State of Illinois
91st General Assembly
Legislation

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91_HB0796

 
                                               LRB9101128OBcs

 1        AN ACT creating the Woman's Right to Know Act, amending a
 2    named Act.

 3        Be it enacted by the People of  the  State  of  Illinois,
 4    represented in the General Assembly:

 5        Section  1.  Short  title.  This  Act may be cited as the
 6    Woman's Right to Know Act.

 7        Section 5. Legislative findings and purposes.
 8        (a)  The General Assembly of the State of Illinois  finds
 9    that:
10             (1)  It   is  essential  to  the  psychological  and
11        physical well-being of a woman  considering  an  abortion
12        that she receive complete and accurate information on her
13        alternatives.
14             (2)  The   knowledgeable   exercise   of  a  woman's
15        decision to have an abortion depends  on  the  extent  to
16        which  the  woman receives sufficient information to make
17        an informed choice between 2 alternatives:  giving  birth
18        or having an abortion.
19             (3)  Many abortions are performed in clinics devoted
20        solely   to   providing  abortions  and  family  planning
21        services.  Most  women  who  seek  abortions   at   these
22        facilities   do   not  have  any  relationship  with  the
23        physician who performs the abortion, before or after  the
24        procedure.  They  do  not  return  to  the  facility  for
25        post-surgical  care.  In most instances, the woman's only
26        actual contact with the physician  occurs  simultaneously
27        with  the  abortion procedure, with little opportunity to
28        receive counseling concerning her decision.
29             (4)  The decision to abort  "is  an  important,  and
30        often a stressful one, and it is desirable and imperative
31        that  it  be  made  with full knowledge of its nature and
 
                            -2-                LRB9101128OBcs
 1        consequences." Planned Parenthood v. Danforth,  428  U.S.
 2        52, 67 (1976).
 3             (5)  "The   medical,  emotional,  and  psychological
 4        consequences of  an  abortion  are  serious  and  can  be
 5        lasting.  .  .  ."  H.L.  v.  Matheson, 450 U.S. 398, 411
 6        (1981).
 7             (6)  Some women seek abortions in  great  haste  and
 8        under  emotional  stress.    Some  submit  to an unwanted
 9        abortion against their  conscience  because  of  pressure
10        from   other   people.   Women  who  choose  abortion  in
11        violation of their  consciences  are  significantly  more
12        prone  to  suffer severe psychological distress following
13        an abortion.
14        (b)  Based on the findings  in  subsection  (a)  of  this
15    Section, it is the purpose of this Act to:
16             (1)  Ensure that every woman considering an abortion
17        receive complete information on her alternatives and that
18        every  woman  submitting  to an abortion do so only after
19        giving her voluntary and informed consent to the abortion
20        procedure.
21             (2)  Protect  unborn   children   from   a   woman's
22        uninformed decision to have an abortion.
23             (3)  Reduce  the  risk  that  a  woman  may elect an
24        abortion,  only  to  discover  later,  with   devastating
25        psychological  consequences,  that  her  decision was not
26        fully informed. Planned Parenthood v.  Casey,  112  S.Ct.
27        2791, 2823 (1992).

28        Section 10. Definitions.  As used in this Act:
29        (a)  "Abortion"  means  the  use  or  prescription of any
30    instrument, medicine, drug, or any other substance or  device
31    with  the  intent to terminate the pregnancy of a woman known
32    to be pregnant. Such use or prescription is not  an  abortion
33    if  done with the intent to (1) save the life or preserve the
 
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 1    health of an unborn child, (2) remove a dead unborn child, or
 2    (3) deliver an unborn child prematurely in order to  preserve
 3    the health of both the pregnant woman and her unborn child.
 4        (b)  "Complication"  means  that  condition that includes
 5    but  is  not  limited  to  hemorrhage,   infection,   uterine
 6    perforation,   cervical   laceration,   pelvic   inflammatory
 7    disease,  endometritis, and retained products. The Department
 8    may further define "complication."
 9        (c)  "Conception"   means   the   fusion   of   a   human
10    spermatozoon with a human ovum.
11        (d)  "Department" means the Department of  Public  Health
12    of the State of Illinois.
13        (e)  "Facility" or "medical facility" means any public or
14    private  hospital,  clinic,  center,  medical school, medical
15    training  institution,  health  care  facility,   physician's
16    office,  infirmary, dispensary, ambulatory surgical treatment
17    center or other institution or location wherein medical  care
18    is provided to any person.
19        (f)  "First  trimester"  means  the  first  12  weeks  of
20    gestation.
21        (g)  "Gestational  age"  means  the time that has elapsed
22    since the first day of the woman's last menstrual period.
23        (h)  "Hospital" means an institution licensed under  laws
24    of this State.
25        (i)  "Medical  emergency"  means that condition which, on
26    the basis of the physician's good faith clinical judgment, so
27    complicates the medical condition of a pregnant woman  as  to
28    necessitate  the immediate abortion of her pregnancy to avert
29    her death or for which a delay will create  serious  risk  of
30    substantial  and  irreversible  impairment  of a major bodily
31    function.
32        (j)  "Physician" means any person  licensed  to  practice
33    medicine  in  all its branches under the Medical Practice Act
34    of 1987.
 
