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HB5494 • 2026
STROKE CARE MODERNIZATION
This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.
Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.
STROKE CARE MODERNIZATION
These notes stay tied to the official amendment files and metadata from the legislature.
Plain English: Illinois General Assembly - Full Text of HB5494 Select Language × The Illinois General Assembly offers the Google Translate™ service for visitor convenience.
Sent to the Governor
Third Reading - Passed; 056-000-000
Passed Both Houses
Added as Alternate Co-Sponsor Sen. Mike Porfirio
Added as Alternate Co-Sponsor Sen. Adriane Johnson
Added as Alternate Chief Co-Sponsor Sen. Michael E. Hastings
Added as Alternate Co-Sponsor Sen. Lakesia Collins
Second Reading
Placed on Calendar Order of 3rd Reading May 18, 2026
Added as Alternate Chief Co-Sponsor Sen. Jason Plummer
Do Pass Public Health ; 009-000-000
Placed on Calendar Order of 2nd Reading May 7, 2026
Chief Senate Sponsor Sen. John F. Curran
First Reading
Referred to Assignments
Assigned to Public Health
Alternate Chief Sponsor Changed to Sen. Chris Balkema
Arrive in Senate
Placed on Calendar Order of First Reading April 28, 2026
House Floor Amendment No. 1 Adopted
Placed on Calendar Order of 3rd Reading - Short Debate
Third Reading - Short Debate - Passed 112-000-000
Added Co-Sponsor Rep. Michael Crawford
Added Co-Sponsor Rep. Nicolle Grasse
Added Co-Sponsor Rep. Debbie Meyers-Martin
House Floor Amendment No. 1 Recommends Be Adopted Health Care Licenses Committee ; 012-000-000
House Floor Amendment No. 1 Rules Refers to Health Care Licenses Committee
House Floor Amendment No. 1 Filed with Clerk by Rep. Barbara Hernandez
House Floor Amendment No. 1 Referred to Rules Committee
Second Reading - Short Debate
Held on Calendar Order of Second Reading - Short Debate
Do Pass / Short Debate Health Care Licenses Committee ; 015-000-000
Placed on Calendar 2nd Reading - Short Debate
Assigned to Health Care Licenses Committee
First Reading
Referred to Rules Committee
Filed with the Clerk by Rep. Barbara Hernandez
STROKE CARE MODERNIZATION
Illinois General Assembly - Full Text of HB5494 Select Language × The Illinois General Assembly offers the Google Translate™ service for visitor convenience. In no way should it be considered accurate as to the translation of any content herein. Visitors of the Illinois General Assembly website are encouraged to use other translation services available on the internet. The English language version is always the official and authoritative version of this website. NOTE: To return to the original English language version, select the "Show Original" button on the Google Translate™ menu bar at the top of the window. 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Full Text of HB5494 Home Legislation Full Text HB5494 - 104th General Assembly Bill Status Full Text Votes Witness Slips Select Menu Bill Status Full Text Votes Witness Slips Printer Friendly Version Introduced Engrossed Enrolled House Amendment 001 Printer Friendly Version Introduced Engrossed Enrolled House Amendment 001 Open PDF HB5494 Enrolled LRB104 20079 BAB 33530 b 1 AN ACT concerning regulation. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Emergency Medical Services (EMS) Systems 5 Act is amended by changing Sections 3.116, 3.117, 3.117.5, 6 3.118, and 3.118.5 as follows: 7 (210 ILCS 50/3.116) 8 Sec. 3.116. Hospital Stroke Care; definitions. As used in 9 Sections 3.116 through 3.119, 3.130, and 3.200 of this Act: 10 "Acute Stroke-Ready Hospital" means a hospital that has 11 been designated by the Department as meeting the criteria for 12 providing emergent stroke care. Designation may be provided 13 after a hospital has been certified or through application and 14 designation as such. 15 "Certification" or "certified" means certification, using 16 evidence-based standards, from a nationally recognized 17 certifying body approved by the Department. 18 "Comprehensive Stroke Center" means a hospital that has 19 been certified and has been designated as such. 20 "Designation" or "designated" means the Department's 21 recognition of a hospital as a Comprehensive Stroke Center, 22 Primary Stroke Center, or Acute Stroke-Ready Hospital. 23 "Emergent stroke care" is emergency medical care that HB5494 Enrolled - 2 - LRB104 20079 BAB 33530 b 1 includes diagnosis and emergency medical treatment of acute 2 stroke patients. 3 "Emergent Stroke Ready Hospital" means a hospital that has 4 been designated by the Department as meeting the criteria for 5 providing emergent stroke care. 6 "Primary Stroke Center" means a hospital that has been 7 certified by a Department-approved, nationally recognized 8 certifying body and designated as such by the Department. 9 "Primary Stroke Center Plus" means a hospital that has 10 been certified by a Department-approved, nationally recognized 11 certifying body and designated as such by the Department. 12 "Regional Stroke Advisory Subcommittee" means a 13 subcommittee formed within each Regional EMS Advisory 14 Committee to advise the Director and the Region's EMS Medical 15 Directors Committee on the triage, treatment, and transport of 16 possible acute stroke patients and to select the Region's 17 representative to the State Stroke Advisory Subcommittee. At 18 minimum, the Regional Stroke Advisory Subcommittee shall 19 consist of: one representative from the EMS Medical Directors 20 Committee; one EMS coordinator from a Resource Hospital; one 21 administrative representative or his or her designee from each 22 level of stroke care , including Comprehensive Stroke Centers 23 within the Region, if any, Thrombectomy Capable Stroke Centers 24 within the Region, if any, Thrombectomy Ready Stroke Centers 25 within the Region, if any, Primary Stroke Centers Plus within 26 the Region, if any, Primary Stroke Centers within the Region, HB5494 Enrolled - 3 - LRB104 20079 BAB 33530 b 1 if