Bill Text: IL HB1163 | 2023-2024 | 103rd General Assembly | Introduced


Bill Title: Repeals the Reproductive Health Act. Creates the Illinois Abortion Law of 2022 containing the provisions of the Illinois Abortion Law of 1975 before its repeal by Public Act 101-13, as well as provisions defining "viability" to include when, in the medical judgment of the attending physician based on the particular facts of the case before the attending physician, the unborn child has a fetal heartbeat, and defining "fetal heartbeat" as the cardiac activity or the steady and repetitive rhythmic contraction of the fetal heart within the gestational sac. Creates the Partial-birth Abortion Ban Act of 2022 and the Abortion Performance Refusal Act of 2022 containing the provisions of the Partial-birth Abortion Ban Act and the Abortion Performance Refusal Act before their repeal by Public Act 101-13. Amends various Acts by restoring the language that existed before the amendment of those Acts by Public Act 101-13. Effective immediately.

Spectrum: Partisan Bill (Republican 2-0)

Status: (Introduced) 2023-03-10 - Rule 19(a) / Re-referred to Rules Committee [HB1163 Detail]

Download: Illinois-2023-HB1163-Introduced.html


103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB1163

Introduced , by Rep. Paul Jacobs

SYNOPSIS AS INTRODUCED:
See Index

Repeals the Reproductive Health Act. Creates the Illinois Abortion Law of 2022 containing the provisions of the Illinois Abortion Law of 1975 before its repeal by Public Act 101-13, as well as provisions defining "viability" to include when, in the medical judgment of the attending physician based on the particular facts of the case before the attending physician, the unborn child has a fetal heartbeat, and defining "fetal heartbeat" as the cardiac activity or the steady and repetitive rhythmic contraction of the fetal heart within the gestational sac. Creates the Partial-birth Abortion Ban Act of 2022 and the Abortion Performance Refusal Act of 2022 containing the provisions of the Partial-birth Abortion Ban Act and the Abortion Performance Refusal Act before their repeal by Public Act 101-13. Amends various Acts by restoring the language that existed before the amendment of those Acts by Public Act 101-13. Effective immediately.
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A BILL FOR

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1 AN ACT concerning abortion.
2 Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
4
Article 1.
5 Section 1. Intent. It is the intention of the General
6Assembly of the State of Illinois to reasonably regulate
7abortion in conformance with the legal standards set forth in
8the decisions of the United States Supreme Court of January
922, 1973.
10 Section 2. Definitions. Unless the language or context
11clearly indicates a different meaning is intended, the
12following words or phrases for the purpose of this Law shall be
13given the meaning ascribed to them:
14 (1) "Viability" means either:
15 (A) that stage of fetal development when, in the
16 medical judgment of the attending physician based on the
17 particular facts of the case before the attending
18 physician, there is a reasonable likelihood of sustained
19 survival of the fetus outside the womb, with or without
20 artificial support; or
21 (B) when, in the medical judgment of the attending
22 physician based on the particular facts of the case before

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1 the attending physician, the unborn child has a fetal
2 heartbeat.
3 (2) "Physician" means any person licensed to practice
4medicine in all its branches under the Illinois Medical
5Practice Act of 1987.
6 (3) "Department" means the Department of Public Health.
7 (4) "Abortion" means the use of any instrument, medicine,
8drug or any other substance or device to terminate the
9pregnancy of a woman known to be pregnant with an intention
10other than to increase the probability of a live birth, to
11preserve the life or health of the child after live birth, or
12to remove a dead fetus.
13 (5) "Fertilization" and "conception" each mean the
14fertilization of a human ovum by a human sperm, which shall be
15deemed to have occurred at the time when it is known a
16spermatozoon has penetrated the cell membrane of the ovum.
17 (6) "Fetus" and "unborn child" each mean an individual
18organism of the species homo sapiens from fertilization until
19live birth.
20 (6.5) "Fetal heartbeat" means cardiac activity or the
21steady and repetitive rhythmic contraction of the fetal heart
22within the gestational sac.
23 (7) "Abortifacient" means any instrument, medicine, drug,
24or any other substance or device which is known to cause fetal
25death when employed in the usual and customary use for which it
26is manufactured, whether or not the fetus is known to exist

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1when such substance or device is employed.
2 (8) "Born alive", "live born", and "live birth", when
3applied to an individual organism of the species homo sapiens,
4each mean he or she was completely expelled or extracted from
5his or her mother and after such separation breathed or showed
6evidence of any of the following: beating of the heart,
7pulsation of the umbilical cord, or definite movement of
8voluntary muscles, irrespective of the duration of pregnancy
9and whether or not the umbilical cord has been cut or the
10placenta is attached.
11 Section 3.1. Medical judgment. No abortion shall be
12performed except by a physician after either (a) he or she
13determines that, in his or her best clinical judgment, the
14abortion is necessary, or (b) he or she receives a written
15statement or oral communication by another physician,
16hereinafter called the "referring physician", certifying that
17in the referring physician's best clinical judgment the
18abortion is necessary. Any person who intentionally or
19knowingly performs an abortion contrary to the requirements of
20Section 3.1 commits a Class 2 felony.
21 Section 5. When fetus is viable.
22 (a) When the fetus is viable no abortion shall be
23performed unless in the medical judgment of the attending or
24referring physician, based on the particular facts of the case

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1before him or her, it is necessary to preserve the life or
2health of the mother. Intentional, knowing, or reckless
3failure to conform to the requirements of this subsection is a
4Class 2 felony.
5 (b) When the fetus is viable the physician shall certify
6in writing, on a form prescribed by the Department under
7Section 10, the medical indications which, in his or her
8medical judgment based on the particular facts of the case
9before him or her, warrant performance of the abortion to
10preserve the life or health of the mother.
11 Section 6. Abortion methods, restrictions, and
12requirements.
13 (1) (a) Any physician who intentionally performs an
14abortion when, in his or her medical judgment based on the
15particular facts of the case before him or her, there is a
16reasonable likelihood of sustained survival of the fetus
17outside the womb, with or without artificial support, shall
18utilize that method of abortion which, of those he or she knows
19to be available, is in his or her medical judgment most likely
20to preserve the life and health of the fetus.
21 (b) The physician shall certify in writing, on a form
22prescribed by the Department under Section 10, the available
23methods considered and the reasons for choosing the method
24employed.
25 (c) Any physician who intentionally, knowingly, or

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1recklessly violates Section 6(1)(a) commits a Class 3 felony.
2 (2) (a) No abortion shall be performed or induced when the
3fetus is viable unless there is in attendance a physician
4other than the physician performing or inducing the abortion
5who shall take control of and provide immediate medical care
6for any child born alive as a result of the abortion. This
7requirement shall not apply when, in the medical judgment of
8the physician performing or inducing the abortion based on the
9particular facts of the case before him or her, there exists a
10medical emergency; in such a case, the physician shall
11describe the basis of this judgment on the form prescribed by
12Section 10. Any physician who intentionally performs or
13induces such an abortion and who intentionally, knowingly, or
14recklessly fails to arrange for the attendance of such a
15second physician in violation of Section 6(2)(a) commits a
16Class 3 felony.
17 (b) Subsequent to the abortion, if a child is born alive,
18the physician required by Section 6(2)(a) to be in attendance
19shall exercise the same degree of professional skill, care,
20and diligence to preserve the life and health of the child as
21would be required of a physician providing immediate medical
22care to a child born alive in the course of a pregnancy
23termination which was not an abortion. Any such physician who
24intentionally, knowingly, or recklessly violates Section
256(2)(b) commits a Class 3 felony.
26 (3) The law of this State shall not be construed to imply

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1that any living individual organism of the species homo
2sapiens who has been born alive is not an individual under the
3Criminal Code of 1961 or Criminal Code of 2012.
4 (4) (a) Any physician who intentionally performs an
5abortion when, in his or her medical judgment based on the
6particular facts of the case before him or her, there is a
7reasonable possibility of sustained survival of the fetus
8outside the womb, with or without artificial support, shall
9utilize that method of abortion which, of those he or she knows
10to be available, is in his or her medical judgment most likely
11to preserve the life and health of the fetus.
12 (b) The physician shall certify in writing, on a form
13prescribed by the Department under Section 10, the available
14methods considered and the reasons for choosing the method
15employed.
16 (c) Any physician who intentionally, knowingly, or
17recklessly violates the provisions of Section 6(4)(a) commits
18a Class 3 felony.
19 (5) Nothing in Section 6 requires a physician to employ a
20method of abortion which, in the medical judgment of the
21physician performing the abortion based on the particular
22facts of the case before him or her, would increase medical
23risk to the mother.
24 (6) When the fetus is viable and when there exists
25reasonable medical certainty (a) that the particular method of
26abortion to be employed will cause organic pain to the fetus,

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1and (b) that use of an anesthetic or analgesic would abolish or
2alleviate organic pain to the fetus caused by the particular
3method of abortion to be employed, then the physician who is to
4perform the abortion or his or her agent or the referring
5physician or his or her agent shall inform the woman upon whom
6the abortion is to be performed that such an anesthetic or
7analgesic is available, if he or she knows it to be available,
8for use to abolish or alleviate organic pain caused to the
9fetus by the particular method of abortion to be employed. Any
10person who performs an abortion with knowledge that any such
11reasonable medical certainty exists and that such an
12anesthetic or analgesic is available, and intentionally fails
13to so inform the woman or to ascertain that the woman has been
14so informed commits a Class B misdemeanor. The foregoing
15requirements of this subsection shall not apply (a) when in
16the medical judgment of the physician who is to perform the
17abortion or the referring physician based upon the particular
18facts of the case before him or her (i) there exists a medical
19emergency or (ii) the administration of such an anesthetic or
20analgesic would decrease a possibility of sustained survival
21of the fetus apart from the body of the mother, with or without
22artificial support, or (b) when the physician who is to
23perform the abortion administers an anesthetic or an analgesic
24to the woman or the fetus and he or she knows there exists
25reasonable medical certainty that such use will abolish
26organic pain caused to the fetus during the course of the

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1abortion.
2 (7) No person shall sell or experiment upon a fetus
3produced by the fertilization of a human ovum by a human sperm
4unless such experimentation is therapeutic to the fetus
5thereby produced. Intentional violation of this section is a
6Class A misdemeanor. Nothing in this subsection is intended to
7prohibit the performance of in vitro fertilization.
8 (8) No person shall intentionally perform an abortion with
9knowledge that the pregnant woman is seeking the abortion
10solely on account of the sex of the fetus. Nothing in this
11subsection shall be construed to proscribe the performance of
12an abortion on account of the sex of the fetus because of a
13genetic disorder linked to that sex. If the application of
14this subsection to the period of pregnancy prior to viability
15is held invalid, then such invalidity shall not affect its
16application to the period of pregnancy subsequent to
17viability.
18 Section 10. Report and form. A report of each abortion
19performed shall be made to the Department on forms prescribed
20by it. Such report forms shall not identify the patient by
21name, but by an individual number to be noted in the patient's
22permanent record in the possession of the physician, and shall
23include information concerning:
24 (1) the identification of the physician who performed
25 the abortion and the facility where the abortion was

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1 performed and a patient identification number;
2 (2) the state in which the patient resides;
3 (3) the patient's date of birth, race, and marital
4 status;
5 (4) the number of prior pregnancies;
6 (5) the date of last menstrual period;
7 (6) the type of abortion procedure performed;
8 (7) complications and whether the abortion resulted in
9 a live birth;
10 (8) the date the abortion was performed;
11 (9) medical indications for any abortion performed
12 when the fetus was viable;
13 (10) the information required by Sections 6(1)(b) and
14 6(4)(b), if applicable;
15 (11) the basis for any medical judgment that a medical
16 emergency existed when required under Sections 6(2)(a) and
17 6(6) and when required to be reported in accordance with
18 this Section by any provision of this Law; and
19 (12) the pathologist's test results pursuant to
20 Section 12.
21 Such form shall be completed by the hospital or other
22licensed facility, signed by the physician who performed the
23abortion or pregnancy termination, and transmitted to the
24Department not later than 10 days following the end of the
25month in which the abortion was performed.
26 If a complication of an abortion occurs or becomes known

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1after submission of such form, a correction using the same
2patient identification number shall be submitted to the
3Department within 10 days of its becoming known.
4 The Department may prescribe rules regarding the
5administration of this Law and shall prescribe rules to secure
6the confidentiality of the woman's identity in the information
7to be provided under the Vital Records Act. All reports
8received by the Department shall be treated as confidential
9and the Department shall secure the woman's anonymity. Such
10reports shall be used only for statistical purposes.
11 Upon 30 days public notice, the Department is empowered to
12require reporting of any additional information which, in the
13sound discretion of the Department, is necessary to develop
14statistical data relating to the protection of maternal or
15fetal life or health, or is necessary to enforce the
16provisions of this Law, or is necessary to develop useful
17criteria for medical decisions. The Department shall annually
18report to the General Assembly all statistical data gathered
19under this Law and its recommendations to further the purpose
20of this Law.
21 The requirement for reporting to the General Assembly
22shall be satisfied by filing copies of the report as required
23by Section 3.1 of the General Assembly Organization Act, and
24filing such additional copies with the State Government Report
25Distribution Center for the General Assembly as is required
26under paragraph (t) of Section 7 of the State Library Act.

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1 Section 10.1. Report of complications. Any physician who
2diagnoses a woman as having complications resulting from an
3abortion shall report, within a reasonable period of time, the
4diagnosis and a summary of her physical symptoms to the
5Department in accordance with procedures and upon forms
6required by the Department. The Department shall define the
7complications required to be reported by rule. The
8complications defined by rule shall be those which, according
9to contemporary medical standards, are manifested by symptoms
10with severity equal to or greater than hemorrhaging requiring
11transfusion, infection, incomplete abortion, or punctured
12organs. If the physician making the diagnosis of a
13complication knows the name or location of the facility where
14the abortion was performed, he or she shall report such
15information to the Department.
16 Any physician who intentionally violates this Section
17shall be subject to revocation of his or her license pursuant
18to paragraph (22) of Section 22 of the Medical Practice Act of
191987.
20 Section 11. Violations. (1) Any person who intentionally
21violates any provision of this Law commits a Class A
22misdemeanor unless a specific penalty is otherwise provided.
23Any person who intentionally falsifies any writing required by
24this Law commits a Class A misdemeanor.

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1 Intentional, knowing, reckless, or negligent violations of
2this Law shall constitute unprofessional conduct which causes
3public harm under Section 22 of the Medical Practice Act of
41987, Section 70-5 of the Nurse Practice Act, and Section 21 of
5the Physician Assistant Practice Act of 1987.
6 Intentional, knowing, reckless, or negligent violations of
7this Law will constitute grounds for refusal, denial,
8revocation, suspension, or withdrawal of license, certificate,
9or permit under Section 30 of the Pharmacy Practice Act,
10Section 7 of the Ambulatory Surgical Treatment Center Act, and
11Section 7 of the Hospital Licensing Act.
12 (2) Any hospital or licensed facility which, or any
13physician who intentionally, knowingly, or recklessly fails to
14submit a complete report to the Department in accordance with
15the provisions of Section 10 and any person who intentionally,
16knowingly, recklessly, or negligently fails to maintain the
17confidentiality of any reports required under this Law or
18reports required by Sections 10.1 or 12 commits a Class B
19misdemeanor.
20 (3) Any person who sells any drug, medicine, instrument,
21or other substance which he or she knows to be an abortifacient
22and which is in fact an abortifacient, unless upon
23prescription of a physician, is guilty of a Class B
24misdemeanor. Any person who prescribes or administers any
25instrument, medicine, drug, or other substance or device,
26which he or she knows to be an abortifacient, and which is in

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1fact an abortifacient, and intentionally, knowingly, or
2recklessly fails to inform the person for whom it is
3prescribed or upon whom it is administered that it is an
4abortifacient commits a Class C misdemeanor.
5 (4) Any person who intentionally, knowingly, or recklessly
6performs upon a woman what he or she represents to that woman
7to be an abortion when he or she knows or should know that she
8is not pregnant commits a Class 2 felony and shall be
9answerable in civil damages equal to 3 times the amount of
10proved damages.
11 Section 11.1. Referral fees.
12 (a) The payment or receipt of a referral fee in connection
13with the performance of an abortion is a Class 4 felony.
14 (b) For purposes of this Section, "referral fee" means the
15transfer of anything of value between a doctor who performs an
16abortion or an operator or employee of a clinic at which an
17abortion is performed and the person who advised the woman
18receiving the abortion to use the services of that doctor or
19clinic.
20 Section 12. Analysis and tissue report. The dead fetus and
21all tissue removed at the time of abortion shall be submitted
22for a gross and microscopic analysis and tissue report to a
23board eligible or certified pathologist as a matter of record
24in all cases. The results of the analysis and report shall be

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1given to the physician who performed the abortion within 7
2days of the abortion and such physician shall report any
3complications relevant to the woman's medical condition to his
4or her patient within 48 hours of receiving a report if
5possible. Any evidence of live birth or of viability shall be
6reported within 7 days, if possible, to the Department by the
7pathologist. Intentional failure of the pathologist to report
8any evidence of live birth or of viability to the Department is
9a Class B misdemeanor.
10 Section 12.1. Use of tissues or cells. Nothing in this Act
11shall prohibit the use of any tissues or cells obtained from a
12dead fetus or dead premature infant whose death did not result
13from an induced abortion, for therapeutic purposes or
14scientific, research, or laboratory experimentation, provided
15that the written consent to such use is obtained from one of
16the parents of such fetus or infant.
17 Section 13. Refusal. No physician, hospital, ambulatory
18surgical center, nor employee thereof, shall be required
19against his, her, or its conscience declared in writing to
20perform, permit, or participate in any abortion, and the
21failure or refusal to do so shall not be the basis for any
22civil, criminal, administrative, or disciplinary action,
23proceeding, penalty, or punishment. If any request for an
24abortion is denied, the patient shall be promptly notified.

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1 Section 14. Severability; rules; effective dates.
2 (a) If any provision, word, phrase, or clause of this Act
3or the application thereof to any person or circumstance shall
4be held invalid, such invalidity shall not affect the
5provisions, words, phrases, clauses, or application of this
6Act which can be given effect without the invalid provision,
7word, phrase, clause, or application, and to this end the
8provisions, words, phrases, and clauses of this Act are
9declared to be severable.
10 (b) Within 60 days from the time this Section becomes law,
11the Department shall issue rules pursuant to Section 10.
12Insofar as Section 10 requires registration under the Vital
13Records Act, it shall not take effect until such rules are
14issued. The Department shall make available the forms required
15under Section 10 within 30 days of the time this Section
16becomes law. No requirement that any person report information
17to the Department shall become effective until the Department
18has made available the forms required under Section 10. All
19other provisions of this amended Law shall take effect
20immediately upon enactment.
21 Section 15. Short title. This Article shall be known and
22may be cited as the Illinois Abortion Law of 2022. References
23in this Article to "this Act" mean this Article.

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1
Article 2.
2 Section 201. Short title. This Article may be cited as the
3Partial-birth Abortion Ban Act of 2022. References in this
4Article to "this Act" mean this Article.
5 Section 205. Definitions. In this Act:
6 "Partial-birth abortion" means an abortion in which the
7person performing the abortion partially vaginally delivers a
8living human fetus or infant before killing the fetus or
9infant and completing the delivery. The terms "fetus" and
10"infant" are used interchangeably to refer to the biological
11offspring of human parents.
12 Section 210. Partial-birth abortions prohibited. Any
13person who knowingly performs a partial-birth abortion and
14thereby kills a human fetus or infant is guilty of a Class 4
15felony. This Section does not apply to a partial-birth
16abortion that is necessary to save the life of a mother because
17her life is endangered by a physical disorder, physical
18illness, or physical injury, including a life-endangering
19condition caused by or arising from the pregnancy itself,
20provided that no other medical procedure would suffice for
21that purpose.
22 Section 215. Civil action. The maternal grandparents of

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1the fetus or infant, if the mother has not attained the age of
218 years at the time of the abortion, may in a civil action
3obtain appropriate relief unless the pregnancy resulted from
4the plaintiff's criminal conduct or the plaintiff consented to
5the abortion. The relief shall include money damages for all
6injuries, psychological and physical, occasioned by the
7violation of this Act and statutory damages equal to 3 times
8the cost of the partial-birth abortion.
9 Section 220. Prosecution of woman prohibited. A woman on
10whom a partial-birth abortion is performed may not be
11prosecuted under this Act, for a conspiracy to violate this
12Act, or for an offense under Article 31 of the Criminal Code of
131961 or Criminal Code of 2012 based on a violation of this Act,
14nor may she be held accountable under Article 5 of the Criminal
15Code of 1961 or Criminal Code of 2012 for an offense based on a
16violation of this Act.
17
Article 3.
18 Section 301. Short title. This Article may be cited as the
19Abortion Performance Refusal Act of 2022. References in this
20Article to "this Act" mean this Article.
21 Section 305. Liability; discrimination for refusal.
22 (a) No physician, nurse, or other person who refuses to

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1recommend, perform, or assist in the performance of an
2abortion, whether such abortion be a crime or not, shall be
3liable to any person for damages allegedly arising from such
4refusal.
5 (b) No hospital that refuses to permit the performance of
6an abortion upon its premises, whether such abortion be a
7crime or not, shall be liable to any person for damages
8allegedly arising from such refusal.
9 (c) Any person, association, partnership, or corporation
10that discriminates against another person in any way,
11including, but not limited to, hiring, promotion, advancement,
12transfer, licensing, granting of hospital privileges, or staff
13appointments, because of that person's refusal to recommend,
14perform, or assist in the performance of an abortion, whether
15such abortion be a crime or not, shall be answerable in civil
16damages equal to 3 times the amount of proved damages, but in
17no case less than $2,000.
18 (d) The license of any hospital, doctor, nurse, or any
19other medical personnel shall not be revoked or suspended
20because of a refusal to permit, recommend, perform, or assist
21in the performance of an abortion.
22
Article 4.
23 (775 ILCS 55/Act rep.)
24 Section 405. The Reproductive Health Act is repealed.

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1
Article 5.
2 Section 505. The Ambulatory Surgical Treatment Center Act
3is amended by adding Section 6.2 as follows:
4 (210 ILCS 5/6.2 new)
5 Sec. 6.2. Condition for licensure. Notwithstanding any
6other provision of this Act, any corporation operating an
7Ambulatory Surgical Treatment Center devoted primarily to
8providing facilities for abortion must have a physician, who
9is licensed to practice medicine in all of its branches and is
10actively engaged in the practice of medicine at the Center, on
11the board of directors as a condition to licensure of the
12Center.
13 Section 510. The Sexual Assault Survivors Emergency
14Treatment Act is amended by adding Section 9.1 as follows:
15 (410 ILCS 70/9.1 new)
16 Sec. 9.1. Provision of services related to abortion.
17Nothing in this Act shall be construed to require a hospital or
18an approved pediatric health care facility to provide any
19services which relate to an abortion.
20 Section 515. The Code of Civil Procedure is amended by

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1adding Section 11-107.1a as follows:
2 (735 ILCS 5/11-107.1a new)
3 Sec. 11-107.1a. Injunctive relief for the father of an
4unborn child in an abortion related decision by the mother. In
5any case when a married woman wishes to have an abortion
6performed upon her, and her spouse, who is the father of the
7unborn child, is opposed to the performance of that abortion,
8a court may hear testimony from both parties and balance the
9rights and interests of those parties.
10 When the interests of the husband in preventing the
11abortion outweigh those of the wife in having an abortion
12performed after the unborn child is viable, the court may
13issue an injunction against the performance of the abortion
14but only where the court makes a finding that the mother's life
15or physical health are not in danger.
16
Article 6.
17 Section 605. The State Employees Group Insurance Act of
181971 is amended by changing Section 6.11 as follows:
19 (5 ILCS 375/6.11)
20 (Text of Section before amendment by P.A. 102-731,
21102-768, 102-804, 102-816, 102-860, and 102-1093)
22 Sec. 6.11. Required health benefits; Illinois Insurance

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1Code requirements. The program of health benefits shall
2provide the post-mastectomy care benefits required to be
3covered by a policy of accident and health insurance under
4Section 356t of the Illinois Insurance Code. The program of
5health benefits shall provide the coverage required under
6Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356w, 356x,
7356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10,
8356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.22,
9356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
10356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, and
11356z.51 of the Illinois Insurance Code. The program of health
12benefits must comply with Sections 155.22a, 155.37, 355b,
13356z.19, 370c, and 370c.1 and Article XXXIIB of the Illinois
14Insurance Code. The Department of Insurance shall enforce the
15requirements of this Section with respect to Sections 370c and
16370c.1 of the Illinois Insurance Code; all other requirements
17of this Section shall be enforced by the Department of Central
18Management Services.
19 Rulemaking authority to implement Public Act 95-1045, if
20any, is conditioned on the rules being adopted in accordance
21with all provisions of the Illinois Administrative Procedure
22Act and all rules and procedures of the Joint Committee on
23Administrative Rules; any purported rule not so adopted, for
24whatever reason, is unauthorized.
25(Source: P.A. 101-13, eff. 6-12-19; 101-281, eff. 1-1-20;
26101-393, eff. 1-1-20; 101-452, eff. 1-1-20; 101-461, eff.