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 1        (k)  "Pregnant"  or   "pregnancy"   means   that   female
 2    reproductive  condition  of  having  an  unborn  child in the
 3    woman's body.
 4        (l)  "Qualified person" means an agent of  the  physician
 5    who  is  a  psychologist,  licensed  social  worker, licensed
 6    professional counselor, registered nurse, or physician.
 7        (m)  "Unborn child" means the offspring of  human  beings
 8    from conception until birth.
 9        (n)  "Viability"  means  the  state  of fetal development
10    when,  in  the  judgment  of  the  physician  based  on   the
11    particular  facts  of the case before him or her and in light
12    of the  most  advanced  medical  technology  and  information
13    available  to him or her, there is a reasonable likelihood of
14    sustained survival of the unborn child outside  the  body  of
15    his or her mother, with or without artificial support.
16        (o)  "Woman" means any female person.

17        Section  15.  Informed  consent  requirement. No abortion
18    shall be performed  or  induced  without  the  voluntary  and
19    informed consent of the woman upon whom the abortion is to be
20    performed  or  induced.  Except  in  the  case  of  a medical
21    emergency, consent to an abortion is voluntary  and  informed
22    if and only if:
23        (a)  At least 24 hours before the abortion, the physician
24    who is to perform the abortion or the referring physician has
25    informed the woman, orally and in person, of:
26             (1)  The  name of the physician who will perform the
27        abortion.
28             (2)  A description of the proposed  abortion  method
29        and of those risks when medically accurate including, but
30        not  limited  to,  the  risks  of  infection, hemorrhage,
31        danger to  subsequent  pregnancies,  breast  cancer,  the
32        possible adverse psychological effects associated with an
33        abortion,   and  alternatives  to  the  abortion  that  a
 
                            -5-                LRB9101128OBcs
 1        reasonable  patient  would  consider  material   to   the
 2        decision of whether or not to undergo the abortion.
 3             (3)  The  probable  gestational  age  of  the unborn
 4        child at the time the abortion is to be  performed,  and,
 5        if  the  unborn  child  is  viable  or  has  reached  the
 6        gestational  age  of  24 weeks, that (i) the unborn child
 7        may be able to survive outside the womb; (ii)  the  woman
 8        has  the right to request the physician to use the method
 9        of abortion that is most likely to preserve the  life  of
10        the  unborn  child; and (iii) if the unborn child is born
11        alive, the attending physician has the  legal  obligation
12        to  take  all  reasonable steps necessary to maintain the
13        life and health of the child.
14             (4)  The  probable  anatomical   and   physiological
15        characteristics  of  the  unborn  child  at  the time the
16        abortion is to be performed.
17             (5)  The medical risks associated with carrying  her
18        child to term.
19             (6)  Any need for anti-Rh immune globulin therapy if
20        she  is  Rh negative, the likely consequences of refusing
21        such therapy, and the cost of the therapy.
22             (7)  Results of the pregnancy test  or  examinations
23        or both.
24        (b)  At least 24 hours before the abortion, the physician
25    who is to perform the abortion, the referring physician, or a
26    qualified  person  has  informed  the  woman,  orally  and in
27    person, that:
28             (1)  Medical assistance benefits  may  be  available
29        for  prenatal  care,  childbirth,  and neonatal care, and
30        that more detailed information  on  the  availability  of
31        such assistance is contained in the printed materials and
32        informational video given to her and described in Section
33        20.
34             (2)  The  printed  materials and informational video
 
                            -6-                LRB9101128OBcs
 1        in Section 20 describe the unborn child and list agencies
 2        that offer alternatives to abortion.
 3             (3)  The father of the unborn  child  is  liable  to
 4        assist  in  the  support of this child, even in instances
 5        where he has offered to pay for the abortion. In the case
 6        of rape or incest, this information may be omitted.
 7             (4)  She is free to withhold or withdraw her consent
 8        to the abortion at any time before or during the abortion
 9        without affecting her right to future care  or  treatment
10        and  without  the  loss  of any State or federally funded
11        benefits to which she might otherwise be entitled.
12        (c)  The  information  in  paragraphs  (a)  and  (b)   is
13    provided  to  the  woman individually (or with a parent if an
14    unemancipated minor requests or with a guardian)   and  in  a
15    private   room  to  protect  her  privacy  and  maintain  the
16    confidentiality  of  her  decision,  to   ensure   that   the
17    information  focuses on her individual circumstances and that
18    she has an adequate opportunity to ask questions.
19        (d)  At least 24 hours before the abortion, the woman  is
20    given  a  copy  of the printed materials and if she chooses a
21    viewing of the informational video described in  Section  20.
22    If  the  woman is unable to read the materials, they shall be
23    read to her. If the woman asks questions  concerning  any  of
24    the  information  or  materials, answers shall be provided to
25    her in her own language.
26        (e)  The woman certifies in writing on a  checklist  form
27    provided  by  the  Department  prior to the abortion that the
28    information required to be  provided  under  paragraphs  (a),
29    (b),  and  (d)  has been provided. All physicians who perform
30    abortions shall report the  total  number  of  certifications
31    received monthly to the Department. The Department shall make
32    the number of certifications received available to the public
33    on an annual basis.
34        (f)  Prior  to  the  performance  of  the  abortion,  the
 