any, and Acute Stroke-Ready Hospitals within the Region, if 2 any ; one physician from each level of stroke care, including 3 one physician who is a neurologist or who provides advanced 4 stroke care at a Comprehensive Stroke Center in the Region , if 5 any, one physician who is a neurologist or who provides acute 6 stroke care at a Thrombectomy Capable Stroke Center within the 7 Region, if any, a Thrombectomy Ready Stroke Center within the 8 Region, if any, or a Primary Stroke Center Plus in the Region, 9 if any, one physician who is a neurologist or who provides 10 acute stroke care at a Primary Stroke Center in the Region, if 11 any, and one physician who provides acute stroke care at an 12 Acute Stroke-Ready Hospital in the Region, if any ; one nurse 13 practicing in each level of stroke care , including one nurse 14 from a Comprehensive Stroke Center in the Region, if any, one 15 nurse from a Thrombectomy Capable Stroke Center, if any, a 16 Thrombectomy Ready Stroke Center within the Region, if any, or 17 a Primary Stroke Center Plus in the Region, if any, one nurse 18 from a Primary Stroke Center in the Region, if any, and one 19 nurse from an Acute Stroke-Ready Hospital in the Region, if 20 any ; one representative from both a public and a private 21 vehicle service provider that transports possible acute stroke 22 patients within the Region; the State-designated regional EMS 23 Coordinator; and a fire chief or his or her designee from the 24 EMS Region, if the Region serves a population of more than 25 2,000,000. The Regional Stroke Advisory Subcommittee shall 26 establish bylaws to ensure equal membership that rotates and HB5494 Enrolled - 4 - LRB104 20079 BAB 33530 b 1 clearly delineates committee responsibilities and structure. 2 Of the members first appointed, one-third shall be appointed 3 for a term of one year, one-third shall be appointed for a term 4 of 2 years, and the remaining members shall be appointed for a 5 term of 3 years. The terms of subsequent appointees shall be 3 6 years. 7 "State Stroke Advisory Subcommittee" means a standing 8 advisory body within the State Emergency Medical Services 9 Advisory Council. 10 "Stroke certification" or "stroke-certified" means 11 certification, using evidence-based standards, from a 12 nationally recognized certifying body approved by the 13 Department. 14 "Thrombectomy Capable Stroke Center" means a hospital that 15 has been certified by a Department-approved, nationally 16 recognized certifying body and designated as such by the 17 Department. 18 "Thrombectomy Ready Stroke Center" means a hospital that 19 has been certified by a Department-approved, nationally 20 recognized certifying body and designated as such by the 21 Department. 22 (Source: P.A. 102-687, eff. 12-17-21; 103-149, eff. 1-1-24; 23 103-363, eff. 7-28-23; 103-605, eff. 7-1-24.) 24 (210 ILCS 50/3.117) 25 Sec. 3.117. Hospital designations. HB5494 Enrolled - 5 - LRB104 20079 BAB 33530 b 1 (a) The Department shall attempt to designate Primary 2 Stroke Centers in all areas of the State. 3 (1) The Department shall designate as many certified 4 Primary Stroke Centers as apply for that designation 5 provided they are certified by a nationally recognized 6 certifying body, approved by the Department, and 7 certification criteria are consistent with the most 8 current nationally recognized, evidence-based stroke 9 guidelines related to reducing the occurrence, 10 disabilities, and death associated with stroke. 11 (2) A hospital certified as a Primary Stroke Center by 12 a nationally recognized certifying body approved by the 13 Department, shall send a copy of the Certificate and 14 annual fee to the Department and shall be deemed, within 15 30 business days of its receipt by the Department, to be a 16 State-designated Primary Stroke Center. 17 (3) A center designated as a Primary Stroke Center 18 shall pay an annual fee as determined by the Department 19 that shall be no less than $100 and no greater than $500. 20 All fees shall be deposited into the Stroke Data 21 Collection Fund. 22 (3.5) With respect to a hospital that is a designated 23 Primary Stroke Center, the Department shall have the 24 authority and responsibility to do the following: 25 (A) Suspend or revoke a hospital's Primary Stroke 26 Center designation upon receiving notice that the HB5494 Enrolled - 6 - LRB104 20079 BAB 33530 b 1 hospital's Primary Stroke Center certification has 2 lapsed or has been revoked by the State recognized 3 certifying body. 4 (B) Suspend a hospital's Primary Stroke Center 5 designation, in extreme circumstances where patients 6 may be at risk for immediate harm or death, until such 7 time as the certifying body investigates and makes a 8 final determination regarding certification. 9 (C) Restore any previously suspended or revoked 10 Department designation upon notice to the Department 11 that the certifying body has confirmed or restored the 12 Primary Stroke Center certification of that previously 13 designated hospital. 14 (D) Suspend a hospital's Primary Stroke Center 15 designation at the request of a hospital seeking to 16 suspend its own Department designation. 17 (4) Primary Stroke Center designation shall remain 18 valid at all times while the hospital maintains its 19 certification as a Primary Stroke Center, in good 20 standing, with the certifying body. The duration of a 21 Primary Stroke Center designation shall coincide with the 22 duration of its Primary Stroke Center certification. Each 23 designated Primary Stroke Center shall have its 24 designation automatically renewed upon the Department's 25 receipt of a copy of the accrediting body's certification 26 renewal. HB5494 Enrolled - 7 - LRB104 20079 BAB 33530 b 1 (5) A hospital that no longer meets nationally 2 recognized, evidence-based standards for Primary Stroke 3 Centers, or loses its Primary Stroke Center certification, 4 or has any change to its designation level shall notify 5 the Department and the Regional EMS Advisory Committee 6 within 5 business days. 7 (a-5) The Department shall attempt to designate 8 Comprehensive Stroke Centers in all areas of the State. 