State of Illinois
92nd General Assembly
Legislation

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92_HB3533

 
                                               LRB9204093DJcs

 1        AN ACT in relation to worker safety.

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

 4        Section 1.  Short title.  This Act may be  cited  as  the
 5    Health Care Worker Needle Stick Injury Protection Act.

 6        Section 5.  Definitions.  In this Act:
 7        "Bloodborne  pathogens"  means  pathogenic microorganisms
 8    that are present in human blood  and  can  cause  disease  in
 9    humans.  These pathogens include, but are not limited to, the
10    hepatitis  B  virus,  the  hepatitis  C  virus, and the human
11    immunodeficiency virus.
12        "Engineered sharps injury protection" means either:
13             (1)  a physical attribute built into a needle device
14        used for withdrawing body fluids,  accessing  a  vein  or
15        artery,  or  administering  medications  or other fluids,
16        that effectively reduces the risk of an exposure incident
17        by  a  mechanism  such  as  barrier  creation,  blunting,
18        encapsulation, withdrawal,  retraction,  destruction,  or
19        other effective mechanisms; or
20             (2)  a  physical attribute built into any other type
21        of needle  device,  or  into  a  non-needle  sharp,  that
22        effectively reduces the risk of an exposure incident.
23        "Needleless  system" means a device that does not utilize
24    needles for:
25             (1)  the withdrawal of  body  fluids  after  initial
26        venous or arterial access is established;
27             (2)  the administration of medication or fluids; and
28             (3)  any other procedure involving the potential for
29        an exposure incident.
30        "Public  employee"  means  an  employee of the State or a
31    local government unit or an agency  of  the  State  or  local
 
                            -2-                LRB9204093DJcs
 1    government who is employed in a public or private health care
 2    facility,  home  health  care organization, or other facility
 3    providing health-care-related services.
 4        "Public employer" means each  employer  having  a  public
 5    employee  or employees with occupational exposure to blood or
 6    other material potentially containing bloodborne pathogens.
 7        "Sharp" means any object used or encountered in a  health
 8    care  setting that can be reasonably anticipated to penetrate
 9    the skin or any other part of the body and to  result  in  an
10    exposure  incident,  including,  but  not  limited to, needle
11    devices, scalpels, lancets, broken  glass,  broken  capillary
12    tubes,  exposed  ends  of  dental  wires,  and dental knives,
13    drills, and burrs.
14        "Sharps injury" means  any  injury  caused  by  a  sharp,
15    including, but not limited to, cuts, abrasions, needlesticks,
16    or human bites.
17        "Sharps  injury log" means a written or electronic record
18    satisfying the requirements of subdivision (a)(2) of  Section
19    15.

20        Section 15.  Bloodborne pathogen standards.
21        (a)  No  later  than 6 months after the effective date of
22    this Act, the  Department  of  Public  Health  must  adopt  a
23    bloodborne  pathogen standard governing occupational exposure
24    of public employees to blood and other potentially infectious
25    materials.  The standard must be at least as prescriptive  as
26    the  standard  promulgated by the federal Occupational Safety
27    and Health Administration and must include, but need  not  be
28    limited to, the following:
29             (1)  A   requirement  that  needleless  systems  and
30        sharps  with  engineered  sharps  injury  protection   be
31        implemented in all facilities employing public employees,
32        except   in  cases  in  which  an  evaluation  committee,
33        established by the employer, at least half the members of
 
                            -3-                LRB9204093DJcs
 1        which are front-line health care workers,  determines  by
 2        means  of  objective product evaluation criteria that use
 3        of the devices will jeopardize patient or employee safety
 4        with regard to a specific medical procedure.
 5             (2)  A  requirement  that   information   concerning
 6        exposure  incidents  be  recorded in a sharps injury log.
 7        The information must include, but need not be limited to:
 8                  (A)  the  date  and  time   of   the   exposure
 9             incident;
10                  (B)  the  type  and  brand of sharp involved in
11             the exposure incident; and
12                  (C)  a description of  the  exposure  incident,
13             which must include:
14                       (I)  the job classification of the exposed
15                  employee;
16                       (II)  the  department  or  work area where
17                  the exposure incident occurred;
18                       (III)  the  procedure  that  the   exposed
19                  employee  was  performing  at  the  time of the
20                  incident;
21                       (IV)   how the incident occurred;
22                       (V)  the  body  part   involved   in   the
23                  exposure incident;
24                       (VI)  if  the  sharp had engineered sharps
25                  injury  protection,  whether   the   protective
26                  mechanism was activated, and whether the injury
27                  occurred  before  the  protective mechanism was
28                  activate, during activation of  the  mechanism,
29                  or   after  activation  of  the  mechanism,  if
30                  applicable;
31                       (VII)  if  the  sharp  had  no  engineered
32                  sharps   injury   protection,    the    injured
33                  employee's opinion as to whether and how such a
34                  mechanism  could  have prevented the injury, as
 
                            -4-                LRB9204093DJcs
 1                  well as the basis for the opinion; and
 2                       (VIII)  the   employer's   opinion   about
 3                  whether any other engineering,  administrative,
 4                  or  work  practice control could have prevented
 5                  the injury,  as  well  as  the  basis  for  the
 6                  opinion.
 7        (b)  The   Department  of  Public  Health  must  consider
 8    additional enactments as  part  of  the  bloodborne  pathogen
 9    standard  to  prevent  sharps injuries or exposure incidents,
10    including, but  not  limited  to,  training  and  educational
11    requirements,  measures  to  increase vaccinations, strategic
12    placement of sharps containers as close to the work  area  as
13    practical,   and   increased   use   of  personal  protective
14    equipment.
15        (c)  The Department of Public  Health  must  compile  and
16    maintain  a  list  of  existing needleless systems and sharps
17    with engineered sharps  injury  protection,  which  shall  be
18    available   to   assist   employers  in  complying  with  the
19    requirements of the  bloodborne  pathogen  standards  adopted
20    pursuant  to  this  Act.   The  list  may  be  developed from
21    existing sources of information, including, but  not  limited
22    to,  the  federal  Food  and Drug Administration, the federal
23    Centers for Disease  Control  and  Prevention,  the  National
24    Institute  of  Occupational Safety and Health, and the United
25    States Department of Veteran Affairs.
26        (d)  The Health Care Worker  Injury  Protection  Fund  is
27    created  in  the State treasury.  Moneys in the Fund shall be
28    used, subject to appropriation, by the Department  of  Public
29    Health  to  provide  for  research,  development, and product
30    evaluations of needleless systems and sharps with  engineered
31    sharps injury protection.

32        Section  905.  The State Finance Act is amended by adding
33    Section 5.545 as follows:
 
                            -5-                LRB9204093DJcs
 1        (30 ILCS 105/5.545 new)
 2        Sec. 5.545.  The Health  Care  Worker  Injury  Protection
 3    Fund.

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