HB1163- 22 -LRB103 04806 LNS 49816 b
11-1-20; 101-625, eff. 1-1-21; 102-30, eff. 1-1-22; 102-103,
2eff. 1-1-22; 102-203, eff. 1-1-22; 102-306, eff. 1-1-22;
3102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-813, eff.
45-13-22.)
5 (Text of Section after amendment by P.A. 102-731, 102-804,
6102-816, 102-860, and 102-1093 but before amendment by P.A.
7102-768)
8 Sec. 6.11. Required health benefits; Illinois Insurance
9Code requirements. The program of health benefits shall
10provide the post-mastectomy care benefits required to be
11covered by a policy of accident and health insurance under
12Section 356t of the Illinois Insurance Code. The program of
13health benefits shall provide the coverage required under
14Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356w, 356x,
15356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10,
16356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.22,
17356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
18356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, and
19356z.51, and 356z.53, 356z.54, 356z.56, 356z.57, and 356z.59
20of the Illinois Insurance Code. The program of health benefits
21must comply with Sections 155.22a, 155.37, 355b, 356z.19,
22370c, and 370c.1 and Article XXXIIB of the Illinois Insurance
23Code. The Department of Insurance shall enforce the
24requirements of this Section with respect to Sections 370c and
25370c.1 of the Illinois Insurance Code; all other requirements

HB1163- 23 -LRB103 04806 LNS 49816 b
1of this Section shall be enforced by the Department of Central
2Management Services.
3 Rulemaking authority to implement Public Act 95-1045, if
4any, is conditioned on the rules being adopted in accordance
5with all provisions of the Illinois Administrative Procedure
6Act and all rules and procedures of the Joint Committee on
7Administrative Rules; any purported rule not so adopted, for
8whatever reason, is unauthorized.
9(Source: P.A. 101-13, eff. 6-12-19; 101-281, eff. 1-1-20;
10101-393, eff. 1-1-20; 101-452, eff. 1-1-20; 101-461, eff.
111-1-20; 101-625, eff. 1-1-21; 102-30, eff. 1-1-22; 102-103,
12eff. 1-1-22; 102-203, eff. 1-1-22; 102-306, eff. 1-1-22;
13102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731, eff.
141-1-23; 102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816,
15eff. 1-1-23; 102-860, eff. 1-1-23; 102-1093, eff. 1-1-23;
16revised 7-25-22.)
17 (Text of Section after amendment by P.A. 102-768)
18 Sec. 6.11. Required health benefits; Illinois Insurance
19Code requirements. The program of health benefits shall
20provide the post-mastectomy care benefits required to be
21covered by a policy of accident and health insurance under
22Section 356t of the Illinois Insurance Code. The program of
23health benefits shall provide the coverage required under
24Sections 356g, 356g.5, 356g.5-1, 356m, 356q, 356u, 356w, 356x,
25356z.2, 356z.4, 356z.4a, 356z.6, 356z.8, 356z.9, 356z.10,

HB1163- 24 -LRB103 04806 LNS 49816 b
1356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17, 356z.22,
2356z.25, 356z.26, 356z.29, 356z.30a, 356z.32, 356z.33,
3356z.36, 356z.40, 356z.41, 356z.45, 356z.46, 356z.47, and
4356z.51, and 356z.53, 356z.54, 356z.55, 356z.56, 356z.57, and
5356z.59 of the Illinois Insurance Code. The program of health
6benefits must comply with Sections 155.22a, 155.37, 355b,
7356z.19, 370c, and 370c.1 and Article XXXIIB of the Illinois
8Insurance Code. The Department of Insurance shall enforce the
9requirements of this Section with respect to Sections 370c and
10370c.1 of the Illinois Insurance Code; all other requirements
11of this Section shall be enforced by the Department of Central
12Management Services.
13 Rulemaking authority to implement Public Act 95-1045, if
14any, is conditioned on the rules being adopted in accordance
15with all provisions of the Illinois Administrative Procedure
16Act and all rules and procedures of the Joint Committee on
17Administrative Rules; any purported rule not so adopted, for
18whatever reason, is unauthorized.
19(Source: P.A. 101-13, eff. 6-12-19; 101-281, eff. 1-1-20;
20101-393, eff. 1-1-20; 101-452, eff. 1-1-20; 101-461, eff.
211-1-20; 101-625, eff. 1-1-21; 102-30, eff. 1-1-22; 102-103,
22eff. 1-1-22; 102-203, eff. 1-1-22; 102-306, eff. 1-1-22;
23102-642, eff. 1-1-22; 102-665, eff. 10-8-21; 102-731, eff.
241-1-23; 102-768, eff. 1-1-24; 102-804, eff. 1-1-23; 102-813,
25eff. 5-13-22; 102-816, eff. 1-1-23; 102-860, eff. 1-1-23;
26102-1093, eff. 1-1-23; revised 7-25-22.)

HB1163- 25 -LRB103 04806 LNS 49816 b
1 Section 610. The Children and Family Services Act is
2amended by changing Section 5 as follows:
3 (20 ILCS 505/5) (from Ch. 23, par. 5005)
4 Sec. 5. Direct child welfare services; Department of
5Children and Family Services. To provide direct child welfare
6services when not available through other public or private
7child care or program facilities.
8 (a) For purposes of this Section:
9 (1) "Children" means persons found within the State
10 who are under the age of 18 years. The term also includes
11 persons under age 21 who:
12 (A) were committed to the Department pursuant to
13 the Juvenile Court Act or the Juvenile Court Act of
14 1987 and who continue under the jurisdiction of the
15 court; or
16 (B) were accepted for care, service and training
17 by the Department prior to the age of 18 and whose best
18 interest in the discretion of the Department would be
19 served by continuing that care, service and training
20 because of severe emotional disturbances, physical
21 disability, social adjustment or any combination
22 thereof, or because of the need to complete an
23 educational or vocational training program.
24 (2) "Homeless youth" means persons found within the

HB1163- 26 -LRB103 04806 LNS 49816 b
1 State who are under the age of 19, are not in a safe and
2 stable living situation and cannot be reunited with their
3 families.
4 (3) "Child welfare services" means public social
5 services which are directed toward the accomplishment of
6 the following purposes:
7 (A) protecting and promoting the health, safety
8 and welfare of children, including homeless,
9 dependent, or neglected children;
10 (B) remedying, or assisting in the solution of
11 problems which may result in, the neglect, abuse,
12 exploitation, or delinquency of children;
13 (C) preventing the unnecessary separation of
14 children from their families by identifying family
15 problems, assisting families in resolving their
16 problems, and preventing the breakup of the family
17 where the prevention of child removal is desirable and
18 possible when the child can be cared for at home
19 without endangering the child's health and safety;
20 (D) restoring to their families children who have
21 been removed, by the provision of services to the
22 child and the families when the child can be cared for
23 at home without endangering the child's health and
24 safety;
25 (E) placing children in suitable adoptive homes,
26 in cases where restoration to the biological family is

HB1163- 27 -LRB103 04806 LNS 49816 b
1 not safe, possible, or appropriate;
2 (F) assuring safe and adequate care of children
3 away from their homes, in cases where the child cannot
4 be returned home or cannot be placed for adoption. At
5 the time of placement, the Department shall consider
6 concurrent planning, as described in subsection (l-1)
7 of this Section so that permanency may occur at the
8 earliest opportunity. Consideration should be given so
9 that if reunification fails or is delayed, the
10 placement made is the best available placement to
11 provide permanency for the child;
12 (G) (blank);
13 (H) (blank); and
14 (I) placing and maintaining children in facilities
15 that provide separate living quarters for children
16 under the age of 18 and for children 18 years of age
17 and older, unless a child 18 years of age is in the
18 last year of high school education or vocational
19 training, in an approved individual or group treatment
20 program, in a licensed shelter facility, or secure
21 child care facility. The Department is not required to
22 place or maintain children:
23 (i) who are in a foster home, or
24 (ii) who are persons with a developmental
25 disability, as defined in the Mental Health and
26 Developmental Disabilities Code, or

HB1163- 28 -LRB103 04806 LNS 49816 b
1 (iii) who are female children who are
2 pregnant, pregnant and parenting, or parenting, or
3 (iv) who are siblings, in facilities that
4 provide separate living quarters for children 18
5 years of age and older and for children under 18
6 years of age.
7 (b) Nothing in this Section shall be construed to
8authorize the expenditure of public funds for the purpose of
9performing abortions. (Blank).
10 (c) The Department shall establish and maintain
11tax-supported child welfare services and extend and seek to
12improve voluntary services throughout the State, to the end
13that services and care shall be available on an equal basis
14throughout the State to children requiring such services.
15 (d) The Director may authorize advance disbursements for
16any new program initiative to any agency contracting with the
17Department. As a prerequisite for an advance disbursement, the
18contractor must post a surety bond in the amount of the advance
19disbursement and have a purchase of service contract approved
20by the Department. The Department may pay up to 2 months
21operational expenses in advance. The amount of the advance
22disbursement shall be prorated over the life of the contract
23or the remaining months of the fiscal year, whichever is less,
24and the installment amount shall then be deducted from future
25bills. Advance disbursement authorizations for new initiatives
26shall not be made to any agency after that agency has operated

HB1163- 29 -LRB103 04806 LNS 49816 b
1during 2 consecutive fiscal years. The requirements of this
2Section concerning advance disbursements shall not apply with
3respect to the following: payments to local public agencies
4for child day care services as authorized by Section 5a of this
5Act; and youth service programs receiving grant funds under
6Section 17a-4.
7 (e) (Blank).
8 (f) (Blank).
9 (g) The Department shall establish rules and regulations
10concerning its operation of programs designed to meet the
11goals of child safety and protection, family preservation,
12family reunification, and adoption, including, but not limited
13to:
14 (1) adoption;
15 (2) foster care;
16 (3) family counseling;
17 (4) protective services;
18 (5) (blank);
19 (6) homemaker service;
20 (7) return of runaway children;
21 (8) (blank);
22 (9) placement under Section 5-7 of the Juvenile Court
23 Act or Section 2-27, 3-28, 4-25, or 5-740 of the Juvenile
24 Court Act of 1987 in accordance with the federal Adoption
25 Assistance and Child Welfare Act of 1980; and
26 (10) interstate services.

HB1163- 30 -LRB103 04806 LNS 49816 b
1 Rules and regulations established by the Department shall
2include provisions for training Department staff and the staff
3of Department grantees, through contracts with other agencies
4or resources, in screening techniques to identify substance
5use disorders, as defined in the Substance Use Disorder Act,
6approved by the Department of Human Services, as a successor
7to the Department of Alcoholism and Substance Abuse, for the
8purpose of identifying children and adults who should be
9referred for an assessment at an organization appropriately
10licensed by the Department of Human Services for substance use
11disorder treatment.
12 (h) If the Department finds that there is no appropriate
13program or facility within or available to the Department for
14a youth in care and that no licensed private facility has an
15adequate and appropriate program or none agrees to accept the
16youth in care, the Department shall create an appropriate
17individualized, program-oriented plan for such youth in care.
18The plan may be developed within the Department or through
19purchase of services by the Department to the extent that it is
20within its statutory authority to do.
21 (i) Service programs shall be available throughout the
22State and shall include but not be limited to the following
23services:
24 (1) case management;
25 (2) homemakers;
26 (3) counseling;

HB1163- 31 -LRB103 04806 LNS 49816 b
1 (4) parent education;
2 (5) day care; and
3 (6) emergency assistance and advocacy.
4 In addition, the following services may be made available
5to assess and meet the needs of children and families:
6 (1) comprehensive family-based services;
7 (2) assessments;
8 (3) respite care; and
9 (4) in-home health services.
10 The Department shall provide transportation for any of the
11services it makes available to children or families or for
12which it refers children or families.
13 (j) The Department may provide categories of financial
14assistance and education assistance grants, and shall
15establish rules and regulations concerning the assistance and
16grants, to persons who adopt children with physical or mental
17disabilities, children who are older, or other hard-to-place
18children who (i) immediately prior to their adoption were
19youth in care or (ii) were determined eligible for financial
20assistance with respect to a prior adoption and who become
21available for adoption because the prior adoption has been
22dissolved and the parental rights of the adoptive parents have
23been terminated or because the child's adoptive parents have
24died. The Department may continue to provide financial
25assistance and education assistance grants for a child who was
26determined eligible for financial assistance under this

HB1163- 32 -LRB103 04806 LNS 49816 b
1subsection (j) in the interim period beginning when the
2child's adoptive parents died and ending with the finalization
3of the new adoption of the child by another adoptive parent or
4parents. The Department may also provide categories of
5financial assistance and education assistance grants, and
6shall establish rules and regulations for the assistance and
7grants, to persons appointed guardian of the person under
8Section 5-7 of the Juvenile Court Act or Section 2-27, 3-28,
94-25, or 5-740 of the Juvenile Court Act of 1987 for children
10who were youth in care for 12 months immediately prior to the
11appointment of the guardian.
12 The amount of assistance may vary, depending upon the
13needs of the child and the adoptive parents, as set forth in
14the annual assistance agreement. Special purpose grants are
15allowed where the child requires special service but such
16costs may not exceed the amounts which similar services would
17cost the Department if it were to provide or secure them as
18guardian of the child.
19 Any financial assistance provided under this subsection is
20inalienable by assignment, sale, execution, attachment,
21garnishment, or any other remedy for recovery or collection of
22a judgment or debt.
23 (j-5) The Department shall not deny or delay the placement
24of a child for adoption if an approved family is available
25either outside of the Department region handling the case, or
26outside of the State of Illinois.

HB1163- 33 -LRB103 04806 LNS 49816 b
1 (k) The Department shall accept for care and training any
2child who has been adjudicated neglected or abused, or
3dependent committed to it pursuant to the Juvenile Court Act
4or the Juvenile Court Act of 1987.
5 (l) The Department shall offer family preservation
6services, as defined in Section 8.2 of the Abused and
7Neglected Child Reporting Act, to help families, including
8adoptive and extended families. Family preservation services
9shall be offered (i) to prevent the placement of children in
10substitute care when the children can be cared for at home or
11in the custody of the person responsible for the children's
12welfare, (ii) to reunite children with their families, or
13(iii) to maintain an adoptive placement. Family preservation
14services shall only be offered when doing so will not endanger
15the children's health or safety. With respect to children who
16are in substitute care pursuant to the Juvenile Court Act of
171987, family preservation services shall not be offered if a
18goal other than those of paragraph subdivisions (A), (B), or
19(B-1) of subsection (2) of Section 2-28 of that Act has been
20set, except that reunification services may be offered as
21provided in paragraph (F) of subsection (2) of Section 2-28 of
22that Act. Nothing in this paragraph shall be construed to
23create a private right of action or claim on the part of any
24individual or child welfare agency, except that when a child
25is the subject of an action under Article II of the Juvenile
26Court Act of 1987 and the child's service plan calls for

HB1163- 34 -LRB103 04806 LNS 49816 b
1services to facilitate achievement of the permanency goal, the
2court hearing the action under Article II of the Juvenile
3Court Act of 1987 may order the Department to provide the
4services set out in the plan, if those services are not
5provided with reasonable promptness and if those services are
6available.
7 The Department shall notify the child and his family of
8the Department's responsibility to offer and provide family
9preservation services as identified in the service plan. The
10child and his family shall be eligible for services as soon as
11the report is determined to be "indicated". The Department may
12offer services to any child or family with respect to whom a
13report of suspected child abuse or neglect has been filed,
14prior to concluding its investigation under Section 7.12 of
15the Abused and Neglected Child Reporting Act. However, the
16child's or family's willingness to accept services shall not
17be considered in the investigation. The Department may also
18provide services to any child or family who is the subject of
19any report of suspected child abuse or neglect or may refer
20such child or family to services available from other agencies
21in the community, even if the report is determined to be
22unfounded, if the conditions in the child's or family's home
23are reasonably likely to subject the child or family to future
24reports of suspected child abuse or neglect. Acceptance of
25such services shall be voluntary. The Department may also
26provide services to any child or family after completion of a

HB1163- 35 -LRB103 04806 LNS 49816 b
1family assessment, as an alternative to an investigation, as
2provided under the "differential response program" provided
3for in subsection (a-5) of Section 7.4 of the Abused and
4Neglected Child Reporting Act.
5 The Department may, at its discretion except for those
6children also adjudicated neglected or dependent, accept for
7care and training any child who has been adjudicated addicted,
8as a truant minor in need of supervision or as a minor
9requiring authoritative intervention, under the Juvenile Court
10Act or the Juvenile Court Act of 1987, but no such child shall
11be committed to the Department by any court without the
12approval of the Department. On and after January 1, 2015 (the
13effective date of Public Act 98-803) and before January 1,
142017, a minor charged with a criminal offense under the
15Criminal Code of 1961 or the Criminal Code of 2012 or
16adjudicated delinquent shall not be placed in the custody of
17or committed to the Department by any court, except (i) a minor
18less than 16 years of age committed to the Department under
19Section 5-710 of the Juvenile Court Act of 1987, (ii) a minor
20for whom an independent basis of abuse, neglect, or dependency
21exists, which must be defined by departmental rule, or (iii) a
22minor for whom the court has granted a supplemental petition
23to reinstate wardship pursuant to subsection (2) of Section
242-33 of the Juvenile Court Act of 1987. On and after January 1,
252017, a minor charged with a criminal offense under the
26Criminal Code of 1961 or the Criminal Code of 2012 or

HB1163- 36 -LRB103 04806 LNS 49816 b
1adjudicated delinquent shall not be placed in the custody of
2or committed to the Department by any court, except (i) a minor
3less than 15 years of age committed to the Department under
4Section 5-710 of the Juvenile Court Act of 1987, ii) a minor
5for whom an independent basis of abuse, neglect, or dependency
6exists, which must be defined by departmental rule, or (iii) a
7minor for whom the court has granted a supplemental petition
8to reinstate wardship pursuant to subsection (2) of Section
92-33 of the Juvenile Court Act of 1987. An independent basis
10exists when the allegations or adjudication of abuse, neglect,
11or dependency do not arise from the same facts, incident, or
12circumstances which give rise to a charge or adjudication of
13delinquency. The Department shall assign a caseworker to
14attend any hearing involving a youth in the care and custody of
15the Department who is placed on aftercare release, including
16hearings involving sanctions for violation of aftercare
17release conditions and aftercare release revocation hearings.
18 As soon as is possible after August 7, 2009 (the effective
19date of Public Act 96-134), the Department shall develop and
20implement a special program of family preservation services to
21support intact, foster, and adoptive families who are
22experiencing extreme hardships due to the difficulty and
23stress of caring for a child who has been diagnosed with a
24pervasive developmental disorder if the Department determines
25that those services are necessary to ensure the health and
26safety of the child. The Department may offer services to any

HB1163- 37 -LRB103 04806 LNS 49816 b
1family whether or not a report has been filed under the Abused
2and Neglected Child Reporting Act. The Department may refer
3the child or family to services available from other agencies
4in the community if the conditions in the child's or family's
5home are reasonably likely to subject the child or family to
6future reports of suspected child abuse or neglect. Acceptance
7of these services shall be voluntary. The Department shall
8develop and implement a public information campaign to alert
9health and social service providers and the general public
10about these special family preservation services. The nature
11and scope of the services offered and the number of families
12served under the special program implemented under this
13paragraph shall be determined by the level of funding that the
14Department annually allocates for this purpose. The term
15"pervasive developmental disorder" under this paragraph means
16a neurological condition, including, but not limited to,
17Asperger's Syndrome and autism, as defined in the most recent
18edition of the Diagnostic and Statistical Manual of Mental
19Disorders of the American Psychiatric Association.
20 (l-1) The legislature recognizes that the best interests
21of the child require that the child be placed in the most
22permanent living arrangement as soon as is practically
23possible. To achieve this goal, the legislature directs the
24Department of Children and Family Services to conduct
25concurrent planning so that permanency may occur at the
26earliest opportunity. Permanent living arrangements may

HB1163- 38 -LRB103 04806 LNS 49816 b
1include prevention of placement of a child outside the home of
2the family when the child can be cared for at home without
3endangering the child's health or safety; reunification with
4the family, when safe and appropriate, if temporary placement
5is necessary; or movement of the child toward the most
6permanent living arrangement and permanent legal status.
7 When determining reasonable efforts to be made with
8respect to a child, as described in this subsection, and in
9making such reasonable efforts, the child's health and safety
10shall be the paramount concern.
11 When a child is placed in foster care, the Department
12shall ensure and document that reasonable efforts were made to
13prevent or eliminate the need to remove the child from the
14child's home. The Department must make reasonable efforts to
15reunify the family when temporary placement of the child
16occurs unless otherwise required, pursuant to the Juvenile
17Court Act of 1987. At any time after the dispositional hearing
18where the Department believes that further reunification
19services would be ineffective, it may request a finding from
20the court that reasonable efforts are no longer appropriate.
21The Department is not required to provide further
22reunification services after such a finding.
23 A decision to place a child in substitute care shall be
24made with considerations of the child's health, safety, and
25best interests. At the time of placement, consideration should
26also be given so that if reunification fails or is delayed, the

HB1163- 39 -LRB103 04806 LNS 49816 b
1placement made is the best available placement to provide
2permanency for the child.
3 The Department shall adopt rules addressing concurrent
4planning for reunification and permanency. The Department
5shall consider the following factors when determining
6appropriateness of concurrent planning:
7 (1) the likelihood of prompt reunification;
8 (2) the past history of the family;
9 (3) the barriers to reunification being addressed by
10 the family;
11 (4) the level of cooperation of the family;
12 (5) the foster parents' willingness to work with the
13 family to reunite;
14 (6) the willingness and ability of the foster family
15 to provide an adoptive home or long-term placement;
16 (7) the age of the child;
17 (8) placement of siblings.
18 (m) The Department may assume temporary custody of any
19child if:
20 (1) it has received a written consent to such
21 temporary custody signed by the parents of the child or by
22 the parent having custody of the child if the parents are
23 not living together or by the guardian or custodian of the
24 child if the child is not in the custody of either parent,
25 or
26 (2) the child is found in the State and neither a

HB1163- 40 -LRB103 04806 LNS 49816 b
1 parent, guardian nor custodian of the child can be
2 located.
3If the child is found in his or her residence without a parent,
4guardian, custodian, or responsible caretaker, the Department
5may, instead of removing the child and assuming temporary
6custody, place an authorized representative of the Department
7in that residence until such time as a parent, guardian, or
8custodian enters the home and expresses a willingness and
9apparent ability to ensure the child's health and safety and
10resume permanent charge of the child, or until a relative
11enters the home and is willing and able to ensure the child's
12health and safety and assume charge of the child until a
13parent, guardian, or custodian enters the home and expresses
14such willingness and ability to ensure the child's safety and
15resume permanent charge. After a caretaker has remained in the
16home for a period not to exceed 12 hours, the Department must
17follow those procedures outlined in Section 2-9, 3-11, 4-8, or
185-415 of the Juvenile Court Act of 1987.
19 The Department shall have the authority, responsibilities
20and duties that a legal custodian of the child would have
21pursuant to subsection (9) of Section 1-3 of the Juvenile
22Court Act of 1987. Whenever a child is taken into temporary
23custody pursuant to an investigation under the Abused and
24Neglected Child Reporting Act, or pursuant to a referral and
25acceptance under the Juvenile Court Act of 1987 of a minor in
26limited custody, the Department, during the period of

HB1163- 41 -LRB103 04806 LNS 49816 b
1temporary custody and before the child is brought before a
2judicial officer as required by Section 2-9, 3-11, 4-8, or
35-415 of the Juvenile Court Act of 1987, shall have the
4authority, responsibilities and duties that a legal custodian
5of the child would have under subsection (9) of Section 1-3 of
6the Juvenile Court Act of 1987.
7 The Department shall ensure that any child taken into
8custody is scheduled for an appointment for a medical
9examination.
10 A parent, guardian, or custodian of a child in the
11temporary custody of the Department who would have custody of
12the child if he were not in the temporary custody of the
13Department may deliver to the Department a signed request that
14the Department surrender the temporary custody of the child.
15The Department may retain temporary custody of the child for
1610 days after the receipt of the request, during which period
17the Department may cause to be filed a petition pursuant to the
18Juvenile Court Act of 1987. If a petition is so filed, the
19Department shall retain temporary custody of the child until
20the court orders otherwise. If a petition is not filed within
21the 10-day period, the child shall be surrendered to the
22custody of the requesting parent, guardian, or custodian not
23later than the expiration of the 10-day period, at which time
24the authority and duties of the Department with respect to the
25temporary custody of the child shall terminate.
26 (m-1) The Department may place children under 18 years of

