HB5000 EnrolledLRB103 38511 CES 68647 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Assisted Living and Shared Housing Act is
5amended by changing Sections 10, 75, and 76 as follows:
 
6    (210 ILCS 9/10)
7    Sec. 10. Definitions. For purposes of this Act:
8    "Activities of daily living" means eating, dressing,
9bathing, toileting, transferring, or personal hygiene.
10    "Assisted living establishment" or "establishment" means a
11home, building, residence, or any other place where sleeping
12accommodations are provided for at least 3 unrelated adults,
13at least 80% of whom are 55 years of age or older and where the
14following are provided consistent with the purposes of this
15Act:
16        (1) services consistent with a social model that is
17    based on the premise that the resident's unit in assisted
18    living and shared housing is his or her own home;
19        (2) community-based residential care for persons who
20    need assistance with activities of daily living, including
21    personal, supportive, and intermittent health-related
22    services available 24 hours per day, if needed, to meet
23    the scheduled and unscheduled needs of a resident;

 

 

HB5000 Enrolled- 2 -LRB103 38511 CES 68647 b

1        (3) mandatory services, whether provided directly by
2    the establishment or by another entity arranged for by the
3    establishment, with the consent of the resident or
4    resident's representative; and
5        (4) a physical environment that is a homelike setting
6    that includes the following and such other elements as
7    established by the Department: individual living units
8    each of which shall accommodate small kitchen appliances
9    and contain private bathing, washing, and toilet
10    facilities, or private washing and toilet facilities with
11    a common bathing room readily accessible to each resident.
12    Units shall be maintained for single occupancy except in
13    cases in which 2 residents choose to share a unit.
14    Sufficient common space shall exist to permit individual
15    and group activities.
16    "Assisted living establishment" or "establishment" does
17not mean any of the following:
18        (1) A home, institution, or similar place operated by
19    the federal government or the State of Illinois.
20        (2) A long term care facility licensed under the
21    Nursing Home Care Act, a facility licensed under the
22    Specialized Mental Health Rehabilitation Act of 2013, a
23    facility licensed under the ID/DD Community Care Act, or a
24    facility licensed under the MC/DD Act. However, a facility
25    licensed under any of those Acts may convert distinct
26    parts of the facility to assisted living. If the facility

 

 

HB5000 Enrolled- 3 -LRB103 38511 CES 68647 b

1    elects to do so, the facility shall retain the Certificate
2    of Need for its nursing and sheltered care beds that were
3    converted.
4        (3) A hospital, sanitarium, or other institution, the
5    principal activity or business of which is the diagnosis,
6    care, and treatment of human illness and that is required
7    to be licensed under the Hospital Licensing Act.
8        (4) A facility for child care as defined in the Child
9    Care Act of 1969.
10        (5) A community living facility as defined in the
11    Community Living Facilities Licensing Act.
12        (6) A nursing home or sanitarium operated solely by
13    and for persons who rely exclusively upon treatment by
14    spiritual means through prayer in accordance with the
15    creed or tenants of a well-recognized church or religious
16    denomination.
17        (7) A facility licensed by the Department of Human
18    Services as a community-integrated living arrangement as
19    defined in the Community-Integrated Living Arrangements
20    Licensure and Certification Act.
21        (8) A supportive residence licensed under the
22    Supportive Residences Licensing Act.
23        (9) The portion of a life care facility as defined in
24    the Life Care Facilities Act not licensed as an assisted
25    living establishment under this Act; a life care facility
26    may apply under this Act to convert sections of the

 

 

