98TH GENERAL ASSEMBLY
State of Illinois
2013 and 2014
SB3520

Introduced 2/14/2014, by Sen. Heather A. Steans

SYNOPSIS AS INTRODUCED:
30 ILCS 105/5.855 new
210 ILCS 50/3.116
210 ILCS 50/3.117
210 ILCS 50/3.117.5
210 ILCS 50/3.117.75 new
210 ILCS 50/3.118
210 ILCS 50/3.118.5
210 ILCS 50/3.119
210 ILCS 50/3.226

Amends the Emergency Medical Services (EMS) Systems Act. Provides that the Department of Public Health may designate a hospital as an Acute Stroke-Ready Hospital. Provides that a hospital that is certified as an Acute Stroke-Ready Hospital or Comprehensive Stroke Center by a nationally-recognized and Department-approved certifying body may be designated as such by the Department upon receipt of the certification and the payment of an annual fee. Provides that the fees collected for designation shall be used to support stroke care data collection and that any surplus funds from the fees shall be used to support the Department Stroke Coordinator's salary or for other stroke-care initiatives, including administrative oversight of stroke care. Amends the State Finance Act to create the Stroke Data Collection Fund as a special fund in the State treasury. Deletes provisions regarding designation of hospitals as Emergent Stroke-Ready Hospitals. Contains procedures regarding Department designation of Acute Stroke-Ready Hospitals and Comprehensive Stroke Centers.
LRB098 18128 RPS 53257 b
FISCAL NOTE ACT MAY APPLY

A BILL FOR

SB3520LRB098 18128 RPS 53257 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 State Finance Act is amended by adding
5Section 5.855 as follows:
6 (30 ILCS 105/5.855 new)
7 Sec. 5.855. The Stroke Data Collection Fund.
8 Section 10. The Emergency Medical Services (EMS) Systems
9Act is amended by changing Sections 3.116, 3.117, 3.117.5,
103.118, 3.118.5, 3.119, and 3.226 and by adding Section 3.117.75
11as follows:
12 (210 ILCS 50/3.116)
13 Sec. 3.116. Hospital Stroke Care; definitions. As used in
14Sections 3.116 through 3.119, 3.130, 3.200, and 3.226 of this
15Act:
16 "Acute Stroke-Ready Hospital" means a hospital that has
17been designated by the Department as meeting the criteria for
18providing emergent stroke care. Designation may be provided
19after a hospital has been certified or through application and
20designation as such.
21 "Certification" or "certified" means certification, using

SB3520- 2 -LRB098 18128 RPS 53257 b
1evidence-based standards, from a nationally-recognized
2certifying body approved by the Department.
3 "Comprehensive Stroke Center" means a hospital that has
4been certified and has been designated as such.
5 "Designation" or "designated" means the Department's
6recognition of a hospital as a Comprehensive Stroke Center,
7Primary Stroke Center, or Acute Stroke-Ready Hospital Emergent
8Stroke Ready Hospital.
9 "Emergent stroke care" is emergency medical care that
10includes diagnosis and emergency medical treatment of acute
11stroke patients.
12 "Emergent Stroke Ready Hospital" means a hospital that has
13been designated by the Department as meeting the criteria for
14providing emergent stroke care.
15 "Primary Stroke Center" means a hospital that has been
16certified by a Department-approved, nationally-recognized
17certifying body and designated as such by the Department.
18 "Regional Stroke Advisory Subcommittee" means a
19subcommittee formed within each Regional EMS Advisory
20Committee to advise the Director and the Region's EMS Medical
21Directors Committee on the triage, treatment, and transport of
22possible acute stroke patients and to select the Region's
23representative to the State Stroke Advisory Subcommittee. At
24minimum, the Regional Stroke Advisory Subcommittee shall
25consist of: one representative from the EMS Medical Directors
26Committee; one EMS coordinator from a Resource Hospital; one

SB3520- 3 -LRB098 18128 RPS 53257 b
1administrative representative or his or her designee from each
2level of stroke care, including Comprehensive Stroke Centers
3within the Region, if any, Primary Stroke Centers within the
4Region, if any, and Acute Stroke-Ready Hospitals within the
5Region, if any; one physician from each level of stroke care,
6including one physician who is a neurologist or who provides
7advanced stroke care at a Comprehensive Stroke Center in the
8Region, if any, one physician who is a neurologist or who
9provides acute stroke care at a Primary Stroke Center in the
10Region, if any, and one physician who provides acute stroke
11care at an Acute Stroke-Ready Hospital in the Region, if any;
12one nurse practicing in each level of stroke care, including
13one nurse from a Comprehensive Stroke Center in the Region, if
14any, one nurse from a Primary Stroke Center in the Region, if
15any, and one nurse from an Acute Stroke-Ready Hospital in the
16Region, if any; one representative from both a public and a
17private vehicle service provider that transports possible
18acute stroke patients within the Region; the State-designated
19regional EMS Coordinator; and a fire chief or his or her
20designee from the EMS Region, if the region serves a population
21of more than 2,000,000. The Regional Stroke Advisory
22Subcommittee shall establish bylaws to ensure equal membership
23that rotates and clearly delineates committee responsibilities
24and structure. Of the members first appointed, one-third shall
25be appointed for a term of one year, one-third shall be
26appointed for a term of 2 years, and the remaining members

