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92nd General Assembly

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Public Act 92-0563

SB2004 Enrolled                               LRB9213317ACcdA

    AN ACT concerning health facilities.

    Be it enacted by the People of  the  State  of  Illinois,
represented in the General Assembly:

    Section   5.   The  Hospital  Licensing Act is amended by
changing Section 8 as follows:

    (210 ILCS 85/8) (from Ch. 111 1/2, par. 149)
    Sec. 8. Facility plan review; fees.
    (a)  Before commencing construction of new facilities  or
specified  types  of  alteration  or additions to an existing
hospital involving major construction, as defined by rule  by
the Department, with an estimated cost greater than $100,000,
architectural  plans  and  specifications  therefor  shall be
submitted by the licensee to the Department  for  review  and
approval.  A  hospital  may submit architectural drawings and
specifications for other construction projects for Department
review according to subsection (b) that shall not be  subject
to   fees  under  subsection  (d).  Review  of  drawings  and
specifications shall be  conducted  by  an  employee  of  the
Department  meeting  the  qualifications  established  by the
Department   of    Central    Management    Services    class
specifications  for  such  an  individual's  position or by a
person contracting with the Department who meets those  class
specifications.    Final    approval   of   the   plans   and
specifications for compliance with  design  and  construction
standards  shall  be  obtained from the Department before the
alteration, addition, or new construction is begun.
    (b)  The Department shall inform an applicant in  writing
within   10   working   days  after  receiving  drawings  and
specifications  and  the  required  fee,  if  any,  from  the
applicant whether the applicant's submission is  complete  or
incomplete.   Failure  to  provide  the  applicant  with this
notice within 10 working days shall result in the  submission
being  deemed  complete for purposes of initiating the 60-day
review period under  this  Section.   If  the  submission  is
incomplete,  the Department shall inform the applicant of the
deficiencies  with  the  submission  in  writing.    If   the
submission is complete and the required fee, if any, has been
paid, the Department shall approve or disapprove drawings and
specifications  submitted  to the Department no later than 60
days following receipt by the Department.  The  drawings  and
specifications  shall be of sufficient detail, as provided by
Department  rule,  to  enable  the  Department  to  render  a
determination of  compliance  with  design  and  construction
standards  under  this Act.  If the Department finds that the
drawings are not of sufficient detail  for  it  to  render  a
determination of compliance, the plans shall be determined to
be  incomplete  and  shall  not be considered for purposes of
initiating the 60 day  review  period.  If  a  submission  of
drawings  and specifications is incomplete, the applicant may
submit additional  information.   The  60-day  review  period
shall  not  commence  until  the Department determines that a
submission of drawings and specifications is complete or  the
submission  is  deemed  complete.  If  the Department has not
approved  or  disapproved  the  drawings  and  specifications
within  60  days,  the  construction,  major  alteration,  or
addition shall be  deemed  approved.   If  the  drawings  and
specifications are disapproved, the Department shall state in
writing,  with  specificity, the reasons for the disapproval.
The entity submitting the  drawings  and  specifications  may
submit  additional  information  in  response  to the written
comments from the Department or request a reconsideration  of
the disapproval.  A final decision of approval or disapproval
shall be made within 45 days of the receipt of the additional
information  or  reconsideration  request.   If  denied,  the
Department shall state the specific reasons for the denial.
    (c)  The  Department  shall  provide written approval for
occupancy pursuant to subsection (g) and shall  not  issue  a
violation  to  a  facility  as  a  result  of  a licensure or
complaint survey based upon the facility's physical structure
if:
         (1)  the Department reviewed and approved or  deemed
    approved  the  drawing  and specifications for compliance
    with design and construction standards;
         (2)  the construction, major alteration, or addition
    was built as submitted;
         (3)  the law or rules have not  been  amended  since
    the original approval; and
         (4)  the  conditions  at  the facility indicate that
    there is a reasonable degree of safety provided  for  the
    patients.
    (d)  The  Department  shall  charge the following fees in
connection with its reviews conducted before  June  30,  2004
under this Section:
         (1)  (Blank).
         (2)  (Blank).
         (3)  If  the  estimated  dollar  value  of the major
    alteration, addition,  or  new  construction  is  greater
    $100,000 or more but less than $500,000, the fee shall be
