99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016
HB2755

 

Introduced , by Rep. Esther Golar

 

SYNOPSIS AS INTRODUCED:
 
See Index

    Creates the MC/DD Act. Provides that long-term care for under age 22 facilities shall be licensed as medically complex for the developmentally disabled facilities under the MC/DD Act instead of the ID/DD Community Care Act. Makes the provisions in the MC/DD Act substantially the same as those in the ID/DD Community Care Act, including provisions for the rights of residents and responsibilities of facilities, licensing, violations and penalties, and transfer or discharge of residents. Amends various Acts to make conforming changes. Amends the State Mandates Act to require implementation without reimbursement. Contains a nonacceleration provision. Effective July 1, 2015.


LRB099 08043 RPS 28187 b

CORRECTIONAL BUDGET AND IMPACT NOTE ACT MAY APPLY
FISCAL NOTE ACT MAY APPLY
STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT

 

 

A BILL FOR

 

HB2755LRB099 08043 RPS 28187 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4
ARTICLE I. SHORT TITLE, PRIOR LAW, AND DEFINITIONS

 
5    Section 1-101. Short title. This Act may be cited as the
6MC/DD Act.
 
7    Section 1-101.05. Prior law.
8    (a) This Act provides for the licensure of medically
9complex for the developmentally disabled facilities. On and
10after the effective date of this Act, long-term care for under
11age 22 facilities shall be known and licensed as medically
12complex for the developmentally disabled facilities under this
13Act instead of the ID/DD Community Care Act. On the effective
14date of this Act, any long-term care for under age 22 facility
15that holds a valid license on the effective date of this Act
16shall be granted a license as a medically complex for the
17developmentally disabled facility and shall not be licensed as
18a long-term care for under age 22 facility under the ID/DD
19Community Care Act.
20    (b) If any other Act of the General Assembly changes, adds,
21or repeals a provision of the ID/DD Community Care Act that is
22the same as or substantially similar to a provision of this

 

 

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1Act, then that change, addition, or repeal in the ID/DD
2Community Care Act shall be construed together with this Act
3until July 1, 2015 and not thereafter.
4    (c) Nothing in this Act affects the validity or effect of
5any finding, decision, or action made or taken by the
6Department or the Director under the ID/DD Community Care Act
7before the effective date of this Act with respect to a
8facility subject to licensure under this Act. That finding,
9decision, or action shall continue to apply to the facility on
10and after the effective date of this Act. Any finding,
11decision, or action with respect to the facility made or taken
12on or after the effective date of this Act shall be made or
13taken as provided in this Act.
 
14    Section 1-102. Definitions. For the purposes of this Act,
15unless the context otherwise requires, the terms defined in
16this Article have the meanings ascribed to them herein.
 
17    Section 1-103. Abuse. "Abuse" means any physical or mental
18injury or sexual assault inflicted on a resident other than by
19accidental means in a facility.
 
20    Section 1-104. Access. "Access" means the right to:
21        (1) Enter any facility;
22        (2) Communicate privately and without restriction with
23    any resident who consents to the communication;

 

 

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1        (3) Seek consent to communicate privately and without
2    restriction with any resident;
3        (4) Inspect the clinical and other records of a
4    resident with the express written consent of the resident;
5    or
6        (5) Observe all areas of the facility except the living
7    area of any resident who protests the observation.
 
8    Section 1-105. Administrator. "Administrator" means a
9person who is charged with the general administration and
10supervision of a facility and licensed, if required, under the
11Nursing Home Administrators Licensing and Disciplinary Act, as
12now or hereafter amended.
 
13    Section 1-106. Affiliate. "Affiliate" means:
14        (1) With respect to a partnership, each partner
15    thereof.
16        (2) With respect to a corporation, each officer,
17    director and stockholder thereof.
18        (3) With respect to a natural person: any person
19    related in the first degree of kinship to that person; each
20    partnership and each partner thereof of which that person
21    or any affiliate of that person is a partner; and each
22    corporation in which that person or any affiliate of that
23    person is an officer, director or stockholder.
 

 

 

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1    Section 1-107. Applicant. "Applicant" means any person
2making application for a license.
 
3    Section 1-108.1. Complaint classification. "Complaint
4classification" means the Department shall categorize reports
5about conditions, care or services in a facility into one of
6three groups after an investigation:
7        (1) "An invalid report" means any report made under
8    this Act for which it is determined after an investigation
9    that no credible evidence of abuse, neglect or other
10    deficiency relating to the complaint exists;
11        (2) "A valid report" means a report made under this Act
12    if an investigation determines that some credible evidence
13    of the alleged abuse, neglect or other deficiency relating
14    to the complaint exists; and
15        (3) "An undetermined report" means a report made under
16    this Act in which it was not possible to initiate or
17    complete an investigation on the basis of information
18    provided to the Department.
 
19    Section 1-109. Department. "Department" means the
20Department of Public Health.
 
21    Section 1-110. Director. "Director" means the Director of
22Public Health or his or her designee.
 

 

 

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1    Section 1-111. Discharge. "Discharge" means the full
2release of any resident from a facility.
 
3    Section 1-111.05. Distressed facility. "Distressed
4facility" means a facility determined by the Department to be a
5distressed facility pursuant to Section 3-304.2 of this Act.
 
6    Section 1-112. Emergency. "Emergency" means a situation,
7physical condition or one or more practices, methods or
8operations which present imminent danger of death or serious
9physical or mental harm to residents of a facility.
 
10    Section 1-113. Facility. "MC/DD facility" or "facility"
11means a medically complex for the developmentally disabled
12facility, whether operated for profit or not, which provides,
13through its ownership or management, personal care or nursing
14for 3 or more persons not related to the applicant or owner by
15blood or marriage.
16    "Facility" does not include the following:
17        (1) A home, institution, or other place operated by the
18    federal government or agency thereof, or by the State of
19    Illinois, other than homes, institutions, or other places
20    operated by or under the authority of the Illinois
21    Department of Veterans' Affairs;
22        (2) A hospital, sanitarium, or other institution whose
23    principal activity or business is the diagnosis, care, and

 

 

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1    treatment of human illness through the maintenance and
2    operation as organized facilities therefore, which is
3    required to be licensed under the Hospital Licensing Act;
4        (3) Any "facility for child care" as defined in the
5    Child Care Act of 1969;
6        (4) Any "community living facility" as defined in the
7    Community Living Facilities Licensing Act;
8        (5) Any "community residential alternative" as defined
9    in the Community Residential Alternatives Licensing Act;
10        (6) Any nursing home or sanatorium operated solely by
11    and for persons who rely exclusively upon treatment by
12    spiritual means through prayer, in accordance with the
13    creed or tenets of any well recognized church or religious
14    denomination. However, such nursing home or sanatorium
15    shall comply with all local laws and rules relating to
16    sanitation and safety;
17        (7) Any facility licensed by the Department of Human
18    Services as a community-integrated living arrangement as
19    defined in the Community-Integrated Living Arrangements
20    Licensure and Certification Act;
21        (8) Any facility licensed under the Nursing Home Care
22    Act;
23        (9) Any ID/DD facility under the ID/DD Community Care
24    Act;
25        (10) Any "supportive residence" licensed under the
26    Supportive Residences Licensing Act;

 

 

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1        (11) Any "supportive living facility" in good standing
2    with the program established under Section 5-5.01a of the
3    Illinois Public Aid Code, except only for purposes of the
4    employment of persons in accordance with Section 3-206.01;
5        (12) Any assisted living or shared housing
6    establishment licensed under the Assisted Living and
7    Shared Housing Act, except only for purposes of the
8    employment of persons in accordance with Section 3-206.01;
9        (13) An Alzheimer's disease management center
10    alternative health care model licensed under the
11    Alternative Health Care Delivery Act; or
12        (14) A home, institution, or other place operated by or
13    under the authority of the Illinois Department of Veterans'
14    Affairs.
 
15    Section 1-114. Guardian. "Guardian" means a person
16appointed as a guardian of the person or guardian of the
17estate, or both, of a resident under the "Probate Act of 1975",
18as now or hereafter amended.
 
19    Section 1-114.001. Habilitation. "Habilitation" means an
20effort directed toward increasing a person's level of physical,
21mental, social, or economic functioning. Habilitation may
22include, but is not limited to, diagnosis, evaluation, medical
23services, residential care, day care, special living
24arrangements, training, education, employment services,

 

 

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1protective services, and counseling.
 
2    Section 1-114.01. Identified offender. "Identified
3offender" means a person who meets any of the following
4criteria:
5        (1) Has been convicted of, found guilty of, adjudicated
6    delinquent for, found not guilty by reason of insanity for,
7    or found unfit to stand trial for any felony offense listed
8    in Section 25 of the Health Care Worker Background Check
9    Act, except for the following:
10            (i) a felony offense described in Section 10-5 of
11        the Nurse Practice Act;
12            (ii) a felony offense described in Section 4, 5, 6,
13        8, or 17.02 of the Illinois Credit Card and Debit Card
14        Act;
15            (iii) a felony offense described in Section 5, 5.1,
16        5.2, 7, or 9 of the Cannabis Control Act;
17            (iv) a felony offense described in Section 401,
18        401.1, 404, 405, 405.1, 407, or 407.1 of the Illinois
19        Controlled Substances Act; and
20            (v) a felony offense described in the
21        Methamphetamine Control and Community Protection Act.
22        (2) Has been convicted of, adjudicated delinquent for,
23    found not guilty by reason of insanity for, or found unfit
24    to stand trial for, any sex offense as defined in
25    subsection (c) of Section 10 of the Sex Offender Management

 

 

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1    Board Act.
2        (3) Is any other resident as determined by the
3    Department of State Police.
 
4    Section 1-114.1. Immediate family. "Immediate family"
5means the spouse, an adult child, a parent, an adult brother or
6sister, or an adult grandchild of a person.
 
7    Section 1-114.005. High-risk designation. "High-risk
8designation" means a designation of a provision of the Illinois
9Administrative Code that has been identified by the Department
10through rulemaking to be inherently necessary to protect the
11health, safety, and welfare of a resident.
 
12    Section 1-115. Licensee. "Licensee" means the individual
13or entity licensed by the Department to operate the facility.
 
14    Section 1-116. Maintenance. "Maintenance" means food,
15shelter and laundry services.
 
16    Section 1-116.5. Misappropriation of a resident's
17property. "Misappropriation of a resident's property" means
18the deliberate misplacement, exploitation, or wrongful
19temporary or permanent use of a resident's belongings or money
20without the resident's consent.
 

 

 

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1    Section 1-117. Neglect. "Neglect" means a failure in a
2facility to provide adequate medical or personal care or
3maintenance, which failure results in physical or mental injury
4to a resident or in the deterioration of a resident's physical
5or mental condition.
 
6    Section 1-118. Nurse. "Nurse" means a registered nurse or a
7licensed practical nurse as defined in the Nurse Practice Act.
 
8    Section 1-119. Owner. "Owner" means the individual,
9partnership, corporation, association or other person who owns
10a facility. In the event a facility is operated by a person who
11leases the physical plant, which is owned by another person,
12"owner" means the person who operates the facility, except that
13if the person who owns the physical plant is an affiliate of
14the person who operates the facility and has significant
15control over the day to day operations of the facility, the
16person who owns the physical plant shall incur jointly and
17severally with the owner all liabilities imposed on an owner
18under this Act.
 
19    Section 1-120. Personal care. "Personal care" means
20assistance with meals, dressing, movement, bathing or other
21personal needs or maintenance, or general supervision and
22oversight of the physical and mental well being of an
23individual, who is incapable of maintaining a private,

 

 

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1independent residence or who is incapable of managing his or
2her person whether or not a guardian has been appointed for
3such individual.
 
4    Section 1-120.3. Provisional admission period.
5"Provisional admission period" means the time between the
6admission of an identified offender as defined in Section
71-114.01 of this Act and 3 days following the admitting
8facility's receipt of an Identified Offender Report and
9Recommendation in accordance with Section 2-201.6 of this Act.
 
10    Section 1-121. Reasonable hour. "Reasonable hour" means
11any time between the hours of 10 a.m. and 8 p.m. daily.
 
12    Section 1-122. Resident. "Resident" means a person
13receiving personal or medical care, including, but not limited
14to, habilitation, psychiatric services, therapeutic services,
15and assistance with activities of daily living from a facility.
 
16    Section 1-123. Resident's representative. "Resident's
17representative" means a person other than the owner, or an
18agent or employee of a facility not related to the resident,
19designated in writing by a resident to be his or her
20representative, or the resident's guardian, or the parent of a
21minor resident for whom no guardian has been appointed.
 

 

 

HB2755- 12 -LRB099 08043 RPS 28187 b

1    Section 1-125. Stockholder. "Stockholder" of a corporation
2means any person who, directly or indirectly, beneficially
3owns, holds or has the power to vote, at least 5% of any class
4of securities issued by the corporation.
 
5    Section 1-125.1. Student intern. "Student intern" means
6any person whose total term of employment in any facility
7during any 12-month period is equal to or less than 90
8continuous days, and whose term of employment is either:
9        (1) an academic credit requirement in a high school or
10    undergraduate institution, or
11        (2) immediately succeeds a full quarter, semester or
12    trimester of academic enrollment in either a high school or
13    undergraduate institution, provided that such person is
14    registered for another full quarter, semester or trimester
15    of academic enrollment in either a high school or
16    undergraduate institution which quarter, semester or
17    trimester will commence immediately following the term of
18    employment.
 