SB3520- 4 -LRB098 18128 RPS 53257 b
1shall be appointed for a term of 3 years. The terms of
2subsequent appointees shall be 3 years. The Regional Stroke
3Advisory Subcommittee shall consist of one representative from
4the EMS Medical Directors Committee; equal numbers of
5administrative representatives, or their designees, from
6Primary Stroke Centers within the Region, if any, and from
7hospitals that are capable of providing emergent stroke care
8that are not Primary Stroke Centers within the Region; one
9neurologist from a Primary Stroke Center in the Region, if any;
10one nurse practicing in a Primary Stroke Center and one nurse
11from a hospital capable of providing emergent stroke care that
12is not a Primary Stroke Center; one representative from both a
13public and a private vehicle service provider which transports
14possible acute stroke patients within the Region; the State
15designated regional EMS Coordinator; and in regions that serve
16a population of over 2,000,000, a fire chief, or designee, from
17the EMS Region.
18 "State Stroke Advisory Subcommittee" means a standing
19advisory body within the State Emergency Medical Services
20Advisory Council.
21(Source: P.A. 96-514, eff. 1-1-10.)
22 (210 ILCS 50/3.117)
23 Sec. 3.117. Hospital Designations.
24 (a) The Department shall attempt to designate Primary
25Stroke Centers in all areas of the State.

SB3520- 5 -LRB098 18128 RPS 53257 b
1 (1) The Department shall designate as many certified
2 Primary Stroke Centers as apply for that designation
3 provided they are certified by a nationally-recognized
4 certifying body, approved by the Department, and
5 certification criteria are consistent with the most
6 current nationally-recognized, evidence-based stroke
7 guidelines related to reducing the occurrence,
8 disabilities, and death associated with stroke.
9 (2) A hospital certified as a Primary Stroke Center by
10 a nationally-recognized certifying body approved by the
11 Department, shall send a copy of the Certificate and annual
12 fee to the Department and shall be deemed, within 30
13 business days of its receipt by the Department, to be a
14 State-designated Primary Stroke Center.
15 (3) A center designated as a Primary Stroke Center
16 shall pay an annual fee as determined by the Department
17 that shall be no less than $100 and no greater than $500.
18 All fees shall be deposited into the Stroke Data Collection
19 Fund.
20 (3.5) With respect to a hospital that is a designated
21 Primary Stroke Center, the Department shall have the
22 authority and responsibility to do the following:
23 (A) Suspend or revoke a hospital's Primary Stroke
24 Center designation upon receiving notice that the
25 hospital's Primary Stroke Center certification has
26 lapsed or has been revoked by the State recognized

SB3520- 6 -LRB098 18128 RPS 53257 b
1 certifying body.
2 (B) Suspend a hospital's Primary Stroke Center
3 designation, in extreme circumstances where patients
4 may be at risk for immediate harm or death, until such
5 time as the certifying body investigates and makes a
6 final determination regarding certification.
7 (C) Restore any previously suspended or revoked
8 Department designation upon notice to the Department
9 that the certifying body has confirmed or restored the
10 Primary Stroke Center certification of that previously
11 designated hospital.
12 (D) Suspend a hospital's Primary Stroke Center
13 designation at the request of a hospital seeking to
14 suspend its own Department designation.
15 (4) Primary Stroke Center designation shall remain
16 valid at all times while the hospital maintains its
17 certification as a Primary Stroke Center, in good standing,
18 with the certifying body. The duration of a Primary Stroke
19 Center designation shall coincide with the duration of its
20 Primary Stroke Center certification. Each designated
21 Primary Stroke Center shall have its designation
22 automatically renewed upon the Department's receipt of a
23 copy of the accrediting body's certification renewal.
24 (5) A hospital that no longer meets
25 nationally-recognized, evidence-based standards for
26 Primary Stroke Centers, or loses its Primary Stroke Center

