State of Illinois
91st General Assembly
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91_SB0541sam003

 










                                             LRB9104979ACcsam

 1                    AMENDMENT TO SENATE BILL 541

 2        AMENDMENT NO. ____.  Amend Senate Bill 541,  AS  AMENDED,
 3    by  replacing  everything  after the enacting clause with the
 4    following:

 5        "Section 5.  The Hospital Licensing  Act  is  amended  by
 6    changing Section 6.17 as follows:

 7        (210 ILCS 85/6.17)
 8        Sec.  6.17.   Protection  of  and  confidential access to
 9    medical records and information.
10        (a) Every hospital licensed under this Act shall  develop
11    a  medical record for each of its patients as required by the
12    Department by rule.
13        (b)  All  information  regarding   a   hospital   patient
14    gathered  by  the hospital's medical staff and its agents and
15    employees shall be the property  and  responsibility  of  the
16    hospital  and must be protected from inappropriate disclosure
17    as provided in this Section.
18        (c)  Every hospital shall preserve its medical records in
19    a format and for a duration established  by  hospital  policy
20    and for not less than 10 years, provided that if the hospital
21    has  been  notified  in  writing  by  an  attorney before the
22    expiration of the 10 year  retention  period  that  there  is
 
                            -2-              LRB9104979ACcsam
 1    litigation  pending  in  court  involving  the  record  of  a
 2    particular  patient as possible evidence and that the patient
 3    is his client or  is  the  person  who  has  instituted  such
 4    litigation against his client, then the hospital shall retain
 5    the  record  of that patient until notified in writing by the
 6    plaintiff's attorney, with the approval  of  the  defendant's
 7    attorney  of  record,  that  the case in court involving such
 8    record has been concluded or for a period of  12  years  from
 9    the date that the record was produced, whichever occurs first
10    in time.
11        (d)  No member of a hospital's medical staff and no agent
12    or  employee  of  a  hospital  shall  disclose  the nature or
13    details of services provided to  patients,  except  that  the
14    information   may   be  disclosed  to  the  patient,  persons
15    authorized  by  the  patient,  the  party  making   treatment
16    decisions,  if  the  patient is incapable of making decisions
17    regarding  the  health  services  provided,   those   parties
18    directly  involved with providing treatment to the patient or
19    processing the payment  for  that  treatment,  those  parties
20    responsible  for  peer  review,  utilization  review, quality
21    assurance, risk  management  or  defense  of  claims  brought
22    against  the  hospital  arising  out  of  the care, and those
23    parties  required  to  be  notified  under  the  Abused   and
24    Neglected   Child   Reporting   Act,  the  Illinois  Sexually
25    Transmissible  Disease  Control  Act,  or   where   otherwise
26    authorized or required by law.
27        (e)   The   hospital's  medical  staff  members  and  the
28    hospital's agents and employees may communicate, at any  time
29    and  in  any  fashion,  with  legal  counsel for the hospital
30    concerning the patient medical record privacy  and  retention
31    requirements  of  this Section and any care or treatment they
32    provided or assisted in providing to any patient  within  the
33    scope of their employment or affiliation with the hospital.
34        (f)  (a)  Each  hospital  licensed  under  this Act shall
 
                            -3-              LRB9104979ACcsam
 1    provide its federally designated organ procurement agency and
 2    any tissue bank with which it has an agreement with access to
 3    the medical records of deceased patients  for  the  following
 4    purposes:
 5             (1)  estimating  the  hospital's  organ  and  tissue
 6        donation potential;
 7             (2)  identifying   the   educational  needs  of  the
 8        hospital with respect to organ and tissue donation; and
 9             (3)  identifying the  number  of  organ  and  tissue
10        donations  and  referrals  to  potential organ and tissue
11        donors.
12        (g)   (b)  All   hospital   and   patient    information,
13    interviews,  reports,  statements,  memoranda, and other data
14    obtained or created by a tissue bank or federally  designated
15    organ  procurement  agency  from  the  medical records review
16    described in subsection (f) (a) shall be privileged, strictly
17    confidential, and used only for the  purposes  put  forth  in
18    subsection   (f)  (a)  of  this  Section  and  shall  not  be
19    admissible as evidence nor discoverable in an action  of  any
20    kind in court or before a tribunal, board, agency, or person.
21    terms  of  this  Section  shall not be subject to any type of
22    civil or criminal liability or
23        (i) Any individual who  wilfully  or  wantonly  discloses
24    hospital  or  medical record information in violation of this
25    Section is guilty of a Class A misdemeanor.  As used in  this
26    subsection,  "wilfully  or wantonly" means a course of action
27    that shows an actual or deliberate intention to cause harm or
28    that, if not intentional, shows an utter indifference  to  or
29    conscious  disregard  for  the  safety  of  others  or  their
30    property.
31    (Source: P.A. 89-393, eff. 8-20-95.)".

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