19    Section 1-126. Title XVIII. "Title XVIII" means Title XVIII
20of the federal Social Security Act as now or hereafter amended.
 
21    Section 1-127. Title XIX. "Title XIX" means Title XIX of
22the federal Social Security Act as now or hereafter amended.
 

 

 

HB2755- 13 -LRB099 08043 RPS 28187 b

1    Section 1-128. Transfer. "Transfer" means a change in
2status of a resident's living arrangements from one facility to
3another facility.
 
4    Section 1-128.5. Type "AA" violation. A "Type "AA"
5violation" means a violation of this Act or of the rules
6promulgated thereunder that creates a condition or occurrence
7relating to the operation and maintenance of a facility that
8proximately caused a resident's death.
 
9    Section 1-129. Type "A" violation. A "Type "A" violation"
10means a violation of this Act or of the rules promulgated
11thereunder which creates a condition or occurrence relating to
12the operation and maintenance of a facility that (i) creates a
13substantial probability that the risk of death or serious
14mental or physical harm to a resident will result therefrom or
15(ii) has resulted in actual physical or mental harm to a
16resident.
 
17    Section 1-130. Type "B" violation. A "Type "B" violation"
18means a violation of this Act or of the rules promulgated
19thereunder which (i) creates a condition or occurrence relating
20to the operation and maintenance of a facility that is more
21likely than not to cause more than minimal physical or mental
22harm to a resident or (ii) is specifically designated as a Type
23"B" violation in this Act.
 

 

 

HB2755- 14 -LRB099 08043 RPS 28187 b

1    Section 1-132. Type "C" violation. A "Type "C" violation"
2means a violation of this Act or of the rules promulgated
3thereunder that creates a condition or occurrence relating to
4the operation and maintenance of a facility that creates a
5substantial probability that less than minimal physical or
6mental harm to a resident will result therefrom.
 
7
ARTICLE II. RIGHTS AND RESPONSIBILITIES

 
8
PART 1. RESIDENT RIGHTS

 
9    Section 2-101. Constitutional and legal rights. No
10resident shall be deprived of any rights, benefits, or
11privileges guaranteed by law, the Constitution of the State of
12Illinois, or the Constitution of the United States solely on
13account of his or her status as a resident of a facility.
 
14    Section 2-101.1. Spousal impoverishment. All new residents
15and their spouses shall be informed on admittance of their
16spousal impoverishment rights as defined at Section 5-4 of the
17Illinois Public Aid Code, as now or hereafter amended and at
18Section 303 of Title III of the Medicare Catastrophic Coverage
19Act of 1988 (P.L. 100-360).
 
20    Section 2-102. Financial affairs. A resident shall be

 

 

HB2755- 15 -LRB099 08043 RPS 28187 b

1permitted to manage his or her own financial affairs unless he
2or she or his or her guardian or if the resident is a minor, his
3or her parent, authorizes the administrator of the facility in
4writing to manage such resident's financial affairs under
5Section 2-201 of this Act.
 
6    Section 2-103. Personal property. A resident shall be
7permitted to retain and use or wear his or her personal
8property in his or her immediate living quarters, unless deemed
9medically inappropriate by a physician and so documented in the
10resident's clinical record. If clothing is provided to the
11resident by the facility, it shall be of a proper fit.
12    The facility shall provide adequate storage space for the
13personal property of the resident. The facility shall provide a
14means of safeguarding small items of value for its residents in
15their rooms or in any other part of the facility so long as the
16residents have daily access to such valuables. The facility
17shall make reasonable efforts to prevent loss and theft of
18residents' property. Those efforts shall be appropriate to the
19particular facility and may include, but are not limited to,
20staff training and monitoring, labeling property, and frequent
21property inventories. The facility shall develop procedures
22for investigating complaints concerning theft of residents'
23property and shall promptly investigate all such complaints.
 
24    Section 2-104. Medical treatment; records.

 

 

HB2755- 16 -LRB099 08043 RPS 28187 b

1    (a) A resident shall be permitted to retain the services of
2his or her own personal physician at his or her own expense or
3under an individual or group plan of health insurance, or under
4any public or private assistance program providing such
5coverage. However, the facility is not liable for the
6negligence of any such personal physician. Every resident shall
7be permitted to obtain from his or her own physician or the
8physician attached to the facility complete and current
9information concerning his or her medical diagnosis, treatment
10and prognosis in terms and language the resident can reasonably
11be expected to understand. Every resident shall be permitted to
12participate in the planning of his or her total care and
13medical treatment to the extent that his or her condition
14permits. No resident shall be subjected to experimental
15research or treatment without first obtaining his or her
16informed, written consent. The conduct of any experimental
17research or treatment shall be authorized and monitored by an
18institutional review board appointed by the Director. The
19membership, operating procedures and review criteria for the
20institutional review board shall be prescribed under rules and
21regulations of the Department and shall comply with the
22requirements for institutional review boards established by
23the federal Food and Drug Administration. No person who has
24received compensation in the prior 3 years from an entity that
25manufactures, distributes, or sells pharmaceuticals,
26biologics, or medical devices may serve on the institutional

 

 

HB2755- 17 -LRB099 08043 RPS 28187 b

1review board.
2    The institutional review board may approve only research or
3treatment that meets the standards of the federal Food and Drug
4Administration with respect to (i) the protection of human
5subjects and (ii) financial disclosure by clinical
6investigators. The Office of State Long Term Care Ombudsman and
7the State Protection and Advocacy organization shall be given
8an opportunity to comment on any request for approval before
9the board makes a decision. Those entities shall not be
10provided information that would allow a potential human subject
11to be individually identified, unless the board asks the
12Ombudsman for help in securing information from or about the
13resident. The board shall require frequent reporting of the
14progress of the approved research or treatment and its impact
15on residents, including immediate reporting of any adverse
16impact to the resident, the resident's representative, the
17Office of the State Long Term Care Ombudsman, and the State
18Protection and Advocacy organization. The board may not approve
19any retrospective study of the records of any resident about
20the safety or efficacy of any care or treatment if the resident
21was under the care of the proposed researcher or a business
22associate when the care or treatment was given, unless the
23study is under the control of a researcher without any business
24relationship to any person or entity who could benefit from the
25findings of the study.
26    No facility shall permit experimental research or

 

 

HB2755- 18 -LRB099 08043 RPS 28187 b

1treatment to be conducted on a resident or give access to any
2person or person's records for a retrospective study about the
3safety or efficacy of any care or treatment without the prior
4written approval of the institutional review board. No
5administrator, or person licensed by the State to provide
6medical care or treatment to any person may assist or
7participate in any experimental research on or treatment of a
8resident, including a retrospective study, that does not have
9the prior written approval of the board. Such conduct shall be
10grounds for professional discipline by the Department of
11Financial and Professional Regulation.
12    The institutional review board may exempt from ongoing
13review research or treatment initiated on a resident before the
14individual's admission to a facility and for which the board
15determines there is adequate ongoing oversight by another
16institutional review board. Nothing in this Section shall
17prevent a facility, any facility employee, or any other person
18from assisting or participating in any experimental research on
19or treatment of a resident if the research or treatment began
20before the person's admission to a facility, until the board
21has reviewed the research or treatment and decided to grant or
22deny approval or to exempt the research or treatment from
23ongoing review.
24    (b) All medical treatment and procedures shall be
25administered as ordered by a physician. All new physician
26orders shall be reviewed by the facility's director of nursing

 

 

HB2755- 19 -LRB099 08043 RPS 28187 b

1or charge nurse designee within 24 hours after such orders have
2been issued to assure facility compliance with such orders.
3    According to rules adopted by the Department, every woman
4resident of child bearing age shall receive routine obstetrical
5and gynecological evaluations as well as necessary prenatal
6care.
7    (c) Every resident shall be permitted to refuse medical
8treatment and to know the consequences of such action, unless
9such refusal would be harmful to the health and safety of
10others and such harm is documented by a physician in the
11resident's clinical record. The resident's refusal shall free
12the facility from the obligation to provide the treatment.
13    (d) Every resident, resident's guardian, or parent if the
14resident is a minor shall be permitted to inspect and copy all
15his or her clinical and other records concerning his or her
16care and maintenance kept by the facility or by his or her
17physician. The facility may charge a reasonable fee for
18duplication of a record.
 
19    Section 2-104.1. Transfer of facility ownership after
20license suspension or revocation. Whenever ownership of a
21private facility is transferred to another private owner
22following a final order for a suspension or revocation of the
23facility's license, the new owner, if the Department so
24determines, shall thoroughly evaluate the condition and needs
25of each resident as if each resident were being newly admitted

 

 

HB2755- 20 -LRB099 08043 RPS 28187 b

1to the facility. The evaluation shall include a review of the
2medical record and the conduct of a physical examination of
3each resident which shall be performed within 30 days after the
4transfer of ownership.
 
5    Section 2-104.2. Do Not Resuscitate Orders. Every facility
6licensed under this Act shall establish a policy for the
7implementation of physician orders limiting resuscitation such
8as those commonly referred to as "Do Not Resuscitate" orders.
9This policy may only prescribe the format, method of
10documentation and duration of any physician orders limiting
11resuscitation. Any orders under this policy shall be honored by
12the facility. The Department of Public Health Uniform DNR/POLST
13form or a copy of that form or a previous version of the
14uniform form shall be honored by the facility.
 
15    Section 2-105. Privacy. A resident shall be permitted
16respect and privacy in his or her medical and personal care
17program. Every resident's case discussion, consultation,
18examination and treatment shall be confidential and shall be
19conducted discreetly, and those persons not directly involved
20in the resident's care must have the resident's permission to
21be present.
 
22    Section 2-106. Restraints and confinements.
23    (a) For purposes of this Act:

 

 

HB2755- 21 -LRB099 08043 RPS 28187 b

1        (i) A physical restraint is any manual method or
2    physical or mechanical device, material, or equipment
3    attached or adjacent to a resident's body that the resident
4    cannot remove easily and restricts freedom of movement or
5    normal access to one's body. Devices used for positioning,
6    including but not limited to bed rails, gait belts, and
7    cushions, shall not be considered to be restraints for
8    purposes of this Section.
9        (ii) A chemical restraint is any drug used for
10    discipline or convenience and not required to treat medical
11    symptoms. The Department shall by rule, designate certain
12    devices as restraints, including at least all those devices
13    which have been determined to be restraints by the United
14    States Department of Health and Human Services in
15    interpretive guidelines issued for the purposes of
16    administering Titles XVIII and XIX of the Social Security
17    Act.
18    (b) Neither restraints nor confinements shall be employed
19for the purpose of punishment or for the convenience of any
20facility personnel. No restraints or confinements shall be
21employed except as ordered by a physician who documents the
22need for such restraints or confinements in the resident's
23clinical record. Each facility licensed under this Act must
24have a written policy to address the use of restraints and
25seclusion. The Department shall establish by rule the
26provisions that the policy must include, which, to the extent

 

 

HB2755- 22 -LRB099 08043 RPS 28187 b

1practicable, should be consistent with the requirements for
2participation in the federal Medicare program. Each policy
3shall include periodic review of the use of restraints.
4    (c) A restraint may be used only with the informed consent
5of the resident, the resident's guardian, or other authorized
6representative. A restraint may be used only for specific
7periods, if it is the least restrictive means necessary to
8attain and maintain the resident's highest practicable
9physical, mental or psychosocial well being, including brief
10periods of time to provide necessary life saving treatment. A
11restraint may be used only after consultation with appropriate
12health professionals, such as occupational or physical
13therapists, and a trial of less restrictive measures has led to
14the determination that the use of less restrictive measures
15would not attain or maintain the resident's highest practicable
16physical, mental or psychosocial well being. However, if the
17resident needs emergency care, restraints may be used for brief
18periods to permit medical treatment to proceed unless the
19facility has notice that the resident has previously made a
20valid refusal of the treatment in question.
21    (d) A restraint may be applied only by a person trained in
22the application of the particular type of restraint.
23    (e) Whenever a period of use of a restraint is initiated,
24the resident shall be advised of his or her right to have a
25person or organization of his or her choosing, including the
26Guardianship and Advocacy Commission, notified of the use of

 

 

HB2755- 23 -LRB099 08043 RPS 28187 b

1the restraint. A recipient who is under guardianship may
2request that a person or organization of his or her choosing be
3notified of the restraint, whether or not the guardian approves
4the notice. If the resident so chooses, the facility shall make
5the notification within 24 hours, including any information
6about the period of time that the restraint is to be used.
7Whenever the Guardianship and Advocacy Commission is notified
8that a resident has been restrained, it shall contact the
9resident to determine the circumstances of the restraint and
10whether further action is warranted.
11    (f) Whenever a restraint is used on a resident whose
12primary mode of communication is sign language, the resident
13shall be permitted to have his or her hands free from restraint
14for brief periods each hour, except when this freedom may
15result in physical harm to the resident or others.
16    (g) The requirements of this Section are intended to
17control in any conflict with the requirements of Sections 1-126
18and 2-108 of the Mental Health and Developmental Disabilities
19Code.
 
