99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016
HB3139

 

Introduced , by Rep. David Harris

 

SYNOPSIS AS INTRODUCED:
 
See Index

    Repeals the Illinois Health Facilities Planning Act and abolishes the Health Facilities and Services Review Board. Repeals the Health Care Worker Self-Referral Act. Amends various other Acts to eliminate references to the Board or the Act.


LRB099 07883 JLK 28023 b

 

 

A BILL FOR

 

HB3139LRB099 07883 JLK 28023 b

1    AN ACT concerning State agencies.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Open Meetings Act is amended by changing
5Section 1.02 as follows:
 
6    (5 ILCS 120/1.02)  (from Ch. 102, par. 41.02)
7    Sec. 1.02. For the purposes of this Act:
8    "Meeting" means any gathering, whether in person or by
9video or audio conference, telephone call, electronic means
10(such as, without limitation, electronic mail, electronic
11chat, and instant messaging), or other means of contemporaneous
12interactive communication, of a majority of a quorum of the
13members of a public body held for the purpose of discussing
14public business or, for a 5-member public body, a quorum of the
15members of a public body held for the purpose of discussing
16public business.
17    Accordingly, for a 5-member public body, 3 members of the
18body constitute a quorum and the affirmative vote of 3 members
19is necessary to adopt any motion, resolution, or ordinance,
20unless a greater number is otherwise required.
21    "Public body" includes all legislative, executive,
22administrative or advisory bodies of the State, counties,
23townships, cities, villages, incorporated towns, school

 

 

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1districts and all other municipal corporations, boards,
2bureaus, committees or commissions of this State, and any
3subsidiary bodies of any of the foregoing including but not
4limited to committees and subcommittees which are supported in
5whole or in part by tax revenue, or which expend tax revenue,
6except the General Assembly and committees or commissions
7thereof. "Public body" includes tourism boards and convention
8or civic center boards located in counties that are contiguous
9to the Mississippi River with populations of more than 250,000
10but less than 300,000. "Public body" includes the Health
11Facilities and Services Review Board. "Public body" does not
12include a child death review team or the Illinois Child Death
13Review Teams Executive Council established under the Child
14Death Review Team Act, an ethics commission acting under the
15State Officials and Employees Ethics Act, a regional youth
16advisory board or the Statewide Youth Advisory Board
17established under the Department of Children and Family
18Services Statewide Youth Advisory Board Act, or the Illinois
19Independent Tax Tribunal.
20(Source: P.A. 97-1129, eff. 8-28-12; 98-806, eff. 1-1-15.)
 
21    Section 10. The State Officials and Employees Ethics Act is
22amended by changing Section 5-50 as follows:
 
23    (5 ILCS 430/5-50)
24    Sec. 5-50. Ex parte communications; special government

 

 

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1agents.
2    (a) This Section applies to ex parte communications made to
3any agency listed in subsection (e).
4    (b) "Ex parte communication" means any written or oral
5communication by any person that imparts or requests material
6information or makes a material argument regarding potential
7action concerning regulatory, quasi-adjudicatory, investment,
8or licensing matters pending before or under consideration by
9the agency. "Ex parte communication" does not include the
10following: (i) statements by a person publicly made in a public
11forum; (ii) statements regarding matters of procedure and
12practice, such as format, the number of copies required, the
13manner of filing, and the status of a matter; and (iii)
14statements made by a State employee of the agency to the agency
15head or other employees of that agency.
16    (b-5) An ex parte communication received by an agency,
17agency head, or other agency employee from an interested party
18or his or her official representative or attorney shall
19promptly be memorialized and made a part of the record.
20    (c) An ex parte communication received by any agency,
21agency head, or other agency employee, other than an ex parte
22communication described in subsection (b-5), shall immediately
23be reported to that agency's ethics officer by the recipient of
24the communication and by any other employee of that agency who
25responds to the communication. The ethics officer shall require
26that the ex parte communication be promptly made a part of the

 

 

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1record. The ethics officer shall promptly file the ex parte
2communication with the Executive Ethics Commission, including
3all written communications, all written responses to the
4communications, and a memorandum prepared by the ethics officer
5stating the nature and substance of all oral communications,
6the identity and job title of the person to whom each
7communication was made, all responses made, the identity and
8job title of the person making each response, the identity of
9each person from whom the written or oral ex parte
10communication was received, the individual or entity
11represented by that person, any action the person requested or
12recommended, and any other pertinent information. The
13disclosure shall also contain the date of any ex parte
14communication.
15    (d) "Interested party" means a person or entity whose
16rights, privileges, or interests are the subject of or are
17directly affected by a regulatory, quasi-adjudicatory,
18investment, or licensing matter.
19    (e) This Section applies to the following agencies:
20Executive Ethics Commission
21Illinois Commerce Commission
22Educational Labor Relations Board
23State Board of Elections
24Illinois Gaming Board
25Health Facilities and Services Review Board 
26Illinois Workers' Compensation Commission

 

 

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1Illinois Labor Relations Board
2Illinois Liquor Control Commission
3Pollution Control Board
4Property Tax Appeal Board
5Illinois Racing Board
6Illinois Purchased Care Review Board
7Department of State Police Merit Board
8Motor Vehicle Review Board
9Prisoner Review Board
10Civil Service Commission
11Personnel Review Board for the Treasurer
12Merit Commission for the Secretary of State
13Merit Commission for the Office of the Comptroller
14Court of Claims
15Board of Review of the Department of Employment Security
16Department of Insurance
17Department of Professional Regulation and licensing boards
18  under the Department
19Department of Public Health and licensing boards under the
20  Department
21Office of Banks and Real Estate and licensing boards under
22  the Office
23State Employees Retirement System Board of Trustees
24Judges Retirement System Board of Trustees
25General Assembly Retirement System Board of Trustees
26Illinois Board of Investment

 

 

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1State Universities Retirement System Board of Trustees
2Teachers Retirement System Officers Board of Trustees
3    (f) Any person who fails to (i) report an ex parte
4communication to an ethics officer, (ii) make information part
5of the record, or (iii) make a filing with the Executive Ethics
6Commission as required by this Section or as required by
7Section 5-165 of the Illinois Administrative Procedure Act
8violates this Act.
9(Source: P.A. 95-331, eff. 8-21-07; 96-31, eff. 6-30-09.)
 
10    Section 15. The Department of Public Health Powers and
11Duties Law of the Civil Administrative Code of Illinois is
12amended by changing Sections 2310-217 and 2310-640 as follows:
 
13    (20 ILCS 2310/2310-217)
14    Sec. 2310-217. Center for Comprehensive Health Planning.
15    (a) The Center for Comprehensive Health Planning
16("Center") is hereby created to promote the distribution of
17health care services and improve the healthcare delivery system
18in Illinois by establishing a statewide Comprehensive Health
19Plan and ensuring a predictable, transparent, and efficient
20Certificate of Need process under the Illinois Health
21Facilities Planning Act. The objectives of the Comprehensive
22Health Plan include: to assess existing community resources and
23determine health care needs; to support safety net services for
24uninsured and underinsured residents; to promote adequate

 

 

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1financing for health care services; and to recognize and
2respond to changes in community health care needs, including
3public health emergencies and natural disasters. The Center
4shall comprehensively assess health and mental health
5services; assess health needs with a special focus on the
6identification of health disparities; identify State-level and
7regional needs; and make findings that identify the impact of
8market forces on the access to high quality services for
9uninsured and underinsured residents. The Center shall conduct
10a biennial comprehensive assessment of health resources and
11service needs, including, but not limited to, facilities,
12clinical services, and workforce; conduct needs assessments
13using key indicators of population health status and
14determinations of potential benefits that could occur with
15certain changes in the health care delivery system; collect and
16analyze relevant, objective, and accurate data, including
17health care utilization data; identify issues related to health
18care financing such as revenue streams, federal opportunities,
19better utilization of existing resources, development of
20resources, and incentives for new resource development;
21evaluate findings by the needs assessments; and annually report
22to the General Assembly and the public.
23    The Illinois Department of Public Health shall establish a
24Center for Comprehensive Health Planning to develop a
25long-range Comprehensive Health Plan, which Plan shall guide
26the development of clinical services, facilities, and

 

 

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1workforce that meet the health and mental health care needs of
2this State.
3    (b) Center for Comprehensive Health Planning.
4        (1) Responsibilities and duties of the Center include:
5            (A) (blank) providing technical assistance to the
6        Health Facilities and Services Review Board to permit
7        that Board to apply relevant components of the
8        Comprehensive Health Plan in its deliberations;
9            (B) attempting to identify unmet health needs and
10        assist in any inter-agency State planning for health
11        resource development;
12            (C) considering health plans and other related
13        publications that have been developed in Illinois and
14        nationally;
15            (D) establishing priorities and recommend methods
16        for meeting identified health service, facilities, and
17        workforce needs. Plan recommendations shall be
18        short-term, mid-term, and long-range;
19            (E) conducting an analysis regarding the
20        availability of long-term care resources throughout
21        the State, using data and plans developed under the
22        Illinois Older Adult Services Act, to adjust existing
23        bed need criteria and standards under the Health
24        Facilities Planning Act for changes in utilization of
25        institutional and non-institutional care options, with
26        special consideration of the availability of the

 

 

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1        least-restrictive options in accordance with the needs
2        and preferences of persons requiring long-term care;
3        and
4            (F) considering and recognizing health resource
5        development projects or information on methods by
6        which a community may receive benefit, that are
7        consistent with health resource needs identified
8        through the comprehensive health planning process.
9        (2) A Comprehensive Health Planner shall be appointed
10    by the Governor, with the advice and consent of the Senate,
11    to supervise the Center and its staff for a paid 3-year
12    term, subject to review and re-approval every 3 years. The
13    Planner shall receive an annual salary of $120,000, or an
14    amount set by the Compensation Review Board, whichever is
15    greater. The Planner shall prepare a budget for review and
16    approval by the Illinois General Assembly, which shall
17    become part of the annual report available on the
18    Department website.
19    (c) Comprehensive Health Plan.
20        (1) The Plan shall be developed with a 5 to 10 year
21    range, and updated every 2 years, or annually, if needed.
22        (2) Components of the Plan shall include:
23            (A) an inventory to map the State for growth,
24        population shifts, and utilization of available
25        healthcare resources, using both State-level and
26        regionally defined areas;

 

 

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1            (B) an evaluation of health service needs,
2        addressing gaps in service, over-supply, and
3        continuity of care, including an assessment of
4        existing safety net services;
5            (C) an inventory of health care facility
6        infrastructure, including regulated facilities and
7        services, and unregulated facilities and services, as
8        determined by the Center;
9            (D) recommendations on ensuring access to care,
10        especially for safety net services, including rural
11        and medically underserved communities; and
12            (E) an integration between health planning for
13        clinical services, facilities and workforce under the
14        Illinois Health Facilities Planning Act and other
15        health planning laws and activities of the State.
16        (3) (Blank). Components of the Plan may include
17    recommendations that will be integrated into any relevant
18    certificate of need review criteria, standards, and
19    procedures.
20    (d) Within 60 days of receiving the Comprehensive Health
21Plan, the State Board of Health shall review and comment upon
22the Plan and any policy change recommendations. The first Plan
23shall be submitted to the State Board of Health within one year
24after hiring the Comprehensive Health Planner. The Plan shall
25be submitted to the General Assembly by the following March 1.
26The Center and State Board shall hold public hearings on the

 

 

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1Plan and its updates. The Center shall permit the public to
2request the Plan to be updated more frequently to address
3emerging population and demographic trends.
4    (e) Current comprehensive health planning data and
5information about Center funding shall be available to the
6public on the Department website.
7    (f) The Department shall submit to a performance audit of
8the Center by the Auditor General in order to assess whether
9progress is being made to develop a Comprehensive Health Plan
10and whether resources are sufficient to meet the goals of the
11Center for Comprehensive Health Planning.
12(Source: P.A. 96-31, eff. 6-30-09.)
 
13    (20 ILCS 2310/2310-640)
14    Sec. 2310-640. Hospital Capital Investment Program.
15    (a) Subject to appropriation, the Department shall
16establish and administer a program to award capital grants to
17Illinois hospitals licensed under the Hospital Licensing Act.
18Grants awarded under this program shall only be used to fund
19capital projects to improve or renovate the hospital's facility
20or to improve, replace or acquire the hospital's equipment or
21technology. Such projects may include, but are not limited to,
22projects to satisfy any building code, safety standard or life
23safety code; projects to maintain, improve, renovate, expand or
24construct buildings or structures; projects to maintain,
25establish or improve health information technology; or

 

 

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1projects to maintain or improve patient safety, quality of care
2or access to care.
3    The Department shall establish rules necessary to
4implement the Hospital Capital Investment Program, including
5application standards, requirements for the distribution and
6obligation of grant funds, accounting for the use of the funds,
7reporting the status of funded projects, and standards for
8monitoring compliance with standards. In awarding grants under
9this Section, the Department shall consider criteria that
10include but are not limited to: the financial requirements of
11the project and the extent to which the grant makes it possible
12to implement the project; the proposed project's likely benefit
13in terms of patient safety or quality of care; and the proposed
14project's likely benefit in terms of maintaining or improving
15access to care.
16    The Department shall approve a hospital's eligibility for a
17hospital capital investment grant pursuant to the standards
18established by this Section. The Department shall determine
19eligible project costs, including but not limited to the use of
20funds for the acquisition, development, construction,
21reconstruction, rehabilitation, improvement, architectural
22planning, engineering, and installation of capital facilities
23consisting of buildings, structures, technology and durable
24equipment for hospital purposes. No portion of a hospital
25capital investment grant awarded by the Department may be used
26by a hospital to pay for any on-going operational costs, pay

 

 

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1outstanding debt, or be allocated to an endowment or other
2invested fund.
3    Nothing in this Section shall exempt nor relieve any
4hospital receiving a grant under this Section from any
5requirement of the Illinois Health Facilities Planning Act.
6    (b) Safety Net Hospital Grants. The Department shall make
7capital grants to hospitals eligible for safety net hospital
8grants under this subsection. The total amount of grants to any
9individual hospital shall be no less than $2,500,000 and no
10more than $7,000,000. The total amount of grants to hospitals
11under this subsection shall not exceed $100,000,000. Hospitals
12that satisfy one of the following criteria shall be eligible to
13apply for safety net hospital grants:
14        (1) Any general acute care hospital located in a county
15    of over 3,000,000 inhabitants that has a Medicaid inpatient
16    utilization rate for the rate year beginning on October 1,
17    2008 greater than 43%, that is not affiliated with a
18    hospital system that owns or operates more than 3
19    hospitals, and that has more than 13,500 Medicaid inpatient
20    days.
21        (2) Any general acute care hospital that is located in
22    a county of more than 3,000,000 inhabitants and has a
23    Medicaid inpatient utilization rate for the rate year
24    beginning on October 1, 2008 greater than 55% and has
25    authorized beds for the obstetric-gynecology category of
26    service as reported in the 2008 Annual Hospital Bed Report,

 

 

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1    issued by the Illinois Department of Public Health.
2        (3) Any hospital that is defined in 89 Illinois
3    Administrative Code Section 149.50(c)(3)(A) and that has
4    less than 20,000 Medicaid inpatient days.
5        (4) Any general acute care hospital that is located in
6    a county of less than 3,000,000 inhabitants and has a
7    Medicaid inpatient utilization rate for the rate year
8    beginning on October 1, 2008 greater than 64%.
9        (5) Any general acute care hospital that is located in
10    a county of over 3,000,000 inhabitants and a city of less
11    than 1,000,000 inhabitants, that has a Medicaid inpatient
12    utilization rate for the rate year beginning on October 1,
13    2008 greater than 22%, that has more than 12,000 Medicaid
14    inpatient days, and that has a case mix index greater than
15    0.71.
16    (c) Community Hospital Grants. The Department shall make a
17one-time capital grant to any public or not-for-profit
18hospitals located in counties of less than 3,000,000
19inhabitants that are not otherwise eligible for a grant under
20subsection (b) of this Section and that have a Medicaid
21inpatient utilization rate for the rate year beginning on
22October 1, 2008 of at least 10%. The total amount of grants
23under this subsection shall not exceed $50,000,000. This grant
24shall be the sum of the following payments:
25        (1) For each acute care hospital, a base payment of:
26            (i) $170,000 if it is located in an urban area; or

 

 

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1            (ii) $340,000 if it is located in a rural area.
2        (2) A payment equal to the product of $45 multiplied by
3    total Medicaid inpatient days for each hospital.
4    (d) Annual report. The Department of Public Health shall
5prepare and submit to the Governor and the General Assembly an
6annual report by January 1 of each year regarding its
7administration of the Hospital Capital Investment Program,
8including an overview of the program and information about the
9specific purpose and amount of each grant and the status of
10funded projects. The report shall include information as to
11whether each project is subject to and authorized under the
12Illinois Health Facilities Planning Act, if applicable.
13    (e) Definitions. As used in this Section, the following
14terms shall be defined as follows:
15    "General acute care hospital" shall have the same meaning
16as general acute care hospital in Section 5A-12.2 of the
17Illinois Public Aid Code.
18    "Hospital" shall have the same meaning as defined in
19Section 3 of the Hospital Licensing Act, but in no event shall
20it include a hospital owned or operated by a State agency, a
21State university, or a county with a population of 3,000,000 or
22more.
23    "Medicaid inpatient day" shall have the same meaning as
24defined in Section 5A-12.2(n) of the Illinois Public Aid Code.
25    "Medicaid inpatient utilization rate" shall have the same
26meaning as provided in Title 89, Chapter I, subchapter d, Part

 

 

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1148, Section 148.120 of the Illinois Administrative Code.
2    "Rural" shall have the same meaning as provided in Title
389, Chapter I, subchapter d, Part 148, Section 148.25(g)(3) of
4the Illinois Administrative Code.
5    "Urban" shall have the same meaning as provided in Title
689, Chapter I, subchapter d, Part 148, Section 148.25(g)(4) of
7the Illinois Administrative Code.
8(Source: P.A. 96-37, eff. 7-13-09; 96-1000, eff. 7-2-10.)
 
