IEMA-OHS ERPS REGULATIONS

Illinois General Assembly - Full Text of HR0565

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Full Text of HR0565

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HR0565 - 104th General Assembly

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HR0565
LRB104 15968 ECR 29210 r
1
HOUSE RESOLUTION

2

WHEREAS, Interventional cardiologists, radiologists, and
3
other health care professionals in Illinois are routinely
4
exposed to scatter radiation during fluoroscopically guided
5
procedures, and they have long relied on heavy lead aprons for
6
personal protection; and

7

WHEREAS, Decades of reliance on wearable lead aprons have
8
caused a substantial burden of occupational injury, including
9
chronic back pain, spinal disc disease, joint degeneration,
10
and other serious orthopedic conditions that shorten careers
11
and diminish quality of life for health professionals; and

12

WHEREAS, It is estimated that between 10,000 and 12,000
13
Illinois health care professionals, including physicians,
14
nurses, and technologists, are required to wear lead aprons in
15
cardiac catheterization laboratories and interventional suites
16
on a routine basis, placing a large segment of the health
17
workforce at risk of such preventable injuries; and

18

WHEREAS, Current law in Illinois Administrative Code Title
19
32 Part 360 requires wearable protective garments as the
20
standard shielding for fluoroscopic procedures, which has the
21
effect of prohibiting hospitals and facilities from adopting
22
fully "lead-free" interventional labs; and

HR0565
- 2 -
LRB104 15968 ECR 29210 r
1

WHEREAS, New technology, known as Enhanced Radiation
2
Protection Systems (ERPS), provides non-wearable, externally
3
mounted radiation shielding that meets or exceeds the
4
protective equivalent of 0.5 millimeters of lead under
5
clinical use conditions while eliminating the long-term
6
orthopedic hazards associated with wearable lead garments; and

7

WHEREAS, Modernizing protective garment regulations to
8
allow the use of ERPS as an equivalent protective option would
9
permit Illinois facilities to implement lead-free labs while
10
maintaining or exceeding existing levels of radiation
11
protection without eliminating safety standards; and

12

WHEREAS, Several states, including Michigan, Colorado, and
13
Florida, have recently updated their medical radiation
14
protection regulations to provide a regulatory pathway for
15
ERPS adoption; and

16

WHEREAS, The Illinois Chapter of the American College of
17
Cardiology (IL-ACC) formally requested in a July letter to
18
IEMA-OHS to amend Part 360 in order to establish a clear
19
approval process for ERPS, supported by manufacturer data,
20
peer-reviewed studies, and facility-specific safety protocols;
21
and

HR0565
- 3 -
LRB104 15968 ECR 29210 r
1

WHEREAS, Other organizations that are members of the
2
Modern Radiation Policy Alliance, including the Society for
3
Cardiovascular Angiography & Interventions and the Illinois
4
Association of Orthopedic Surgeons, support the inclusion of
5
the amendments to allow for ERPS; and

6

WHEREAS, Protecting the health and longevity of Illinois'
7
frontline cardiovascular and interventional specialists is
8
critical in ensuring that patients across the State continue
9
to have access to life-saving procedures, and reducing
10
preventable workplace injuries will strengthen our health care
11
workforce at a time of increasing demand; and

12

WHEREAS, Updating Illinois' rules to accommodate ERPS will
13
better protect health care professionals, reduce workplace
14
injuries, and align Illinois' standards with peer
15
jurisdictions while preserving the core mission of patient
16
safety; therefore, be it

17

RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE ONE
18
HUNDRED FOURTH GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, that
19
we strongly urge the Illinois Emergency Management Agency -
20
Office of Homeland Security (IEMA-OHS) to heed the petition
21
and comments submitted by the Illinois Chapter of the American
22
College of Cardiology (IL-ACC) and supported by the Modern
23
Radiation Policy Alliance and to promulgate rules establishing

HR0565
- 4 -
LRB104 15968 ECR 29210 r
1
a pathway for the approval and safe use of Enhanced Radiation
2
Protection Systems (ERPS) in Illinois; and be it further

3

RESOLVED, That a suitable copy of this resolution be
4
delivered to the Acting Director of IEMA-OHS, the Joint
5
Committee on Administrative Rules, and the Governor of the
6
State of Illinois.

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