HB5000 Enrolled- 4 -LRB103 38511 CES 68647 b

1    community to assisted living.
2        (10) A free-standing hospice facility licensed under
3    the Hospice Program Licensing Act.
4        (11) A shared housing establishment.
5        (12) A supportive living facility as described in
6    Section 5-5.01a of the Illinois Public Aid Code.
7    "Department" means the Department of Public Health.
8    "Director" means the Director of Public Health.
9    "Emergency situation" means imminent danger of death or
10serious physical harm to a resident of an establishment.
11    "Infection control committee" means persons, including an
12infection preventionist, who develop and implement policies
13governing control of infections and communicable diseases and
14are qualified through education, training, experience, or
15certification or a combination of such qualifications.
16    "Infection preventionist" means a registered nurse who
17develops and implements policies governing control of
18infections and communicable diseases and is qualified through
19education, training, experience, or certification or a
20combination of such qualifications.
21    "License" means any of the following types of licenses
22issued to an applicant or licensee by the Department:
23        (1) "Probationary license" means a license issued to
24    an applicant or licensee that has not held a license under
25    this Act prior to its application or pursuant to a license
26    transfer in accordance with Section 50 of this Act.

 

 

HB5000 Enrolled- 5 -LRB103 38511 CES 68647 b

1        (2) "Regular license" means a license issued by the
2    Department to an applicant or licensee that is in
3    substantial compliance with this Act and any rules
4    promulgated under this Act.
5    "Licensee" means a person, agency, association,
6corporation, partnership, or organization that has been issued
7a license to operate an assisted living or shared housing
8establishment.
9    "Licensed health care professional" means a registered
10professional nurse, an advanced practice registered nurse, a
11physician assistant, and a licensed practical nurse.
12    "Mandatory services" include the following:
13        (1) 3 meals per day available to the residents
14    prepared by the establishment or an outside contractor;
15        (2) housekeeping services including, but not limited
16    to, vacuuming, dusting, and cleaning the resident's unit;
17        (3) personal laundry and linen services available to
18    the residents provided or arranged for by the
19    establishment;
20        (4) security provided 24 hours each day including, but
21    not limited to, locked entrances or building or contract
22    security personnel;
23        (5) an emergency communication response system, which
24    is a procedure in place 24 hours each day by which a
25    resident can notify building management, an emergency
26    response vendor, or others able to respond to his or her

 

 

HB5000 Enrolled- 6 -LRB103 38511 CES 68647 b

1    need for assistance; and
2        (6) assistance with activities of daily living as
3    required by each resident.
4    "Negotiated risk" is the process by which a resident, or
5his or her representative, may formally negotiate with
6providers what risks each are willing and unwilling to assume
7in service provision and the resident's living environment.
8The provider assures that the resident and the resident's
9representative, if any, are informed of the risks of these
10decisions and of the potential consequences of assuming these
11risks.
12    "Owner" means the individual, partnership, corporation,
13association, or other person who owns an assisted living or
14shared housing establishment. In the event an assisted living
15or shared housing establishment is operated by a person who
16leases or manages the physical plant, which is owned by
17another person, "owner" means the person who operates the
18assisted living or shared housing establishment, except that
19if the person who owns the physical plant is an affiliate of
20the person who operates the assisted living or shared housing
21establishment and has significant control over the day to day
22operations of the assisted living or shared housing
23establishment, the person who owns the physical plant shall
24incur jointly and severally with the owner all liabilities
25imposed on an owner under this Act.
26    "Physician" means a person licensed under the Medical

 

 

HB5000 Enrolled- 7 -LRB103 38511 CES 68647 b

1Practice Act of 1987 to practice medicine in all of its
2branches.
3    "Resident" means a person residing in an assisted living
4or shared housing establishment.
5    "Resident's representative" means a person, other than the
6owner, agent, or employee of an establishment or of the health
7care provider unless related to the resident, designated in
8writing by a resident to be his or her representative. This
9designation may be accomplished through the Illinois Power of
10Attorney Act, pursuant to the guardianship process under the
11Probate Act of 1975, or pursuant to an executed designation of
12representative form specified by the Department.
13    "Self" means the individual or the individual's designated
14representative.
15    "Shared housing establishment" or "establishment" means a
16publicly or privately operated free-standing residence for 16
17or fewer persons, at least 80% of whom are 55 years of age or
18older and who are unrelated to the owners and one manager of
19the residence, where the following are provided:
20        (1) services consistent with a social model that is
21    based on the premise that the resident's unit is his or her
22    own home;
23        (2) community-based residential care for persons who
24    need assistance with activities of daily living, including
25    housing and personal, supportive, and intermittent
26    health-related services available 24 hours per day, if

