96TH GENERAL ASSEMBLY
State of Illinois
2009 and 2010
SB2982

 

Introduced 2/3/2010, by Sen. William R. Haine

 

SYNOPSIS AS INTRODUCED:
 
210 ILCS 9/10

    Amends the Assisted Living and Shared Housing Act. Provides that a "shared housing establishment" or "establishment" means a publicly or privately operated free-standing residence for 24 or fewer persons (rather than 16 or fewer persons), at least 80% of whom are 55 years of age or older and who are unrelated to the owners and one manager of the residence. Effective immediately.


LRB096 19764 KTG 35201 b

 

 

A BILL FOR

 

SB2982 LRB096 19764 KTG 35201 b

1     AN ACT concerning regulation.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The Assisted Living and Shared Housing Act is
5 amended by changing Section 10 as follows:
 
6     (210 ILCS 9/10)
7     (Text of Section before amendment by P.A. 96-339)
8     Sec. 10. Definitions. For purposes of this Act:
9     "Activities of daily living" means eating, dressing,
10 bathing, toileting, transferring, or personal hygiene.
11     "Advisory Board" means the Assisted Living and Shared
12 Housing Standards and Quality of Life Advisory Board.
13     "Assisted living establishment" or "establishment" means a
14 home, building, residence, or any other place where sleeping
15 accommodations are provided for at least 3 unrelated adults, at
16 least 80% of whom are 55 years of age or older and where the
17 following are provided consistent with the purposes of this
18 Act:
19         (1) services consistent with a social model that is
20     based on the premise that the resident's unit in assisted
21     living and shared housing is his or her own home;
22         (2) community-based residential care for persons who
23     need assistance with activities of daily living, including

 

 

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1     personal, supportive, and intermittent health-related
2     services available 24 hours per day, if needed, to meet the
3     scheduled and unscheduled needs of a resident;
4         (3) mandatory services, whether provided directly by
5     the establishment or by another entity arranged for by the
6     establishment, with the consent of the resident or
7     resident's representative; and
8         (4) a physical environment that is a homelike setting
9     that includes the following and such other elements as
10     established by the Department in conjunction with the
11     Assisted Living and Shared Housing Standards and Quality of
12     Life Advisory Board: individual living units each of which
13     shall accommodate small kitchen appliances and contain
14     private bathing, washing, and toilet facilities, or
15     private washing and toilet facilities with a common bathing
16     room readily accessible to each resident. Units shall be
17     maintained for single occupancy except in cases in which 2
18     residents choose to share a unit. Sufficient common space
19     shall exist to permit individual and group activities.
20     "Assisted living establishment" or "establishment" does
21 not mean any of the following:
22         (1) A home, institution, or similar place operated by
23     the federal government or the State of Illinois.
24         (2) A long term care facility licensed under the
25     Nursing Home Care Act. However, a long term care facility
26     may convert distinct parts of the facility to assisted

 

 

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1     living. If the long term care facility elects to do so, the
2     facility shall retain the Certificate of Need for its
3     nursing and sheltered care beds that were 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 and
13     for persons who rely exclusively upon treatment by
14     spiritual means through prayer in accordance with the creed
15     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

 

 

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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
10 serious physical harm to a resident of an establishment.
11     "License" means any of the following types of licenses
12 issued to an applicant or licensee by the Department:
13         (1) "Probationary license" means a license issued to an
14     applicant or licensee that has not held a license under
15     this Act prior to its application or pursuant to a license
16     transfer in accordance with Section 50 of this Act.
17         (2) "Regular license" means a license issued by the
18     Department to an applicant or licensee that is in
19     substantial compliance with this Act and any rules
20     promulgated under this Act.
21     "Licensee" means a person, agency, association,
22 corporation, partnership, or organization that has been issued
23 a license to operate an assisted living or shared housing
24 establishment.
25     "Licensed health care professional" means a registered
26 professional nurse, an advanced practice nurse, a physician

 

 