9 (1) The Department shall designate as many certified 10 Comprehensive Stroke Centers as apply for that 11 designation, provided that the Comprehensive Stroke 12 Centers are certified by a nationally recognized 13 certifying body approved by the Department, and provided 14 that the certifying body's certification criteria are 15 consistent with the most current nationally recognized and 16 evidence-based stroke guidelines for reducing the 17 occurrence of stroke and the disabilities and death 18 associated with stroke. 19 (2) A hospital certified as a Comprehensive Stroke 20 Center shall send a copy of the Certificate and annual fee 21 to the Department and shall be deemed, within 30 business 22 days of its receipt by the Department, to be a 23 State-designated Comprehensive Stroke Center. 24 (3) A hospital designated as a Comprehensive Stroke 25 Center shall pay an annual fee as determined by the 26 Department that shall be no less than $100 and no greater HB5494 Enrolled - 8 - LRB104 20079 BAB 33530 b 1 than $500. All fees shall be deposited into the Stroke 2 Data Collection Fund. 3 (4) With respect to a hospital that is a designated 4 Comprehensive Stroke Center, the Department shall have the 5 authority and responsibility to do the following: 6 (A) Suspend or revoke the hospital's Comprehensive 7 Stroke Center designation upon receiving notice that 8 the hospital's Comprehensive Stroke Center 9 certification has lapsed or has been revoked by the 10 State recognized certifying body. 11 (B) Suspend the hospital's Comprehensive Stroke 12 Center designation, in extreme circumstances in which 13 patients may be at risk for immediate harm or death, 14 until such time as the certifying body investigates 15 and makes a final determination regarding 16 certification. 17 (C) Restore any previously suspended or revoked 18 Department designation upon notice to the Department 19 that the certifying body has confirmed or restored the 20 Comprehensive Stroke Center certification of that 21 previously designated hospital. 22 (D) Suspend the hospital's Comprehensive Stroke 23 Center designation at the request of a hospital 24 seeking to suspend its own Department designation. 25 (5) Comprehensive Stroke Center designation shall 26 remain valid at all times while the hospital maintains its HB5494 Enrolled - 9 - LRB104 20079 BAB 33530 b 1 certification as a Comprehensive Stroke Center, in good 2 standing, with the certifying body. The duration of a 3 Comprehensive Stroke Center designation shall coincide 4 with the duration of its Comprehensive Stroke Center 5 certification. Each designated Comprehensive Stroke Center 6 shall have its designation automatically renewed upon the 7 Department's receipt of a copy of the certifying body's 8 certification renewal. 9 (6) A hospital that no longer meets nationally 10 recognized, evidence-based standards for Comprehensive 11 Stroke Centers, or loses its Comprehensive Stroke Center 12 certification, shall notify the Department and the 13 Regional EMS Advisory Committee within 5 business days. 14 (a-7) The Department shall attempt to designate 15 Thrombectomy Capable Stroke Centers, Thrombectomy Ready Stroke 16 Centers, and Primary Stroke Centers Plus in all areas of the 17 State according to the following requirements: 18 (1) The Department shall designate as many certified 19 Thrombectomy Capable Stroke Centers, Thrombectomy Ready 20 Stroke Centers, and Primary Stroke Centers Plus as apply 21 for that designation, provided that the body certifying 22 the facility uses certification criteria consistent with 23 the most current nationally recognized and evidence-based 24 stroke guidelines for reducing the occurrence of strokes 25 and the disabilities and death associated with strokes. 26 (2) A Thrombectomy Capable Stroke Center, Thrombectomy HB5494 Enrolled - 10 - LRB104 20079 BAB 33530 b 1 Ready Stroke Center, or Primary Stroke Center Plus shall 2 send a copy of the certificate of its designation and 3 annual fee to the Department and shall be deemed, within 4 30 business days after its receipt by the Department, to 5 be a State-designated Thrombectomy Capable Stroke Center, 6 Thrombectomy Ready Stroke Center, or Primary Stroke Center 7 Plus. 8 (3) A Thrombectomy Capable Stroke Center, Thrombectomy 9 Ready Stroke Center, or Primary Stroke Center Plus shall 10 pay an annual fee as determined by the Department that 11 shall be no less than $100 and no greater than $500. All 12 fees collected under this paragraph shall be deposited 13 into the Stroke Data Collection Fund. 14 (4) With respect to a Thrombectomy Capable Stroke 15 Center, Thrombectomy Ready Stroke Center, or Primary 16 Stroke Center Plus, the Department shall: 17 (A) suspend or revoke the Thrombectomy Capable 18 Stroke Center, Thrombectomy Ready Stroke Center, or 19 Primary Stroke Center Plus designation upon receiving 20 notice that the Thrombectomy Capable Stroke Center's, 21 Thrombectomy Ready Stroke Center's, or Primary Stroke 22 Center Plus's certification has lapsed or has been 23 revoked by its certifying body; 24 (B) in extreme circumstances in which patients may 25 be at risk for immediate harm or death, suspend the 26 Thrombectomy Capable Stroke Center's, Thrombectomy HB5494 Enrolled - 11 - LRB104 20079 BAB 33530 b 1 Ready Stroke Center's, or Primary Stroke Center Plus's 2 designation until its certifying body investigates the 3 circumstances and makes a final determination 4 regarding its certification; 5 (C) restore any previously suspended or revoked 6 Department designation upon notice to the Department 7 that the certifying body has confirmed or restored the 8 Thrombectomy Capable Stroke Center's, Thrombectomy 9 Ready Stroke Center's, or Primary Stroke Center Plus's 10 certification; and 11 (D) suspend the Thrombectomy Capable Stroke 12 Center's, Thrombectomy Ready Stroke Center's, or 13 Primary Stroke Center Plus's designation at the 14 request of a facility seeking to suspend its own 15 Department designation. 