20    Section 2-106.1. Drug treatment.
21    (a) A resident shall not be given unnecessary drugs. An
22unnecessary drug is any drug used in an excessive dose,
23including in duplicative therapy; for excessive duration;
24without adequate monitoring; without adequate indications for
25its use; or in the presence of adverse consequences that

 

 

HB2755- 24 -LRB099 08043 RPS 28187 b

1indicate the drugs should be reduced or discontinued. The
2Department shall adopt, by rule, the standards for unnecessary
3drugs contained in interpretive guidelines issued by the United
4States Department of Health and Human Services for the purposes
5of administering Titles XVIII and XIX of the Social Security
6Act.
7    (b) Psychotropic medication shall not be administered
8without the informed consent of the resident, the resident's
9guardian, or other authorized representative. "Psychotropic
10medication" means medication that is used for or listed as used
11for antipsychotic, antidepressant, antimanic, or antianxiety
12behavior modification or behavior management purposes in the
13latest editions of the AMA Drug Evaluations or the Physician's
14Desk Reference. The Department shall adopt, by rule, a protocol
15specifying how informed consent for psychotropic medication
16may be obtained or refused. The protocol shall require, at a
17minimum, a discussion between (1) the resident or the
18resident's authorized representative and (2) the resident's
19physician, a registered pharmacist who is not a dispensing
20pharmacist for the facility where the resident lives, or a
21licensed nurse about the possible risks and benefits of a
22recommended medication and the use of standardized consent
23forms designated by the Department. Each form developed by the
24Department (i) shall be written in plain language, (ii) shall
25be able to be downloaded from the Department's official
26website, (iii) shall include information specific to the

 

 

HB2755- 25 -LRB099 08043 RPS 28187 b

1psychotropic medication for which consent is being sought, and
2(iv) shall be used for every resident for whom psychotropic
3drugs are prescribed. In addition to creating those forms, the
4Department shall approve the use of any other informed consent
5forms that meet criteria developed by the Department.
6    In addition to any other requirement prescribed by law, a
7facility that is found to have violated this subsection or the
8federal certification requirement that informed consent be
9obtained before administering a psychotropic medication shall
10for 3 years after the notice of violation be required to (A)
11obtain the signatures of 2 licensed health care professionals
12on every form purporting to give informed consent for the
13administration of a psychotropic medication, certifying the
14personal knowledge of each health care professional that the
15consent was obtained in compliance with the requirements of
16this subsection or (B) videotape or make a digital video record
17of the procedures followed by the facility to comply with the
18requirements of this subsection.
19    (c) The requirements of this Section are intended to
20control in a conflict with the requirements of Sections 2-102
21and 2-107.2 of the Mental Health and Developmental Disabilities
22Code with respect to the administration of psychotropic
23medication.
 
24    Section 2-106a. Resident identification wristlet. No
25identification wristlets shall be employed except as ordered by

 

 

HB2755- 26 -LRB099 08043 RPS 28187 b

1a physician who documents the need for such mandatory
2identification in the resident's clinical record. When
3identification bracelets are required, they must identify the
4resident's name, and the name and address of the facility
5issuing the identification wristlet.
 
6    Section 2-107. Abuse or neglect; duty to report. An owner,
7licensee, administrator, employee or agent of a facility shall
8not abuse or neglect a resident. It is the duty of any facility
9employee or agent who becomes aware of such abuse or neglect to
10report it as provided in the Abused and Neglected Long Term
11Care Facility Residents Reporting Act.
 
12    Section 2-108. Communications; visits; married residents.
13Every resident shall be permitted unimpeded, private and
14uncensored communication of his or her choice by mail, public
15telephone or visitation.
16    (a) The administrator shall ensure that correspondence is
17conveniently received and mailed, and that telephones are
18reasonably accessible.
19    (b) The administrator shall ensure that residents may have
20private visits at any reasonable hour unless such visits are
21not medically advisable for the resident as documented in the
22resident's clinical record by the resident's physician.
23    (c) The administrator shall ensure that space for visits is
24available and that facility personnel knock, except in an

 

 

HB2755- 27 -LRB099 08043 RPS 28187 b

1emergency, before entering any resident's room.
2    (d) Unimpeded, private and uncensored communication by
3mail, public telephone and visitation may be reasonably
4restricted by a physician only in order to protect the resident
5or others from harm, harassment or intimidation, provided that
6the reason for any such restriction is placed in the resident's
7clinical record by the physician and that notice of such
8restriction shall be given to all residents upon admission.
9However, all letters addressed by a resident to the Governor,
10members of the General Assembly, Attorney General, judges,
11state's attorneys, officers of the Department, or licensed
12attorneys at law shall be forwarded at once to the persons to
13whom they are addressed without examination by facility
14personnel. Letters in reply from the officials and attorneys
15mentioned above shall be delivered to the recipient without
16examination by facility personnel.
17    (e) The administrator shall ensure that married residents
18residing in the same facility be allowed to reside in the same
19room within the facility unless there is no room available in
20the facility or it is deemed medically inadvisable by the
21residents' attending physician and so documented in the
22residents' medical records.
 
23    Section 2-109. Religion. A resident shall be permitted the
24free exercise of religion. Upon a resident's request, and if
25necessary at the resident's expense, the administrator shall

 

 

HB2755- 28 -LRB099 08043 RPS 28187 b

1make arrangements for a resident's attendance at religious
2services of the resident's choice. However, no religious
3beliefs or practices, or attendance at religious services, may
4be imposed upon any resident.
 
5    Section 2-110. Access to residents.
6    (a) Any employee or agent of a public agency, any
7representative of a community legal services program or any
8other member of the general public shall be permitted access at
9reasonable hours to any individual resident of any facility,
10but only if there is neither a commercial purpose nor effect to
11such access and if the purpose is to do any of the following:
12        (1) Visit, talk with and make personal, social and
13    legal services available to all residents;
14        (2) Inform residents of their rights and entitlements
15    and their corresponding obligations, under federal and
16    State laws, by means of educational materials and
17    discussions in groups and with individual residents;
18        (3) Assist residents in asserting their legal rights
19    regarding claims for public assistance, medical assistance
20    and social security benefits, as well as in all other
21    matters in which residents are aggrieved. Assistance may
22    include counseling and litigation; or
23        (4) Engage in other methods of asserting, advising and
24    representing residents so as to extend to them full
25    enjoyment of their rights.

 

 

HB2755- 29 -LRB099 08043 RPS 28187 b

1    (a-5) If a resident of a licensed facility is an identified
2offender, any federal, State, or local law enforcement officer
3or county probation officer shall be permitted reasonable
4access to the individual resident to verify compliance with the
5requirements of the Sex Offender Registration Act or to verify
6compliance with applicable terms of probation, parole,
7aftercare release, or mandatory supervised release.
8    (b) All persons entering a facility under this Section
9shall promptly notify appropriate facility personnel of their
10presence. They shall, upon request, produce identification to
11establish their identity. No such person shall enter the
12immediate living area of any resident without first identifying
13himself or herself and then receiving permission from the
14resident to enter. The rights of other residents present in the
15room shall be respected. A resident may terminate at any time a
16visit by a person having access to the resident's living area
17under this Section.
18    (c) This Section shall not limit the power of the
19Department or other public agency otherwise permitted or
20required by law to enter and inspect a facility.
21    (d) Notwithstanding paragraph (a) of this Section, the
22administrator of a facility may refuse access to the facility
23to any person if the presence of that person in the facility
24would be injurious to the health and safety of a resident or
25would threaten the security of the property of a resident or
26the facility, or if the person seeks access to the facility for

 

 

HB2755- 30 -LRB099 08043 RPS 28187 b

1commercial purposes. Any person refused access to a facility
2may within 10 days request a hearing under Section 3-703. In
3that proceeding, the burden of proof as to the right of the
4facility to refuse access under this Section shall be on the
5facility.
 
6    Section 2-111. Discharge. A resident may be discharged from
7a facility after he or she gives the administrator, a
8physician, or a nurse of the facility written notice of his or
9her desire to be discharged. If a guardian has been appointed
10for a resident or if the resident is a minor, the resident
11shall be discharged upon written consent of his or her guardian
12or if the resident is a minor, his or her parent unless there
13is a court order to the contrary. In such cases, upon the
14resident's discharge, the facility is relieved from any
15responsibility for the resident's care, safety or well being.
 
16    Section 2-112. Grievances. A resident shall be permitted to
17present grievances on behalf of himself or herself or others to
18the administrator, the MC/DD Facility Advisory Board
19established under Section 2-204 of this Act, the residents'
20advisory council, State governmental agencies or other persons
21without threat of discharge or reprisal in any form or manner
22whatsoever. The administrator shall provide all residents or
23their representatives with the name, address, and telephone
24number of the appropriate State governmental office where

 

 

HB2755- 31 -LRB099 08043 RPS 28187 b

1complaints may be lodged.
 
2    Section 2-113. Labor. A resident may refuse to perform
3labor for a facility.
 
4    Section 2-114. Unlawful discrimination. No resident shall
5be subjected to unlawful discrimination as defined in Section
61-103 of the Illinois Human Rights Act by any owner, licensee,
7administrator, employee, or agent of a facility. Unlawful
8discrimination does not include an action by any owner,
9licensee, administrator, employee, or agent of a facility that
10is required by this Act or rules adopted under this Act.
 
11    Section 2-115. Right to notification of violations.
12Residents and their guardians or other resident
13representatives, if any, shall be notified of any violation of
14this Act or the rules promulgated thereunder pursuant to
15Section 2-217 of this Act, or of violations of the requirements
16of Titles XVIII or XIX of the Social Security Act or rules
17promulgated thereunder, with respect to the health, safety, or
18welfare of the resident.
 
19
PART 2. RESPONSIBILITIES

 
20    Section 2-201. Residents' funds. To protect the residents'
21funds, the facility:

 

 

HB2755- 32 -LRB099 08043 RPS 28187 b

1    (1) Shall at the time of admission provide, in order of
2priority, each resident, or the resident's guardian, if any, or
3the resident's representative, if any, or the resident's
4immediate family member, if any, with a written statement
5explaining to the resident and to the resident's spouse (a)
6their spousal impoverishment rights, as defined at Section 5-4
7of the Illinois Public Aid Code, and at Section 303 of Title
8III of the Medicare Catastrophic Coverage Act of 1988 (P.L.
9100-360), and (b) the resident's rights regarding personal
10funds and listing the services for which the resident will be
11charged. The facility shall obtain a signed acknowledgment from
12each resident or the resident's guardian, if any, or the
13resident's representative, if any, or the resident's immediate
14family member, if any, that such person has received the
15statement.
16    (2) May accept funds from a resident for safekeeping and
17managing, if it receives written authorization from, in order
18of priority, the resident or the resident's guardian, if any,
19or the resident's representative, if any, or the resident's
20immediate family member, if any; such authorization shall be
21attested to by a witness who has no pecuniary interest in the
22facility or its operations, and who is not connected in any way
23to facility personnel or the administrator in any manner
24whatsoever.
25    (3) Shall maintain and allow, in order of priority, each
26resident or the resident's guardian, if any, or the resident's

 

 

HB2755- 33 -LRB099 08043 RPS 28187 b

1representative, if any, or the resident's immediate family
2member, if any, access to a written record of all financial
3arrangements and transactions involving the individual
4resident's funds.
5    (4) Shall provide, in order of priority, each resident, or
6the resident's guardian, if any, or the resident's
7representative, if any, or the resident's immediate family
8member, if any, with a written itemized statement at least
9quarterly, of all financial transactions involving the
10resident's funds.
11    (5) Shall purchase a surety bond, or otherwise provide
12assurance satisfactory to the Departments of Public Health and
13Financial and Professional Regulation that all residents'
14personal funds deposited with the facility are secure against
15loss, theft, and insolvency.
16    (6) Shall keep any funds received from a resident for
17safekeeping in an account separate from the facility's funds,
18and shall at no time withdraw any part or all of such funds for
19any purpose other than to return the funds to the resident upon
20the request of the resident or any other person entitled to
21make such request, to pay the resident his or her allowance, or
22to make any other payment authorized by the resident or any
23other person entitled to make such authorization.
24    (7) Shall deposit any funds received from a resident in
25excess of $100 in an interest bearing account insured by
26agencies of, or corporations chartered by, the State or federal

 

 

HB2755- 34 -LRB099 08043 RPS 28187 b

1government. The account shall be in a form which clearly
2indicates that the facility has only a fiduciary interest in
3the funds and any interest from the account shall accrue to the
4resident. The facility may keep up to $100 of a resident's
5money in a non-interest-bearing account or petty cash fund, to
6be readily available for the resident's current expenditures.
7    (8) Shall return to the resident, or the person who
8executed the written authorization required in subsection (2)
9of this Section, upon written request, all or any part of the
10resident's funds given the facility for safekeeping, including
11the interest accrued from deposits.
12    (9) Shall (a) place any monthly allowance to which a
13resident is entitled in that resident's personal account, or
14give it to the resident, unless the facility has written
15authorization from the resident or the resident's guardian or
16if the resident is a minor, his parent, to handle it
17differently, (b) take all steps necessary to ensure that a
18personal needs allowance that is placed in a resident's
19personal account is used exclusively by the resident or for the
20benefit of the resident, and (c) where such funds are withdrawn
21from the resident's personal account by any person other than
22the resident, require such person to whom funds constituting
23any part of a resident's personal needs allowance are released,
24to execute an affidavit that such funds shall be used
25exclusively for the benefit of the resident.
26    (10) Unless otherwise provided by State law, upon the death

 

 

HB2755- 35 -LRB099 08043 RPS 28187 b

1of a resident, shall provide the executor or administrator of
2the resident's estate with a complete accounting of all the
3resident's personal property, including any funds of the
4resident being held by the facility.
5    (11) If an adult resident is incapable of managing his or
6her funds and does not have a resident's representative,
7guardian, or an immediate family member, shall notify the
8Office of the State Guardian of the Guardianship and Advocacy
9Commission.
10    (12) If the facility is sold, shall provide the buyer with
11a written verification by a public accountant of all residents'
12monies and properties being transferred, and obtain a signed
13receipt from the new owner.
 