HB1163- 42 -LRB103 04806 LNS 49816 b
1age in a secure child care facility licensed by the Department
2that cares for children who are in need of secure living
3arrangements for their health, safety, and well-being after a
4determination is made by the facility director and the
5Director or the Director's designate prior to admission to the
6facility subject to Section 2-27.1 of the Juvenile Court Act
7of 1987. This subsection (m-1) does not apply to a child who is
8subject to placement in a correctional facility operated
9pursuant to Section 3-15-2 of the Unified Code of Corrections,
10unless the child is a youth in care who was placed in the care
11of the Department before being subject to placement in a
12correctional facility and a court of competent jurisdiction
13has ordered placement of the child in a secure care facility.
14 (n) The Department may place children under 18 years of
15age in licensed child care facilities when in the opinion of
16the Department, appropriate services aimed at family
17preservation have been unsuccessful and cannot ensure the
18child's health and safety or are unavailable and such
19placement would be for their best interest. Payment for board,
20clothing, care, training and supervision of any child placed
21in a licensed child care facility may be made by the
22Department, by the parents or guardians of the estates of
23those children, or by both the Department and the parents or
24guardians, except that no payments shall be made by the
25Department for any child placed in a licensed child care
26facility for board, clothing, care, training and supervision

HB1163- 43 -LRB103 04806 LNS 49816 b
1of such a child that exceed the average per capita cost of
2maintaining and of caring for a child in institutions for
3dependent or neglected children operated by the Department.
4However, such restriction on payments does not apply in cases
5where children require specialized care and treatment for
6problems of severe emotional disturbance, physical disability,
7social adjustment, or any combination thereof and suitable
8facilities for the placement of such children are not
9available at payment rates within the limitations set forth in
10this Section. All reimbursements for services delivered shall
11be absolutely inalienable by assignment, sale, attachment, or
12garnishment or otherwise.
13 (n-1) The Department shall provide or authorize child
14welfare services, aimed at assisting minors to achieve
15sustainable self-sufficiency as independent adults, for any
16minor eligible for the reinstatement of wardship pursuant to
17subsection (2) of Section 2-33 of the Juvenile Court Act of
181987, whether or not such reinstatement is sought or allowed,
19provided that the minor consents to such services and has not
20yet attained the age of 21. The Department shall have
21responsibility for the development and delivery of services
22under this Section. An eligible youth may access services
23under this Section through the Department of Children and
24Family Services or by referral from the Department of Human
25Services. Youth participating in services under this Section
26shall cooperate with the assigned case manager in developing

HB1163- 44 -LRB103 04806 LNS 49816 b
1an agreement identifying the services to be provided and how
2the youth will increase skills to achieve self-sufficiency. A
3homeless shelter is not considered appropriate housing for any
4youth receiving child welfare services under this Section. The
5Department shall continue child welfare services under this
6Section to any eligible minor until the minor becomes 21 years
7of age, no longer consents to participate, or achieves
8self-sufficiency as identified in the minor's service plan.
9The Department of Children and Family Services shall create
10clear, readable notice of the rights of former foster youth to
11child welfare services under this Section and how such
12services may be obtained. The Department of Children and
13Family Services and the Department of Human Services shall
14disseminate this information statewide. The Department shall
15adopt regulations describing services intended to assist
16minors in achieving sustainable self-sufficiency as
17independent adults.
18 (o) The Department shall establish an administrative
19review and appeal process for children and families who
20request or receive child welfare services from the Department.
21Youth in care who are placed by private child welfare
22agencies, and foster families with whom those youth are
23placed, shall be afforded the same procedural and appeal
24rights as children and families in the case of placement by the
25Department, including the right to an initial review of a
26private agency decision by that agency. The Department shall

HB1163- 45 -LRB103 04806 LNS 49816 b
1ensure that any private child welfare agency, which accepts
2youth in care for placement, affords those rights to children
3and foster families. The Department shall accept for
4administrative review and an appeal hearing a complaint made
5by (i) a child or foster family concerning a decision
6following an initial review by a private child welfare agency
7or (ii) a prospective adoptive parent who alleges a violation
8of subsection (j-5) of this Section. An appeal of a decision
9concerning a change in the placement of a child shall be
10conducted in an expedited manner. A court determination that a
11current foster home placement is necessary and appropriate
12under Section 2-28 of the Juvenile Court Act of 1987 does not
13constitute a judicial determination on the merits of an
14administrative appeal, filed by a former foster parent,
15involving a change of placement decision.
16 (p) (Blank).
17 (q) The Department may receive and use, in their entirety,
18for the benefit of children any gift, donation, or bequest of
19money or other property which is received on behalf of such
20children, or any financial benefits to which such children are
21or may become entitled while under the jurisdiction or care of
22the Department, except that the benefits described in Section
235.46 must be used and conserved consistent with the provisions
24under Section 5.46.
25 The Department shall set up and administer no-cost,
26interest-bearing accounts in appropriate financial

HB1163- 46 -LRB103 04806 LNS 49816 b
1institutions for children for whom the Department is legally
2responsible and who have been determined eligible for
3Veterans' Benefits, Social Security benefits, assistance
4allotments from the armed forces, court ordered payments,
5parental voluntary payments, Supplemental Security Income,
6Railroad Retirement payments, Black Lung benefits, or other
7miscellaneous payments. Interest earned by each account shall
8be credited to the account, unless disbursed in accordance
9with this subsection.
10 In disbursing funds from children's accounts, the
11Department shall:
12 (1) Establish standards in accordance with State and
13 federal laws for disbursing money from children's
14 accounts. In all circumstances, the Department's
15 "Guardianship Administrator" or his or her designee must
16 approve disbursements from children's accounts. The
17 Department shall be responsible for keeping complete
18 records of all disbursements for each account for any
19 purpose.
20 (2) Calculate on a monthly basis the amounts paid from
21 State funds for the child's board and care, medical care
22 not covered under Medicaid, and social services; and
23 utilize funds from the child's account, as covered by
24 regulation, to reimburse those costs. Monthly,
25 disbursements from all children's accounts, up to 1/12 of
26 $13,000,000, shall be deposited by the Department into the

HB1163- 47 -LRB103 04806 LNS 49816 b
1 General Revenue Fund and the balance over 1/12 of
2 $13,000,000 into the DCFS Children's Services Fund.
3 (3) Maintain any balance remaining after reimbursing
4 for the child's costs of care, as specified in item (2).
5 The balance shall accumulate in accordance with relevant
6 State and federal laws and shall be disbursed to the child
7 or his or her guardian, or to the issuing agency.
8 (r) The Department shall promulgate regulations
9encouraging all adoption agencies to voluntarily forward to
10the Department or its agent names and addresses of all persons
11who have applied for and have been approved for adoption of a
12hard-to-place child or child with a disability and the names
13of such children who have not been placed for adoption. A list
14of such names and addresses shall be maintained by the
15Department or its agent, and coded lists which maintain the
16confidentiality of the person seeking to adopt the child and
17of the child shall be made available, without charge, to every
18adoption agency in the State to assist the agencies in placing
19such children for adoption. The Department may delegate to an
20agent its duty to maintain and make available such lists. The
21Department shall ensure that such agent maintains the
22confidentiality of the person seeking to adopt the child and
23of the child.
24 (s) The Department of Children and Family Services may
25establish and implement a program to reimburse Department and
26private child welfare agency foster parents licensed by the

HB1163- 48 -LRB103 04806 LNS 49816 b
1Department of Children and Family Services for damages
2sustained by the foster parents as a result of the malicious or
3negligent acts of foster children, as well as providing third
4party coverage for such foster parents with regard to actions
5of foster children to other individuals. Such coverage will be
6secondary to the foster parent liability insurance policy, if
7applicable. The program shall be funded through appropriations
8from the General Revenue Fund, specifically designated for
9such purposes.
10 (t) The Department shall perform home studies and
11investigations and shall exercise supervision over visitation
12as ordered by a court pursuant to the Illinois Marriage and
13Dissolution of Marriage Act or the Adoption Act only if:
14 (1) an order entered by an Illinois court specifically
15 directs the Department to perform such services; and
16 (2) the court has ordered one or both of the parties to
17 the proceeding to reimburse the Department for its
18 reasonable costs for providing such services in accordance
19 with Department rules, or has determined that neither
20 party is financially able to pay.
21 The Department shall provide written notification to the
22court of the specific arrangements for supervised visitation
23and projected monthly costs within 60 days of the court order.
24The Department shall send to the court information related to
25the costs incurred except in cases where the court has
26determined the parties are financially unable to pay. The

HB1163- 49 -LRB103 04806 LNS 49816 b
1court may order additional periodic reports as appropriate.
2 (u) In addition to other information that must be
3provided, whenever the Department places a child with a
4prospective adoptive parent or parents, in a licensed foster
5home, group home, or child care institution, or in a relative
6home, the Department shall provide to the prospective adoptive
7parent or parents or other caretaker:
8 (1) available detailed information concerning the
9 child's educational and health history, copies of
10 immunization records (including insurance and medical card
11 information), a history of the child's previous
12 placements, if any, and reasons for placement changes
13 excluding any information that identifies or reveals the
14 location of any previous caretaker;
15 (2) a copy of the child's portion of the client
16 service plan, including any visitation arrangement, and
17 all amendments or revisions to it as related to the child;
18 and
19 (3) information containing details of the child's
20 individualized educational plan when the child is
21 receiving special education services.
22 The caretaker shall be informed of any known social or
23behavioral information (including, but not limited to,
24criminal background, fire setting, perpetuation of sexual
25abuse, destructive behavior, and substance abuse) necessary to
26care for and safeguard the children to be placed or currently

HB1163- 50 -LRB103 04806 LNS 49816 b
1in the home. The Department may prepare a written summary of
2the information required by this paragraph, which may be
3provided to the foster or prospective adoptive parent in
4advance of a placement. The foster or prospective adoptive
5parent may review the supporting documents in the child's file
6in the presence of casework staff. In the case of an emergency
7placement, casework staff shall at least provide known
8information verbally, if necessary, and must subsequently
9provide the information in writing as required by this
10subsection.
11 The information described in this subsection shall be
12provided in writing. In the case of emergency placements when
13time does not allow prior review, preparation, and collection
14of written information, the Department shall provide such
15information as it becomes available. Within 10 business days
16after placement, the Department shall obtain from the
17prospective adoptive parent or parents or other caretaker a
18signed verification of receipt of the information provided.
19Within 10 business days after placement, the Department shall
20provide to the child's guardian ad litem a copy of the
21information provided to the prospective adoptive parent or
22parents or other caretaker. The information provided to the
23prospective adoptive parent or parents or other caretaker
24shall be reviewed and approved regarding accuracy at the
25supervisory level.
26 (u-5) Effective July 1, 1995, only foster care placements

HB1163- 51 -LRB103 04806 LNS 49816 b
1licensed as foster family homes pursuant to the Child Care Act
2of 1969 shall be eligible to receive foster care payments from
3the Department. Relative caregivers who, as of July 1, 1995,
4were approved pursuant to approved relative placement rules
5previously promulgated by the Department at 89 Ill. Adm. Code
6335 and had submitted an application for licensure as a foster
7family home may continue to receive foster care payments only
8until the Department determines that they may be licensed as a
9foster family home or that their application for licensure is
10denied or until September 30, 1995, whichever occurs first.
11 (v) The Department shall access criminal history record
12information as defined in the Illinois Uniform Conviction
13Information Act and information maintained in the adjudicatory
14and dispositional record system as defined in Section 2605-355
15of the Illinois State Police Law if the Department determines
16the information is necessary to perform its duties under the
17Abused and Neglected Child Reporting Act, the Child Care Act
18of 1969, and the Children and Family Services Act. The
19Department shall provide for interactive computerized
20communication and processing equipment that permits direct
21on-line communication with the Illinois State Police's central
22criminal history data repository. The Department shall comply
23with all certification requirements and provide certified
24operators who have been trained by personnel from the Illinois
25State Police. In addition, one Office of the Inspector General
26investigator shall have training in the use of the criminal

HB1163- 52 -LRB103 04806 LNS 49816 b
1history information access system and have access to the
2terminal. The Department of Children and Family Services and
3its employees shall abide by rules and regulations established
4by the Illinois State Police relating to the access and
5dissemination of this information.
6 (v-1) Prior to final approval for placement of a child,
7the Department shall conduct a criminal records background
8check of the prospective foster or adoptive parent, including
9fingerprint-based checks of national crime information
10databases. Final approval for placement shall not be granted
11if the record check reveals a felony conviction for child
12abuse or neglect, for spousal abuse, for a crime against
13children, or for a crime involving violence, including rape,
14sexual assault, or homicide, but not including other physical
15assault or battery, or if there is a felony conviction for
16physical assault, battery, or a drug-related offense committed
17within the past 5 years.
18 (v-2) Prior to final approval for placement of a child,
19the Department shall check its child abuse and neglect
20registry for information concerning prospective foster and
21adoptive parents, and any adult living in the home. If any
22prospective foster or adoptive parent or other adult living in
23the home has resided in another state in the preceding 5 years,
24the Department shall request a check of that other state's
25child abuse and neglect registry.
26 (w) Within 120 days of August 20, 1995 (the effective date

HB1163- 53 -LRB103 04806 LNS 49816 b
1of Public Act 89-392), the Department shall prepare and submit
2to the Governor and the General Assembly, a written plan for
3the development of in-state licensed secure child care
4facilities that care for children who are in need of secure
5living arrangements for their health, safety, and well-being.
6For purposes of this subsection, secure care facility shall
7mean a facility that is designed and operated to ensure that
8all entrances and exits from the facility, a building or a
9distinct part of the building, are under the exclusive control
10of the staff of the facility, whether or not the child has the
11freedom of movement within the perimeter of the facility,
12building, or distinct part of the building. The plan shall
13include descriptions of the types of facilities that are
14needed in Illinois; the cost of developing these secure care
15facilities; the estimated number of placements; the potential
16cost savings resulting from the movement of children currently
17out-of-state who are projected to be returned to Illinois; the
18necessary geographic distribution of these facilities in
19Illinois; and a proposed timetable for development of such
20facilities.
21 (x) The Department shall conduct annual credit history
22checks to determine the financial history of children placed
23under its guardianship pursuant to the Juvenile Court Act of
241987. The Department shall conduct such credit checks starting
25when a youth in care turns 12 years old and each year
26thereafter for the duration of the guardianship as terminated

HB1163- 54 -LRB103 04806 LNS 49816 b
1pursuant to the Juvenile Court Act of 1987. The Department
2shall determine if financial exploitation of the child's
3personal information has occurred. If financial exploitation
4appears to have taken place or is presently ongoing, the
5Department shall notify the proper law enforcement agency, the
6proper State's Attorney, or the Attorney General.
7 (y) Beginning on July 22, 2010 (the effective date of
8Public Act 96-1189), a child with a disability who receives
9residential and educational services from the Department shall
10be eligible to receive transition services in accordance with
11Article 14 of the School Code from the age of 14.5 through age
1221, inclusive, notwithstanding the child's residential
13services arrangement. For purposes of this subsection, "child
14with a disability" means a child with a disability as defined
15by the federal Individuals with Disabilities Education
16Improvement Act of 2004.
17 (z) The Department shall access criminal history record
18information as defined as "background information" in this
19subsection and criminal history record information as defined
20in the Illinois Uniform Conviction Information Act for each
21Department employee or Department applicant. Each Department
22employee or Department applicant shall submit his or her
23fingerprints to the Illinois State Police in the form and
24manner prescribed by the Illinois State Police. These
25fingerprints shall be checked against the fingerprint records
26now and hereafter filed in the Illinois State Police and the

HB1163- 55 -LRB103 04806 LNS 49816 b
1Federal Bureau of Investigation criminal history records
2databases. The Illinois State Police shall charge a fee for
3conducting the criminal history record check, which shall be
4deposited into the State Police Services Fund and shall not
5exceed the actual cost of the record check. The Illinois State
6Police shall furnish, pursuant to positive identification, all
7Illinois conviction information to the Department of Children
8and Family Services.
9 For purposes of this subsection:
10 "Background information" means all of the following:
11 (i) Upon the request of the Department of Children and
12 Family Services, conviction information obtained from the
13 Illinois State Police as a result of a fingerprint-based
14 criminal history records check of the Illinois criminal
15 history records database and the Federal Bureau of
16 Investigation criminal history records database concerning
17 a Department employee or Department applicant.
18 (ii) Information obtained by the Department of
19 Children and Family Services after performing a check of
20 the Illinois State Police's Sex Offender Database, as
21 authorized by Section 120 of the Sex Offender Community
22 Notification Law, concerning a Department employee or
23 Department applicant.
24 (iii) Information obtained by the Department of
25 Children and Family Services after performing a check of
26 the Child Abuse and Neglect Tracking System (CANTS)

HB1163- 56 -LRB103 04806 LNS 49816 b
1 operated and maintained by the Department.
2 "Department employee" means a full-time or temporary
3employee coded or certified within the State of Illinois
4Personnel System.
5 "Department applicant" means an individual who has
6conditional Department full-time or part-time work, a
7contractor, an individual used to replace or supplement staff,
8an academic intern, a volunteer in Department offices or on
9Department contracts, a work-study student, an individual or
10entity licensed by the Department, or an unlicensed service
11provider who works as a condition of a contract or an agreement
12and whose work may bring the unlicensed service provider into
13contact with Department clients or client records.
14(Source: P.A. 101-13, eff. 6-12-19; 101-79, eff. 7-12-19;
15101-81, eff. 7-12-19; 102-538, eff. 8-20-21; 102-558, eff.
168-20-21; 102-1014, eff. 5-27-22.)
17 Section 615. The Freedom of Information Act is amended by
18changing Section 7.5 as follows:
19 (5 ILCS 140/7.5)
20 Sec. 7.5. Statutory exemptions. To the extent provided for
21by the statutes referenced below, the following shall be
22exempt from inspection and copying:
23 (a) All information determined to be confidential
24 under Section 4002 of the Technology Advancement and

HB1163- 57 -LRB103 04806 LNS 49816 b
1 Development Act.
2 (b) Library circulation and order records identifying
3 library users with specific materials under the Library
4 Records Confidentiality Act.
5 (c) Applications, related documents, and medical
6 records received by the Experimental Organ Transplantation
7 Procedures Board and any and all documents or other
8 records prepared by the Experimental Organ Transplantation
9 Procedures Board or its staff relating to applications it
10 has received.
11 (d) Information and records held by the Department of
12 Public Health and its authorized representatives relating
13 to known or suspected cases of sexually transmissible
14 disease or any information the disclosure of which is
15 restricted under the Illinois Sexually Transmissible
16 Disease Control Act.
17 (e) Information the disclosure of which is exempted
18 under Section 30 of the Radon Industry Licensing Act.
19 (f) Firm performance evaluations under Section 55 of
20 the Architectural, Engineering, and Land Surveying
21 Qualifications Based Selection Act.
22 (g) Information the disclosure of which is restricted
23 and exempted under Section 50 of the Illinois Prepaid
24 Tuition Act.
25 (h) Information the disclosure of which is exempted
26 under the State Officials and Employees Ethics Act, and

HB1163- 58 -LRB103 04806 LNS 49816 b
1 records of any lawfully created State or local inspector
2 general's office that would be exempt if created or
3 obtained by an Executive Inspector General's office under
4 that Act.
5 (i) Information contained in a local emergency energy
6 plan submitted to a municipality in accordance with a
7 local emergency energy plan ordinance that is adopted
8 under Section 11-21.5-5 of the Illinois Municipal Code.
9 (j) Information and data concerning the distribution
10 of surcharge moneys collected and remitted by carriers
11 under the Emergency Telephone System Act.
12 (k) Law enforcement officer identification information
13 or driver identification information compiled by a law
14 enforcement agency or the Department of Transportation
15 under Section 11-212 of the Illinois Vehicle Code.
16 (l) Records and information provided to a residential
17 health care facility resident sexual assault and death
18 review team or the Executive Council under the Abuse
19 Prevention Review Team Act.
20 (m) Information provided to the predatory lending
21 database created pursuant to Article 3 of the Residential
22 Real Property Disclosure Act, except to the extent
23 authorized under that Article.
24 (n) Defense budgets and petitions for certification of
25 compensation and expenses for court appointed trial
26 counsel as provided under Sections 10 and 15 of the

HB1163- 59 -LRB103 04806 LNS 49816 b
1 Capital Crimes Litigation Act. This subsection (n) shall
2 apply until the conclusion of the trial of the case, even
3 if the prosecution chooses not to pursue the death penalty
4 prior to trial or sentencing.
5 (o) Information that is prohibited from being
6 disclosed under Section 4 of the Illinois Health and
7 Hazardous Substances Registry Act.
8 (p) Security portions of system safety program plans,
9 investigation reports, surveys, schedules, lists, data, or
10 information compiled, collected, or prepared by or for the
11 Department of Transportation under Sections 2705-300 and
12 2705-616 of the Department of Transportation Law of the
13 Civil Administrative Code of Illinois, the Regional
14 Transportation Authority under Section 2.11 of the
15 Regional Transportation Authority Act, or the St. Clair
16 County Transit District under the Bi-State Transit Safety
17 Act.
18 (q) Information prohibited from being disclosed by the
19 Personnel Record Review Act.
20 (r) Information prohibited from being disclosed by the
21 Illinois School Student Records Act.
22 (s) Information the disclosure of which is restricted
23 under Section 5-108 of the Public Utilities Act.
24 (t) All identified or deidentified health information
25 in the form of health data or medical records contained
26 in, stored in, submitted to, transferred by, or released

HB1163- 60 -LRB103 04806 LNS 49816 b
1 from the Illinois Health Information Exchange, and
2 identified or deidentified health information in the form
3 of health data and medical records of the Illinois Health
4 Information Exchange in the possession of the Illinois
5 Health Information Exchange Office due to its
6 administration of the Illinois Health Information
7 Exchange. The terms "identified" and "deidentified" shall
8 be given the same meaning as in the Health Insurance
9 Portability and Accountability Act of 1996, Public Law
10 104-191, or any subsequent amendments thereto, and any
11 regulations promulgated thereunder.
12 (u) Records and information provided to an independent
13 team of experts under the Developmental Disability and
14 Mental Health Safety Act (also known as Brian's Law).
15 (v) Names and information of people who have applied
16 for or received Firearm Owner's Identification Cards under
17 the Firearm Owners Identification Card Act or applied for
18 or received a concealed carry license under the Firearm
19 Concealed Carry Act, unless otherwise authorized by the
20 Firearm Concealed Carry Act; and databases under the
21 Firearm Concealed Carry Act, records of the Concealed
22 Carry Licensing Review Board under the Firearm Concealed
23 Carry Act, and law enforcement agency objections under the
24 Firearm Concealed Carry Act.
25 (v-5) Records of the Firearm Owner's Identification
26 Card Review Board that are exempted from disclosure under

HB1163- 61 -LRB103 04806 LNS 49816 b
1 Section 10 of the Firearm Owners Identification Card Act.
2 (w) Personally identifiable information which is
3 exempted from disclosure under subsection (g) of Section
4 19.1 of the Toll Highway Act.
5 (x) Information which is exempted from disclosure
6 under Section 5-1014.3 of the Counties Code or Section
7 8-11-21 of the Illinois Municipal Code.
8 (y) Confidential information under the Adult
9 Protective Services Act and its predecessor enabling
10 statute, the Elder Abuse and Neglect Act, including
11 information about the identity and administrative finding
12 against any caregiver of a verified and substantiated
13 decision of abuse, neglect, or financial exploitation of
14 an eligible adult maintained in the Registry established
15 under Section 7.5 of the Adult Protective Services Act.
16 (z) Records and information provided to a fatality
17 review team or the Illinois Fatality Review Team Advisory
18 Council under Section 15 of the Adult Protective Services
19 Act.
20 (aa) Information which is exempted from disclosure
21 under Section 2.37 of the Wildlife Code.
22 (bb) Information which is or was prohibited from
23 disclosure by the Juvenile Court Act of 1987.
24 (cc) Recordings made under the Law Enforcement
25 Officer-Worn Body Camera Act, except to the extent
26 authorized under that Act.