SB3520- 7 -LRB098 18128 RPS 53257 b
1 certification, shall immediately notify the Department and
2 the Regional EMS Advisory Committee within 5 business days.
3 (a-5) The Department shall attempt to designate
4Comprehensive Stroke Centers in all areas of the State.
5 (1) The Department shall designate as many certified
6 Comprehensive Stroke Centers as apply for that
7 designation, provided that the Comprehensive Stroke
8 Centers are certified and are approved by the Department,
9 and provided that the certifying body's certification
10 criteria are consistent with the most current
11 nationally-recognized and evidence-based stroke guidelines
12 for reducing the occurrence of stroke and the disabilities
13 and death associated with stroke.
14 (2) A hospital certified as a Comprehensive Stroke
15 Center shall send a copy of the Certificate and annual fee
16 to the Department and shall be deemed, within 30 business
17 days of its receipt by the Department, to be a
18 State-designated Comprehensive Stroke Center.
19 (3) A hospital designated as a Comprehensive Stroke
20 Center shall pay an annual fee as determined by the
21 Department that shall be no less than $100 and no greater
22 than $500. All fees shall be deposited into the Stroke Data
23 Collection Fund.
24 (4) With respect to a hospital that is a designated
25 Comprehensive Stroke Center, the Department shall have the
26 authority and responsibility to do the following:

SB3520- 8 -LRB098 18128 RPS 53257 b
1 (A) Suspend or revoke the hospital's Comprehensive
2 Stroke Center designation upon receiving notice that
3 the hospital's Comprehensive Stroke Center
4 certification has lapsed or has been revoked by the
5 State recognized certifying body.
6 (B) Suspend the hospital's Comprehensive Stroke
7 Center designation, in extreme circumstances in which
8 patients may be at risk for immediate harm or death,
9 until such time as the certifying body investigates and
10 makes a final determination regarding certification.
11 (C) Restore any previously suspended or revoked
12 Department designation upon notice to the Department
13 that the certifying body has confirmed or restored the
14 Comprehensive Stroke Center certification of that
15 previously designated hospital.
16 (D) Suspend the hospital's Comprehensive Stroke
17 Center designation at the request of a hospital seeking
18 to suspend its own Department designation.
19 (5) Comprehensive Stroke Center designation shall
20 remain valid at all times while the hospital maintains its
21 certification as a Comprehensive Stroke Center, in good
22 standing, with the certifying body. The duration of a
23 Comprehensive Stroke Center designation shall coincide
24 with the duration of its Comprehensive Stroke Center
25 certification. Each designated Comprehensive Stroke Center
26 shall have its designation automatically renewed upon the

SB3520- 9 -LRB098 18128 RPS 53257 b
1 Department's receipt of a copy of the certifying body's
2 certification renewal.
3 (6) A hospital that no longer meets
4 nationally-recognized, evidence-based standards for
5 Comprehensive Stroke Centers, or loses its Comprehensive
6 Stroke Center certification, shall notify the Department
7 and the Regional EMS Advisory Committee within 5 business
8 days.
9 (b) The Department shall attempt to designate hospitals as
10Acute Stroke-Ready Hospitals Emergent Stroke Ready Hospitals
11capable of providing emergent stroke care in all areas of the
12State. Designation may be approved by the Department after a
13hospital has been certified as an Acute Stroke-Ready Hospital
14or through application and designation by the Department.
15 (1) (Blank). The Department shall designate as many
16 Emergent Stroke Ready Hospitals as apply for that
17 designation as long as they meet the criteria in this Act.
18 (2) Hospitals may apply for, and receive, Acute
19 Stroke-Ready Hospital Emergent Stroke Ready Hospital
20 designation from the Department, provided that the
21 hospital attests, on a form developed by the Department in
22 consultation with the State Stroke Advisory Subcommittee,
23 that it meets, and will continue to meet, the criteria for
24 Acute Stroke-Ready Hospital designation and pays an annual
25 fee Emergent Stroke Ready Hospital designation.
26 A hospital designated as an Acute Stroke-Ready

SB3520- 10 -LRB098 18128 RPS 53257 b
1 Hospital shall pay an annual fee as determined by the
2 Department that shall be no less than $100 and no greater
3 than $500. All fees shall be deposited into the Stroke Data
4 Collection Fund.
5 (2.5) A hospital may apply for, and receive, Acute
6 Stroke-Ready Hospital designation from the Department,
7 provided that the hospital provides proof of current Acute
8 Stroke-Ready Hospital certification and the hospital pays
9 an annual fee.
10 (A) Acute Stroke-Ready Hospital designation shall
11 remain valid at all times while the hospital maintains
12 its certification as an Acute Stroke-Ready Hospital,
13 in good standing, with the certifying body.
14 (B) The duration of an Acute Stroke-Ready Hospital
15 designation shall coincide with the duration of its
16 Acute Stroke-Ready Hospital certification.
17 (C) Each designated Acute Stroke-Ready Hospital
18 shall have its designation automatically renewed upon
19 the Department's receipt of a copy of the certifying
20 body's certification renewal and Request for
21 Department Acute Stroke-Ready Designation Form.
22 (D) A hospital must submit a copy of its
23 certification renewal from the certifying body as soon
24 as practical but no later than 30 business days after
25 that certification is received by the hospital. Upon
26 the Department's receipt of the renewal certification,