14    Section 2-201.5. Screening prior to admission.
15    (a) All persons age 18 or older seeking admission to a
16facility must be screened to determine the need for facility
17services prior to being admitted, regardless of income, assets,
18or funding source. In addition, any person who seeks to become
19eligible for medical assistance from the Medical Assistance
20Program under the Illinois Public Aid Code to pay for services
21while residing in a facility must be screened prior to
22receiving those benefits. Screening for facility services
23shall be administered through procedures established by
24administrative rule. Screening may be done by agencies other
25than the Department as established by administrative rule.

 

 

HB2755- 36 -LRB099 08043 RPS 28187 b

1    (a-1) Any screening shall also include an evaluation of
2whether there are residential supports and services or an array
3of community services that would enable the person to live in
4the community. The person shall be told about the existence of
5any such services that would enable the person to live safely
6and humanely in the least restrictive environment, that is
7appropriate, that the individual or guardian chooses, and the
8person shall be given the assistance necessary to avail himself
9or herself of any available services.
10    (b) In addition to the screening required by subsection
11(a), a facility shall, within 24 hours after admission, request
12a criminal history background check pursuant to the Uniform
13Conviction Information Act for all persons age 18 or older
14seeking admission to the facility. Background checks conducted
15pursuant to this Section shall be based on the resident's name,
16date of birth, and other identifiers as required by the
17Department of State Police. If the results of the background
18check are inconclusive, the facility shall initiate a
19fingerprint-based check, unless the fingerprint-based check is
20waived by the Director of Public Health based on verification
21by the facility that the resident is completely immobile or
22that the resident meets other criteria related to the
23resident's health or lack of potential risk which may be
24established by Departmental rule. A waiver issued pursuant to
25this Section shall be valid only while the resident is immobile
26or while the criteria supporting the waiver exist. The facility

 

 

HB2755- 37 -LRB099 08043 RPS 28187 b

1shall provide for or arrange for any required fingerprint-based
2checks. If a fingerprint-based check is required, the facility
3shall arrange for it to be conducted in a manner that is
4respectful of the resident's dignity and that minimizes any
5emotional or physical hardship to the resident.
6    (c) If the results of a resident's criminal history
7background check reveal that the resident is an identified
8offender as defined in Section 1-114.01 of this Act, the
9facility shall do the following:
10        (1) Immediately notify the Department of State Police,
11    in the form and manner required by the Department of State
12    Police, in collaboration with the Department of Public
13    Health, that the resident is an identified offender.
14        (2) Within 72 hours, arrange for a fingerprint-based
15    criminal history record inquiry to be requested on the
16    identified offender resident. The inquiry shall be based on
17    the subject's name, sex, race, date of birth, fingerprint
18    images, and other identifiers required by the Department of
19    State Police. The inquiry shall be processed through the
20    files of the Department of State Police and the Federal
21    Bureau of Investigation to locate any criminal history
22    record information that may exist regarding the subject.
23    The Federal Bureau of Investigation shall furnish to the
24    Department of State Police, pursuant to an inquiry under
25    this paragraph (2), any criminal history record
26    information contained in its files. The facility shall

 

 

HB2755- 38 -LRB099 08043 RPS 28187 b

1    comply with all applicable provisions contained in the
2    Uniform Conviction Information Act. All name-based and
3    fingerprint-based criminal history record inquiries shall
4    be submitted to the Department of State Police
5    electronically in the form and manner prescribed by the
6    Department of State Police. The Department of State Police
7    may charge the facility a fee for processing name-based and
8    fingerprint-based criminal history record inquiries. The
9    fee shall be deposited into the State Police Services Fund.
10    The fee shall not exceed the actual cost of processing the
11    inquiry.
12    (d) The Department shall develop and maintain a
13de-identified database of residents who have injured facility
14staff, facility visitors, or other residents, and the attendant
15circumstances, solely for the purposes of evaluating and
16improving resident pre-screening and assessment procedures
17(including the Criminal History Report prepared under Section
182-201.6 of this Act) and the adequacy of Department
19requirements concerning the provision of care and services to
20residents. A resident shall not be listed in the database until
21a Department survey confirms the accuracy of the listing. The
22names of persons listed in the database and information that
23would allow them to be individually identified shall not be
24made public. Neither the Department nor any other agency of
25State government may use information in the database to take
26any action against any individual, licensee, or other entity

 

 

HB2755- 39 -LRB099 08043 RPS 28187 b

1unless the Department or agency receives the information
2independent of this subsection (d). All information collected,
3maintained, or developed under the authority of this subsection
4(d) for the purposes of the database maintained under this
5subsection (d) shall be treated in the same manner as
6information that is subject to Part 21 of Article VIII of the
7Code of Civil Procedure.
 
8    Section 2-201.6. Criminal History Report.
9    (a) The Department of State Police shall prepare a Criminal
10History Report when it receives information, through the
11criminal history background check required pursuant to
12subsection (c) of Section 2-201.5 or through any other means,
13that a resident of a facility is an identified offender.
14    (b) The Department of State Police shall complete the
15Criminal History Report within 10 business days after receiving
16any information described under subsection (a) of this Act that
17a resident is an identified offender.
18    (c) The Criminal History Report shall include, but not be
19limited to, all of the following:
20        (1) Copies of the identified offender's parole,
21    mandatory supervised release, or probation orders.
22        (2) An interview with the identified offender.
23        (3) A detailed summary of the entire criminal history
24    of the offender, including arrests, convictions, and the
25    date of the identified offender's last conviction relative

 

 

HB2755- 40 -LRB099 08043 RPS 28187 b

1    to the date of admission to a facility.
2        (4) If the identified offender is a convicted or
3    registered sex offender, then a review of any and all sex
4    offender evaluations conducted on that offender. If there
5    is no sex offender evaluation available, then the
6    Department of State Police shall arrange, through the
7    Department of Public Health, for a sex offender evaluation
8    to be conducted on the identified offender. If the
9    convicted or registered sex offender is under supervision
10    by the Illinois Department of Corrections or a county
11    probation department, then the sex offender evaluation
12    shall be arranged by and at the expense of the supervising
13    agency. All evaluations conducted on convicted or
14    registered sex offenders under this Act shall be conducted
15    by sex offender evaluators approved by the Sex Offender
16    Management Board.
17    (d) The Department of State Police shall provide the
18Criminal History Report to a licensed forensic psychologist.
19The licensed forensic psychologist shall prepare an Identified
20Offender Report and Recommendation after (i) consideration of
21the Criminal History Report, (ii) consultation with the
22facility administrator or the facility medical director, or
23both, regarding the mental and physical condition of the
24identified offender, and (iii) reviewing the facility's file on
25the identified offender, including all incident reports, all
26information regarding medication and medication compliance,

 

 

HB2755- 41 -LRB099 08043 RPS 28187 b

1and all information regarding previous discharges or transfers
2from other facilities. The Identified Offender Report and
3Recommendation shall detail whether and to what extent the
4identified offender's criminal history necessitates the
5implementation of security measures within the facility. If the
6identified offender is a convicted or registered sex offender,
7or if the Identified Offender Report and Recommendation reveals
8that the identified offender poses a significant risk of harm
9to others within the facility, then the offender shall be
10required to have his or her own room within the facility.
11    (e) The licensed forensic psychologist shall complete the
12Identified Offender Report and Recommendation within 14
13business days after receiving the Criminal History Report and
14shall promptly provide the Identified Offender Report and
15Recommendation to the Department of State Police, which shall
16provide the Identified Offender Report and Recommendation to
17the following:
18        (1) The facility within which the identified offender
19    resides.
20        (2) The Chief of Police of the municipality in which
21    the facility is located.
22        (3) The State of Illinois Long Term Care Ombudsman.
23        (4) The Department of Public Health.
24    (f) The Department of Public Health shall keep a continuing
25record of all residents determined to be identified offenders
26as defined in Section 1-114.01 and shall report the number of

 

 

HB2755- 42 -LRB099 08043 RPS 28187 b

1identified offender residents annually to the General
2Assembly.
3    (g) The facility shall incorporate the Identified Offender
4Report and Recommendation into the identified offender's
5individual program plan created pursuant to 42 CFR 483.440(c).
6    (h) If, based on the Identified Offender Report and
7Recommendation, a facility determines that it cannot manage the
8identified offender resident safely within the facility, then
9it shall commence involuntary transfer or discharge
10proceedings pursuant to Section 3-402.
11    (i) Except for willful and wanton misconduct, any person
12authorized to participate in the development of a Criminal
13History Report or Identified Offender Report and
14Recommendation is immune from criminal or civil liability for
15any acts or omissions as the result of his or her good faith
16effort to comply with this Section.
 
17    Section 2-202. Contract required.
18    (a) Before a person is admitted to a facility, or at the
19expiration of the period of previous contract, or when the
20source of payment for the resident's care changes from private
21to public funds or from public to private funds, a written
22contract shall be executed between a licensee and the following
23in order of priority:
24        (1) the person, or if the person is a minor, his parent
25    or guardian; or

 

 

HB2755- 43 -LRB099 08043 RPS 28187 b

1        (2) the person's guardian, if any, or agent, if any, as
2    defined in Section 2-3 of the Illinois Power of Attorney
3    Act; or
4        (3) a member of the person's immediate family.
5    An adult person shall be presumed to have the capacity to
6contract for admission to a facility unless he or she has been
7adjudicated a "disabled person" within the meaning of Section
811a-2 of the Probate Act of 1975, or unless a petition for such
9an adjudication is pending in a circuit court of Illinois.
10    If there is no guardian, agent or member of the person's
11immediate family available, able or willing to execute the
12contract required by this Section and a physician determines
13that a person is so disabled as to be unable to consent to
14placement in a facility, or if a person has already been found
15to be a "disabled person", but no order has been entered
16allowing residential placement of the person, that person may
17be admitted to a facility before the execution of a contract
18required by this Section; provided that a petition for
19guardianship or for modification of guardianship is filed
20within 15 days of the person's admission to a facility, and
21provided further that such a contract is executed within 10
22days of the disposition of the petition.
23    No adult shall be admitted to a facility if he or she
24objects, orally or in writing, to such admission, except as
25otherwise provided in Chapters III and IV of the Mental Health
26and Developmental Disabilities Code or Section 11a-14.1 of the

 

 

HB2755- 44 -LRB099 08043 RPS 28187 b

1Probate Act of 1975.
2    Before a licensee enters a contract under this Section, it
3shall provide the prospective resident and his or her guardian,
4if any, with written notice of the licensee's policy regarding
5discharge of a resident whose private funds for payment of care
6are exhausted.
7    (b) A resident shall not be discharged or transferred at
8the expiration of the term of a contract, except as provided in
9Sections 3-401 through 3-423.
10    (c) At the time of the resident's admission to the
11facility, a copy of the contract shall be given to the
12resident, his or her guardian, if any, and any other person who
13executed the contract.
14    (d) A copy of the contract for a resident who is supported
15by nonpublic funds other than the resident's own funds shall be
16made available to the person providing the funds for the
17resident's support.
18    (e) The original or a copy of the contract shall be
19maintained in the facility and be made available upon request
20to representatives of the Department and the Department of
21Healthcare and Family Services.
22    (f) The contract shall be written in clear and unambiguous
23language and shall be printed in not less than 12-point type.
24The general form of the contract shall be prescribed by the
25Department.
26    (g) The contract shall specify:

 

 

HB2755- 45 -LRB099 08043 RPS 28187 b

1        (1) the term of the contract;
2        (2) the services to be provided under the contract and
3    the charges for the services;
4        (3) the services that may be provided to supplement the
5    contract and the charges for the services;
6        (4) the sources liable for payments due under the
7    contract;
8        (5) the amount of deposit paid; and
9        (6) the rights, duties and obligations of the resident,
10    except that the specification of a resident's rights may be
11    furnished on a separate document which complies with the
12    requirements of Section 2-211.
13    (h) The contract shall designate the name of the resident's
14representative, if any. The resident shall provide the facility
15with a copy of the written agreement between the resident and
16the resident's representative which authorizes the resident's
17representative to inspect and copy the resident's records and
18authorizes the resident's representative to execute the
19contract on behalf of the resident required by this Section.
20    (i) The contract shall provide that if the resident is
21compelled by a change in physical or mental health to leave the
22facility, the contract and all obligations under it shall
23terminate on 7 days' notice. No prior notice of termination of
24the contract shall be required, however, in the case of a
25resident's death. The contract shall also provide that in all
26other situations, a resident may terminate the contract and all

 

 

HB2755- 46 -LRB099 08043 RPS 28187 b

1obligations under it with 30 days' notice. All charges shall be
2prorated as of the date on which the contract terminates, and,
3if any payments have been made in advance, the excess shall be
4refunded to the resident. This provision shall not apply to
5life care contracts through which a facility agrees to provide
6maintenance and care for a resident throughout the remainder of
7his life nor to continuing care contracts through which a
8facility agrees to supplement all available forms of financial
9support in providing maintenance and care for a resident
10throughout the remainder of his or her life.
11    (j) In addition to all other contract specifications
12contained in this Section admission contracts shall also
13specify:
14        (1) whether the facility accepts Medicaid clients;
15        (2) whether the facility requires a deposit of the
16    resident or his or her family prior to the establishment of
17    Medicaid eligibility;
18        (3) in the event that a deposit is required, a clear
19    and concise statement of the procedure to be followed for
20    the return of such deposit to the resident or the
21    appropriate family member or guardian of the person;
22        (4) that all deposits made to a facility by a resident,
23    or on behalf of a resident, shall be returned by the
24    facility within 30 days of the establishment of Medicaid
25    eligibility, unless such deposits must be drawn upon or
26    encumbered in accordance with Medicaid eligibility

 

 

HB2755- 47 -LRB099 08043 RPS 28187 b

1    requirements established by the Department of Healthcare
2    and Family Services.
3    (k) It shall be a business offense for a facility to
4knowingly and intentionally both retain a resident's deposit
5and accept Medicaid payments on behalf of that resident.
 