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1 assistant, and a licensed practical nurse.
2     "Mandatory services" include the following:
3         (1) 3 meals per day available to the residents prepared
4     by the establishment or an outside contractor;
5         (2) housekeeping services including, but not limited
6     to, vacuuming, dusting, and cleaning the resident's unit;
7         (3) personal laundry and linen services available to
8     the residents provided or arranged for by the
9     establishment;
10         (4) security provided 24 hours each day including, but
11     not limited to, locked entrances or building or contract
12     security personnel;
13         (5) an emergency communication response system, which
14     is a procedure in place 24 hours each day by which a
15     resident can notify building management, an emergency
16     response vendor, or others able to respond to his or her
17     need for assistance; and
18         (6) assistance with activities of daily living as
19     required by each resident.
20     "Negotiated risk" is the process by which a resident, or
21 his or her representative, may formally negotiate with
22 providers what risks each are willing and unwilling to assume
23 in service provision and the resident's living environment. The
24 provider assures that the resident and the resident's
25 representative, if any, are informed of the risks of these
26 decisions and of the potential consequences of assuming these

 

 

SB2982 - 6 - LRB096 19764 KTG 35201 b

1 risks.
2     "Owner" means the individual, partnership, corporation,
3 association, or other person who owns an assisted living or
4 shared housing establishment. In the event an assisted living
5 or shared housing establishment is operated by a person who
6 leases or manages the physical plant, which is owned by another
7 person, "owner" means the person who operates the assisted
8 living or shared housing establishment, except that if the
9 person who owns the physical plant is an affiliate of the
10 person who operates the assisted living or shared housing
11 establishment and has significant control over the day to day
12 operations of the assisted living or shared housing
13 establishment, the person who owns the physical plant shall
14 incur jointly and severally with the owner all liabilities
15 imposed on an owner under this Act.
16     "Physician" means a person licensed under the Medical
17 Practice Act of 1987 to practice medicine in all of its
18 branches.
19     "Resident" means a person residing in an assisted living or
20 shared housing establishment.
21     "Resident's representative" means a person, other than the
22 owner, agent, or employee of an establishment or of the health
23 care provider unless related to the resident, designated in
24 writing by a resident to be his or her representative. This
25 designation may be accomplished through the Illinois Power of
26 Attorney Act, pursuant to the guardianship process under the

 

 

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1 Probate Act of 1975, or pursuant to an executed designation of
2 representative form specified by the Department.
3     "Self" means the individual or the individual's designated
4 representative.
5     "Shared housing establishment" or "establishment" means a
6 publicly or privately operated free-standing residence for 24
7 16 or fewer persons, at least 80% of whom are 55 years of age or
8 older and who are unrelated to the owners and one manager of
9 the residence, where the following are provided:
10         (1) services consistent with a social model that is
11     based on the premise that the resident's unit is his or her
12     own home;
13         (2) community-based residential care for persons who
14     need assistance with activities of daily living, including
15     housing and personal, supportive, and intermittent
16     health-related services available 24 hours per day, if
17     needed, to meet the scheduled and unscheduled needs of a
18     resident; and
19         (3) mandatory services, whether provided directly by
20     the establishment or by another entity arranged for by the
21     establishment, with the consent of the resident or the
22     resident's representative.
23     "Shared housing establishment" or "establishment" does not
24 mean any of the following:
25         (1) A home, institution, or similar place operated by
26     the federal government or the State of Illinois.

 

 

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1         (2) A long term care facility licensed under the
2     Nursing Home Care Act. A long term care facility may,
3     however, convert sections of the facility to assisted
4     living. If the long term care facility elects to do so, the
5     facility shall retain the Certificate of Need for its
6     nursing beds that were converted.
7         (3) A hospital, sanitarium, or other institution, the
8     principal activity or business of which is the diagnosis,
9     care, and treatment of human illness and that is required
10     to be licensed under the Hospital Licensing Act.
11         (4) A facility for child care as defined in the Child
12     Care Act of 1969.
13         (5) A community living facility as defined in the
14     Community Living Facilities Licensing Act.
15         (6) A nursing home or sanitarium operated solely by and
16     for persons who rely exclusively upon treatment by
17     spiritual means through prayer in accordance with the creed
18     or tenants of a well-recognized church or religious
19     denomination.
20         (7) A facility licensed by the Department of Human
21     Services as a community-integrated living arrangement as
22     defined in the Community-Integrated Living Arrangements
23     Licensure and Certification Act.
24         (8) A supportive residence licensed under the
25     Supportive Residences Licensing Act.
26         (9) A life care facility as defined in the Life Care

 

 

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1     Facilities Act; a life care facility may apply under this
2     Act to convert sections of the community to assisted
3     living.
4         (10) A free-standing hospice facility licensed under
5     the Hospice Program Licensing Act.
6         (11) An assisted living establishment.
7         (12) A supportive living facility as described in
8     Section 5-5.01a of the Illinois Public Aid Code.
9     "Total assistance" means that staff or another individual
10 performs the entire activity of daily living without
11 participation by the resident.
12 (Source: P.A. 95-216, eff. 8-16-07.)
 