SB3520- 11 -LRB098 18128 RPS 53257 b
1 the Department shall renew the hospital's Acute
2 Stroke-Ready Hospital designation.
3 (E) A hospital designated as an Acute Stroke-Ready
4 Hospital shall pay an annual fee as determined by the
5 Department that shall be no less than $100 and no
6 greater than $500. All fees shall be deposited into the
7 Stroke Data Collection Fund.
8 (3) Hospitals seeking Acute Stroke-Ready Hospital
9 Emergent Stroke Ready Hospital designation that do not have
10 certification shall develop policies and procedures that
11 are consistent with consider nationally-recognized,
12 evidence-based protocols for the provision of emergent
13 stroke care. Hospital policies relating to emergent stroke
14 care and stroke patient outcomes shall be reviewed at least
15 annually, or more often as needed, by a hospital committee
16 that oversees quality improvement. Adjustments shall be
17 made as necessary to advance the quality of stroke care
18 delivered. Criteria for Acute Stroke-Ready Hospital
19 Emergent Stroke Ready Hospital designation of hospitals
20 shall be limited to the ability of a hospital to:
21 (A) create written acute care protocols related to
22 emergent stroke care;
23 (A-5) participate in the data collection system
24 provided in Section 3.118, if available;
25 (B) maintain a written transfer agreement with one
26 or more hospitals that have neurosurgical expertise;

SB3520- 12 -LRB098 18128 RPS 53257 b
1 (C) designate a director of stroke care, which may
2 be a clinical member of the hospital staff or the
3 designee of the hospital administrator, to oversee the
4 hospital's stroke care policies and procedures;
5 (C-5) staff an acute stroke team in accordance with
6 national guidelines;
7 (D) administer thrombolytic therapy, or
8 subsequently developed medical therapies that meet
9 nationally-recognized, evidence-based stroke
10 guidelines;
11 (E) conduct brain image tests at all times;
12 (F) conduct blood coagulation studies at all
13 times; and
14 (G) maintain a log of stroke patients, which shall
15 be available for review upon request by the Department
16 or any hospital that has a written transfer agreement
17 with the Acute Stroke-Ready Hospital; Emergent Stroke
18 Ready Hospital.
19 (H) admit stroke patients to a stroke unit or
20 transfer stroke patients to an Acute Stroke-Ready
21 Hospital, Primary Stroke Center, or Comprehensive
22 Stroke Center with a stroke unit available; and
23 (I) demonstrate compliance with
24 nationally-recognized quality indicators.
25 (4) With respect to Acute Stroke-Ready Hospital
26 Emergent Stroke Ready Hospital designation, the Department

SB3520- 13 -LRB098 18128 RPS 53257 b
1 shall have the authority and responsibility to do the
2 following:
3 (A) Require hospitals applying for Acute
4 Stroke-Ready Hospital Emergent Stroke Ready Hospital
5 designation to attest, on a form developed by the
6 Department in consultation with the State Stroke
7 Advisory Subcommittee, that the hospital meets, and
8 will continue to meet, the criteria for an Acute
9 Stroke-Ready a Emergent Stroke Ready Hospital.
10 (A-5) Require hospitals applying for Acute
11 Stroke-Ready Hospital designation via national Acute
12 Stroke-Ready Hospital certification to provide proof
13 of current Acute Stroke-Ready Hospital certification,
14 in good standing.
15 The Department shall require a hospital that is
16 already certified as an Acute Stroke-Ready Hospital to
17 send a copy of the Certificate to the Department.
18 Within 30 business days of the Department's
19 receipt of a hospital's Acute Stroke-Ready Certificate
20 and Request for Acute Stroke-Ready Hospital
21 Designation Form that indicates that the hospital is a
22 certified Acute Stroke-Ready Hospital, in good
23 standing, the hospital shall be deemed a
24 State-designated Acute Stroke-Ready Hospital. The
25 Department shall send a designation notice to each
26 hospital that it designates as an Acute Stroke-Ready

SB3520- 14 -LRB098 18128 RPS 53257 b
1 Hospital and shall add the names of designated Acute
2 Stroke-Ready Hospitals to the website listing
3 immediately upon designation. The Department shall
4 immediately remove the name of a hospital from the
5 website listing when a hospital loses its designation
6 after notice and, if requested by the hospital, a
7 hearing.
8 The Department shall develop a Request for Acute
9 Stroke-Ready Hospital Designation form that contains a
10 statement that "The above named facility meets the
11 requirements for Acute Stroke-Ready Hospital
12 Designation as provided in Section 3.117 of the
13 Emergency Medical Services (EMS) Systems Act" and
14 shall instruct the applicant facility to provide: the
15 hospital name and address; the hospital CEO or
16 Administrator's typed name and signature; the hospital
17 Stroke Medical Director's typed name and signature;
18 and a contact person's typed name, email address, and
19 phone number.
20 The Request for Acute Stroke-Ready Hospital
21 Designation form shall contain a statement that
22 instructs the hospital to "Provide proof of current
23 Acute Stroke-Ready Hospital certification from a
24 nationally-recognized certifying body approved by the
25 Department".
26 (B) Designate a hospital as an Acute Stroke-Ready