HB1163- 62 -LRB103 04806 LNS 49816 b
1 (dd) Information that is prohibited from being
2 disclosed under Section 45 of the Condominium and Common
3 Interest Community Ombudsperson Act.
4 (ee) Information that is exempted from disclosure
5 under Section 30.1 of the Pharmacy Practice Act.
6 (ff) Information that is exempted from disclosure
7 under the Revised Uniform Unclaimed Property Act.
8 (gg) Information that is prohibited from being
9 disclosed under Section 7-603.5 of the Illinois Vehicle
10 Code.
11 (hh) Records that are exempt from disclosure under
12 Section 1A-16.7 of the Election Code.
13 (ii) Information which is exempted from disclosure
14 under Section 2505-800 of the Department of Revenue Law of
15 the Civil Administrative Code of Illinois.
16 (jj) Information and reports that are required to be
17 submitted to the Department of Labor by registering day
18 and temporary labor service agencies but are exempt from
19 disclosure under subsection (a-1) of Section 45 of the Day
20 and Temporary Labor Services Act.
21 (kk) Information prohibited from disclosure under the
22 Seizure and Forfeiture Reporting Act.
23 (ll) Information the disclosure of which is restricted
24 and exempted under Section 5-30.8 of the Illinois Public
25 Aid Code.
26 (mm) Records that are exempt from disclosure under

HB1163- 63 -LRB103 04806 LNS 49816 b
1 Section 4.2 of the Crime Victims Compensation Act.
2 (nn) Information that is exempt from disclosure under
3 Section 70 of the Higher Education Student Assistance Act.
4 (oo) Communications, notes, records, and reports
5 arising out of a peer support counseling session
6 prohibited from disclosure under the First Responders
7 Suicide Prevention Act.
8 (pp) Names and all identifying information relating to
9 an employee of an emergency services provider or law
10 enforcement agency under the First Responders Suicide
11 Prevention Act.
12 (qq) (Blank). Information and records held by the
13 Department of Public Health and its authorized
14 representatives collected under the Reproductive Health
15 Act.
16 (rr) Information that is exempt from disclosure under
17 the Cannabis Regulation and Tax Act.
18 (ss) Data reported by an employer to the Department of
19 Human Rights pursuant to Section 2-108 of the Illinois
20 Human Rights Act.
21 (tt) Recordings made under the Children's Advocacy
22 Center Act, except to the extent authorized under that
23 Act.
24 (uu) Information that is exempt from disclosure under
25 Section 50 of the Sexual Assault Evidence Submission Act.
26 (vv) Information that is exempt from disclosure under

HB1163- 64 -LRB103 04806 LNS 49816 b
1 subsections (f) and (j) of Section 5-36 of the Illinois
2 Public Aid Code.
3 (ww) Information that is exempt from disclosure under
4 Section 16.8 of the State Treasurer Act.
5 (xx) Information that is exempt from disclosure or
6 information that shall not be made public under the
7 Illinois Insurance Code.
8 (yy) Information prohibited from being disclosed under
9 the Illinois Educational Labor Relations Act.
10 (zz) Information prohibited from being disclosed under
11 the Illinois Public Labor Relations Act.
12 (aaa) Information prohibited from being disclosed
13 under Section 1-167 of the Illinois Pension Code.
14 (bbb) Information that is prohibited from disclosure
15 by the Illinois Police Training Act and the Illinois State
16 Police Act.
17 (ccc) Records exempt from disclosure under Section
18 2605-304 of the Illinois State Police Law of the Civil
19 Administrative Code of Illinois.
20 (ddd) Information prohibited from being disclosed
21 under Section 35 of the Address Confidentiality for
22 Victims of Domestic Violence, Sexual Assault, Human
23 Trafficking, or Stalking Act.
24 (eee) Information prohibited from being disclosed
25 under subsection (b) of Section 75 of the Domestic
26 Violence Fatality Review Act.

HB1163- 65 -LRB103 04806 LNS 49816 b
1 (fff) Images from cameras under the Expressway Camera
2 Act. This subsection (fff) is inoperative on and after
3 July 1, 2023.
4 (ggg) (fff) Information prohibited from disclosure
5 under paragraph (3) of subsection (a) of Section 14 of the
6 Nurse Agency Licensing Act.
7(Source: P.A. 101-13, eff. 6-12-19; 101-27, eff. 6-25-19;
8101-81, eff. 7-12-19; 101-221, eff. 1-1-20; 101-236, eff.
91-1-20; 101-375, eff. 8-16-19; 101-377, eff. 8-16-19; 101-452,
10eff. 1-1-20; 101-466, eff. 1-1-20; 101-600, eff. 12-6-19;
11101-620, eff 12-20-19; 101-649, eff. 7-7-20; 101-652, eff.
121-1-22; 101-656, eff. 3-23-21; 102-36, eff. 6-25-21; 102-237,
13eff. 1-1-22; 102-292, eff. 1-1-22; 102-520, eff. 8-20-21;
14102-559, eff. 8-20-21; 102-813, eff. 5-13-22; 102-946, eff.
157-1-22; 102-1042, eff. 6-3-22; revised 8-1-22.)
16 Section 620. The Counties Code is amended by changing
17Section 3-3013 as follows:
18 (55 ILCS 5/3-3013) (from Ch. 34, par. 3-3013)
19 (Text of Section before amendment by P.A. 102-982)
20 Sec. 3-3013. Preliminary investigations; blood and urine
21analysis; summoning jury; reports. Every coroner, whenever,
22as soon as he knows or is informed that the dead body of any
23person is found, or lying within his county, whose death is
24suspected of being:

HB1163- 66 -LRB103 04806 LNS 49816 b
1 (a) A sudden or violent death, whether apparently
2 suicidal, homicidal, or accidental, including, but not
3 limited to, deaths apparently caused or contributed to by
4 thermal, traumatic, chemical, electrical, or radiational
5 injury, or a complication of any of them, or by drowning or
6 suffocation, or as a result of domestic violence as
7 defined in the Illinois Domestic Violence Act of 1986;
8 (b) A maternal or fetal death due to abortion, or any
9 death due to a sex crime or a crime against nature;
10 (c) A death where the circumstances are suspicious,
11 obscure, mysterious, or otherwise unexplained or where, in
12 the written opinion of the attending physician, the cause
13 of death is not determined;
14 (d) A death where addiction to alcohol or to any drug
15 may have been a contributory cause; or
16 (e) A death where the decedent was not attended by a
17 licensed physician;
18shall go to the place where the dead body is, and take charge
19of the same and shall make a preliminary investigation into
20the circumstances of the death. In the case of death without
21attendance by a licensed physician, the body may be moved with
22the coroner's consent from the place of death to a mortuary in
23the same county. Coroners in their discretion shall notify
24such physician as is designated in accordance with Section
253-3014 to attempt to ascertain the cause of death, either by
26autopsy or otherwise.

HB1163- 67 -LRB103 04806 LNS 49816 b
1 In cases of accidental death involving a motor vehicle in
2which the decedent was (1) the operator or a suspected
3operator of a motor vehicle, or (2) a pedestrian 16 years of
4age or older, the coroner shall require that a blood specimen
5of at least 30 cc., and if medically possible a urine specimen
6of at least 30 cc. or as much as possible up to 30 cc., be
7withdrawn from the body of the decedent in a timely fashion
8after the accident causing his death, by such physician as has
9been designated in accordance with Section 3-3014, or by the
10coroner or deputy coroner or a qualified person designated by
11such physician, coroner, or deputy coroner. If the county does
12not maintain laboratory facilities for making such analysis,
13the blood and urine so drawn shall be sent to the Illinois
14State Police or any other accredited or State-certified
15laboratory for analysis of the alcohol, carbon monoxide, and
16dangerous or narcotic drug content of such blood and urine
17specimens. Each specimen submitted shall be accompanied by
18pertinent information concerning the decedent upon a form
19prescribed by such laboratory. Any person drawing blood and
20urine and any person making any examination of the blood and
21urine under the terms of this Division shall be immune from all
22liability, civil or criminal, that might otherwise be incurred
23or imposed.
24 In all other cases coming within the jurisdiction of the
25coroner and referred to in subparagraphs (a) through (e)
26above, blood, and, whenever possible, urine samples shall be

HB1163- 68 -LRB103 04806 LNS 49816 b
1analyzed for the presence of alcohol and other drugs. When the
2coroner suspects that drugs may have been involved in the
3death, either directly or indirectly, a toxicological
4examination shall be performed which may include analyses of
5blood, urine, bile, gastric contents, and other tissues. When
6the coroner suspects a death is due to toxic substances, other
7than drugs, the coroner shall consult with the toxicologist
8prior to collection of samples. Information submitted to the
9toxicologist shall include information as to height, weight,
10age, sex, and race of the decedent as well as medical history,
11medications used by, and the manner of death of the decedent.
12 When the coroner or medical examiner finds that the cause
13of death is due to homicidal means, the coroner or medical
14examiner shall cause blood and buccal specimens (tissue may be
15submitted if no uncontaminated blood or buccal specimen can be
16obtained), whenever possible, to be withdrawn from the body of
17the decedent in a timely fashion. For proper preservation of
18the specimens, collected blood and buccal specimens shall be
19dried and tissue specimens shall be frozen if available
20equipment exists. As soon as possible, but no later than 30
21days after the collection of the specimens, the coroner or
22medical examiner shall release those specimens to the police
23agency responsible for investigating the death. As soon as
24possible, but no later than 30 days after the receipt from the
25coroner or medical examiner, the police agency shall submit
26the specimens using the agency case number to a National DNA

HB1163- 69 -LRB103 04806 LNS 49816 b
1Index System (NDIS) participating laboratory within this
2State, such as the Illinois State Police, Division of Forensic
3Services, for analysis and categorizing into genetic marker
4groupings. The results of the analysis and categorizing into
5genetic marker groupings shall be provided to the Illinois
6State Police and shall be maintained by the Illinois State
7Police in the State central repository in the same manner, and
8subject to the same conditions, as provided in Section 5-4-3
9of the Unified Code of Corrections. The requirements of this
10paragraph are in addition to any other findings, specimens, or
11information that the coroner or medical examiner is required
12to provide during the conduct of a criminal investigation.
13 In all counties, in cases of apparent suicide, homicide,
14or accidental death or in other cases, within the discretion
15of the coroner, the coroner may summon 8 persons of lawful age
16from those persons drawn for petit jurors in the county. The
17summons shall command these persons to present themselves
18personally at such a place and time as the coroner shall
19determine, and may be in any form which the coroner shall
20determine and may incorporate any reasonable form of request
21for acknowledgment which the coroner deems practical and
22provides a reliable proof of service. The summons may be
23served by first class mail. From the 8 persons so summoned, the
24coroner shall select 6 to serve as the jury for the inquest.
25Inquests may be continued from time to time, as the coroner may
26deem necessary. The 6 jurors selected in a given case may view

HB1163- 70 -LRB103 04806 LNS 49816 b
1the body of the deceased. If at any continuation of an inquest
2one or more of the original jurors shall be unable to continue
3to serve, the coroner shall fill the vacancy or vacancies. A
4juror serving pursuant to this paragraph shall receive
5compensation from the county at the same rate as the rate of
6compensation that is paid to petit or grand jurors in the
7county. The coroner shall furnish to each juror without fee at
8the time of his discharge a certificate of the number of days
9in attendance at an inquest, and, upon being presented with
10such certificate, the county treasurer shall pay to the juror
11the sum provided for his services.
12 In counties which have a jury commission, in cases of
13apparent suicide or homicide or of accidental death, the
14coroner may conduct an inquest. The jury commission shall
15provide at least 8 jurors to the coroner, from whom the coroner
16shall select any 6 to serve as the jury for the inquest.
17Inquests may be continued from time to time as the coroner may
18deem necessary. The 6 jurors originally chosen in a given case
19may view the body of the deceased. If at any continuation of an
20inquest one or more of the 6 jurors originally chosen shall be
21unable to continue to serve, the coroner shall fill the
22vacancy or vacancies. At the coroner's discretion, additional
23jurors to fill such vacancies shall be supplied by the jury
24commission. A juror serving pursuant to this paragraph in such
25county shall receive compensation from the county at the same
26rate as the rate of compensation that is paid to petit or grand

HB1163- 71 -LRB103 04806 LNS 49816 b
1jurors in the county.
2 In every case in which a fire is determined to be a
3contributing factor in a death, the coroner shall report the
4death to the Office of the State Fire Marshal. The coroner
5shall provide a copy of the death certificate (i) within 30
6days after filing the permanent death certificate and (ii) in
7a manner that is agreed upon by the coroner and the State Fire
8Marshal.
9 In every case in which a drug overdose is determined to be
10the cause or a contributing factor in the death, the coroner or
11medical examiner shall report the death to the Department of
12Public Health. The Department of Public Health shall adopt
13rules regarding specific information that must be reported in
14the event of such a death. If possible, the coroner shall
15report the cause of the overdose. As used in this Section,
16"overdose" has the same meaning as it does in Section 414 of
17the Illinois Controlled Substances Act. The Department of
18Public Health shall issue a semiannual report to the General
19Assembly summarizing the reports received. The Department
20shall also provide on its website a monthly report of overdose
21death figures organized by location, age, and any other
22factors, the Department deems appropriate.
23 In addition, in every case in which domestic violence is
24determined to be a contributing factor in a death, the coroner
25shall report the death to the Illinois State Police.
26 All deaths in State institutions and all deaths of wards

HB1163- 72 -LRB103 04806 LNS 49816 b
1of the State or youth in care as defined in Section 4d of the
2Children and Family Services Act in private care facilities or
3in programs funded by the Department of Human Services under
4its powers relating to mental health and developmental
5disabilities or alcoholism and substance abuse or funded by
6the Department of Children and Family Services shall be
7reported to the coroner of the county in which the facility is
8located. If the coroner has reason to believe that an
9investigation is needed to determine whether the death was
10caused by maltreatment or negligent care of the ward of the
11State or youth in care as defined in Section 4d of the Children
12and Family Services Act, the coroner may conduct a preliminary
13investigation of the circumstances of such death as in cases
14of death under circumstances set forth in subparagraphs
15paragraphs (a) through (e) of this Section.
16(Source: P.A. 101-13, eff. 6-12-19; 102-538, eff. 8-20-21;
17revised 8-23-22.)
18 (Text of Section after amendment by P.A. 102-982)
19 Sec. 3-3013. Preliminary investigations; blood and urine
20analysis; summoning jury; reports. Every coroner, whenever,
21as soon as he knows or is informed that the dead body of any
22person is found, or lying within his county, whose death is
23suspected of being:
24 (a) A sudden or violent death, whether apparently
25 suicidal, homicidal, or accidental, including, but not

HB1163- 73 -LRB103 04806 LNS 49816 b
1 limited to, deaths apparently caused or contributed to by
2 thermal, traumatic, chemical, electrical, or radiational
3 injury, or a complication of any of them, or by drowning or
4 suffocation, or as a result of domestic violence as
5 defined in the Illinois Domestic Violence Act of 1986;
6 (b) A maternal or fetal death due to abortion, or any
7 death due to a sex crime or a crime against nature;
8 (c) A death where the circumstances are suspicious,
9 obscure, mysterious, or otherwise unexplained or where, in
10 the written opinion of the attending physician, the cause
11 of death is not determined;
12 (d) A death where addiction to alcohol or to any drug
13 may have been a contributory cause; or
14 (e) A death where the decedent was not attended by a
15 licensed physician;
16shall go to the place where the dead body is, and take charge
17of the same and shall make a preliminary investigation into
18the circumstances of the death. In the case of death without
19attendance by a licensed physician, the body may be moved with
20the coroner's consent from the place of death to a mortuary in
21the same county. Coroners in their discretion shall notify
22such physician as is designated in accordance with Section
233-3014 to attempt to ascertain the cause of death, either by
24autopsy or otherwise.
25 In cases of accidental death involving a motor vehicle in
26which the decedent was (1) the operator or a suspected

HB1163- 74 -LRB103 04806 LNS 49816 b
1operator of a motor vehicle, or (2) a pedestrian 16 years of
2age or older, the coroner shall require that a blood specimen
3of at least 30 cc., and if medically possible a urine specimen
4of at least 30 cc. or as much as possible up to 30 cc., be
5withdrawn from the body of the decedent in a timely fashion
6after the crash causing his death, by such physician as has
7been designated in accordance with Section 3-3014, or by the
8coroner or deputy coroner or a qualified person designated by
9such physician, coroner, or deputy coroner. If the county does
10not maintain laboratory facilities for making such analysis,
11the blood and urine so drawn shall be sent to the Illinois
12State Police or any other accredited or State-certified
13laboratory for analysis of the alcohol, carbon monoxide, and
14dangerous or narcotic drug content of such blood and urine
15specimens. Each specimen submitted shall be accompanied by
16pertinent information concerning the decedent upon a form
17prescribed by such laboratory. Any person drawing blood and
18urine and any person making any examination of the blood and
19urine under the terms of this Division shall be immune from all
20liability, civil or criminal, that might otherwise be incurred
21or imposed.
22 In all other cases coming within the jurisdiction of the
23coroner and referred to in subparagraphs (a) through (e)
24above, blood, and, whenever possible, urine samples shall be
25analyzed for the presence of alcohol and other drugs. When the
26coroner suspects that drugs may have been involved in the

HB1163- 75 -LRB103 04806 LNS 49816 b
1death, either directly or indirectly, a toxicological
2examination shall be performed which may include analyses of
3blood, urine, bile, gastric contents, and other tissues. When
4the coroner suspects a death is due to toxic substances, other
5than drugs, the coroner shall consult with the toxicologist
6prior to collection of samples. Information submitted to the
7toxicologist shall include information as to height, weight,
8age, sex, and race of the decedent as well as medical history,
9medications used by, and the manner of death of the decedent.
10 When the coroner or medical examiner finds that the cause
11of death is due to homicidal means, the coroner or medical
12examiner shall cause blood and buccal specimens (tissue may be
13submitted if no uncontaminated blood or buccal specimen can be
14obtained), whenever possible, to be withdrawn from the body of
15the decedent in a timely fashion. For proper preservation of
16the specimens, collected blood and buccal specimens shall be
17dried and tissue specimens shall be frozen if available
18equipment exists. As soon as possible, but no later than 30
19days after the collection of the specimens, the coroner or
20medical examiner shall release those specimens to the police
21agency responsible for investigating the death. As soon as
22possible, but no later than 30 days after the receipt from the
23coroner or medical examiner, the police agency shall submit
24the specimens using the agency case number to a National DNA
25Index System (NDIS) participating laboratory within this
26State, such as the Illinois State Police, Division of Forensic

HB1163- 76 -LRB103 04806 LNS 49816 b
1Services, for analysis and categorizing into genetic marker
2groupings. The results of the analysis and categorizing into
3genetic marker groupings shall be provided to the Illinois
4State Police and shall be maintained by the Illinois State
5Police in the State central repository in the same manner, and
6subject to the same conditions, as provided in Section 5-4-3
7of the Unified Code of Corrections. The requirements of this
8paragraph are in addition to any other findings, specimens, or
9information that the coroner or medical examiner is required
10to provide during the conduct of a criminal investigation.
11 In all counties, in cases of apparent suicide, homicide,
12or accidental death or in other cases, within the discretion
13of the coroner, the coroner may summon 8 persons of lawful age
14from those persons drawn for petit jurors in the county. The
15summons shall command these persons to present themselves
16personally at such a place and time as the coroner shall
17determine, and may be in any form which the coroner shall
18determine and may incorporate any reasonable form of request
19for acknowledgment which the coroner deems practical and
20provides a reliable proof of service. The summons may be
21served by first class mail. From the 8 persons so summoned, the
22coroner shall select 6 to serve as the jury for the inquest.
23Inquests may be continued from time to time, as the coroner may
24deem necessary. The 6 jurors selected in a given case may view
25the body of the deceased. If at any continuation of an inquest
26one or more of the original jurors shall be unable to continue

HB1163- 77 -LRB103 04806 LNS 49816 b
1to serve, the coroner shall fill the vacancy or vacancies. A
2juror serving pursuant to this paragraph shall receive
3compensation from the county at the same rate as the rate of
4compensation that is paid to petit or grand jurors in the
5county. The coroner shall furnish to each juror without fee at
6the time of his discharge a certificate of the number of days
7in attendance at an inquest, and, upon being presented with
8such certificate, the county treasurer shall pay to the juror
9the sum provided for his services.
10 In counties which have a jury commission, in cases of
11apparent suicide or homicide or of accidental death, the
12coroner may conduct an inquest. The jury commission shall
13provide at least 8 jurors to the coroner, from whom the coroner
14shall select any 6 to serve as the jury for the inquest.
15Inquests may be continued from time to time as the coroner may
16deem necessary. The 6 jurors originally chosen in a given case
17may view the body of the deceased. If at any continuation of an
18inquest one or more of the 6 jurors originally chosen shall be
19unable to continue to serve, the coroner shall fill the
20vacancy or vacancies. At the coroner's discretion, additional
21jurors to fill such vacancies shall be supplied by the jury
22commission. A juror serving pursuant to this paragraph in such
23county shall receive compensation from the county at the same
24rate as the rate of compensation that is paid to petit or grand
25jurors in the county.
26 In every case in which a fire is determined to be a

HB1163- 78 -LRB103 04806 LNS 49816 b
1contributing factor in a death, the coroner shall report the
2death to the Office of the State Fire Marshal. The coroner
3shall provide a copy of the death certificate (i) within 30
4days after filing the permanent death certificate and (ii) in
5a manner that is agreed upon by the coroner and the State Fire
6Marshal.
7 In every case in which a drug overdose is determined to be
8the cause or a contributing factor in the death, the coroner or
9medical examiner shall report the death to the Department of
10Public Health. The Department of Public Health shall adopt
11rules regarding specific information that must be reported in
12the event of such a death. If possible, the coroner shall
13report the cause of the overdose. As used in this Section,
14"overdose" has the same meaning as it does in Section 414 of
15the Illinois Controlled Substances Act. The Department of
16Public Health shall issue a semiannual report to the General
17Assembly summarizing the reports received. The Department
18shall also provide on its website a monthly report of overdose
19death figures organized by location, age, and any other
20factors, the Department deems appropriate.
21 In addition, in every case in which domestic violence is
22determined to be a contributing factor in a death, the coroner
23shall report the death to the Illinois State Police.
24 All deaths in State institutions and all deaths of wards
25of the State or youth in care as defined in Section 4d of the
26Children and Family Services Act in private care facilities or

HB1163- 79 -LRB103 04806 LNS 49816 b
1in programs funded by the Department of Human Services under
2its powers relating to mental health and developmental
3disabilities or alcoholism and substance abuse or funded by
4the Department of Children and Family Services shall be
5reported to the coroner of the county in which the facility is
6located. If the coroner has reason to believe that an
7investigation is needed to determine whether the death was
8caused by maltreatment or negligent care of the ward of the
9State or youth in care as defined in Section 4d of the Children
10and Family Services Act, the coroner may conduct a preliminary
11investigation of the circumstances of such death as in cases
12of death under circumstances set forth in subparagraphs
13paragraphs (a) through (e) of this Section.
14(Source: P.A. 101-13, eff. 6-12-19; 102-538, eff. 8-20-21;
15102-982, eff. 7-1-23; revised 8-23-22.)
16 Section 625. The Ambulatory Surgical Treatment Center Act
17is amended by changing Section 2, and 3 as follows:
18 (210 ILCS 5/2) (from Ch. 111 1/2, par. 157-8.2)
19 Sec. 2. It is declared to be the public policy that the
20State has a legitimate interest in assuring that all medical
21procedures, including abortions, are performed under
22circumstances that insure maximum safety. Therefore, the
23purpose of this Act is to provide for the better protection of
24the public health through the development, establishment, and

HB1163- 80 -LRB103 04806 LNS 49816 b
1enforcement of standards (1) for the care of individuals in
2ambulatory surgical treatment centers, and (2) for the
3construction, maintenance and operation of ambulatory surgical
4treatment centers, which, in light of advancing knowledge,
5will promote safe and adequate treatment of such individuals
6in ambulatory surgical treatment centers.
7(Source: P.A. 101-13, eff. 6-12-19.)
8 (210 ILCS 5/3) (from Ch. 111 1/2, par. 157-8.3)
9 Sec. 3. As used in this Act, unless the context otherwise
10requires, the following words and phrases shall have the
11meanings ascribed to them:
12 (A) "Ambulatory surgical treatment center" means any
13institution, place or building devoted primarily to the
14maintenance and operation of facilities for the performance of
15surgical procedures. "Ambulatory surgical treatment center"
16includes any place that meets and complies with the definition
17of an ambulatory surgical treatment center under the rules
18adopted by the Department or any facility in which a medical or
19surgical procedure is utilized to terminate a pregnancy,
20irrespective of whether the facility is devoted primarily to
21this purpose. Such facility shall not provide beds or other
22accommodations for the overnight stay of patients; however,
23facilities devoted exclusively to the treatment of children
24may provide accommodations and beds for their patients for up
25to 23 hours following admission. Individual patients shall be

HB1163- 81 -LRB103 04806 LNS 49816 b
1discharged in an ambulatory condition without danger to the
2continued well being of the patients or shall be transferred
3to a hospital.
4 The term "ambulatory surgical treatment center" does not
5include any of the following:
6 (1) Any institution, place, building or agency
7 required to be licensed pursuant to the "Hospital
8 Licensing Act", approved July 1, 1953, as amended.
9 (2) Any person or institution required to be licensed
10 pursuant to the Nursing Home Care Act, the Specialized
11 Mental Health Rehabilitation Act of 2013, the ID/DD
12 Community Care Act, or the MC/DD Act.
13 (3) Hospitals or ambulatory surgical treatment centers
14 maintained by the State or any department or agency
15 thereof, where such department or agency has authority
16 under law to establish and enforce standards for the
17 hospitals or ambulatory surgical treatment centers under
18 its management and control.
19 (4) Hospitals or ambulatory surgical treatment centers
20 maintained by the Federal Government or agencies thereof.
21 (5) Any place, agency, clinic, or practice, public or
22 private, whether organized for profit or not, devoted
23 exclusively to the performance of dental or oral surgical
24 procedures.
25 (6) Any facility in which the performance of abortion
26 procedures, including procedures to terminate a pregnancy