13     (Text of Section after amendment by P.A. 96-339)
14     Sec. 10. Definitions. For purposes of this Act:
15     "Activities of daily living" means eating, dressing,
16 bathing, toileting, transferring, or personal hygiene.
17     "Advisory Board" means the Assisted Living and Shared
18 Housing Standards and Quality of Life Advisory Board.
19     "Assisted living establishment" or "establishment" means a
20 home, building, residence, or any other place where sleeping
21 accommodations are provided for at least 3 unrelated adults, at
22 least 80% of whom are 55 years of age or older and where the
23 following are provided consistent with the purposes of this
24 Act:
25         (1) services consistent with a social model that is

 

 

SB2982 - 10 - LRB096 19764 KTG 35201 b

1     based on the premise that the resident's unit in assisted
2     living and shared housing is his or her own home;
3         (2) community-based residential care for persons who
4     need assistance with activities of daily living, including
5     personal, supportive, and intermittent health-related
6     services available 24 hours per day, if needed, to meet the
7     scheduled and unscheduled needs of a resident;
8         (3) mandatory services, whether provided directly by
9     the establishment or by another entity arranged for by the
10     establishment, with the consent of the resident or
11     resident's representative; and
12         (4) a physical environment that is a homelike setting
13     that includes the following and such other elements as
14     established by the Department in conjunction with the
15     Assisted Living and Shared Housing Standards and Quality of
16     Life Advisory Board: individual living units each of which
17     shall accommodate small kitchen appliances and contain
18     private bathing, washing, and toilet facilities, or
19     private washing and toilet facilities with a common bathing
20     room readily accessible to each resident. Units shall be
21     maintained for single occupancy except in cases in which 2
22     residents choose to share a unit. Sufficient common space
23     shall exist to permit individual and group activities.
24     "Assisted living establishment" or "establishment" does
25 not mean any of the following:
26         (1) A home, institution, or similar place operated by

 

 

SB2982 - 11 - LRB096 19764 KTG 35201 b

1     the federal government or the State of Illinois.
2         (2) A long term care facility licensed under the
3     Nursing Home Care Act or a facility licensed under the
4     MR/DD Community Care Act. However, a facility licensed
5     under either of those Acts may convert distinct parts of
6     the facility to assisted living. If the facility elects to
7     do so, the facility shall retain the Certificate of Need
8     for its nursing and sheltered care beds that were
9     converted.
10         (3) A hospital, sanitarium, or other institution, the
11     principal activity or business of which is the diagnosis,
12     care, and treatment of human illness and that is required
13     to be licensed under the Hospital Licensing Act.
14         (4) A facility for child care as defined in the Child
15     Care Act of 1969.
16         (5) A community living facility as defined in the
17     Community Living Facilities Licensing Act.
18         (6) A nursing home or sanitarium operated solely by and
19     for persons who rely exclusively upon treatment by
20     spiritual means through prayer in accordance with the creed
21     or tenants of a well-recognized church or religious
22     denomination.
23         (7) A facility licensed by the Department of Human
24     Services as a community-integrated living arrangement as
25     defined in the Community-Integrated Living Arrangements
26     Licensure and Certification Act.

 

 

SB2982 - 12 - LRB096 19764 KTG 35201 b

1         (8) A supportive residence licensed under the
2     Supportive Residences Licensing Act.
3         (9) The portion of a life care facility as defined in
4     the Life Care Facilities Act not licensed as an assisted
5     living establishment under this Act; a life care facility
6     may apply under this Act to convert sections of the
7     community to assisted living.
8         (10) A free-standing hospice facility licensed under
9     the Hospice Program Licensing Act.
10         (11) A shared housing establishment.
11         (12) A supportive living facility as described in
12     Section 5-5.01a of the Illinois Public Aid Code.
13     "Department" means the Department of Public Health.
14     "Director" means the Director of Public Health.
15     "Emergency situation" means imminent danger of death or
16 serious physical harm to a resident of an establishment.
17     "License" means any of the following types of licenses
18 issued to an applicant or licensee by the Department:
19         (1) "Probationary license" means a license issued to an
20     applicant or licensee that has not held a license under
21     this Act prior to its application or pursuant to a license
22     transfer in accordance with Section 50 of this Act.
23         (2) "Regular license" means a license issued by the
24     Department to an applicant or licensee that is in
25     substantial compliance with this Act and any rules
26     promulgated under this Act.