 

 

HB5000 Enrolled- 8 -LRB103 38511 CES 68647 b

1    needed, to meet the scheduled and unscheduled needs of a
2    resident; and
3        (3) mandatory services, whether provided directly by
4    the establishment or by another entity arranged for by the
5    establishment, with the consent of the resident or the
6    resident's representative.
7    "Shared housing establishment" or "establishment" does not
8mean any of the following:
9        (1) A home, institution, or similar place operated by
10    the federal government or the State of Illinois.
11        (2) A long term care facility licensed under the
12    Nursing Home Care Act, a facility licensed under the
13    Specialized Mental Health Rehabilitation Act of 2013, a
14    facility licensed under the ID/DD Community Care Act, or a
15    facility licensed under the MC/DD Act. A facility licensed
16    under any of those Acts may, however, convert sections of
17    the facility to assisted living. If the facility elects to
18    do so, the facility shall retain the Certificate of Need
19    for its nursing beds that were converted.
20        (3) A hospital, sanitarium, or other institution, the
21    principal activity or business of which is the diagnosis,
22    care, and treatment of human illness and that is required
23    to be licensed under the Hospital Licensing Act.
24        (4) A facility for child care as defined in the Child
25    Care Act of 1969.
26        (5) A community living facility as defined in the

 

 

HB5000 Enrolled- 9 -LRB103 38511 CES 68647 b

1    Community Living Facilities Licensing Act.
2        (6) A nursing home or sanitarium operated solely by
3    and for persons who rely exclusively upon treatment by
4    spiritual means through prayer in accordance with the
5    creed or tenants of a well-recognized church or religious
6    denomination.
7        (7) A facility licensed by the Department of Human
8    Services as a community-integrated living arrangement as
9    defined in the Community-Integrated Living Arrangements
10    Licensure and Certification Act.
11        (8) A supportive residence licensed under the
12    Supportive Residences Licensing Act.
13        (9) A life care facility as defined in the Life Care
14    Facilities Act; a life care facility may apply under this
15    Act to convert sections of the community to assisted
16    living.
17        (10) A free-standing hospice facility licensed under
18    the Hospice Program Licensing Act.
19        (11) An assisted living establishment.
20        (12) A supportive living facility as described in
21    Section 5-5.01a of the Illinois Public Aid Code.
22    "Total assistance" means that staff or another individual
23performs the entire activity of daily living without
24participation by the resident.
25(Source: P.A. 99-180, eff. 7-29-15; 100-513, eff. 1-1-18.)
 

 

 

HB5000 Enrolled- 10 -LRB103 38511 CES 68647 b

1    (210 ILCS 9/75)
2    Sec. 75. Residency requirements.
3    (a) No individual shall be accepted for residency or
4remain in residence if the establishment cannot provide or
5secure appropriate services, if the individual requires a
6level of service or type of service for which the
7establishment is not licensed or which the establishment does
8not provide, or if the establishment does not have the staff
9appropriate in numbers and with appropriate skill to provide
10such services.
11    (b) Only adults may be accepted for residency.
12    (c) A person shall not be accepted for residency if:
13        (1) the person poses a serious threat to himself or
14    herself or to others;
15        (2) the person is not able to communicate his or her
16    needs and no resident representative residing in the
17    establishment, and with a prior relationship to the
18    person, has been appointed to direct the provision of
19    services;
20        (3) the person requires total assistance with 2 or
21    more activities of daily living;
22        (4) the person requires the assistance of more than
23    one paid caregiver at any given time with an activity of
24    daily living;
25        (5) the person requires more than minimal assistance
26    in moving to a safe area in an emergency;

