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Public Act 103-0602 Public Act 0602 103RD GENERAL ASSEMBLY | Public Act 103-0602 | HB4621 Enrolled | LRB103 36415 RLC 66517 b |
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| AN ACT concerning criminal law. | Be it enacted by the People of the State of Illinois, | represented in the General Assembly: | Section 5. The Substance Use Disorder Act is amended by | changing Section 5-23 as follows: | (20 ILCS 301/5-23) | Sec. 5-23. Drug Overdose Prevention Program. | (a) Reports. | (1) The Department may publish annually a report on | drug overdose trends statewide that reviews State death | rates from available data to ascertain changes in the | causes or rates of fatal and nonfatal drug overdose. The | report shall also provide information on interventions | that would be effective in reducing the rate of fatal or | nonfatal drug overdose and on the current substance use | disorder treatment capacity within the State. The report | shall include an analysis of drug overdose information | reported to the Department of Public Health pursuant to | subsection (e) of Section 3-3013 of the Counties Code, | Section 6.14g of the Hospital Licensing Act, and | subsection (j) of Section 22-30 of the School Code. | (2) The report may include: | (A) Trends in drug overdose death rates. |
| (B) Trends in emergency room utilization related | to drug overdose and the cost impact of emergency room | utilization. | (C) Trends in utilization of pre-hospital and | emergency services and the cost impact of emergency | services utilization. | (D) Suggested improvements in data collection. | (E) A description of other interventions effective | in reducing the rate of fatal or nonfatal drug | overdose. | (F) A description of efforts undertaken to educate | the public about unused medication and about how to | properly dispose of unused medication, including the | number of registered collection receptacles in this | State, mail-back programs, and drug take-back events. | (G) An inventory of the State's substance use | disorder treatment capacity, including, but not | limited to: | (i) The number and type of licensed treatment | programs in each geographic area of the State. | (ii) The availability of medication-assisted | treatment at each licensed program and which types | of medication-assisted treatment are available. | (iii) The number of recovery homes that accept | individuals using medication-assisted treatment in | their recovery. |
| (iv) The number of medical professionals | currently authorized to prescribe buprenorphine | and the number of individuals who fill | prescriptions for that medication at retail | pharmacies as prescribed. | (v) Any partnerships between programs licensed | by the Department and other providers of | medication-assisted treatment. | (vi) Any challenges in providing | medication-assisted treatment reported by programs | licensed by the Department and any potential | solutions. | (b) Programs; drug overdose prevention. | (1) The Department may establish a program to provide | for the production and publication, in electronic and | other formats, of drug overdose prevention, recognition, | and response literature. The Department may develop and | disseminate curricula for use by professionals, | organizations, individuals, or committees interested in | the prevention of fatal and nonfatal drug overdose, | including, but not limited to, drug users, jail and prison | personnel, jail and prison inmates, drug treatment | professionals, emergency medical personnel, hospital | staff, families and associates of drug users, peace | officers, firefighters, public safety officers, needle | exchange program staff, and other persons. In addition to |
| information regarding drug overdose prevention, | recognition, and response, literature produced by the | Department shall stress that drug use remains illegal and | highly dangerous and that complete abstinence from illegal | drug use is the healthiest choice. The literature shall | provide information and resources for substance use | disorder treatment. | The Department may establish or authorize programs for | prescribing, dispensing, or distributing opioid | antagonists for the treatment of drug overdose. Such | programs may include the prescribing of opioid antagonists | for the treatment of drug overdose to a person who is not | at risk of opioid overdose but who, in the judgment of the | health care professional, may be in a position to assist | another individual during an opioid-related drug overdose | and who has received basic instruction on how to | administer an opioid antagonist. | (2) The Department may provide advice to State and | local officials on the growing drug overdose crisis, | including the prevalence of drug overdose incidents, | programs promoting the disposal of unused prescription | drugs, trends in drug overdose incidents, and solutions to | the drug overdose crisis. | (3) The Department may support drug overdose | prevention, recognition, and response projects by | facilitating the acquisition of opioid antagonist |
