Bill Text: IL SB2460 | 2015-2016 | 99th General Assembly | Introduced


Bill Title: Amends the Emergency Medical Services (EMS) Systems Act. Provides that the Trauma Center Medical Directors or the Trauma Center Medical Directors Committee shall consider Level III Trauma Centers in the types of facilities that can care for certain patients. Provides that Level II and Level III Trauma Centers shall have some essential services available in-house, 24 hours per day and other essential services readily available. Provides that the Department of Public Health shall have the authority to establish and enforce minimum standards for designation and re-designation of 3 levels of trauma centers that meet trauma center national standards. Provides that the Department shall renew trauma center designations every 4 years (instead of every 2 years). Creates provisions concerning Level III Trauma Center and Acute Injury Stabilization Center minimum standards. Authorizes the Department to impose fines on Acute Injury Stabilization Centers. Prohibits facilities from holding themselves out as Acute Injury Stabilization Centers without first obtaining that designation. Requires the Department to appoint an advisory council that shall be charged with making recommendations for pediatric care needs. Removes provisions concerning certain grants from the Department to EMS systems and trauma centers. Requires the Department to designate applicant hospitals that meet the minimum standards established by the Department for pediatric emergency and critical care capabilities. Makes changes to the membership of the State Trauma Advisory Council. Amends the Freedom of Information Act to exempt from disclosure certain information received by the Department. Makes other changes. Effective 270 days after becoming law.

Sponsorship: Bipartisan Bill

Status: (Introduced - Dead) 2016-07-31 - Pursuant to Senate Rule 3-9(b) / Referred to Assignments [SB2460 Detail]

Download: Illinois-2015-SB2460-Introduced.html


99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016
SB2460

Introduced 2/9/2016, by Sen. Chapin Rose

SYNOPSIS AS INTRODUCED:
See Index

Amends the Emergency Medical Services (EMS) Systems Act. Provides that the Trauma Center Medical Directors or the Trauma Center Medical Directors Committee shall consider Level III Trauma Centers in the types of facilities that can care for certain patients. Provides that Level II and Level III Trauma Centers shall have some essential services available in-house, 24 hours per day and other essential services readily available. Provides that the Department of Public Health shall have the authority to establish and enforce minimum standards for designation and re-designation of 3 levels of trauma centers that meet trauma center national standards. Provides that the Department shall renew trauma center designations every 4 years (instead of every 2 years). Creates provisions concerning Level III Trauma Center and Acute Injury Stabilization Center minimum standards. Authorizes the Department to impose fines on Acute Injury Stabilization Centers. Prohibits facilities from holding themselves out as Acute Injury Stabilization Centers without first obtaining that designation. Requires the Department to appoint an advisory council that shall be charged with making recommendations for pediatric care needs. Removes provisions concerning certain grants from the Department to EMS systems and trauma centers. Requires the Department to designate applicant hospitals that meet the minimum standards established by the Department for pediatric emergency and critical care capabilities. Makes changes to the membership of the State Trauma Advisory Council. Amends the Freedom of Information Act to exempt from disclosure certain information received by the Department. Makes other changes. Effective 270 days after becoming law.
LRB099 18151 RPS 42518 b
FISCAL NOTE ACT MAY APPLY

A BILL FOR

SB2460LRB099 18151 RPS 42518 b
1 AN ACT concerning regulation.
2 Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
4 Section 5. The Freedom of Information Act is amended by
5changing Section 7.5 as follows:
6 (5 ILCS 140/7.5)
7 Sec. 7.5. Statutory exemptions. To the extent provided for
8by the statutes referenced below, the following shall be exempt
9from inspection and copying:
10 (a) All information determined to be confidential
11 under Section 4002 of the Technology Advancement and
12 Development Act.
13 (b) Library circulation and order records identifying
14 library users with specific materials under the Library
15 Records Confidentiality Act.
16 (c) Applications, related documents, and medical
17 records received by the Experimental Organ Transplantation
18 Procedures Board and any and all documents or other records
19 prepared by the Experimental Organ Transplantation
20 Procedures Board or its staff relating to applications it
21 has received.
22 (d) Information and records held by the Department of
23 Public Health and its authorized representatives relating