                            -7-                LRB9101128OBcs
 1    physician  who  is  to  perform  the  abortion or a qualified
 2    person  receives  a  copy  of   the   written   certification
 3    prescribed by paragraph (e) of this Section.
 4        (g)  The  woman is not required to pay any amount for the
 5    abortion procedure until the 24-hour  reflection  period  has
 6    expired.

 7        Section 20. Publication of materials.
 8        The  Department  shall  cause  to  be  published  printed
 9    materials  and an informational video in English and Spanish,
10    within 90 days after this Act  becomes  law.  The  Department
11    shall  update  on  an  annual  basis,  the  following  easily
12    comprehensible printed materials and informational video:
13             (1)  Geographically  indexed  materials  that inform
14        the woman of public and  private  agencies  and  services
15        available  to  assist  a  woman  through  pregnancy, upon
16        childbirth and while her child  is  dependent,  including
17        but not limited to adoption agencies. The materials shall
18        include   a   comprehensive   list  of  the  agencies,  a
19        description of the services they offer, and the telephone
20        numbers and addresses of the agencies, and  shall  inform
21        the woman about available medical assistance benefits for
22        prenatal care, childbirth, and neonatal care.
23             The  Department  shall  ensure  that  the  materials
24        described  in  this  Section are comprehensive and do not
25        directly or indirectly promote,  exclude,  or  discourage
26        the  use  of  any  agency  or  service  described in this
27        Section. The materials shall also contain a toll-free  24
28        hour  a day telephone number that may be called to obtain
29        orally such a list and description  of  agencies  in  the
30        locality of the caller and of the services they offer.
31             The  materials  shall  state  that any physician who
32        performs an abortion upon a woman  without  her  informed
33        consent  may  be  liable  to  her  for damages in a civil
 
                            -8-                LRB9101128OBcs
 1        action and that the law permits adoptive parents  to  pay
 2        costs  of  prenatal  care, childbirth, and neonatal care.
 3        The materials shall include the following statement:
 4             "There are many public and private agencies  willing
 5        and  able to help you to carry your child to term, and to
 6        assist you and your  child  after  your  child  is  born,
 7        whether  you choose to keep your child or to place her or
 8        him for adoption. The State of  Illinois  strongly  urges
 9        you  to  contact  one  or  more  of these agencies before
10        making a final decision about abortion. The law  requires
11        that your physician or his agent give you the opportunity
12        to  call  agencies  like  these  before  you  undergo  an
13        abortion."
14             (2)  Materials   that  include  information  on  the
15        support obligations of the father of a child who is  born
16        alive,  including  but  not limited to the father's legal
17        duty to  support  his  child,  which  may  include  child
18        support  payments and health insurance, and the fact that
19        paternity may be established by the father's signature on
20        a birth certificate or  statement  of  paternity,  or  by
21        court  action.   And  that  more  information  concerning
22        paternity  establishment  and  child support services and
23        enforcement may be obtained by calling  State  or  county
24        public assistance agencies.
25             (3)  Materials that inform the pregnant woman of the
26        probable  anatomical and physiological characteristics of
27        the unborn child at 2-week  gestational  increments  from
28        fertilization    to   full   term,   including   pictures
29        representing the development of an unborn child at 2-week
30        gestational increments. The  descriptions  shall  include
31        information  about brain and heart function, the presence
32        of  external  members  and  internal  organs  during  the
33        applicable  stages  of  development  and   any   relevant
34        information  on  the  possibility  of  the unborn child's
 
