home > News and Publications > Publications
June 2015
In this Issue
  • ISMS to Governor Rauner: Veto Mandate for Hep C Screenings

  • ISMS sent a detailed letter to the Governor Rauner urging him to veto S.B. 661.

    The bill would require primary care physicians (including family physicians, general internists and ob/gyns), physician assistants and advanced practice nurses who provide primary care services to offer a one-time Hepatitis C screening to persons born between 1945 and 1965, if providing a "comprehensive physical examination." *

    The bill would also require all physicians to offer a one-time screening when blood is drawn during a comprehensive physical examination.   

    Essentially, S.B. 661 would mandate adherence to practice guidelines set forth by the U.S. Centers for Disease Control and Prevention (CDC), and the U.S. Preventive Services Task Force (USPSTF). While ISMS supports these guidelines, we remain vehemently opposed to inserting them into the statute. 


    • Since the CDC guidelines were published in 2012, patients diagnosed and treated for Hepatitis C cases have grown dramatically. Clearly, physicians and other health care professionals substantially increased screenings for Hepatitis C.
    • In 2012, PubMed published more than 7,500 clinical practice guidelines. And virtually every scientific and medical organization notes that guidelines have very specific purposes. But are we going to enact all of them into law?
    • A screening mandate would adversely impact Medicaid’s budget in Illinois. If even half of current Medicaid beneficiaries who are virus-positive were treated with the newer, more effective and significantly more expensive treatment regimens, the estimated cost comes in at $300 million.
    • S.B. 661 would also increase physicians' exposure to civil liability and professional discipline for unintended failure to comply with the law.  

    The letter clearly lays out the case that mandating clinical guidelines is flawed public policy and sets a bad precedent. ISMS will continue to inform and urge physicians to appropriately utilize the CDC and USPSTF guidelines as part of patient care. 

    Visit ISMS’ Hepatitis C webpage and our Legislative Action Hub for more details. 

    * A “comprehensive physical examination” is defined as a medical examination in which a health care practitioner takes a complete medical history to be used in the development of a comprehensive prevention and treatment plan, regardless of setting, including, but not limited to, a physician’s office, clinic, in-patient or out-patient facility.

View Full Site View Mobile Site