 

 

SB2982 - 13 - LRB096 19764 KTG 35201 b

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

 

 

SB2982 - 14 - LRB096 19764 KTG 35201 b

1 his or her representative, may formally negotiate with
2 providers what risks each are willing and unwilling to assume
3 in service provision and the resident's living environment. The
4 provider assures that the resident and the resident's
5 representative, if any, are informed of the risks of these
6 decisions and of the potential consequences of assuming these
7 risks.
8     "Owner" means the individual, partnership, corporation,
9 association, or other person who owns an assisted living or
10 shared housing establishment. In the event an assisted living
11 or shared housing establishment is operated by a person who
12 leases or manages the physical plant, which is owned by another
13 person, "owner" means the person who operates the assisted
14 living or shared housing establishment, except that if the
15 person who owns the physical plant is an affiliate of the
16 person who operates the assisted living or shared housing
17 establishment and has significant control over the day to day
18 operations of the assisted living or shared housing
19 establishment, the person who owns the physical plant shall
20 incur jointly and severally with the owner all liabilities
21 imposed on an owner under this Act.
22     "Physician" means a person licensed under the Medical
23 Practice Act of 1987 to practice medicine in all of its
24 branches.
25     "Resident" means a person residing in an assisted living or
26 shared housing establishment.

 

 

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

 

 

SB2982 - 16 - LRB096 19764 KTG 35201 b

1     establishment, with the consent of the resident or the
2     resident's representative.
3     "Shared housing establishment" or "establishment" does not
4 mean any of the following:
5         (1) A home, institution, or similar place operated by
6     the federal government or the State of Illinois.
7         (2) A long term care facility licensed under the
8     Nursing Home Care Act or a facility licensed under the
9     MR/DD Community Care Act. A facility licensed under either
10     of those Acts may, however, convert sections of the
11     facility to assisted living. If the facility elects to do
12     so, the facility shall retain the Certificate of Need for
13     its nursing beds that were converted.
14         (3) A hospital, sanitarium, or other institution, the
15     principal activity or business of which is the diagnosis,
16     care, and treatment of human illness and that is required
17     to be licensed under the Hospital Licensing Act.
18         (4) A facility for child care as defined in the Child
19     Care Act of 1969.
20         (5) A community living facility as defined in the
21     Community Living Facilities Licensing Act.
22         (6) A nursing home or sanitarium operated solely by and
23     for persons who rely exclusively upon treatment by
24     spiritual means through prayer in accordance with the creed
25     or tenants of a well-recognized church or religious
26     denomination.

 

 

SB2982 - 17 - LRB096 19764 KTG 35201 b

1         (7) A facility licensed by the Department of Human
2     Services as a community-integrated living arrangement as
3     defined in the Community-Integrated Living Arrangements
4     Licensure and Certification Act.
5         (8) A supportive residence licensed under the
6     Supportive Residences Licensing Act.
7         (9) A life care facility as defined in the Life Care
8     Facilities Act; a life care facility may apply under this
9     Act to convert sections of the community to assisted
10     living.
11         (10) A free-standing hospice facility licensed under
12     the Hospice Program Licensing Act.
13         (11) An assisted living establishment.
14         (12) A supportive living facility as described in
15     Section 5-5.01a of the Illinois Public Aid Code.
16     "Total assistance" means that staff or another individual
17 performs the entire activity of daily living without
18 participation by the resident.
19 (Source: P.A. 95-216, eff. 8-16-07; 96-339, eff. 7-1-10.)
 
20     Section 95. No acceleration or delay. Where this Act makes
21 changes in a statute that is represented in this Act by text
22 that is not yet or no longer in effect (for example, a Section
23 represented by multiple versions), the use of that text does
24 not accelerate or delay the taking effect of (i) the changes
25 made by this Act or (ii) provisions derived from any other

 

 

SB2982 - 18 - LRB096 19764 KTG 35201 b

1 Public Act.
 
2     Section 99. Effective date. This Act takes effect upon
3 becoming law.