                            -9-                LRB9101128OBcs
 1        survival. Any such pictures must contain  the  dimensions
 2        of  the unborn child and must be realistic. The materials
 3        shall be objective, nonjudgmental, and designed to convey
 4        only accurate scientific  information  about  the  unborn
 5        child at the various gestational ages.
 6             (4)  Materials  that  contain  objective information
 7        describing the methods of  abortion  procedures  commonly
 8        employed, the medical risks commonly associated with each
 9        procedure  when  medically  accurate  including,  but not
10        limited to, the risks of infection, hemorrhage, danger to
11        subsequent  pregnancies,  breast  cancer,  the   possible
12        adverse   psychological   effects   associated   with  an
13        abortion, and the medical risks associated with  carrying
14        a child to term.
15             (5)  A  checklist  certification  form to be used by
16        the physician or a qualified person under  paragraph  (e)
17        of Section 15 of this Act, which shall list all the items
18        of  information  that  are  to be given to the woman by a
19        physician or the agent under this Act.
20                  The materials shall be printed  in  a  typeface
21        large enough to be clearly legible.
22                  The  Department  shall  produce  a standardized
23        videotape that may be used statewide, containing  all  of
24        the  information  described  in paragraphs (1), (2), (3),
25        and (4), in accordance with  the  requirements  of  those
26        paragraphs.  In  preparing  the video, the Department may
27        summarize and make reference to the printed comprehensive
28        list  of  geographically  indexed  names   and   services
29        described  in  paragraph  (1).  The  videotape  shall, in
30        addition to the information described in paragraphs  (1),
31        (2), (3), and (4), show an ultrasound of the heartbeat of
32        an  unborn child at 4 to 5 weeks gestational age, at 6 to
33        8 weeks gestational age, and each month thereafter, until
34        viability. That information  shall  be  presented  in  an
 
                            -10-               LRB9101128OBcs
 1        objective,   unbiased  manner  designed  to  convey  only
 2        accurate scientific information.
 3                  The printed materials  and  videotape  required
 4        under this Section shall be available at no cost from the
 5        Department  upon request and in appropriate number to any
 6        person, facility, or hospital.

 7        Section  25.  Emergencies.  Where  a  medical   emergency
 8    compels  the  performance of an abortion, the physician shall
 9    inform the woman, before the abortion  if  possible,  of  the
10    medical  indications  supporting  his or her judgment that an
11    abortion  is  necessary  to  avert  her  death  or  to  avert
12    substantial and irreversible impairment  of  a  major  bodily
13    function.

14        Section   30.   Criminal   penalties.   Any   person  who
15    intentionally, knowingly, or recklessly violates this Act  is
16    guilty of a Class A misdemeanor.

17        Section  35.  Civil  penalties.  In  addition to whatever
18    remedies are available under the common or statutory  law  of
19    this  State,  failure to comply with the requirements of this
20    Act shall:
21        (a)  Provide a basis for a civil malpractice action.  Any
22    intentional  violation  of  this Act shall be admissible in a
23    civil suit as prima facie evidence of a failure to obtain  an
24    informed  consent.  When  requested,  the court shall allow a
25    woman to proceed using solely her initials or a pseudonym and
26    may close  any  proceedings  in  the  case  and  enter  other
27    protective  orders  to preserve the privacy of the woman upon
28    whom the abortion was performed.
29        (b)  Provide a basis for professional disciplinary action
30    under the Medical Practice Act of 1987.
31        (c)  Provide a basis for recovery for the woman  for  the
 
                            -11-               LRB9101128OBcs
 1    death of her unborn child under the Wrongful Death Act.

 2        Section 40. Construction.
 3        (a)  Nothing  in  this Act shall be construed as creating
 4    or recognizing a right to an abortion.
 5        (b)  It is not the intention of this law to  make  lawful
 6    an abortion that is currently unlawful.

 7        Section  45.  Severability. The provisions of the Act are
 8    declared to be severable, and if any provision, word, phrase,
 9    or clause of the Act or the application thereof to any person
10    shall be held invalid, such invalidity shall not  affect  the
11    validity of the remaining portions of this Act.

12        Section  120. The Medical Practice Act of 1987 is amended
13    by changing Section 22 as follows:

14        (225 ILCS 60/22) (from Ch. 111, par. 4400-22)
15        Sec. 22.  Disciplinary action.
16        (A)  The  Department  may  revoke,  suspend,   place   on
17    probationary status, or take any other disciplinary action as
18    the  Department may deem proper with regard to the license or
19    visiting professor permit of any person issued under this Act
20    to practice medicine, or to treat human ailments without  the
21    use  of  drugs  and without operative surgery upon any of the
22    following grounds:
23             (1)  Performance of  an  elective  abortion  in  any
24        place, locale, facility, or institution other than:
25                  (a)  a   facility   licensed  pursuant  to  the
26             Ambulatory Surgical Treatment Center Act;
27                  (b)  an institution licensed under the Hospital
28             Licensing Act; or
29                  (c)  an ambulatory surgical treatment center or
30             hospitalization or care facility maintained  by  the
 