| medication approved for opioid overdose reversal, | facilitating the acquisition of opioid antagonist | medication approved for opioid overdose reversal, | providing trainings in overdose prevention best practices, | connecting programs to medical resources, establishing a | statewide standing order for the acquisition of needed | medication, establishing learning collaboratives between | localities and programs, and assisting programs in | navigating any regulatory requirements for establishing or | expanding such programs. | (4) In supporting best practices in drug overdose | prevention programming, the Department may promote the | following programmatic elements: | (A) Training individuals who currently use drugs | in the administration of opioid antagonists approved | for the reversal of an opioid overdose. | (B) Directly distributing opioid antagonists | approved for the reversal of an opioid overdose rather | than providing prescriptions to be filled at a | pharmacy. | (C) Conducting street and community outreach to | work directly with individuals who are using drugs. | (D) Employing community health workers or peer | recovery specialists who are familiar with the | communities served and can provide culturally | competent services. |
| (E) Collaborating with other community-based | organizations, substance use disorder treatment | centers, or other health care providers engaged in | treating individuals who are using drugs. | (F) Providing linkages for individuals to obtain | evidence-based substance use disorder treatment. | (G) Engaging individuals exiting jails or prisons | who are at a high risk of overdose. | (H) Providing education and training to | community-based organizations who work directly with | individuals who are using drugs and those individuals' | families and communities. | (I) Providing education and training on drug | overdose prevention and response to emergency | personnel and law enforcement. | (J) Informing communities of the important role | emergency personnel play in responding to accidental | overdose. | (K) Producing and distributing targeted mass media | materials on drug overdose prevention and response, | the potential dangers of leaving unused prescription | drugs in the home, and the proper methods for | disposing of unused prescription drugs. | (c) Grants. | (1) The Department may award grants, in accordance | with this subsection, to create or support local drug |
| overdose prevention, recognition, and response projects. | Local health departments, correctional institutions, | hospitals, universities, community-based organizations, | and faith-based organizations may apply to the Department | for a grant under this subsection at the time and in the | manner the Department prescribes. Eligible grant | activities include, but are not limited to, purchasing and | distributing opioid antagonists, hiring peer recovery | specialists or other community members to conduct | community outreach, and hosting public health fairs or | events to distribute opioid antagonists, promote harm | reduction activities, and provide linkages to community | partners. | (2) In awarding grants, the Department shall consider | the overall rate of opioid overdose, the rate of increase | in opioid overdose, and racial disparities in opioid | overdose experienced by the communities to be served by | grantees. The Department shall encourage all grant | applicants to develop interventions that will be effective | and viable in their local areas. | (3) (Blank). | (3.5) Any hospital licensed under the Hospital | Licensing Act or organized under the University of | Illinois Hospital Act shall be deemed to have met the | standards and requirements set forth in this Section to | enroll in the drug overdose prevention program upon |
| completion of the enrollment process except that proof of | a standing order and attestation of programmatic | requirements shall be waived for enrollment purposes. | Reporting mandated by enrollment shall be necessary to | carry out or attain eligibility for associated resources | under this Section for drug overdose prevention projects | operated on the licensed premises of the hospital and | operated by the hospital or its designated agent. The | Department shall streamline hospital enrollment for drug | overdose prevention programs by accepting such deemed | status under this Section in order to reduce barriers to | hospital participation in drug overdose prevention, | recognition, or response projects. | (4) In addition to moneys appropriated by the General | Assembly, the Department may seek grants from private | foundations, the federal government, and other sources to | fund the grants under this Section and to fund an | evaluation of the programs supported by the grants. | (d) Health care professional prescription of opioid | antagonists. | (1) A health care professional who, acting in good | faith, directly or by standing order, prescribes or | dispenses an opioid antagonist to: (a) a patient who, in | the judgment of the health care professional, is capable | of administering the drug in an emergency, or (b) a person | who is not at risk of opioid overdose but who, in the |