HB1163- 82 -LRB103 04806 LNS 49816 b
1 or to manage pregnancy loss, is limited to those performed
2 without general, epidural, or spinal anesthesia, and which
3 is not otherwise required to be an ambulatory surgical
4 treatment center. For purposes of this paragraph,
5 "general, epidural, or spinal anesthesia" does not include
6 local anesthesia or intravenous sedation. Nothing in this
7 paragraph shall be construed to limit any such facility
8 from voluntarily electing to apply for licensure as an
9 ambulatory surgical treatment center.
10 (B) "Person" means any individual, firm, partnership,
11corporation, company, association, or joint stock association,
12or the legal successor thereof.
13 (C) "Department" means the Department of Public Health of
14the State of Illinois.
15 (D) "Director" means the Director of the Department of
16Public Health of the State of Illinois.
17 (E) "Physician" means a person licensed to practice
18medicine in all of its branches in the State of Illinois.
19 (F) "Dentist" means a person licensed to practice
20dentistry under the Illinois Dental Practice Act.
21 (G) "Podiatric physician" means a person licensed to
22practice podiatry under the Podiatric Medical Practice Act of
231987.
24(Source: P.A. 101-13, eff. 6-12-19.)
25 Section 630. The Illinois Insurance Code is amended by

HB1163- 83 -LRB103 04806 LNS 49816 b
1changing Section 356z.4 and adding 356z.4a as follows:
2 (215 ILCS 5/356z.4)
3 Sec. 356z.4. Coverage for contraceptives.
4 (a)(1) The General Assembly hereby finds and declares all
5of the following:
6 (A) Illinois has a long history of expanding timely
7 access to birth control to prevent unintended pregnancy.
8 (B) The federal Patient Protection and Affordable Care
9 Act includes a contraceptive coverage guarantee as part of
10 a broader requirement for health insurance to cover key
11 preventive care services without out-of-pocket costs for
12 patients.
13 (C) The General Assembly intends to build on existing
14 State and federal law to promote gender equity and women's
15 health and to ensure greater contraceptive coverage equity
16 and timely access to all federal Food and Drug
17 Administration approved methods of birth control for all
18 individuals covered by an individual or group health
19 insurance policy in Illinois.
20 (D) Medical management techniques such as denials,
21 step therapy, or prior authorization in public and private
22 health care coverage can impede access to the most
23 effective contraceptive methods.
24 (2) As used in this subsection (a):
25 "Contraceptive services" includes consultations,

HB1163- 84 -LRB103 04806 LNS 49816 b
1examinations, procedures, and medical services related to the
2use of contraceptive methods (including natural family
3planning) to prevent an unintended pregnancy.
4 "Medical necessity", for the purposes of this subsection
5(a), includes, but is not limited to, considerations such as
6severity of side effects, differences in permanence and
7reversibility of contraceptive, and ability to adhere to the
8appropriate use of the item or service, as determined by the
9attending provider.
10 "Therapeutic equivalent version" means drugs, devices, or
11products that can be expected to have the same clinical effect
12and safety profile when administered to patients under the
13conditions specified in the labeling and satisfy the following
14general criteria:
15 (i) they are approved as safe and effective;
16 (ii) they are pharmaceutical equivalents in that they
17 (A) contain identical amounts of the same active drug
18 ingredient in the same dosage form and route of
19 administration and (B) meet compendial or other applicable
20 standards of strength, quality, purity, and identity;
21 (iii) they are bioequivalent in that (A) they do not
22 present a known or potential bioequivalence problem and
23 they meet an acceptable in vitro standard or (B) if they do
24 present such a known or potential problem, they are shown
25 to meet an appropriate bioequivalence standard;
26 (iv) they are adequately labeled; and

HB1163- 85 -LRB103 04806 LNS 49816 b
1 (v) they are manufactured in compliance with Current
2 Good Manufacturing Practice regulations.
3 (3) An individual or group policy of accident and health
4insurance amended, delivered, issued, or renewed in this State
5after the effective date of this amendatory Act of the 99th
6General Assembly shall provide coverage for all of the
7following services and contraceptive methods:
8 (A) All contraceptive drugs, devices, and other
9 products approved by the United States Food and Drug
10 Administration. This includes all over-the-counter
11 contraceptive drugs, devices, and products approved by the
12 United States Food and Drug Administration, excluding male
13 condoms. The following apply:
14 (i) If the United States Food and Drug
15 Administration has approved one or more therapeutic
16 equivalent versions of a contraceptive drug, device,
17 or product, a policy is not required to include all
18 such therapeutic equivalent versions in its formulary,
19 so long as at least one is included and covered without
20 cost-sharing and in accordance with this Section.
21 (ii) If an individual's attending provider
22 recommends a particular service or item approved by
23 the United States Food and Drug Administration based
24 on a determination of medical necessity with respect
25 to that individual, the plan or issuer must cover that
26 service or item without cost sharing. The plan or

HB1163- 86 -LRB103 04806 LNS 49816 b
1 issuer must defer to the determination of the
2 attending provider.
3 (iii) If a drug, device, or product is not
4 covered, plans and issuers must have an easily
5 accessible, transparent, and sufficiently expedient
6 process that is not unduly burdensome on the
7 individual or a provider or other individual acting as
8 a patient's authorized representative to ensure
9 coverage without cost sharing.
10 (iv) This coverage must provide for the dispensing
11 of 12 months' worth of contraception at one time.
12 (B) Voluntary sterilization procedures.
13 (C) Contraceptive services, patient education, and
14 counseling on contraception.
15 (D) Follow-up services related to the drugs, devices,
16 products, and procedures covered under this Section,
17 including, but not limited to, management of side effects,
18 counseling for continued adherence, and device insertion
19 and removal.
20 (4) Except as otherwise provided in this subsection (a), a
21policy subject to this subsection (a) shall not impose a
22deductible, coinsurance, copayment, or any other cost-sharing
23requirement on the coverage provided. The provisions of this
24paragraph do not apply to coverage of voluntary male
25sterilization procedures to the extent such coverage would
26disqualify a high-deductible health plan from eligibility for

HB1163- 87 -LRB103 04806 LNS 49816 b
1a health savings account pursuant to the federal Internal
2Revenue Code, 26 U.S.C. 223.
3 (5) Except as otherwise authorized under this subsection
4(a), a policy shall not impose any restrictions or delays on
5the coverage required under this subsection (a).
6 (6) If, at any time, the Secretary of the United States
7Department of Health and Human Services, or its successor
8agency, promulgates rules or regulations to be published in
9the Federal Register or publishes a comment in the Federal
10Register or issues an opinion, guidance, or other action that
11would require the State, pursuant to any provision of the
12Patient Protection and Affordable Care Act (Public Law
13111-148), including, but not limited to, 42 U.S.C.
1418031(d)(3)(B) or any successor provision, to defray the cost
15of any coverage outlined in this subsection (a), then this
16subsection (a) is inoperative with respect to all coverage
17outlined in this subsection (a) other than that authorized
18under Section 1902 of the Social Security Act, 42 U.S.C.
191396a, and the State shall not assume any obligation for the
20cost of the coverage set forth in this subsection (a).
21 (b) This subsection (b) shall become operative if and only
22if subsection (a) becomes inoperative.
23 An individual or group policy of accident and health
24insurance amended, delivered, issued, or renewed in this State
25after the date this subsection (b) becomes operative that
26provides coverage for outpatient services and outpatient

HB1163- 88 -LRB103 04806 LNS 49816 b
1prescription drugs or devices must provide coverage for the
2insured and any dependent of the insured covered by the policy
3for all outpatient contraceptive services and all outpatient
4contraceptive drugs and devices approved by the Food and Drug
5Administration. Coverage required under this Section may not
6impose any deductible, coinsurance, waiting period, or other
7cost-sharing or limitation that is greater than that required
8for any outpatient service or outpatient prescription drug or
9device otherwise covered by the policy.
10 Nothing in this subsection (b) shall be construed to
11require an insurance company to cover services related to
12permanent sterilization that requires a surgical procedure.
13 As used in this subsection (b), "outpatient contraceptive
14service" means consultations, examinations, procedures, and
15medical services, provided on an outpatient basis and related
16to the use of contraceptive methods (including natural family
17planning) to prevent an unintended pregnancy.
18 (c) (Blank). Nothing in this Section shall be construed to
19require an insurance company to cover services related to an
20abortion as the term "abortion" is defined in the Illinois
21Abortion Law of 2022.
22 (d) If a plan or issuer utilizes a network of providers,
23nothing in this Section shall be construed to require coverage
24or to prohibit the plan or issuer from imposing cost-sharing
25for items or services described in this Section that are
26provided or delivered by an out-of-network provider, unless

HB1163- 89 -LRB103 04806 LNS 49816 b
1the plan or issuer does not have in its network a provider who
2is able to or is willing to provide the applicable items or
3services.
4(Source: P.A. 100-1102, eff. 1-1-19; 101-13, eff. 6-12-19.)
5 (215 ILCS 5/356z.4a rep.)
6 Section 632. The Illinois Insurance Code is amended by
7repealing Section 356z.4a.
8 Section 635. The Health Maintenance Organization Act is
9amended by changing Section 5-3 as follows:
10 (215 ILCS 125/5-3) (from Ch. 111 1/2, par. 1411.2)
11 (Text of Section before amendment by P.A. 102-731,
12102-804, 102-816, 102-860, and 102-1093)
13 Sec. 5-3. Insurance Code provisions.
14 (a) Health Maintenance Organizations shall be subject to
15the provisions of Sections 133, 134, 136, 137, 139, 140,
16141.1, 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153,
17154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.22a, 355.2,
18355.3, 355b, 355c, 356g.5-1, 356m, 356q, 356v, 356w, 356x,
19356y, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5, 356z.6,
20356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14,
21356z.15, 356z.17, 356z.18, 356z.19, 356z.21, 356z.22, 356z.25,
22356z.26, 356z.29, 356z.30, 356z.30a, 356z.32, 356z.33,
23356z.35, 356z.36, 356z.40, 356z.41, 356z.43, 356z.46, 356z.47,

HB1163- 90 -LRB103 04806 LNS 49816 b
1356z.48, 356z.50, 356z.51, 364, 364.01, 364.3, 367.2, 367.2-5,
2367i, 368a, 368b, 368c, 368d, 368e, 370c, 370c.1, 401, 401.1,
3402, 403, 403A, 408, 408.2, 409, 412, 444, and 444.1,
4paragraph (c) of subsection (2) of Section 367, and Articles
5IIA, VIII 1/2, XII, XII 1/2, XIII, XIII 1/2, XXV, XXVI, and
6XXXIIB of the Illinois Insurance Code.
7 (b) For purposes of the Illinois Insurance Code, except
8for Sections 444 and 444.1 and Articles XIII and XIII 1/2,
9Health Maintenance Organizations in the following categories
10are deemed to be "domestic companies":
11 (1) a corporation authorized under the Dental Service
12 Plan Act or the Voluntary Health Services Plans Act;
13 (2) a corporation organized under the laws of this
14 State; or
15 (3) a corporation organized under the laws of another
16 state, 30% or more of the enrollees of which are residents
17 of this State, except a corporation subject to
18 substantially the same requirements in its state of
19 organization as is a "domestic company" under Article VIII
20 1/2 of the Illinois Insurance Code.
21 (c) In considering the merger, consolidation, or other
22acquisition of control of a Health Maintenance Organization
23pursuant to Article VIII 1/2 of the Illinois Insurance Code,
24 (1) the Director shall give primary consideration to
25 the continuation of benefits to enrollees and the
26 financial conditions of the acquired Health Maintenance

HB1163- 91 -LRB103 04806 LNS 49816 b
1 Organization after the merger, consolidation, or other
2 acquisition of control takes effect;
3 (2)(i) the criteria specified in subsection (1)(b) of
4 Section 131.8 of the Illinois Insurance Code shall not
5 apply and (ii) the Director, in making his determination
6 with respect to the merger, consolidation, or other
7 acquisition of control, need not take into account the
8 effect on competition of the merger, consolidation, or
9 other acquisition of control;
10 (3) the Director shall have the power to require the
11 following information:
12 (A) certification by an independent actuary of the
13 adequacy of the reserves of the Health Maintenance
14 Organization sought to be acquired;
15 (B) pro forma financial statements reflecting the
16 combined balance sheets of the acquiring company and
17 the Health Maintenance Organization sought to be
18 acquired as of the end of the preceding year and as of
19 a date 90 days prior to the acquisition, as well as pro
20 forma financial statements reflecting projected
21 combined operation for a period of 2 years;
22 (C) a pro forma business plan detailing an
23 acquiring party's plans with respect to the operation
24 of the Health Maintenance Organization sought to be
25 acquired for a period of not less than 3 years; and
26 (D) such other information as the Director shall

HB1163- 92 -LRB103 04806 LNS 49816 b
1 require.
2 (d) The provisions of Article VIII 1/2 of the Illinois
3Insurance Code and this Section 5-3 shall apply to the sale by
4any health maintenance organization of greater than 10% of its
5enrollee population (including without limitation the health
6maintenance organization's right, title, and interest in and
7to its health care certificates).
8 (e) In considering any management contract or service
9agreement subject to Section 141.1 of the Illinois Insurance
10Code, the Director (i) shall, in addition to the criteria
11specified in Section 141.2 of the Illinois Insurance Code,
12take into account the effect of the management contract or
13service agreement on the continuation of benefits to enrollees
14and the financial condition of the health maintenance
15organization to be managed or serviced, and (ii) need not take
16into account the effect of the management contract or service
17agreement on competition.
18 (f) Except for small employer groups as defined in the
19Small Employer Rating, Renewability and Portability Health
20Insurance Act and except for medicare supplement policies as
21defined in Section 363 of the Illinois Insurance Code, a
22Health Maintenance Organization may by contract agree with a
23group or other enrollment unit to effect refunds or charge
24additional premiums under the following terms and conditions:
25 (i) the amount of, and other terms and conditions with
26 respect to, the refund or additional premium are set forth

HB1163- 93 -LRB103 04806 LNS 49816 b
1 in the group or enrollment unit contract agreed in advance
2 of the period for which a refund is to be paid or
3 additional premium is to be charged (which period shall
4 not be less than one year); and
5 (ii) the amount of the refund or additional premium
6 shall not exceed 20% of the Health Maintenance
7 Organization's profitable or unprofitable experience with
8 respect to the group or other enrollment unit for the
9 period (and, for purposes of a refund or additional
10 premium, the profitable or unprofitable experience shall
11 be calculated taking into account a pro rata share of the
12 Health Maintenance Organization's administrative and
13 marketing expenses, but shall not include any refund to be
14 made or additional premium to be paid pursuant to this
15 subsection (f)). The Health Maintenance Organization and
16 the group or enrollment unit may agree that the profitable
17 or unprofitable experience may be calculated taking into
18 account the refund period and the immediately preceding 2
19 plan years.
20 The Health Maintenance Organization shall include a
21statement in the evidence of coverage issued to each enrollee
22describing the possibility of a refund or additional premium,
23and upon request of any group or enrollment unit, provide to
24the group or enrollment unit a description of the method used
25to calculate (1) the Health Maintenance Organization's
26profitable experience with respect to the group or enrollment

HB1163- 94 -LRB103 04806 LNS 49816 b
1unit and the resulting refund to the group or enrollment unit
2or (2) the Health Maintenance Organization's unprofitable
3experience with respect to the group or enrollment unit and
4the resulting additional premium to be paid by the group or
5enrollment unit.
6 In no event shall the Illinois Health Maintenance
7Organization Guaranty Association be liable to pay any
8contractual obligation of an insolvent organization to pay any
9refund authorized under this Section.
10 (g) Rulemaking authority to implement Public Act 95-1045,
11if any, is conditioned on the rules being adopted in
12accordance with all provisions of the Illinois Administrative
13Procedure Act and all rules and procedures of the Joint
14Committee on Administrative Rules; any purported rule not so
15adopted, for whatever reason, is unauthorized.
16(Source: P.A. 101-13, eff. 6-12-19; 101-81, eff. 7-12-19;
17101-281, eff. 1-1-20; 101-371, eff. 1-1-20; 101-393, eff.
181-1-20; 101-452, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625,
19eff. 1-1-21; 102-30, eff. 1-1-22; 102-34, eff. 6-25-21;
20102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff.
211-1-22; 102-589, eff. 1-1-22; 102-642, eff. 1-1-22; 102-665,
22eff. 10-8-21; 102-775, eff. 5-13-22; 102-813, eff. 5-13-22;
23102-901, eff. 7-1-22; revised 7-25-22.)
24 (Text of Section after amendment by P.A. 102-731, 102-804,
25102-816, 102-860, and 102-1093)

HB1163- 95 -LRB103 04806 LNS 49816 b
1 Sec. 5-3. Insurance Code provisions.
2 (a) Health Maintenance Organizations shall be subject to
3the provisions of Sections 133, 134, 136, 137, 139, 140,
4141.1, 141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153,
5154, 154.5, 154.6, 154.7, 154.8, 155.04, 155.22a, 355.2,
6355.3, 355b, 355c, 356g.5-1, 356m, 356q, 356v, 356w, 356x,
7356y, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5, 356z.6,
8356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13, 356z.14,
9356z.15, 356z.17, 356z.18, 356z.19, 356z.21, 356z.22, 356z.25,
10356z.26, 356z.29, 356z.30, 356z.30a, 356z.32, 356z.33,
11356z.35, 356z.36, 356z.40, 356z.41, 356z.46, 356z.47, 356z.48,
12356z.50, 356z.51, 256z.53, 356z.54, 356z.56, 356z.57, 356z.59,
13364, 364.01, 364.3, 367.2, 367.2-5, 367i, 368a, 368b, 368c,
14368d, 368e, 370c, 370c.1, 401, 401.1, 402, 403, 403A, 408,
15408.2, 409, 412, 444, and 444.1, paragraph (c) of subsection
16(2) of Section 367, and Articles IIA, VIII 1/2, XII, XII 1/2,
17XIII, XIII 1/2, XXV, XXVI, and XXXIIB of the Illinois
18Insurance Code.
19 (b) For purposes of the Illinois Insurance Code, except
20for Sections 444 and 444.1 and Articles XIII and XIII 1/2,
21Health Maintenance Organizations in the following categories
22are deemed to be "domestic companies":
23 (1) a corporation authorized under the Dental Service
24 Plan Act or the Voluntary Health Services Plans Act;
25 (2) a corporation organized under the laws of this
26 State; or

HB1163- 96 -LRB103 04806 LNS 49816 b
1 (3) a corporation organized under the laws of another
2 state, 30% or more of the enrollees of which are residents
3 of this State, except a corporation subject to
4 substantially the same requirements in its state of
5 organization as is a "domestic company" under Article VIII
6 1/2 of the Illinois Insurance Code.
7 (c) In considering the merger, consolidation, or other
8acquisition of control of a Health Maintenance Organization
9pursuant to Article VIII 1/2 of the Illinois Insurance Code,
10 (1) the Director shall give primary consideration to
11 the continuation of benefits to enrollees and the
12 financial conditions of the acquired Health Maintenance
13 Organization after the merger, consolidation, or other
14 acquisition of control takes effect;
15 (2)(i) the criteria specified in subsection (1)(b) of
16 Section 131.8 of the Illinois Insurance Code shall not
17 apply and (ii) the Director, in making his determination
18 with respect to the merger, consolidation, or other
19 acquisition of control, need not take into account the
20 effect on competition of the merger, consolidation, or
21 other acquisition of control;
22 (3) the Director shall have the power to require the
23 following information:
24 (A) certification by an independent actuary of the
25 adequacy of the reserves of the Health Maintenance
26 Organization sought to be acquired;

HB1163- 97 -LRB103 04806 LNS 49816 b
1 (B) pro forma financial statements reflecting the
2 combined balance sheets of the acquiring company and
3 the Health Maintenance Organization sought to be
4 acquired as of the end of the preceding year and as of
5 a date 90 days prior to the acquisition, as well as pro
6 forma financial statements reflecting projected
7 combined operation for a period of 2 years;
8 (C) a pro forma business plan detailing an
9 acquiring party's plans with respect to the operation
10 of the Health Maintenance Organization sought to be
11 acquired for a period of not less than 3 years; and
12 (D) such other information as the Director shall
13 require.
14 (d) The provisions of Article VIII 1/2 of the Illinois
15Insurance Code and this Section 5-3 shall apply to the sale by
16any health maintenance organization of greater than 10% of its
17enrollee population (including without limitation the health
18maintenance organization's right, title, and interest in and
19to its health care certificates).
20 (e) In considering any management contract or service
21agreement subject to Section 141.1 of the Illinois Insurance
22Code, the Director (i) shall, in addition to the criteria
23specified in Section 141.2 of the Illinois Insurance Code,
24take into account the effect of the management contract or
25service agreement on the continuation of benefits to enrollees
26and the financial condition of the health maintenance

HB1163- 98 -LRB103 04806 LNS 49816 b
1organization to be managed or serviced, and (ii) need not take
2into account the effect of the management contract or service
3agreement on competition.
4 (f) Except for small employer groups as defined in the
5Small Employer Rating, Renewability and Portability Health
6Insurance Act and except for medicare supplement policies as
7defined in Section 363 of the Illinois Insurance Code, a
8Health Maintenance Organization may by contract agree with a
9group or other enrollment unit to effect refunds or charge
10additional premiums under the following terms and conditions:
11 (i) the amount of, and other terms and conditions with
12 respect to, the refund or additional premium are set forth
13 in the group or enrollment unit contract agreed in advance
14 of the period for which a refund is to be paid or
15 additional premium is to be charged (which period shall
16 not be less than one year); and
17 (ii) the amount of the refund or additional premium
18 shall not exceed 20% of the Health Maintenance
19 Organization's profitable or unprofitable experience with
20 respect to the group or other enrollment unit for the
21 period (and, for purposes of a refund or additional
22 premium, the profitable or unprofitable experience shall
23 be calculated taking into account a pro rata share of the
24 Health Maintenance Organization's administrative and
25 marketing expenses, but shall not include any refund to be
26 made or additional premium to be paid pursuant to this

HB1163- 99 -LRB103 04806 LNS 49816 b
1 subsection (f)). The Health Maintenance Organization and
2 the group or enrollment unit may agree that the profitable
3 or unprofitable experience may be calculated taking into
4 account the refund period and the immediately preceding 2
5 plan years.
6 The Health Maintenance Organization shall include a
7statement in the evidence of coverage issued to each enrollee
8describing the possibility of a refund or additional premium,
9and upon request of any group or enrollment unit, provide to
10the group or enrollment unit a description of the method used
11to calculate (1) the Health Maintenance Organization's
12profitable experience with respect to the group or enrollment
13unit and the resulting refund to the group or enrollment unit
14or (2) the Health Maintenance Organization's unprofitable
15experience with respect to the group or enrollment unit and
16the resulting additional premium to be paid by the group or
17enrollment unit.
18 In no event shall the Illinois Health Maintenance
19Organization Guaranty Association be liable to pay any
20contractual obligation of an insolvent organization to pay any
21refund authorized under this Section.
22 (g) Rulemaking authority to implement Public Act 95-1045,
23if any, is conditioned on the rules being adopted in
24accordance with all provisions of the Illinois Administrative
25Procedure Act and all rules and procedures of the Joint
26Committee on Administrative Rules; any purported rule not so

HB1163- 100 -LRB103 04806 LNS 49816 b
1adopted, for whatever reason, is unauthorized.
2(Source: P.A. 101-13, eff. 6-12-19; 101-81, eff. 7-12-19;
3101-281, eff. 1-1-20; 101-371, eff. 1-1-20; 101-393, eff.
41-1-20; 101-452, eff. 1-1-20; 101-461, eff. 1-1-20; 101-625,
5eff. 1-1-21; 102-30, eff. 1-1-22; 102-34, eff. 6-25-21;
6102-203, eff. 1-1-22; 102-306, eff. 1-1-22; 102-443, eff.
71-1-22; 102-589, eff. 1-1-22; 102-642, eff. 1-1-22; 102-665,
8eff. 10-8-21; 102-731, eff. 1-1-23; 102-775, eff. 5-13-22;
9102-804, eff. 1-1-23; 102-813, eff. 5-13-22; 102-816, eff.
101-1-23; 102-860, eff. 1-1-23; 102-901, eff. 7-1-22; 102-1093,
11eff. 1-1-23; revised 7-25-22.)
12 Section 640. The Voluntary Health Services Plans Act is
13amended by changing Section 10 as follows:
14 (215 ILCS 165/10) (from Ch. 32, par. 604)
15 (Text of Section before amendment by P.A. 102-731,
16102-804, 102-816, 102-860, and 102-1093)
17 Sec. 10. Application of Insurance Code provisions. Health
18services plan corporations and all persons interested therein
19or dealing therewith shall be subject to the provisions of
20Articles IIA and XII 1/2 and Sections 3.1, 133, 136, 139, 140,
21143, 143c, 149, 155.22a, 155.37, 354, 355.2, 355.3, 355b,
22356g, 356g.5, 356g.5-1, 356q, 356r, 356t, 356u, 356v, 356w,
23356x, 356y, 356z.1, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5,
24356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,