                            -12-               LRB9101128OBcs
 1             State  or  any agency thereof, where such department
 2             or agency has authority under law to  establish  and
 3             enforce   standards   for  the  ambulatory  surgical
 4             treatment   centers,   hospitalization,   or    care
 5             facilities under its management and control; or
 6                  (d)  ambulatory   surgical  treatment  centers,
 7             hospitalization or care facilities maintained by the
 8             Federal Government; or
 9                  (e)  ambulatory  surgical  treatment   centers,
10             hospitalization or care facilities maintained by any
11             university  or college established under the laws of
12             this State and supported principally by public funds
13             raised by taxation.
14             (2)  Performance  of  an  abortion  procedure  in  a
15        wilful and wanton manner on a woman who was not  pregnant
16        at the time the abortion procedure was performed.
17             (3)  The conviction of a felony in this or any other
18        jurisdiction,  except as otherwise provided in subsection
19        B of this Section, whether or  not  related  to  practice
20        under  this  Act,  or  the  entry  of  a  guilty  or nolo
21        contendere plea to a felony charge.
22             (4)  Gross negligence in practice under this Act.
23             (5)  Engaging   in   dishonorable,   unethical    or
24        unprofessional  conduct of a character likely to deceive,
25        defraud or harm the public.
26             (6)  Obtaining  any  fee  by   fraud,   deceit,   or
27        misrepresentation.
28             (7)  Habitual  or  excessive  use  or abuse of drugs
29        defined in law as controlled substances, of  alcohol,  or
30        of any other substances which results in the inability to
31        practice with reasonable judgment, skill or safety.
32             (8)  Practicing under a false or, except as provided
33        by law, an assumed name.
34             (9)  Fraud  or misrepresentation in applying for, or
 
                            -13-               LRB9101128OBcs
 1        procuring, a license under this Act or in connection with
 2        applying for renewal of a license under this Act.
 3             (10)  Making  a  false   or   misleading   statement
 4        regarding  their  skill  or  the efficacy or value of the
 5        medicine, treatment, or  remedy  prescribed  by  them  at
 6        their  direction in the treatment of any disease or other
 7        condition of the body or mind.
 8             (11)  Allowing another person or organization to use
 9        their license, procured under this Act, to practice.
10             (12)  Disciplinary  action  of  another   state   or
11        jurisdiction  against a license or other authorization to
12        practice as  a  medical  doctor,  doctor  of  osteopathy,
13        doctor of osteopathic medicine or doctor of chiropractic,
14        a certified copy of the record of the action taken by the
15        other  state  or  jurisdiction being prima facie evidence
16        thereof.
17             (13)  Violation of any provision of this Act  or  of
18        the Medical Practice Act prior to the repeal of that Act,
19        or  violation  of  the  rules,  or a final administrative
20        action  of  the  Director,  after  consideration  of  the
21        recommendation of the Disciplinary Board.
22             (14)  Dividing with  anyone  other  than  physicians
23        with  whom  the  licensee  practices  in  a  partnership,
24        Professional  Association,  limited liability company, or
25        Medical or Professional Corporation any fee,  commission,
26        rebate or other form of compensation for any professional
27        services  not  actually  and personally rendered. Nothing
28        contained in this subsection  prohibits  persons  holding
29        valid and current licenses under this Act from practicing
30        medicine  in  partnership  under a partnership agreement,
31        including a limited liability partnership, in  a  limited
32        liability  company  under  the  Limited Liability Company
33        Act,  in  a  corporation  authorized   by   the   Medical
34        Corporation  Act,  as  an  association  authorized by the
 
                            -14-               LRB9101128OBcs
 1        Professional Association Act, or in a  corporation  under
 2        the   Professional   Corporation  Act  or  from  pooling,
 3        sharing, dividing or apportioning  the  fees  and  monies
 4        received  by  them  or by the partnership, corporation or
 5        association in accordance with the partnership  agreement
 6        or  the  policies  of  the  Board  of  Directors  of  the
 7        corporation  or  association.   Nothing contained in this
 8        subsection prohibits 2 or more corporations authorized by
 9        the Medical Corporation Act, from forming  a  partnership
10        or  joint  venture  of  such  corporations, and providing
11        medical, surgical and scientific research  and  knowledge
12        by  employees of these corporations if such employees are
13        licensed  under  this  Act,  or  from  pooling,  sharing,
14        dividing, or apportioning the fees and monies received by
15        the partnership or joint venture in accordance  with  the
16        partnership   or   joint   venture   agreement.   Nothing
17        contained in this subsection shall abrogate the right  of
18        2  or  more  persons,  holding valid and current licenses
19        under this Act, to each receive adequate compensation for
20        concurrently rendering professional services to a patient
21        and  divide  a  fee;  provided,  the  patient  has   full
22        knowledge  of  the  division,  and,  provided,  that  the
23        division  is made in proportion to the services performed
24        and responsibility assumed by each.
25             (15)  A finding by the  Medical  Disciplinary  Board
26        that  the  registrant  after  having  his  or her license
27        placed on probationary status or subjected to  conditions
28        or  restrictions  violated  the terms of the probation or
29        failed to comply with such terms or conditions.
30             (16)  Abandonment of a patient.
31             (17)  Prescribing,      selling,      administering,
32        distributing,  giving  or  self-administering  any   drug
33        classified as a controlled substance (designated product)
34        or narcotic for other than medically accepted therapeutic
 