| judgment of the health care professional, may be in a | position to assist another individual during an | opioid-related drug overdose and who has received basic | instruction on how to administer an opioid antagonist | shall not, as a result of his or her acts or omissions, be | subject to: (i) any disciplinary or other adverse action | under the Medical Practice Act of 1987, the Physician | Assistant Practice Act of 1987, the Nurse Practice Act, | the Pharmacy Practice Act, or any other professional | licensing statute or (ii) any criminal liability, except | for willful and wanton misconduct. | (1.5) Notwithstanding any provision of or requirement | otherwise imposed by the Pharmacy Practice Act, the | Medical Practice Act of 1987, or any other law or rule, | including, but not limited to, any requirement related to | labeling, storage, or recordkeeping, a health care | professional or other person acting under the direction of | a health care professional may, directly or by standing | order, obtain, store, and dispense an opioid antagonist to | a patient in a facility that includes, but is not limited | to, a hospital, a hospital affiliate, or a federally | qualified health center if the patient information | specified in paragraph (4) of this subsection is provided | to the patient. A person acting in accordance with this | paragraph shall not, as a result of his or her acts or | omissions, be subject to: (i) any disciplinary or other |
| adverse action under the Medical Practice Act of 1987, the | Physician Assistant Practice Act of 1987, the Nurse | Practice Act, the Pharmacy Practice Act, or any other | professional licensing statute; or (ii) any criminal | liability, except for willful and wanton misconduct. | (2) A person who is not otherwise licensed to | administer an opioid antagonist may in an emergency | administer without fee an opioid antagonist if the person | has received the patient information specified in | paragraph (4) of this subsection and believes in good | faith that another person is experiencing a drug overdose. | The person shall not, as a result of his or her acts or | omissions, be (i) liable for any violation of the Medical | Practice Act of 1987, the Physician Assistant Practice Act | of 1987, the Nurse Practice Act, the Pharmacy Practice | Act, or any other professional licensing statute, or (ii) | subject to any criminal prosecution or civil liability, | except for willful and wanton misconduct. | (3) A health care professional prescribing an opioid | antagonist to a patient shall ensure that the patient | receives the patient information specified in paragraph | (4) of this subsection. Patient information may be | provided by the health care professional or a | community-based organization, substance use disorder | program, or other organization with which the health care | professional establishes a written agreement that includes |
| a description of how the organization will provide patient | information, how employees or volunteers providing | information will be trained, and standards for documenting | the provision of patient information to patients. | Provision of patient information shall be documented in | the patient's medical record or through similar means as | determined by agreement between the health care | professional and the organization. The Department, in | consultation with statewide organizations representing | physicians, pharmacists, advanced practice registered | nurses, physician assistants, substance use disorder | programs, and other interested groups, shall develop and | disseminate to health care professionals, community-based | organizations, substance use disorder programs, and other | organizations training materials in video, electronic, or | other formats to facilitate the provision of such patient | information. | (4) For the purposes of this subsection: | "Opioid antagonist" means a drug that binds to opioid | receptors and blocks or inhibits the effect of opioids | acting on those receptors, including, but not limited to, | naloxone hydrochloride or any other similarly acting drug | approved by the U.S. Food and Drug Administration. | "Health care professional" means a physician licensed | to practice medicine in all its branches, a licensed | physician assistant with prescriptive authority, a |