SB3520- 15 -LRB098 18128 RPS 53257 b
1 Hospital Emergent Stroke Ready Hospital no more than 30
2 20 business days after receipt of an attestation that
3 meets the requirements for attestation, unless the
4 Department, within 30 days of receipt of the
5 attestation, chooses to conduct an onsite survey prior
6 to designation. If the Department chooses to conduct an
7 onsite survey prior to designation, then the onsite
8 survey shall be conducted within 90 days of receipt of
9 the attestation.
10 (C) Require annual written attestation, on a form
11 developed by the Department in consultation with the
12 State Stroke Advisory Subcommittee, by Acute
13 Stroke-Ready Hospitals Emergent Stroke Ready Hospitals
14 to indicate compliance with Acute Stroke-Ready
15 Hospital Emergent Stroke Ready Hospital criteria, as
16 described in this Section, and automatically renew
17 Acute Stroke-Ready Hospital Emergent Stroke Ready
18 Hospital designation of the hospital.
19 (D) Issue an Emergency Suspension of Acute
20 Stroke-Ready Hospital Emergent Stroke Ready Hospital
21 designation when the Director, or his or her designee,
22 has determined that the hospital no longer meets the
23 Acute Stroke-Ready Hospital Emergent Stroke Ready
24 Hospital criteria and an immediate and serious danger
25 to the public health, safety, and welfare exists. If
26 the Acute Stroke-Ready Hospital Emergent Stroke Ready

SB3520- 16 -LRB098 18128 RPS 53257 b
1 Hospital fails to eliminate the violation immediately
2 or within a fixed period of time, not exceeding 10
3 days, as determined by the Director, the Director may
4 immediately revoke the Acute Stroke-Ready Hospital
5 Emergent Stroke Ready Hospital designation. The Acute
6 Stroke-Ready Hospital Emergent Stroke Ready Hospital
7 may appeal the revocation within 15 business days after
8 receiving the Director's revocation order, by
9 requesting an administrative hearing.
10 (E) After notice and an opportunity for an
11 administrative hearing, suspend, revoke, or refuse to
12 renew an Acute Stroke-Ready Hospital Emergent Stroke
13 Ready Hospital designation, when the Department finds
14 the hospital is not in substantial compliance with
15 current Acute Stroke-Ready Hospital Emergent Stroke
16 Ready Hospital criteria.
17 (c) The Department shall consult with the State Stroke
18Advisory Subcommittee for developing the designation,
19re-designation, and de-designation processes for Comprehensive
20Stroke Centers, for Primary Stroke Centers, and Acute
21Stroke-Ready Hospitals Emergent Stroke Ready Hospitals.
22 (d) The Department shall consult with the State Stroke
23Advisory Subcommittee as subject matter experts at least
24annually regarding stroke standards of care.
25(Source: P.A. 96-514, eff. 1-1-10; revised 11-12-13.)

SB3520- 17 -LRB098 18128 RPS 53257 b
1 (210 ILCS 50/3.117.5)
2 Sec. 3.117.5. Hospital Stroke Care; grants.
3 (a) In order to encourage the establishment and retention
4of Comprehensive Stroke Centers, Primary Stroke Centers, and
5Acute Stroke-Ready Hospitals Emergent Stroke Ready Hospitals
6throughout the State, the Director may award, subject to
7appropriation, matching grants to hospitals to be used for the
8acquisition and maintenance of necessary infrastructure,
9including personnel, equipment, and pharmaceuticals for the
10diagnosis and treatment of acute stroke patients. Grants may be
11used to pay the fee for certifications by Department approved
12nationally-recognized certifying bodies or to provide
13additional training for directors of stroke care or for
14hospital staff.
15 (b) The Director may award grant moneys to Comprehensive
16Stroke Centers, Primary Stroke Centers, and Acute Stroke-Ready
17Hospitals Emergent Stroke Ready Hospitals for developing or
18enlarging stroke networks, for stroke education, and to enhance
19the ability of the EMS System to respond to possible acute
20stroke patients.
21 (c) A Comprehensive Stroke Center, Primary Stroke Center,
22or Acute Stroke-Ready Hospital Emergent Stroke Ready Hospital,
23or a hospital seeking certification as a Comprehensive Stroke
24Center, Primary Stroke Center, or Acute Stroke-Ready Hospital
25or designation as an Acute Stroke-Ready Hospital, Emergent
26Stroke Ready Hospital may apply to the Director for a matching