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1 to known or suspected cases of sexually transmissible
2 disease or any information the disclosure of which is
3 restricted under the Illinois Sexually Transmissible
4 Disease Control Act.
5 (e) Information the disclosure of which is exempted
6 under Section 30 of the Radon Industry Licensing Act.
7 (f) Firm performance evaluations under Section 55 of
8 the Architectural, Engineering, and Land Surveying
9 Qualifications Based Selection Act.
10 (g) Information the disclosure of which is restricted
11 and exempted under Section 50 of the Illinois Prepaid
12 Tuition Act.
13 (h) Information the disclosure of which is exempted
14 under the State Officials and Employees Ethics Act, and
15 records of any lawfully created State or local inspector
16 general's office that would be exempt if created or
17 obtained by an Executive Inspector General's office under
18 that Act.
19 (i) Information contained in a local emergency energy
20 plan submitted to a municipality in accordance with a local
21 emergency energy plan ordinance that is adopted under
22 Section 11-21.5-5 of the Illinois Municipal Code.
23 (j) Information and data concerning the distribution
24 of surcharge moneys collected and remitted by wireless
25 carriers under the Wireless Emergency Telephone Safety
26 Act.

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1 (k) Law enforcement officer identification information
2 or driver identification information compiled by a law
3 enforcement agency or the Department of Transportation
4 under Section 11-212 of the Illinois Vehicle Code.
5 (l) Records and information provided to a residential
6 health care facility resident sexual assault and death
7 review team or the Executive Council under the Abuse
8 Prevention Review Team Act.
9 (m) Information provided to the predatory lending
10 database created pursuant to Article 3 of the Residential
11 Real Property Disclosure Act, except to the extent
12 authorized under that Article.
13 (n) Defense budgets and petitions for certification of
14 compensation and expenses for court appointed trial
15 counsel as provided under Sections 10 and 15 of the Capital
16 Crimes Litigation Act. This subsection (n) shall apply
17 until the conclusion of the trial of the case, even if the
18 prosecution chooses not to pursue the death penalty prior
19 to trial or sentencing.
20 (o) Information that is prohibited from being
21 disclosed under Section 4 of the Illinois Health and
22 Hazardous Substances Registry Act.
23 (p) Security portions of system safety program plans,
24 investigation reports, surveys, schedules, lists, data, or
25 information compiled, collected, or prepared by or for the
26 Regional Transportation Authority under Section 2.11 of

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1 the Regional Transportation Authority Act or the St. Clair
2 County Transit District under the Bi-State Transit Safety
3 Act.
4 (q) Information prohibited from being disclosed by the
5 Personnel Records Review Act.
6 (r) Information prohibited from being disclosed by the
7 Illinois School Student Records Act.
8 (s) Information the disclosure of which is restricted
9 under Section 5-108 of the Public Utilities Act.
10 (t) All identified or deidentified health information
11 in the form of health data or medical records contained in,
12 stored in, submitted to, transferred by, or released from
13 the Illinois Health Information Exchange, and identified
14 or deidentified health information in the form of health
15 data and medical records of the Illinois Health Information
16 Exchange in the possession of the Illinois Health
17 Information Exchange Authority due to its administration
18 of the Illinois Health Information Exchange. The terms
19 "identified" and "deidentified" shall be given the same
20 meaning as in the Health Insurance Portability and
21 Accountability and Portability Act of 1996, Public Law
22 104-191, or any subsequent amendments thereto, and any
23 regulations promulgated thereunder.
24 (u) Records and information provided to an independent
25 team of experts under Brian's Law.
26 (v) Names and information of people who have applied

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1 for or received Firearm Owner's Identification Cards under
2 the Firearm Owners Identification Card Act or applied for
3 or received a concealed carry license under the Firearm
4 Concealed Carry Act, unless otherwise authorized by the
5 Firearm Concealed Carry Act; and databases under the
6 Firearm Concealed Carry Act, records of the Concealed Carry
7 Licensing Review Board under the Firearm Concealed Carry
8 Act, and law enforcement agency objections under the
9 Firearm Concealed Carry Act.
10 (w) Personally identifiable information which is
11 exempted from disclosure under subsection (g) of Section
12 19.1 of the Toll Highway Act.
13 (x) Information which is exempted from disclosure
14 under Section 5-1014.3 of the Counties Code or Section
15 8-11-21 of the Illinois Municipal Code.
16 (y) Confidential information under the Adult
17 Protective Services Act and its predecessor enabling
18 statute, the Elder Abuse and Neglect Act, including
19 information about the identity and administrative finding
20 against any caregiver of a verified and substantiated
21 decision of abuse, neglect, or financial exploitation of an
22 eligible adult maintained in the Registry established
23 under Section 7.5 of the Adult Protective Services Act.
24 (z) Records and information provided to a fatality
25 review team or the Illinois Fatality Review Team Advisory
26 Council under Section 15 of the Adult Protective Services