 

 

HB5000 Enrolled- 11 -LRB103 38511 CES 68647 b

1        (6) the person has a severe mental illness, which for
2    the purposes of this Section means a condition that is
3    characterized by the presence of a major mental disorder
4    as classified in the Diagnostic and Statistical Manual of
5    Mental Disorders, Fourth Edition (DSM-IV) (American
6    Psychiatric Association, 1994), where the individual is a
7    person with a substantial disability due to mental illness
8    in the areas of self-maintenance, social functioning,
9    activities of community living and work skills, and the
10    disability specified is expected to be present for a
11    period of not less than one year, but does not mean
12    Alzheimer's disease and other forms of dementia based on
13    organic or physical disorders;
14        (7) the person requires intravenous therapy or
15    intravenous feedings unless self-administered or
16    administered by a qualified, licensed health care
17    professional;
18        (8) the person requires gastrostomy feedings unless
19    self-administered or administered by a licensed health
20    care professional;
21        (9) the person requires insertion, sterile irrigation,
22    and replacement of catheter, except for routine
23    maintenance of urinary catheters, unless the catheter care
24    is self-administered or administered by a licensed health
25    care professional or a nurse in compliance with education,
26    certification, and training in catheter care or infection

 

 

HB5000 Enrolled- 12 -LRB103 38511 CES 68647 b

1    control by the Centers for Disease Control and Prevention
2    with oversight from an infection preventionist or
3    infection control committee;
4        (10) the person requires sterile wound care unless
5    care is self-administered or administered by a licensed
6    health care professional;
7        (11) (blank);
8        (12) the person is a diabetic requiring routine
9    insulin injections unless the injections are
10    self-administered or administered by a licensed health
11    care professional;
12        (13) the person requires treatment of stage 3 or stage
13    4 decubitus ulcers or exfoliative dermatitis;
14        (14) the person requires 5 or more skilled nursing
15    visits per week for conditions other than those listed in
16    items (13) and (15) of this subsection for a period of 3
17    consecutive weeks or more except when the course of
18    treatment is expected to extend beyond a 3 week period for
19    rehabilitative purposes and is certified as temporary by a
20    physician; or
21        (15) other reasons prescribed by the Department by
22    rule.
23    (d) A resident with a condition listed in items (1)
24through (15) of subsection (c) shall have his or her residency
25terminated.
26    (e) Residency shall be terminated when services available

 

 

HB5000 Enrolled- 13 -LRB103 38511 CES 68647 b

1to the resident in the establishment are no longer adequate to
2meet the needs of the resident. This provision shall not be
3interpreted as limiting the authority of the Department to
4require the residency termination of individuals.
5    (f) Subsection (d) of this Section shall not apply to
6terminally ill residents who receive or would qualify for
7hospice care and such care is coordinated by a hospice program
8licensed under the Hospice Program Licensing Act or other
9licensed health care professional employed by a licensed home
10health agency and the establishment and all parties agree to
11the continued residency.
12    (g) Items (3), (4), (5), and (9) of subsection (c) shall
13not apply to a quadriplegic, paraplegic, or individual with
14neuro-muscular diseases, such as muscular dystrophy and
15multiple sclerosis, or other chronic diseases and conditions
16as defined by rule if the individual is able to communicate his
17or her needs and does not require assistance with complex
18medical problems, and the establishment is able to accommodate
19the individual's needs. The Department shall prescribe rules
20pursuant to this Section that address special safety and
21service needs of these individuals.
22    (h) For the purposes of items (7) through (10) of
23subsection (c), a licensed health care professional may not be
24employed by the owner or operator of the establishment, its
25parent entity, or any other entity with ownership common to
26either the owner or operator of the establishment or parent

 

 

