Bill Text: IL HB5549 | 2023-2024 | 103rd General Assembly | Engrossed

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Bill Title: Amends the Emergency Medical Services (EMS) Systems Act. Provides for the re-designation of trauma centers to include Level III Trauma Centers and for designation of Acute Injury Stabilization Centers. Sets forth minimum standard requirements for trauma centers and Acute Injury Stabilization Centers. Makes conforming changes. Adds a representative from a pediatric critical care center to the members of the State Emergency Medical Services Advisory Council. Adds a burn care medical representative to the members of the State Trauma Advisory Council. Effective immediately.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced) 2024-04-19 - Rule 19(a) / Re-referred to Rules Committee [HB5549 Detail]

Download: Illinois-2023-HB5549-Engrossed.html

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AN ACT concerning regulation.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Emergency Medical Services (EMS) Systems
Act is amended by changing Sections 3.30, 3.90, 3.95, 3.100,
3.105, 3.110, 3.115, 3.140, 3.200, and 3.205 and by adding
Sections 3.101, 3.102, and 3.106 as follows:
(210 ILCS 50/3.30)
Sec. 3.30. EMS Region Plan; Content.
(a) The EMS Medical Directors Committee shall address at
least the following:
(1) Protocols for inter-System/inter-Region patient
transports, including identifying the conditions of
emergency patients which may not be transported to the
different levels of emergency department, based on their
Department classifications and relevant Regional
considerations (e.g. transport times and distances);
(2) Regional standing medical orders;
(3) Patient transfer patterns, including criteria for
determining whether a patient needs the specialized
services of a trauma center, along with protocols for the
bypassing of or diversion to any hospital, trauma center
or regional trauma center which are consistent with

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individual System bypass or diversion protocols and
protocols for patient choice or refusal;
(4) Protocols for resolving Regional or Inter-System
conflict;
(5) An EMS disaster preparedness plan which includes
the actions and responsibilities of all EMS participants
within the Region. Within 90 days of the effective date of
this amendatory Act of 1996, an EMS System shall submit to
the Department for review an internal disaster plan. At a
minimum, the plan shall include contingency plans for the
transfer of patients to other facilities if an evacuation
of the hospital becomes necessary due to a catastrophe,
including but not limited to, a power failure;
(6) Regional standardization of continuing education
requirements;
(7) Regional standardization of Do Not Resuscitate
(DNR) policies, and protocols for power of attorney for
health care;
(8) Protocols for disbursement of Department grants;
(9) Protocols for the triage, treatment, and transport
of possible acute stroke patients; and
(10) Regional standing medical orders for the
administration of opioid antagonists.
(b) The Trauma Center Medical Directors or Trauma Center
Medical Directors Committee shall address at least the
following:

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(1) The identification of Regional Trauma Centers;
(2) Protocols for inter-System and inter-Region trauma
patient transports, including identifying the conditions
of emergency patients which may not be transported to the
different levels of emergency department, based on their
Department classifications and relevant Regional
considerations (e.g. transport times and distances);
(3) Regional trauma standing medical orders;
(4) Trauma patient transfer patterns, including
criteria for determining whether a patient needs the
specialized services of a trauma center, along with
protocols for the bypassing of or diversion to any
hospital, trauma center or regional trauma center which
are consistent with individual System bypass or diversion
protocols and protocols for patient choice or refusal;
(5) The identification of which types of patients can
be cared for by Level I Trauma Centers, and Level II Trauma
Centers, and Level III Trauma Centers;
(6) Criteria for inter-hospital transfer of trauma
patients;
(7) The treatment of trauma patients in each trauma
center within the Region;
(8) A program for conducting a quarterly conference
which shall include at a minimum a discussion of morbidity
and mortality between all professional staff involved in
the care of trauma patients;

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(9) The establishment of a Regional trauma quality
assurance and improvement subcommittee, consisting of
trauma surgeons, which shall perform periodic medical
audits of each trauma center's trauma services, and
forward tabulated data from such reviews to the
Department; and
(10) The establishment, within 90 days of the
effective date of this amendatory Act of 1996, of an
internal disaster plan, which shall include, at a minimum,
contingency plans for the transfer of patients to other
facilities if an evacuation of the hospital becomes
necessary due to a catastrophe, including but not limited
to, a power failure.
(c) The Region's EMS Medical Directors and Trauma Center
Medical Directors Committees shall appoint any subcommittees
which they deem necessary to address specific issues
concerning Region activities.
(Source: P.A. 99-480, eff. 9-9-15.)
(210 ILCS 50/3.90)
Sec. 3.90. Trauma Center Designations.
(a) "Trauma Center" means a hospital which: (1) within
designated capabilities provides optimal care to trauma
patients; (2) participates in an approved EMS System; and (3)
is duly designated pursuant to the provisions of this Act.
Level I Trauma Centers shall provide all essential services