9    (20 ILCS 3960/Act rep.)
10    Section 20. The Illinois Health Facilities Planning Act is
11repealed.
 
12    (20 ILCS 4050/15 rep.)
13    Section 25. The Hospital Basic Services Preservation Act is
14amended by repealing Section 15.
 
15    Section 30. The Illinois State Auditing Act is amended by
16changing Section 3-1 as follows:
 
17    (30 ILCS 5/3-1)  (from Ch. 15, par. 303-1)
18    Sec. 3-1. Jurisdiction of Auditor General. The Auditor
19General has jurisdiction over all State agencies to make post
20audits and investigations authorized by or under this Act or
21the Constitution.
22    The Auditor General has jurisdiction over local government

 

 

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1agencies and private agencies only:
2        (a) to make such post audits authorized by or under
3    this Act as are necessary and incidental to a post audit of
4    a State agency or of a program administered by a State
5    agency involving public funds of the State, but this
6    jurisdiction does not include any authority to review local
7    governmental agencies in the obligation, receipt,
8    expenditure or use of public funds of the State that are
9    granted without limitation or condition imposed by law,
10    other than the general limitation that such funds be used
11    for public purposes;
12        (b) to make investigations authorized by or under this
13    Act or the Constitution; and
14        (c) to make audits of the records of local government
15    agencies to verify actual costs of state-mandated programs
16    when directed to do so by the Legislative Audit Commission
17    at the request of the State Board of Appeals under the
18    State Mandates Act.
19    In addition to the foregoing, the Auditor General may
20conduct an audit of the Metropolitan Pier and Exposition
21Authority, the Regional Transportation Authority, the Suburban
22Bus Division, the Commuter Rail Division and the Chicago
23Transit Authority and any other subsidized carrier when
24authorized by the Legislative Audit Commission. Such audit may
25be a financial, management or program audit, or any combination
26thereof.

 

 

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1    The audit shall determine whether they are operating in
2accordance with all applicable laws and regulations. Subject to
3the limitations of this Act, the Legislative Audit Commission
4may by resolution specify additional determinations to be
5included in the scope of the audit.
6    In addition to the foregoing, the Auditor General must also
7conduct a financial audit of the Illinois Sports Facilities
8Authority's expenditures of public funds in connection with the
9reconstruction, renovation, remodeling, extension, or
10improvement of all or substantially all of any existing
11"facility", as that term is defined in the Illinois Sports
12Facilities Authority Act.
13    The Auditor General may also conduct an audit, when
14authorized by the Legislative Audit Commission, of any hospital
15which receives 10% or more of its gross revenues from payments
16from the State of Illinois, Department of Healthcare and Family
17Services (formerly Department of Public Aid), Medical
18Assistance Program.
19    The Auditor General is authorized to conduct financial and
20compliance audits of the Illinois Distance Learning Foundation
21and the Illinois Conservation Foundation.
22    As soon as practical after the effective date of this
23amendatory Act of 1995, the Auditor General shall conduct a
24compliance and management audit of the City of Chicago and any
25other entity with regard to the operation of Chicago O'Hare
26International Airport, Chicago Midway Airport and Merrill C.

 

 

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1Meigs Field. The audit shall include, but not be limited to, an
2examination of revenues, expenses, and transfers of funds;
3purchasing and contracting policies and practices; staffing
4levels; and hiring practices and procedures. When completed,
5the audit required by this paragraph shall be distributed in
6accordance with Section 3-14.
7    The Auditor General shall conduct a financial and
8compliance and program audit of distributions from the
9Municipal Economic Development Fund during the immediately
10preceding calendar year pursuant to Section 8-403.1 of the
11Public Utilities Act at no cost to the city, village, or
12incorporated town that received the distributions.
13    The Auditor General must conduct an audit of the Health
14Facilities and Services Review Board pursuant to Section 19.5
15of the Illinois Health Facilities Planning Act.
16    The Auditor General of the State of Illinois shall annually
17conduct or cause to be conducted a financial and compliance
18audit of the books and records of any county water commission
19organized pursuant to the Water Commission Act of 1985 and
20shall file a copy of the report of that audit with the Governor
21and the Legislative Audit Commission. The filed audit shall be
22open to the public for inspection. The cost of the audit shall
23be charged to the county water commission in accordance with
24Section 6z-27 of the State Finance Act. The county water
25commission shall make available to the Auditor General its
26books and records and any other documentation, whether in the

 

 

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1possession of its trustees or other parties, necessary to
2conduct the audit required. These audit requirements apply only
3through July 1, 2007.
4    The Auditor General must conduct audits of the Rend Lake
5Conservancy District as provided in Section 25.5 of the River
6Conservancy Districts Act.
7    The Auditor General must conduct financial audits of the
8Southeastern Illinois Economic Development Authority as
9provided in Section 70 of the Southeastern Illinois Economic
10Development Authority Act.
11    The Auditor General shall conduct a compliance audit in
12accordance with subsections (d) and (f) of Section 30 of the
13Innovation Development and Economy Act.
14(Source: P.A. 95-331, eff. 8-21-07; 96-31, eff. 6-30-09;
1596-939, eff. 6-24-10.)
 
16    (30 ILCS 105/5.213 rep.)  (from Ch. 127, par. 141.213)
17    Section 35. The State Finance Act is amended by repealing
18Section 5.213.
 
19    Section 40. The Hospital District Law is amended by
20changing Section 15 as follows:
 
21    (70 ILCS 910/15)  (from Ch. 23, par. 1265)
22    Sec. 15. A Hospital District shall constitute a municipal
23corporation and body politic separate and apart from any other

 

 

HB3139- 21 -LRB099 07883 JLK 28023 b

1municipality, the State of Illinois or any other public or
2governmental agency and shall have and exercise the following
3governmental powers, and all other powers incidental,
4necessary, convenient, or desirable to carry out and effectuate
5such express powers.
6    1. To establish and maintain a hospital and hospital
7facilities within or outside its corporate limits, and to
8construct, acquire, develop, expand, extend and improve any
9such hospital or hospital facility. If a Hospital District
10utilizes its authority to levy a tax pursuant to Section 20 of
11this Act for the purpose of establishing and maintaining
12hospitals or hospital facilities, such District shall be
13prohibited from establishing and maintaining hospitals or
14hospital facilities located outside of its district unless so
15authorized by referendum. To approve the provision of any
16service and to approve any contract or other arrangement not
17prohibited by a hospital licensed under the Hospital Licensing
18Act, incorporated under the General Not-For-Profit Corporation
19Act, and exempt from taxation under paragraph (3) of subsection
20(c) of Section 501 of the Internal Revenue Code.
21    2. To acquire land in fee simple, rights in land and
22easements upon, over or across land and leasehold interests in
23land and tangible and intangible personal property used or
24useful for the location, establishment, maintenance,
25development, expansion, extension or improvement of any such
26hospital or hospital facility. Such acquisition may be by

 

 

HB3139- 22 -LRB099 07883 JLK 28023 b

1dedication, purchase, gift, agreement, lease, use or adverse
2possession or by condemnation.
3    3. To operate, maintain and manage such hospital and
4hospital facility, and to make and enter into contracts for the
5use, operation or management of and to provide rules and
6regulations for the operation, management or use of such
7hospital or hospital facility.
8    Such contracts may include the lease by the District of all
9or any portion of its facilities to a not-for-profit
10corporation organized by the District's board of directors. The
11rent to be paid pursuant to any such lease shall be in an
12amount deemed appropriate by the board of directors. Any of the
13remaining assets which are not the subject of such a lease may
14be conveyed and transferred to the not-for-profit corporation
15organized by the District's board of directors provided that
16the not-for-profit corporation agrees to discharge or assume
17such debts, liabilities, and obligations of the District as
18determined to be appropriate by the District's board of
19directors.
20    4. To fix, charge and collect reasonable fees and
21compensation for the use or occupancy of such hospital or any
22part thereof, or any hospital facility, and for nursing care,
23medicine, attendance, or other services furnished by such
24hospital or hospital facilities, according to the rules and
25regulations prescribed by the board from time to time.
26    5. To borrow money and to issue general obligation bonds,

 

 

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1revenue bonds, notes, certificates, or other evidences of
2indebtedness for the purpose of accomplishing any of its
3corporate purposes, subject to compliance with any conditions
4or limitations set forth in this Act or the Health Facilities
5Planning Act or otherwise provided by the constitution of the
6State of Illinois and to execute, deliver, and perform
7mortgages and security agreements to secure such borrowing.
8    6. To employ or enter into contracts for the employment of
9any person, firm, or corporation, and for professional
10services, necessary or desirable for the accomplishment of the
11corporate objects of the District or the proper administration,
12management, protection or control of its property.
13    7. To maintain such hospital for the benefit of the
14inhabitants of the area comprising the District who are sick,
15injured, or maimed regardless of race, creed, religion, sex,
16national origin or color, and to adopt such reasonable rules
17and regulations as may be necessary to render the use of the
18hospital of the greatest benefit to the greatest number; to
19exclude from the use of the hospital all persons who wilfully
20disregard any of the rules and regulations so established; to
21extend the privileges and use of the hospital to persons
22residing outside the area of the District upon such terms and
23conditions as the board of directors prescribes by its rules
24and regulations.
25    8. To police its property and to exercise police powers in
26respect thereto or in respect to the enforcement of any rule or

 

 

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1regulation provided by the ordinances of the District and to
2employ and commission police officers and other qualified
3persons to enforce the same.
4    The use of any such hospital or hospital facility of a
5District shall be subject to the reasonable regulation and
6control of the District and upon such reasonable terms and
7conditions as shall be established by its board of directors.
8    A regulatory ordinance of a District adopted under any
9provision of this Section may provide for a suspension or
10revocation of any rights or privileges within the control of
11the District for a violation of any such regulatory ordinance.
12    Nothing in this Section or in other provisions of this Act
13shall be construed to authorize the District or board to
14establish or enforce any regulation or rule in respect to
15hospitalization or in the operation or maintenance of such
16hospital or any hospital facilities within its jurisdiction
17which is in conflict with any federal or state law or
18regulation applicable to the same subject matter.
19    9. To provide for the benefit of its employees group life,
20health, accident, hospital and medical insurance, or any
21combination of such types of insurance, and to further provide
22for its employees by the establishment of a pension or
23retirement plan or system; to effectuate the establishment of
24any such insurance program or pension or retirement plan or
25system, a Hospital District may make, enter into or subscribe
26to agreements, contracts, policies or plans with private

 

 

HB3139- 25 -LRB099 07883 JLK 28023 b

1insurance companies. Such insurance may include provisions for
2employees who rely on treatment by spiritual means alone
3through prayer for healing in accord with the tenets and
4practice of a well-recognized religious denomination. The
5board of directors of a Hospital District may provide for
6payment by the District of a portion of the premium or charge
7for such insurance or for a pension or retirement plan for
8employees with the employee paying the balance of such premium
9or charge. If the board of directors of a Hospital District
10undertakes a plan pursuant to which the Hospital District pays
11a portion of such premium or charge, the board shall provide
12for the withholding and deducting from the compensation of such
13employees as consent to joining such insurance program or
14pension or retirement plan or system, the balance of the
15premium or charge for such insurance or plan or system.
16    If the board of directors of a Hospital District does not
17provide for a program or plan pursuant to which such District
18pays a portion of the premium or charge for any group insurance
19program or pension or retirement plan or system, the board may
20provide for the withholding and deducting from the compensation
21of such employees as consent thereto the premium or charge for
22any group life, health, accident, hospital and medical
23insurance or for any pension or retirement plan or system.
24    A Hospital District deducting from the compensation of its
25employees for any group insurance program or pension or
26retirement plan or system, pursuant to this Section, may agree

 

 

HB3139- 26 -LRB099 07883 JLK 28023 b

1to receive and may receive reimbursement from the insurance
2company for the cost of withholding and transferring such
3amount to the company.
4    10. Except as provided in Section 15.3, to sell at public
5auction or by sealed bid and convey any real estate held by the
6District which the board of directors, by ordinance adopted by
7at least 2/3rds of the members of the board then holding
8office, has determined to be no longer necessary or useful to,
9or for the best interests of, the District.
10    An ordinance directing the sale of real estate shall
11include the legal description of the real estate, its present
12use, a statement that the property is no longer necessary or
13useful to, or for the best interests of, the District, the
14terms and conditions of the sale, whether the sale is to be at
15public auction or sealed bid, and the date, time, and place the
16property is to be sold at auction or sealed bids opened.
17    Before making a sale by virtue of the ordinance, the board
18of directors shall cause notice of the proposal to sell to be
19published once each week for 3 successive weeks in a newspaper
20published, or, if none is published, having a general
21circulation, in the district, the first publication to be not
22less than 30 days before the day provided in the notice for the
23public sale or opening of bids for the real estate.
24    The notice of the proposal to sell shall include the same
25information included in the ordinance directing the sale and
26shall advertise for bids therefor. A sale of property by public

 

 

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1auction shall be held at the property to be sold at a time and
2date determined by the board of directors. The board of
3directors may accept the high bid or any other bid determined
4to be in the best interests of the district by a vote of 2/3rds
5of the board then holding office, but by a majority vote of
6those holding office, they may reject any and all bids.
7    The chairman and secretary of the board of directors shall
8execute all documents necessary for the conveyance of such real
9property sold pursuant to the foregoing authority.
10    11. To establish and administer a program of loans for
11postsecondary students pursuing degrees in accredited public
12health-related educational programs at public institutions of
13higher education. If a student is awarded a loan, the
14individual shall agree to accept employment within the hospital
15district upon graduation from the public institution of higher
16education. For the purposes of this Act, "public institutions
17of higher education" means the University of Illinois; Southern
18Illinois University; Chicago State University; Eastern
19Illinois University; Governors State University; Illinois
20State University; Northeastern Illinois University; Northern
21Illinois University; Western Illinois University; the public
22community colleges of the State; and any other public colleges,
23universities or community colleges now or hereafter
24established or authorized by the General Assembly. The
25district's board of directors shall by resolution provide for
26eligibility requirements, award criteria, terms of financing,

 

 

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1duration of employment accepted within the district and such
2other aspects of the loan program as its establishment and
3administration may necessitate.
4    12. To establish and maintain congregate housing units; to
5acquire land in fee simple and leasehold interests in land for
6the location, establishment, maintenance, and development of
7those housing units; to borrow funds and give debt instruments,
8real estate mortgages, and security interests in personal
9property, contract rights, and general intangibles; and to
10enter into any contract required for participation in any
11federal or State programs.
12(Source: P.A. 92-534, eff. 5-14-02; 92-611, eff. 7-3-02.)
 