6    Section 2-203. Residents' advisory council. Each facility
7shall establish a residents' advisory council. The
8administrator shall designate a member of the facility staff to
9coordinate the establishment of, and render assistance to, the
10council.
11    (a) The composition of the residents' advisory council
12shall be specified by Department regulation, but no employee or
13affiliate of a facility shall be a member of any council.
14    (b) The council shall meet at least once each month with
15the staff coordinator who shall provide assistance to the
16council in preparing and disseminating a report of each meeting
17to all residents, the administrator, and the staff.
18    (c) Records of the council meetings will be maintained in
19the office of the administrator.
20    (d) The residents' advisory council may communicate to the
21administrator the opinions and concerns of the residents. The
22council shall review procedures for implementing resident
23rights, facility responsibilities and make recommendations for
24changes or additions which will strengthen the facility's
25policies and procedures as they affect residents' rights and

 

 

HB2755- 48 -LRB099 08043 RPS 28187 b

1facility responsibilities.
2    (e) The council shall be a forum for:
3        (1) Obtaining and disseminating information;
4        (2) Soliciting and adopting recommendations for
5    facility programing and improvements;
6        (3) Early identification and for recommending orderly
7    resolution of problems.
8    (f) The council may present complaints as provided in
9Section 3-702 on behalf of a resident to the Department, the
10MC/DD Facility Advisory Board established under Section 2-204
11of this Act or to any other person it considers appropriate.
 
12    Section 2-204. MC/DD Facility Advisory Board. The Director
13shall appoint a MC/DD Facility Advisory Board to consult with
14the Department and the residents' advisory councils created
15under Section 2-203.
16    (a) The Advisory Board shall be composed of the following
17persons:
18        (1) the Director who shall serve as chairperson, ex
19    officio, and nonvoting;
20        (2) one representative each of the Department of
21    Healthcare and Family Services, the Department of Human
22    Services, and the Office of the State Fire Marshal, all
23    nonvoting members;
24        (3) one member who shall be a physician licensed to
25    practice medicine in all its branches;

 

 

HB2755- 49 -LRB099 08043 RPS 28187 b

1        (4) one member who shall be a behavioral specialist
2    selected from the recommendations of the Department of
3    Human Services;
4        (5) three members who shall be selected from the
5    recommendations by organizations whose membership consists
6    of facilities;
7        (6) two members who shall represent the general public
8    who are not members of a residents' advisory council
9    established under Section 2-203 and who have no
10    responsibility for management or formation of policy or
11    financial interest in a facility;
12        (7) one member who is a member of a residents' advisory
13    council established under Section 2-203 and is capable of
14    actively participating on the Advisory Board; and
15        (8) one member who shall be selected from the
16    recommendations of consumer organizations that engage
17    solely in advocacy or legal representation on behalf of
18    residents and their immediate families.
19    (b) The Advisory Board shall meet as frequently as the
20chairperson deems necessary, but not less than 4 times each
21year. Upon request by 4 or more members, the chairperson shall
22call a meeting of the Advisory Board. The affirmative vote of 6
23members of the Advisory Board shall be necessary for Advisory
24Board action. A member of the Advisory Board may designate a
25replacement to serve at the Advisory Board meeting and vote in
26place of the member by submitting a letter of designation to

 

 

HB2755- 50 -LRB099 08043 RPS 28187 b

1the chairperson prior to or at the Advisory Board meeting. The
2Advisory Board members shall be reimbursed for their actual
3expenses incurred in the performance of their duties.
4    (c) The Advisory Board shall advise the Department of
5Public Health on all aspects of its responsibilities under this
6Act, including the format and content of any rules promulgated
7by the Department of Public Health. Any such rules, except
8emergency rules promulgated pursuant to Section 5-45 of the
9Illinois Administrative Procedure Act, promulgated without
10obtaining the advice of the Advisory Board are null and void.
11If the Department fails to follow the advice of the Advisory
12Board, the Department shall, prior to the promulgation of such
13rules, transmit a written explanation of the reason therefor to
14the Advisory Board. During its review of rules, the Advisory
15Board shall analyze the economic and regulatory impact of those
16rules. If the Advisory Board, having been asked for its advice,
17fails to advise the Department within 90 days, the rules shall
18be considered acted upon.
 
19    Section 2-205. Disclosure of information to public. The
20following information is subject to disclosure to the public
21from the Department or the Department of Healthcare and Family
22Services:
23        (1) Information submitted under Sections 3-103 and
24    3-207 except information concerning the remuneration of
25    personnel licensed, registered, or certified by the

 

 

HB2755- 51 -LRB099 08043 RPS 28187 b

1    Department of Financial and Professional Regulation (as
2    successor to the Department of Professional Regulation)
3    and monthly charges for an individual private resident;
4        (2) Records of license and certification inspections,
5    surveys, and evaluations of facilities, other reports of
6    inspections, surveys, and evaluations of resident care,
7    whether a facility is designated a distressed facility and
8    the basis for the designation, and reports concerning a
9    facility prepared pursuant to Titles XVIII and XIX of the
10    Social Security Act, subject to the provisions of the
11    Social Security Act;
12        (3) Cost and reimbursement reports submitted by a
13    facility under Section 3-208, reports of audits of
14    facilities, and other public records concerning costs
15    incurred by, revenues received by, and reimbursement of
16    facilities; and
17        (4) Complaints filed against a facility and complaint
18    investigation reports, except that a complaint or
19    complaint investigation report shall not be disclosed to a
20    person other than the complainant or complainant's
21    representative before it is disclosed to a facility under
22    Section 3-702, and, further, except that a complainant or
23    resident's name shall not be disclosed except under Section
24    3-702. The Department shall disclose information under
25    this Section in accordance with provisions for inspection
26    and copying of public records required by the Freedom of

 

 

HB2755- 52 -LRB099 08043 RPS 28187 b

1    Information Act. However, the disclosure of information
2    described in subsection (1) shall not be restricted by any
3    provision of the Freedom of Information Act.
 
4    Section 2-206. Confidentiality of records.
5    (a) The Department shall respect the confidentiality of a
6resident's record and shall not divulge or disclose the
7contents of a record in a manner which identifies a resident,
8except upon a resident's death to a relative or guardian, or
9under judicial proceedings. This Section shall not be construed
10to limit the right of a resident to inspect or copy the
11resident's records.
12    (b) Confidential medical, social, personal, or financial
13information identifying a resident shall not be available for
14public inspection in a manner which identifies a resident.
 
15    Section 2-207. Directories for public health regions;
16information concerning facility costs and policies.
17    (a) Each year the Department shall publish a Directory for
18each public health region listing facilities to be made
19available to the public and be available at all Department
20offices. The Department may charge a fee for the Directory. The
21Directory shall contain, at a minimum, the following
22information:
23        (1) The name and address of the facility;
24        (2) The number and type of licensed beds;

 

 

HB2755- 53 -LRB099 08043 RPS 28187 b

1        (3) The name of the cooperating hospital, if any;
2        (4) The name of the administrator;
3        (5) The facility telephone number; and
4        (6) Membership in a provider association and
5    accreditation by any such organization.
6    (b) Detailed information concerning basic costs for care
7and operating policies shall be available to the public upon
8request at each facility. However, a facility may refuse to
9make available any proprietary operating policies to the extent
10such facility reasonably believes such policies may be revealed
11to a competitor.
 
12    Section 2-208. Notice of imminent death, unusual incident,
13abuse, or neglect.
14    (a) A facility shall immediately notify the identified
15resident's next of kin, guardian, resident's representative,
16and physician of the resident's death or when the resident's
17death appears to be imminent. A facility shall immediately
18notify the Department by telephone of a resident's death within
1924 hours after the resident's death. The facility shall notify
20the Department of the death of a facility's resident that does
21not occur in the facility immediately upon learning of the
22death. A facility shall promptly notify the coroner or medical
23examiner of a resident's death in a manner and form to be
24determined by the Department after consultation with the
25coroner or medical examiner of the county in which the facility

 

 

HB2755- 54 -LRB099 08043 RPS 28187 b

1is located. In addition to notice to the Department by
2telephone, the Department shall require the facility to submit
3written notification of the death of a resident within 72 hours
4after the death, including a report of any medication errors or
5other incidents that occurred within 30 days of the resident's
6death. A facility's failure to comply with this Section shall
7constitute a Type "B" violation.
8    (b) A facility shall immediately notify the resident's next
9of kin, guardian, or resident representative of any unusual
10incident, abuse, or neglect involving the resident. A facility
11shall immediately notify the Department by telephone of any
12unusual incident, abuse, or neglect required to be reported
13pursuant to State law or administrative rule. In addition to
14notice to the Department by telephone, the Department shall
15require the facility to submit written notification of any
16unusual incident, abuse, or neglect within one day after the
17unusual incident, abuse, or neglect occurring. A facility's
18failure to comply with this Section shall constitute a Type "B"
19violation. For purposes of this Section, "unusual incident"
20means serious injury; unscheduled hospital visit for treatment
21of serious injury; 9-1-1 calls for emergency services directly
22relating to a resident threat; or stalking of staff or person
23served that raises health or safety concerns.
 
24    Section 2-209. Number of residents. A facility shall admit
25only that number of residents for which it is licensed.
 

 

 

HB2755- 55 -LRB099 08043 RPS 28187 b

1    Section 2-210. Policies and procedures. A facility shall
2establish written policies and procedures to implement the
3responsibilities and rights provided in this Article. The
4policies shall include the procedure for the investigation and
5resolution of resident complaints as set forth under Section
63-702. The policies and procedures shall be clear and
7unambiguous and shall be available for inspection by any
8person. A summary of the policies and procedures, printed in
9not less than 12-point type, shall be distributed to each
10resident and representative.
 
11    Section 2-211. Explanation of rights. Each resident and
12resident's guardian or other person acting for the resident
13shall be given a written explanation, prepared by the Office of
14the State Long Term Care Ombudsman, of all the rights
15enumerated in Part 1 of this Article and in Part 4 of Article
16III. For residents of facilities participating in Title XVIII
17or XIX of the Social Security Act, the explanation shall
18include an explanation of residents' rights enumerated in that
19Act. The explanation shall be given at the time of admission to
20a facility or as soon thereafter as the condition of the
21resident permits, but in no event later than 48 hours after
22admission, and again at least annually thereafter. At the time
23of the implementation of this Act each resident shall be given
24a written summary of all the rights enumerated in Part 1 of

 

 

HB2755- 56 -LRB099 08043 RPS 28187 b

1this Article.
2    If a resident is unable to read such written explanation,
3it shall be read to the resident in a language the resident
4understands. In the case of a minor or a person having a
5guardian or other person acting for him or her, both the
6resident and the parent, guardian or other person acting for
7the resident shall be fully informed of these rights.
 
8    Section 2-212. Staff familiarity with rights and
9responsibilities. The facility shall ensure that its staff is
10familiar with and observes the rights and responsibilities
11enumerated in this Article.
 
