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91_SB1492
LRB9112788JSpc
1 AN ACT to amend the Hospice Program Licensing Act by
2 changing Section 3.
3 Be it enacted by the People of the State of Illinois,
4 represented in the General Assembly:
5 Section 5. The Hospice Program Licensing Act is amended
6 by changing Section 3 as follows:
7 (210 ILCS 60/3) (from Ch. 111 1/2, par. 6103)
8 Sec. 3. Definitions. As used in this Act, unless the
9 context otherwise requires:
10 (a) "Bereavement" means the period of time during which
11 the hospice patient's family experiences and adjusts to the
12 death of the hospice patient.
13 (b) "Department" means the Illinois Department of Public
14 Health.
15 (c) "Director" means the Director of the Illinois
16 Department of Public Health.
17 (d) "Full hospice" means a coordinated program of home
18 and inpatient care providing directly, or through agreement,
19 palliative and supportive medical, health and other services
20 to terminally ill patients and their families. A full
21 hospice utilizes a medically directed interdisciplinary
22 hospice care team of professionals and volunteers. The
23 program provides care to meet the physical, psychological,
24 social, spiritual and other special needs which are
25 experienced during the final stages of illness and during
26 dying and bereavement. Home care is to be provided on a
27 part-time, intermittent, regularly scheduled basis, and on an
28 on-call around-the-clock basis according to patient and
29 family need. To the maximum extent possible, care shall be
30 furnished in the patient's home. Should in-patient care be
31 required, services are to be provided with the intent of
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1 minimizing the length of such care and shall only be provided
2 in a hospital licensed under the Hospital Licensing Act, or a
3 skilled nursing facility licensed under the Nursing Home Care
4 Act.
5 (e) "Hospice care team" means an interdisciplinary
6 working unit composed of but not limited to a physician
7 licensed to practice medicine in all of its branches, a nurse
8 licensed pursuant to the Nursing and Advanced Practice
9 Nursing Act, a social worker, a pastoral or other counselor,
10 and trained volunteers. The patient and the patient's family
11 are considered members of the hospice care team when
12 development or revision of the patient's plan of care takes
13 place.
14 (f) "Hospice patient" means a terminally ill person
15 receiving hospice services.
16 (g) "Hospice patient's family" means a hospice patient's
17 immediate family consisting of a spouse, sibling, child,
18 parent and those individuals designated as such by the
19 patient for the purposes of this Act.
20 (g-1) "Hospice residence" means a home, apartment
21 building, or similar building providing living quarters:
22 (1) that is owned or operated by a person licensed
23 to operate as a full hospice; and
24 (2) at which hospice services are provided to
25 facility residents.
26 A building that is licensed under the Hospital Licensing
27 Act or the Nursing Home Care Act is not a hospice residence.
28 (h) "Hospice services" means palliative and supportive
29 care provided to a hospice patient and his family to meet the
30 special need arising out of the physical, emotional,
31 spiritual and social stresses which are experienced during
32 the final stages of illness and during dying and bereavement.
33 Services provided to the terminally ill patient shall be
34 furnished, to the maximum extent possible, in the patient's
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1 home. Should inpatient care be required, services are to be
2 provided with the intent of minimizing the length of such
3 care.
4 (i) "Palliative care" means treatment to provide for the
5 reduction or abatement of pain and other troubling symptoms,
6 rather than treatment aimed at investigation and intervention
7 for the purpose of cure or inappropriate prolongation of
8 life.
9 (j) "Hospice service plan" means a plan detailing the
10 specific hospice services offered by a full or volunteer
11 hospice, and the administrative and direct care personnel
12 responsible for those services. The plan shall include but
13 not be limited to:
14 (1) Identification of the person or persons
15 administratively responsible for the program, and the
16 affiliation of such person or persons with a licensed
17 home health agency, hospital or nursing home.
18 (2) The estimated average monthly patient census.
19 (3) The proposed geographic area the hospice will
20 serve.
21 (4) A listing of those hospice services provided
22 directly by the hospice, and those hospice services
23 provided indirectly through a contractual agreement.
24 (5) The name and qualifications of those persons or
25 entities under contract to provide indirect hospice
26 services.
27 (6) The name and qualifications of those persons
28 providing direct hospice services, with the exception of
29 volunteers.
30 (7) A description of how the hospice plans to
31 utilize volunteers in the provision of hospice services.
32 (8) A description of the program's record keeping
33 system.
34 (k) "Terminally ill" means a medical prognosis by a
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1 physician licensed to practice medicine in all of its
2 branches that a patient has an anticipated life expectancy of
3 6 months or less.
4 (l) "Volunteer" means a person who offers his or her
5 services to a hospice without compensation. Reimbursement
6 for a volunteer's expenses in providing hospice service shall
7 not be considered compensation.
8 (m) "Volunteer hospice" means a program which provides
9 hospice services to patients regardless of their ability to
10 pay, with emphasis on the utilization of volunteers to
11 provide services, under the administration of a
12 not-for-profit agency. This definition does not prohibit the
13 employment of staff.
14 (Source: P.A. 89-278, eff. 8-10-95; 90-742, eff. 8-13-98.)