                            -15-               LRB9101128OBcs
 1        purposes.
 2             (18)  Promotion  of  the  sale  of  drugs,  devices,
 3        appliances or goods provided for a patient in such manner
 4        as  to  exploit  the  patient  for  financial gain of the
 5        physician.
 6             (19)  Offering, undertaking or agreeing to  cure  or
 7        treat disease by a secret method, procedure, treatment or
 8        medicine,  or  the treating, operating or prescribing for
 9        any human condition by a method, means or procedure which
10        the licensee  refuses  to  divulge  upon  demand  of  the
11        Department.
12             (20)  Immoral  conduct  in the commission of any act
13        including, but not limited to, commission of  an  act  of
14        sexual misconduct related to the licensee's practice.
15             (21)  Wilfully  making  or  filing  false records or
16        reports in his or her practice as a physician, including,
17        but not limited  to,  false  records  to  support  claims
18        against  the medical assistance program of the Department
19        of Public Aid under the Illinois Public Aid Code.
20             (22)  Wilful omission to file or record, or wilfully
21        impeding the filing or  recording,  or  inducing  another
22        person  to  omit  to  file  or record, medical reports as
23        required  by  law,  or  wilfully  failing  to  report  an
24        instance of suspected abuse or  neglect  as  required  by
25        law.
26             (23)  Being  named  as a perpetrator in an indicated
27        report by the Department of Children and Family  Services
28        under  the  Abused and Neglected Child Reporting Act, and
29        upon proof by clear  and  convincing  evidence  that  the
30        licensee  has  caused  a  child  to be an abused child or
31        neglected child as defined in the  Abused  and  Neglected
32        Child Reporting Act.
33             (24)  Solicitation  of professional patronage by any
34        corporation, agents or persons, or profiting  from  those
 
                            -16-               LRB9101128OBcs
 1        representing themselves to be agents of the licensee.
 2             (25)  Gross  and  wilful  and continued overcharging
 3        for  professional  services,   including   filing   false
 4        statements  for collection of fees for which services are
 5        not rendered, including, but not limited to, filing  such
 6        false  statements  for  collection of monies for services
 7        not rendered from the medical assistance program  of  the
 8        Department  of  Public  Aid under the Illinois Public Aid
 9        Code.
10             (26)  A pattern of practice or other behavior  which
11        demonstrates incapacity or incompetence to practice under
12        this Act.
13             (27)  Mental  illness or disability which results in
14        the inability to practice under this Act with  reasonable
15        judgment, skill or safety.
16             (28)  Physical  illness,  including, but not limited
17        to, deterioration through the aging process, or  loss  of
18        motor  skill  which results in a physician's inability to
19        practice under this Act with reasonable  judgment,  skill
20        or safety.
21             (29)  Cheating   on   or   attempt  to  subvert  the
22        licensing examinations administered under this Act.
23             (30)  Wilfully   or   negligently   violating    the
24        confidentiality  between  physician and patient except as
25        required by law.
26             (31)  The use of any false, fraudulent, or deceptive
27        statement in any document connected with  practice  under
28        this Act.
29             (32)  Aiding and abetting an individual not licensed
30        under  this  Act in the practice of a profession licensed
31        under this Act.
32             (33)  Violating state or federal laws or regulations
33        relating to controlled substances.
34             (34)  Failure  to  report  to  the  Department   any
 
                            -17-               LRB9101128OBcs
 1        adverse  final  action  taken  against  them  by  another
 2        licensing  jurisdiction (any other state or any territory
 3        of the United States or any foreign state or country), by
 4        any peer review body, by any health care institution,  by
 5        any   professional  society  or  association  related  to
 6        practice under this Act, by any governmental  agency,  by
 7        any  law  enforcement agency, or by any court for acts or
 8        conduct similar to acts or conduct which would constitute
 9        grounds for action as defined in this Section.
10             (35)  Failure to report to the Department  surrender
11        of  a  license  or authorization to practice as a medical
12        doctor, a doctor of osteopathy, a doctor  of  osteopathic
13        medicine,  or  doctor of chiropractic in another state or
14        jurisdiction, or surrender of membership on  any  medical
15        staff  or  in  any medical or professional association or
16        society, while under disciplinary investigation by any of
17        those authorities or bodies, for acts or conduct  similar
18        to  acts  or  conduct  which would constitute grounds for
19        action as defined in this Section.
20             (36)  Failure  to  report  to  the  Department   any
21        adverse  judgment,  settlement,  or  award arising from a
22        liability claim related to acts  or  conduct  similar  to
23        acts or conduct which would constitute grounds for action
24        as defined in this Section.
25             (37)  Failure  to transfer copies of medical records
26        as required by law.
27             (38)  Failure  to  furnish   the   Department,   its
28        investigators  or  representatives, relevant information,
29        legally requested by the  Department  after  consultation
30        with  the Chief Medical Coordinator or the Deputy Medical
31        Coordinator.
32             (39)  Violating the Health Care Worker Self-Referral
33        Act.
34             (40)  Willful failure to provide notice when  notice
 
