HB2076 EnrolledLRB103 27114 CPF 53482 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Nursing Home Care Act is amended by
5changing Section 3-304.2 as follows:
 
6    (210 ILCS 45/3-304.2)
7    Sec. 3-304.2. Designation of distressed facilities.
8    (a) (Blank). By May 1, 2011, and quarterly thereafter, the
9Department shall generate and publish quarterly a list of
10distressed facilities. Criteria for inclusion of certified
11facilities on the list shall be those used by the U.S. General
12Accounting Office in report 9-689, until such time as the
13Department by rule modifies the criteria.
14    (b) (Blank). In deciding whether and how to modify the
15criteria used by the General Accounting Office, the Department
16shall complete a test run of any substitute criteria to
17determine their reliability by comparing the number of
18facilities identified as distressed against the number of
19distressed facilities generated using the criteria contained
20in the General Accounting Office report. The Department may
21not adopt substitute criteria that generate fewer facilities
22with a distressed designation than are produced by the General
23Accounting Office criteria during the test run.

 

 

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1    (b-5) The Department shall, by rule, adopt criteria to
2identify distressed facilities and shall publish a list of
3distressed facilities quarterly. The Department shall, by
4rule, create a timeframe and a procedure on how a facility can
5be removed from the list. No facility shall be identified as a
6distressed facility unless it has committed a violation or
7deficiency that has harmed a resident.
8    (c) The Department shall, by rule, adopt criteria to
9identify non-Medicaid-certified facilities that are distressed
10and shall publish this list quarterly. The list may not
11contain more than 40 facilities per quarter beginning October
121, 2011.
13    (d) The Department shall notify each facility of its
14distressed designation, and of the calculation on which it is
15based. A facility has the right to appeal a designation, and
16the procedure for appealing shall be outlined in rule.
17    (e) A distressed facility may contract with an independent
18consultant meeting criteria established by the Department. If
19the distressed facility does not seek the assistance of an
20independent consultant, the Department shall place a monitor
21or a temporary manager in the facility, depending on the
22Department's assessment of the condition of the facility.
23    (f) Independent consultant. A facility that has been
24designated a distressed facility may contract with an
25independent consultant to develop and assist in the
26implementation of a plan of improvement to bring and keep the

 

 

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1facility in compliance with this Act and, if applicable, with
2federal certification requirements. A facility that contracts
3with an independent consultant shall have 90 days to develop a
4plan of improvement and demonstrate a good faith effort at
5implementation, and another 90 days to achieve compliance and
6take whatever additional actions are called for in the
7improvement plan to maintain compliance. A facility that the
8Department determines has a plan of improvement likely to
9bring and keep the facility in compliance and that has
10demonstrated good faith efforts at implementation within the
11first 90 days may be eligible to receive a grant under the
12Equity in Long-term Care Quality Act to assist it in achieving
13and maintaining compliance. In this subsection, "independent"
14consultant means an individual who has no professional or
15financial relationship with the facility, any person with a
16reportable ownership interest in the facility, or any related
17parties. In this subsection, "related parties" has the meaning
18attributed to it in the instructions for completing Medicaid
19cost reports.
20    (f-5) Monitor and temporary managers. A distressed
21facility that does not contract with a consultant shall be
22assigned a monitor or a temporary manager at the Department's
23discretion. The monitor cost of the temporary manager shall be
24paid by the facility. The temporary manager shall have the
25authority determined by the Department, which may grant the
26temporary manager any or all of the authority a court may grant

 

 

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1a receiver. The temporary manager may apply to the Equity in
2Long-term Care Quality Fund on behalf of the facility for
3grant funds to implement the plan of improvement.
4    (g) The Department shall, by rule, establish a mentor
5program for owners and operators of distressed facilities. The
6mentor program shall provide technical assistance and guidance
7to facilities.
8    (h) The Department shall by rule establish sanctions (in
9addition to those authorized elsewhere in this Article)
10against distressed facilities that are not in compliance with
11this Act and (if applicable) with federal certification
12requirements. Criteria for imposing sanctions shall take into
13account a facility's actions to address the violations and
14deficiencies that caused its designation as a distressed
15facility, and its compliance with this Act and with federal
16certification requirements (if applicable), subsequent to its
17designation as a distressed facility, including mandatory
18revocations if criteria can be agreed upon by the Department,
19resident advocates, and representatives of the nursing home
20profession. By February 1, 2011, the Department shall report
21to the General Assembly on the results of negotiations about
22creating criteria for mandatory license revocations of
23distressed facilities and make recommendations about any
24statutory changes it believes are appropriate to protect the
25health, safety, and welfare of nursing home residents.
26    (i) The Department may establish, by rule, criteria for

 

 

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1restricting an owner of a facility from acquiring additional
2nursing facilities if the owner of a facility was placed on the
3distressed list while it was owned by that owner from
4acquiring additional skilled nursing facilities. The
5Department may not prohibit an owner who acquires ownership of
6a facility that is already on the distressed facility list
7before the owner's acquisition of the facility from acquiring
8additional skilled nursing facilities.
9    (j) This Section does not apply to homes, institutions, or
10other places operated by or under the authority of the
11Illinois Department of Veterans' Affairs as these facilities
12are certified by the United States Department of Veterans
13Affairs and not the Centers for Medicare and Medicaid
14Services.
15(Source: P.A. 96-1372, eff. 7-29-10; 97-813, eff. 7-13-12.)