptions contained 13 in subsection (c) are in derogation of the requirement that 14 public bodies meet in the open, and therefore, the exceptions 15 are to be strictly construed, extending only to subjects 16 clearly within their scope. The exceptions authorize but do 17 not require the holding of a closed meeting to discuss a 18 subject included within an enumerated exception. 19 (c) Exceptions. A public body may hold closed meetings 20 to consider the following subjects: 21 (1) The appointment, employment, compensation, 22 discipline, performance, or dismissal of specific 23 employees of the public body, including hearing testimony 24 on a complaint lodged against an employee to determine 25 its validity. 26 (2) Collective negotiating matters between the 27 public body and its employees or their representatives, 28 or deliberations concerning salary schedules for one or 29 more classes of employees. 30 (3) The selection of a person to fill a public 31 office, as defined in this Act, including a vacancy in a HB0274 Engrossed -2- LRB9000456DPcc 1 public office, when the public body is given power to 2 appoint under law or ordinance, or the discipline, 3 performance or removal of the occupant of a public 4 office, when the public body is given power to remove the 5 occupant under law or ordinance. 6 (4) Evidence or testimony presented in open 7 hearing, or in closed hearing where specifically 8 authorized by law, to a quasi-adjudicative body, as 9 defined in this Act, provided that the body prepares and 10 makes available for public inspection a written decision 11 setting forth its determinative reasoning. 12 (5) The purchase or lease of real property for the 13 use of the public body, including meetings held for the 14 purpose of discussing whether a particular parcel should 15 be acquired. 16 (6) The setting of a price for sale or lease of 17 property owned by the public body. 18 (7) The sale or purchase of securities, 19 investments, or investment contracts. 20 (8) Emergency security procedures and the use of 21 personnel and equipment to respond to actual danger to 22 the safety of employees, students, staff or public 23 property, provided that a description of the actual 24 danger shall be made a part of the motion to close the 25 meeting. 26 (9) Student disciplinary cases. 27 (10) The placement of individual students in 28 special education programs and other matters relating to 29 individual students. 30 (11) Litigation, when an action against, affecting 31 or on behalf of the particular public body has been filed 32 and is pending before a court or administrative tribunal, 33 or when the public body finds that an action is probable 34 or imminent, in which case the basis for the finding HB0274 Engrossed -3- LRB9000456DPcc 1 shall be recorded and entered into the minutes of the 2 closed meeting. 3 (12) The establishment of reserves or settlement of 4 claims as provided in the Local Governmental and 5 Governmental Employees Tort Immunity Act, if otherwise 6 the disposition of a claim or potential claim might be 7 prejudiced, or the review or discussion of claims, loss 8 or risk management information, records, data, advice or 9 communications from or with respect to any insurer of the 10 public body or any intergovernmental risk management 11 association or self insurance pool of which the public 12 body is a member. 13 (13) Conciliation of complaints of discrimination 14 in the sale or rental of housing, when closed meetings 15 are authorized by the law or ordinance prescribing fair 16 housing practices and creating a commission or 17 administrative agency for their enforcement. 18 (14) Informant sources, the hiring or assignment of 19 undercover personnel or equipment, or ongoing, prior or 20 future criminal investigations, when discussed by a 21 public body with criminal investigatory responsibilities. 22 (15) Professional ethics or performance when 23 considered by an advisory body appointed to advise a 24 licensing or regulatory agency on matters germane to the 25 advisory body's field of competence. 26 (16) Self evaluation, practices and procedures or 27 professional ethics, when meeting with a representative 28 of a statewide association of which the public body is a 29 member. 30 (17) The recruitment, credentialing, discipline or 31 formal peer review of physicians or other health care 32 professionals for a hospital, or other institution 33 providing medical care, that is operated by the public 34 body. HB0274 Engrossed -4- LRB9000456DPcc 1 (18) Deliberations for decisions of the Prisoner 2 Review Board. 