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1 Act.
2 (aa) Information which is exempted from disclosure
3 under Section 2.37 of the Wildlife Code.
4 (bb) Information which is or was prohibited from
5 disclosure by the Juvenile Court Act of 1987.
6 (cc) (bb) Recordings made under the Law Enforcement
7 Officer-Worn Body Camera Act, except to the extent
8 authorized under that Act.
9 (dd) Information that is exempted from disclosure
10 under Section 3.90 of the Emergency Medical Services (EMS)
11 Systems Act.
12(Source: P.A. 98-49, eff. 7-1-13; 98-63, eff. 7-9-13; 98-756,
13eff. 7-16-14; 98-1039, eff. 8-25-14; 98-1045, eff. 8-25-14;
1499-78, eff. 7-20-15; 99-298, eff. 8-6-15; 99-352, eff. 1-1-16;
15revised 10-14-15.)
16 Section 10. The Emergency Medical Services (EMS) Systems
17Act is amended by changing Sections 3.30, 3.90, 3.95, 3.100,
183.105, 3.110, 3.115, 3.140, and 3.205 and by adding Sections
193.101, 3.102, and 3.107 as follows:
20 (210 ILCS 50/3.30)
21 Sec. 3.30. EMS Region Plan; Content.
22 (a) The EMS Medical Directors Committee shall address at
23least the following:
24 (1) Protocols for inter-System/inter-Region patient

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1 transports, including identifying the conditions of
2 emergency patients which may not be transported to the
3 different levels of emergency department, based on their
4 Department classifications and relevant Regional
5 considerations (e.g. transport times and distances);
6 (2) Regional standing medical orders;
7 (3) Patient transfer patterns, including criteria for
8 determining whether a patient needs the specialized
9 services of a trauma center, along with protocols for the
10 bypassing of or diversion to any hospital, trauma center or
11 regional trauma center which are consistent with
12 individual System bypass or diversion protocols and
13 protocols for patient choice or refusal;
14 (4) Protocols for resolving Regional or Inter-System
15 conflict;
16 (5) An EMS disaster preparedness plan which includes
17 the actions and responsibilities of all EMS participants
18 within the Region. An Within 90 days of the effective date
19 of this amendatory Act of 1996, an EMS System shall submit
20 to the Department for review an internal disaster plan. At
21 a minimum, the plan shall include contingency plans for the
22 transfer of patients to other facilities if an evacuation
23 of the hospital becomes necessary due to a catastrophe,
24 including but not limited to, a power failure;
25 (6) Regional standardization of continuing education
26 requirements;

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1 (7) Regional standardization of Do Not Resuscitate
2 (DNR)/POLST policies, and protocols for power of attorney
3 for health care;
4 (8) Protocols for disbursement of Department grants;
5 (9) Protocols for the triage, treatment, and transport
6 of possible acute stroke patients; and
7 (10) Regional standing medical orders for the
8 administration of opioid antagonists.
9 (b) The Trauma Center Medical Directors or Trauma Center
10Medical Directors Committee shall address at least the
11following:
12 (1) The identification of Regional Trauma Centers;
13 (2) Protocols for inter-System and inter-Region trauma
14 patient transports, including identifying the conditions
15 of emergency patients which may not be transported to the
16 different levels of emergency department, based on their
17 Department classifications and relevant Regional
18 considerations (e.g. transport times and distances);
19 (3) Regional trauma standing medical orders;
20 (4) Trauma patient transfer patterns, including
21 criteria for determining whether a patient needs the
22 specialized services of a trauma center, along with
23 protocols for the bypassing of or diversion to any
24 hospital, trauma center or regional trauma center which are
25 consistent with individual System bypass or diversion
26 protocols and protocols for patient choice or refusal;

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1 (5) The identification of which types of patients can
2 be cared for by Level I Trauma Centers, and Level II Trauma
3 Centers, and Level III Trauma Centers;
4 (6) Criteria for inter-hospital transfer of trauma
5 patients;
6 (7) The treatment of trauma patients in each trauma
7 center within the Region;
8 (8) A program for conducting a quarterly conference
9 which shall include at a minimum a discussion of morbidity
10 and mortality between all professional staff involved in
11 the care of trauma patients;
12 (9) The establishment of a Regional trauma quality
13 assurance and improvement subcommittee, consisting of
14 trauma surgeons, which shall perform periodic medical
15 audits of each trauma center's trauma services, and forward
16 tabulated data from such reviews to the Department; and
17 (10) The establishment, within 90 days of the effective
18 date of this amendatory Act of 1996, of an internal
19 disaster plan, which shall include, at a minimum,
20 contingency plans for the transfer of patients to other
21 facilities if an evacuation of the hospital becomes
22 necessary due to a catastrophe, including but not limited
23 to, a power failure.
24 (c) The Region's EMS Medical Directors and Trauma Center
25Medical Directors Committees shall appoint any subcommittees
26which they deem necessary to address specific issues concerning