                            -18-               LRB9101128OBcs
 1        is  required under the Parental Notice of Abortion Act of
 2        1995.
 3             (41)  Failure to establish and maintain  records  of
 4        patient care and treatment as required by this law.
 5             (42)  Entering  into  an excessive number of written
 6        collaborative agreements with licensed advanced  practice
 7        nurses   resulting   in   an   inability   to  adequately
 8        collaborate and provide medical direction.
 9             (43)  Repeated  failure  to  adequately  collaborate
10        with or provide medical direction to a licensed  advanced
11        practice nurse.
12             (44)  Violating the Woman's Right to Know Act.
13        All proceedings to suspend, revoke, place on probationary
14    status,   or  take  any  other  disciplinary  action  as  the
15    Department may deem proper, with regard to a license  on  any
16    of  the  foregoing  grounds, must be commenced within 3 years
17    next after receipt by the Department of a complaint  alleging
18    the  commission  of or notice of the conviction order for any
19    of  the  acts  described  herein.   Except  for  the  grounds
20    numbered (8), (9) and (29), no action shall be commenced more
21    than 5 years after the date of the incident or act alleged to
22    have violated this Section.  In the event of  the  settlement
23    of  any  claim or cause of action in favor of the claimant or
24    the reduction to final judgment of any civil action in  favor
25    of the plaintiff, such claim, cause of action or civil action
26    being grounded on the allegation that a person licensed under
27    this  Act  was  negligent  in  providing care, the Department
28    shall have an additional period of one year from the date  of
29    notification  to  the Department under Section 23 of this Act
30    of such settlement or final judgment in which to  investigate
31    and commence formal disciplinary proceedings under Section 36
32    of  this  Act, except as otherwise provided by law.  The time
33    during which the holder of the license was outside the  State
34    of  Illinois  shall not be included within any period of time
 
                            -19-               LRB9101128OBcs
 1    limiting the  commencement  of  disciplinary  action  by  the
 2    Department.
 3        The  entry  of  an order or judgment by any circuit court
 4    establishing that any person holding a license under this Act
 5    is a person  in  need  of  mental  treatment  operates  as  a
 6    suspension  of  that  license.   That person may resume their
 7    practice only upon the entry of a  Departmental  order  based
 8    upon  a  finding  by the Medical Disciplinary Board that they
 9    have been determined to be recovered from mental  illness  by
10    the  court  and  upon the Disciplinary Board's recommendation
11    that they be permitted to resume their practice.
12        The Department may refuse to issue or  take  disciplinary
13    action concerning the license of any person who fails to file
14    a  return,  or to pay the tax, penalty or interest shown in a
15    filed return, or to pay any final assessment of tax,  penalty
16    or  interest,  as required by any tax Act administered by the
17    Illinois Department  of  Revenue,  until  such  time  as  the
18    requirements  of any such tax Act are satisfied as determined
19    by the Illinois Department of Revenue.
20        The  Department,   upon   the   recommendation   of   the
21    Disciplinary   Board,  shall  adopt  rules  which  set  forth
22    standards to be used in determining:
23             (a)  when  a  person  will  be  deemed  sufficiently
24        rehabilitated to warrant the public trust;
25             (b)  what  constitutes  dishonorable,  unethical  or
26        unprofessional conduct of a character likely to  deceive,
27        defraud, or harm the public;
28             (c)  what   constitutes   immoral   conduct  in  the
29        commission of any act, including,  but  not  limited  to,
30        commission  of an act of sexual misconduct related to the
31        licensee's practice; and
32             (d)  what  constitutes  gross  negligence   in   the
33        practice of medicine.
34        However,  no  such rule shall be admissible into evidence
 