16 (5) A Thrombectomy Capable Stroke Center, Thrombectomy 17 Ready Stroke Center, or Primary Stroke Center Plus 18 designation shall remain valid at all times while the 19 facility maintains its certification as a Thrombectomy 20 Capable Stroke Center, Thrombectomy Ready Stroke Center, 21 or Primary Stroke Center Plus and is in good standing with 22 the certifying body. The duration of a Thrombectomy 23 Capable Stroke Center, Thrombectomy Ready Stroke Center, 24 or Primary Stroke Center Plus designation shall be the 25 same as the duration of its Thrombectomy Capable Stroke 26 Center, Thrombectomy Ready Stroke Center, or Primary HB5494 Enrolled - 12 - LRB104 20079 BAB 33530 b 1 Stroke Center Plus certification. Each designated 2 Thrombectomy Capable Stroke Center, Thrombectomy Ready 3 Stroke Center, or Primary Stroke Center Plus shall have 4 its designation automatically renewed upon the 5 Department's receipt of a copy of the certifying body's 6 renewal of the certification. 7 (6) A hospital that no longer meets the criteria for 8 Thrombectomy Capable Stroke Centers, Thrombectomy Ready 9 Stroke Centers, or Primary Stroke Centers Plus, or loses 10 its Thrombectomy Capable Stroke Center, Thrombectomy Ready 11 Stroke Center, or Primary Stroke Center Plus 12 certification, shall notify the Department and the 13 Regional EMS Advisory Committee of the situation within 5 14 business days after being made aware of it. 15 (b) The Department shall consult with the State Stroke 16 Advisory Subcommittee for the adoption or deletion of approved 17 stroke designation levels. The approved stroke designation 18 levels shall coincide with the stroke designation levels 19 recognized by Department-approved certifying bodies. Beginning 20 on the first day of the month that begins 12 months after the 21 adoption of rules authorized by this subsection, the 22 Department shall attempt to designate hospitals as Acute 23 Stroke-Ready Hospitals in all areas of the State. Designation 24 may be approved by the Department after a hospital has been 25 certified as an Acute Stroke-Ready Hospital or through 26 application and designation by the Department. For any HB5494 Enrolled - 13 - LRB104 20079 BAB 33530 b 1 hospital that is designated as an Emergent Stroke Ready 2 Hospital at the time that the Department begins the 3 designation of Acute Stroke-Ready Hospitals, the Emergent 4 Stroke Ready designation shall remain intact for the duration 5 of the 12-month period until that designation expires. Until 6 the Department begins the designation of hospitals as Acute 7 Stroke-Ready Hospitals, hospitals may achieve Emergent Stroke 8 Ready Hospital designation utilizing the processes and 9 criteria provided in Public Act 96-514. 10 (1) (Blank). 11 (2) Hospitals may apply for, and receive, Acute 12 Stroke-Ready Hospital designation from the Department, 13 provided that the hospital attests, on a form developed by 14 the Department in consultation with the State Stroke 15 Advisory Subcommittee, that it meets, and will continue to 16 meet, the criteria for Acute Stroke-Ready Hospital 17 designation and pays an annual fee. 18 A hospital designated as an Acute Stroke-Ready 19 Hospital shall pay an annual fee as determined by the 20 Department that shall be no less than $100 and no greater 21 than $500. All fees shall be deposited into the Stroke 22 Data Collection Fund. 23 (2.5) A hospital may apply for, and receive, Acute 24 Stroke-Ready Hospital designation from the Department, 25 provided that the hospital provides proof of current Acute 26 Stroke-Ready Hospital certification and the hospital pays HB5494 Enrolled - 14 - LRB104 20079 BAB 33530 b 1 an annual fee. 2 (A) Acute Stroke-Ready Hospital designation shall 3 remain valid at all times while the hospital maintains 4 its certification as an Acute Stroke-Ready Hospital, 5 in good standing, with the certifying body. 6 (B) The duration of an Acute Stroke-Ready Hospital 7 designation shall coincide with the duration of its 8 Acute Stroke-Ready Hospital certification. 9 (C) Each designated Acute Stroke-Ready Hospital 10 shall have its designation automatically renewed upon 11 the Department's receipt of a copy of the certifying 12 body's certification renewal and Application for 13 Stroke Center Designation form. 14 (D) A hospital must submit a copy of its 15 certification renewal from the certifying body as soon 16 as practical but no later than 30 business days after 17 that certification is received by the hospital. Upon 18 the Department's receipt of the renewal certification, 19 the Department shall renew the hospital's Acute 20 Stroke-Ready Hospital designation. 21 (E) A hospital designated as an Acute Stroke-Ready 22 Hospital shall pay an annual fee as determined by the 23 Department that shall be no less than $100 and no 24 greater than $500. All fees shall be deposited into 25 the Stroke Data Collection Fund. 26 (3) Hospitals seeking Acute Stroke-Ready Hospital HB5494 Enrolled - 15 - LRB104 20079 BAB 33530 b 1 designation that do not have certification shall develop 2 policies and procedures that are consistent with 3 nationally recognized, evidence-based protocols for the 4 provision of emergent stroke care. Hospital policies 5 relating to emergent stroke care and stroke patient 6 outcomes shall be reviewed at least annually, or more 7 often as needed, by a hospital committee that oversees 8 quality improvement. Adjustments shall be made as 9 necessary to advance the quality of stroke care delivered. 