13    Section 45. The Alternative Health Care Delivery Act is
14amended by changing Sections 20, 30, and 36.5 as follows:
 
15    (210 ILCS 3/20)
16    Sec. 20. Board responsibilities. The State Board of Health
17shall have the responsibilities set forth in this Section.
18    (a) The Board shall investigate new health care delivery
19models and recommend to the Governor and the General Assembly,
20through the Department, those models that should be authorized
21as alternative health care models for which demonstration
22programs should be initiated. In its deliberations, the Board
23shall use the following criteria:
24        (1) The feasibility of operating the model in Illinois,

 

 

HB3139- 29 -LRB099 07883 JLK 28023 b

1    based on a review of the experience in other states
2    including the impact on health professionals of other
3    health care programs or facilities.
4        (2) The potential of the model to meet an unmet need.
5        (3) The potential of the model to reduce health care
6    costs to consumers, costs to third party payors, and
7    aggregate costs to the public.
8        (4) The potential of the model to maintain or improve
9    the standards of health care delivery in some measurable
10    fashion.
11        (5) The potential of the model to provide increased
12    choices or access for patients.
13    (b) The Board shall evaluate and make recommendations to
14the Governor and the General Assembly, through the Department,
15regarding alternative health care model demonstration programs
16established under this Act, at the midpoint and end of the
17period of operation of the demonstration programs. The report
18shall include, at a minimum, the following:
19        (1) Whether the alternative health care models
20    improved access to health care for their service
21    populations in the State.
22        (2) The quality of care provided by the alternative
23    health care models as may be evidenced by health outcomes,
24    surveillance reports, and administrative actions taken by
25    the Department.
26        (3) The cost and cost effectiveness to the public,

 

 

HB3139- 30 -LRB099 07883 JLK 28023 b

1    third-party payors, and government of the alternative
2    health care models, including the impact of pilot programs
3    on aggregate health care costs in the area. In addition to
4    any other information collected by the Board under this
5    Section, the Board shall collect from postsurgical
6    recovery care centers uniform billing data substantially
7    the same as specified in Section 4-2(e) of the Illinois
8    Health Finance Reform Act. To facilitate its evaluation of
9    that data, the Board shall forward a copy of the data to
10    the Illinois Health Care Cost Containment Council. All
11    patient identifiers shall be removed from the data before
12    it is submitted to the Board or Council.
13        (4) The impact of the alternative health care models on
14    the health care system in that area, including changing
15    patterns of patient demand and utilization, financial
16    viability, and feasibility of operation of service in
17    inpatient and alternative models in the area.
18        (5) The implementation by alternative health care
19    models of any special commitments made during application
20    review to the Health Facilities and Services Review Board.
21        (6) The continuation, expansion, or modification of
22    the alternative health care models.
23    (c) The Board shall advise the Department on the definition
24and scope of alternative health care models demonstration
25programs.
26    (d) In carrying out its responsibilities under this

 

 

HB3139- 31 -LRB099 07883 JLK 28023 b

1Section, the Board shall seek the advice of other Department
2advisory boards or committees that may be impacted by the
3alternative health care model or the proposed model of health
4care delivery. The Board shall also seek input from other
5interested parties, which may include holding public hearings.
6    (e) The Board shall otherwise advise the Department on the
7administration of the Act as the Board deems appropriate.
8(Source: P.A. 96-31, eff. 6-30-09.)
 
9    (210 ILCS 3/30)
10    Sec. 30. Demonstration program requirements. The
11requirements set forth in this Section shall apply to
12demonstration programs.
13    (a) (Blank).
14    (a-5) (Blank). There shall be no more than the total number
15of postsurgical recovery care centers with a certificate of
16need for beds as of January 1, 2008.
17    (a-10) There shall be no more than a total of 9 children's
18community-based health care center alternative health care
19models in the demonstration program, which shall be located as
20follows:
21        (1) Two in the City of Chicago.
22        (2) One in Cook County outside the City of Chicago.
23        (3) A total of 2 in the area comprised of DuPage, Kane,
24    Lake, McHenry, and Will counties.
25        (4) A total of 2 in municipalities with a population of

 

 

HB3139- 32 -LRB099 07883 JLK 28023 b

1    50,000 or more and not located in the areas described in
2    paragraphs (1), (2), or (3).
3        (5) A total of 2 in rural areas, as defined by the
4    Health Facilities and Services Review Board.
5    No more than one children's community-based health care
6center owned and operated by a licensed skilled pediatric
7facility shall be located in each of the areas designated in
8this subsection (a-10).
9    (a-15) There shall be 5 authorized community-based
10residential rehabilitation center alternative health care
11models in the demonstration program.
12    (a-20) There shall be an authorized Alzheimer's disease
13management center alternative health care model in the
14demonstration program. The Alzheimer's disease management
15center shall be located in Will County, owned by a
16not-for-profit entity, and endorsed by a resolution approved by
17the county board before the effective date of this amendatory
18Act of the 91st General Assembly.
19    (a-25) There shall be no more than 10 birth center
20alternative health care models in the demonstration program,
21located as follows:
22        (1) Four in the area comprising Cook, DuPage, Kane,
23    Lake, McHenry, and Will counties, one of which shall be
24    owned or operated by a hospital and one of which shall be
25    owned or operated by a federally qualified health center.
26        (2) Three in municipalities with a population of 50,000

 

 

HB3139- 33 -LRB099 07883 JLK 28023 b

1    or more not located in the area described in paragraph (1)
2    of this subsection, one of which shall be owned or operated
3    by a hospital and one of which shall be owned or operated
4    by a federally qualified health center.
5        (3) Three in rural areas, one of which shall be owned
6    or operated by a hospital and one of which shall be owned
7    or operated by a federally qualified health center.
8    The first 3 birth centers authorized to operate by the
9Department shall be located in or predominantly serve the
10residents of a health professional shortage area as determined
11by the United States Department of Health and Human Services.
12There shall be no more than 2 birth centers authorized to
13operate in any single health planning area for obstetric
14services as determined under the Illinois Health Facilities
15Planning Act. If a birth center is located outside of a health
16professional shortage area, (i) the birth center shall be
17located in a health planning area with a demonstrated need for
18obstetrical service beds, as determined by the Health
19Facilities and Services Review Board or (ii) there must be a
20reduction in the existing number of obstetrical service beds in
21the planning area so that the establishment of the birth center
22does not result in an increase in the total number of
23obstetrical service beds in the health planning area.
24    (b) (Blank) Alternative health care models, other than a
25model authorized under subsection (a-10) or (a-20), shall
26obtain a certificate of need from the Health Facilities and

 

 

HB3139- 34 -LRB099 07883 JLK 28023 b

1Services Review Board under the Illinois Health Facilities
2Planning Act before receiving a license by the Department. If,
3after obtaining its initial certificate of need, an alternative
4health care delivery model that is a community based
5residential rehabilitation center seeks to increase the bed
6capacity of that center, it must obtain a certificate of need
7from the Health Facilities and Services Review Board before
8increasing the bed capacity. Alternative health care models in
9medically underserved areas shall receive priority in
10obtaining a certificate of need.
11    (c) An alternative health care model license shall be
12issued for a period of one year and shall be annually renewed
13if the facility or program is in substantial compliance with
14the Department's rules adopted under this Act. A licensed
15alternative health care model that continues to be in
16substantial compliance after the conclusion of the
17demonstration program shall be eligible for annual renewals
18unless and until a different licensure program for that type of
19health care model is established by legislation, except that a
20postsurgical recovery care center meeting the following
21requirements may apply within 3 years after August 25, 2009
22(the effective date of Public Act 96-669) for a Certificate of
23Need permit to operate as a hospital:
24        (1) (Blank). The postsurgical recovery care center
25    shall apply to the Health Facilities and Services Review
26    Board for a Certificate of Need permit to discontinue the

 

 

HB3139- 35 -LRB099 07883 JLK 28023 b

1    postsurgical recovery care center and to establish a
2    hospital.
3        (2) The If the postsurgical recovery care center
4    obtains a Certificate of Need permit to operate as a
5    hospital, it shall apply for licensure as a hospital under
6    the Hospital Licensing Act and shall meet all statutory and
7    regulatory requirements of a hospital.
8        (3) After obtaining licensure as a hospital, any
9    license as an ambulatory surgical treatment center and any
10    license as a postsurgical recovery care center shall be
11    null and void.
12        (4) The former postsurgical recovery care center that
13    receives a hospital license must seek and use its best
14    efforts to maintain certification under Titles XVIII and
15    XIX of the federal Social Security Act.
16    The Department may issue a provisional license to any
17alternative health care model that does not substantially
18comply with the provisions of this Act and the rules adopted
19under this Act if (i) the Department finds that the alternative
20health care model has undertaken changes and corrections which
21upon completion will render the alternative health care model
22in substantial compliance with this Act and rules and (ii) the
23health and safety of the patients of the alternative health
24care model will be protected during the period for which the
25provisional license is issued. The Department shall advise the
26licensee of the conditions under which the provisional license

 

 

HB3139- 36 -LRB099 07883 JLK 28023 b

1is issued, including the manner in which the alternative health
2care model fails to comply with the provisions of this Act and
3rules, and the time within which the changes and corrections
4necessary for the alternative health care model to
5substantially comply with this Act and rules shall be
6completed.
7    (d) Alternative health care models shall seek
8certification under Titles XVIII and XIX of the federal Social
9Security Act. In addition, alternative health care models shall
10provide charitable care consistent with that provided by
11comparable health care providers in the geographic area.
12    (d-5) (Blank).
13    (e) Alternative health care models shall, to the extent
14possible, link and integrate their services with nearby health
15care facilities.
16    (f) Each alternative health care model shall implement a
17quality assurance program with measurable benefits and at
18reasonable cost.
19(Source: P.A. 97-135, eff. 7-14-11; 97-333, eff. 8-12-11;
2097-813, eff. 7-13-12; 98-629, eff. 1-1-15; 98-756, eff.
217-16-14; revised 10-3-14.)
 
22    Section 50. The Assisted Living and Shared Housing Act is
23amended by changing Sections 10, 145, and 155 as follows:
 
24    (210 ILCS 9/10)

 

 

HB3139- 37 -LRB099 07883 JLK 28023 b

1    Sec. 10. Definitions. For purposes of this Act:
2    "Activities of daily living" means eating, dressing,
3bathing, toileting, transferring, or personal hygiene.
4    "Assisted living establishment" or "establishment" means a
5home, building, residence, or any other place where sleeping
6accommodations are provided for at least 3 unrelated adults, at
7least 80% of whom are 55 years of age or older and where the
8following are provided consistent with the purposes of this
9Act:
10        (1) services consistent with a social model that is
11    based on the premise that the resident's unit in assisted
12    living and shared housing is his or her own home;
13        (2) community-based residential care for persons who
14    need assistance with activities of daily living, including
15    personal, supportive, and intermittent health-related
16    services available 24 hours per day, if needed, to meet the
17    scheduled and unscheduled needs of a resident;
18        (3) mandatory services, whether provided directly by
19    the establishment or by another entity arranged for by the
20    establishment, with the consent of the resident or
21    resident's representative; and
22        (4) a physical environment that is a homelike setting
23    that includes the following and such other elements as
24    established by the Department: individual living units
25    each of which shall accommodate small kitchen appliances
26    and contain private bathing, washing, and toilet

 

 

HB3139- 38 -LRB099 07883 JLK 28023 b

1    facilities, or private washing and toilet facilities with a
2    common bathing room readily accessible to each resident.
3    Units shall be maintained for single occupancy except in
4    cases in which 2 residents choose to share a unit.
5    Sufficient common space shall exist to permit individual
6    and group activities.
7    "Assisted living establishment" or "establishment" does
8not mean 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, or a
14    facility licensed under the ID/DD Community Care Act.
15    However, a facility licensed under either of those Acts may
16    convert distinct parts of the facility to assisted living.
17    If the facility elects to do so, the facility shall retain
18    the Certificate of Need for its nursing and sheltered care
19    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

 

 

HB3139- 39 -LRB099 07883 JLK 28023 b

1    Community Living Facilities Licensing Act.
2        (6) A nursing home or sanitarium operated solely by and
3    for persons who rely exclusively upon treatment by
4    spiritual means through prayer in accordance with the creed
5    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) The portion of a life care facility as defined in
14    the Life Care Facilities Act not licensed as an assisted
15    living establishment under this Act; a life care facility
16    may apply under this Act to convert sections of the
17    community to assisted living.
18        (10) A free-standing hospice facility licensed under
19    the Hospice Program Licensing Act.
20        (11) A shared housing establishment.
21        (12) A supportive living facility as described in
22    Section 5-5.01a of the Illinois Public Aid Code.
23    "Department" means the Department of Public Health.
24    "Director" means the Director of Public Health.
25    "Emergency situation" means imminent danger of death or
26serious physical harm to a resident of an establishment.