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in-house, 24 hours per day, in accordance with rules adopted
by the Department pursuant to this Act. 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, 24 hours per day, in accordance with rules
adopted by the Department pursuant to this Act.
(a-5) An Acute Injury Stabilization Center shall have a
basic or comprehensive emergency department capable of initial
management and transfer of the acutely injured in accordance
with rules adopted by the Department pursuant to this Act.
(b) The Department shall have the authority and
responsibility to:
(1) Establish and enforce minimum standards for
designation and re-designation of 3 levels of trauma
centers that meet trauma center national standards, as
modified by the Department in administrative rules as a
Level I or Level II Trauma Center, consistent with
Sections 22 and 23 of this Act, through rules adopted
pursuant to this Act;
(2) Require hospitals applying for trauma center
designation to submit a plan for designation in a manner
and form prescribed by the Department through rules
adopted pursuant to this Act;
(3) Upon receipt of a completed plan for designation,
conduct a site visit to inspect the hospital for
compliance with the Department's minimum standards. Such

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visit shall be conducted by specially qualified personnel
with experience in the delivery of emergency medical
and/or trauma care. A report of the inspection shall be
provided to the Director within 30 days of the completion
of the site visit. The report shall note compliance or
lack of compliance with the individual standards for
designation, but shall not offer a recommendation on
granting or denying designation;
(4) Designate applicant hospitals as Level I, or Level
II, or Level III Trauma Centers which meet the minimum
standards established by this Act and the Department. The
Beginning September 1, 1997 the Department shall designate
a new trauma center only when a local or regional need for
such trauma center has been identified. The Department
shall request an assessment of local or regional need from
the applicable EMS Region's Trauma Center Medical
Directors Committee, with advice from the Regional Trauma
Advisory Committee. This shall not be construed as a needs
assessment for health planning or other purposes outside
of this Act;
(5) Attempt to designate trauma centers in all areas
of the State. There shall be at least one Level I Trauma
Center serving each EMS Region, unless waived by the
Department. This subsection shall not be construed to
require a Level I Trauma Center to be located in each EMS
Region. Level I Trauma Centers shall serve as resources

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for the Level II and Level III Trauma Centers and Acute
Injury Stabilization Centers in the EMS Regions. The
extent of such relationships shall be defined in the EMS
Region Plan;
(6) Inspect designated trauma centers to assure
compliance with the provisions of this Act and the rules
adopted pursuant to this Act. Information received by the
Department through filed reports, inspection, or as
otherwise authorized under this Act shall not be disclosed
publicly in such a manner as to identify individuals or
hospitals, except in proceedings involving the denial,
suspension or revocation of a trauma center designation or
imposition of a fine on a trauma center;
(7) Renew trauma center designations every 2 years,
after an on-site inspection, based on compliance with
renewal requirements and standards for continuing
operation, as prescribed by the Department through rules
adopted pursuant to this Act;
(8) Refuse to issue or renew a trauma center
designation, after providing an opportunity for a hearing,
when findings show that it does not meet the standards and
criteria prescribed by the Department;
(9) Review and determine whether a trauma center's
annual morbidity and mortality rates for trauma patients
significantly exceed the State average for such rates,
using a uniform recording methodology based on nationally

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recognized standards. Such determination shall be
considered as a factor in any decision by the Department
to renew or refuse to renew a trauma center designation
under this Act, but shall not constitute the sole basis
for refusing to renew a trauma center designation;
(10) Take the following action, as appropriate, after
determining that a trauma center is in violation of this
Act or any rule adopted pursuant to this Act:
(A) If the Director determines that the violation
presents a substantial probability that death or
serious physical harm will result and if the trauma
center fails to eliminate the violation immediately or
within a fixed period of time, not exceeding 10 days,
as determined by the Director, the Director may
immediately revoke the trauma center designation. The
trauma center may appeal the revocation within 15 days
after receiving the Director's revocation order, by
requesting a hearing as provided by Section 29 of this
Act. The Director shall notify the chair of the
Region's Trauma Center Medical Directors Committee and
EMS Medical Directors for appropriate EMS Systems of
such trauma center designation revocation;
(B) If the Director determines that the violation
does not present a substantial probability that death
or serious physical harm will result, the Director
shall issue a notice of violation and request a plan of

