Preventing and Controlling Multidrug-Resistant Organisms

Suggested State Legislation:  This Act requires the state department of public health to implement policies and procedures for health care providers and health care facilities in the state to help prevent and control Multidrug-Resistant Organisms (MDROs).

Submitted as:
Illinois
Public Act 095-0282
Status: Enacted into law in 2007.

Suggested State Legislation, 2009 Docket

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(Title, enacting clause, etc.)

Section 1. [Short Title.] 1 The Act shall be cited as “An Act to Help Prevent and Control Multidrug-Resistant Organisms.”

Section 2. [Definitions.] As used in this Act, “Multidrug-Resistant Organisms (MDROs)” include, but are not limited to, Methicillin-Resistant Staphylococcus Aureus (MRSA), Vancomycin-Resistant Enterococci (VRE) and certain Gram-Negative Bacilli (GNB), as these terms are referenced by the United States Centers for Disease Control and Prevention, and as revised by the [state department of public health] or United States Centers for Disease Control and Prevention.

Section 3. [Policies and Procedures to Help Prevent and Control MDROs.]
(A) In order to help prevent and control Multidrug-Resistant Organisms (MDROs), the [state department of public health] shall adopt administrative rules for health care facilities defined under [insert citation] and subject to licensure, certification, registration, or other regulation by the [state department of public health] that may require such facilities:
(1) perform an annual infection control risk assessment;
(2) develop infection control policies for MDROs which are based on the assessment under subdivision (A)(1), and incorporate, as appropriate, current recommendations from the U.S. Centers for Disease Control and Prevention to prevent and control MDROs, and
(3) enforce hand hygiene requirements.
(B) The [state department of public health] shall:
(1) publish guidelines to reduce the incidence of MDROs for health care providers, health care facilities, public health departments, prisons, jails, and the general public; and
(2) provide periodic reports and updates to public officials, health professionals, and the general public about new policies and procedures to prevent and manage infections from MDROs.

Section 4. [Hospitals and MDROs Prevention.]
(A) The [state university hospital] shall develop and implement comprehensive interventions to prevent and control MDROs and incorporate, as appropriate, current guidelines from the U.S. Centers for Disease Control and Prevention to manage MDROs in healthcare settings. The [state department of public health] 32 th] shall adopt administrative rules requiring the [state  university hospital] to perform an annual facility-wide MDROs Infection Control Risk Assessment and enforce hand hygiene and contact precaution requirements.
(B) All other hospitals in the state shall develop and implement comprehensive interventions to prevent and control (MDROs), and incorporate, as appropriate, current guidelines from the U.S. Centers for Disease Control and Prevention to manage MDROs in healthcare settings. The [state department of public health] shall adopt administrative rules requiring these hospitals to perform an annual facility-wide MDROs Infection Control Risk Assessment and enforce hand hygiene and contact precaution requirements.

Section 5. [Reporting Incidences of MDROs.] The [state department of public health] is authorized to require all hospitals, effective [insert date], to submit data about MDROs to the [state department of health] based on National Center for Health Statistics guidelines, in formats approved by the [state department of public health]. This data shall address, but is not limited to, MRSA and MDROs responsible for central Venous Catheter-Associated Bloodstream Infections and Ventilator-Associated Pneumonia in designated hospital units. The data reported under this section shall include the codes “present on admission” and “occurred during the stay.”

Section 6. [MRSA Surveillance.]
(A) The [state department of public health] shall implement surveillance for designated cases of community associated MRSA infections for at least [3] years, beginning on or before [January 1, 2008].
(B) The [state department of public health] shall publish an annual report about the number of MRSA and Clostridium Difficile infections based on a [Hospital Discharge Dataset] as defined under [insert citation], and include related information as deemed necessary by the [state department of public health].

Section 7. [Severability.] [Insert severability clause.]

Section 8. [Repealer.] [Insert repealer clause.]

Section 9. [Effective Date.] [Insert effective date.]