 

 

HB3139- 40 -LRB099 07883 JLK 28023 b

1    "License" means any of the following types of licenses
2issued to an applicant or licensee by the Department:
3        (1) "Probationary license" means a license issued to an
4    applicant or licensee that has not held a license under
5    this Act prior to its application or pursuant to a license
6    transfer in accordance with Section 50 of this Act.
7        (2) "Regular license" means a license issued by the
8    Department to an applicant or licensee that is in
9    substantial compliance with this Act and any rules
10    promulgated under this Act.
11    "Licensee" means a person, agency, association,
12corporation, partnership, or organization that has been issued
13a license to operate an assisted living or shared housing
14establishment.
15    "Licensed health care professional" means a registered
16professional nurse, an advanced practice nurse, a physician
17assistant, and a licensed practical nurse.
18    "Mandatory services" include the following:
19        (1) 3 meals per day available to the residents prepared
20    by the establishment or an outside contractor;
21        (2) housekeeping services including, but not limited
22    to, vacuuming, dusting, and cleaning the resident's unit;
23        (3) personal laundry and linen services available to
24    the residents provided or arranged for by the
25    establishment;
26        (4) security provided 24 hours each day including, but

 

 

HB3139- 41 -LRB099 07883 JLK 28023 b

1    not limited to, locked entrances or building or contract
2    security personnel;
3        (5) an emergency communication response system, which
4    is a procedure in place 24 hours each day by which a
5    resident can notify building management, an emergency
6    response vendor, or others able to respond to his or her
7    need for assistance; and
8        (6) assistance with activities of daily living as
9    required by each resident.
10    "Negotiated risk" is the process by which a resident, or
11his or her representative, may formally negotiate with
12providers what risks each are willing and unwilling to assume
13in service provision and the resident's living environment. The
14provider assures that the resident and the resident's
15representative, if any, are informed of the risks of these
16decisions and of the potential consequences of assuming these
17risks.
18    "Owner" means the individual, partnership, corporation,
19association, or other person who owns an assisted living or
20shared housing establishment. In the event an assisted living
21or shared housing establishment is operated by a person who
22leases or manages the physical plant, which is owned by another
23person, "owner" means the person who operates the assisted
24living or shared housing establishment, except that if the
25person who owns the physical plant is an affiliate of the
26person who operates the assisted living or shared housing

 

 

HB3139- 42 -LRB099 07883 JLK 28023 b

1establishment and has significant control over the day to day
2operations of the assisted living or shared housing
3establishment, the person who owns the physical plant shall
4incur jointly and severally with the owner all liabilities
5imposed on an owner under this Act.
6    "Physician" means a person licensed under the Medical
7Practice Act of 1987 to practice medicine in all of its
8branches.
9    "Resident" means a person residing in an assisted living or
10shared housing establishment.
11    "Resident's representative" means a person, other than the
12owner, agent, or employee of an establishment or of the health
13care provider unless related to the resident, designated in
14writing by a resident to be his or her representative. This
15designation may be accomplished through the Illinois Power of
16Attorney Act, pursuant to the guardianship process under the
17Probate Act of 1975, or pursuant to an executed designation of
18representative form specified by the Department.
19    "Self" means the individual or the individual's designated
20representative.
21    "Shared housing establishment" or "establishment" means a
22publicly or privately operated free-standing residence for 16
23or fewer persons, at least 80% of whom are 55 years of age or
24older and who are unrelated to the owners and one manager of
25the residence, where the following are provided:
26        (1) services consistent with a social model that is

 

 

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1    based on the premise that the resident's unit is his or her
2    own home;
3        (2) community-based residential care for persons who
4    need assistance with activities of daily living, including
5    housing and personal, supportive, and intermittent
6    health-related services available 24 hours per day, if
7    needed, to meet the scheduled and unscheduled needs of a
8    resident; and
9        (3) mandatory services, whether provided directly by
10    the establishment or by another entity arranged for by the
11    establishment, with the consent of the resident or the
12    resident's representative.
13    "Shared housing establishment" or "establishment" does not
14mean any of the following:
15        (1) A home, institution, or similar place operated by
16    the federal government or the State of Illinois.
17        (2) A long term care facility licensed under the
18    Nursing Home Care Act, a facility licensed under the
19    Specialized Mental Health Rehabilitation Act of 2013, or a
20    facility licensed under the ID/DD Community Care Act. A
21    facility licensed under either of those Acts may, however,
22    convert sections of the facility to assisted living. If the
23    facility elects to do so, the facility shall retain the
24    Certificate of Need for its nursing beds that were
25    converted.
26        (3) A hospital, sanitarium, or other institution, the

 

 

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1    principal activity or business of which is the diagnosis,
2    care, and treatment of human illness and that is required
3    to be licensed under the Hospital Licensing Act.
4        (4) A facility for child care as defined in the Child
5    Care Act of 1969.
6        (5) A community living facility as defined in the
7    Community Living Facilities Licensing Act.
8        (6) A nursing home or sanitarium operated solely by and
9    for persons who rely exclusively upon treatment by
10    spiritual means through prayer in accordance with the creed
11    or tenants of a well-recognized church or religious
12    denomination.
13        (7) A facility licensed by the Department of Human
14    Services as a community-integrated living arrangement as
15    defined in the Community-Integrated Living Arrangements
16    Licensure and Certification Act.
17        (8) A supportive residence licensed under the
18    Supportive Residences Licensing Act.
19        (9) A life care facility as defined in the Life Care
20    Facilities Act; a life care facility may apply under this
21    Act to convert sections of the community to assisted
22    living.
23        (10) A free-standing hospice facility licensed under
24    the Hospice Program Licensing Act.
25        (11) An assisted living establishment.
26        (12) A supportive living facility as described in

 

 

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1    Section 5-5.01a of the Illinois Public Aid Code.
2    "Total assistance" means that staff or another individual
3performs the entire activity of daily living without
4participation by the resident.
5(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
6eff. 7-13-12; 98-104, eff. 7-22-13.)
 
7    (210 ILCS 9/145)
8    Sec. 145. Conversion of facilities. Entities licensed as
9facilities under the Nursing Home Care Act, the Specialized
10Mental Health Rehabilitation Act of 2013, or the ID/DD
11Community Care Act may elect to convert to a license under this
12Act. Any facility that chooses to convert, in whole or in part,
13shall follow the requirements in the Nursing Home Care Act, the
14Specialized Mental Health Rehabilitation Act of 2013, or the
15ID/DD Community Care Act, as applicable, and rules promulgated
16under those Acts regarding voluntary closure and notice to
17residents. Any conversion of existing beds licensed under the
18Nursing Home Care Act, the Specialized Mental Health
19Rehabilitation Act of 2013, or the ID/DD Community Care Act to
20licensure under this Act is exempt from review by the Health
21Facilities and Services Review Board.
22(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
23eff. 7-13-12; 98-104, eff. 7-22-13.)
 
24    (210 ILCS 9/155)

 

 

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1    Sec. 155. Application of Act. An establishment licensed
2under this Act shall obtain and maintain all other licenses,
3permits, certificates, and other governmental approvals
4required of it, except that a licensed assisted living or
5shared housing establishment is exempt from the provisions of
6the Illinois Health Facilities Planning Act. An establishment
7licensed under this Act shall comply with the requirements of
8all local, State, federal, and other applicable laws, rules,
9and ordinances and the National Fire Protection Association's
10Life Safety Code.
11(Source: P.A. 91-656, eff. 1-1-01.)
 
12    Section 55. The Life Care Facilities Act is amended by
13changing Sections 2 and 7 as follows:
 
14    (210 ILCS 40/2)  (from Ch. 111 1/2, par. 4160-2)
15    Sec. 2. As used in this Act, unless the context otherwise
16requires:
17    (a) "Department" means the Department of Public Health.
18    (b) "Director" means the Director of the Department.
19    (c) "Life care contract" means a contract to provide to a
20person for the duration of such person's life or for a term in
21excess of one year, nursing services, medical services or
22personal care services, in addition to maintenance services for
23such person in a facility, conditioned upon the transfer of an
24entrance fee to the provider of such services in addition to or

 

 

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1in lieu of the payment of regular periodic charges for the care
2and services involved.
3    (d) "Provider" means a person who provides services
4pursuant to a life care contract.
5    (e) "Resident" means a person who enters into a life care
6contract with a provider, or who is designated in a life care
7contract to be a person provided with maintenance and nursing,
8medical or personal care services.
9    (f) "Facility" means a place or places in which a provider
10undertakes to provide a resident with nursing services, medical
11services or personal care services, in addition to maintenance
12services for a term in excess of one year or for life pursuant
13to a life care contract. The term also means a place or places
14in which a provider undertakes to provide such services to a
15non-resident.
16    (g) "Living unit" means an apartment, room or other area
17within a facility set aside for the exclusive use of one or
18more identified residents.
19    (h) "Entrance fee" means an initial or deferred transfer to
20a provider of a sum of money or property, made or promised to
21be made by a person entering into a life care contract, which
22assures a resident of services pursuant to a life care
23contract.
24    (i) "Permit" means a written authorization to enter into
25life care contracts issued by the Department to a provider.
26    (j) "Medical services" means those services pertaining to

 

 

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1medical or dental care that are performed in behalf of patients
2at the direction of a physician licensed under the Medical
3Practice Act of 1987 or a dentist licensed under the Illinois
4Dental Practice Act by such physicians or dentists, or by a
5registered or licensed practical nurse as defined in the Nurse
6Practice Act or by other professional and technical personnel.
7    (k) "Nursing services" means those services pertaining to
8the curative, restorative and preventive aspects of nursing
9care that are performed at the direction of a physician
10licensed under the Medical Practice Act of 1987 by or under the
11supervision of a registered or licensed practical nurse as
12defined in the Nurse Practice Act.
13    (l) "Personal care services" means assistance with meals,
14dressing, movement, bathing or other personal needs or
15maintenance, or general supervision and oversight of the
16physical and mental well-being of an individual, who is
17incapable of maintaining a private, independent residence or
18who is incapable of managing his person whether or not a
19guardian has been appointed for such individual.
20    (m) "Maintenance services" means food, shelter and laundry
21services.
22    (n) (Blank) "Certificates of Need" means those permits
23issued pursuant to the Illinois Health Facilities Planning Act
24as now or hereafter amended.
25    (o) "Non-resident" means a person admitted to a facility
26who has not entered into a life care contract.

 

 

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1(Source: P.A. 95-639, eff. 10-5-07.)
 
2    (210 ILCS 40/7)  (from Ch. 111 1/2, par. 4160-7)
3    Sec. 7. As a condition for the issuance of a permit
4pursuant to this Act, the provider shall establish and maintain
5on a current basis, a letter of credit or an escrow account
6with a bank, trust company, or other financial institution
7located in the State of Illinois. The letter of credit shall be
8in an amount and form acceptable to the Department, but in no
9event shall the amount exceed that applicable to the
10corresponding escrow agreement alternative, as described
11below. The terms of the escrow agreement shall meet the
12following provisions:
13    (a) Requirements for new facilities.
14    (1) If the entrance fee applies to a living unit which has
15not previously been occupied by any resident, all entrance fee
16payments representing either all or any smaller portion of the
17total entrance fee shall be paid to the escrow agent by the
18resident.
19    (2) When the provider has sold at least 1/2 of its living
20units, obtained a mortgage commitment, if needed, and obtained
21all necessary zoning permits and Certificates of Need, if
22required, the escrow agent may release a sum representing 1/5
23of the resident's total entrance fee to the provider. Upon
24completion of the foundation of the living unit an additional
251/5 of the resident's total entrance fee may be released to the

 

 

HB3139- 50 -LRB099 07883 JLK 28023 b

1provider. When the living unit is under roof a further and
2additional 1/5 of the resident's total entrance fee may be
3released to the provider. All remaining monies, if any, shall
4remain in escrow until the resident's living unit is
5substantially completed and ready for occupancy by the
6resident. When the living unit is ready for occupancy the
7escrow agent may release the remaining escrow amount to the
8provider and further entrance fee payments, if any, may be paid
9by the resident to the provider directly. All monies released
10from escrow shall be used for the facility and for no other
11purpose.
12    (b) General requirements for all facilities, including new
13and existing facilities.
14    (1) At the time of resident occupancy and at all times
15thereafter, the escrow amount shall be in an amount which
16equals or exceeds the aggregate principal and interest payments
17due during the next 6 months on account of any first mortgage
18or other long-term financing of the facility. Existing
19facilities shall have 2 years from the date of this Act
20becoming law to comply with this subsection. Upon application
21from a facility showing good cause, the Director may extend
22compliance with this subsection one additional year.
23    (2) Notwithstanding paragraph (1) of this subsection, the
24escrow monies required under paragraph (1) of this subsection
25may be released to the provider upon approval by the Director.
26The Director may attach such conditions on the release of

 

 

HB3139- 51 -LRB099 07883 JLK 28023 b

1monies as he deems fit including, but not limited to, the
2performance of an audit which satisfies the Director that the
3facility is solvent, a plan from the facility to bring the
4facility back in compliance with paragraph (1) of this
5subsection, and a repayment schedule.
6    (3) The principal of the escrow account may be invested
7with the earnings thereon payable to the provider as it
8accrues.
9    (4) If the facility ceases to operate all monies in the
10escrow account except the amount representing principal and
11interest shall be repaid by the escrow agent to the resident.
12    (5) Balloon payments due at conclusion of the mortgage
13shall not be subject to the escrow requirements of paragraph
14(1) this subsection.
15(Source: P.A. 85-1349.)
 
16    Section 60. The Nursing Home Care Act is amended by
17changing Sections 3-102.2 and 3-103 as follows:
 
18    (210 ILCS 45/3-102.2)
19    Sec. 3-102.2. Supported congregate living arrangement
20demonstration. The Illinois Department may grant no more than 3
21waivers from the requirements of this Act for facilities
22participating in the supported congregate living arrangement
23demonstration. A joint waiver request must be made by an
24applicant and the Department on Aging. If the Department on

 

 

HB3139- 52 -LRB099 07883 JLK 28023 b

1Aging does not act upon an application within 60 days, the
2applicant may submit a written waiver request on its own
3behalf. The waiver request must include a specific program plan
4describing the types of residents to be served and the services
5that will be provided in the facility. The Department shall
6conduct an on-site review at each facility annually or as often
7as necessary to ascertain compliance with the program plan. The
8Department may revoke the waiver if it determines that the
9facility is not in compliance with the program plan. Nothing in
10this Section prohibits the Department from conducting
11complaint investigations.
12     A facility granted a waiver under this Section is not
13subject to the Illinois Health Facilities Planning Act, unless
14it subsequently applies for a certificate of need to convert to
15a nursing facility. A facility applying for conversion shall
16meet the licensure and certificate of need requirements in
17effect as of the date of application, and this provision may
18not be waived.
19(Source: P.A. 89-530, eff. 7-19-96.)
 
20    (210 ILCS 45/3-103)  (from Ch. 111 1/2, par. 4153-103)
21    Sec. 3-103. The procedure for obtaining a valid license
22shall be as follows:
23        (1) Application to operate a facility shall be made to
24    the Department on forms furnished by the Department.
25        (2) All license applications shall be accompanied with

 

 

HB3139- 53 -LRB099 07883 JLK 28023 b

1    an application fee. The fee for an annual license shall be
2    $1,990. Facilities that pay a fee or assessment pursuant to
3    Article V-C of the Illinois Public Aid Code shall be exempt
4    from the license fee imposed under this item (2). The fee
5    for a 2-year license shall be double the fee for the annual
6    license. The fees collected shall be deposited with the
7    State Treasurer into the Long Term Care Monitor/Receiver
8    Fund, which has been created as a special fund in the State
9    treasury. This special fund is to be used by the Department
10    for expenses related to the appointment of monitors and
11    receivers as contained in Sections 3-501 through 3-517 of
12    this Act, for the enforcement of this Act, for expenses
13    related to surveyor development, and for implementation of
14    the Abuse Prevention Review Team Act. All federal moneys
15    received as a result of expenditures from the Fund shall be
16    deposited into the Fund. The Department may reduce or waive
17    a penalty pursuant to Section 3-308 only if that action
18    will not threaten the ability of the Department to meet the
19    expenses required to be met by the Long Term Care
20    Monitor/Receiver Fund. The application shall be under oath
21    and the submission of false or misleading information shall
22    be a Class A misdemeanor. The application shall contain the
23    following information:
24            (a) The name and address of the applicant if an
25        individual, and if a firm, partnership, or
26        association, of every member thereof, and in the case

 

 

HB3139- 54 -LRB099 07883 JLK 28023 b

1        of a corporation, the name and address thereof and of
2        its officers and its registered agent, and in the case
3        of a unit of local government, the name and address of
4        its chief executive officer;
5            (b) The name and location of the facility for which
6        a license is sought;
7            (c) The name of the person or persons under whose
8        management or supervision the facility will be
9        conducted;
10            (d) The number and type of residents for which
11        maintenance, personal care, or nursing is to be
12        provided; and
13            (e) Such information relating to the number,
14        experience, and training of the employees of the
15        facility, any management agreements for the operation
16        of the facility, and of the moral character of the
17        applicant and employees as the Department may deem
18        necessary.
19        (3) Each initial application shall be accompanied by a
20    financial statement setting forth the financial condition
21    of the applicant and by a statement from the unit of local
22    government having zoning jurisdiction over the facility's
23    location stating that the location of the facility is not
24    in violation of a zoning ordinance. An initial application
25    for a new facility shall be accompanied by a permit as
26    required by the "Illinois Health Facilities Planning Act".

 

 

HB3139- 55 -LRB099 07883 JLK 28023 b

1    After the application is approved, the applicant shall
2    advise the Department every 6 months of any changes in the
3    information originally provided in the application.
4        (4) Other information necessary to determine the
5    identity and qualifications of an applicant to operate a
6    facility in accordance with this Act shall be included in
7    the application as required by the Department in
8    regulations.
9(Source: P.A. 96-758, eff. 8-25-09; 96-1372, eff. 7-29-10;
1096-1504, eff. 1-27-11; 96-1530, eff. 2-16-11; 97-489, eff.
111-1-12.)
 