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correction which shall be subject to the Department's
approval. The trauma center shall have 10 days after
receipt of the notice of violation in which to submit a
plan of correction. The Department may extend this
period for up to 30 days. The plan shall include a
fixed time period not in excess of 90 days within which
violations are to be corrected. The plan of correction
and the status of its implementation by the trauma
center shall be provided, as appropriate, to the EMS
Medical Directors for appropriate EMS Systems. If the
Department rejects a plan of correction, it shall send
notice of the rejection and the reason for the
rejection to the trauma center. The trauma center
shall have 10 days after receipt of the notice of
rejection in which to submit a modified plan. If the
modified plan is not timely submitted, or if the
modified plan is rejected, the trauma center shall
follow an approved plan of correction imposed by the
Department. If, after notice and opportunity for
hearing, the Director determines that a trauma center
has failed to comply with an approved plan of
correction, the Director may suspend or revoke the
trauma center designation. The trauma center shall
have 15 days after receiving the Director's notice in
which to request a hearing. Such hearing shall conform
to the provisions of Section 3.135 30 of this Act;

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(11) The Department may delegate authority to local
health departments in jurisdictions which include a
substantial number of trauma centers. The delegated
authority to those local health departments shall include,
but is not limited to, the authority to designate trauma
centers with final approval by the Department, maintain a
regional data base with concomitant reporting of trauma
registry data, and monitor, inspect and investigate trauma
centers within their jurisdiction, in accordance with the
requirements of this Act and the rules promulgated by the
Department;
(A) The Department shall monitor the performance
of local health departments with authority delegated
pursuant to this Section, based upon performance
criteria established in rules promulgated by the
Department;
(B) Delegated authority may be revoked for
substantial non-compliance with the Act or the
Department's rules. Notice of an intent to revoke
shall be served upon the local health department by
certified mail, stating the reasons for revocation and
offering an opportunity for an administrative hearing
to contest the proposed revocation. The request for a
hearing must be in writing and received by the
Department within 10 working days of the local health
department's receipt of notification;

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(C) The director of a local health department may
relinquish its delegated authority upon 60 days
written notification to the Director of Public Health.
(Source: P.A. 89-177, eff. 7-19-95.)
(210 ILCS 50/3.95)
Sec. 3.95. Level I Trauma Center Minimum Standards. The
Department shall establish, through rules adopted pursuant to
this Act, standards for Level I Trauma Centers which shall
include, but need not be limited to:
(a) The designation by the trauma center of a Trauma
Center Medical Director and specification of his
qualifications;
(b) The types of surgical services the trauma center must
have available for trauma patients, including but not limited
to a twenty-four hour in-house surgeon with operating
privileges and ancillary staff necessary for immediate
surgical intervention;
(c) The types of nonsurgical services the trauma center
must have available for trauma patients;
(d) The numbers and qualifications of emergency medical
personnel;
(e) The types of equipment that must be available to
trauma patients;
(f) Requiring the trauma center to be affiliated with an
EMS System;

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(g) Requiring the trauma center to have a communications
system that is fully integrated with all Level II Trauma
Centers, Level III Trauma Centers, Acute Injury Stabilization
Centers, and EMS Systems with which it is affiliated;
(h) The types of data the trauma center must collect and
submit to the Department relating to the trauma services it
provides. Such data may include information on post-trauma
care directly related to the initial traumatic injury provided
to trauma patients until their discharge from the facility and
information on discharge plans;
(i) Requiring the trauma center to have helicopter landing
capabilities approved by appropriate State and federal
authorities, if the trauma center is located within a
municipality having a population of less than two million
people; and
(j) Requiring written agreements with Level II Trauma
Centers, Level III Trauma Centers, and Acute Injury
Stabilization Centers in the EMS Regions it serves, executed
within a reasonable time designated by the Department.
(Source: P.A. 89-177, eff. 7-19-95.)
(210 ILCS 50/3.100)
Sec. 3.100. Level II Trauma Center Minimum Standards. The
Department shall establish, through rules adopted pursuant to
this Act, standards for Level II Trauma Centers which shall
include, but need not be limited to:

