Bill Text: IL HB4986 | 2015-2016 | 99th General Assembly | Introduced

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Bill Title: Amends the Health Care Professional Credentials Data Collection Act. Provides that any health care professionals' credentials data collected or obtained by a health care entity, health care plan, or hospital shall be privileged information. Effective immediately.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2016-04-08 - Rule 19(a) / Re-referred to Rules Committee [HB4986 Detail]

Download: Illinois-2015-HB4986-Introduced.html

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99TH GENERAL ASSEMBLY State of Illinois 2015 and 2016 HB4986 Introduced , by Rep. Ron Sandack SYNOPSIS AS INTRODUCED:
410 ILCS 517/15
Amends the Health Care Professional Credentials Data Collection Act. Provides that any health care professionals' credentials data collected or obtained by a health care entity, health care plan, or hospital shall be privileged information. Effective immediately.
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A BILL FOR
HB4986 LRB099 19707 MJP 44104 b
AN ACT concerning health.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Health Care Professional Credentials Data
Collection Act is amended by changing Section 15 as follows:
(410 ILCS 517/15)
Sec. 15. Development and use of uniform health care and
hospital credentials forms.
(a) The Department, in consultation with the council, shall
by rule establish:
(1) a uniform health care credentials form that shall
include the credentials data commonly requested by health
care entities and health care plans for purposes of
credentialing and shall minimize the need for the
collection of additional credentials data;
(2) a uniform health care recredentials form that shall
include the credentials data commonly requested by health
care entities and health care plans for purposes of
recredentialing and shall minimize the need for the
collection of additional credentials data;
(3) a uniform hospital credentials form that shall
include the credentials data commonly requested by
hospitals for purposes of credentialing and shall minimize

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the need for the collection of additional credentials data;
(4) a uniform hospital recredentials form that shall
include the credentials data commonly requested by
hospitals for purposes of recredentialing and shall
minimize the need for collection of additional credentials
data; and
(5) uniform updating forms.
(b) The uniform forms established in subsection (a) shall
be coordinated to reduce the need to provide redundant
information. Further, the forms shall be made available in both
paper and electronic formats.
(c) The Department, in consultation with the council, shall
establish by rule a date after which an electronic format may
be required by a health care entity, a health care plan, or a
hospital, and a health care professional may require acceptance
of an electronic format by a health care entity, a health care
plan, or a hospital.
(d) Beginning January 1, 2002, each health care entity or
health care plan that employs, contracts with, or allows health
care professionals to provide medical or health care services
and requires health care professionals to be credentialed or
recredentialed shall for purposes of collecting credentials
data only require:
(1) the uniform health care credentials form;
(2) the uniform health care recredentials form;
(3) the uniform updating forms; and

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(4) any additional credentials data requested.
(e) Beginning January 1, 2002, each hospital that employs,
contracts with, or allows health care professionals to provide
medical or health care services and requires health care
professionals to be credentialed or recredentialed shall for
purposes of collecting credentials data only require:
(1) the uniform hospital credentials form;
(2) the uniform hospital recredentials form;
(3) the uniform updating forms; and
(4) any additional credentials data requested.
(f) Each health care entity and health care plan shall
complete the process of verifying a health care professional's
credentials data in a timely fashion and shall complete the
process of credentialing or recredentialing of the health care
professional within 60 days after submission of all credentials
data and completion of verification of the credentials data.
(g) Each health care professional shall provide any
corrections, updates, and modifications to his or her
credentials data to ensure that all credentials data on the
health care professional remains current. Such corrections,
updates, and modifications shall be provided within 5 business
days for State health care professional license revocation,
federal Drug Enforcement Agency license revocation, Medicare
or Medicaid sanctions, revocation of hospital privileges, any
lapse in professional liability coverage required by a health
care entity, health care plan, or hospital, or conviction of a

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felony, and within 45 days for any other change in the
information from the date the health care professional knew of
the change. All updates shall be made on the uniform updating
forms developed by the Department.
(h) Any credentials data collected or obtained by the
health care entity, health care plan, or hospital shall be
confidential and privileged, as provided by law, and otherwise
may not be redisclosed without written consent of the health
care professional, except that in any proceeding to challenge
credentialing or recredentialing, or in any judicial review,
the claim of confidentiality shall not be invoked to deny a
health care professional, health care entity, health care plan,
or hospital access to or use of credentials data. Nothing in
this Section prevents a health care entity, health care plan,
or hospital from disclosing any credentials data to its
officers, directors, employees, agents, subcontractors,
medical staff members, any committee of the health care entity,
health care plan, or hospital involved in the credentialing
process, or accreditation bodies or licensing agencies.
However, any redisclosure of credentials data contrary to this
Section is prohibited.
(i) Nothing in this Act shall be construed to restrict the
right of any health care entity, health care plan or hospital
to request additional information necessary for credentialing
or recredentialing.
(j) Nothing in this Act shall be construed to restrict in

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any way the authority of any health care entity, health care
plan or hospital to approve, suspend or deny an application for
hospital staff membership, clinical privileges, or managed
care network participation.
(k) Nothing in this Act shall be construed to prohibit
delegation of credentialing and recredentialing activities as
long as the delegated entity follows the requirements set forth
in this Act.
(l) Nothing in this Act shall be construed to require any
health care entity or health care plan to credential or survey
any health care professional.
(m) Nothing in this Act prohibits a hospital from granting
disaster privileges pursuant to the provisions of Section 10.4
of the Hospital Licensing Act. When a hospital grants disaster
privileges pursuant to Section 10.4 of the Hospital Licensing
Act, that hospital is not required to collect credentials data
pursuant to this Act.
(Source: P.A. 92-193, eff. 1-1-02; 93-829, eff. 7-28-04.)
Section 99. Effective date. This Act takes effect upon
becoming law.