12    Section 65. The ID/DD Community Care Act is amended by
13changing Section 3-103 as follows:
 
14    (210 ILCS 47/3-103)
15    Sec. 3-103. Application for license; financial statement.
16The procedure for obtaining a valid license shall be as
17follows:
18        (1) Application to operate a facility shall be made to
19    the Department on forms furnished by the Department.
20        (2) All license applications shall be accompanied with
21    an application fee. The fee for an annual license shall be
22    $995. Facilities that pay a fee or assessment pursuant to
23    Article V-C of the Illinois Public Aid Code shall be exempt
24    from the license fee imposed under this item (2). The fee

 

 

HB3139- 56 -LRB099 07883 JLK 28023 b

1    for a 2-year license shall be double the fee for the annual
2    license set forth in the preceding sentence. The fees
3    collected shall be deposited with the State Treasurer into
4    the Long Term Care Monitor/Receiver Fund, which has been
5    created as a special fund in the State treasury. This
6    special fund is to be used by the Department for expenses
7    related to the appointment of monitors and receivers as
8    contained in Sections 3-501 through 3-517. At the end of
9    each fiscal year, any funds in excess of $1,000,000 held in
10    the Long Term Care Monitor/Receiver Fund shall be deposited
11    in the State's General Revenue Fund. The application shall
12    be under oath and the submission of false or misleading
13    information shall be a Class A misdemeanor. The application
14    shall contain the following information:
15            (a) The name and address of the applicant if an
16        individual, and if a firm, partnership, or
17        association, of every member thereof, and in the case
18        of a corporation, the name and address thereof and of
19        its officers and its registered agent, and in the case
20        of a unit of local government, the name and address of
21        its chief executive officer;
22            (b) The name and location of the facility for which
23        a license is sought;
24            (c) The name of the person or persons under whose
25        management or supervision the facility will be
26        conducted;

 

 

HB3139- 57 -LRB099 07883 JLK 28023 b

1            (d) The number and type of residents for which
2        maintenance, personal care, or nursing is to be
3        provided; and
4            (e) Such information relating to the number,
5        experience, and training of the employees of the
6        facility, any management agreements for the operation
7        of the facility, and of the moral character of the
8        applicant and employees as the Department may deem
9        necessary.
10        (3) Each initial application shall be accompanied by a
11    financial statement setting forth the financial condition
12    of the applicant and by a statement from the unit of local
13    government having zoning jurisdiction over the facility's
14    location stating that the location of the facility is not
15    in violation of a zoning ordinance. An initial application
16    for a new facility shall be accompanied by a permit as
17    required by the Illinois Health Facilities Planning Act.
18    After the application is approved, the applicant shall
19    advise the Department every 6 months of any changes in the
20    information originally provided in the application.
21        (4) Other information necessary to determine the
22    identity and qualifications of an applicant to operate a
23    facility in accordance with this Act shall be included in
24    the application as required by the Department in
25    regulations.
26(Source: P.A. 96-339, eff. 7-1-10.)
 

 

 

HB3139- 58 -LRB099 07883 JLK 28023 b

1    Section 70. The Specialized Mental Health Rehabilitation
2Act of 2013 is amended by changing Section 1-101.5 as follows:
 
3    (210 ILCS 49/1-101.5)
4    Sec. 1-101.5. Prior law.
5    (a) This Act provides for licensure of long term care
6facilities that are federally designated as institutions for
7the mentally diseased on the effective date of this Act and
8specialize in providing services to individuals with a serious
9mental illness. On and after the effective date of this Act,
10these facilities shall be governed by this Act instead of the
11Nursing Home Care Act.
12    (b) All consent decrees that apply to facilities federally
13designated as institutions for the mentally diseased shall
14continue to apply to facilities licensed under this Act.
15    (c) A facility licensed under this Act may voluntarily
16close, and the facility may reopen in an underserved region of
17the State, if the facility receives a certificate of need from
18the Health Facilities and Services Review Board. At no time
19shall the total number of licensed beds under this Act exceed
20the total number of licensed beds existing on July 22, 2013
21(the effective date of Public Act 98-104).
22(Source: P.A. 98-104, eff. 7-22-13; 98-651, eff. 6-16-14.)
 
23    Section 75. The Emergency Medical Services (EMS) Systems

 

 

HB3139- 59 -LRB099 07883 JLK 28023 b

1Act is amended by changing Section 32.5 as follows:
 
2    (210 ILCS 50/32.5)
3    Sec. 32.5. Freestanding Emergency Center.
4    (a) The Department shall issue an annual Freestanding
5Emergency Center (FEC) license to any facility that has
6received a permit from the Health Facilities and Services
7Review Board to establish a Freestanding Emergency Center by
8January 1, 2015, and:
9        (1) is located: (A) in a municipality with a population
10    of 50,000 or fewer inhabitants; (B) within 50 miles of the
11    hospital that owns or controls the FEC; and (C) within 50
12    miles of the Resource Hospital affiliated with the FEC as
13    part of the EMS System;
14        (2) is wholly owned or controlled by an Associate or
15    Resource Hospital, but is not a part of the hospital's
16    physical plant;
17        (3) meets the standards for licensed FECs, adopted by
18    rule of the Department, including, but not limited to:
19            (A) facility design, specification, operation, and
20        maintenance standards;
21            (B) equipment standards; and
22            (C) the number and qualifications of emergency
23        medical personnel and other staff, which must include
24        at least one board certified emergency physician
25        present at the FEC 24 hours per day.

 

 

HB3139- 60 -LRB099 07883 JLK 28023 b

1        (4) limits its participation in the EMS System strictly
2    to receiving a limited number of BLS runs by emergency
3    medical vehicles according to protocols developed by the
4    Resource Hospital within the FEC's designated EMS System
5    and approved by the Project Medical Director and the
6    Department;
7        (5) provides comprehensive emergency treatment
8    services, as defined in the rules adopted by the Department
9    pursuant to the Hospital Licensing Act, 24 hours per day,
10    on an outpatient basis;
11        (6) provides an ambulance and maintains on site
12    ambulance services staffed with paramedics 24 hours per
13    day;
14        (7) (blank);
15        (8) complies with all State and federal patient rights
16    provisions, including, but not limited to, the Emergency
17    Medical Treatment Act and the federal Emergency Medical
18    Treatment and Active Labor Act;
19        (9) maintains a communications system that is fully
20    integrated with its Resource Hospital within the FEC's
21    designated EMS System;
22        (10) reports to the Department any patient transfers
23    from the FEC to a hospital within 48 hours of the transfer
24    plus any other data determined to be relevant by the
25    Department;
26        (11) submits to the Department, on a quarterly basis,

 

 

HB3139- 61 -LRB099 07883 JLK 28023 b

1    the FEC's morbidity and mortality rates for patients
2    treated at the FEC and other data determined to be relevant
3    by the Department;
4        (12) does not describe itself or hold itself out to the
5    general public as a full service hospital or hospital
6    emergency department in its advertising or marketing
7    activities;
8        (13) complies with any other rules adopted by the
9    Department under this Act that relate to FECs;
10        (14) passes the Department's site inspection for
11    compliance with the FEC requirements of this Act;
12        (15) (blank) submits a copy of the permit issued by the
13    Health Facilities and Services Review Board indicating
14    that the facility has complied with the Illinois Health
15    Facilities Planning Act with respect to the health services
16    to be provided at the facility;
17        (16) submits an application for designation as an FEC
18    in a manner and form prescribed by the Department by rule;
19    and
20        (17) pays the annual license fee as determined by the
21    Department by rule.
22    (a-5) Notwithstanding any other provision of this Section,
23the Department may issue an annual FEC license to a facility
24that is located in a county that does not have a licensed
25general acute care hospital if the facility's application for a
26permit from the Illinois Health Facilities Planning Board has

 

 

HB3139- 62 -LRB099 07883 JLK 28023 b

1been deemed complete by the Department of Public Health by
2January 1, 2014 and if the facility complies with the
3requirements set forth in paragraphs (1) through (17) of
4subsection (a).
5    (a-10) Notwithstanding any other provision of this
6Section, the Department may issue an annual FEC license to a
7facility if the facility has, by January 1, 2014, filed a
8letter of intent to establish an FEC and if the facility
9complies with the requirements set forth in paragraphs (1)
10through (17) of subsection (a).
11    (b) The Department shall:
12        (1) annually inspect facilities of initial FEC
13    applicants and licensed FECs, and issue annual licenses to
14    or annually relicense FECs that satisfy the Department's
15    licensure requirements as set forth in subsection (a);
16        (2) suspend, revoke, refuse to issue, or refuse to
17    renew the license of any FEC, after notice and an
18    opportunity for a hearing, when the Department finds that
19    the FEC has failed to comply with the standards and
20    requirements of the Act or rules adopted by the Department
21    under the Act;
22        (3) issue an Emergency Suspension Order for any FEC
23    when the Director or his or her designee has determined
24    that the continued operation of the FEC poses an immediate
25    and serious danger to the public health, safety, and
26    welfare. An opportunity for a hearing shall be promptly

 

 

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1    initiated after an Emergency Suspension Order has been
2    issued; and
3        (4) adopt rules as needed to implement this Section.
4(Source: P.A. 96-23, eff. 6-30-09; 96-31, eff. 6-30-09; 96-883,
5eff. 3-1-10; 96-1000, eff. 7-2-10; 97-333, eff. 8-12-11;
697-1112, eff. 8-27-12.)
 
7    Section 80. The Hospital Emergency Service Act is amended
8by changing Section 1.3 as follows:
 
9    (210 ILCS 80/1.3)
10    Sec. 1.3. Long-term acute care hospitals and
11rehabilitation hospitals. For the purpose of this Act, general
12acute care hospitals designated by Medicare as long-term acute
13care hospitals and rehabilitation hospitals are not required to
14provide hospital emergency services described in Section 1 of
15this Act. Hospitals defined in this Section may provide
16hospital emergency services at their option.
17    Any long-term acute care hospital that opts to discontinue
18or otherwise not provide emergency services described in
19Section 1 shall:
20        (1) comply with all provisions of the federal Emergency
21    Medical Treatment and Labor Act (EMTALA);
22        (2) comply with all provisions required under the
23    Social Security Act;
24        (3) provide annual notice to communities in the

 

 

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1    hospital's service area about available emergency medical
2    services; and
3        (4) make educational materials available to
4    individuals who are present at the hospital concerning the
5    availability of medical services within the hospital's
6    service area.
7    Long-term acute care hospitals that operate standby
8emergency services as of January 1, 2011 may discontinue
9hospital emergency services by notifying the Department of
10Public Health. Long-term acute care hospitals that operate
11basic or comprehensive emergency services must notify the
12Department of Public Health Health Facilities and Services
13Review Board and follow the appropriate procedures.
14    Any rehabilitation hospital that opts to discontinue or
15otherwise not provide emergency services described in Section 1
16shall:
17        (1) comply with all provisions of the federal Emergency
18    Medical Treatment and Active Labor Act (EMTALA);
19        (2) comply with all provisions required under the
20    Social Security Act;
21        (3) provide annual notice to communities in the
22    hospital's service area about available emergency medical
23    services;
24        (4) make educational materials available to
25    individuals who are present at the hospital concerning the
26    availability of medical services within the hospital's

 

 

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1    service area;
2        (5) not use the term "hospital" in its name or on any
3    signage; and
4        (6) notify in writing the Department and the Health
5    Facilities and Services Review Board of the
6    discontinuation.
7(Source: P.A. 97-667, eff. 1-13-12; 98-683, eff. 6-30-14;
898-756, eff. 7-16-14.)
 
9    Section 85. The Hospital Licensing Act is amended by
10changing Sections 4.5, 4.6, 4.7 and 10.8 as follows:
 
11    (210 ILCS 85/4.5)
12    Sec. 4.5. Hospital with multiple locations; single
13license.
14    (a) A hospital located in a county with fewer than
153,000,000 inhabitants may apply to the Department for approval
16to conduct its operations from more than one location within
17the county under a single license.
18    (b) The facilities or buildings at those locations must be
19owned or operated together by a single corporation or other
20legal entity serving as the licensee and must share:
21        (1) a single board of directors with responsibility for
22    governance, including financial oversight and the
23    authority to designate or remove the chief executive
24    officer;

 

 

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1        (2) a single medical staff accountable to the board of
2    directors and governed by a single set of medical staff
3    bylaws, rules, and regulations with responsibility for the
4    quality of the medical services; and
5        (3) a single chief executive officer, accountable to
6    the board of directors, with management responsibility.
7    (c) Each hospital building or facility that is located on a
8site geographically separate from the campus or premises of
9another hospital building or facility operated by the licensee
10must, at a minimum, individually comply with the Department's
11hospital licensing requirements for emergency services.
12    (d) The hospital shall submit to the Department a
13comprehensive plan in relation to the waiver or waivers
14requested describing the services and operations of each
15facility or building and how common services or operations will
16be coordinated between the various locations. With the
17exception of items required by subsection (c), the Department
18is authorized to waive compliance with the hospital licensing
19requirements for specific buildings or facilities, provided
20that the hospital has documented which other building or
21facility under its single license provides that service or
22operation, and that doing so would not endanger the public's
23health, safety, or welfare. Nothing in this Section relieves a
24hospital from the requirements of the Health Facilities
25Planning Act.
26(Source: P.A. 89-171, eff. 7-19-95.)
 

 

 

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1    (210 ILCS 85/4.6)
2    Sec. 4.6. Additional licensing requirements.
3    (a) Notwithstanding any other law or rule to the contrary,
4the Department may license as a hospital a building that (i) is
5owned or operated by a hospital licensed under this Act, (ii)
6is located in a municipality with a population of less than
760,000, and (iii) includes a postsurgical recovery care center
8licensed under the Alternative Health Care Delivery Act for a
9period of not less than 2 years, an ambulatory surgical
10treatment center licensed under the Ambulatory Surgical
11Treatment Center Act, and a Freestanding Emergency Center
12licensed under the Emergency Medical Services (EMS) Systems
13Act. Only the components of the building which are currently
14licensed shall be eligible under the provisions of this
15Section.
16    (b) Prior to issuing a license, the Department shall
17inspect the facility and require the facility to meet such of
18the Department's rules relating to the establishment of
19hospitals as the Department determines are appropriate to such
20facility. Once the Department approves the facility and issues
21a hospital license, all other licenses as listed in subsection
22(a) above shall be null and void.
23    (c) Only one license may be issued under the authority of
24this Section. No license may be issued after 18 months after
25the effective date of this amendatory Act of the 91st General

 

 

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1Assembly.
2    (d) Beginning on the effective date of this amendatory Act
3of the 96th General Assembly, each hospital building or
4facility that is (i) located on the campus of the licensee but
5on a site that is not contiguous, adjacent, or otherwise
6attached to the main hospital building of the campus of the
7licensee, (ii) operated by the licensee, and (iii) provides
8inpatient services to patients at this building or facility
9shall, at a minimum, individually comply with the Department's
10hospital licensing requirements for emergency services. The
11hospital shall submit to the Department a comprehensive plan
12describing the services and operations of each facility or
13building and how common services or operations will be
14coordinated between the various locations. The Department
15shall review the plan and may authorize a waiver granting an
16exemption for compliance with the hospital licensing
17requirements for specific buildings or facilities, including
18requirements for emergency services, provided that the
19hospital has documented which other building or facility under
20its single license provides that service or operation, and that
21doing so would not endanger the public's health, safety, or
22welfare. Nothing in this Section relieves a hospital from the
23requirements of the Illinois Health Facilities Planning Act.
24(Source: P.A. 96-1515, eff. 2-4-11.)
 