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(a) The designation by the trauma center of a Trauma
Center Medical Director and specification of his
qualifications;
(b) The types of surgical services the trauma center must
have available for trauma patients. The Department shall not
require the availability of all surgical services required of
Level I Trauma Centers;
(c) The types of nonsurgical services the trauma center
must have available for trauma patients;
(d) The numbers and qualifications of emergency medical
personnel, taking into consideration the more limited trauma
services available in a Level II Trauma Center;
(e) The types of equipment that must be available for
trauma patients;
(f) Requiring the trauma center to have a written
agreement with a Level I Trauma Centers, Level III Trauma
Centers, and Acute Injury Stabilization Centers Center serving
the EMS Region outlining their respective responsibilities in
providing trauma services, executed within a reasonable time
designated by the Department, unless the requirement for a
Level I Trauma Center to serve that EMS Region has been waived
by the Department;
(g) Requiring the trauma center to be affiliated with an
EMS System;
(h) Requiring the trauma center to have a communications
system that is fully integrated with the Level I Trauma

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Centers, Level III Trauma Centers, Acute Injury Stabilization
Centers, and the EMS Systems with which it is affiliated;
(i) The types of data the trauma center must collect and
submit to the Department relating to the trauma services it
provides. Such data may include information on post-trauma
care directly related to the initial traumatic injury provided
to trauma patients until their discharge from the facility and
information on discharge plans;
(j) Requiring the trauma center to have helicopter landing
capabilities approved by appropriate State and federal
authorities, if the trauma center is located within a
municipality having a population of less than two million
people.
(Source: P.A. 89-177, eff. 7-19-95.)
(210 ILCS 50/3.101 new)
Sec. 3.101. Level III Trauma Center minimum standards. The
Department shall establish, through rules adopted under this
Act, standards for Level III Trauma Centers that shall
include, but need not be limited to:
(1) the designation by the trauma center of a Trauma
Center Medical Director and specification of his or her
qualifications;
(2) the types of surgical services the trauma center
must have available for trauma patients; the Department
shall not require the availability of all surgical

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services required of Level I or Level II Trauma Centers;
(3) the types of nonsurgical services the trauma
center must have available for trauma patients;
(4) the numbers and qualifications of emergency
medical personnel, taking into consideration the more
limited trauma services available in a Level III Trauma
Center;
(5) the types of equipment that must be available for
trauma patients;
(6) requiring the trauma center to have a written
agreement with Level I Trauma Centers, Level II Trauma
Centers, and Acute Injury Stabilization Centers serving
the EMS Region outlining their respective responsibilities
in providing trauma services, executed within a reasonable
time designated by the Department, unless the requirement
for a Level I Trauma Center to serve that EMS Region has
been waived by the Department;
(7) requiring the trauma center to be affiliated with
an EMS System;
(8) requiring the trauma center to have a
communications system that is fully integrated with the
Level I Trauma Centers, Level II Trauma Centers, Acute
Injury Stabilization Centers, and the EMS Systems with
which it is affiliated;
(9) the types of data the trauma center must collect
and submit to the Department relating to the trauma

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services it provides; such data may include information on
post-trauma care directly related to the initial traumatic
injury provided to trauma patients until their discharge
from the facility and information on discharge plans; and
(10) requiring the trauma center to have helicopter
landing capabilities approved by appropriate State and
federal authorities if the trauma center is located within
a municipality having a population of less than 2,000,000
people.
(210 ILCS 50/3.102 new)
Sec. 3.102. Acute Injury Stabilization Center minimum
standards. The Department shall establish, through rules
adopted pursuant to this Act, standards for Acute Injury
Stabilization Centers, which shall include, but need not be
limited to, Comprehensive or Basic Emergency Department
services pursuant to the Hospital Licensing Act.
(210 ILCS 50/3.105)
Sec. 3.105. Trauma Center Misrepresentation. No After the
effective date of this amendatory Act of 1995, no facility
shall use the phrase "trauma center" or words of similar
meaning in relation to itself or hold itself out as a trauma
center without first obtaining designation pursuant to this
Act.
(Source: P.A. 89-177, eff. 7-19-95.)

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(210 ILCS 50/3.106 new)
Sec. 3.106. Acute Injury Stabilization Center
misrepresentation. No facility shall use the phrase "Acute
Injury Stabilization Center" or words of similar meaning in
relation to itself or hold itself out as an Acute Injury
Stabilization Center without first obtaining designation
pursuant to this Act.
(210 ILCS 50/3.110)
Sec. 3.110. EMS system and trauma center confidentiality
and immunity.
(a) All information contained in or relating to any
medical audit performed of a trauma center's trauma services
or an Acute Injury Stabilization Center pursuant to this Act
or by an EMS Medical Director or his designee of medical care
rendered by System personnel, shall be afforded the same
status as is provided information concerning medical studies
in Article VIII, Part 21 of the Code of Civil Procedure.
Disclosure of such information to the Department pursuant to
this Act shall not be considered a violation of Article VIII,
Part 21 of the Code of Civil Procedure.
(b) Hospitals, trauma centers and individuals that perform
or participate in medical audits pursuant to this Act shall be
immune from civil liability to the same extent as provided in
Section 10.2 of the Hospital Licensing Act.