10 Criteria for Acute Stroke-Ready Hospital designation of 11 hospitals shall be limited to the ability of a hospital 12 to: 13 (A) create written acute care protocols related to 14 emergent stroke care; 15 (A-5) participate in the data collection system 16 provided in Section 3.118, if available; 17 (B) maintain a written transfer agreement with one 18 or more hospitals that have neurosurgical expertise; 19 (C) designate a Clinical Director of Stroke Care 20 who shall be a clinical member of the hospital staff 21 with training or experience, as defined by the 22 facility, in the care of patients with cerebrovascular 23 disease. This training or experience may include, but 24 is not limited to, completion of a fellowship or other 25 specialized training in the area of cerebrovascular 26 disease, attendance at national courses, or prior HB5494 Enrolled - 16 - LRB104 20079 BAB 33530 b 1 experience in neuroscience intensive care units. The 2 Clinical Director of Stroke Care may be a neurologist, 3 neurosurgeon, emergency medicine physician, internist, 4 radiologist, advanced practice registered nurse, or 5 physician assistant; 6 (C-5) provide rapid access to an acute stroke 7 team, as defined by the facility, that considers and 8 reflects nationally recognized, evidence-based 9 protocols or guidelines; 10 (D) administer thrombolytic therapy, or 11 subsequently developed medical therapies that meet 12 nationally recognized, evidence-based stroke 13 guidelines; 14 (E) conduct brain image tests at all times; 15 (F) conduct blood coagulation studies at all 16 times; 17 (G) maintain a log of stroke patients, which shall 18 be available for review upon request by the Department 19 or any hospital that has a written transfer agreement 20 with the Acute Stroke-Ready Hospital; 21 (H) admit stroke patients to a unit that can 22 provide appropriate care that considers and reflects 23 nationally recognized, evidence-based protocols or 24 guidelines or transfer stroke patients to an Acute 25 Stroke-Ready Hospital, Primary Stroke Center, or 26 Comprehensive Stroke Center, or another facility that HB5494 Enrolled - 17 - LRB104 20079 BAB 33530 b 1 can provide the appropriate care that considers and 2 reflects nationally recognized, evidence-based 3 protocols or guidelines; and 4 (I) demonstrate compliance with nationally 5 recognized quality indicators. 6 (4) With respect to Acute Stroke-Ready Hospital 7 designation, the Department shall have the authority and 8 responsibility to do the following: 9 (A) Require hospitals applying for Acute 10 Stroke-Ready Hospital designation to attest, on a form 11 developed by the Department in consultation with the 12 State Stroke Advisory Subcommittee, that the hospital 13 meets, and will continue to meet, the criteria for an 14 Acute Stroke-Ready Hospital. 15 (A-5) Require hospitals applying for Acute 16 Stroke-Ready Hospital designation via national Acute 17 Stroke-Ready Hospital certification to provide proof 18 of current Acute Stroke-Ready Hospital certification, 19 in good standing. 20 The Department shall require a hospital that is 21 already certified as an Acute Stroke-Ready Hospital to 22 send a copy of the Certificate to the Department. 23 Within 30 business days of the Department's 24 receipt of a hospital's Acute Stroke-Ready Certificate 25 and Application for Stroke Center Designation form 26 that indicates that the hospital is a certified Acute HB5494 Enrolled - 18 - LRB104 20079 BAB 33530 b 1 Stroke-Ready Hospital, in good standing, the hospital 2 shall be deemed a State-designated Acute Stroke-Ready 3 Hospital. The Department shall send a designation 4 notice to each hospital that it designates as an Acute 5 Stroke-Ready Hospital and shall add the names of 6 designated Acute Stroke-Ready Hospitals to the website 7 listing immediately upon designation. The Department 8 shall immediately remove the name of a hospital from 9 the website listing when a hospital loses its 10 designation after notice and, if requested by the 11 hospital, a hearing. 12 The Department shall develop an Application for 13 Stroke Center Designation form that contains a 14 statement that "The above named facility meets the 15 requirements for Acute Stroke-Ready Hospital 16 Designation as provided in Section 3.117 of the 17 Emergency Medical Services (EMS) Systems Act" and 18 shall instruct the applicant facility to provide: the 19 hospital name and address; the hospital CEO or 20 Administrator's typed name and signature; the hospital 21 Clinical Director of Stroke Care's typed name and 22 signature; and a contact person's typed name, email 23 address, and phone number. 24 The Application for Stroke Center Designation form 25 shall contain a statement that instructs the hospital 26 to "Provide proof of current Acute Stroke-Ready HB5494 Enrolled - 19 - LRB104 20079 BAB 33530 b 1 Hospital certification from a nationally recognized 2 certifying body approved by the Department". 3 (B) Designate a hospital as an Acute Stroke-Ready 4 Hospital no more than 30 business days after receipt 5 of an attestation that meets the requirements for 6 attestation, unless the Department, within 30 days of 7 receipt of the attestation, chooses to conduct an 8 onsite survey prior to designation. If the Department 9 chooses to conduct an onsite survey prior to 10 designation, then the onsite survey shall be conducted 11 within 90 days of receipt of the attestation. 12 (C) Require annual written attestation, on a form 13 developed by the Department in consultation with the 14 State Stroke Advisory Subcommittee, by Acute 15 Stroke-Ready Hospitals to indicate compliance with 16 Acute Stroke-Ready Hospital criteria, as described in 17 this Section, and automatically renew Acute 18 Stroke-Ready Hospital designation of the hospital. 19 (D) Issue an Emergency Suspension of Acute 20 Stroke-Ready Hospital designation when the Director, 21 or his or her designee, has determined that the 22 hospital no longer meets the Acute Stroke-Ready 23 Hospital criteria and an immediate and serious danger 24 to the public health, safety, and welfare exists. If 25 the Acute Stroke-Ready Hospital fails to eliminate the 26 violation immediately or within a fixed period of HB5494 Enrolled - 20 - LRB104 20079 BAB 33530 b 1 time, not exceeding 10 days, as determined by the 2 Director, the Director may immediately revoke the 3 Acute Stroke-Ready Hospital designation. The Acute 4 Stroke-Ready Hospital may appeal the revocation within 5 15 business days after receiving the Director's 6 revocation order, by requesting an administrative 7 hearing. 