25    (210 ILCS 85/4.7)

 

 

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1    Sec. 4.7. Additional licensing requirements.
2    (a) A hospital located in a county with fewer than 325,000
3inhabitants may apply to the Department for approval to conduct
4its operations from more than one location within the county
5under a single license at a separate building or facility
6already licensed as a hospital. The operations shall be limited
7to psychiatric services. The host hospital shall house the
8licensee. The licensee's application shall be supported by
9information that its operations at the host hospital will
10provide access to necessary services for the region that the
11host hospital does not provide. The services proposed by the
12licensee at the host hospital shall not consist of emergency
13services.
14    (b) The portion of the facilities or buildings operated by
15the licensee at the host hospital shall be leased in part and
16operated by a single corporation or other legal entity serving
17as the licensee and shall have a single:
18        (1) board of directors with the responsibility for
19    governance, including financial oversight and authority to
20    designate or remove the chief executive officer;
21        (2) medical staff accountable to the board of directors
22    of the licensee and governed by a single set of medical
23    staff bylaws and associated rules and regulation of the
24    licensee, with responsibility for the quality of the
25    medical services provided by the licensee at the host
26    hospital side; and

 

 

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1        (3) chief executive officer, accountable to the board
2    of directors of the licensee, with management
3    responsibility for the licensee's operations at the host
4    hospital site.
5    The host hospital and licensee shall be jointly responsible
6for hospital licensing requirements relating to design and
7construction, engineering and maintenance of the physical
8plan, waste disposal, and fire safety.
9    (c) The licensee and host hospital shall notify the public
10and patients through general signage and written notification
11provided upon admission that services are provided at the host
12hospital site by 2 separately licensed hospitals. The signage
13shall specify which services are provided by the host hospital
14or the licensee or both.
15    (d) One emergency department shall serve the host hospital.
16Patients shall be notified that emergency services are provided
17by the host hospital. Those patients that require admission
18from the emergency department to a service that is operated by
19the licensee shall be admitted according to the Emergency
20Medical Treatment and Active Labor Act regulations and
21transferred to the licensee. The admission, registration, and
22consent form documents shall be specific to the licensee.
23    (e) The licensee and host hospital shall submit to the
24Department a comprehensive plan describing the services and
25operations of each facility or building and between the
26licensee and host hospital, and how common services or

 

 

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1operations will be coordinated between the various locations.
2Nothing in this Section relieves a hospital from the
3requirements in the Illinois Health Facilities Planning Act.
4(Source: P.A. 96-1505, eff. 1-27-11.)
 
5    (210 ILCS 85/10.8)
6    Sec. 10.8. Requirements for employment of physicians.
7    (a) Physician employment by hospitals and hospital
8affiliates. Employing entities may employ physicians to
9practice medicine in all of its branches provided that the
10following requirements are met:
11        (1) The employed physician is a member of the medical
12    staff of either the hospital or hospital affiliate. If a
13    hospital affiliate decides to have a medical staff, its
14    medical staff shall be organized in accordance with written
15    bylaws where the affiliate medical staff is responsible for
16    making recommendations to the governing body of the
17    affiliate regarding all quality assurance activities and
18    safeguarding professional autonomy. The affiliate medical
19    staff bylaws may not be unilaterally changed by the
20    governing body of the affiliate. Nothing in this Section
21    requires hospital affiliates to have a medical staff.
22        (2) Independent physicians, who are not employed by an
23    employing entity, periodically review the quality of the
24    medical services provided by the employed physician to
25    continuously improve patient care.

 

 

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1        (3) The employing entity and the employed physician
2    sign a statement acknowledging that the employer shall not
3    unreasonably exercise control, direct, or interfere with
4    the employed physician's exercise and execution of his or
5    her professional judgment in a manner that adversely
6    affects the employed physician's ability to provide
7    quality care to patients. This signed statement shall take
8    the form of a provision in the physician's employment
9    contract or a separate signed document from the employing
10    entity to the employed physician. This statement shall
11    state: "As the employer of a physician, (employer's name)
12    shall not unreasonably exercise control, direct, or
13    interfere with the employed physician's exercise and
14    execution of his or her professional judgment in a manner
15    that adversely affects the employed physician's ability to
16    provide quality care to patients."
17        (4) The employing entity shall establish a mutually
18    agreed upon independent review process with criteria under
19    which an employed physician may seek review of the alleged
20    violation of this Section by physicians who are not
21    employed by the employing entity. The affiliate may arrange
22    with the hospital medical staff to conduct these reviews.
23    The independent physicians shall make findings and
24    recommendations to the employing entity and the employed
25    physician within 30 days of the conclusion of the gathering
26    of the relevant information.

 

 

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1    (b) Definitions. For the purpose of this Section:
2    "Employing entity" means a hospital licensed under the
3Hospital Licensing Act or a hospital affiliate.
4    "Employed physician" means a physician who receives an IRS
5W-2 form, or any successor federal income tax form, from an
6employing entity.
7    "Hospital" means a hospital licensed under the Hospital
8Licensing Act, except county hospitals as defined in subsection
9(c) of Section 15-1 of the Public Aid Code.
10    "Hospital affiliate" means a corporation, partnership,
11joint venture, limited liability company, or similar
12organization, other than a hospital, that is devoted primarily
13to the provision, management, or support of health care
14services and that directly or indirectly controls, is
15controlled by, or is under common control of the hospital.
16"Control" means having at least an equal or a majority
17ownership or membership interest. A hospital affiliate shall be
18100% owned or controlled by any combination of hospitals, their
19parent corporations, or physicians licensed to practice
20medicine in all its branches in Illinois. "Hospital affiliate"
21does not include a health maintenance organization regulated
22under the Health Maintenance Organization Act.
23    "Physician" means an individual licensed to practice
24medicine in all its branches in Illinois.
25    "Professional judgment" means the exercise of a
26physician's independent clinical judgment in providing

 

 

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1medically appropriate diagnoses, care, and treatment to a
2particular patient at a particular time. Situations in which an
3employing entity does not interfere with an employed
4physician's professional judgment include, without limitation,
5the following:
6        (1) practice restrictions based upon peer review of the
7    physician's clinical practice to assess quality of care and
8    utilization of resources in accordance with applicable
9    bylaws;
10        (2) supervision of physicians by appropriately
11    licensed medical directors, medical school faculty,
12    department chairpersons or directors, or supervising
13    physicians;
14        (3) written statements of ethical or religious
15    directives; and
16        (4) reasonable referral restrictions that do not, in
17    the reasonable professional judgment of the physician,
18    adversely affect the health or welfare of the patient.
19    (c) Private enforcement. An employed physician aggrieved
20by a violation of this Act may seek to obtain an injunction or
21reinstatement of employment with the employing entity as the
22court may deem appropriate. Nothing in this Section limits or
23abrogates any common law cause of action. Nothing in this
24Section shall be deemed to alter the law of negligence.
25    (d) Department enforcement. The Department may enforce the
26provisions of this Section, but nothing in this Section shall

 

 

HB3139- 75 -LRB099 07883 JLK 28023 b

1require or permit the Department to license, certify, or
2otherwise investigate the activities of a hospital affiliate
3not otherwise required to be licensed by the Department.
4    (e) Retaliation prohibited. No employing entity shall
5retaliate against any employed physician for requesting a
6hearing or review under this Section. No action may be taken
7that affects the ability of a physician to practice during this
8review, except in circumstances where the medical staff bylaws
9authorize summary suspension.
10    (f) Physician collaboration. No employing entity shall
11adopt or enforce, either formally or informally, any policy,
12rule, regulation, or practice inconsistent with the provision
13of adequate collaboration, including medical direction of
14licensed advanced practice nurses or supervision of licensed
15physician assistants and delegation to other personnel under
16Section 54.5 of the Medical Practice Act of 1987.
17    (g) Physician disciplinary actions. Nothing in this
18Section shall be construed to limit or prohibit the governing
19body of an employing entity or its medical staff, if any, from
20taking disciplinary actions against a physician as permitted by
21law.
22    (h) Physician review. Nothing in this Section shall be
23construed to prohibit a hospital or hospital affiliate from
24making a determination not to pay for a particular health care
25service or to prohibit a medical group, independent practice
26association, hospital medical staff, or hospital governing

 

 

HB3139- 76 -LRB099 07883 JLK 28023 b

1body from enforcing reasonable peer review or utilization
2review protocols or determining whether the employed physician
3complied with those protocols.
4    (i) (Blank) Review. Nothing in this Section may be used or
5construed to establish that any activity of a hospital or
6hospital affiliate is subject to review under the Illinois
7Health Facilities Planning Act.
8    (j) Rules. The Department shall adopt any rules necessary
9to implement this Section.
10(Source: P.A. 92-455, eff. 9-30-01.)
 
11    (225 ILCS 7/4 rep.)
12    Section 90. The Board and Care Home Registration Act is
13amended by repealing Section 4.
 
14    (225 ILCS 47/Act rep.)
15    Section 95. The Health Care Worker Self-Referral Act is
16repealed.
 
17    Section 100. The Nurse Agency Licensing Act is amended by
18changing Section 3 as follows:
 
19    (225 ILCS 510/3)  (from Ch. 111, par. 953)
20    Sec. 3. Definitions. As used in this Act:
21    (a) "Certified nurse aide" means an individual certified as
22defined in Section 3-206 of the Nursing Home Care Act or

 

 

HB3139- 77 -LRB099 07883 JLK 28023 b

1Section 3-206 of the ID/DD Community Care Act, as now or
2hereafter amended.
3    (b) "Department" means the Department of Labor.
4    (c) "Director" means the Director of Labor.
5    (d) "Health care facility" means and includes the following
6facilities and organizations: is defined as in Section 3 of the
7Illinois Health Facilities Planning Act, as now or hereafter
8amended.
9        (1) an ambulatory surgical treatment center required
10    to be licensed pursuant to the Ambulatory Surgical
11    Treatment Center Act;
12        (2) an institution, place, building, or agency
13    required to be licensed pursuant to the Hospital Licensing
14    Act;
15        (3) skilled and intermediate long term care facilities
16    licensed under the Nursing Home Care Act;
17        (4) hospitals, nursing homes, ambulatory surgical
18    treatment centers, or kidney disease treatment centers
19    maintained by the State or any department or agency
20    thereof;
21        (5) kidney disease treatment centers, including a
22    free-standing hemodialysis unit; and
23        (6) an institution, place, building, or room used for
24    the performance of outpatient surgical procedures that is
25    leased, owned, or operated by or on behalf of an
26    out-of-state facility.

 

 

HB3139- 78 -LRB099 07883 JLK 28023 b

1    (e) "Licensee" means any nursing agency which is properly
2licensed under this Act.
3    (f) "Nurse" means a registered nurse or a licensed
4practical nurse as defined in the Nurse Practice Act.
5    (g) "Nurse agency" means any individual, firm,
6corporation, partnership or other legal entity that employs,
7assigns or refers nurses or certified nurse aides to a health
8care facility for a fee. The term "nurse agency" includes
9nurses registries. The term "nurse agency" does not include
10services provided by home health agencies licensed and operated
11under the Home Health, Home Services, and Home Nursing Agency
12Licensing Act or a licensed or certified individual who
13provides his or her own services as a regular employee of a
14health care facility, nor does it apply to a health care
15facility's organizing nonsalaried employees to provide
16services only in that facility.
17(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
18eff. 7-13-12; 98-104, eff. 7-22-13.)
 
19    Section 105. The Illinois Public Aid Code is amended by
20changing Sections 5-5.01a and 5-5.02 as follows:
 
21    (305 ILCS 5/5-5.01a)
22    Sec. 5-5.01a. Supportive living facilities program. The
23Department shall establish and provide oversight for a program
24of supportive living facilities that seek to promote resident

 

 

HB3139- 79 -LRB099 07883 JLK 28023 b

1independence, dignity, respect, and well-being in the most
2cost-effective manner.
3    A supportive living facility is either a free-standing
4facility or a distinct physical and operational entity within a
5nursing facility. A supportive living facility integrates
6housing with health, personal care, and supportive services and
7is a designated setting that offers residents their own
8separate, private, and distinct living units.
9    Sites for the operation of the program shall be selected by
10the Department based upon criteria that may include the need
11for services in a geographic area, the availability of funding,
12and the site's ability to meet the standards.
13    Beginning July 1, 2014, subject to federal approval, the
14Medicaid rates for supportive living facilities shall be equal
15to the supportive living facility Medicaid rate effective on
16June 30, 2014 increased by 8.85%. Once the assessment imposed
17at Article V-G of this Code is determined to be a permissible
18tax under Title XIX of the Social Security Act, the Department
19shall increase the Medicaid rates for supportive living
20facilities effective on July 1, 2014 by 9.09%. The Department
21shall apply this increase retroactively to coincide with the
22imposition of the assessment in Article V-G of this Code in
23accordance with the approval for federal financial
24participation by the Centers for Medicare and Medicaid
25Services.
26    The Department may adopt rules to implement this Section.

 

 

HB3139- 80 -LRB099 07883 JLK 28023 b

1Rules that establish or modify the services, standards, and
2conditions for participation in the program shall be adopted by
3the Department in consultation with the Department on Aging,
4the Department of Rehabilitation Services, and the Department
5of Mental Health and Developmental Disabilities (or their
6successor agencies).
7    Facilities or distinct parts of facilities which are
8selected as supportive living facilities and are in good
9standing with the Department's rules are exempt from the
10provisions of the Nursing Home Care Act and the Illinois Health
11Facilities Planning Act.
12(Source: P.A. 98-651, eff. 6-16-14.)
 
13    (305 ILCS 5/5-5.02)  (from Ch. 23, par. 5-5.02)
14    Sec. 5-5.02. Hospital reimbursements.
15    (a) Reimbursement to Hospitals; July 1, 1992 through
16September 30, 1992. Notwithstanding any other provisions of
17this Code or the Illinois Department's Rules promulgated under
18the Illinois Administrative Procedure Act, reimbursement to
19hospitals for services provided during the period July 1, 1992
20through September 30, 1992, shall be as follows:
21        (1) For inpatient hospital services rendered, or if
22    applicable, for inpatient hospital discharges occurring,
23    on or after July 1, 1992 and on or before September 30,
24    1992, the Illinois Department shall reimburse hospitals
25    for inpatient services under the reimbursement

 

 

HB3139- 81 -LRB099 07883 JLK 28023 b

1    methodologies in effect for each hospital, and at the
2    inpatient payment rate calculated for each hospital, as of
3    June 30, 1992. For purposes of this paragraph,
4    "reimbursement methodologies" means all reimbursement
5    methodologies that pertain to the provision of inpatient
6    hospital services, including, but not limited to, any
7    adjustments for disproportionate share, targeted access,
8    critical care access and uncompensated care, as defined by
9    the Illinois Department on June 30, 1992.
10        (2) For the purpose of calculating the inpatient
11    payment rate for each hospital eligible to receive
12    quarterly adjustment payments for targeted access and
13    critical care, as defined by the Illinois Department on
14    June 30, 1992, the adjustment payment for the period July
15    1, 1992 through September 30, 1992, shall be 25% of the
16    annual adjustment payments calculated for each eligible
17    hospital, as of June 30, 1992. The Illinois Department
18    shall determine by rule the adjustment payments for
19    targeted access and critical care beginning October 1,
20    1992.
21        (3) For the purpose of calculating the inpatient
22    payment rate for each hospital eligible to receive
23    quarterly adjustment payments for uncompensated care, as
24    defined by the Illinois Department on June 30, 1992, the
25    adjustment payment for the period August 1, 1992 through
26    September 30, 1992, shall be one-sixth of the total

 

 