HB5000 Enrolled- 14 -LRB103 38511 CES 68647 b

1entity, including but not limited to an affiliate of the owner
2or operator of the establishment. Nothing in this Section is
3meant to limit a resident's right to choose his or her health
4care provider.
5    (i) Subsection (h) is not applicable to residents admitted
6to an assisted living establishment under a life care contract
7as defined in the Life Care Facilities Act if the life care
8facility has both an assisted living establishment and a
9skilled nursing facility. A licensed health care professional
10providing health-related or supportive services at a life care
11assisted living or shared housing establishment must be
12employed by an entity licensed by the Department under the
13Nursing Home Care Act or the Home Health, Home Services, and
14Home Nursing Agency Licensing Act.
15(Source: P.A. 103-444, eff. 1-1-24.)
 
16    (210 ILCS 9/76)
17    Sec. 76. Vaccinations.
18    (a) Before a prospective resident's admission to an
19assisted living establishment or shared housing establishment
20that does not provide medication administration as an optional
21service, the establishment shall advise the prospective
22resident to consult a physician to determine whether the
23prospective resident should obtain a vaccination against
24pneumococcal pneumonia or influenza, or both.
25    (b) An assisted living establishment or shared housing

 

 

HB5000 Enrolled- 15 -LRB103 38511 CES 68647 b

1establishment that provides medication administration as an
2optional service shall annually administer or arrange for
3administration of a vaccination against influenza to each
4resident, in accordance with the recommendations of the
5Advisory Committee on Immunization Practices of the Centers
6for Disease Control and Prevention that are most recent to the
7time of vaccination, unless the vaccination is medically
8contraindicated or the resident has refused the vaccine.
9Influenza vaccinations for all residents age 65 or over shall
10be completed by November 30 of each year or as soon as
11practicable if vaccine supplies are not available before
12November 1. Residents admitted after November 30, during the
13flu season, and until February 1 shall, as medically
14appropriate, receive an influenza vaccination prior to or upon
15admission or as soon as practicable if vaccine supplies are
16not available at the time of the admission, unless the vaccine
17is medically contraindicated or the resident has refused the
18vaccine. In the event that the Advisory Committee on
19Immunization Practices of the Centers for Disease Control and
20Prevention determines that dates of administration other than
21those stated in this Section are optimal to protect the health
22of residents, the Department is authorized to adopt rules to
23require vaccinations at those times rather than the times
24stated in this Section. An establishment shall document in the
25resident's medication record that an annual vaccination
26against influenza was administered, arranged, refused, or

 

 

HB5000 Enrolled- 16 -LRB103 38511 CES 68647 b

1medically contraindicated.
2    An assisted living establishment or shared housing
3establishment that provides medication administration as an
4optional service shall administer or arrange for
5administration of a pneumococcal vaccination to each resident
6who is age 65 or over, in accordance with the recommendations
7of the Advisory Committee on Immunization Practices of the
8Centers for Disease Control and Prevention, who has not
9received this immunization prior to or upon admission to the
10establishment, unless the resident refuses the offer for
11vaccination or the vaccination is medically contraindicated.
12An establishment shall document in each resident's medication
13record that a vaccination against pneumococcal pneumonia was
14offered and administered, arranged, refused, or medically
15contraindicated.
16    An assisted living establishment or shared housing
17establishment that provides catheter care to one or more
18residents shall designate at least one person as an Infection
19Prevention and Control Professional to develop and implement
20policies governing control of infections and communicable
21diseases. The Infection Prevention and Control Professionals
22shall be qualified through education, training, experience, or
23certification or a combination of such qualifications. The
24Infection Prevention and Control Professional's qualifications
25shall be documented and shall be made available for inspection
26by the Department. The Department shall adopt rules to

 

 

HB5000 Enrolled- 17 -LRB103 38511 CES 68647 b

1implement the changes made by this amendatory Act of the 103rd
2General Assembly.
3(Source: P.A. 93-1003, eff. 8-23-04; 94-429, eff. 8-2-05.)
 
4    Section 99. Effective date. This Act takes effect July 1,
52025.