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1Region activities.
2(Source: P.A. 99-480, eff. 9-9-15.)
3 (210 ILCS 50/3.90)
4 Sec. 3.90. Trauma Center Designations.
5 (a) "Trauma Center" means a hospital which: (1) within
6designated capabilities provides optimal care to trauma
7patients; (2) participates in an approved EMS System; and (3)
8is duly designated pursuant to the provisions of this Act.
9Level I Trauma Centers shall provide all essential services
10in-house, 24 hours per day, in accordance with rules adopted by
11the Department pursuant to this Act. Level II and Level III
12Trauma Centers shall have some essential services available
13in-house, 24 hours per day, and other essential services
14readily available, 24 hours per day, in accordance with rules
15adopted by the Department pursuant to this Act.
16 (a-5) An Acute Injury Stabilization Center shall have a
17basic or comprehensive emergency department capable of initial
18management and transfer of the acutely injured in accordance
19with rules adopted by the Department pursuant to this Act.
20 (b) The Department shall have the authority and
21responsibility to:
22 (1) Establish and enforce minimum standards for
23 designation and re-designation of 3 levels of trauma
24 centers that meet trauma center national standards, as
25 modified by the Department in administrative rules as a

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1 Level I or Level II Trauma Center, consistent with Sections
2 22 and 23 of this Act, through rules adopted pursuant to
3 this Act;
4 (2) Require hospitals applying for trauma center
5 designation to submit a plan for designation in a manner
6 and form prescribed by the Department through rules adopted
7 pursuant to this Act;
8 (3) Upon receipt of a completed plan for designation,
9 conduct a site visit to inspect the hospital for compliance
10 with the Department's minimum standards. Such visit shall
11 be conducted by specially qualified personnel with
12 experience in the delivery of emergency medical and/or
13 trauma care. A report of the inspection shall be provided
14 to the Director within 30 days of the completion of the
15 site visit. The report shall note compliance or lack of
16 compliance with the individual standards for designation,
17 but shall not offer a recommendation on granting or denying
18 designation;
19 (4) Designate applicant hospitals as Level I, or Level
20 II, or Level III Trauma Centers which meet the minimum
21 standards established by this Act and the Department. The
22 Beginning September 1, 1997 the Department shall designate
23 a new trauma center only when a local or regional need for
24 such trauma center has been identified. The Department
25 shall request an assessment of local or regional need from
26 the applicable EMS Region's Trauma Center Medical

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1 Directors Committee, with advice from the Regional Trauma
2 Advisory Committee. This shall not be construed as a needs
3 assessment for health planning or other purposes outside of
4 this Act;
5 (5) Attempt to designate trauma centers in all areas of
6 the State. There shall be at least one Level I Trauma
7 Center serving each EMS Region, unless waived by the
8 Department. This subsection shall not be construed to
9 require a Level I Trauma Center to be located in each EMS
10 Region. Level I Trauma Centers shall serve as resources for
11 the Level II and Level III Trauma Centers and Acute Injury
12 Stabilization Centers in the EMS Regions. The extent of
13 such relationships shall be defined in the EMS Region Plan;
14 (6) Inspect designated trauma centers to assure
15 compliance with the provisions of this Act and the rules
16 adopted pursuant to this Act. Information received by the
17 Department through filed reports, inspection, or as
18 otherwise authorized under this Act shall not be disclosed
19 publicly or through a request under the Freedom of
20 Information Act in such a manner as to identify individuals
21 or hospitals, except in proceedings involving the denial,
22 suspension or revocation of a trauma center designation or
23 imposition of a fine on a trauma center;
24 (7) Renew trauma center designations every 4 2 years,
25 after an on-site inspection, based on compliance with
26 renewal requirements and standards for continuing