SB3520- 18 -LRB098 18128 RPS 53257 b
1grant in a manner and form specified by the Director and shall
2provide information as the Director deems necessary to
3determine whether the hospital is eligible for the grant.
4 (d) Matching grant awards shall be made to Comprehensive
5Stroke Centers, Primary Stroke Centers, Acute Stroke-Ready
6Hospitals Emergent Stroke Ready Hospitals, or hospitals
7seeking certification or designation as a Comprehensive Stroke
8Center, Primary Stroke Center, or Acute Stroke-Ready Hospital
9designation as an Emergent Stroke Ready Hospital. The
10Department may consider prioritizing grant awards to hospitals
11in areas with the highest incidence of stroke, taking into
12account geographic diversity, where possible.
13(Source: P.A. 96-514, eff. 1-1-10.)
14 (210 ILCS 50/3.117.75 new)
15 Sec. 3.117.75 . Stroke Data Collection Fund.
16 (a) The Stroke Data Collection Fund is created as a special
17fund in the State treasury.
18 (b) Moneys in the fund shall be used by the Department to
19support the data collection provided for in Section 3.118 of
20this Act. Any surplus funds beyond what are needed to support
21the data collection provided for in Section 3.118 of this Act
22shall be used by the Department to support the salary of the
23Department Stroke Coordinator or for other stroke-care
24initiatives, including administrative oversight of stroke
25care.

SB3520- 19 -LRB098 18128 RPS 53257 b
1 (210 ILCS 50/3.118)
2 Sec. 3.118. Reporting.
3 (a) The Director shall, not later than July 1, 2012,
4prepare and submit to the Governor and the General Assembly a
5report indicating the total number of hospitals that have
6applied for grants, the project for which the application was
7submitted, the number of those applicants that have been found
8eligible for the grants, the total number of grants awarded,
9the name and address of each grantee, and the amount of the
10award issued to each grantee.
11 (b) By July 1, 2010, the Director shall send the list of
12designated Comprehensive Stroke Centers, Primary Stroke
13Centers, and Acute Stroke-Ready Hospitals designated Emergent
14Stroke Ready Hospitals to all Resource Hospital EMS Medical
15Directors in this State and shall post a list of designated
16Comprehensive Stroke Centers, Primary Stroke Centers, and
17Acute Stroke-Ready Hospitals Emergent Stroke Ready Hospitals
18on the Department's website, which shall be continuously
19updated.
20 (c) The Department shall add the names of designated
21Comprehensive Stroke Centers, Primary Stroke Centers, and
22Acute Stroke-Ready Hospitals Emergent Stroke Ready Hospitals
23to the website listing immediately upon designation and shall
24immediately remove the name when a hospital loses its
25designation after notice and a hearing.

SB3520- 20 -LRB098 18128 RPS 53257 b
1 (d) Stroke data collection systems and all stroke-related
2data collected from hospitals shall comply with the following
3requirements:
4 (1) The confidentiality of patient records shall be
5 maintained in accordance with State and federal laws.
6 (2) Hospital proprietary information and the names of
7 any hospital administrator, health care professional, or
8 employee shall not be subject to disclosure.
9 (3) Information submitted to the Department shall be
10 privileged and strictly confidential and shall be used only
11 for the evaluation and improvement of hospital stroke care.
12 Stroke data collected by the Department shall not be
13 directly available to the public and shall not be subject
14 to civil subpoena, nor discoverable or admissible in any
15 civil, criminal, or administrative proceeding against a
16 health care facility or health care professional.
17 (e) The Department may administer a data collection system
18to collect data that is already reported by designated
19Comprehensive Stroke Centers, Primary Stroke Centers, and
20Acute Stroke-Ready Hospitals to their certifying body, to
21fulfill Primary Stroke Center certification requirements.
22Comprehensive Stroke Centers, Primary Stroke Centers, and
23Acute Stroke-Ready Hospitals may provide data used in
24submission complete copies of the same reports that are
25submitted to their certifying body, to satisfy any Department
26reporting requirements. The Department may require submission

SB3520- 21 -LRB098 18128 RPS 53257 b
1of data elements in a format that is used State-wide. In the
2event the Department establishes reporting requirements for
3designated Comprehensive Stroke Centers, Primary Stroke
4Centers, and Acute Stroke-Ready Hospitals, the Department
5shall permit each designated Comprehensive Stroke Center,
6Primary Stroke Center, or Acute Stroke-Ready Hospital to
7capture information using existing electronic reporting tools
8used for certification purposes. Nothing in this Section shall
9be construed to empower the Department to specify the form of
10internal recordkeeping. Three years from the effective date of
11this amendatory Act of the 96th General Assembly, the
12Department may post stroke data submitted by Comprehensive
13Stroke Centers, Primary Stroke Centers, and Acute Stroke-Ready
14Hospitals on its website, subject to the following:
15 (1) Data collection and analytical methodologies shall
16 be used that meet accepted standards of validity and
17 reliability before any information is made available to the
18 public.
19 (2) The limitations of the data sources and analytic
20 methodologies used to develop comparative hospital
21 information shall be clearly identified and acknowledged,
22 including, but not limited to, the appropriate and
23 inappropriate uses of the data.
24 (3) To the greatest extent possible, comparative
25 hospital information initiatives shall use standard-based
26 norms derived from widely accepted provider-developed