                            -20-               LRB9101128OBcs
 1    in any civil action except for review of a licensing or other
 2    disciplinary action under this Act.
 3        In  enforcing  this  Section,  the  Medical  Disciplinary
 4    Board, upon a showing of a possible violation, may compel any
 5    individual licensed to practice under this Act,  or  who  has
 6    applied  for  licensure  or a permit pursuant to this Act, to
 7    submit to a mental  or  physical  examination,  or  both,  as
 8    required  by  and  at  the  expense  of  the Department.  The
 9    examining physician or physicians shall be those specifically
10    designated   by   the   Disciplinary   Board.   The   Medical
11    Disciplinary Board or the Department may order the  examining
12    physician  to  present  testimony  concerning  this mental or
13    physical  examination  of  the  licensee  or  applicant.   No
14    information shall be excluded by reason of any common law  or
15    statutory  privilege  relating  to  communication between the
16    licensee  or  applicant  and  the  examining  physician.  The
17    individual to be  examined  may  have,  at  his  or  her  own
18    expense,  another  physician  of  his  or  her choice present
19    during all aspects  of  the  examination.    Failure  of  any
20    individual  to submit to mental or physical examination, when
21    directed, shall be grounds  for  suspension  of  his  or  her
22    license  until  such  time  as  the individual submits to the
23    examination if the Disciplinary Board finds, after notice and
24    hearing, that the refusal to submit to  the  examination  was
25    without  reasonable cause.  If the Disciplinary Board finds a
26    physician unable to practice because of the reasons set forth
27    in this Section, the Disciplinary Board  shall  require  such
28    physician  to  submit  to  care,  counseling, or treatment by
29    physicians approved or designated by the Disciplinary  Board,
30    as   a   condition  for  continued,  reinstated,  or  renewed
31    licensure to practice.   Any  physician,  whose  license  was
32    granted  pursuant  to  Sections 9, 17, or 19 of this Act, or,
33    continued, reinstated, renewed,  disciplined  or  supervised,
34    subject  to  such terms, conditions or restrictions who shall
 
                            -21-               LRB9101128OBcs
 1    fail to comply with such terms, conditions  or  restrictions,
 2    or  to  complete  a  required program of care, counseling, or
 3    treatment, as determined by the Chief Medical Coordinator  or
 4    Deputy   Medical  Coordinators,  shall  be  referred  to  the
 5    Director for a determination as to whether the licensee shall
 6    have their license suspended immediately, pending  a  hearing
 7    by  the  Disciplinary  Board.   In  instances  in  which  the
 8    Director immediately suspends a license under this Section, a
 9    hearing  upon  such  person's license must be convened by the
10    Disciplinary Board within 15 days after such  suspension  and
11    completed  without appreciable delay.  The Disciplinary Board
12    shall have the authority to review  the  subject  physician's
13    record  of treatment and counseling regarding the impairment,
14    to the extent permitted by applicable  federal  statutes  and
15    regulations   safeguarding  the  confidentiality  of  medical
16    records.
17        An individual licensed under  this  Act,  affected  under
18    this Section, shall be afforded an opportunity to demonstrate
19    to  the  Disciplinary  Board that they can resume practice in
20    compliance with acceptable and prevailing standards under the
21    provisions of their license.
22        The Department may promulgate rules for the imposition of
23    fines in disciplinary cases, not to exceed  $5,000  for  each
24    violation  of  this Act.  Fines may be imposed in conjunction
25    with other forms of disciplinary action, but shall not be the
26    exclusive disposition of any disciplinary action arising  out
27    of  conduct  resulting  in death or injury to a patient.  Any
28    funds collected from such fines shall  be  deposited  in  the
29    Medical Disciplinary Fund.
30        (B)  The  Department shall revoke the license or visiting
31    permit of any  person  issued  under  this  Act  to  practice
32    medicine  or to treat human ailments without the use of drugs
33    and without operative  surgery,  who  has  been  convicted  a
34    second  time  of  committing  any  felony  under the Illinois
 
                            -22-               LRB9101128OBcs
 1    Controlled Substances Act, or who has been convicted a second
 2    time of committing a Class 1 felony under Sections  8A-3  and
 3    8A-6 of the Illinois Public Aid Code.  A person whose license
 4    or  visiting  permit  is  revoked  under this subsection B of
 5    Section 22 of this Act shall be  prohibited  from  practicing
 6    medicine  or treating human ailments without the use of drugs
 7    and without operative surgery.
 8        (C)  The Medical Disciplinary Board  shall  recommend  to
 9    the  Department  civil  penalties  and  any other appropriate
10    discipline in disciplinary cases when the Board finds that  a
11    physician   willfully   performed  an  abortion  with  actual
12    knowledge that the person upon whom  the  abortion  has  been
13    performed  is a minor or an incompetent person without notice
14    as required under the Parental  Notice  of  Abortion  Act  of
15    1995.   Upon the Board's recommendation, the Department shall
16    impose, for the first violation, a civil  penalty  of  $1,000
17    and  for a second or subsequent violation, a civil penalty of
18    $5,000.
19    (Source: P.A.  89-18,  eff.  6-1-95;  89-201,  eff.   1-1-96;
20    89-626,  eff.  8-9-96;  89-702,  eff.  7-1-97;  90-742,  eff.
21    8-13-98.)

22        Section  199.   Effective date.  This Act takes effect 90
23    days after becoming law.

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