8 (E) After notice and an opportunity for an 9 administrative hearing, suspend, revoke, or refuse to 10 renew an Acute Stroke-Ready Hospital designation, when 11 the Department finds the hospital is not in 12 substantial compliance with current Acute Stroke-Ready 13 Hospital criteria. 14 (c) The Department shall consult with the State Stroke 15 Advisory Subcommittee for developing the designation, 16 re-designation, and de-designation processes of all stroke 17 designation levels recognized by the Department for 18 Comprehensive Stroke Centers, Thrombectomy Capable Stroke 19 Centers, Thrombectomy Ready Stroke Centers, Primary Stroke 20 Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready 21 Hospitals . 22 (d) The Department shall consult with the State Stroke 23 Advisory Subcommittee as subject matter experts at least 24 annually regarding stroke standards of care. 25 (Source: P.A. 103-149, eff. 1-1-24; 104-417, eff. 8-15-25.) HB5494 Enrolled - 21 - LRB104 20079 BAB 33530 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 4 of Comprehensive Stroke Centers , Thrombectomy Capable Stroke 5 Centers, Thrombectomy Ready Stroke Centers, Primary Stroke 6 Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready 7 Hospitals throughout the State, the Director may award, 8 subject to appropriation, matching grants to hospitals to be 9 used for the acquisition and maintenance of necessary 10 infrastructure, including personnel, equipment, and 11 pharmaceuticals for the diagnosis and treatment of acute 12 stroke patients. Grants may be used to pay the fee for 13 certifications by Department approved nationally recognized 14 certifying bodies or to provide additional training for 15 directors of stroke care or for hospital staff. 16 (b) The Director may award grant moneys to Comprehensive 17 Stroke Centers , Thrombectomy Capable Stroke Centers, 18 Thrombectomy Ready Stroke Centers, Primary Stroke Centers 19 Plus, Primary Stroke Centers, and Acute Stroke-Ready Hospitals 20 for developing or enlarging stroke networks, for stroke 21 education, and to enhance the ability of the EMS System to 22 respond to possible acute stroke patients. 23 (c) A Comprehensive Stroke Center , Thrombectomy Capable 24 Stroke Center, Thrombectomy Ready Stroke Center, Primary 25 Stroke Center Plus, Primary Stroke Center, or Acute 26 Stroke-Ready Hospital, or a hospital seeking certification as HB5494 Enrolled - 22 - LRB104 20079 BAB 33530 b 1 a Comprehensive Stroke Center, Thrombectomy Capable Stroke 2 Center, Thrombectomy Ready Stroke Center, Primary Stroke 3 Center Plus, Primary Stroke Center, or Acute Stroke-Ready 4 Hospital or designation as an Acute Stroke-Ready Hospital, may 5 apply to the Director for a matching grant in a manner and form 6 specified by the Director and shall provide information as the 7 Director deems necessary to determine whether the hospital is 8 eligible for the grant. 9 (d) Matching grant awards shall be made to Comprehensive 10 Stroke Centers , Thrombectomy Capable Stroke Centers, 11 Thrombectomy Ready Stroke Centers, Primary Stroke Centers 12 Plus, Primary Stroke Centers, Acute Stroke-Ready Hospitals, or 13 hospitals seeking certification or designation as a 14 Comprehensive Stroke Center, Thrombectomy Capable Stroke 15 Center, Thrombectomy Ready Stroke Center, Primary Stroke 16 Center Plus, Primary Stroke Center, or Acute Stroke-Ready 17 Hospital . The Department may consider prioritizing grant 18 awards to hospitals in areas with the highest incidence of 19 stroke, taking into account geographic diversity, where 20 possible. 21 (Source: P.A. 102-687, eff. 12-17-21; 103-149, eff. 1-1-24 .) 22 (210 ILCS 50/3.118) 23 Sec. 3.118. Reporting. 24 (a) The Director shall, not later than July 1, 2012, 25 prepare and submit to the Governor and the General Assembly a HB5494 Enrolled - 23 - LRB104 20079 BAB 33530 b 1 report indicating the total number of hospitals that have 2 applied for grants, the project for which the application was 3 submitted, the number of those applicants that have been found 4 eligible for the grants, the total number of grants awarded, 5 the name and address of each grantee, and the amount of the 6 award issued to each grantee. 7 (b) By July 1, 2010, the Director shall send the list of 8 designated Comprehensive Stroke Centers , Thrombectomy Capable 9 Stroke Centers, Thrombectomy Ready Stroke Centers, Primary 10 Stroke Centers Plus, Primary Stroke Centers, and Acute 11 Stroke-Ready Hospitals to all Resource Hospital EMS Medical 12 Directors in this State and shall post a list of designated 13 Comprehensive Stroke Centers and Department-approved stroke 14 levels , Thrombectomy Capable Stroke Centers, Thrombectomy 15 Ready Stroke Centers, Primary Stroke Centers Plus, Primary 16 Stroke Centers, and Acute Stroke-Ready Hospitals on the 17 Department's website, which shall be continuously updated. 18 (c) The Department shall add the names of designated 19 Comprehensive Stroke Centers , Thrombectomy Capable Stroke 20 Centers, Thrombectomy Ready Stroke Centers, Primary Stroke 21 Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready 22 Hospitals to the website listing immediately upon designation 23 and shall immediately remove the name when a hospital loses 24 its designation after notice and a hearing. 25 (d) Stroke data collection systems and all stroke-related 26 data collected from hospitals shall comply with the following HB5494 Enrolled - 24 - LRB104 20079 BAB 33530 b 1 requirements: 2 (1) The confidentiality of patient records shall be 3 maintained in accordance with State and federal laws. 4 (2) Hospital proprietary information and the names of 5 any hospital administrator, health care professional, or 6 employee shall not be subject to disclosure. 