3 (19) Review or discussion of applications received 4 under the Experimental Organ Transplantation Procedures 5 Act. 6 (20) The classification and discussion of matters 7 classified as confidential or continued confidential by 8 the State Employees Suggestion Award Board. 9 (21) Discussion of minutes of meetings lawfully 10 closed under this Act, whether for purposes of approval 11 by the body of the minutes or semi-annual review of the 12 minutes as mandated by Section 2.06. 13 (22) Deliberations for decisionsThe businessof 14 the State Emergency Medical Services Disciplinary Review 15 Board. 16 (d) Definitions. For purposes of this Section: 17 "Employee" means a person employed by a public body whose 18 relationship with the public body constitutes an 19 employer-employee relationship under the usual common law 20 rules, and who is not an independent contractor. 21 "Public office" means a position created by or under the 22 Constitution or laws of this State, the occupant of which is 23 charged with the exercise of some portion of the sovereign 24 power of this State. The term "public office" shall include 25 members of the public body, but it shall not include 26 organizational positions filled by members thereof, whether 27 established by law or by a public body itself, that exist to 28 assist the body in the conduct of its business. 29 "Quasi-adjudicative body" means an administrative body 30 charged by law or ordinance with the responsibility to 31 conduct hearings, receive evidence or testimony and make 32 determinations based thereon, but does not include local 33 electoral boards when such bodies are considering petition 34 challenges. HB0274 Engrossed -5- LRB9000456DPcc 1 (e) Final action. No final action may be taken at a 2 closed meeting. Final action shall be preceded by a public 3 recital of the nature of the matter being considered and 4 other information that will inform the public of the business 5 being conducted. 6 (Source: P.A. 88-530; 88-621, eff. 1-1-95; 89-86, eff. 7 6-30-95; 89-177, eff. 7-19-95; 89-626, eff. 8-9-96.) 8 Section 10. The Emergency Medical Services (EMS) Systems 9 Act is amended by changing Sections 3.45 and 3.110 as 10 follows: 11 (210 ILCS 50/3.45) 12 Sec. 3.45. State Emergency Medical Services Disciplinary 13 Review Board. 14 (a) The Governor shall appoint a State Emergency Medical 15 Services Disciplinary Review Board, composed of an EMS 16 Medical Director, an EMS System Coordinator, an Emergency 17 Medical Technician-Paramedic (EMT-P), an Emergency Medical 18 Technician-Basic (EMT-B), and the following members, who 19 shall only review cases in which a party is from the same 20 professional category: a Pre-Hospital RN, an ECRN, a Trauma 21 Nurse Specialist, an Emergency Medical 22 Technician-Intermediate (EMT-I), a representative from a 23 private vehicle service provider, a representative from a 24 public vehicle service provider, and an emergency physician 25 who monitors telecommunications from and gives voice orders 26 to EMS personnel. The Governor shall also appoint one 27 alternate for each member of the Board, from the same 28 professional category as the member of the Board. 29 (b) Of the members first appointed, 2 members shall be 30 appointed for a term of one year, 2 members shall be 31 appointed for a term of 2 years and the remaining members 32 shall be appointed for a term of 3 years. The terms of HB0274 Engrossed -6- LRB9000456DPcc 1 subsequent appointments shall be 3 years. All appointees 2 shall serve until their successors are appointed. The 3 alternate members shall be appointed and serve in the same 4 fashion as the members of the Board. If a member resigns his 5 or her appointment, the corresponding alternate shall serve 6 the remainder of that member's term until a subsequent member 7 is appointed by the Governor. 8 (c) The function of the Board is to review and affirm, 9 reverse or modify orders to suspend an EMT or other 10 individual provider from participating within an EMS System. 11 (d) An individual, individual provider or other 12 participant who received an immediate suspension from an EMS 13 Medical Director may request the Board to reverse or modify 14 the suspension order. If the suspension had been affirmed or 15 modified by a local System review board, the suspended 16 participant may request the Board to reverse or modify the 17 local board's decision. 18 (e) An individual, individual provider or other 19 participant who received a non-immediate suspension order 20 from an EMS Medical Director which was affirmed or modified 21 by a local System review board may request the Board to 22 reverse or modify the local board's decision. 23 (f) An EMS Medical Director whose suspension order was 24 reversed or modified by a local System review board may 25 request the Board to reverse or modify the local board's 26 decision. 