| licensed advanced practice registered nurse with | prescriptive authority, an advanced practice registered | nurse or physician assistant who practices in a hospital, | hospital affiliate, or ambulatory surgical treatment | center and possesses appropriate clinical privileges in | accordance with the Nurse Practice Act, or a pharmacist | licensed to practice pharmacy under the Pharmacy Practice | Act. | "Patient" includes a person who is not at risk of | opioid overdose but who, in the judgment of the physician, | advanced practice registered nurse, or physician | assistant, may be in a position to assist another | individual during an overdose and who has received patient | information as required in paragraph (2) of this | subsection on the indications for and administration of an | opioid antagonist. | "Patient information" includes information provided to | the patient on drug overdose prevention and recognition; | how to perform rescue breathing and resuscitation; opioid | antagonist dosage and administration; the importance of | calling 911; care for the overdose victim after | administration of the overdose antagonist; and other | issues as necessary. | (e) Drug overdose response policy. | (1) Every State and local government agency that | employs a law enforcement officer or fireman as those |
| terms are defined in the Line of Duty Compensation Act | must possess opioid antagonists and must establish a | policy to control the acquisition, storage, | transportation, and administration of such opioid | antagonists and to provide training in the administration | of opioid antagonists. A State or local government agency | that employs a probation officer, as defined in Section 9b | of the Probation and Probation Officers Act, or a fireman | as defined in the Line of Duty Compensation Act but does | not respond to emergency medical calls or provide medical | services shall be exempt from this subsection. | (2) Every publicly or privately owned ambulance, | special emergency medical services vehicle, non-transport | vehicle, or ambulance assist vehicle, as described in the | Emergency Medical Services (EMS) Systems Act, that | responds to requests for emergency services or transports | patients between hospitals in emergency situations must | possess opioid antagonists. | (3) Entities that are required under paragraphs (1) | and (2) to possess opioid antagonists may also apply to | the Department for a grant to fund the acquisition of | opioid antagonists and training programs on the | administration of opioid antagonists. | (Source: P.A. 101-356, eff. 8-9-19; 102-598, eff. 1-1-22 .) | Section 10. The Pretrial Services Act is amended by |
| changing Sections 1, 1.5, 2, 3, 4, 5, 8, 9, 10, 12, 13, 14, 15, | 17, 22, 24, 30, and 33 and by adding Sections 0.02, 0.03, and | 0.04 as follows: | (725 ILCS 185/0.02 new) | Sec. 0.02. Definitions. In this Act: | "Director" means the Director of the Office of Statewide | Pretrial Services. | "Local pretrial services" means a pretrial services other | than the Office who is providing pretrial services. | "Pretrial services" means any providing services to the | circuit court as provided for in this Act, including the | Office. | "Office" means the Office of Statewide Pretrial Services. | (725 ILCS 185/0.03 new) | Sec. 0.03. Office of Statewide Pretrial Services; | establishment. There is established in the judicial branch of | State government an office to be known as the Office of | Statewide Pretrial Services. This office shall be under the | supervision and direction of a Director who shall be appointed | by a vote of a majority of the Illinois Supreme Court Justices | for a 4-year term and until a successor is appointed and | qualified. The Director shall adopt rules, instructions, and | orders, consistent with this Act, further defining the | organization of this office and the duties of its employees. |
| The Illinois Supreme Court shall approve or modify an | operational budget submitted to it by the Office of Statewide | Pretrial Services and set the number of employees each year. | (725 ILCS 185/0.04 new) | Sec. 0.04. Powers and duties. | (a) The Office shall provide pretrial services as provided | in Section 7 to circuit courts or counties without existing | pretrial services agencies. | (b) The Office shall develop, establish, adopt, and | enforce uniform standards for pretrial services in this State. | (c) The Office may: | (1) hire and train State employed pretrial personnel; | (2) establish qualifications for pretrial officers as | to hiring, promotion, and training; | (3) establish a system of training and orientation for | local pretrial services agencies; | (4) Develop standards and approve employee | compensation schedules for local pretrial services | agencies; | (5) establish a system of uniform forms; | (6) develop standards for a system of recordkeeping | for local pretrial services agencies; | (7) gather statistics and develop research for | planning of pretrial services in Illinois; | (8) establish a means of verifying the conditions for |