SB3520- 22 -LRB098 18128 RPS 53257 b
1 practice guidelines.
2 (4) Comparative hospital information and other
3 information that the Department has compiled regarding
4 hospitals shall be shared with the hospitals under review
5 prior to public dissemination of the information.
6 Hospitals have 30 days to make corrections and to add
7 helpful explanatory comments about the information before
8 the publication.
9 (5) Comparisons among hospitals shall adjust for
10 patient case mix and other relevant risk factors and
11 control for provider peer groups, when appropriate.
12 (6) Effective safeguards to protect against the
13 unauthorized use or disclosure of hospital information
14 shall be developed and implemented.
15 (7) Effective safeguards to protect against the
16 dissemination of inconsistent, incomplete, invalid,
17 inaccurate, or subjective hospital data shall be developed
18 and implemented.
19 (8) The quality and accuracy of hospital information
20 reported under this Act and its data collection, analysis,
21 and dissemination methodologies shall be evaluated
22 regularly.
23 (9) None of the information the Department discloses to
24 the public under this Act may be used to establish a
25 standard of care in a private civil action.
26 (10) The Department shall disclose information under

SB3520- 23 -LRB098 18128 RPS 53257 b
1 this Section in accordance with provisions for inspection
2 and copying of public records required by the Freedom of
3 Information Act, provided that the information satisfies
4 the provisions of this Section.
5 (11) Notwithstanding any other provision of law, under
6 no circumstances shall the Department disclose information
7 obtained from a hospital that is confidential under Part 21
8 of Article VIII of the Code of Civil Procedure.
9 (12) No hospital report or Department disclosure may
10 contain information identifying a patient, employee, or
11 licensed professional.
12(Source: P.A. 96-514, eff. 1-1-10.)
13 (210 ILCS 50/3.118.5)
14 Sec. 3.118.5. State Stroke Advisory Subcommittee; triage
15and transport of possible acute stroke patients.
16 (a) There shall be established within the State Emergency
17Medical Services Advisory Council, or other statewide body
18responsible for emergency health care, a standing State Stroke
19Advisory Subcommittee, which shall serve as an advisory body to
20the Council and the Department on matters related to the
21triage, treatment, and transport of possible acute stroke
22patients. Membership on the Committee shall be as
23geographically diverse as possible and include one
24representative from each Regional Stroke Advisory
25Subcommittee, to be chosen by each Regional Stroke Advisory

SB3520- 24 -LRB098 18128 RPS 53257 b
1Subcommittee. The Director shall appoint additional members,
2as needed, to ensure there is adequate representation from the
3following:
4 (1) an EMS Medical Director;
5 (2) a hospital administrator, or designee, from a
6 Comprehensive Stroke Center Primary Stroke Center;
7 (3) a hospital administrator, or designee, from a
8 hospital capable of providing emergent stroke care that is
9 not a Primary Stroke Center;
10 (3.5) a hospital administrator, or designee, from an
11 Acute Stroke-Ready Hospital;
12 (3.10) a registered nurse from a Comprehensive Stroke
13 Center;
14 (4) a registered nurse from a Primary Stroke Center;
15 (5) a registered nurse from an Acute Stroke-Ready
16 Hospital a hospital capable of providing emergent stroke
17 care that is not a Primary Stroke Center;
18 (5.5) a physician providing advanced stroke care from a
19 Comprehensive Stroke center;
20 (6) a a physician providing stroke care neurologist
21 from a Primary Stroke Center;
22 (7) a physician providing stroke care from an Acute
23 Stroke-Ready Hospital an emergency department physician
24 from a hospital, capable of providing emergent stroke care,
25 that is not a Primary Stroke Center;
26 (8) an EMS Coordinator;

SB3520- 25 -LRB098 18128 RPS 53257 b
1 (9) an acute stroke patient advocate;
2 (10) a fire chief, or designee, from an EMS Region that
3 serves a population of over 2,000,000 people;
4 (11) a fire chief, or designee, from a rural EMS
5 Region;
6 (12) a representative from a private ambulance
7 provider; and
8 (12.5) a representative from a municipal EMS provider;
9 and
10 (13) a representative from the State Emergency Medical
11 Services Advisory Council.
12 (b) Of the members first appointed, 9 7 members shall be
13appointed for a term of one year, 9 7 members shall be
14appointed for a term of 2 years, and the remaining members
15shall be appointed for a term of 3 years. The terms of
16subsequent appointees shall be 3 years.
17 (c) The State Stroke Advisory Subcommittee shall be
18provided a 90-day period in which to review and comment upon
19all rules proposed by the Department pursuant to this Act
20concerning stroke care, except for emergency rules adopted
21pursuant to Section 5-45 of the Illinois Administrative
22Procedure Act. The 90-day review and comment period shall
23commence prior to publication of the proposed rules and upon
24the Department's submission of the proposed rules to the
25individual Committee members, if the Committee is not meeting
26at the time the proposed rules are ready for Committee review.