HB3139- 82 -LRB099 07883 JLK 28023 b

1    uncompensated care adjustment payments calculated for each
2    eligible hospital for the uncompensated care rate year, as
3    defined by the Illinois Department, ending on July 31,
4    1992. The Illinois Department shall determine by rule the
5    adjustment payments for uncompensated care beginning
6    October 1, 1992.
7    (b) Inpatient payments. For inpatient services provided on
8or after October 1, 1993, in addition to rates paid for
9hospital inpatient services pursuant to the Illinois Health
10Finance Reform Act, as now or hereafter amended, or the
11Illinois Department's prospective reimbursement methodology,
12or any other methodology used by the Illinois Department for
13inpatient services, the Illinois Department shall make
14adjustment payments, in an amount calculated pursuant to the
15methodology described in paragraph (c) of this Section, to
16hospitals that the Illinois Department determines satisfy any
17one of the following requirements:
18        (1) Hospitals that are described in Section 1923 of the
19    federal Social Security Act, as now or hereafter amended,
20    except that for rate year 2015 and after a hospital
21    described in Section 1923(b)(1)(B) of the federal Social
22    Security Act and qualified for the payments described in
23    subsection (c) of this Section for rate year 2014 provided
24    the hospital continues to meet the description in Section
25    1923(b)(1)(B) in the current determination year; or
26        (2) Illinois hospitals that have a Medicaid inpatient

 

 

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1    utilization rate which is at least one-half a standard
2    deviation above the mean Medicaid inpatient utilization
3    rate for all hospitals in Illinois receiving Medicaid
4    payments from the Illinois Department; or
5        (3) Illinois hospitals that on July 1, 1991 had a
6    Medicaid inpatient utilization rate, as defined in
7    paragraph (h) of this Section, that was at least the mean
8    Medicaid inpatient utilization rate for all hospitals in
9    Illinois receiving Medicaid payments from the Illinois
10    Department and which were located in a planning area with
11    one-third or fewer excess beds as determined by the Health
12    Facilities and Services Review Board, and that, as of June
13    30, 1992, were located in a federally designated Health
14    Manpower Shortage Area; or
15        (4) Illinois hospitals that:
16            (A) have a Medicaid inpatient utilization rate
17        that is at least equal to the mean Medicaid inpatient
18        utilization rate for all hospitals in Illinois
19        receiving Medicaid payments from the Department; and
20            (B) also have a Medicaid obstetrical inpatient
21        utilization rate that is at least one standard
22        deviation above the mean Medicaid obstetrical
23        inpatient utilization rate for all hospitals in
24        Illinois receiving Medicaid payments from the
25        Department for obstetrical services; or
26        (5) Any children's hospital, which means a hospital

 

 

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1    devoted exclusively to caring for children. A hospital
2    which includes a facility devoted exclusively to caring for
3    children shall be considered a children's hospital to the
4    degree that the hospital's Medicaid care is provided to
5    children if either (i) the facility devoted exclusively to
6    caring for children is separately licensed as a hospital by
7    a municipality prior to February 28, 2013 or (ii) the
8    hospital has been designated by the State as a Level III
9    perinatal care facility, has a Medicaid Inpatient
10    Utilization rate greater than 55% for the rate year 2003
11    disproportionate share determination, and has more than
12    10,000 qualified children days as defined by the Department
13    in rulemaking.
14    (c) Inpatient adjustment payments. The adjustment payments
15required by paragraph (b) shall be calculated based upon the
16hospital's Medicaid inpatient utilization rate as follows:
17        (1) hospitals with a Medicaid inpatient utilization
18    rate below the mean shall receive a per day adjustment
19    payment equal to $25;
20        (2) hospitals with a Medicaid inpatient utilization
21    rate that is equal to or greater than the mean Medicaid
22    inpatient utilization rate but less than one standard
23    deviation above the mean Medicaid inpatient utilization
24    rate shall receive a per day adjustment payment equal to
25    the sum of $25 plus $1 for each one percent that the
26    hospital's Medicaid inpatient utilization rate exceeds the

 

 

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1    mean Medicaid inpatient utilization rate;
2        (3) hospitals with a Medicaid inpatient utilization
3    rate that is equal to or greater than one standard
4    deviation above the mean Medicaid inpatient utilization
5    rate but less than 1.5 standard deviations above the mean
6    Medicaid inpatient utilization rate shall receive a per day
7    adjustment payment equal to the sum of $40 plus $7 for each
8    one percent that the hospital's Medicaid inpatient
9    utilization rate exceeds one standard deviation above the
10    mean Medicaid inpatient utilization rate; and
11        (4) hospitals with a Medicaid inpatient utilization
12    rate that is equal to or greater than 1.5 standard
13    deviations above the mean Medicaid inpatient utilization
14    rate shall receive a per day adjustment payment equal to
15    the sum of $90 plus $2 for each one percent that the
16    hospital's Medicaid inpatient utilization rate exceeds 1.5
17    standard deviations above the mean Medicaid inpatient
18    utilization rate.
19    (d) Supplemental adjustment payments. In addition to the
20adjustment payments described in paragraph (c), hospitals as
21defined in clauses (1) through (5) of paragraph (b), excluding
22county hospitals (as defined in subsection (c) of Section 15-1
23of this Code) and a hospital organized under the University of
24Illinois Hospital Act, shall be paid supplemental inpatient
25adjustment payments of $60 per day. For purposes of Title XIX
26of the federal Social Security Act, these supplemental

 

 

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1adjustment payments shall not be classified as adjustment
2payments to disproportionate share hospitals.
3    (e) The inpatient adjustment payments described in
4paragraphs (c) and (d) shall be increased on October 1, 1993
5and annually thereafter by a percentage equal to the lesser of
6(i) the increase in the DRI hospital cost index for the most
7recent 12 month period for which data are available, or (ii)
8the percentage increase in the statewide average hospital
9payment rate over the previous year's statewide average
10hospital payment rate. The sum of the inpatient adjustment
11payments under paragraphs (c) and (d) to a hospital, other than
12a county hospital (as defined in subsection (c) of Section 15-1
13of this Code) or a hospital organized under the University of
14Illinois Hospital Act, however, shall not exceed $275 per day;
15that limit shall be increased on October 1, 1993 and annually
16thereafter by a percentage equal to the lesser of (i) the
17increase in the DRI hospital cost index for the most recent
1812-month period for which data are available or (ii) the
19percentage increase in the statewide average hospital payment
20rate over the previous year's statewide average hospital
21payment rate.
22    (f) Children's hospital inpatient adjustment payments. For
23children's hospitals, as defined in clause (5) of paragraph
24(b), the adjustment payments required pursuant to paragraphs
25(c) and (d) shall be multiplied by 2.0.
26    (g) County hospital inpatient adjustment payments. For

 

 

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1county hospitals, as defined in subsection (c) of Section 15-1
2of this Code, there shall be an adjustment payment as
3determined by rules issued by the Illinois Department.
4    (h) For the purposes of this Section the following terms
5shall be defined as follows:
6        (1) "Medicaid inpatient utilization rate" means a
7    fraction, the numerator of which is the number of a
8    hospital's inpatient days provided in a given 12-month
9    period to patients who, for such days, were eligible for
10    Medicaid under Title XIX of the federal Social Security
11    Act, and the denominator of which is the total number of
12    the hospital's inpatient days in that same period.
13        (2) "Mean Medicaid inpatient utilization rate" means
14    the total number of Medicaid inpatient days provided by all
15    Illinois Medicaid-participating hospitals divided by the
16    total number of inpatient days provided by those same
17    hospitals.
18        (3) "Medicaid obstetrical inpatient utilization rate"
19    means the ratio of Medicaid obstetrical inpatient days to
20    total Medicaid inpatient days for all Illinois hospitals
21    receiving Medicaid payments from the Illinois Department.
22    (i) Inpatient adjustment payment limit. In order to meet
23the limits of Public Law 102-234 and Public Law 103-66, the
24Illinois Department shall by rule adjust disproportionate
25share adjustment payments.
26    (j) University of Illinois Hospital inpatient adjustment

 

 

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1payments. For hospitals organized under the University of
2Illinois Hospital Act, there shall be an adjustment payment as
3determined by rules adopted by the Illinois Department.
4    (k) The Illinois Department may by rule establish criteria
5for and develop methodologies for adjustment payments to
6hospitals participating under this Article.
7    (l) On and after July 1, 2012, the Department shall reduce
8any rate of reimbursement for services or other payments or
9alter any methodologies authorized by this Code to reduce any
10rate of reimbursement for services or other payments in
11accordance with Section 5-5e.
12(Source: P.A. 97-689, eff. 6-14-12; 98-104, eff. 7-22-13.)
 
13    Section 110. The Older Adult Services Act is amended by
14changing Sections 20, 25, and 30 as follows:
 
15    (320 ILCS 42/20)
16    Sec. 20. Priority service areas; service expansion.
17    (a) The requirements of this Section are subject to the
18availability of funding.
19    (b) The Department, subject to appropriation, shall expand
20older adult services that promote independence and permit older
21adults to remain in their own homes and communities. Priority
22shall be given to both the expansion of services and the
23development of new services in priority service areas.
24    (c) Inventory of services. The Department shall develop and

 

 

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1maintain an inventory and assessment of (i) the types and
2quantities of public older adult services and, to the extent
3possible, privately provided older adult services, including
4the unduplicated count, location, and characteristics of
5individuals served by each facility, program, or service and
6(ii) the resources supporting those services, no later than
7July 1, 2012. The Department shall investigate the cost of
8compliance with this provision and report these findings to the
9appropriation committees of both chambers assigned to hear the
10agency's budget no later than January 1, 2012. If the
11Department determines that compliance is cost prohibitive, it
12shall recommend action in the alternative to achieve the intent
13of this Section and identify priority service areas for the
14purpose of directing the allocation of new resources and the
15reallocation of existing resources to areas of greatest need.
16    (d) Priority service areas. The Departments shall assess
17the current and projected need for older adult services
18throughout the State, analyze the results of the inventory, and
19identify priority service areas, which shall serve as the basis
20for a priority service plan to be filed with the Governor and
21the General Assembly no later than July 1, 2006, and every 5
22years thereafter. The January 1, 2012 report required under
23subsection (c) of this Section shall serve as compliance with
24the July 1, 2011 reporting requirement.
25    (e) Moneys appropriated by the General Assembly for the
26purpose of this Section, receipts from transfers, donations,

 

 

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1grants, fees, or taxes that may accrue from any public or
2private sources to the Department for the purpose of providing
3services and care to older adults, and savings attributable to
4the nursing home conversion program as calculated in subsection
5(h) shall be deposited into the Department on Aging State
6Projects Fund. Interest earned by those moneys in the Fund
7shall be credited to the Fund.
8    (f) Moneys described in subsection (e) from the Department
9on Aging State Projects Fund shall be used for older adult
10services, regardless of where the older adult receives the
11service, with priority given to both the expansion of services
12and the development of new services in priority service areas.
13Fundable services shall include:
14        (1) Housing, health services, and supportive services:
15            (A) adult day care;
16            (B) adult day care for persons with Alzheimer's
17        disease and related disorders;
18            (C) activities of daily living;
19            (D) care-related supplies and equipment;
20            (E) case management;
21            (F) community reintegration;
22            (G) companion;
23            (H) congregate meals;
24            (I) counseling and education;
25            (J) elder abuse prevention and intervention;
26            (K) emergency response and monitoring;

 

 

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1            (L) environmental modifications;
2            (M) family caregiver support;
3            (N) financial;
4            (O) home delivered meals;
5            (P) homemaker;
6            (Q) home health;
7            (R) hospice;
8            (S) laundry;
9            (T) long-term care ombudsman;
10            (U) medication reminders;
11            (V) money management;
12            (W) nutrition services;
13            (X) personal care;
14            (Y) respite care;
15            (Z) residential care;
16            (AA) senior benefits outreach;
17            (BB) senior centers;
18            (CC) services provided under the Assisted Living
19        and Shared Housing Act, or sheltered care services that
20        meet the requirements of the Assisted Living and Shared
21        Housing Act, or services provided under Section
22        5-5.01a of the Illinois Public Aid Code (the Supportive
23        Living Facilities Program);
24            (DD) telemedicine devices to monitor recipients in
25        their own homes as an alternative to hospital care,
26        nursing home care, or home visits;

 

 

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1            (EE) training for direct family caregivers;
2            (FF) transition;
3            (GG) transportation;
4            (HH) wellness and fitness programs; and
5            (II) other programs designed to assist older
6        adults in Illinois to remain independent and receive
7        services in the most integrated residential setting
8        possible for that person.
9        (2) Older Adult Services Demonstration Grants,
10    pursuant to subsection (g) of this Section.
11    (g) Older Adult Services Demonstration Grants. The
12Department may establish a program of demonstration grants to
13assist in the restructuring of the delivery system for older
14adult services and provide funding for innovative service
15delivery models and system change and integration initiatives.
16The Department shall prescribe, by rule, the grant application
17process. At a minimum, every application must include:
18        (1) The type of grant sought;
19        (2) A description of the project;
20        (3) The objective of the project;
21        (4) The likelihood of the project meeting identified
22    needs;
23        (5) The plan for financing, administration, and
24    evaluation of the project;
25        (6) The timetable for implementation;
26        (7) The roles and capabilities of responsible

 

 

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1    individuals and organizations;
2        (8) Documentation of collaboration with other service
3    providers, local community government leaders, and other
4    stakeholders, other providers, and any other stakeholders
5    in the community;
6        (9) Documentation of community support for the
7    project, including support by other service providers,
8    local community government leaders, and other
9    stakeholders;
10        (10) The total budget for the project;
11        (11) The financial condition of the applicant; and
12        (12) Any other application requirements that may be
13    established by the Department by rule.
14    Each project may include provisions for a designated staff
15person who is responsible for the development of the project
16and recruitment of providers.
17    Projects may include, but are not limited to: adult family
18foster care; family adult day care; assisted living in a
19supervised apartment; personal services in a subsidized
20housing project; training for caregivers; specialized assisted
21living units; evening and weekend home care coverage; small
22incentive grants to attract new providers; money following the
23person; cash and counseling; managed long-term care; and
24respite care projects that establish a local coordinated
25network of volunteer and paid respite workers, coordinate
26assignment of respite workers to caregivers and older adults,

 

 

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1ensure the health and safety of the older adult, provide
2training for caregivers, and ensure that support groups are
3available in the community.
4    A demonstration project funded in whole or in part by an
5Older Adult Services Demonstration Grant is exempt from the
6requirements of the Illinois Health Facilities Planning Act. To
7the extent applicable, however, for the purpose of maintaining
8the statewide inventory authorized by the Illinois Health
9Facilities Planning Act, the Department shall send to the
10Health Facilities and Services Review Board a copy of each
11grant award made under this subsection (g).
12    The Department, in collaboration with the Departments of
13Public Health and Healthcare and Family Services, shall
14evaluate the effectiveness of the projects receiving grants
15under this Section.
16    (h) No later than July 1 of each year, the Department of
17Public Health shall provide information to the Department of
18Healthcare and Family Services to enable the Department of
19Healthcare and Family Services to annually document and verify
20the savings attributable to the nursing home conversion program
21for the previous fiscal year to estimate an annual amount of
22such savings that may be appropriated to the Department on
23Aging State Projects Fund and notify the General Assembly, the
24Department on Aging, the Department of Human Services, and the
25Advisory Committee of the savings no later than October 1 of
26the same fiscal year.

 

 

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1(Source: P.A. 96-31, eff. 6-30-09; 97-448, eff. 8-19-11.)
 