| reimbursement under this Act for local pretrial services | agencies and develop criteria for approved costs for | reimbursement; | (9) monitor and evaluate all pretrial programs | operated by local pretrial services agencies; | (10) review and approve annual plans submitted by | local pretrial services agencies; and | (11) establish such other standards and regulations | and do all acts necessary to carry out the intent and | purposes of this Act. | (725 ILCS 185/1) (from Ch. 38, par. 301) | Sec. 1. Pretrial services shall be provided by a local | pretrial services agency or the Office. The pretrial services | agency shall provide Each circuit court shall establish a | pretrial services agency to provide the circuit court with | accurate background data regarding the pretrial release of | persons charged with felonies and effective supervision of | compliance with the terms and conditions imposed on release. | (Source: P.A. 84-1449.) | (725 ILCS 185/1.5) | Sec. 1.5. Framework facilitating the hiring and training | of new State-employed pretrial services personnel to serve | circuit courts or counties without existing pretrial services | agencies. Notwithstanding anything in this Act to the |
| contrary, the Office shall hire Supreme Court is encouraged to | establish a framework that facilitates the hiring and train | training of new State-employed pretrial services personnel to | serve circuit courts or counties without existing pretrial | services agencies , as required by Section 1. Nothing in this | amendatory Act of the 103rd General Assembly shall be | constructed to invalidate, diminish, or otherwise interfere | with any collective bargaining agreement or representation | rights under the Illinois Public Labor Relations Act, if | applicable. | (Source: P.A. 102-694, eff. 1-7-22.) | (725 ILCS 185/2) (from Ch. 38, par. 302) | Sec. 2. Local pretrial Pretrial services agencies may be | independent divisions of the circuit courts accountable to the | chief judge or his designee for program activities. The | agencies shall be supervised by a program director appointed | by the chief judge and removable for cause. The chief judge or | his designee shall have the authority to hire, terminate or | discipline local pretrial services agency personnel on | recommendation of the program director. | (Source: P.A. 84-1449.) | (725 ILCS 185/3) (from Ch. 38, par. 303) | Sec. 3. Pretrial services shall be provided by the Office | The functions of the pretrial services agency shall be |
| assigned to the Department of Probation and Court Services or | other arm of the court where the volume of criminal | proceedings does not justify the establishment of a local | pretrial services agency separate division . | (Source: P.A. 84-1449.) | (725 ILCS 185/4) (from Ch. 38, par. 304) | Sec. 4. All local pretrial services agency personnel shall | be full-time employees supervised by the director and, except | for secretarial staff, subject to the hiring and training | requirements established by the Office Supreme Court as | provided in "An Act providing for a system of probation, for | the appointment and compensation of probation officers, and | authorizing the suspension of final judgment and the | imposition of sentence upon persons found guilty of certain | defined crimes and offenses, and legalizing their ultimate | discharge without punishment", approved June 10, 1911, as | amended . | (Source: P.A. 84-1449.) | (725 ILCS 185/5) (from Ch. 38, par. 305) | Sec. 5. The compensation for local pretrial services | agency personnel shall be commensurate with salaries and other | benefits accorded probation department employees. | (Source: P.A. 84-1449.) |
| (725 ILCS 185/8) (from Ch. 38, par. 308) | Sec. 8. In addition to the foregoing, local pretrial | services agencies may with the approval of the chief judge | provide one or more of the following services to the circuit | court: | (a) Supervise compliance with the terms and conditions | imposed by the courts for appeal bonds; and | (b) Assist in such other pretrial services activities as | may be delegated to the agency by the court. | (Source: P.A. 84-1449.) | (725 ILCS 185/9) (from Ch. 38, par. 309) | Sec. 9. Pretrial services agencies shall have standing | court authority to interview and process all persons charged | with non-capital felonies either before or after first | appearance if the person is in custody. The chief judge and | program director of the pretrial services agency may establish | interviewing priorities where resources do not permit total | coverage, but no other criteria shall be employed to exclude | categories of offenses or offenders from program operations. | (Source: P.A. 84-1449.) | (725 ILCS 185/10) (from Ch. 38, par. 310) | Sec. 10. The chief judge and program director of the local | pretrial services agency shall continuously assess the | benefits of agency intervention before or after the first |