HB1163- 101 -LRB103 04806 LNS 49816 b
1356z.14, 356z.15, 356z.18, 356z.19, 356z.21, 356z.22, 356z.25,
2356z.26, 356z.29, 356z.30, 356z.30a, 356z.32, 356z.33,
3356z.40, 356z.41, 356z.46, 356z.47, 356z.51, 364.01, 364.3,
4367.2, 368a, 401, 401.1, 402, 403, 403A, 408, 408.2, and 412,
5and paragraphs (7) and (15) of Section 367 of the Illinois
6Insurance Code.
7 Rulemaking authority to implement Public Act 95-1045, if
8any, is conditioned on the rules being adopted in accordance
9with all provisions of the Illinois Administrative Procedure
10Act and all rules and procedures of the Joint Committee on
11Administrative Rules; any purported rule not so adopted, for
12whatever reason, is unauthorized.
13(Source: P.A. 101-13, eff. 6-12-19; 101-81, eff. 7-12-19;
14101-281, eff. 1-1-20; 101-393, eff. 1-1-20; 101-625, eff.
151-1-21; 102-30, eff. 1-1-22; 102-203, eff. 1-1-22; 102-306,
16eff. 1-1-22; 102-642, eff. 1-1-22; 102-665, eff. 10-8-21;
17102-775, eff. 5-13-22; 102-813, eff. 5-13-22; 102-901, eff.
187-1-22; revised 7-25-22.)
19 (Text of Section after amendment by P.A. 102-731, 102-804,
20102-816, 102-860, and 102-1093)
21 Sec. 10. Application of Insurance Code provisions. Health
22services plan corporations and all persons interested therein
23or dealing therewith shall be subject to the provisions of
24Articles IIA and XII 1/2 and Sections 3.1, 133, 136, 139, 140,
25143, 143c, 149, 155.22a, 155.37, 354, 355.2, 355.3, 355b,

HB1163- 102 -LRB103 04806 LNS 49816 b
1356g, 356g.5, 356g.5-1, 356q, 356r, 356t, 356u, 356v, 356w,
2356x, 356y, 356z.1, 356z.2, 356z.3a, 356z.4, 356z.4a, 356z.5,
3356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
4356z.14, 356z.15, 356z.18, 356z.19, 356z.21, 356z.22, 356z.25,
5356z.26, 356z.29, 356z.30, 356z.30a, 356z.32, 356z.33,
6356z.40, 356z.41, 356z.46, 356z.47, 356z.51, 356z.53, 356z.54,
7356z.56, 356z.57, 356z.59, 364.01, 364.3, 367.2, 368a, 401,
8401.1, 402, 403, 403A, 408, 408.2, and 412, and paragraphs (7)
9and (15) of Section 367 of the Illinois Insurance Code.
10 Rulemaking authority to implement Public Act 95-1045, if
11any, is conditioned on the rules being adopted in accordance
12with all provisions of the Illinois Administrative Procedure
13Act and all rules and procedures of the Joint Committee on
14Administrative Rules; any purported rule not so adopted, for
15whatever reason, is unauthorized.
16(Source: P.A. 101-13, eff. 6-12-19; 101-81, eff. 7-12-19;
17101-281, eff. 1-1-20; 101-393, eff. 1-1-20; 101-625, eff.
181-1-21; 102-30, eff. 1-1-22; 102-203, eff. 1-1-22; 102-306,
19eff. 1-1-22; 102-642, eff. 1-1-22; 102-665, eff. 10-8-21;
20102-731, eff. 1-1-23; 102-775, eff. 5-13-22; 102-804, eff.
211-1-23; 102-813, eff. 5-13-22; 102-816, eff. 1-1-23; 102-860,
22eff. 1-1-23; 102-901, eff. 7-1-22; 102-1093, eff. 1-1-23;
23revised 7-25-22.)
24 Section 645. The Medical Practice Act of 1987 is amended
25by changing Sections 22 and 36 as follows:

HB1163- 103 -LRB103 04806 LNS 49816 b
1 (225 ILCS 60/22) (from Ch. 111, par. 4400-22)
2 (Section scheduled to be repealed on January 1, 2027)
3 Sec. 22. Disciplinary action.
4 (A) The Department may revoke, suspend, place on
5probation, reprimand, refuse to issue or renew, or take any
6other disciplinary or non-disciplinary action as the
7Department may deem proper with regard to the license or
8permit of any person issued under this Act, including imposing
9fines not to exceed $10,000 for each violation, upon any of the
10following grounds:
11 (1) Performance of an elective abortion in any place,
12 locale, facility, or institution other than: (Blank).
13 (a) a facility licensed pursuant to the Ambulatory
14 Surgical Treatment Center Act;
15 (b) an institution licensed under the Hospital
16 Licensing Act;
17 (c) an ambulatory surgical treatment center or
18 hospitalization or care facility maintained by the
19 State or any agency thereof, where such department or
20 agency has authority under law to establish and
21 enforce standards for the ambulatory surgical
22 treatment centers, hospitalizations, or care
23 facilities under its management and control;
24 (d) ambulatory surgical treatment centers,
25 hospitalization, or care facilities maintained by the

HB1163- 104 -LRB103 04806 LNS 49816 b
1 federal government; or
2 (e) ambulatory surgical treatment centers,
3 hospitalization, or care facilities maintained by any
4 university or college established under the laws of
5 this State and supported principally by public funds
6 raised by taxation.
7 (2) Performance of an abortion procedure in a willful
8 and wanton manner on a woman who was not pregnant at the
9 time the abortion procedure was performed. (Blank).
10 (3) A plea of guilty or nolo contendere, finding of
11 guilt, jury verdict, or entry of judgment or sentencing,
12 including, but not limited to, convictions, preceding
13 sentences of supervision, conditional discharge, or first
14 offender probation, under the laws of any jurisdiction of
15 the United States of any crime that is a felony.
16 (4) Gross negligence in practice under this Act.
17 (5) Engaging in dishonorable, unethical, or
18 unprofessional conduct of a character likely to deceive,
19 defraud or harm the public.
20 (6) Obtaining any fee by fraud, deceit, or
21 misrepresentation.
22 (7) Habitual or excessive use or abuse of drugs
23 defined in law as controlled substances, of alcohol, or of
24 any other substances which results in the inability to
25 practice with reasonable judgment, skill, or safety.
26 (8) Practicing under a false or, except as provided by

HB1163- 105 -LRB103 04806 LNS 49816 b
1 law, an assumed name.
2 (9) Fraud or misrepresentation in applying for, or
3 procuring, a license under this Act or in connection with
4 applying for renewal of a license under this Act.
5 (10) Making a false or misleading statement regarding
6 their skill or the efficacy or value of the medicine,
7 treatment, or remedy prescribed by them at their direction
8 in the treatment of any disease or other condition of the
9 body or mind.
10 (11) Allowing another person or organization to use
11 their license, procured under this Act, to practice.
12 (12) Adverse action taken by another state or
13 jurisdiction against a license or other authorization to
14 practice as a medical doctor, doctor of osteopathy, doctor
15 of osteopathic medicine or doctor of chiropractic, a
16 certified copy of the record of the action taken by the
17 other state or jurisdiction being prima facie evidence
18 thereof. This includes any adverse action taken by a State
19 or federal agency that prohibits a medical doctor, doctor
20 of osteopathy, doctor of osteopathic medicine, or doctor
21 of chiropractic from providing services to the agency's
22 participants.
23 (13) Violation of any provision of this Act or of the
24 Medical Practice Act prior to the repeal of that Act, or
25 violation of the rules, or a final administrative action
26 of the Secretary, after consideration of the

HB1163- 106 -LRB103 04806 LNS 49816 b
1 recommendation of the Medical Board.
2 (14) Violation of the prohibition against fee
3 splitting in Section 22.2 of this Act.
4 (15) A finding by the Medical Board that the
5 registrant after having his or her license placed on
6 probationary status or subjected to conditions or
7 restrictions violated the terms of the probation or failed
8 to comply with such terms or conditions.
9 (16) Abandonment of a patient.
10 (17) Prescribing, selling, administering,
11 distributing, giving, or self-administering any drug
12 classified as a controlled substance (designated product)
13 or narcotic for other than medically accepted therapeutic
14 purposes.
15 (18) Promotion of the sale of drugs, devices,
16 appliances, or goods provided for a patient in such manner
17 as to exploit the patient for financial gain of the
18 physician.
19 (19) Offering, undertaking, or agreeing to cure or
20 treat disease by a secret method, procedure, treatment, or
21 medicine, or the treating, operating, or prescribing for
22 any human condition by a method, means, or procedure which
23 the licensee refuses to divulge upon demand of the
24 Department.
25 (20) Immoral conduct in the commission of any act
26 including, but not limited to, commission of an act of

HB1163- 107 -LRB103 04806 LNS 49816 b
1 sexual misconduct related to the licensee's practice.
2 (21) Willfully making or filing false records or
3 reports in his or her practice as a physician, including,
4 but not limited to, false records to support claims
5 against the medical assistance program of the Department
6 of Healthcare and Family Services (formerly Department of
7 Public Aid) under the Illinois Public Aid Code.
8 (22) Willful omission to file or record, or willfully
9 impeding the filing or recording, or inducing another
10 person to omit to file or record, medical reports as
11 required by law, or willfully failing to report an
12 instance of suspected abuse or neglect as required by law.
13 (23) Being named as a perpetrator in an indicated
14 report by the Department of Children and Family Services
15 under the Abused and Neglected Child Reporting Act, and
16 upon proof by clear and convincing evidence that the
17 licensee has caused a child to be an abused child or
18 neglected child as defined in the Abused and Neglected
19 Child Reporting Act.
20 (24) Solicitation of professional patronage by any
21 corporation, agents or persons, or profiting from those
22 representing themselves to be agents of the licensee.
23 (25) Gross and willful and continued overcharging for
24 professional services, including filing false statements
25 for collection of fees for which services are not
26 rendered, including, but not limited to, filing such false

HB1163- 108 -LRB103 04806 LNS 49816 b
1 statements for collection of monies for services not
2 rendered from the medical assistance program of the
3 Department of Healthcare and Family Services (formerly
4 Department of Public Aid) under the Illinois Public Aid
5 Code.
6 (26) A pattern of practice or other behavior which
7 demonstrates incapacity or incompetence to practice under
8 this Act.
9 (27) Mental illness or disability which results in the
10 inability to practice under this Act with reasonable
11 judgment, skill, or safety.
12 (28) Physical illness, including, but not limited to,
13 deterioration through the aging process, or loss of motor
14 skill which results in a physician's inability to practice
15 under this Act with reasonable judgment, skill, or safety.
16 (29) Cheating on or attempting to subvert the
17 licensing examinations administered under this Act.
18 (30) Willfully or negligently violating the
19 confidentiality between physician and patient except as
20 required by law.
21 (31) The use of any false, fraudulent, or deceptive
22 statement in any document connected with practice under
23 this Act.
24 (32) Aiding and abetting an individual not licensed
25 under this Act in the practice of a profession licensed
26 under this Act.

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1 (33) Violating state or federal laws or regulations
2 relating to controlled substances, legend drugs, or
3 ephedra as defined in the Ephedra Prohibition Act.
4 (34) Failure to report to the Department any adverse
5 final action taken against them by another licensing
6 jurisdiction (any other state or any territory of the
7 United States or any foreign state or country), by any
8 peer review body, by any health care institution, by any
9 professional society or association related to practice
10 under this Act, by any governmental agency, by any law
11 enforcement agency, or by any court for acts or conduct
12 similar to acts or conduct which would constitute grounds
13 for action as defined in this Section.
14 (35) Failure to report to the Department surrender of
15 a license or authorization to practice as a medical
16 doctor, a doctor of osteopathy, a doctor of osteopathic
17 medicine, or doctor of chiropractic in another state or
18 jurisdiction, or surrender of membership on any medical
19 staff or in any medical or professional association or
20 society, while under disciplinary investigation by any of
21 those authorities or bodies, for acts or conduct similar
22 to acts or conduct which would constitute grounds for
23 action as defined in this Section.
24 (36) Failure to report to the Department any adverse
25 judgment, settlement, or award arising from a liability
26 claim related to acts or conduct similar to acts or

HB1163- 110 -LRB103 04806 LNS 49816 b
1 conduct which would constitute grounds for action as
2 defined in this Section.
3 (37) Failure to provide copies of medical records as
4 required by law.
5 (38) Failure to furnish the Department, its
6 investigators or representatives, relevant information,
7 legally requested by the Department after consultation
8 with the Chief Medical Coordinator or the Deputy Medical
9 Coordinator.
10 (39) Violating the Health Care Worker Self-Referral
11 Act.
12 (40) Willful failure to provide notice when notice is
13 required under the Parental Notice of Abortion Act of
14 1995.
15 (41) Failure to establish and maintain records of
16 patient care and treatment as required by this law.
17 (42) Entering into an excessive number of written
18 collaborative agreements with licensed advanced practice
19 registered nurses resulting in an inability to adequately
20 collaborate.
21 (43) Repeated failure to adequately collaborate with a
22 licensed advanced practice registered nurse.
23 (44) Violating the Compassionate Use of Medical
24 Cannabis Program Act.
25 (45) Entering into an excessive number of written
26 collaborative agreements with licensed prescribing

HB1163- 111 -LRB103 04806 LNS 49816 b
1 psychologists resulting in an inability to adequately
2 collaborate.
3 (46) Repeated failure to adequately collaborate with a
4 licensed prescribing psychologist.
5 (47) Willfully failing to report an instance of
6 suspected abuse, neglect, financial exploitation, or
7 self-neglect of an eligible adult as defined in and
8 required by the Adult Protective Services Act.
9 (48) Being named as an abuser in a verified report by
10 the Department on Aging under the Adult Protective
11 Services Act, and upon proof by clear and convincing
12 evidence that the licensee abused, neglected, or
13 financially exploited an eligible adult as defined in the
14 Adult Protective Services Act.
15 (49) Entering into an excessive number of written
16 collaborative agreements with licensed physician
17 assistants resulting in an inability to adequately
18 collaborate.
19 (50) Repeated failure to adequately collaborate with a
20 physician assistant.
21 Except for actions involving the ground numbered (26), all
22proceedings to suspend, revoke, place on probationary status,
23or take any other disciplinary action as the Department may
24deem proper, with regard to a license on any of the foregoing
25grounds, must be commenced within 5 years next after receipt
26by the Department of a complaint alleging the commission of or

HB1163- 112 -LRB103 04806 LNS 49816 b
1notice of the conviction order for any of the acts described
2herein. Except for the grounds numbered (8), (9), (26), and
3(29), no action shall be commenced more than 10 years after the
4date of the incident or act alleged to have violated this
5Section. For actions involving the ground numbered (26), a
6pattern of practice or other behavior includes all incidents
7alleged to be part of the pattern of practice or other behavior
8that occurred, or a report pursuant to Section 23 of this Act
9received, within the 10-year period preceding the filing of
10the complaint. In the event of the settlement of any claim or
11cause of action in favor of the claimant or the reduction to
12final judgment of any civil action in favor of the plaintiff,
13such claim, cause of action, or civil action being grounded on
14the allegation that a person licensed under this Act was
15negligent in providing care, the Department shall have an
16additional period of 2 years from the date of notification to
17the Department under Section 23 of this Act of such settlement
18or final judgment in which to investigate and commence formal
19disciplinary proceedings under Section 36 of this Act, except
20as otherwise provided by law. The time during which the holder
21of the license was outside the State of Illinois shall not be
22included within any period of time limiting the commencement
23of disciplinary action by the Department.
24 The entry of an order or judgment by any circuit court
25establishing that any person holding a license under this Act
26is a person in need of mental treatment operates as a

HB1163- 113 -LRB103 04806 LNS 49816 b
1suspension of that license. That person may resume his or her
2practice only upon the entry of a Departmental order based
3upon a finding by the Medical Board that the person has been
4determined to be recovered from mental illness by the court
5and upon the Medical Board's recommendation that the person be
6permitted to resume his or her practice.
7 The Department may refuse to issue or take disciplinary
8action concerning the license of any person who fails to file a
9return, or to pay the tax, penalty, or interest shown in a
10filed return, or to pay any final assessment of tax, penalty,
11or interest, as required by any tax Act administered by the
12Illinois Department of Revenue, until such time as the
13requirements of any such tax Act are satisfied as determined
14by the Illinois Department of Revenue.
15 The Department, upon the recommendation of the Medical
16Board, shall adopt rules which set forth standards to be used
17in determining:
18 (a) when a person will be deemed sufficiently
19 rehabilitated to warrant the public trust;
20 (b) what constitutes dishonorable, unethical, or
21 unprofessional conduct of a character likely to deceive,
22 defraud, or harm the public;
23 (c) what constitutes immoral conduct in the commission
24 of any act, including, but not limited to, commission of
25 an act of sexual misconduct related to the licensee's
26 practice; and

HB1163- 114 -LRB103 04806 LNS 49816 b
1 (d) what constitutes gross negligence in the practice
2 of medicine.
3 However, no such rule shall be admissible into evidence in
4any civil action except for review of a licensing or other
5disciplinary action under this Act.
6 In enforcing this Section, the Medical Board, upon a
7showing of a possible violation, may compel any individual who
8is licensed to practice under this Act or holds a permit to
9practice under this Act, or any individual who has applied for
10licensure or a permit pursuant to this Act, to submit to a
11mental or physical examination and evaluation, or both, which
12may include a substance abuse or sexual offender evaluation,
13as required by the Medical Board and at the expense of the
14Department. The Medical Board shall specifically designate the
15examining physician licensed to practice medicine in all of
16its branches or, if applicable, the multidisciplinary team
17involved in providing the mental or physical examination and
18evaluation, or both. The multidisciplinary team shall be led
19by a physician licensed to practice medicine in all of its
20branches and may consist of one or more or a combination of
21physicians licensed to practice medicine in all of its
22branches, licensed chiropractic physicians, licensed clinical
23psychologists, licensed clinical social workers, licensed
24clinical professional counselors, and other professional and
25administrative staff. Any examining physician or member of the
26multidisciplinary team may require any person ordered to

HB1163- 115 -LRB103 04806 LNS 49816 b
1submit to an examination and evaluation pursuant to this
2Section to submit to any additional supplemental testing
3deemed necessary to complete any examination or evaluation
4process, including, but not limited to, blood testing,
5urinalysis, psychological testing, or neuropsychological
6testing. The Medical Board or the Department may order the
7examining physician or any member of the multidisciplinary
8team to provide to the Department or the Medical Board any and
9all records, including business records, that relate to the
10examination and evaluation, including any supplemental testing
11performed. The Medical Board or the Department may order the
12examining physician or any member of the multidisciplinary
13team to present testimony concerning this examination and
14evaluation of the licensee, permit holder, or applicant,
15including testimony concerning any supplemental testing or
16documents relating to the examination and evaluation. No
17information, report, record, or other documents in any way
18related to the examination and evaluation shall be excluded by
19reason of any common law or statutory privilege relating to
20communication between the licensee, permit holder, or
21applicant and the examining physician or any member of the
22multidisciplinary team. No authorization is necessary from the
23licensee, permit holder, or applicant ordered to undergo an
24evaluation and examination for the examining physician or any
25member of the multidisciplinary team to provide information,
26reports, records, or other documents or to provide any

HB1163- 116 -LRB103 04806 LNS 49816 b
1testimony regarding the examination and evaluation. The
2individual to be examined may have, at his or her own expense,
3another physician of his or her choice present during all
4aspects of the examination. Failure of any individual to
5submit to mental or physical examination and evaluation, or
6both, when directed, shall result in an automatic suspension,
7without hearing, until such time as the individual submits to
8the examination. If the Medical Board finds a physician unable
9to practice following an examination and evaluation because of
10the reasons set forth in this Section, the Medical Board shall
11require such physician to submit to care, counseling, or
12treatment by physicians, or other health care professionals,
13approved or designated by the Medical Board, as a condition
14for issued, continued, reinstated, or renewed licensure to
15practice. Any physician, whose license was granted pursuant to
16Sections 9, 17, or 19 of this Act, or, continued, reinstated,
17renewed, disciplined or supervised, subject to such terms,
18conditions, or restrictions who shall fail to comply with such
19terms, conditions, or restrictions, or to complete a required
20program of care, counseling, or treatment, as determined by
21the Chief Medical Coordinator or Deputy Medical Coordinators,
22shall be referred to the Secretary for a determination as to
23whether the licensee shall have his or her license suspended
24immediately, pending a hearing by the Medical Board. In
25instances in which the Secretary immediately suspends a
26license under this Section, a hearing upon such person's

HB1163- 117 -LRB103 04806 LNS 49816 b
1license must be convened by the Medical Board within 15 days
2after such suspension and completed without appreciable delay.
3The Medical Board shall have the authority to review the
4subject physician's record of treatment and counseling
5regarding the impairment, to the extent permitted by
6applicable federal statutes and regulations safeguarding the
7confidentiality of medical records.
8 An individual licensed under this Act, affected under this
9Section, shall be afforded an opportunity to demonstrate to
10the Medical Board that he or she can resume practice in
11compliance with acceptable and prevailing standards under the
12provisions of his or her license.
13 The Department may promulgate rules for the imposition of
14fines in disciplinary cases, not to exceed $10,000 for each
15violation of this Act. Fines may be imposed in conjunction
16with other forms of disciplinary action, but shall not be the
17exclusive disposition of any disciplinary action arising out
18of conduct resulting in death or injury to a patient. Any funds
19collected from such fines shall be deposited in the Illinois
20State Medical Disciplinary Fund.
21 All fines imposed under this Section shall be paid within
2260 days after the effective date of the order imposing the fine
23or in accordance with the terms set forth in the order imposing
24the fine.
25 (B) The Department shall revoke the license or permit
26issued under this Act to practice medicine or a chiropractic

HB1163- 118 -LRB103 04806 LNS 49816 b
1physician who has been convicted a second time of committing
2any felony under the Illinois Controlled Substances Act or the
3Methamphetamine Control and Community Protection Act, or who
4has been convicted a second time of committing a Class 1 felony
5under Sections 8A-3 and 8A-6 of the Illinois Public Aid Code. A
6person whose license or permit is revoked under this
7subsection B shall be prohibited from practicing medicine or
8treating human ailments without the use of drugs and without
9operative surgery.
10 (C) The Department shall not revoke, suspend, place on
11probation, reprimand, refuse to issue or renew, or take any
12other disciplinary or non-disciplinary action against the
13license or permit issued under this Act to practice medicine
14to a physician:
15 (1) based solely upon the recommendation of the
16 physician to an eligible patient regarding, or
17 prescription for, or treatment with, an investigational
18 drug, biological product, or device; or
19 (2) for experimental treatment for Lyme disease or
20 other tick-borne diseases, including, but not limited to,
21 the prescription of or treatment with long-term
22 antibiotics.
23 (D) The Medical Board shall recommend to the Department
24civil penalties and any other appropriate discipline in
25disciplinary cases when the Medical Board finds that a
26physician willfully performed an abortion with actual

HB1163- 119 -LRB103 04806 LNS 49816 b
1knowledge that the person upon whom the abortion has been
2performed is a minor or an incompetent person without notice
3as required under the Parental Notice of Abortion Act of 1995.
4Upon the Medical Board's recommendation, the Department shall
5impose, for the first violation, a civil penalty of $1,000 and
6for a second or subsequent violation, a civil penalty of
7$5,000.
8(Source: P.A. 101-13, eff. 6-12-19; 101-81, eff. 7-12-19;
9101-363, eff. 8-9-19; 102-20, eff. 1-1-22; 102-558, eff.
108-20-21; 102-813, eff. 5-13-22.)
11 (225 ILCS 60/36) (from Ch. 111, par. 4400-36)
12 (Section scheduled to be repealed on January 1, 2027)
13 Sec. 36. Investigation; notice.
14 (a) Upon the motion of either the Department or the
15Medical Board or upon the verified complaint in writing of any
16person setting forth facts which, if proven, would constitute
17grounds for suspension or revocation under Section 22 of this
18Act, the Department shall investigate the actions of any
19person, so accused, who holds or represents that he or she
20holds a license. Such person is hereinafter called the
21accused.
22 (b) The Department shall, before suspending, revoking,
23placing on probationary status, or taking any other
24disciplinary action as the Department may deem proper with
25regard to any license at least 30 days prior to the date set

HB1163- 120 -LRB103 04806 LNS 49816 b
1for the hearing, notify the accused in writing of any charges
2made and the time and place for a hearing of the charges before
3the Medical Board, direct him or her to file his or her written
4answer thereto to the Medical Board under oath within 20 days
5after the service on him or her of such notice and inform him
6or her that if he or she fails to file such answer default will
7be taken against him or her and his or her license may be
8suspended, revoked, placed on probationary status, or have
9other disciplinary action, including limiting the scope,
10nature or extent of his or her practice, as the Department may
11deem proper taken with regard thereto. The Department shall,
12at least 14 days prior to the date set for the hearing, notify
13in writing any person who filed a complaint against the
14accused of the time and place for the hearing of the charges
15against the accused before the Medical Board and inform such
16person whether he or she may provide testimony at the hearing.
17 (c) Where a physician has been found, upon complaint and
18investigation of the Department, and after hearing, to have
19performed an abortion procedure in a wilful and wanton manner
20upon a woman who was not pregnant at the time such abortion
21procedure was performed, the Department shall automatically
22revoke the license of such physician to practice medicine in
23this State. (Blank).
24 (d) Such written notice and any notice in such proceedings
25thereafter may be served by personal delivery, email to the
26respondent's email address of record, or mail to the

HB1163- 121 -LRB103 04806 LNS 49816 b
1respondent's address of record.
2 (e) All information gathered by the Department during its
3investigation including information subpoenaed under Section
423 or 38 of this Act and the investigative file shall be kept
5for the confidential use of the Secretary, the Medical Board,
6the Medical Coordinators, persons employed by contract to
7advise the Medical Coordinator or the Department, the Medical
8Board's attorneys, the medical investigative staff, and
9authorized clerical staff, as provided in this Act and shall
10be afforded the same status as is provided information
11concerning medical studies in Part 21 of Article VIII of the
12Code of Civil Procedure, except that the Department may
13disclose information and documents to a federal, State, or
14local law enforcement agency pursuant to a subpoena in an
15ongoing criminal investigation to a health care licensing body
16of this State or another state or jurisdiction pursuant to an
17official request made by that licensing body. Furthermore,
18information and documents disclosed to a federal, State, or
19local law enforcement agency may be used by that agency only
20for the investigation and prosecution of a criminal offense
21or, in the case of disclosure to a health care licensing body,
22only for investigations and disciplinary action proceedings
23with regard to a license issued by that licensing body.
24(Source: P.A. 101-13, eff. 6-12-19; 101-316, eff. 8-9-19;
25102-20, eff. 1-1-22; 102-558, eff. 8-20-21.)