7 (3) Information submitted to the Department shall be 8 privileged and strictly confidential and shall be used 9 only for the evaluation and improvement of hospital stroke 10 care. Stroke data collected by the Department shall not be 11 directly available to the public and shall not be subject 12 to civil subpoena, nor discoverable or admissible in any 13 civil, criminal, or administrative proceeding against a 14 health care facility or health care professional. 15 (e) The Department may administer a data collection system 16 to collect data that is already reported by designated 17 Comprehensive Stroke Centers , Thrombectomy Capable Stroke 18 Centers, Thrombectomy Ready Stroke Centers, Primary Stroke 19 Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready 20 Hospitals to their certifying body, to fulfill certification 21 requirements. Comprehensive Stroke Centers, Thrombectomy 22 Capable Stroke Centers, Thrombectomy Ready Stroke Centers, 23 Primary Stroke Centers Plus, Primary Stroke Centers, and Acute 24 Stroke-Ready Hospitals may provide data used in submission to 25 their current Stroke certifying body . The data collection 26 system may be used , to satisfy any Department reporting HB5494 Enrolled - 25 - LRB104 20079 BAB 33530 b 1 requirements. The Department shall establish reporting 2 requirements for designated Stroke Centers to capture 3 information using new or existing electronic reporting tools 4 for statewide data collection and certification purposes. 5 Submission of such data elements shall be in a format that is 6 used statewide The Department may require submission of data 7 elements in a format that is used State-wide. In the event the 8 Department establishes reporting requirements for designated 9 Comprehensive Stroke Centers, Thrombectomy Capable Stroke 10 Centers, Thrombectomy Ready Stroke Centers, Primary Stroke 11 Centers Plus, Primary Stroke Centers, and Acute Stroke-Ready 12 Hospitals, the Department shall permit each designated 13 Comprehensive Stroke Center, Thrombectomy Capable Stroke 14 Centers, Thrombectomy Ready Stroke Centers, Primary Stroke 15 Centers Plus, Primary Stroke Center, or Acute Stroke-Ready 16 Hospital to capture information using existing electronic 17 reporting tools used for certification purposes . Nothing in 18 this Section shall be construed to empower the Department to 19 specify the form of internal recordkeeping. Three years from 20 the effective date of this amendatory Act of the 96th General 21 Assembly, the The Department may post the collected stroke 22 data submitted by Comprehensive Stroke Centers , Thrombectomy 23 Capable Stroke Centers, Thrombectomy Ready Stroke Centers, 24 Primary Stroke Centers Plus, Primary Stroke Centers, and Acute 25 Stroke-Ready Hospitals on its website, subject to the 26 following: HB5494 Enrolled - 26 - LRB104 20079 BAB 33530 b 1 (1) Data collection and analytical methodologies shall 2 be used that meet accepted standards of validity and 3 reliability before any information is made available to 4 the public. 5 (2) The limitations of the data sources and analytic 6 methodologies used to develop comparative hospital 7 information shall be clearly identified and acknowledged, 8 including, but not limited to, the appropriate and 9 inappropriate uses of the data. 10 (3) To the greatest extent possible, comparative 11 hospital information initiatives shall use standard-based 12 norms derived from widely accepted provider-developed 13 practice guidelines. 14 (4) Comparative hospital information and other 15 information that the Department has compiled regarding 16 hospitals shall be shared with the hospitals under review 17 prior to public dissemination of the information. 18 Hospitals have 30 days to make corrections and to add 19 helpful explanatory comments about the information before 20 the publication. 21 (5) Comparisons among hospitals shall adjust for 22 patient case mix and other relevant risk factors and 23 control for provider peer groups, when appropriate. 24 (6) Effective safeguards to protect against the 25 unauthorized use or disclosure of hospital information 26 shall be developed and implemented. HB5494 Enrolled - 27 - LRB104 20079 BAB 33530 b 1 (7) Effective safeguards to protect against the 2 dissemination of inconsistent, incomplete, invalid, 3 inaccurate, or subjective hospital data shall be developed 4 and implemented. 5 (8) The quality and accuracy of hospital information 6 reported under this Act and its data collection, analysis, 7 and dissemination methodologies shall be evaluated 8 regularly. 9 (9) None of the information the Department discloses 10 to the public under this Act may be used to establish a 11 standard of care in a private civil action. 12 (10) The Department shall disclose information under 13 this Section in accordance with provisions for inspection 14 and copying of public records required by the Freedom of 15 Information Act, provided that the information satisfies 16 the provisions of this Section. 17 (11) Notwithstanding any other provision of law, under 18 no circumstances shall the Department disclose information 19 obtained from a hospital that is confidential under Part 20 21 of Article VIII of the Code of Civil Procedure. 21 (12) No hospital report or Department disclosure may 22 contain information identifying a patient, employee, or 23 licensed professional. 24 (Source: P.A. 103-149, eff. 1-1-24 .) 25 (210 ILCS 50/3.118.5) HB5494 Enrolled - 28 - LRB104 20079 BAB 33530 b 1 Sec. 3.118.5. State Stroke Advisory Subcommittee; triage 2 and transport of possible acute stroke patients. 