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1 operation, as prescribed by the Department through rules
2 adopted pursuant to this Act;
3 (8) Refuse to issue or renew a trauma center
4 designation, after providing an opportunity for a hearing,
5 when findings show that it does not meet the standards and
6 criteria prescribed by the Department;
7 (9) Review and determine whether a trauma center's
8 annual morbidity and mortality rates for trauma patients
9 significantly exceed the State average for such rates,
10 using a uniform recording methodology based on nationally
11 recognized standards. Such determination shall be
12 considered as a factor in any decision by the Department to
13 renew or refuse to renew a trauma center designation under
14 this Act, but shall not constitute the sole basis for
15 refusing to renew a trauma center designation;
16 (10) Take the following action, as appropriate, after
17 determining that a trauma center is in violation of this
18 Act or any rule adopted pursuant to this Act:
19 (A) If the Director determines that the violation
20 presents a substantial probability that death or
21 serious physical harm will result and if the trauma
22 center fails to eliminate the violation immediately or
23 within a fixed period of time, not exceeding 10 days,
24 as determined by the Director, the Director may
25 immediately revoke the trauma center designation. The
26 trauma center may appeal the revocation within 15 days

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1 after receiving the Director's revocation order, by
2 requesting a hearing as provided by Section 29 of this
3 Act. The Director shall notify the chair of the
4 Region's Trauma Center Medical Directors Committee and
5 EMS Medical Directors for appropriate EMS Systems of
6 such trauma center designation revocation;
7 (B) If the Director determines that the violation
8 does not present a substantial probability that death
9 or serious physical harm will result, the Director
10 shall issue a notice of violation and request a plan of
11 correction which shall be subject to the Department's
12 approval. The trauma center shall have 10 days after
13 receipt of the notice of violation in which to submit a
14 plan of correction. The Department may extend this
15 period for up to 30 days. The plan shall include a
16 fixed time period not in excess of 90 days within which
17 violations are to be corrected. The plan of correction
18 and the status of its implementation by the trauma
19 center shall be provided, as appropriate, to the EMS
20 Medical Directors for appropriate EMS Systems. If the
21 Department rejects a plan of correction, it shall send
22 notice of the rejection and the reason for the
23 rejection to the trauma center. The trauma center shall
24 have 10 days after receipt of the notice of rejection
25 in which to submit a modified plan. If the modified
26 plan is not timely submitted, or if the modified plan

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1 is rejected, the trauma center shall follow an approved
2 plan of correction imposed by the Department. If, after
3 notice and opportunity for hearing, the Director
4 determines that a trauma center has failed to comply
5 with an approved plan of correction, the Director may
6 suspend or revoke the trauma center designation. The
7 trauma center shall have 15 days after receiving the
8 Director's notice in which to request a hearing. Such
9 hearing shall conform to the provisions of Section
10 3.135 30 of this Act;
11 (11) The Department may delegate authority to local
12 health departments in jurisdictions which include a
13 substantial number of trauma centers. The delegated
14 authority to those local health departments shall include,
15 but is not limited to, the authority to designate trauma
16 centers with final approval by the Department, maintain a
17 regional data base with concomitant reporting of trauma
18 registry data, and monitor, inspect and investigate trauma
19 centers within their jurisdiction, in accordance with the
20 requirements of this Act and the rules promulgated by the
21 Department;
22 (A) The Department shall monitor the performance
23 of local health departments with authority delegated
24 pursuant to this Section, based upon performance
25 criteria established in rules promulgated by the
26 Department;

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1 (B) Delegated authority may be revoked for
2 substantial non-compliance with this Act or the
3 Department's rules. Notice of an intent to revoke shall
4 be served upon the local health department by certified
5 mail, stating the reasons for revocation and offering
6 an opportunity for an administrative hearing to
7 contest the proposed revocation. The request for a
8 hearing must be in writing and received by the
9 Department within 10 working days of the local health
10 department's receipt of notification;
11 (C) The director of a local health department may
12 relinquish its delegated authority upon 60 days
13 written notification to the Director of Public Health.
14(Source: P.A. 89-177, eff. 7-19-95.)
15 (210 ILCS 50/3.95)
16 Sec. 3.95. Level I Trauma Center Minimum Standards. The
17Department shall establish, through rules adopted pursuant to
18this Act, standards for Level I Trauma Centers which shall
19include, but need not be limited to:
20 (a) The designation by the trauma center of a Trauma Center
21Medical Director and specification of his qualifications;
22 (b) The types of surgical services the trauma center must
23have available for trauma patients, including but not limited
24to a twenty-four hour in-house surgeon with operating
25privileges and ancillary staff necessary for immediate