12    Section 2-213. Vaccinations.
13    (a) A facility shall annually administer or arrange for
14administration of a vaccination against influenza to each
15resident, in accordance with the recommendations of the
16Advisory Committee on Immunization Practices of the Centers for
17Disease Control and Prevention that are most recent to the time
18of vaccination, unless the vaccination is medically
19contraindicated or the resident has refused the vaccine.
20Influenza vaccinations for all residents age 65 and over shall
21be completed by November 30 of each year or as soon as
22practicable if vaccine supplies are not available before
23November 1. Residents admitted after November 30, during the
24flu season, and until February 1 shall, as medically

 

 

HB2755- 57 -LRB099 08043 RPS 28187 b

1appropriate, receive an influenza vaccination prior to or upon
2admission or as soon as practicable if vaccine supplies are not
3available at the time of the admission, unless the vaccine is
4medically contraindicated or the resident has refused the
5vaccine. In the event that the Advisory Committee on
6Immunization Practices of the Centers for Disease Control and
7Prevention determines that dates of administration other than
8those stated in this Act are optimal to protect the health of
9residents, the Department is authorized to develop rules to
10mandate vaccinations at those times rather than the times
11stated in this Act. A facility shall document in the resident's
12medical record that an annual vaccination against influenza was
13administered, arranged, refused or medically contraindicated.
14    (b) A facility shall administer or arrange for
15administration of a pneumococcal vaccination to each resident,
16in accordance with the recommendations of the Advisory
17Committee on Immunization Practices of the Centers for Disease
18Control and Prevention, who has not received this immunization
19prior to or upon admission to the facility, unless the resident
20refuses the offer for vaccination or the vaccination is
21medically contraindicated. A facility shall document in each
22resident's medical record that a vaccination against
23pneumococcal pneumonia was offered and administered, arranged,
24refused, or medically contraindicated.
 
25    Section 2-214. Consumer Choice Information Reports.

 

 

HB2755- 58 -LRB099 08043 RPS 28187 b

1    (a) Every facility shall complete a Consumer Choice
2Information Report and shall file it with the Office of State
3Long Term Care Ombudsman electronically as prescribed by the
4Office. The Report shall be filed annually and upon request of
5the Office of State Long Term Care Ombudsman. The Consumer
6Choice Information Report must be completed by the facility in
7full.
8    (b) A violation of any of the provisions of this Section
9constitutes an unlawful practice under the Consumer Fraud and
10Deceptive Business Practices Act. All remedies, penalties, and
11authority granted to the Attorney General by the Consumer Fraud
12and Deceptive Business Practices Act shall be available to him
13or her for the enforcement of this Section.
14    (c) The Department of Public Health shall include
15verification of the submission of a facility's current Consumer
16Choice Information Report when conducting an inspection
17pursuant to Section 3-212.
 
18    Section 2-216. Notification of identified offenders. If
19identified offenders are residents of the licensed facility,
20the licensed facility shall notify every resident or resident's
21guardian in writing that such offenders are residents of the
22licensed facility. The licensed facility shall also provide
23notice to its employees and to visitors to the facility that
24identified offenders are residents.
 

 

 

HB2755- 59 -LRB099 08043 RPS 28187 b

1    Section 2-217. Notification of violations. When the
2Department issues any notice pursuant to Section 3-119,
33-119.1, 3-301, 3-303, 3-307, or 3-702 of this Act or a notice
4of federal Medicaid certification deficiencies, the facility
5shall provide notification of the violations and deficiencies
6within 10 days after receiving a notice described within this
7Section to every resident and the resident's representative or
8guardian identified or referred to anywhere within the
9Department notice or the CMS 2567 as having received care or
10services that violated State or federal standards. The
11notification shall include a Department-prescribed
12notification letter as determined by rule and a copy of the
13notice and CMS 2567, if any, issued by the Department. A
14facility's failure to provide notification pursuant to this
15Section to a resident and the resident's representative or
16guardian, if any, shall constitute a Type "B" violation.
 
17    Section 2-218. Minimum staffing. Facility staffing shall
18be based on all the needs of the residents and comply with
19Department rules as set forth under Section 3-202 of this Act.
20Facilities shall provide each resident, regardless of age, no
21less than 4.0 hours of nursing and personal care time each day.
22The Department shall establish by rule the amount of registered
23or other licensed nurse and professional care time from the
24total 4.0 nursing and personal care time that shall be provided
25each day. A facility's failure to comply with this Section

 

 

HB2755- 60 -LRB099 08043 RPS 28187 b

1shall constitute a Type "B" violation.
 
2
ARTICLE III. LICENSING, ENFORCEMENT, VIOLATIONS, PENALTIES,
3
AND REMEDIES

 
4
PART 1. LICENSING

 
5    Section 3-101. Licensure system. The Department shall
6establish a comprehensive system of licensure for facilities in
7accordance with this Act for the purposes of:
8        (1) Protecting the health, welfare, and safety of
9    residents; and
10        (2) Assuring the accountability for reimbursed care
11    provided in certified facilities participating in a
12    federal or State health program.
 
13    Section 3-102. Necessity of license. No person may
14establish, operate, maintain, offer or advertise a facility
15within this State unless and until he or she obtains a valid
16license therefore as hereinafter provided, which license
17remains unsuspended, unrevoked and unexpired. No public
18official or employee may place any person in, or recommend that
19any person be placed in, or directly or indirectly cause any
20person to be placed in any facility which is being operated
21without a valid license.
 

 

 

HB2755- 61 -LRB099 08043 RPS 28187 b

1    Section 3-102.1. Denial of Department access to facility.
2If the Department is denied access to a facility or any other
3place which it reasonably believes is required to be licensed
4as a facility under this Act, it shall request intervention of
5local, county or State law enforcement agencies to seek an
6appropriate court order or warrant to examine or interview the
7residents of such facility. Any person or entity preventing the
8Department from carrying out its duties under this Section
9shall be guilty of a violation of this Act and shall be subject
10to such penalties related thereto.
 
11    Section 3-103. Application for license; financial
12statement. The procedure for obtaining a valid license shall be
13as follows:
14        (1) Application to operate a facility shall be made to
15    the Department on forms furnished by the Department.
16        (2) All license applications shall be accompanied with
17    an application fee. The fee for an annual license shall be
18    $995. Facilities that pay a fee or assessment pursuant to
19    Article V-C of the Illinois Public Aid Code shall be exempt
20    from the license fee imposed under this item (2). The fee
21    for a 2-year license shall be double the fee for the annual
22    license set forth in the preceding sentence. The fees
23    collected shall be deposited with the State Treasurer into
24    the Long Term Care Monitor/Receiver Fund, which has been
25    created as a special fund in the State treasury. This

 

 

HB2755- 62 -LRB099 08043 RPS 28187 b

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

 

 

HB2755- 63 -LRB099 08043 RPS 28187 b

1        facility, any management agreements for the operation
2        of the facility, and of the moral character of the
3        applicant and employees as the Department may deem
4        necessary.
5        (3) Each initial application shall be accompanied by a
6    financial statement setting forth the financial condition
7    of the applicant and by a statement from the unit of local
8    government having zoning jurisdiction over the facility's
9    location stating that the location of the facility is not
10    in violation of a zoning ordinance. An initial application
11    for a new facility shall be accompanied by a permit as
12    required by the Illinois Health Facilities Planning Act.
13    After the application is approved, the applicant shall
14    advise the Department every 6 months of any changes in the
15    information originally provided in the application.
16        (4) Other information necessary to determine the
17    identity and qualifications of an applicant to operate a
18    facility in accordance with this Act shall be included in
19    the application as required by the Department in
20    regulations.
 
21    Section 3-104. Licensing and regulation by municipality.
22Any city, village or incorporated town may by ordinance provide
23for the licensing and regulation of a facility or any
24classification of such facility, as defined herein, within such
25municipality, provided that the ordinance requires compliance

 

 

HB2755- 64 -LRB099 08043 RPS 28187 b

1with at least the minimum requirements established by the
2Department under this Act. The licensing and enforcement
3provisions of the municipality shall fully comply with this
4Act, and the municipality shall make available information as
5required by this Act. Such compliance shall be determined by
6the Department subject to review as provided in Section 3-703.
7Section 3-703 shall also be applicable to the judicial review
8of final administrative decisions of the municipality under
9this Act.
 
10    Section 3-105. Reports by municipality. Any city, village
11or incorporated town which has or may have ordinances requiring
12the licensing and regulation of facilities with at least the
13minimum standards established by the Department under this Act,
14shall make such periodic reports to the Department as the
15Department deems necessary. This report shall include a list of
16those facilities licensed by such municipality, the number of
17beds of each facility and the date the license of each facility
18is effective.
 
19    Section 3-106. Issuance of license to holder of municipal
20license.
21    (a) Upon receipt of notice and proof from an applicant or
22licensee that he has received a license or renewal thereof from
23a city, village or incorporated town, accompanied by the
24required license or renewal fees, the Department shall issue a

 

 

HB2755- 65 -LRB099 08043 RPS 28187 b

1license or renewal license to such person. The Department shall
2not issue a license hereunder to any person who has failed to
3qualify for a municipal license. If the issuance of a license
4by the Department antedates regulatory action by a
5municipality, the municipality shall issue a local license
6unless the standards and requirements under its ordinance or
7resolution are greater than those prescribed under this Act.
8    (b) In the event that the standards and requirements under
9the ordinance or resolution of the municipality are greater
10than those prescribed under this Act, the license issued by the
11Department shall remain in effect pending reasonable
12opportunity provided by the municipality, which shall be not
13less than 60 days, for the licensee to comply with the local
14requirements. Upon notice by the municipality, or upon the
15Department's own determination that the licensee has failed to
16qualify for a local license, the Department shall revoke such
17license.
 
18    Section 3-107. Inspection; fees. The Department and the
19city, village or incorporated town shall have the right at any
20time to visit and inspect the premises and personnel of any
21facility for the purpose of determining whether the applicant
22or licensee is in compliance with this Act or with the local
23ordinances which govern the regulation of the facility. The
24Department may survey any former facility which once held a
25license to ensure that the facility is not again operating

 

 

HB2755- 66 -LRB099 08043 RPS 28187 b

1without a license. Municipalities may charge a reasonable
2license or renewal fee for the regulation of facilities, which
3fees shall be in addition to the fees paid to the Department.
 
4    Section 3-107.1. Access by law enforcement officials and
5agencies. Notwithstanding any other provision of this Act, the
6Attorney General, the State's Attorneys and various law
7enforcement agencies of this State and its political
8subdivisions shall have full and open access to any facility
9pursuant to Article 108 of the Code of Criminal Procedure of
101963 in the exercise of their investigatory and prosecutorial
11powers in the enforcement of the criminal laws of this State.
12Furthermore, the Attorney General, the State's Attorneys and
13law enforcement agencies of this State shall inform the
14Department of any violations of this Act of which they have
15knowledge. Disclosure of matters before a grand jury shall be
16made in accordance with Section 112-6 of the Code of Criminal
17Procedure of 1963.
 
18    Section 3-108. Cooperation with State agencies. The
19Department shall coordinate the functions within State
20government affecting facilities licensed under this Act and
21shall cooperate with other State agencies which establish
22standards or requirements for facilities to assure necessary,
23equitable, and consistent State supervision of licensees
24without unnecessary duplication of survey, evaluation, and

 

 

HB2755- 67 -LRB099 08043 RPS 28187 b

1consultation services or complaint investigations. The
2Department shall cooperate with the Department of Human
3Services in regard to facilities containing more than 20% of
4residents for whom the Department of Human Services has
5mandated follow up responsibilities under the Mental Health and
6Developmental Disabilities Administrative Act. The Department
7shall cooperate with the Department of Healthcare and Family
8Services in regard to facilities where recipients of public aid
9are residents. The Department shall immediately refer to the
10Department of Financial and Professional Regulation (as
11successor to the Department of Professional Regulation) for
12investigation any credible evidence of which it has knowledge
13that an individual licensed by that Department has violated
14this Act or any rule issued under this Act. The Department
15shall enter into agreements with other State Departments,
16agencies or commissions to effectuate the purpose of this
17Section.
 
18    Section 3-109. Issuance of license based on Director's
19findings. Upon receipt and review of an application for a
20license made under this Article and inspection of the applicant
21facility under this Article, the Director shall issue a license
22if he or she finds:
23        (1) That the individual applicant, or the corporation,
24    partnership or other entity if the applicant is not an
25    individual, is a person responsible and suitable to operate

 

 

HB2755- 68 -LRB099 08043 RPS 28187 b

1    or to direct or participate in the operation of a facility
2    by virtue of financial capacity, appropriate business or
3    professional experience, a record of compliance with
4    lawful orders of the Department and lack of revocation of a
5    license during the previous 5 years and is not the owner of
6    a facility designated pursuant to Section 3-304.2 as a
7    distressed facility;
8        (2) That the facility is under the supervision of an
9    administrator who is licensed, if required, under the
10    Nursing Home Administrators Licensing and Disciplinary
11    Act, as now or hereafter amended; and
12        (3) That the facility is in substantial compliance with
13    this Act, and such other requirements for a license as the
14    Department by rule may establish under this Act.
 