27 (g) The Board shall regularly meet on the first Tuesday 28 of every month, unless no requests for review have been 29 submitted. Additional meetings of the Board shall be 30 scheduled as necessary to insure that a request for direct 31 review of an immediate suspension order is scheduled within 32 14 days after the Department receives the request for review 33 or as soon thereafter as a quorum is available. The Board 34 shall meet in Springfield or Chicago, whichever location is HB0274 Engrossed -7- LRB9000456DPcc 1 closer to the majority of the members or alternates attending 2 the meeting. The Department shall reimburse the members and 3 alternates of the Board for reasonable travel expenses 4 incurred in attending meetings of the Board. 5 (h) A request for review shall be submitted in writing 6 to the Chief of the Department's Division of Emergency 7 Medical Services and Highway Safety, within 10 days after 8 receiving the local board's decision or the EMS Medical 9 Director's suspension order, whichever is applicable, a copy 10 of which shall be enclosed. 11 (i) At its regularly scheduled meetings, the Board shall 12 review requests which have been received by the Department at 13 least 10 working days prior to the Board's meeting date. 14 Requests for review which are received less than 10 working 15 days prior to a scheduled meeting shall be considered at the 16 Board's next scheduled meeting, except that requests for 17 direct review of an immediate suspension order may be 18 scheduled up to 3 working days prior to the Board's meeting 19 date. 20 (j) A quorum shall be required for the Board to meet, 21 which shall consist of 3 members or alternates, including the 22 EMS Medical Director or alternate and the member or alternate 23 from the same professional category as the subject of the 24 suspension order. At each meeting of the Board, the members 25 or alternates present shall select a Chairperson to conduct 26 the meeting. 27 (k) Deliberations for decisionsMeetingsof the State 28 EMS Disciplinary Review Board shall be conducted in closed 29 session. Department staff may attend for the purpose of 30 providing clerical assistance, but.no other persons may be 31 in attendance except for the parties to the dispute being 32 reviewed by the Board and their attorneys, unless by request 33 of the Board.Meetings of the Board shall be exempt from the34provisions of the Open Meetings Act.HB0274 Engrossed -8- LRB9000456DPcc 1 (l) The Board shall review the transcript, evidence and 2 written decision of the local review board or the written 3 decision and supporting documentation of the EMS Medical 4 Director, whichever is applicable, along with any additional 5 written or verbal testimony or argument offered by the 6 parties to the dispute. 7 (m) At the conclusion of its review, the Board shall 8 issue its decision and the basis for its decision on a form 9 provided by the Department, and shall submit to the 10 Department its written decision together with the record of 11 the local System review board. The Department shall promptly 12 issue a copy of the Board's decision to all affected parties. 13 The Board's decision shall be binding on all parties. 14 (Source: P.A. 89-177, eff. 7-19-95.) 15 (210 ILCS 50/3.110) 16 Sec. 3.110. EMS system and trauma center confidentiality 17 and immunity. 18 (a) All information contained in or relating to any 19 medical audit performed of a trauma center's trauma services 20 pursuant to this Act or by an EMS Medical Director or his 21 designee of medical care rendered by System personnel, shall 22 be afforded the same status as is provided information 23 concerning medical studies in Article VIII, Part 21 of the 24 Code of Civil Procedure. Disclosure of such information to 25 the Department pursuant to this Act shall not be considered a 26 violation of Article VIII, Part 21 of the Code of Civil 27 Procedure. 28 (b) Hospitals, trauma centers and individuals that 29 perform or participate in medical audits pursuant to this Act 30 shall be immune from civil liability to the same extent as 31 provided in Section 10.2 of the Hospital Licensing Act. 32 (c) All information relating to the State Emergency 33 Medical Services Disciplinary Review Board or a local review HB0274 Engrossed -9- LRB9000456DPcc 1 board, except final decisions, shall be afforded the same 2 status as is provided information concerning medical studies 3 in Article VIII, Part 21 of the Code of Civil Procedure. 4 Disclosure of such information to the Department pursuant to 5 this Act shall not be considered a violation of Article VIII, 6 Part 21 of the Code of Civil Procedure. 7 (Source: P.A. 89-177, eff. 7-19-95.)