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1surgical intervention;
2 (c) The types of nonsurgical services the trauma center
3must have available for trauma patients;
4 (d) The numbers and qualifications of emergency medical
5personnel;
6 (e) The types of equipment that must be available to trauma
7patients;
8 (f) Requiring the trauma center to be affiliated with an
9EMS System;
10 (g) Requiring the trauma center to have a communications
11system that is fully integrated with all Level II Trauma
12Centers, Level III Trauma Centers, Acute Injury Stabilization
13Centers, and EMS Systems with which it is affiliated;
14 (h) The types of data the trauma center must collect and
15submit to the Department relating to the trauma services it
16provides. Such data may include information on post-trauma care
17directly related to the initial traumatic injury provided to
18trauma patients until their discharge from the facility and
19information on discharge plans;
20 (i) Requiring the trauma center to have helicopter landing
21capabilities approved by appropriate State and federal
22authorities, if the trauma center is located within a
23municipality having a population of less than two million
24people; and
25 (j) Requiring written agreements with Level II Trauma
26Centers, Level III Trauma Centers, and Acute Injury

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1Stabilization Centers in the EMS Regions it serves, executed
2within a reasonable time designated by the Department.
3(Source: P.A. 89-177, eff. 7-19-95.)
4 (210 ILCS 50/3.100)
5 Sec. 3.100. Level II Trauma Center Minimum Standards. The
6Department shall establish, through rules adopted pursuant to
7this Act, standards for Level II Trauma Centers which shall
8include, but need not be limited to:
9 (a) The designation by the trauma center of a Trauma Center
10Medical Director and specification of his qualifications;
11 (b) The types of surgical services the trauma center must
12have available for trauma patients. The Department shall not
13require the availability of all surgical services required of
14Level I Trauma Centers;
15 (c) The types of nonsurgical services the trauma center
16must have available for trauma patients;
17 (d) The numbers and qualifications of emergency medical
18personnel, taking into consideration the more limited trauma
19services available in a Level II Trauma Center;
20 (e) The types of equipment that must be available for
21trauma patients;
22 (f) Requiring the trauma center to have a written agreement
23with a Level I Trauma Centers, Level III Trauma Centers, and
24Acute Injury Stabilization Centers Center serving the EMS
25Region outlining their respective responsibilities in

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1providing trauma services, executed within a reasonable time
2designated by the Department, unless the requirement for a
3Level I Trauma Center to serve that EMS Region has been waived
4by the Department;
5 (g) Requiring the trauma center to be affiliated with an
6EMS System;
7 (h) Requiring the trauma center to have a communications
8system that is fully integrated with the Level I Trauma
9Centers, Level III Trauma Centers, Acute Injury Stabilization
10Centers, and the EMS Systems with which it is affiliated;
11 (i) The types of data the trauma center must collect and
12submit to the Department relating to the trauma services it
13provides. Such data may include information on post-trauma care
14directly related to the initial traumatic injury provided to
15trauma patients until their discharge from the facility and
16information on discharge plans;
17 (j) Requiring the trauma center to have helicopter landing
18capabilities approved by appropriate State and federal
19authorities, if the trauma center is located within a
20municipality having a population of less than two million
21people.
22(Source: P.A. 89-177, eff. 7-19-95.)
23 (210 ILCS 50/3.101 new)
24 Sec. 3.101. Level III Trauma Center minimum standards. The
25Department shall establish, through rules adopted pursuant to

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1this Act, standards for Level III Trauma Centers which shall
2include, but need not be limited to:
3 (1) the designation by the trauma center of a Trauma
4 Center Medical Director and specification of his or her
5 qualifications;
6 (2) the types of surgical services the trauma center
7 must have available for trauma patients; the Department
8 shall not require the availability of all surgical services
9 required of Level I or Level II Trauma Centers;
10 (3) the types of nonsurgical services the trauma center
11 must have available for trauma patients;
12 (4) the numbers and qualifications of emergency
13 medical personnel, taking into consideration the more
14 limited trauma services available in a Level III Trauma
15 Center;
16 (5) the types of equipment that must be available for
17 trauma patients;
18 (6) requiring the trauma center to have a written
19 agreement with Level I Trauma Centers, Level II Trauma
20 Centers, and Acute Injury Stabilization Centers serving
21 the EMS Region outlining their respective responsibilities
22 in providing trauma services, executed within a reasonable
23 time designated by the Department, unless the requirement
24 for a Level I Trauma Center to serve that EMS Region has
25 been waived by the Department;
26 (7) requiring the trauma center to be affiliated with