| appearance of accused persons. In determining the best | allocation of available resources, consideration shall be | given to current release practices of first appearance judges | in misdemeanor and lesser felony cases; the logistics of | pre-first appearance intervention where decentralized | detention facilities are utilized; the availability of | verification resources for pre-first appearance intervention; | and the ultimate goal of prompt and informed determinations of | pretrial release conditions. | (Source: P.A. 84-1449.) | (725 ILCS 185/12) (from Ch. 38, par. 312) | Sec. 12. Interviews shall be individually conducted by | agency personnel in facilities or locations which assure an | adequate opportunity for discussion, consistent with security | needs. | The chief judge or his designee shall maintain a | continuous liaison between the pretrial services agency | director and the sheriff, or other affected law enforcement | agencies, to assure that pretrial services interviewers have | prompt access consistent with security and law enforcement | needs to all prisoners after booking. | (Source: P.A. 84-1449.) | (725 ILCS 185/13) (from Ch. 38, par. 313) | Sec. 13. Information received from the arrested person as |
| a result of the agency interview shall be recorded on uniform | interview forms created by the Office . | (Source: P.A. 84-1449.) | (725 ILCS 185/14) (from Ch. 38, par. 314) | Sec. 14. The pretrial services agency shall, after | interviewing arrestees, immediately verify and supplement the | information required by the uniform interview form before | submitting its report to the court. Minimum verification shall | include the interviewee's prior criminal record, residency, | and employment circumstances. The chief judge or his designee | shall assist the pretrial services agency program director in | establishing and maintaining cooperation with the circuit | clerk and law enforcement information systems to assure the | prompt verification of prior criminal records. | (Source: P.A. 84-1449.) | (725 ILCS 185/15) (from Ch. 38, par. 315) | Sec. 15. Verified and supplemental information assembled | by the pretrial services agency shall be recorded on a uniform | reporting form established by the Office Supreme Court . | (Source: P.A. 84-1449.) | (725 ILCS 185/17) (from Ch. 38, par. 317) | Sec. 17. Reports shall be in writing, signed by an | authorized representative of the pretrial services agency, and |
| prepared on the uniform reporting form. Copies of the report | shall be provided to all parties and counsel of record. If the | report is filed with the court, the court shall deny public | access to the report. | (Source: P.A. 84-1449.) | (725 ILCS 185/22) (from Ch. 38, par. 322) | Sec. 22. If so ordered by the court, the pretrial services | agency shall prepare and submit for the court's approval and | signature a uniform release order on the uniform form | established by the Office Supreme Court in all cases where an | interviewee may be released from custody under conditions | contained in an agency report. Such conditions shall become | part of the conditions of pretrial release. A copy of the | uniform release order shall be provided to the defendant and | defendant's attorney of record, and the prosecutor. | (Source: P.A. 101-652, eff. 1-1-23 .) | (725 ILCS 185/24) (from Ch. 38, par. 324) | Sec. 24. Where functions of the local pretrial services | agency have been delegated to a probation department or other | arm of the court under Section 3 , their records shall be | segregated from other records. Two years after the date of the | first interview with a pretrial services agency | representative, the defendant may apply to the chief circuit | judge, or a judge designated by the chief circuit judge for |
| these purposes, for an order expunging from the records of the | pretrial services agency all files pertaining to the | defendant. | (Source: P.A. 84-1449.) | (725 ILCS 185/30) (from Ch. 38, par. 330) | Sec. 30. Records and statistics shall be maintained by | local pretrial services agencies of their operations and | effect upon the criminal justice system, with monthly reports | submitted to the circuit court and the Office Supreme Court on | a uniform statistical form developed by the Supreme Court. | (Source: P.A. 84-1449.) | (725 ILCS 185/33) (from Ch. 38, par. 333) | Sec. 33. The Office Supreme Court shall pay from funds | appropriated to it for this purpose 100% of all approved costs | for pretrial services, including pretrial services officers, | necessary support personnel, travel costs reasonably related | to the delivery of pretrial services, space costs, equipment, | telecommunications, postage, commodities, printing and | contractual services. Costs shall be reimbursed monthly, based | on an annual a plan and budget approved by the Office Supreme | Court . No department may be reimbursed for costs which exceed | or are not provided for in the approved annual plan and budget. | The Mandatory Arbitration Fund may be used to reimburse | approved costs for pretrial services. |
| (Source: P.A. 94-91, eff. 7-1-05; 94-839, eff. 6-6-06; 95-331, | eff. 8-21-07; 95-707, eff. 1-11-08.) | (725 ILCS 185/6 rep.) | Section 15. The Pretrial Services Act is amended by | repealing Section 6. | Section 99. Effective date. This Act takes effect upon | becoming law, except that Sections 10 and 15 take effect on | July 1, 2025. |
Effective Date: 7/1/2024
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