15    Section 3-110. Contents and period of license.
16    (a) Any license granted by the Director shall state the
17maximum bed capacity for which it is granted, the date the
18license was issued, and the expiration date. Except as provided
19in subsection (b), such licenses shall normally be issued for a
20period of one year. However, the Director may issue licenses or
21renewals for periods of not less than 6 months nor more than 18
22months for facilities with annual licenses and not less than 18
23months nor more than 30 months for facilities with 2-year
24licenses in order to distribute the expiration dates of such
25licenses throughout the calendar year, and fees for such

 

 

HB2755- 69 -LRB099 08043 RPS 28187 b

1licenses shall be prorated on the basis of the portion of a
2year for which they are issued. Each license shall be issued
3only for the premises and persons named in the application and
4shall not be transferable or assignable.
5    The Department shall require the licensee to comply with
6the requirements of a court order issued under Section 3-515,
7as a condition of licensing.
8    (b) A license for a period of 2 years shall be issued to a
9facility if the facility:
10        (1) has not received a Type "AA" violation within the
11    last 12 months;
12        (1.5) has not received a Type "A" violation within the
13    last 24 months;
14        (2) has not received a Type "B" violation within the
15    last 24 months;
16        (3) has not had an inspection, survey, or evaluation
17    that resulted in the issuance of 10 or more administrative
18    warnings in the last 24 months;
19        (4) has not had an inspection, survey, or evaluation
20    that resulted in an administrative warning issued for a
21    violation of Sections 3-401 through 3-413 in the last 24
22    months;
23        (5) has not been issued an order to reimburse a
24    resident for a violation of Article II under subsection (6)
25    of Section 3-305 in the last 24 months; and
26        (6) has not been subject to sanctions or

 

 

HB2755- 70 -LRB099 08043 RPS 28187 b

1    decertification for violations in relation to patient care
2    of a facility under Titles XVIII and XIX of the federal
3    Social Security Act within the last 24 months.
4    If a facility with a 2-year license fails to meet the
5conditions in items (1) through (6) of this subsection, in
6addition to any other sanctions that may be applied by the
7Department under this Act, the facility's 2-year license shall
8be replaced by a one year license until such time as the
9facility again meets the conditions in items (1) through (6) of
10this subsection.
 
11    Section 3-111. Issuance or renewal of license after notice
12of violation. The issuance or renewal of a license after notice
13of a violation has been sent shall not constitute a waiver by
14the Department of its power to rely on the violation as the
15basis for subsequent license revocation or other enforcement
16action under this Act arising out of the notice of violation.
 
17    Section 3-112. Transfer of ownership; license.
18    (a) Whenever ownership of a facility is transferred from
19the person named in the license to any other person, the
20transferee must obtain a new probationary license. The
21transferee shall notify the Department of the transfer and
22apply for a new license at least 30 days prior to final
23transfer. The Department may not approve the transfer of
24ownership to an owner of a facility designated pursuant to

 

 

HB2755- 71 -LRB099 08043 RPS 28187 b

1Section 3-304.2 of this Act as a distressed facility.
2    (b) The transferor shall notify the Department at least 30
3days prior to final transfer. The transferor shall remain
4responsible for the operation of the facility until such time
5as a license is issued to the transferee.
 
6    Section 3-113. Transferee; conditional license. The
7license granted to the transferee shall be subject to the plan
8of correction submitted by the previous owner and approved by
9the Department and any conditions contained in a conditional
10license issued to the previous owner. If there are outstanding
11violations and no approved plan of correction has been
12implemented, the Department may issue a conditional license and
13plan of correction as provided in Sections 3-311 through 3-317.
 
14    Section 3-114. Transferor liable for penalties. The
15transferor shall remain liable for all penalties assessed
16against the facility which are imposed for violations occurring
17prior to transfer of ownership.
 
18    Section 3-115. License renewal application. At least 120
19days but not more than 150 days prior to license expiration,
20the licensee shall submit an application for renewal of the
21license in such form and containing such information as the
22Department requires. If the application is approved, the
23license shall be renewed in accordance with Section 3-110. The

 

 

HB2755- 72 -LRB099 08043 RPS 28187 b

1renewal application for a facility shall not be approved unless
2the applicant has provided to the Department an accurate
3disclosure document in accordance with the Alzheimer's Disease
4and Related Dementias Special Care Disclosure Act. If
5application for renewal is not timely filed, the Department
6shall so inform the licensee.
 
7    Section 3-116. Probationary license. If the applicant has
8not been previously licensed or if the facility is not in
9operation at the time application is made, the Department shall
10issue only a probationary license. A probationary license shall
11be valid for 120 days unless sooner suspended or revoked under
12Section 3-119. Within 30 days prior to the termination of a
13probationary license, the Department shall fully and
14completely inspect the facility and, if the facility meets the
15applicable requirements for licensure, shall issue a license
16under Section 3-109. If the Department finds that the facility
17does not meet the requirements for licensure but has made
18substantial progress toward meeting those requirements, the
19license may be renewed once for a period not to exceed 120 days
20from the expiration date of the initial probationary license.
 
21    Section 3-117. Denial of license; grounds. An application
22for a license may be denied for any of the following reasons:
23        (1) Failure to meet any of the minimum standards set
24    forth by this Act or by rules and regulations promulgated

 

 

HB2755- 73 -LRB099 08043 RPS 28187 b

1    by the Department under this Act.
2        (2) Conviction of the applicant, or if the applicant is
3    a firm, partnership or association, of any of its members,
4    or if a corporation, the conviction of the corporation or
5    any of its officers or stockholders, or of the person
6    designated to manage or supervise the facility, of a
7    felony, or of 2 or more misdemeanors involving moral
8    turpitude, during the previous 5 years as shown by a
9    certified copy of the record of the court of conviction.
10        (3) Personnel insufficient in number or unqualified by
11    training or experience to properly care for the proposed
12    number and type of residents.
13        (4) Insufficient financial or other resources to
14    operate and conduct the facility in accordance with
15    standards promulgated by the Department under this Act.
16        (5) Revocation of a facility license during the
17    previous 5 years, if such prior license was issued to the
18    individual applicant, a controlling owner or controlling
19    combination of owners of the applicant; or any affiliate of
20    the individual applicant or controlling owner of the
21    applicant and such individual applicant, controlling owner
22    of the applicant or affiliate of the applicant was a
23    controlling owner of the prior license; provided, however,
24    that the denial of an application for a license pursuant to
25    this subsection must be supported by evidence that such
26    prior revocation renders the applicant unqualified or

 

 

HB2755- 74 -LRB099 08043 RPS 28187 b

1    incapable of meeting or maintaining a facility in
2    accordance with the standards and rules promulgated by the
3    Department under this Act.
4        (6) That the facility is not under the direct
5    supervision of a full time administrator, as defined by
6    regulation, who is licensed, if required, under the Nursing
7    Home Administrators Licensing and Disciplinary Act.
8        (7) That the facility is in receivership and the
9    proposed licensee has not submitted a specific detailed
10    plan to bring the facility into compliance with the
11    requirements of this Act and with federal certification
12    requirements, if the facility is certified, and to keep the
13    facility in such compliance.
14        (8) The applicant is the owner of a facility designated
15    pursuant to Section 3-304.2 of this Act as a distressed
16    facility.
 
17    Section 3-118. Notice of denial; request for hearing.
18Immediately upon the denial of any application or reapplication
19for a license under this Article, the Department shall notify
20the applicant in writing. Notice of denial shall include a
21clear and concise statement of the violations of Section 3-117
22on which denial is based and notice of the opportunity for a
23hearing under Section 3-703. If the applicant desires to
24contest the denial of a license, it shall provide written
25notice to the Department of a request for a hearing within 10

 

 

HB2755- 75 -LRB099 08043 RPS 28187 b

1days after receipt of the notice of denial. The Department
2shall commence the hearing under Section 3-703.
 
3    Section 3-119. Suspension, revocation, or refusal to renew
4license.    
5    (a) The Department, after notice to the applicant or
6licensee, may suspend, revoke or refuse to renew a license in
7any case in which the Department finds any of the following:
8        (1) There has been a substantial failure to comply with
9    this Act or the rules and regulations promulgated by the
10    Department under this Act. A substantial failure by a
11    facility shall include, but not be limited to, any of the
12    following:
13            (A) termination of Medicare or Medicaid
14        certification by the Centers for Medicare and Medicaid
15        Services; or
16            (B) a failure by the facility to pay any fine
17        assessed under this Act after the Department has sent
18        to the facility and licensee at least 2 notices of
19        assessment that include a schedule of payments as
20        determined by the Department, taking into account
21        extenuating circumstances and financial hardships of
22        the facility.
23        (2) Conviction of the licensee, or of the person
24    designated to manage or supervise the facility, of a
25    felony, or of 2 or more misdemeanors involving moral

 

 

HB2755- 76 -LRB099 08043 RPS 28187 b

1    turpitude, during the previous 5 years as shown by a
2    certified copy of the record of the court of conviction.
3        (3) Personnel is insufficient in number or unqualified
4    by training or experience to properly care for the number
5    and type of residents served by the facility.
6        (4) Financial or other resources are insufficient to
7    conduct and operate the facility in accordance with
8    standards promulgated by the Department under this Act.
9        (5) The facility is not under the direct supervision of
10    a full time administrator, as defined by regulation, who is
11    licensed, if required, under the Nursing Home
12    Administrators Licensing and Disciplinary Act.
13        (6) The facility has committed 2 Type "AA" violations
14    within a 2-year period.
15        (7) The facility has committed a Type "AA" violation
16    while the facility is listed as a "distressed facility".
17    (b) Notice under this Section shall include a clear and
18concise statement of the violations on which the nonrenewal or
19revocation is based, the statute or rule violated and notice of
20the opportunity for a hearing under Section 3-703.
21    (c) If a facility desires to contest the nonrenewal or
22revocation of a license, the facility shall, within 10 days
23after receipt of notice under subsection (b) of this Section,
24notify the Department in writing of its request for a hearing
25under Section 3-703. Upon receipt of the request the Department
26shall send notice to the facility and hold a hearing as

 

 

HB2755- 77 -LRB099 08043 RPS 28187 b

1provided under Section 3-703.
2    (d) The effective date of nonrenewal or revocation of a
3license by the Department shall be any of the following:
4        (1) Until otherwise ordered by the circuit court,
5    revocation is effective on the date set by the Department
6    in the notice of revocation, or upon final action after
7    hearing under Section 3-703, whichever is later.
8        (2) Until otherwise ordered by the circuit court,
9    nonrenewal is effective on the date of expiration of any
10    existing license, or upon final action after hearing under
11    Section 3-703, whichever is later; however, a license shall
12    not be deemed to have expired if the Department fails to
13    timely respond to a timely request for renewal under this
14    Act or for a hearing to contest nonrenewal under paragraph
15    (c).
16        (3) The Department may extend the effective date of
17    license revocation or expiration in any case in order to
18    permit orderly removal and relocation of residents.
19    The Department may refuse to issue or may suspend the
20license of any person who fails to file a return, or to pay the
21tax, penalty or interest shown in a filed return, or to pay any
22final assessment of tax, penalty or interest, as required by
23any tax Act administered by the Illinois Department of Revenue,
24until such time as the requirements of any such tax Act are
25satisfied.
 

 

 

HB2755- 78 -LRB099 08043 RPS 28187 b

1    Section 3-119.1. Ban on new admissions.
2    (a) Upon a finding by the Department that there has been a
3substantial failure to comply with this Act or the rules and
4regulations promulgated by the Department under this Act,
5including, without limitation, the circumstances set forth in
6subsection (a) of Section 3-119 of this Act, or if the
7Department otherwise finds that it would be in the public
8interest or the interest of the health, safety, and welfare of
9facility residents, the Department may impose a ban on new
10admissions to any facility licensed under this Act. The ban
11shall continue until such time as the Department determines
12that the circumstances giving rise to the ban no longer exist.
13    (b) The Department shall provide notice to the facility and
14licensee of any ban imposed pursuant to subsection (a) of this
15Section. The notice shall provide a clear and concise statement
16of the circumstances on which the ban on new admissions is
17based and notice of the opportunity for a hearing. If the
18Department finds that the public interest or the health,
19safety, or welfare of facility residents imperatively requires
20immediate action and if the Department incorporates a finding
21to that effect in its notice, then the ban on new admissions
22may be ordered pending any hearing requested by the facility.
23Those proceedings shall be promptly instituted and determined.
24The Department shall promulgate rules defining the
25circumstances under which a ban on new admissions may be
26imposed.
 

 

 

HB2755- 79 -LRB099 08043 RPS 28187 b

1
PART 2. GENERAL PROVISIONS

 
2    Section 3-201. Medical treatment; no prescription by
3Department. The Department shall not prescribe the course of
4medical treatment provided to an individual resident by the
5resident's physician in a facility.
 
6    Section 3-202. Standards for facilities. The Department
7shall prescribe minimum standards for facilities. These
8standards shall regulate:
9        (1) Location and construction of the facility,
10    including plumbing, heating, lighting, ventilation, and
11    other physical conditions which shall ensure the health,
12    safety, and comfort of residents and their protection from
13    fire hazard;
14        (2) To the extent this Act has not established minimum
15    staffing requirements within this Act, the numbers and
16    qualifications of all personnel, including management and
17    nursing personnel, having responsibility for any part of
18    the care given to residents; specifically, the Department
19    shall establish staffing ratios for facilities which shall
20    specify the number of staff hours per resident of care that
21    are needed for professional nursing care for various types
22    of facilities or areas within facilities;
23        (3) All sanitary conditions within the facility and its

 

 

HB2755- 80 -LRB099 08043 RPS 28187 b

1    surroundings, including water supply, sewage disposal,
2    food handling, and general hygiene, which shall ensure the
3    health and comfort of residents;
4        (4) Diet related to the needs of each resident based on
5    good nutritional practice and on recommendations which may
6    be made by the physicians attending the resident;
7        (5) Equipment essential to the health and welfare of
8    the residents;
9        (6) A program of habilitation and rehabilitation for
10    those residents who would benefit from such programs;
11        (7) A program for adequate maintenance of physical
12    plant and equipment;
13        (8) Adequate accommodations, staff and services for
14    the number and types of residents for whom the facility is
15    licensed to care, including standards for temperature and
16    relative humidity within comfort zones determined by the
17    Department based upon a combination of air temperature,
18    relative humidity and air movement. Such standards shall
19    also require facility plans that provide for health and
20    comfort of residents at medical risk as determined by the
21    attending physician whenever the temperature and relative
22    humidity are outside such comfort zones established by the
23    Department. The standards must include a requirement that
24    areas of a facility used by residents of the facility be
25    air-conditioned and heated by means of operable
26    air-conditioning and heating equipment. The areas subject

 

 

HB2755- 81 -LRB099 08043 RPS 28187 b

1    to this air-conditioning and heating requirement include,
2    without limitation, bedrooms or common areas such as
3    sitting rooms, activity rooms, living rooms, community
4    rooms, and dining rooms;
5        (9) Development of evacuation and other appropriate
6    safety plans for use during weather, health, fire, physical
7    plant, environmental and national defense emergencies; and
8        (10) Maintenance of minimum financial or other
9    resources necessary to meet the standards established
10    under this Section, and to operate and conduct the facility
11    in accordance with this Act.
 