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1 an EMS System;
2 (8) requiring the trauma center to have a
3 communications system that is fully integrated with the
4 Level I Trauma Centers, Level II Trauma Centers, Acute
5 Injury Stabilization Centers, and the EMS Systems with
6 which it is affiliated;
7 (9) the types of data the trauma center must collect
8 and submit to the Department relating to the trauma
9 services it provides; such data may include information on
10 post-trauma care directly related to the initial traumatic
11 injury provided to trauma patients until their discharge
12 from the facility and information on discharge plans; and
13 (10) requiring the trauma center to have helicopter
14 landing capabilities approved by appropriate State and
15 federal authorities, if the trauma center is located within
16 a municipality having a population of less than 2,000,000
17 people.
18 (210 ILCS 50/3.102 new)
19 Sec. 3.102. Acute Injury Stabilization Center minimum
20standards. The Department shall establish, through rules
21adopted pursuant to this Act, standards for Acute Injury
22Stabilization Centers which shall include, but need not be
23limited to, Comprehensive or Basic Emergency Department
24services pursuant to the Hospital Licensing Act.

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1 (210 ILCS 50/3.105)
2 Sec. 3.105. Trauma Center Misrepresentation. No After the
3effective date of this amendatory Act of 1995, no facility
4shall use the phrase "trauma center" or words of similar
5meaning in relation to itself or hold itself out as a trauma
6center without first obtaining designation pursuant to this
7Act.
8(Source: P.A. 89-177, eff. 7-19-95.)
9 (210 ILCS 50/3.107 new)
10 Sec. 3.107. Acute injury Stabilization Center
11Misrepresentation. No facility shall use the phrase "acute
12injury stabilization center" or words of similar meaning in
13relation to itself or hold itself out as an Acute Injury
14Stabilization Center without first obtaining designation
15pursuant to this Act.
16 (210 ILCS 50/3.110)
17 Sec. 3.110. EMS system and trauma center confidentiality
18and immunity.
19 (a) All information contained in or relating to any medical
20audit performed of a trauma center's trauma services or an
21Acute Injury Stabilization Center pursuant to this Act or by an
22EMS Medical Director or his designee of medical care rendered
23by System personnel, shall be afforded the same status as is
24provided information concerning medical studies in Article

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1VIII, Part 21 of the Code of Civil Procedure. Disclosure of
2such information to the Department pursuant to this Act shall
3not be considered a violation of Article VIII, Part 21 of the
4Code of Civil Procedure.
5 (b) Hospitals, trauma centers and individuals that perform
6or participate in medical audits pursuant to this Act shall be
7immune from civil liability to the same extent as provided in
8Section 10.2 of the Hospital Licensing Act.
9 (c) All information relating to the State Emergency Medical
10Services Disciplinary Review Board or a local review board,
11except final decisions, shall be afforded the same status as is
12provided information concerning medical studies in Article
13VIII, Part 21 of the Code of Civil Procedure. Disclosure of
14such information to the Department pursuant to this Act shall
15not be considered a violation of Article VIII, Part 21 of the
16Code of Civil Procedure.
17(Source: P.A. 92-651, eff. 7-11-02.)
18 (210 ILCS 50/3.115)
19 Sec. 3.115. Pediatric Care; Emergency Medical Services for
20Children (EMSC) Trauma. The Upon the availability of federal
21funds for pediatric care demonstration projects, the
22Department shall:
23 (a) Appoint an advisory council, with membership composed
24of individuals or entities chosen by the Director, that shall
25Convene a work group which will be charged with making

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1recommendations for conducting a needs assessment of pediatric
2trauma care needs and with developing strategies to address
3correct areas of need, as defined by rules adopted by the
4Department;
5 (b) (Blank); Contract with the University of Illinois
6School of Public Health to develop a secondary prevention
7program for parents;
8 (c) Develop or promote recommendations for Contract with an
9Illinois medical school to develop training and continuing
10medical education, treatment guidelines, and other programs
11for health care practitioners and organizations involved
12physicians and nurses in treatment of pediatric care trauma;
13 (d) (Blank); Contract with an Illinois medical school to
14develop and test triage and field scoring for pediatric trauma
15if the needs assessment by the work group indicates that
16current scoring is inadequate;
17 (e) Support existing pediatric care trauma programs and
18assist in establishing new pediatric care initiatives trauma
19programs throughout the State;
20 (f) (Blank); Provide grants to EMS systems for special
21pediatric equipment for prehospital care based on needs
22identified by the work group; and
23 (g) (Blank); and Provide grants to EMS systems and trauma
24centers for specialized training in pediatric trauma based on
25needs identified by the work group.
26 (h) Designate applicant hospitals that meet the minimum