2    (320 ILCS 42/25)
3    Sec. 25. Older adult services restructuring. No later than
4January 1, 2005, the Department shall commence the process of
5restructuring the older adult services delivery system.
6Priority shall be given to both the expansion of services and
7the development of new services in priority service areas.
8Subject to the availability of funding, the restructuring shall
9include, but not be limited to, the following:
10    (1) Planning. The Department on Aging and the Departments
11of Public Health and Healthcare and Family Services shall
12develop a plan to restructure the State's service delivery
13system for older adults pursuant to this Act no later than
14September 30, 2010. The plan shall include a schedule for the
15implementation of the initiatives outlined in this Act and all
16other initiatives identified by the participating agencies to
17fulfill the purposes of this Act and shall protect the rights
18of all older Illinoisans to services based on their health
19circumstances and functioning level, regardless of whether
20they receive their care in their homes, in a community setting,
21or in a residential facility. Financing for older adult
22services shall be based on the principle that "money follows
23the individual" taking into account individual preference, but
24shall not jeopardize the health, safety, or level of care of
25nursing home residents. The plan shall also identify potential

 

 

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1impediments to delivery system restructuring and include any
2known regulatory or statutory barriers.
3    (2) Comprehensive case management. The Department shall
4implement a statewide system of holistic comprehensive case
5management. The system shall include the identification and
6implementation of a universal, comprehensive assessment tool
7to be used statewide to determine the level of functional,
8cognitive, socialization, and financial needs of older adults.
9This tool shall be supported by an electronic intake,
10assessment, and care planning system linked to a central
11location. "Comprehensive case management" includes services
12and coordination such as (i) comprehensive assessment of the
13older adult (including the physical, functional, cognitive,
14psycho-social, and social needs of the individual); (ii)
15development and implementation of a service plan with the older
16adult to mobilize the formal and family resources and services
17identified in the assessment to meet the needs of the older
18adult, including coordination of the resources and services
19with any other plans that exist for various formal services,
20such as hospital discharge plans, and with the information and
21assistance services; (iii) coordination and monitoring of
22formal and family service delivery, including coordination and
23monitoring to ensure that services specified in the plan are
24being provided; (iv) periodic reassessment and revision of the
25status of the older adult with the older adult or, if
26necessary, the older adult's designated representative; and

 

 

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1(v) in accordance with the wishes of the older adult, advocacy
2on behalf of the older adult for needed services or resources.
3    (3) Coordinated point of entry. The Department shall
4implement and publicize a statewide coordinated point of entry
5using a uniform name, identity, logo, and toll-free number.
6    (4) Public web site. The Department shall develop a public
7web site that provides links to available services, resources,
8and reference materials concerning caregiving, diseases, and
9best practices for use by professionals, older adults, and
10family caregivers.
11    (5) Expansion of older adult services. The Department shall
12expand older adult services that promote independence and
13permit older adults to remain in their own homes and
14communities.
15    (6) Consumer-directed home and community-based services.
16The Department shall expand the range of service options
17available to permit older adults to exercise maximum choice and
18control over their care.
19    (7) Comprehensive delivery system. The Department shall
20expand opportunities for older adults to receive services in
21systems that integrate acute and chronic care.
22    (8) Enhanced transition and follow-up services. The
23Department shall implement a program of transition from one
24residential setting to another and follow-up services,
25regardless of residential setting, pursuant to rules with
26respect to (i) resident eligibility, (ii) assessment of the

 

 

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1resident's health, cognitive, social, and financial needs,
2(iii) development of transition plans, and (iv) the level of
3services that must be available before transitioning a resident
4from one setting to another.
5    (9) Family caregiver support. The Department shall develop
6strategies for public and private financing of services that
7supplement and support family caregivers.
8    (10) Quality standards and quality improvement. The
9Department shall establish a core set of uniform quality
10standards for all providers that focus on outcomes and take
11into consideration consumer choice and satisfaction, and the
12Department shall require each provider to implement a
13continuous quality improvement process to address consumer
14issues. The continuous quality improvement process must
15benchmark performance, be person-centered and data-driven, and
16focus on consumer satisfaction.
17    (11) Workforce. The Department shall develop strategies to
18attract and retain a qualified and stable worker pool, provide
19living wages and benefits, and create a work environment that
20is conducive to long-term employment and career development.
21Resources such as grants, education, and promotion of career
22opportunities may be used.
23    (12) Coordination of services. The Department shall
24identify methods to better coordinate service networks to
25maximize resources and minimize duplication of services and
26ease of application.

 

 

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1    (13) Barriers to services. The Department shall identify
2barriers to the provision, availability, and accessibility of
3services and shall implement a plan to address those barriers.
4The plan shall: (i) identify barriers, including but not
5limited to, statutory and regulatory complexity, reimbursement
6issues, payment issues, and labor force issues; (ii) recommend
7changes to State or federal laws or administrative rules or
8regulations; (iii) recommend application for federal waivers
9to improve efficiency and reduce cost and paperwork; (iv)
10develop innovative service delivery models; and (v) recommend
11application for federal or private service grants.
12    (14) Reimbursement and funding. The Department shall
13investigate and evaluate costs and payments by defining costs
14to implement a uniform, audited provider cost reporting system
15to be considered by all Departments in establishing payments.
16To the extent possible, multiple cost reporting mandates shall
17not be imposed.
18    (15) Medicaid nursing home cost containment and Medicare
19utilization. The Department of Healthcare and Family Services
20(formerly Department of Public Aid), in collaboration with the
21Department on Aging and the Department of Public Health and in
22consultation with the Advisory Committee, shall propose a plan
23to contain Medicaid nursing home costs and maximize Medicare
24utilization. The plan must not impair the ability of an older
25adult to choose among available services. The plan shall
26include, but not be limited to, (i) techniques to maximize the

 

 

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1use of the most cost-effective services without sacrificing
2quality and (ii) methods to identify and serve older adults in
3need of minimal services to remain independent, but who are
4likely to develop a need for more extensive services in the
5absence of those minimal services.
6    (16) Bed reduction. The Department of Public Health shall
7implement a nursing home conversion program to reduce the
8number of Medicaid-certified nursing home beds in areas with
9excess beds. The Department of Healthcare and Family Services
10shall investigate changes to the Medicaid nursing facility
11reimbursement system in order to reduce beds. Such changes may
12include, but are not limited to, incentive payments that will
13enable facilities to adjust to the restructuring and expansion
14of services required by the Older Adult Services Act, including
15adjustments for the voluntary closure or layaway of nursing
16home beds certified under Title XIX of the federal Social
17Security Act. Any savings shall be reallocated to fund
18home-based or community-based older adult services pursuant to
19Section 20.
20    (17) Financing. The Department shall investigate and
21evaluate financing options for older adult services and shall
22make recommendations in the report required by Section 15
23concerning the feasibility of these financing arrangements.
24These arrangements shall include, but are not limited to:
25        (A) private long-term care insurance coverage for
26    older adult services;

 

 

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1        (B) enhancement of federal long-term care financing
2    initiatives;
3        (C) employer benefit programs such as medical savings
4    accounts for long-term care;
5        (D) individual and family cost-sharing options;
6        (E) strategies to reduce reliance on government
7    programs;
8        (F) fraudulent asset divestiture and financial
9    planning prevention; and
10        (G) methods to supplement and support family and
11    community caregiving.
12    (18) Older Adult Services Demonstration Grants. The
13Department shall implement a program of demonstration grants
14that will assist in the restructuring of the older adult
15services delivery system, and shall provide funding for
16innovative service delivery models and system change and
17integration initiatives pursuant to subsection (g) of Section
1820.
19    (19) (Blank). Bed need methodology update. For the purposes
20of determining areas with excess beds, the Departments shall
21provide information and assistance to the Health Facilities and
22Services Review Board to update the Bed Need Methodology for
23Long-Term Care to update the assumptions used to establish the
24methodology to make them consistent with modern older adult
25services.
26    (20) Affordable housing. The Departments shall utilize the

 

 

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1recommendations of Illinois' Annual Comprehensive Housing
2Plan, as developed by the Affordable Housing Task Force through
3the Governor's Executive Order 2003-18, in their efforts to
4address the affordable housing needs of older adults.
5    The Older Adult Services Advisory Committee shall
6investigate innovative and promising practices operating as
7demonstration or pilot projects in Illinois and in other
8states. The Department on Aging shall provide the Older Adult
9Services Advisory Committee with a list of all demonstration or
10pilot projects funded by the Department on Aging, including
11those specified by rule, law, policy memorandum, or funding
12arrangement. The Committee shall work with the Department on
13Aging to evaluate the viability of expanding these programs
14into other areas of the State.
15(Source: P.A. 96-31, eff. 6-30-09; 96-248, eff. 8-11-09;
1696-1000, eff. 7-2-10.)
 
17    (320 ILCS 42/30)
18    Sec. 30. Nursing home conversion program.
19    (a) The Department of Public Health, in collaboration with
20the Department on Aging and the Department of Healthcare and
21Family Services, shall establish a nursing home conversion
22program. Start-up grants, pursuant to subsections (l) and (m)
23of this Section, shall be made available to nursing homes as
24appropriations permit as an incentive to reduce certified beds,
25retrofit, and retool operations to meet new service delivery

 

 

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1expectations and demands.
2    (b) Grant moneys shall be made available for capital and
3other costs related to: (1) the conversion of all or a part of
4a nursing home to an assisted living establishment or a special
5program or unit for persons with Alzheimer's disease or related
6disorders licensed under the Assisted Living and Shared Housing
7Act or a supportive living facility established under Section
85-5.01a of the Illinois Public Aid Code; (2) the conversion of
9multi-resident bedrooms in the facility into single-occupancy
10rooms; and (3) the development of any of the services
11identified in a priority service plan that can be provided by a
12nursing home within the confines of a nursing home or
13transportation services. Grantees shall be required to provide
14a minimum of a 20% match toward the total cost of the project.
15    (c) Nothing in this Act shall prohibit the co-location of
16services or the development of multifunctional centers under
17subsection (f) of Section 20, including a nursing home offering
18community-based services or a community provider establishing
19a residential facility.
20    (d) A certified nursing home with at least 50% of its
21resident population having their care paid for by the Medicaid
22program is eligible to apply for a grant under this Section.
23    (e) Any nursing home receiving a grant under this Section
24shall reduce the number of certified nursing home beds by a
25number equal to or greater than the number of beds being
26converted for one or more of the permitted uses under item (1)

 

 

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1or (2) of subsection (b). The nursing home shall retain the
2Certificate of Need for its nursing and sheltered care beds
3that were converted for 15 years. If the beds are reinstated by
4the provider or its successor in interest, the provider shall
5pay to the fund from which the grant was awarded, on an
6amortized basis, the amount of the grant. The Department shall
7establish, by rule, the bed reduction methodology for nursing
8homes that receive a grant pursuant to item (3) of subsection
9(b).
10    (f) Any nursing home receiving a grant under this Section
11shall agree that, for a minimum of 10 years after the date that
12the grant is awarded, a minimum of 50% of the nursing home's
13resident population shall have their care paid for by the
14Medicaid program. If the nursing home provider or its successor
15in interest ceases to comply with the requirement set forth in
16this subsection, the provider shall pay to the fund from which
17the grant was awarded, on an amortized basis, the amount of the
18grant.
19    (g) Before awarding grants, the Department of Public Health
20shall seek recommendations from the Department on Aging and the
21Department of Healthcare and Family Services. The Department of
22Public Health shall attempt to balance the distribution of
23grants among geographic regions, and among small and large
24nursing homes. The Department of Public Health shall develop,
25by rule, the criteria for the award of grants based upon the
26following factors:

 

 

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1        (1) the unique needs of older adults (including those
2    with moderate and low incomes), caregivers, and providers
3    in the geographic area of the State the grantee seeks to
4    serve;
5        (2) whether the grantee proposes to provide services in
6    a priority service area;
7        (3) the extent to which the conversion or transition
8    will result in the reduction of certified nursing home beds
9    in an area with excess beds;
10        (4) the compliance history of the nursing home; and
11        (5) any other relevant factors identified by the
12    Department, including standards of need.
13    (h) A conversion funded in whole or in part by a grant
14under this Section must not:
15        (1) diminish or reduce the quality of services
16    available to nursing home residents;
17        (2) force any nursing home resident to involuntarily
18    accept home-based or community-based services instead of
19    nursing home services;
20        (3) diminish or reduce the supply and distribution of
21    nursing home services in any community below the level of
22    need, as defined by the Department by rule; or
23        (4) cause undue hardship on any person who requires
24    nursing home care.
25    (i) The Department shall prescribe, by rule, the grant
26application process. At a minimum, every application must

 

 

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1include:
2        (1) the type of grant sought;
3        (2) a description of the project;
4        (3) the objective of the project;
5        (4) the likelihood of the project meeting identified
6    needs;
7        (5) the plan for financing, administration, and
8    evaluation of the project;
9        (6) the timetable for implementation;
10        (7) the roles and capabilities of responsible
11    individuals and organizations;
12        (8) documentation of collaboration with other service
13    providers, local community government leaders, and other
14    stakeholders, other providers, and any other stakeholders
15    in the community;
16        (9) documentation of community support for the
17    project, including support by other service providers,
18    local community government leaders, and other
19    stakeholders;
20        (10) the total budget for the project;
21        (11) the financial condition of the applicant; and
22        (12) any other application requirements that may be
23    established by the Department by rule.
24    (j) (Blank). A conversion project funded in whole or in
25part by a grant under this Section is exempt from the
26requirements of the Illinois Health Facilities Planning Act.

 

 

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1The Department of Public Health, however, shall send to the
2Health Facilities and Services Review Board a copy of each
3grant award made under this Section.
4    (k) Applications for grants are public information, except
5that nursing home financial condition and any proprietary data
6shall be classified as nonpublic data.
7    (l) The Department of Public Health may award grants from
8the Long Term Care Civil Money Penalties Fund established under
9Section 1919(h)(2)(A)(ii) of the Social Security Act and 42 CFR
10488.422(g) if the award meets federal requirements.
11    (m) The Nursing Home Conversion Fund is created as a
12special fund in the State treasury. Moneys appropriated by the
13General Assembly or transferred from other sources for the
14purposes of this Section shall be deposited into the Fund. All
15interest earned on moneys in the fund shall be credited to the
16fund. Moneys contained in the fund shall be used to support the
17purposes of this Section.
18(Source: P.A. 95-331, eff. 8-21-07; 96-31, eff. 6-30-09;
1996-758, eff. 8-25-09; 96-1000, eff. 7-2-10.)
 
20    (405 ILCS 25/4.03 rep.)  (from Ch. 91 1/2, par. 604.03)
21    Section 115. The Specialized Living Centers Act is amended
22by repealing Section 4.03.

 

 

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1 INDEX
2 Statutes amended in order of appearance
3    5 ILCS 120/1.02from Ch. 102, par. 41.02
4    5 ILCS 430/5-50
5    20 ILCS 2310/2310-217
6    20 ILCS 2310/2310-640
7    20 ILCS 3960/Act rep.
8    20 ILCS 4050/15 rep.
9    30 ILCS 5/3-1from Ch. 15, par. 303-1
10    30 ILCS 105/5.213 rep.from Ch. 127, par. 141.213
11    70 ILCS 910/15from Ch. 23, par. 1265
12    210 ILCS 3/20
13    210 ILCS 3/30
14    210 ILCS 9/10
15    210 ILCS 9/145
16    210 ILCS 9/155
17    210 ILCS 40/2from Ch. 111 1/2, par. 4160-2
18    210 ILCS 40/7from Ch. 111 1/2, par. 4160-7
19    210 ILCS 45/3-102.2
20    210 ILCS 45/3-103from Ch. 111 1/2, par. 4153-103
21    210 ILCS 47/3-103
22    210 ILCS 49/1-101.5
23    210 ILCS 50/32.5
24    210 ILCS 80/1.3
25    210 ILCS 85/4.5

 

 

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1    210 ILCS 85/4.6
2    210 ILCS 85/4.7
3    210 ILCS 85/10.8
4    225 ILCS 7/4 rep.
5    225 ILCS 47/Act rep.
6    225 ILCS 510/3from Ch. 111, par. 953
7    305 ILCS 5/5-5.01a
8    305 ILCS 5/5-5.02from Ch. 23, par. 5-5.02
9    320 ILCS 42/20
10    320 ILCS 42/25
11    320 ILCS 42/30
12    405 ILCS 25/4.03 rep.from Ch. 91 1/2, par. 604.03