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(c) All information relating to the State Emergency
Medical Services Disciplinary Review Board or a local review
board, except final decisions, shall be afforded the same
status as is provided information concerning medical studies
in Article VIII, Part 21 of the Code of Civil Procedure.
Disclosure of such information to the Department pursuant to
this Act shall not be considered a violation of Article VIII,
Part 21 of the Code of Civil Procedure.
(Source: P.A. 92-651, eff. 7-11-02.)
(210 ILCS 50/3.115)
Sec. 3.115. Pediatric care. Pediatric Trauma. The Director
shall appoint an advisory council to make recommendations for
pediatric care needs and develop strategies to address areas
of need as defined in rules adopted by the Department.
The Department shall:
(1) develop or promote recommendations for continuing
medical education, treatment guidelines, and other
programs for health practitioners and organizations
involved in pediatric care;
(2) support existing pediatric care programs and
assist in establishing new pediatric care initiatives
throughout the State;
(3) designate applicant hospitals that meet the
minimum standards established by the Department for their
pediatric emergency and critical care capabilities.

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Upon the availability of federal funds for pediatric care
demonstration projects, the Department shall:
(a) Convene a work group which will be charged with
conducting a needs assessment of pediatric trauma care and
with developing strategies to correct areas of need;
(b) Contract with the University of Illinois School of
Public Health to develop a secondary prevention program for
parents;
(c) Contract with an Illinois medical school to develop
training and continuing medical education programs for
physicians and nurses in treatment of pediatric trauma;
(d) Contract with an Illinois medical school to develop
and test triage and field scoring for pediatric trauma if the
needs assessment by the work group indicates that current
scoring is inadequate;
(e) Support existing pediatric trauma programs and assist
in establishing new pediatric trauma programs throughout the
State;
(f) Provide grants to EMS systems for special pediatric
equipment for prehospital care based on needs identified by
the work group; and
(g) Provide grants to EMS systems and trauma centers for
specialized training in pediatric trauma based on needs
identified by the work group.
(Source: P.A. 89-177, eff. 7-19-95.)

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(210 ILCS 50/3.140)
Sec. 3.140. Violations; Fines.
(a) The Department shall have the authority to impose
fines on any licensed vehicle service provider, stretcher van
provider, designated trauma center, Acute Injury Stabilization
Center, resource hospital, associate hospital, or
participating hospital.
(b) The Department shall adopt rules pursuant to this Act
which establish a system of fines related to the type and level
of violation or repeat violation, including, but not limited
to:
(1) A fine not exceeding $10,000 for each a violation
which created a condition or occurrence presenting a
substantial probability that death or serious harm to an
individual will or did result therefrom; and
(2) A fine not exceeding $5,000 for each a violation
which creates or created a condition or occurrence which
threatens the health, safety or welfare of an individual.
(c) A Notice of Intent to Impose Fine may be issued in
conjunction with or in lieu of a Notice of Intent to Suspend,
Revoke, Nonrenew or Deny, and shall conform to the
requirements specified in Section 3.130(d) of this Act. All
Hearings conducted pursuant to a Notice of Intent to Impose
Fine shall conform to the requirements specified in Section
3.135 of this Act.
(d) All fines collected pursuant to this Section shall be

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deposited into the EMS Assistance Fund.
(Source: P.A. 98-973, eff. 8-15-14.)
(210 ILCS 50/3.200)
Sec. 3.200. State Emergency Medical Services Advisory
Council.
(a) There shall be established within the Department of
Public Health a State Emergency Medical Services Advisory
Council, which shall serve as an advisory body to the
Department on matters related to this Act.
(b) Membership of the Council shall include one
representative from each EMS Region, to be appointed by each
region's EMS Regional Advisory Committee. The Governor shall
appoint additional members to the Council as necessary to
insure that the Council includes one representative from each
of the following categories:
(1) EMS Medical Director,
(2) Trauma Center Medical Director,
(3) Licensed, practicing physician with regular and
frequent involvement in the provision of emergency care,
(4) Licensed, practicing physician with special
expertise in the surgical care of the trauma patient,
(5) EMS System Coordinator,
(6) TNS,
(7) Paramedic,
(7.5) A-EMT,

