Rep. Norine K. Hammond

Filed: 4/2/2024

 

 


 

 


 
10300HB5000ham001LRB103 38511 CES 69972 a

1
AMENDMENT TO HOUSE BILL 5000

2    AMENDMENT NO. ______. Amend House Bill 5000 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Assisted Living and Shared Housing Act is
5amended by changing Section 75 as follows:
 
6    (210 ILCS 9/75)
7    Sec. 75. Residency requirements.
8    (a) No individual shall be accepted for residency or
9remain in residence if the establishment cannot provide or
10secure appropriate services, if the individual requires a
11level of service or type of service for which the
12establishment is not licensed or which the establishment does
13not provide, or if the establishment does not have the staff
14appropriate in numbers and with appropriate skill to provide
15such services.
16    (b) Only adults may be accepted for residency.

 

 

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1    (c) A person shall not be accepted for residency if:
2        (1) the person poses a serious threat to himself or
3    herself or to others;
4        (2) the person is not able to communicate his or her
5    needs and no resident representative residing in the
6    establishment, and with a prior relationship to the
7    person, has been appointed to direct the provision of
8    services;
9        (3) the person requires total assistance with 2 or
10    more activities of daily living;
11        (4) the person requires the assistance of more than
12    one paid caregiver at any given time with an activity of
13    daily living;
14        (5) the person requires more than minimal assistance
15    in moving to a safe area in an emergency;
16        (6) the person has a severe mental illness, which for
17    the purposes of this Section means a condition that is
18    characterized by the presence of a major mental disorder
19    as classified in the Diagnostic and Statistical Manual of
20    Mental Disorders, Fourth Edition (DSM-IV) (American
21    Psychiatric Association, 1994), where the individual is a
22    person with a substantial disability due to mental illness
23    in the areas of self-maintenance, social functioning,
24    activities of community living and work skills, and the
25    disability specified is expected to be present for a
26    period of not less than one year, but does not mean

 

 

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1    Alzheimer's disease and other forms of dementia based on
2    organic or physical disorders;
3        (7) the person requires intravenous therapy or
4    intravenous feedings unless self-administered or
5    administered by a qualified, licensed health care
6    professional;
7        (8) the person requires gastrostomy feedings unless
8    self-administered or administered by a licensed health
9    care professional;
10        (9) (blank); the person requires insertion, sterile
11    irrigation, and replacement of catheter, except for
12    routine maintenance of urinary catheters, unless the
13    catheter care is self-administered or administered by a
14    licensed health care professional;
15        (10) the person requires sterile wound care unless
16    care is self-administered or administered by a licensed
17    health care professional;
18        (11) (blank);
19        (12) the person is a diabetic requiring routine
20    insulin injections unless the injections are
21    self-administered or administered by a licensed health
22    care professional;
23        (13) the person requires treatment of stage 3 or stage
24    4 decubitus ulcers or exfoliative dermatitis;
25        (14) the person requires 5 or more skilled nursing
26    visits per week for conditions other than those listed in

 

 

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1    items (13) and (15) of this subsection for a period of 3
2    consecutive weeks or more except when the course of
3    treatment is expected to extend beyond a 3 week period for
4    rehabilitative purposes and is certified as temporary by a
5    physician; or
6        (15) other reasons prescribed by the Department by
7    rule.
8    (d) A resident with a condition listed in items (1)
9through (15) of subsection (c) shall have his or her residency
10terminated.
11    (e) Residency shall be terminated when services available
12to the resident in the establishment are no longer adequate to
13meet the needs of the resident. This provision shall not be
14interpreted as limiting the authority of the Department to
15require the residency termination of individuals.
16    (f) Subsection (d) of this Section shall not apply to
17terminally ill residents who receive or would qualify for
18hospice care and such care is coordinated by a hospice program
19licensed under the Hospice Program Licensing Act or other
20licensed health care professional employed by a licensed home
21health agency and the establishment and all parties agree to
22the continued residency.
23    (g) Items (3), (4), (5), and (9) of subsection (c) shall
24not apply to a quadriplegic, paraplegic, or individual with
25neuro-muscular diseases, such as muscular dystrophy and
26multiple sclerosis, or other chronic diseases and conditions

 

 

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1as defined by rule if the individual is able to communicate his
2or her needs and does not require assistance with complex
3medical problems, and the establishment is able to accommodate
4the individual's needs. The Department shall prescribe rules
5pursuant to this Section that address special safety and
6service needs of these individuals.
7    (h) For the purposes of items (7) through (10) of
8subsection (c), a licensed health care professional may not be
9employed by the owner or operator of the establishment, its
10parent entity, or any other entity with ownership common to
11either the owner or operator of the establishment or parent
12entity, including but not limited to an affiliate of the owner
13or operator of the establishment. Nothing in this Section is
14meant to limit a resident's right to choose his or her health
15care provider.
16    (i) Subsection (h) is not applicable to residents admitted
17to an assisted living establishment under a life care contract
18as defined in the Life Care Facilities Act if the life care
19facility has both an assisted living establishment and a
20skilled nursing facility. A licensed health care professional
21providing health-related or supportive services at a life care
22assisted living or shared housing establishment must be
23employed by an entity licensed by the Department under the
24Nursing Home Care Act or the Home Health, Home Services, and
25Home Nursing Agency Licensing Act.
26(Source: P.A. 103-444, eff. 1-1-24.)".