HB1163- 122 -LRB103 04806 LNS 49816 b
1 Section 650. The Nurse Practice Act is amended by changing
2Sections 65-35 and 65-43 as follows:
3 (225 ILCS 65/65-35) (was 225 ILCS 65/15-15)
4 (Section scheduled to be repealed on January 1, 2028)
5 Sec. 65-35. Written collaborative agreements.
6 (a) A written collaborative agreement is required for all
7advanced practice registered nurses engaged in clinical
8practice prior to meeting the requirements of Section 65-43,
9except for advanced practice registered nurses who are
10privileged to practice in a hospital, hospital affiliate, or
11ambulatory surgical treatment center.
12 (a-5) If an advanced practice registered nurse engages in
13clinical practice outside of a hospital, hospital affiliate,
14or ambulatory surgical treatment center in which he or she is
15privileged to practice, the advanced practice registered nurse
16must have a written collaborative agreement, except as set
17forth in Section 65-43.
18 (b) A written collaborative agreement shall describe the
19relationship of the advanced practice registered nurse with
20the collaborating physician and shall describe the categories
21of care, treatment, or procedures to be provided by the
22advanced practice registered nurse. A collaborative agreement
23with a podiatric physician must be in accordance with
24subsection (c-5) or (c-15) of this Section. A collaborative
25agreement with a dentist must be in accordance with subsection

HB1163- 123 -LRB103 04806 LNS 49816 b
1(c-10) of this Section. A collaborative agreement with a
2podiatric physician must be in accordance with subsection
3(c-5) of this Section. Collaboration does not require an
4employment relationship between the collaborating physician
5and the advanced practice registered nurse.
6 The collaborative relationship under an agreement shall
7not be construed to require the personal presence of a
8collaborating physician at the place where services are
9rendered. Methods of communication shall be available for
10consultation with the collaborating physician in person or by
11telecommunications or electronic communications as set forth
12in the written agreement.
13 (b-5) Absent an employment relationship, a written
14collaborative agreement may not (1) restrict the categories of
15patients of an advanced practice registered nurse within the
16scope of the advanced practice registered nurses training and
17experience, (2) limit third party payors or government health
18programs, such as the medical assistance program or Medicare
19with which the advanced practice registered nurse contracts,
20or (3) limit the geographic area or practice location of the
21advanced practice registered nurse in this State.
22 (c) In the case of anesthesia services provided by a
23certified registered nurse anesthetist, an anesthesiologist, a
24physician, a dentist, or a podiatric physician must
25participate through discussion of and agreement with the
26anesthesia plan and remain physically present and available on

HB1163- 124 -LRB103 04806 LNS 49816 b
1the premises during the delivery of anesthesia services for
2diagnosis, consultation, and treatment of emergency medical
3conditions.
4 (c-5) A certified registered nurse anesthetist, who
5provides anesthesia services outside of a hospital or
6ambulatory surgical treatment center shall enter into a
7written collaborative agreement with an anesthesiologist or
8the physician licensed to practice medicine in all its
9branches or the podiatric physician performing the procedure.
10Outside of a hospital or ambulatory surgical treatment center,
11the certified registered nurse anesthetist may provide only
12those services that the collaborating podiatric physician is
13authorized to provide pursuant to the Podiatric Medical
14Practice Act of 1987 and rules adopted thereunder. A certified
15registered nurse anesthetist may select, order, and administer
16medication, including controlled substances, and apply
17appropriate medical devices for delivery of anesthesia
18services under the anesthesia plan agreed with by the
19anesthesiologist or the operating physician or operating
20podiatric physician.
21 (c-10) A certified registered nurse anesthetist who
22provides anesthesia services in a dental office shall enter
23into a written collaborative agreement with an
24anesthesiologist or the physician licensed to practice
25medicine in all its branches or the operating dentist
26performing the procedure. The agreement shall describe the

HB1163- 125 -LRB103 04806 LNS 49816 b
1working relationship of the certified registered nurse
2anesthetist and dentist and shall authorize the categories of
3care, treatment, or procedures to be performed by the
4certified registered nurse anesthetist. In a collaborating
5dentist's office, the certified registered nurse anesthetist
6may only provide those services that the operating dentist
7with the appropriate permit is authorized to provide pursuant
8to the Illinois Dental Practice Act and rules adopted
9thereunder. For anesthesia services, an anesthesiologist,
10physician, or operating dentist shall participate through
11discussion of and agreement with the anesthesia plan and shall
12remain physically present and be available on the premises
13during the delivery of anesthesia services for diagnosis,
14consultation, and treatment of emergency medical conditions. A
15certified registered nurse anesthetist may select, order, and
16administer medication, including controlled substances, and
17apply appropriate medical devices for delivery of anesthesia
18services under the anesthesia plan agreed with by the
19operating dentist.
20 (c-15) An advanced practice registered nurse who had a
21written collaborative agreement with a podiatric physician
22immediately before the effective date of Public Act 100-513
23may continue in that collaborative relationship or enter into
24a new written collaborative relationship with a podiatric
25physician under the requirements of this Section and Section
2665-40, as those Sections existed immediately before the

HB1163- 126 -LRB103 04806 LNS 49816 b
1amendment of those Sections by Public Act 100-513 with regard
2to a written collaborative agreement between an advanced
3practice registered nurse and a podiatric physician.
4 (d) A copy of the signed, written collaborative agreement
5must be available to the Department upon request from both the
6advanced practice registered nurse and the collaborating
7physician, dentist, or podiatric physician.
8 (e) Nothing in this Act shall be construed to limit the
9delegation of tasks or duties by a physician to a licensed
10practical nurse, a registered professional nurse, or other
11persons in accordance with Section 54.2 of the Medical
12Practice Act of 1987. Nothing in this Act shall be construed to
13limit the method of delegation that may be authorized by any
14means, including, but not limited to, oral, written,
15electronic, standing orders, protocols, guidelines, or verbal
16orders.
17 (e-5) Nothing in this Act shall be construed to authorize
18an advanced practice registered nurse to provide health care
19services required by law or rule to be performed by a
20physician, including those acts to be performed by a physician
21in Section 3.1 of the Illinois Abortion Law of 2022. The scope
22of practice of an advanced practice registered nurse does not
23include operative surgery. Nothing in this Section shall be
24construed to preclude an advanced practice registered nurse
25from assisting in surgery.
26 (f) An advanced practice registered nurse shall inform

HB1163- 127 -LRB103 04806 LNS 49816 b
1each collaborating physician, dentist, or podiatric physician
2of all collaborative agreements he or she has signed and
3provide a copy of these to any collaborating physician,
4dentist, or podiatric physician upon request.
5 (g) (Blank).
6(Source: P.A. 100-513, eff. 1-1-18; 100-577, eff. 1-26-18;
7100-1096, eff. 8-26-18; 101-13, eff. 6-12-19.)
8 (225 ILCS 65/65-43)
9 (Section scheduled to be repealed on January 1, 2028)
10 Sec. 65-43. Full practice authority.
11 (a) An Illinois-licensed advanced practice registered
12nurse certified as a nurse practitioner, nurse midwife, or
13clinical nurse specialist shall be deemed by law to possess
14the ability to practice without a written collaborative
15agreement as set forth in this Section.
16 (b) An advanced practice registered nurse certified as a
17nurse midwife, clinical nurse specialist, or nurse
18practitioner who files with the Department a notarized
19attestation of completion of at least 250 hours of continuing
20education or training and at least 4,000 hours of clinical
21experience after first attaining national certification shall
22not require a written collaborative agreement. Documentation
23of successful completion shall be provided to the Department
24upon request.
25 Continuing education or training hours required by

HB1163- 128 -LRB103 04806 LNS 49816 b
1subsection (b) shall be in the advanced practice registered
2nurse's area of certification as set forth by Department rule.
3 The clinical experience must be in the advanced practice
4registered nurse's area of certification. The clinical
5experience shall be in collaboration with a physician or
6physicians. Completion of the clinical experience must be
7attested to by the collaborating physician or physicians or
8employer and the advanced practice registered nurse. If the
9collaborating physician or physicians or employer is unable to
10attest to the completion of the clinical experience, the
11Department may accept other evidence of clinical experience as
12established by rule.
13 (c) The scope of practice of an advanced practice
14registered nurse with full practice authority includes:
15 (1) all matters included in subsection (c) of Section
16 65-30 of this Act;
17 (2) practicing without a written collaborative
18 agreement in all practice settings consistent with
19 national certification;
20 (3) authority to prescribe both legend drugs and
21 Schedule II through V controlled substances; this
22 authority includes prescription of, selection of, orders
23 for, administration of, storage of, acceptance of samples
24 of, and dispensing over the counter medications, legend
25 drugs, and controlled substances categorized as any
26 Schedule II through V controlled substances, as defined in

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1 Article II of the Illinois Controlled Substances Act, and
2 other preparations, including, but not limited to,
3 botanical and herbal remedies;
4 (4) prescribing benzodiazepines or Schedule II
5 narcotic drugs, such as opioids, only in a consultation
6 relationship with a physician; this consultation
7 relationship shall be recorded in the Prescription
8 Monitoring Program website, pursuant to Section 316 of the
9 Illinois Controlled Substances Act, by the physician and
10 advanced practice registered nurse with full practice
11 authority and is not required to be filed with the
12 Department; the specific Schedule II narcotic drug must be
13 identified by either brand name or generic name; the
14 specific Schedule II narcotic drug, such as an opioid, may
15 be administered by oral dosage or topical or transdermal
16 application; delivery by injection or other route of
17 administration is not permitted; at least monthly, the
18 advanced practice registered nurse and the physician must
19 discuss the condition of any patients for whom a
20 benzodiazepine or opioid is prescribed; nothing in this
21 subsection shall be construed to require a prescription by
22 an advanced practice registered nurse with full practice
23 authority to require a physician name;
24 (5) authority to obtain an Illinois controlled
25 substance license and a federal Drug Enforcement
26 Administration number; and

HB1163- 130 -LRB103 04806 LNS 49816 b
1 (6) use of only local anesthetic.
2 The scope of practice of an advanced practice registered
3nurse does not include operative surgery. Nothing in this
4Section shall be construed to preclude an advanced practice
5registered nurse from assisting in surgery.
6 (d) The Department may adopt rules necessary to administer
7this Section, including, but not limited to, requiring the
8completion of forms and the payment of fees.
9 (e) Nothing in this Act shall be construed to authorize an
10advanced practice registered nurse with full practice
11authority to provide health care services required by law or
12rule to be performed by a physician, including, but not
13limited to, those acts to be performed by a physician in
14Section 3.1 of the Illinois Abortion Law of 2022.
15(Source: P.A. 101-13, eff. 6-12-19; 102-75, eff. 1-1-22.)
16 Section 653. The Physician Assistant Practice Act of 1987
17is amended by changing Section 7.5 as follows:
18 (225 ILCS 95/7.5)
19 (Section scheduled to be repealed on January 1, 2028)
20 Sec. 7.5. Written collaborative agreements; prescriptive
21authority.
22 (a) A written collaborative agreement is required for all
23physician assistants to practice in the State, except as
24provided in Section 7.7 of this Act.

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1 (1) A written collaborative agreement shall describe
2 the working relationship of the physician assistant with
3 the collaborating physician and shall describe the
4 categories of care, treatment, or procedures to be
5 provided by the physician assistant. The written
6 collaborative agreement shall promote the exercise of
7 professional judgment by the physician assistant
8 commensurate with his or her education and experience. The
9 services to be provided by the physician assistant shall
10 be services that the collaborating physician is authorized
11 to and generally provides to his or her patients in the
12 normal course of his or her clinical medical practice. The
13 written collaborative agreement need not describe the
14 exact steps that a physician assistant must take with
15 respect to each specific condition, disease, or symptom
16 but must specify which authorized procedures require the
17 presence of the collaborating physician as the procedures
18 are being performed. The relationship under a written
19 collaborative agreement shall not be construed to require
20 the personal presence of a physician at the place where
21 services are rendered. Methods of communication shall be
22 available for consultation with the collaborating
23 physician in person or by telecommunications or electronic
24 communications as set forth in the written collaborative
25 agreement. For the purposes of this Act, "generally
26 provides to his or her patients in the normal course of his

HB1163- 132 -LRB103 04806 LNS 49816 b
1 or her clinical medical practice" means services, not
2 specific tasks or duties, the collaborating physician
3 routinely provides individually or through delegation to
4 other persons so that the physician has the experience and
5 ability to collaborate and provide consultation.
6 (2) The written collaborative agreement shall be
7 adequate if a physician does each of the following:
8 (A) Participates in the joint formulation and
9 joint approval of orders or guidelines with the
10 physician assistant and he or she periodically reviews
11 such orders and the services provided patients under
12 such orders in accordance with accepted standards of
13 medical practice and physician assistant practice.
14 (B) Provides consultation at least once a month.
15 (3) A copy of the signed, written collaborative
16 agreement must be available to the Department upon request
17 from both the physician assistant and the collaborating
18 physician.
19 (4) A physician assistant shall inform each
20 collaborating physician of all written collaborative
21 agreements he or she has signed and provide a copy of these
22 to any collaborating physician upon request.
23 (b) A collaborating physician may, but is not required to,
24delegate prescriptive authority to a physician assistant as
25part of a written collaborative agreement. This authority may,
26but is not required to, include prescription of, selection of,

HB1163- 133 -LRB103 04806 LNS 49816 b
1orders for, administration of, storage of, acceptance of
2samples of, and dispensing medical devices, over the counter
3medications, legend drugs, medical gases, and controlled
4substances categorized as Schedule II through V controlled
5substances, as defined in Article II of the Illinois
6Controlled Substances Act, and other preparations, including,
7but not limited to, botanical and herbal remedies. The
8collaborating physician must have a valid, current Illinois
9controlled substance license and federal registration with the
10Drug Enforcement Administration to delegate the authority to
11prescribe controlled substances.
12 (1) To prescribe Schedule II, III, IV, or V controlled
13 substances under this Section, a physician assistant must
14 obtain a mid-level practitioner controlled substances
15 license. Medication orders issued by a physician assistant
16 shall be reviewed periodically by the collaborating
17 physician.
18 (2) The collaborating physician shall file with the
19 Department notice of delegation of prescriptive authority
20 to a physician assistant and termination of delegation,
21 specifying the authority delegated or terminated. Upon
22 receipt of this notice delegating authority to prescribe
23 controlled substances, the physician assistant shall be
24 eligible to register for a mid-level practitioner
25 controlled substances license under Section 303.05 of the
26 Illinois Controlled Substances Act. Nothing in this Act

HB1163- 134 -LRB103 04806 LNS 49816 b
1 shall be construed to limit the delegation of tasks or
2 duties by the collaborating physician to a nurse or other
3 appropriately trained persons in accordance with Section
4 54.2 of the Medical Practice Act of 1987.
5 (3) In addition to the requirements of this subsection
6 (b), a collaborating physician may, but is not required
7 to, delegate authority to a physician assistant to
8 prescribe Schedule II controlled substances, if all of the
9 following conditions apply:
10 (A) Specific Schedule II controlled substances by
11 oral dosage or topical or transdermal application may
12 be delegated, provided that the delegated Schedule II
13 controlled substances are routinely prescribed by the
14 collaborating physician. This delegation must identify
15 the specific Schedule II controlled substances by
16 either brand name or generic name. Schedule II
17 controlled substances to be delivered by injection or
18 other route of administration may not be delegated.
19 (B) (Blank).
20 (C) Any prescription must be limited to no more
21 than a 30-day supply, with any continuation authorized
22 only after prior approval of the collaborating
23 physician.
24 (D) The physician assistant must discuss the
25 condition of any patients for whom a controlled
26 substance is prescribed monthly with the collaborating

HB1163- 135 -LRB103 04806 LNS 49816 b
1 physician.
2 (E) The physician assistant meets the education
3 requirements of Section 303.05 of the Illinois
4 Controlled Substances Act.
5 (c) Nothing in this Act shall be construed to limit the
6delegation of tasks or duties by a physician to a licensed
7practical nurse, a registered professional nurse, or other
8persons. Nothing in this Act shall be construed to limit the
9method of delegation that may be authorized by any means,
10including, but not limited to, oral, written, electronic,
11standing orders, protocols, guidelines, or verbal orders.
12Nothing in this Act shall be construed to authorize a
13physician assistant to provide health care services required
14by law or rule to be performed by a physician. Nothing in this
15Act shall be construed to authorize the delegation or
16performance of operative surgery. Nothing in this Section
17shall be construed to preclude a physician assistant from
18assisting in surgery.
19 (c-5) Nothing in this Section shall be construed to apply
20to any medication authority, including Schedule II controlled
21substances of a licensed physician assistant for care provided
22in a hospital, hospital affiliate, or ambulatory surgical
23treatment center pursuant to Section 7.7 of this Act.
24 (d) (Blank).
25 (e) Nothing in this Section shall be construed to prohibit
26generic substitution.

HB1163- 136 -LRB103 04806 LNS 49816 b
1(Source: P.A. 101-13, eff. 6-12-19; 102-558, eff. 8-20-21.)
2 Section 655. The Vital Records Act is amended by changing
3Section 1 as follows:
4 (410 ILCS 535/1) (from Ch. 111 1/2, par. 73-1)
5 (Text of Section before amendment by P.A. 102-844)
6 Sec. 1. As used in this Act, unless the context otherwise
7requires:
8 (1) "Vital records" means records of births, deaths, fetal
9deaths, marriages, dissolution of marriages, and data related
10thereto.
11 (2) "System of vital records" includes the registration,
12collection, preservation, amendment, and certification of
13vital records, and activities related thereto.
14 (3) "Filing" means the presentation of a certificate,
15report, or other record provided for in this Act, of a birth,
16death, fetal death, adoption, marriage, or dissolution of
17marriage, for registration by the Office of Vital Records.
18 (4) "Registration" means the acceptance by the Office of
19Vital Records and the incorporation in its official records of
20certificates, reports, or other records provided for in this
21Act, of births, deaths, fetal deaths, adoptions, marriages, or
22dissolution of marriages.
23 (5) "Live birth" means the complete expulsion or
24extraction from its mother of a product of human conception,

HB1163- 137 -LRB103 04806 LNS 49816 b
1irrespective of the duration of pregnancy, which after such
2separation breathes or shows any other evidence of life such
3as beating of the heart, pulsation of the umbilical cord, or
4definite movement of voluntary muscles, whether or not the
5umbilical cord has been cut or the placenta is attached.
6 (6) "Fetal death" means death prior to the complete
7expulsion or extraction from its mother the uterus of a
8product of human conception, irrespective of the duration of
9pregnancy; the , and which is not due to an abortion as defined
10in Section 1-10 of the Reproductive Health Act. The death is
11indicated by the fact that after such separation the fetus
12does not breathe or show any other evidence of life such as
13beating of the heart, pulsation of the umbilical cord, or
14definite movement of voluntary muscles.
15 (7) "Dead body" means a lifeless human body or parts of
16such body or bones thereof from the state of which it may
17reasonably be concluded that death has occurred.
18 (8) "Final disposition" means the burial, cremation, or
19other disposition of a dead human body or fetus or parts
20thereof.
21 (9) "Physician" means a person licensed to practice
22medicine in Illinois or any other state.
23 (10) "Institution" means any establishment, public or
24private, which provides in-patient medical, surgical, or
25diagnostic care or treatment, or nursing, custodial, or
26domiciliary care to 2 or more unrelated individuals, or to

HB1163- 138 -LRB103 04806 LNS 49816 b
1which persons are committed by law.
2 (11) "Department" means the Department of Public Health of
3the State of Illinois.
4 (12) "Director" means the Director of the Illinois
5Department of Public Health.
6 (13) "Licensed health care professional" means a person
7licensed to practice as a physician, advanced practice
8registered nurse, or physician assistant in Illinois or any
9other state.
10 (14) "Licensed mental health professional" means a person
11who is licensed or registered to provide mental health
12services by the Department of Financial and Professional
13Regulation or a board of registration duly authorized to
14register or grant licenses to persons engaged in the practice
15of providing mental health services in Illinois or any other
16state.
17 (15) "Intersex condition" means a condition in which a
18person is born with a reproductive or sexual anatomy or
19chromosome pattern that does not fit typical definitions of
20male or female.
21 (16) "Homeless person" means an individual who meets the
22definition of "homeless" under Section 103 of the federal
23McKinney-Vento Homeless Assistance Act (42 U.S.C. 11302) or an
24individual residing in any of the living situations described
25in 42 U.S.C. 11434a(2).
26 (17) "Advanced practice registered nurse" means: (i) an

HB1163- 139 -LRB103 04806 LNS 49816 b
1advanced practice registered nurse with full practice
2authority; or (ii) an advanced practice registered nurse with
3a collaborative agreement with a physician who has delegated
4the completion of death certificates.
5 (18) "Certifying health care professional" means a
6physician or advanced practice registered nurse.
7(Source: P.A. 101-13, eff. 6-12-19; 102-257, eff. 1-1-22.)
8 (Text of Section after amendment by P.A. 102-844)
9 Sec. 1. As used in this Act, unless the context otherwise
10requires:
11 (1) "Vital records" means records of births, deaths, fetal
12deaths, marriages, dissolution of marriages, and data related
13thereto.
14 (2) "System of vital records" includes the registration,
15collection, preservation, amendment, and certification of
16vital records, and activities related thereto.
17 (3) "Filing" means the presentation of a certificate,
18report, or other record provided for in this Act, of a birth,
19death, fetal death, adoption, marriage, or dissolution of
20marriage, for registration by the Office of Vital Records.
21 (4) "Registration" means the acceptance by the Office of
22Vital Records and the incorporation in its official records of
23certificates, reports, or other records provided for in this
24Act, of births, deaths, fetal deaths, adoptions, marriages, or
25dissolution of marriages.