    established  by  the  Department  pursuant  to rules that
    reflect the reasonable and direct cost of the  Department
    in  conducting  the  architectural reviews required under
    this Section. The estimated dollar  value  of  the  major
    construction  subject  to review under this Section shall
    be  annually  readjusted  to  reflect  the  increase   in
    construction costs due to inflation the greater of $2,400
    or 1.2% of that value.
         (4)  If   the   estimated   dollar   value   of  the
    alteration, addition, or new construction is $500,000  or
    more  but  less  than  $1,000,000,  the  fee shall be the
    greater of $6,000 or 0.96% of that value.
         (5)  If  the   estimated   dollar   value   of   the
    alteration,  addition,  or new construction is $1,000,000
    or more but less than $5,000,000, the fee  shall  be  the
    greater of $9,600 or 0.22% of that value.
         (6)  If   the   estimated   dollar   value   of  the
    alteration, addition, or new construction  is  $5,000,000
    or more, the fee shall be the greater of $11,000 or 0.11%
    of that value, but shall not exceed $40,000.
    The  fees provided in this subsection (d) shall not apply
to major construction  projects  involving  facility  changes
that are required by Department rule amendments.
    The  fees  provided in this subsection (d) shall also not
apply to major construction projects if 51% or  more  of  the
estimated  cost  of  the  project  is  attributed  to capital
equipment.  For major construction projects where 51% or more
of the estimated cost of the project is attributed to capital
equipment, the Department shall by rule establish a fee  that
is reasonably related to the cost of reviewing the project.
    The  Department  shall  not  commence  the  facility plan
review process under this Section until  the  applicable  fee
has been paid.
    (e)  All  fees  received  by  the  Department  under this
Section shall be deposited  into  the  Health  Facility  Plan
Review  Fund,  a  special fund created in the State treasury.
All fees paid by hospitals under subsection (d) shall be used
only to cover the direct and reasonable costs relating to the
Department's review of hospital projects under this  Section.
Moneys shall be appropriated from that Fund to the Department
only  to  pay  the  costs  of  conducting  reviews under this
Section. None of the  moneys  in  the  Health  Facility  Plan
Review  Fund  shall  be  used to reduce the amount of General
Revenue  Fund  moneys  appropriated  to  the  Department  for
facility plan reviews conducted pursuant to this Section.
    (f) (Blank). (1)  The provisions of this  amendatory  Act
    of  1997  concerning  drawings  and  specifications shall
    apply only to drawings and  specifications  submitted  to
    the Department on or after October 1, 1997.
         (2)  On   and  after  the  effective  date  of  this
    amendatory Act of 1997 and before  October  1,  1997,  an
    applicant   may   submit   or   resubmit   drawings   and
    specifications   to  the  Department  and  pay  the  fees
    provided in subsection (d).  If  an  applicant  pays  the
    fees provided in subsection (d) under this paragraph (2),
    the  provisions of subsection (b) shall apply with regard
    to those drawings and specifications.
    (g)  The Department shall conduct an  on-site  inspection
of  the  completed  project  no  later  than  30  days  after
notification  from  the  applicant  that the project has been
completed and all certifications required by  the  Department
have  been  received  and  accepted  by  the Department.  The
Department shall provide written approval  for  occupancy  to
the applicant within 5 working days of the Department's final
inspection,   provided   the   applicant   has   demonstrated
substantial   compliance   as  defined  by  Department  rule.
Occupancy of  new  major  construction  is  prohibited  until
Department  approval  is  received, unless the Department has
not acted within the time frames provided in this  subsection
(g), in which case the construction shall be deemed approved.
Occupancy  shall  be  authorized  after  any  required health
inspection by the Department has been conducted.
    (h)  The Department shall establish, by rule, a procedure
to  conduct  interim  on-site  review  of  large  or  complex
construction projects.
    (i)  The  Department  shall  establish,   by   rule,   an
expedited  process  for  emergency  repairs or replacement of
like equipment.
    (j)  Nothing in this Section shall be construed to  apply
to  maintenance,  upkeep,  or renovation that does not affect
the structural integrity of the building, does not  add  beds
or  services  over  the  number  for  which  the  facility is
licensed, and provides a reasonable degree of safety for  the
patients.
(Source:  P.A.  90-327,  eff.  8-8-97;  90-600, eff. 6-25-98;
91-712, eff. 7-1-00.)

    Section 99.  Effective date.  This Act takes effect  upon
becoming law.
    Passed in the General Assembly April 17, 2002.
    Approved June 24, 2002.
    Effective June 24, 2002.

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