SB3520- 26 -LRB098 18128 RPS 53257 b
1 (d) The State Stroke Advisory Subcommittee shall develop
2and submit an evidence-based statewide stroke assessment tool
3to clinically evaluate potential stroke patients to the
4Department for final approval. Upon approval, the Department
5shall disseminate the tool to all EMS Systems for adoption. The
6Director shall post the Department-approved stroke assessment
7tool on the Department's website. The State Stroke Advisory
8Subcommittee shall review the Department-approved stroke
9assessment tool at least annually to ensure its clinical
10relevancy and to make changes when clinically warranted.
11 (d-5) Each EMS Regional Stroke Advisory Subcommittee shall
12submit recommendations for continuing education for
13pre-hospital personnel to that Region's EMS Medical Directors
14Committee.
15 (e) Nothing in this Section shall preclude the State Stroke
16Advisory Subcommittee from reviewing and commenting on
17proposed rules which fall under the purview of the State
18Emergency Medical Services Advisory Council. Nothing in this
19Section shall preclude the Emergency Medical Services Advisory
20Council from reviewing and commenting on proposed rules which
21fall under the purview of the State Stroke Advisory
22Subcommittee.
23 (f) The Director shall coordinate with and assist the EMS
24System Medical Directors and Regional Stroke Advisory
25Subcommittee within each EMS Region to establish protocols
26related to the assessment, treatment, and transport of possible

SB3520- 27 -LRB098 18128 RPS 53257 b
1acute stroke patients by licensed emergency medical services
2providers. These protocols shall include regional transport
3plans for the triage and transport of possible acute stroke
4patients to the most appropriate Comprehensive Stroke Center,
5Primary Stroke Center, or Acute Stroke-Ready Hospital Emergent
6Stroke Ready Hospital, unless circumstances warrant otherwise.
7(Source: P.A. 96-514, eff. 1-1-10.)
8 (210 ILCS 50/3.119)
9 Sec. 3.119. Stroke Care; restricted practices. Sections in
10this Act pertaining to Comprehensive Stroke Centers, Primary
11Stroke Centers, and Acute Stroke-Ready Hospitals Emergent
12Stroke Ready Hospitals are not medical practice guidelines and
13shall not be used to restrict the authority of a hospital to
14provide services for which it has received a license under
15State law.
16(Source: P.A. 96-514, eff. 1-1-10.)
17 (210 ILCS 50/3.226)
18 Sec. 3.226. Hospital Stroke Care Fund.
19 (a) The Hospital Stroke Care Fund is created as a special
20fund in the State treasury for the purpose of receiving
21appropriations, donations, and grants collected by the
22Illinois Department of Public Health pursuant to Department
23designation of Comprehensive Stroke Centers, Primary Stroke
24Centers, and Acute Stroke-Ready Hospitals Emergent Stroke

SB3520- 28 -LRB098 18128 RPS 53257 b
1Ready Hospitals. All moneys collected by the Department
2pursuant to its authority to designate Comprehensive Stroke
3Centers, Primary Stroke Centers, and Acute Stroke-Ready
4Hospitals Emergent Stroke Ready Hospitals shall be deposited
5into the Fund, to be used for the purposes in subsection (b).
6 (b) The purpose of the Fund is to allow the Director of the
7Department to award matching grants:
8 (1) to hospitals that have been certified as
9 Comprehensive Stroke Centers, Primary Stroke Centers, or
10 Acute Stroke-Ready Hospitals;
11 (2) to hospitals that seek certification or
12 designation or both as Comprehensive Stroke Centers,
13 Primary Stroke Centers, or Acute Stroke-Ready Hospitals;
14 (3) to hospitals that have been designated Acute
15 Stroke-Ready Hospitals;
16 (4) to hospitals that seek designation as Acute
17 Stroke-Ready Hospitals; and
18 (5) for the development of stroke networks.
19 Hospitals may use grant funds to work with the EMS System
20to improve outcomes of possible acute stroke patients.
21 (b) The purpose of the Fund is to allow the Director of the
22Department to award matching grants to hospitals that have been
23certified Primary Stroke Centers, that seek certification or
24designation or both as Primary Stroke Centers, that have been
25designated Emergent Stroke Ready Hospitals, that seek
26designation as Emergent Stroke Ready Hospitals, and for the

SB3520- 29 -LRB098 18128 RPS 53257 b
1development of stroke networks. Hospitals may use grant funds
2to work with the EMS System to improve outcomes of possible
3acute stroke patients.
4 (c) Moneys deposited in the Hospital Stroke Care Fund shall
5be allocated according to the hospital needs within each EMS
6region and used solely for the purposes described in this Act.
7 (d) Interfund transfers from the Hospital Stroke Care Fund
8shall be prohibited.
9(Source: P.A. 96-514, eff. 1-1-10.)