HB1163- 140 -LRB103 04806 LNS 49816 b
1 (5) "Live birth" means the complete expulsion or
2extraction from its mother of a product of human conception,
3irrespective of the duration of pregnancy, which after such
4separation breathes or shows any other evidence of life such
5as beating of the heart, pulsation of the umbilical cord, or
6definite movement of voluntary muscles, whether or not the
7umbilical cord has been cut or the placenta is attached.
8 (6) "Fetal death" means death prior to the complete
9expulsion or extraction from the uterus of a product of human
10conception, irrespective of the duration of pregnancy, and
11which is not due to an abortion as defined in Section 1-10 of
12the Reproductive Health Act. The death is indicated by the
13fact that after such separation the fetus does not breathe or
14show any other evidence of life such as beating of the heart,
15pulsation of the umbilical cord, or definite movement of
16voluntary muscles.
17 (7) "Dead body" means a lifeless human body or parts of
18such body or bones thereof from the state of which it may
19reasonably be concluded that death has occurred.
20 (8) "Final disposition" means the burial, cremation, or
21other disposition of a dead human body or fetus or parts
22thereof.
23 (9) "Physician" means a person licensed to practice
24medicine in Illinois or any other state.
25 (10) "Institution" means any establishment, public or
26private, which provides in-patient medical, surgical, or

HB1163- 141 -LRB103 04806 LNS 49816 b
1diagnostic care or treatment, or nursing, custodial, or
2domiciliary care to 2 or more unrelated individuals, or to
3which persons are committed by law.
4 (11) "Department" means the Department of Public Health of
5the State of Illinois.
6 (12) "Director" means the Director of the Illinois
7Department of Public Health.
8 (13) "Licensed health care professional" means a person
9licensed to practice as a physician, advanced practice
10registered nurse, or physician assistant in Illinois or any
11other state.
12 (14) "Licensed mental health professional" means a person
13who is licensed or registered to provide mental health
14services by the Department of Financial and Professional
15Regulation or a board of registration duly authorized to
16register or grant licenses to persons engaged in the practice
17of providing mental health services in Illinois or any other
18state.
19 (15) "Intersex condition" means a condition in which a
20person is born with a reproductive or sexual anatomy or
21chromosome pattern that does not fit typical definitions of
22male or female.
23 (16) "Homeless person" means an individual who meets the
24definition of "homeless" under Section 103 of the federal
25McKinney-Vento Homeless Assistance Act (42 U.S.C. 11302) or an
26individual residing in any of the living situations described

HB1163- 142 -LRB103 04806 LNS 49816 b
1in 42 U.S.C. 11434a(2).
2 (17) "Advanced practice registered nurse" means: (i) an
3advanced practice registered nurse with full practice
4authority; or (ii) an advanced practice registered nurse with
5a collaborative agreement with a physician who has delegated
6the completion of death certificates.
7 (18) "Certifying health care professional" means a
8physician, physician assistant, or advanced practice
9registered nurse.
10 (19) "Physician assistant" means a physician assistant who
11practices in accordance with a written collaborative agreement
12that includes the completion of death certificates.
13(Source: P.A. 101-13, eff. 6-12-19; 102-257, eff. 1-1-22;
14102-844, eff. 1-1-23.)
15 Section 660. The Environmental Protection Act is amended
16by changing Section 56.1 as follows:
17 (415 ILCS 5/56.1) (from Ch. 111 1/2, par. 1056.1)
18 Sec. 56.1. Acts prohibited.
19 (A) No person shall:
20 (a) Cause or allow the disposal of any potentially
21 infectious medical waste. Sharps may be disposed in any
22 landfill permitted by the Agency under Section 21 of this
23 Act to accept municipal waste for disposal, if both:
24 (1) the infectious potential has been eliminated

HB1163- 143 -LRB103 04806 LNS 49816 b
1 from the sharps by treatment; and
2 (2) the sharps are packaged in accordance with
3 Board regulations.
4 (b) Cause or allow the delivery of any potentially
5 infectious medical waste for transport, storage,
6 treatment, or transfer except in accordance with Board
7 regulations.
8 (c) Beginning July 1, 1992, cause or allow the
9 delivery of any potentially infectious medical waste to a
10 person or facility for storage, treatment, or transfer
11 that does not have a permit issued by the agency to receive
12 potentially infectious medical waste, unless no permit is
13 required under subsection (g)(1).
14 (d) Beginning July 1, 1992, cause or allow the
15 delivery or transfer of any potentially infectious medical
16 waste for transport unless:
17 (1) the transporter has a permit issued by the
18 Agency to transport potentially infectious medical
19 waste, or the transporter is exempt from the permit
20 requirement set forth in subsection (f)(l).
21 (2) a potentially infectious medical waste
22 manifest is completed for the waste if a manifest is
23 required under subsection (h).
24 (e) Cause or allow the acceptance of any potentially
25 infectious medical waste for purposes of transport,
26 storage, treatment, or transfer except in accordance with

HB1163- 144 -LRB103 04806 LNS 49816 b
1 Board regulations.
2 (f) Beginning July 1, 1992, conduct any potentially
3 infectious medical waste transportation operation:
4 (1) Without a permit issued by the Agency to
5 transport potentially infectious medical waste. No
6 permit is required under this provision (f)(1) for:
7 (A) a person transporting potentially
8 infectious medical waste generated solely by that
9 person's activities;
10 (B) noncommercial transportation of less than
11 50 pounds of potentially infectious medical waste
12 at any one time; or
13 (C) the U.S. Postal Service.
14 (2) In violation of any condition of any permit
15 issued by the Agency under this Act.
16 (3) In violation of any regulation adopted by the
17 Board.
18 (4) In violation of any order adopted by the Board
19 under this Act.
20 (g) Beginning July 1, 1992, conduct any potentially
21 infectious medical waste treatment, storage, or transfer
22 operation:
23 (1) without a permit issued by the Agency that
24 specifically authorizes the treatment, storage, or
25 transfer of potentially infectious medical waste. No
26 permit is required under this subsection (g) or

HB1163- 145 -LRB103 04806 LNS 49816 b
1 subsection (d)(1) of Section 21 for any:
2 (A) Person conducting a potentially infectious
3 medical waste treatment, storage, or transfer
4 operation for potentially infectious medical waste
5 generated by the person's own activities that are
6 treated, stored, or transferred within the site
7 where the potentially infectious medical waste is
8 generated.
9 (B) Hospital that treats, stores, or transfers
10 only potentially infectious medical waste
11 generated by its own activities or by members of
12 its medical staff.
13 (C) Sharps collection station that is operated
14 in accordance with Section 56.7.
15 (2) in violation of any condition of any permit
16 issued by the Agency under this Act.
17 (3) in violation of any regulation adopted by the
18 Board.
19 (4) In violation of any order adopted by the Board
20 under this Act.
21 (h) Transport potentially infectious medical waste
22 unless the transporter carries a completed potentially
23 infectious medical waste manifest. No manifest is required
24 for the transportation of:
25 (1) potentially infectious medical waste being
26 transported by generators who generated the waste by

HB1163- 146 -LRB103 04806 LNS 49816 b
1 their own activities, when the potentially infectious
2 medical waste is transported within or between sites
3 or facilities owned, controlled, or operated by that
4 person;
5 (2) less than 50 pounds of potentially infectious
6 medical waste at any one time for a noncommercial
7 transportation activity; or
8 (3) potentially infectious medical waste by the
9 U.S. Postal Service.
10 (i) Offer for transportation, transport, deliver,
11 receive or accept potentially infectious medical waste for
12 which a manifest is required, unless the manifest
13 indicates that the fee required under Section 56.4 of this
14 Act has been paid.
15 (j) Beginning January 1, 1994, conduct a potentially
16 infectious medical waste treatment operation at an
17 incinerator in existence on the effective date of this
18 Title in violation of emission standards established for
19 these incinerators under Section 129 of the Clean Air Act
20 (42 USC 7429), as amended.
21 (k) Beginning July 1, 2015, knowingly mix household
22 sharps, including, but not limited to, hypodermic,
23 intravenous, or other medical needles or syringes or other
24 medical household waste containing used or unused sharps,
25 including, but not limited to, hypodermic, intravenous, or
26 other medical needles or syringes or other sharps, with

HB1163- 147 -LRB103 04806 LNS 49816 b
1 any other material intended for collection as a recyclable
2 material by a residential hauler.
3 (l) Beginning on July 1, 2015, knowingly place
4 household sharps into a container intended for collection
5 by a residential hauler for processing at a recycling
6 center.
7 (B) In making its orders and determinations relative to
8penalties, if any, to be imposed for violating subdivision
9(A)(a) of this Section, the Board, in addition to the factors
10in Sections 33(c) and 42(h) of this Act, or the Court shall
11take into consideration whether the owner or operator of the
12landfill reasonably relied on written statements from the
13person generating or treating the waste that the waste is not
14potentially infectious medical waste.
15 (C) Notwithstanding subsection (A) or any other provision
16of law, including the Vital Records Act, tissue and products
17from an abortion, as defined in Section 1-10 of the
18Reproductive Health Act, or a miscarriage may be buried,
19entombed, or cremated.
20(Source: P.A. 101-13, eff. 6-12-19.)
21 Section 665. The Criminal Code of 2012 is amended by
22changing Sections 9-1.2, 9-2.1, 9-3.2, and 12-3.1 as follows:
23 (720 ILCS 5/9-1.2) (from Ch. 38, par. 9-1.2)
24 Sec. 9-1.2. Intentional Homicide of an Unborn Child.

HB1163- 148 -LRB103 04806 LNS 49816 b
1 (a) A person commits the offense of intentional homicide
2of an unborn child if, in performing acts which cause the death
3of an unborn child, he without lawful justification:
4 (1) either intended to cause the death of or do great
5 bodily harm to the pregnant individual woman or her unborn
6 child or knew that such acts would cause death or great
7 bodily harm to the pregnant individual woman or her unborn
8 child; or
9 (2) knew that his acts created a strong probability of
10 death or great bodily harm to the pregnant individual
11 woman or her unborn child; and
12 (3) knew that the individual woman was pregnant.
13 (b) For purposes of this Section, (1) "unborn child" shall
14mean any individual of the human species from the implantation
15of an embryo fertilization until birth, and (2) "person" shall
16not include the pregnant woman whose unborn child is killed.
17 (c) This Section shall not apply to acts which cause the
18death of an unborn child if those acts were committed during
19any abortion, as defined in Section 1-10 of the Reproductive
20Health Act, Section 2 of the Illinois Abortion Law of 2022, to
21which the pregnant individual woman has consented. This
22Section shall not apply to acts which were committed pursuant
23to usual and customary standards of medical practice during
24diagnostic testing or therapeutic treatment.
25 (d) Penalty. The sentence for intentional homicide of an
26unborn child shall be the same as for first degree murder,

HB1163- 149 -LRB103 04806 LNS 49816 b
1except that:
2 (1) the death penalty may not be imposed;
3 (2) if the person committed the offense while armed
4 with a firearm, 15 years shall be added to the term of
5 imprisonment imposed by the court;
6 (3) if, during the commission of the offense, the
7 person personally discharged a firearm, 20 years shall be
8 added to the term of imprisonment imposed by the court;
9 (4) if, during the commission of the offense, the
10 person personally discharged a firearm that proximately
11 caused great bodily harm, permanent disability, permanent
12 disfigurement, or death to another person, 25 years or up
13 to a term of natural life shall be added to the term of
14 imprisonment imposed by the court.
15 (e) The provisions of this Act shall not be construed to
16prohibit the prosecution of any person under any other
17provision of law.
18(Source: P.A. 101-13, eff. 6-12-19.)
19 (720 ILCS 5/9-2.1) (from Ch. 38, par. 9-2.1)
20 Sec. 9-2.1. Voluntary Manslaughter of an Unborn Child. (a)
21A person who kills an unborn child without lawful
22justification commits voluntary manslaughter of an unborn
23child if at the time of the killing he is acting under a sudden
24and intense passion resulting from serious provocation by
25another whom the offender endeavors to kill, but he

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1negligently or accidentally causes the death of the unborn
2child.
3 Serious provocation is conduct sufficient to excite an
4intense passion in a reasonable person.
5 (b) A person who intentionally or knowingly kills an
6unborn child commits voluntary manslaughter of an unborn child
7if at the time of the killing he believes the circumstances to
8be such that, if they existed, would justify or exonerate the
9killing under the principles stated in Article 7 of this Code,
10but his belief is unreasonable.
11 (c) Sentence. Voluntary Manslaughter of an unborn child is
12a Class 1 felony.
13 (d) For purposes of this Section, (1) "unborn child" shall
14mean any individual of the human species from the implantation
15of an embryo fertilization until birth, and (2) "person" shall
16not include the pregnant individual woman whose unborn child
17is killed.
18 (e) This Section shall not apply to acts which cause the
19death of an unborn child if those acts were committed during
20any abortion, as defined in Section 1-10 of the Reproductive
21Health Act, Section 2 of the Illinois Abortion Law of 2022, to
22which the pregnant individual woman has consented. This
23Section shall not apply to acts which were committed pursuant
24to usual and customary standards of medical practice during
25diagnostic testing or therapeutic treatment.
26(Source: P.A. 101-13, eff. 6-12-19.)

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1 (720 ILCS 5/9-3.2) (from Ch. 38, par. 9-3.2)
2 Sec. 9-3.2. Involuntary manslaughter and reckless homicide
3of an unborn child.
4 (a) A person who unintentionally kills an unborn child
5without lawful justification commits involuntary manslaughter
6of an unborn child if his acts whether lawful or unlawful which
7cause the death are such as are likely to cause death or great
8bodily harm to some individual, and he performs them
9recklessly, except in cases in which the cause of death
10consists of the driving of a motor vehicle, in which case the
11person commits reckless homicide of an unborn child.
12 (b) Sentence.
13 (1) Involuntary manslaughter of an unborn child is a
14 Class 3 felony.
15 (2) Reckless homicide of an unborn child is a Class 3
16 felony.
17 (c) For purposes of this Section, (1) "unborn child" shall
18mean any individual of the human species from fertilization
19the implantation of an embryo until birth, and (2) "person"
20shall not include the pregnant individual whose unborn child
21is killed.
22 (d) This Section shall not apply to acts which cause the
23death of an unborn child if those acts were committed during
24any abortion, as defined in Section 2 of the Illinois Abortion
25Law of 2022 1-10 of the Reproductive Health Act, to which the

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1pregnant woman individual has consented. This Section shall
2not apply to acts which were committed pursuant to usual and
3customary standards of medical practice during diagnostic
4testing or therapeutic treatment.
5 (e) The provisions of this Section shall not be construed
6to prohibit the prosecution of any person under any other
7provision of law, nor shall it be construed to preclude any
8civil cause of action.
9(Source: P.A. 101-13, eff. 6-12-19; 102-558, eff. 8-20-21.)
10 (720 ILCS 5/12-3.1) (from Ch. 38, par. 12-3.1)
11 Sec. 12-3.1. Battery of an unborn child; aggravated
12battery of an unborn child.
13 (a) A person commits battery of an unborn child if he or
14she knowingly without legal justification and by any means
15causes bodily harm to an unborn child.
16 (a-5) A person commits aggravated battery of an unborn
17child when, in committing a battery of an unborn child, he or
18she knowingly causes great bodily harm or permanent disability
19or disfigurement to an unborn child.
20 (b) For purposes of this Section, (1) "unborn child" shall
21mean any individual of the human species from the implantation
22of an embryo fertilization until birth, and (2) "person" shall
23not include the pregnant individual woman whose unborn child
24is harmed.
25 (c) Sentence. Battery of an unborn child is a Class A

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1misdemeanor. Aggravated battery of an unborn child is a Class
22 felony.
3 (d) This Section shall not apply to acts which cause
4bodily harm to an unborn child if those acts were committed
5during any abortion, as defined in Section 1-10 of the
6Reproductive Health Act, Section 2 of the Illinois Abortion
7Law of 2022, to which the pregnant individual woman has
8consented. This Section shall not apply to acts which were
9committed pursuant to usual and customary standards of medical
10practice during diagnostic testing or therapeutic treatment.
11(Source: P.A. 101-13, eff. 6-12-19.)
12 Section 670. The Code of Civil Procedure is amended by
13changing Section 8-802 as follows:
14 (735 ILCS 5/8-802) (from Ch. 110, par. 8-802)
15 Sec. 8-802. Physician and patient. No physician or surgeon
16shall be permitted to disclose any information he or she may
17have acquired in attending any patient in a professional
18character, necessary to enable him or her professionally to
19serve the patient, except only (1) in trials for homicide when
20the disclosure relates directly to the fact or immediate
21circumstances of the homicide, (2) in actions, civil or
22criminal, against the physician for malpractice, (3) with the
23expressed consent of the patient, or in case of his or her
24death or disability, of his or her personal representative or

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1other person authorized to sue for personal injury or of the
2beneficiary of an insurance policy on his or her life, health,
3or physical condition, or as authorized by Section 8-2001.5,
4(4) in all actions brought by or against the patient, his or
5her personal representative, a beneficiary under a policy of
6insurance, or the executor or administrator of his or her
7estate wherein the patient's physical or mental condition is
8an issue, (5) upon an issue as to the validity of a document as
9a will of the patient, (6) (blank) in any criminal action where
10the charge is either first degree murder by abortion,
11attempted abortion, or abortion, (7) in actions, civil or
12criminal, arising from the filing of a report in compliance
13with the Abused and Neglected Child Reporting Act, (8) to any
14department, agency, institution or facility which has custody
15of the patient pursuant to State statute or any court order of
16commitment, (9) in prosecutions where written results of blood
17alcohol tests are admissible pursuant to Section 11-501.4 of
18the Illinois Vehicle Code, (10) in prosecutions where written
19results of blood alcohol tests are admissible under Section
205-11a of the Boat Registration and Safety Act, (11) in
21criminal actions arising from the filing of a report of
22suspected terrorist offense in compliance with Section
2329D-10(p)(7) of the Criminal Code of 2012, (12) upon the
24issuance of a subpoena pursuant to Section 38 of the Medical
25Practice Act of 1987; the issuance of a subpoena pursuant to
26Section 25.1 of the Illinois Dental Practice Act; the issuance

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1of a subpoena pursuant to Section 22 of the Nursing Home
2Administrators Licensing and Disciplinary Act; or the issuance
3of a subpoena pursuant to Section 25.5 of the Workers'
4Compensation Act, (13) upon the issuance of a grand jury
5subpoena pursuant to Article 112 of the Code of Criminal
6Procedure of 1963, or (14) to or through a health information
7exchange, as that term is defined in Section 2 of the Mental
8Health and Developmental Disabilities Confidentiality Act, in
9accordance with State or federal law.
10 Upon disclosure under item (13) of this Section, in any
11criminal action where the charge is domestic battery,
12aggravated domestic battery, or an offense under Article 11 of
13the Criminal Code of 2012 or where the patient is under the age
14of 18 years or upon the request of the patient, the State's
15Attorney shall petition the court for a protective order
16pursuant to Supreme Court Rule 415.
17 In the event of a conflict between the application of this
18Section and the Mental Health and Developmental Disabilities
19Confidentiality Act to a specific situation, the provisions of
20the Mental Health and Developmental Disabilities
21Confidentiality Act shall control.
22(Source: P.A. 101-13, eff. 6-12-19.)
23 Section 673. The Health Care Right of Conscience Act is
24amended by changing Section 3 as follows:

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1 (745 ILCS 70/3) (from Ch. 111 1/2, par. 5303)
2 Sec. 3. Definitions. As used in this Act, unless the
3context clearly otherwise requires:
4 (a) "Health care" means any phase of patient care,
5 including but not limited to, testing; diagnosis;
6 prognosis; ancillary research; instructions; family
7 planning, counselling, referrals, or any other advice in
8 connection with the use or procurement of contraceptives
9 and sterilization or abortion procedures; medication; or
10 surgery or other care or treatment rendered by a physician
11 or physicians, nurses, paraprofessionals or health care
12 facility, intended for the physical, emotional, and mental
13 well-being of persons; or an abortion as defined by the
14 Reproductive Health Act;
15 (b) "Physician" means any person who is licensed by
16 the State of Illinois under the Medical Practice Act of
17 1987;
18 (c) "Health care personnel" means any nurse, nurses'
19 aide, medical school student, professional,
20 paraprofessional or any other person who furnishes, or
21 assists in the furnishing of, health care services;
22 (d) "Health care facility" means any public or private
23 hospital, clinic, center, medical school, medical training
24 institution, laboratory or diagnostic facility,
25 physician's office, infirmary, dispensary, ambulatory
26 surgical treatment center or other institution or location

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1 wherein health care services are provided to any person,
2 including physician organizations and associations,
3 networks, joint ventures, and all other combinations of
4 those organizations;
5 (e) "Conscience" means a sincerely held set of moral
6 convictions arising from belief in and relation to God, or
7 which, though not so derived, arises from a place in the
8 life of its possessor parallel to that filled by God among
9 adherents to religious faiths;
10 (f) "Health care payer" means a health maintenance
11 organization, insurance company, management services
12 organization, or any other entity that pays for or
13 arranges for the payment of any health care or medical
14 care service, procedure, or product; and
15 (g) "Undue delay" means unreasonable delay that causes
16 impairment of the patient's health.
17 The above definitions include not only the traditional
18combinations and forms of these persons and organizations but
19also all new and emerging forms and combinations of these
20persons and organizations.
21(Source: P.A. 101-13, eff. 6-12-19.)
22 Section 675. The Rights of Married Persons Act is amended
23by changing Section 15 as follows:
24 (750 ILCS 65/15) (from Ch. 40, par. 1015)

HB1163- 158 -LRB103 04806 LNS 49816 b
1 Sec. 15. (a)(1) The expenses of the family and of the
2education of the children shall be chargeable upon the
3property of both husband and wife, or of either of them, in
4favor of creditors therefor, and in relation thereto they may
5be sued jointly or separately.
6 (2) No creditor, who has a claim against a spouse or former
7spouse for an expense incurred by that spouse or former spouse
8which is not a family expense, shall maintain an action
9against the other spouse or former spouse for that expense
10except:
11 (A) an expense for which the other spouse or former spouse
12agreed, in writing, to be liable; or
13 (B) an expense for goods or merchandise purchased by or in
14the possession of the other spouse or former spouse, or for
15services ordered by the other spouse or former spouse.
16 (3) Any creditor who maintains an action in violation of
17this subsection (a) for an expense other than a family expense
18against a spouse or former spouse other than the spouse or
19former spouse who incurred the expense, shall be liable to the
20other spouse or former spouse for his or her costs, expenses
21and attorney's fees incurred in defending the action.
22 (4) No creditor shall, with respect to any claim against a
23spouse or former spouse for which the creditor is prohibited
24under this subsection (a) from maintaining an action against
25the other spouse or former spouse, engage in any collection
26efforts against the other spouse or former spouse, including,

HB1163- 159 -LRB103 04806 LNS 49816 b
1but not limited to, informal or formal collection attempts,
2referral of the claim to a collector or collection agency for
3collection from the other spouse or former spouse, or making
4any representation to a credit reporting agency that the other
5spouse or former spouse is any way liable for payment of the
6claim.
7 (b) (Blank). No spouse shall be liable for any expense
8incurred by the other spouse when an abortion is performed on
9such spouse, without the consent of such other spouse, unless
10the physician who performed the abortion certifies that such
11abortion is necessary to preserve the life of the spouse who
12obtained such abortion.
13 (c) (Blank). No parent shall be liable for any expense
14incurred by his or her minor child when an abortion is
15performed on such minor child without the consent of both
16parents of such child, if they both have custody, or the parent
17having custody, or legal guardian of such child, unless the
18physician who performed the abortion certifies that such
19abortion is necessary to preserve the life of the minor child
20who obtained such abortion.
21(Source: P.A. 101-13, eff. 6-12-19.)
22
Article 99.
23 Section 9995. No acceleration or delay. Where this Act
24makes changes in a statute that is represented in this Act by

HB1163- 160 -LRB103 04806 LNS 49816 b
1text that is not yet or no longer in effect (for example, a
2Section represented by multiple versions), the use of that
3text does not accelerate or delay the taking effect of (i) the
4changes made by this Act or (ii) provisions derived from any
5other Public Act.
6 Section 9999. Effective date. This Act takes effect upon
7becoming law.

HB1163- 161 -LRB103 04806 LNS 49816 b
1 INDEX
2 Statutes amended in order of appearance
3 New Act
4 775 ILCS 55/Act rep.
5 210 ILCS 5/6.2 new
6 410 ILCS 70/9.1 new
7 735 ILCS 5/11-107.1a new
8 5 ILCS 375/6.11
9 20 ILCS 505/5from Ch. 23, par. 5005
10 5 ILCS 140/7.5
11 55 ILCS 5/3-3013from Ch. 34, par. 3-3013
12 210 ILCS 5/2from Ch. 111 1/2, par. 157-8.2
13 210 ILCS 5/3from Ch. 111 1/2, par. 157-8.3
14 215 ILCS 5/356z.4
15 215 ILCS 5/356z.4a rep.
16 215 ILCS 125/5-3from Ch. 111 1/2, par. 1411.2
17 215 ILCS 165/10from Ch. 32, par. 604
18 225 ILCS 60/22from Ch. 111, par. 4400-22
19 225 ILCS 60/36from Ch. 111, par. 4400-36
20 225 ILCS 65/65-35was 225 ILCS 65/15-15
21 225 ILCS 65/65-43
22 225 ILCS 95/7.5
23 410 ILCS 535/1from Ch. 111 1/2, par. 73-1
24 415 ILCS 5/56.1from Ch. 111 1/2, par. 1056.1
25 720 ILCS 5/9-1.2from Ch. 38, par. 9-1.2

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