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(8) EMT-I,
(9) EMT,
(10) Private vehicle service provider,
(11) Law enforcement officer,
(12) Chief of a public vehicle service provider,
(13) Statewide firefighters' union member affiliated
with a vehicle service provider,
(14) Administrative representative from a fire
department vehicle service provider in a municipality with
a population of over 2 million people, ;
(15) Administrative representative from a Resource
Hospital or EMS System Administrative Director, and .
(16) Representative from a pediatric critical care
center.
(c) Members shall be appointed for a term of 3 years. All
appointees shall serve until their successors are appointed
and qualified.
(d) The Council shall be provided a 90-day period in which
to review and comment, in consultation with the subcommittee
to which the rules are relevant, upon all rules proposed by the
Department pursuant to this Act, except for rules adopted
pursuant to Section 3.190(a) of this Act, rules submitted to
the State Trauma Advisory Council and emergency rules adopted
pursuant to Section 5-45 of the Illinois Administrative
Procedure Act. The 90-day review and comment period may
commence upon the Department's submission of the proposed

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rules to the individual Council members, if the Council is not
meeting at the time the proposed rules are ready for Council
review. Any non-emergency rules adopted prior to the Council's
90-day review and comment period shall be null and void. If the
Council fails to advise the Department within its 90-day
review and comment period, the rule shall be considered acted
upon.
(e) Council members shall be reimbursed for reasonable
travel expenses incurred during the performance of their
duties under this Section.
(f) The Department shall provide administrative support to
the Council for the preparation of the agenda and minutes for
Council meetings and distribution of proposed rules to Council
members.
(g) The Council shall act pursuant to bylaws which it
adopts, which shall include the annual election of a Chair and
Vice-Chair.
(h) The Director or his designee shall be present at all
Council meetings.
(i) Nothing in this Section shall preclude the Council
from reviewing and commenting on proposed rules which fall
under the purview of the State Trauma Advisory Council.
(Source: P.A. 98-973, eff. 8-15-14.)
(210 ILCS 50/3.205)
Sec. 3.205. State Trauma Advisory Council.

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(a) There shall be established within the Department of
Public Health a State Trauma Advisory Council, which shall
serve as an advisory body to the Department on matters related
to trauma care and trauma centers.
(b) Membership of the Council shall include one
representative from each Regional Trauma Advisory Committee,
to be appointed by each Committee. The Governor shall appoint
the following additional members:
(1) An EMS Medical Director,
(2) A trauma center medical director,
(3) A trauma surgeon,
(4) A trauma nurse coordinator,
(5) A representative from a private vehicle service
provider,
(6) A representative from a public vehicle service
provider,
(7) A member of the State EMS Advisory Council, and
(8) (Blank), and A neurosurgeon.
(9) A burn care medical representative.
The Governor may appoint a neurosurgeon to the membership
of the Council.
(c) Members shall be appointed for a term of 3 years. All
appointees shall serve until their successors are appointed
and qualified.
(d) The Council shall be provided a 90-day period in which
to review and comment upon all rules proposed by the

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Department pursuant to this Act concerning trauma care, except
for emergency rules adopted pursuant to Section 5-45 of the
Illinois Administrative Procedure Act. The 90-day review and
comment period may commence upon the Department's submission
of the proposed rules to the individual Council members, if
the Council is not meeting at the time the proposed rules are
ready for Council review. Any non-emergency rules adopted
prior to the Council's 90-day review and comment period shall
be null and void. If the Council fails to advise the Department
within its 90-day review and comment period, the rule shall be
considered acted upon;
(e) Council members shall be reimbursed for reasonable
travel expenses incurred during the performance of their
duties under this Section.
(f) The Department shall provide administrative support to
the Council for the preparation of the agenda and minutes for
Council meetings and distribution of proposed rules to Council
members.
(g) The Council shall act pursuant to bylaws which it
adopts, which shall include the annual election of a Chair and
Vice-Chair.
(h) The Director or his designee shall be present at all
Council meetings.
(i) Nothing in this Section shall preclude the Council
from reviewing and commenting on proposed rules which fall
under the purview of the State EMS Advisory Council.

HB5549 Engrossed - 26 - LRB103 36438 CES 66540 b
(Source: P.A. 98-973, eff. 8-15-14.)