3 (a) There shall be established within the State Emergency 4 Medical Services Advisory Council, or other statewide body 5 responsible for emergency health care, a standing State Stroke 6 Advisory Subcommittee, which shall serve as an advisory body 7 to the Council and the Department on matters related to the 8 triage, treatment, and transport of possible acute stroke 9 patients. Membership on the Committee shall be as 10 geographically diverse as possible and include one 11 representative from each Regional Stroke Advisory 12 Subcommittee, to be chosen by each Regional Stroke Advisory 13 Subcommittee. The Director shall appoint additional members, 14 as needed, to ensure there is adequate representation from the 15 following: 16 (1) an EMS Medical Director; 17 (2) a hospital administrator, or designee, from a 18 Comprehensive Stroke Center; 19 (2.5) a hospital administrator, or designee, from a 20 Thrombectomy Capable Stroke Center, Thrombectomy Ready 21 Stroke Center, or Primary Stroke Center Plus; 22 (3) a hospital administrator, or designee, from a 23 Primary Stroke Center; 24 (3.5) a hospital administrator, or designee, from an 25 Acute Stroke-Ready Hospital; 26 (3.10) a registered nurse from a Comprehensive Stroke HB5494 Enrolled - 29 - LRB104 20079 BAB 33530 b 1 Center; 2 (3.15) a registered nurse from a Thrombectomy Capable 3 Stroke Center, Thrombectomy Ready Stroke Center, or 4 Primary Stroke Center Plus; 5 (4) a registered nurse from a Primary Stroke Center; 6 (5) a registered nurse from an Acute Stroke-Ready 7 Hospital; 8 (5.5) a physician providing advanced stroke care from 9 a Comprehensive Stroke center; 10 (5.10) a physician providing stroke care from a 11 Thrombectomy Capable Stroke Center, Thrombectomy Ready 12 Stroke Center, or Primary Stroke Center Plus; 13 (6) a physician providing stroke care from a Primary 14 Stroke Center; 15 (7) a physician providing stroke care from an Acute 16 Stroke-Ready Hospital; 17 (8) an EMS Coordinator; 18 (9) an acute stroke patient advocate; 19 (10) a fire chief, or designee, from an EMS Region 20 that serves a population of over 2,000,000 people; 21 (11) a fire chief, or designee, from a rural EMS 22 Region; 23 (12) a representative from a private ambulance 24 provider; 25 (12.5) a representative from a municipal EMS provider; 26 and HB5494 Enrolled - 30 - LRB104 20079 BAB 33530 b 1 (13) a representative from the State Emergency Medical 2 Services Advisory Council. 3 (b) Of the members first appointed, 9 members shall be 4 appointed for a term of one year, 9 members shall be appointed 5 for a term of 2 years, and the remaining members shall be 6 appointed for a term of 3 years. The terms of subsequent 7 appointees shall be 3 years. 8 (c) The State Stroke Advisory Subcommittee shall be 9 provided a 90-day period in which to review and comment upon 10 all rules proposed by the Department pursuant to this Act 11 concerning stroke care, except for emergency rules adopted 12 pursuant to Section 5-45 of the Illinois Administrative 13 Procedure Act. The 90-day review and comment period shall 14 commence prior to publication of the proposed rules and upon 15 the Department's submission of the proposed rules to the 16 individual Committee members, if the Committee is not meeting 17 at the time the proposed rules are ready for Committee review. 18 The Department shall give due consideration to any 19 recommendations submitted by the members of the State Stroke 20 Advisory Subcommittee and shall notify the Subcommittee in 21 writing of any recommendations that are not taken. The 22 Department shall retain such notices in accordance with the 23 Department's policies. 24 (d) The State Stroke Advisory Subcommittee shall develop 25 and submit an evidence-based statewide stroke assessment tool 26 to clinically evaluate potential stroke patients to the HB5494 Enrolled - 31 - LRB104 20079 BAB 33530 b 1 Department for final approval. Upon approval, the Department 2 shall disseminate the tool to all EMS Systems for adoption. 3 The Director shall post the Department-approved stroke 4 assessment tool on the Department's website. The State Stroke 5 Advisory Subcommittee shall review the Department-approved 6 stroke assessment tool at least annually to ensure its 7 clinical relevancy and to make changes when clinically 8 warranted. 9 (d-5) Each EMS Regional Stroke Advisory Subcommittee shall 10 submit recommendations for continuing education for 11 pre-hospital personnel to that Region's EMS Medical Directors 12 Committee. 13 (e) Nothing in this Section shall preclude the State 14 Stroke Advisory Subcommittee from reviewing and commenting on 15 proposed rules which fall under the purview of the State 16 Emergency Medical Services Advisory Council. Nothing in this 17 Section shall preclude the Emergency Medical Services Advisory 18 Council from reviewing and commenting on proposed rules which 19 fall under the purview of the State Stroke Advisory 20 Subcommittee. 21 (f) The Director shall coordinate with and assist the EMS 22 System Medical Directors and Regional Stroke Advisory 23 Subcommittee within each EMS Region to establish protocols 24 related to the assessment, treatment, and transport of 25 possible acute stroke patients by licensed emergency medical 26 services providers. These protocols shall include regional HB5494 Enrolled - 32 - LRB104 20079 BAB 33530 b 1 transport plans for the triage and transport of possible acute 2 stroke patients to the most appropriate Comprehensive Stroke 3 Center , Thrombectomy Capable Stroke Center, Thrombectomy Ready 4 Stroke Center, Primary Stroke Center Plus, Primary Stroke 5 Center, or Acute Stroke-Ready Hospital , unless circumstances 6 warrant otherwise. 7 (Source: P.A. 103-149, eff. 1-1-24 .) Footer Disclaimer This site is maintained for the Illinois General Assembly by the Legislative Information System, 705 Stratton Building, Springfield, Illinois 62706. Contact ILGA Webmaster ILGA.gov uses cookies to ensure you get the best experience on our website. By continuing to browse ILGA.gov you consent to our use of cookies. 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