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1standards established by the Department for pediatric
2emergency and critical care capabilities.
3(Source: P.A. 89-177, eff. 7-19-95.)
4 (210 ILCS 50/3.140)
5 Sec. 3.140. Violations; Fines.
6 (a) The Department shall have the authority to impose fines
7on any licensed vehicle service provider, stretcher van
8provider, designated trauma center, Acute Injury Stabilization
9Center, resource hospital, associate hospital, or
10participating hospital.
11 (b) The Department shall adopt rules pursuant to this Act
12which establish a system of fines related to the type and level
13of violation or repeat violation, including but not limited to:
14 (1) Each A fine not exceeding $10,000 for a violation
15 which created a condition or occurrence presenting a
16 substantial probability that death or serious harm to an
17 individual will or did result therefrom; and
18 (2) Each A fine not exceeding $5,000 for a violation
19 which creates or created a condition or occurrence which
20 threatens the health, safety or welfare of an individual.
21 (c) A Notice of Intent to Impose Fine may be issued in
22conjunction with or in lieu of a Notice of Intent to Suspend,
23Revoke, Nonrenew or Deny, and shall conform to the requirements
24specified in Section 3.130(d) of this Act. All Hearings
25conducted pursuant to a Notice of Intent to Impose Fine shall

SB2460- 26 -LRB099 18151 RPS 42518 b
1conform to the requirements specified in Section 3.135 of this
2Act.
3 (d) All fines collected pursuant to this Section shall be
4deposited into the EMS Assistance Fund.
5(Source: P.A. 98-973, eff. 8-15-14.)
6 (210 ILCS 50/3.205)
7 Sec. 3.205. State Trauma Advisory Council.
8 (a) There shall be established within the Department of
9Public Health a State Trauma Advisory Council, which shall
10serve as an advisory body to the Department on matters related
11to trauma care and trauma centers.
12 (b) Membership of the Council shall include one
13representative from each Regional Trauma Advisory Committee,
14to be appointed by each Committee. The Governor may appoint a
15neurosurgeon to the Council. The Governor shall appoint the
16following additional members:
17 (1) An EMS Medical Director,
18 (2) A trauma center medical director,
19 (3) A trauma surgeon,
20 (4) A trauma nurse coordinator,
21 (5) A representative from a private vehicle service
22 provider,
23 (6) A representative from a public vehicle service
24 provider,
25 (7) A member of the State EMS Advisory Council, and

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1 (8) (Blank), and A neurosurgeon.
2 (9) A burn care medical representative.
3 (c) Members shall be appointed for a term of 3 years. All
4appointees shall serve until their successors are appointed and
5qualified.
6 (d) The Council shall be provided a 90-day period in which
7to review and comment upon all rules proposed by the Department
8pursuant to this Act concerning trauma care, except for
9emergency rules adopted pursuant to Section 5-45 of the
10Illinois Administrative Procedure Act. The 90-day review and
11comment period may commence upon the Department's submission of
12the proposed rules to the individual Council members, if the
13Council is not meeting at the time the proposed rules are ready
14for Council review. Any non-emergency rules adopted prior to
15the Council's 90-day review and comment period shall be null
16and void. If the Council fails to advise the Department within
17its 90-day review and comment period, the rule shall be
18considered acted upon;
19 (e) Council members shall be reimbursed for reasonable
20travel expenses incurred during the performance of their duties
21under this Section.
22 (f) The Department shall provide administrative support to
23the Council for the preparation of the agenda and minutes for
24Council meetings and distribution of proposed rules to Council
25members.
26 (g) The Council shall act pursuant to bylaws which it

SB2460- 28 -LRB099 18151 RPS 42518 b
1adopts, which shall include the annual election of a Chair and
2Vice-Chair.
3 (h) The Director or his designee shall be present at all
4Council meetings.
5 (i) Nothing in this Section shall preclude the Council from
6reviewing and commenting on proposed rules which fall under the
7purview of the State EMS Advisory Council.
8(Source: P.A. 98-973, eff. 8-15-14.)
9 Section 99. Effective date. This Act takes effect 270 days
10after becoming law.

SB2460- 29 -LRB099 18151 RPS 42518 b
1 INDEX
2 Statutes amended in order of appearance