12    Section 3-202.1. Weather or hazard alert system. The
13Department shall develop and implement a system of alerting and
14educating facilities and their personnel as to the existence or
15possibility of weather or other hazardous circumstances which
16may endanger resident health or safety and designating any
17precautions to prevent or minimize such danger. The Department
18may assist any facility experiencing difficulty in dealing with
19such emergencies. The Department may provide for announcement
20to the public of the dangers posed to facility residents by
21such existing or potential weather or hazardous circumstances.
 
22    Section 3-202.2a. Comprehensive resident care plan. A
23facility, with the participation of the resident and the
24resident's guardian or resident's representative, as

 

 

HB2755- 82 -LRB099 08043 RPS 28187 b

1applicable, must develop and implement a comprehensive care
2plan for each resident that includes measurable objectives and
3timetables to meet the resident's medical, nursing, mental
4health, psychosocial, and habilitation needs that are
5identified in the resident's comprehensive assessment that
6allows the resident to attain or maintain the highest
7practicable level of independent functioning and provide for
8discharge planning to the least restrictive setting based on
9the resident's care needs. The assessment shall be developed
10with the active participation of the resident and the
11resident's guardian or resident's representative, as
12applicable.
 
13    Section 3-202.3. Identified offenders as residents. No
14later than 30 days after the effective date of this Act, the
15Department shall file with the Illinois Secretary of State's
16Office, pursuant to the Illinois Administrative Procedure Act,
17emergency rules regarding the provision of services to
18identified offenders. The emergency rules shall provide for, or
19include, but not be limited to the following:
20        (1) A process for the identification of identified
21    offenders.
22        (2) A required risk assessment of identified
23    offenders.
24        (3) A requirement that a licensed facility be required,
25    within 10 days of the filing of the emergency rules, to

 

 

HB2755- 83 -LRB099 08043 RPS 28187 b

1    compare its residents against the Illinois Department of
2    Corrections and Illinois State Police registered sex
3    offender databases.
4        (4) A requirement that the licensed facility notify the
5    Department within 48 hours of determining that a resident
6    or residents of the licensed facility are listed on the
7    Illinois Department of Corrections or Illinois State
8    Police registered sex offender databases.
9        (5) The care planning of identified offenders, which
10    shall include, but not be limited to, a description of the
11    security measures necessary to protect facility residents
12    from the identified offender, including whether the
13    identified offender should be segregated from other
14    facility residents.
15        (6) For offenders serving terms of probation for felony
16    offenses, parole, or mandatory supervised release, the
17    facility shall acknowledge the terms of release as imposed
18    by the court or Illinois Prisoner Review Board.
19        (7) The discharge planning for identified offenders.
 
20    Section 3-202.4. Feasibility of segregating identified
21offenders. The Department shall determine the feasibility of
22requiring identified offenders that seek admission to a
23licensed facility to be segregated from other residents.
 
24    Section 3-202.5. Facility plan review; fees.

 

 

HB2755- 84 -LRB099 08043 RPS 28187 b

1    (a) Before commencing construction of a new facility or
2specified types of alteration or additions to an existing
3facility involving major construction, as defined by rule by
4the Department, with an estimated cost greater than $100,000,
5architectural drawings and specifications for the facility
6shall be submitted to the Department for review and approval. A
7facility may submit architectural drawings and specifications
8for other construction projects for Department review
9according to subsection (b) that shall not be subject to fees
10under subsection (d). Review of drawings and specifications
11shall be conducted by an employee of the Department meeting the
12qualifications established by the Department of Central
13Management Services class specifications for such an
14individual's position or by a person contracting with the
15Department who meets those class specifications. Final
16approval of the drawings and specifications for compliance with
17design and construction standards shall be obtained from the
18Department before the alteration, addition, or new
19construction is begun.
20    (b) The Department shall inform an applicant in writing
21within 10 working days after receiving drawings and
22specifications and the required fee, if any, from the applicant
23whether the applicant's submission is complete or incomplete.
24Failure to provide the applicant with this notice within 10
25working days shall result in the submission being deemed
26complete for purposes of initiating the 60 day review period

 

 

HB2755- 85 -LRB099 08043 RPS 28187 b

1under this Section. If the submission is incomplete, the
2Department shall inform the applicant of the deficiencies with
3the submission in writing. If the submission is complete the
4required fee, if any, has been paid, the Department shall
5approve or disapprove drawings and specifications submitted to
6the Department no later than 60 days following receipt by the
7Department. The drawings and specifications shall be of
8sufficient detail, as provided by Department rule, to enable
9the Department to render a determination of compliance with
10design and construction standards under this Act. If the
11Department finds that the drawings are not of sufficient detail
12for it to render a determination of compliance, the plans shall
13be determined to be incomplete and shall not be considered for
14purposes of initiating the 60 day review period. If a
15submission of drawings and specifications is incomplete, the
16applicant may submit additional information. The 60 day review
17period shall not commence until the Department determines that
18a submission of drawings and specifications is complete or the
19submission is deemed complete. If the Department has not
20approved or disapproved the drawings and specifications within
2160 days, the construction, major alteration, or addition shall
22be deemed approved. If the drawings and specifications are
23disapproved, the Department shall state in writing, with
24specificity, the reasons for the disapproval. The entity
25submitting the drawings and specifications may submit
26additional information in response to the written comments from

 

 

HB2755- 86 -LRB099 08043 RPS 28187 b

1the Department or request a reconsideration of the disapproval.
2A final decision of approval or disapproval shall be made
3within 45 days of the receipt of the additional information or
4reconsideration request. If denied, the Department shall state
5the specific reasons for the denial.
6    (c) The Department shall provide written approval for
7occupancy pursuant to subsection (g) and shall not issue a
8violation to a facility as a result of a licensure or complaint
9survey based upon the facility's physical structure if:
10        (1) the Department reviewed and approved or deemed
11    approved the drawings and specifications for compliance
12    with design and construction standards;
13        (2) the construction, major alteration, or addition
14    was built as submitted;
15        (3) the law or rules have not been amended since the
16    original approval; and
17        (4) the conditions at the facility indicate that there
18    is a reasonable degree of safety provided for the
19    residents.
20    (d) (Blank).
21    (e) All fees received by the Department under this Section
22shall be deposited into the Health Facility Plan Review Fund, a
23special fund created in the State Treasury. Moneys shall be
24appropriated from that Fund to the Department only to pay the
25costs of conducting reviews under this Section, under Section
263-202.5 of the Nursing Home Care Act, or under Section 3-202.5

 

 

HB2755- 87 -LRB099 08043 RPS 28187 b

1of the ID/DD Community Care Act. None of the moneys in the
2Health Facility Plan Review Fund shall be used to reduce the
3amount of General Revenue Fund moneys appropriated to the
4Department for facility plan reviews conducted pursuant to this
5Section.
6    (f) (Blank).
7    (g) The Department shall conduct an on site inspection of
8the completed project no later than 30 days after notification
9from the applicant that the project has been completed and all
10certifications required by the Department have been received
11and accepted by the Department. The Department shall provide
12written approval for occupancy to the applicant within 5
13working days of the Department's final inspection, provided the
14applicant has demonstrated substantial compliance as defined
15by Department rule. Occupancy of new major construction is
16prohibited until Department approval is received, unless the
17Department has not acted within the time frames provided in
18this subsection (g), in which case the construction shall be
19deemed approved. Occupancy shall be authorized after any
20required health inspection by the Department has been
21conducted.
22    (h) The Department shall establish, by rule, a procedure to
23conduct interim on site review of large or complex construction
24projects.
25    (i) The Department shall establish, by rule, an expedited
26process for emergency repairs or replacement of like equipment.

 

 

HB2755- 88 -LRB099 08043 RPS 28187 b

1    (j) Nothing in this Section shall be construed to apply to
2maintenance, upkeep, or renovation that does not affect the
3structural integrity of the building, does not add beds or
4services over the number for which the facility is licensed,
5and provides a reasonable degree of safety for the residents.
 
6    Section 3-203. Standards for persons with developmental
7disability or emotional or behavioral disorder. In licensing
8any facility for persons with a developmental disability or
9persons suffering from emotional or behavioral disorders, the
10Department shall consult with the Department of Human Services
11in developing minimum standards for such persons.
 
12    Section 3-204. License classifications. In addition to the
13authority to prescribe minimum standards, the Department may
14adopt license classifications of facilities according to the
15levels of service, and if license classification is adopted the
16applicable minimum standards shall define the classification.
17In adopting classification of the license of facilities, the
18Department may give recognition to the classification of
19services defined or prescribed by federal statute or federal
20rule or regulation. More than one classification of the license
21may be issued to the same facility when the prescribed minimum
22standards and regulations are met.
 
23    Section 3-205. Municipalities; license classifications.

 

 

HB2755- 89 -LRB099 08043 RPS 28187 b

1Where licensing responsibilities are performed by a city,
2village or incorporated town, the municipality shall use the
3same classifications as the Department; and a facility may not
4be licensed for a different classification by the Department
5than by the municipality.
 
6    Section 3-206. Curriculum for training nursing assistants
7and aides. The Department shall prescribe a curriculum for
8training nursing assistants, habilitation aides, and child
9care aides.
10    (a) No person, except a volunteer who receives no
11compensation from a facility and is not included for the
12purpose of meeting any staffing requirements set forth by the
13Department, shall act as a nursing assistant, habilitation
14aide, or child care aide in a facility, nor shall any person,
15under any other title, not licensed, certified, or registered
16to render medical care by the Department of Financial and
17Professional Regulation, assist with the personal, medical, or
18nursing care of residents in a facility, unless such person
19meets the following requirements:
20        (1) Be at least 16 years of age, of temperate habits
21    and good moral character, honest, reliable and
22    trustworthy.
23        (2) Be able to speak and understand the English
24    language or a language understood by a substantial
25    percentage of the facility's residents.

 

 

HB2755- 90 -LRB099 08043 RPS 28187 b

1        (3) Provide evidence of employment or occupation, if
2    any, and residence for 2 years prior to his or her present
3    employment.
4        (4) Have completed at least 8 years of grade school or
5    provide proof of equivalent knowledge.
6        (5) Begin a current course of training for nursing
7    assistants, habilitation aides, or child care aides,
8    approved by the Department, within 45 days of initial
9    employment in the capacity of a nursing assistant,
10    habilitation aide, or child care aide at any facility. Such
11    courses of training shall be successfully completed within
12    120 days of initial employment in the capacity of nursing
13    assistant, habilitation aide, or child care aide at a
14    facility. Nursing assistants, habilitation aides, and
15    child care aides who are enrolled in approved courses in
16    community colleges or other educational institutions on a
17    term, semester or trimester basis, shall be exempt from the
18    120-day completion time limit. The Department shall adopt
19    rules for such courses of training. These rules shall
20    include procedures for facilities to carry on an approved
21    course of training within the facility.
22        The Department may accept comparable training in lieu
23    of the 120-hour course for student nurses, foreign nurses,
24    military personnel, or employees of the Department of Human
25    Services.
26        The facility shall develop and implement procedures,

 

 

HB2755- 91 -LRB099 08043 RPS 28187 b

1    which shall be approved by the Department, for an ongoing
2    review process, which shall take place within the facility,
3    for nursing assistants, habilitation aides, and child care
4    aides.
5        At the time of each regularly scheduled licensure
6    survey, or at the time of a complaint investigation, the
7    Department may require any nursing assistant, habilitation
8    aide, or child care aide to demonstrate, either through
9    written examination or action, or both, sufficient
10    knowledge in all areas of required training. If such
11    knowledge is inadequate the Department shall require the
12    nursing assistant, habilitation aide, or child care aide to
13    complete inservice training and review in the facility
14    until the nursing assistant, habilitation aide, or child
15    care aide demonstrates to the Department, either through
16    written examination or action, or both, sufficient
17    knowledge in all areas of required training; and
18        (6) Be familiar with and have general skills related to
19    resident care.
20    (a-0.5) An educational entity, other than a secondary
21school, conducting a nursing assistant, habilitation aide, or
22child care aide training program shall initiate a criminal
23history record check in accordance with the Health Care Worker
24Background Check Act prior to entry of an individual into the
25training program. A secondary school may initiate a criminal
26history record check in accordance with the Health Care Worker

 

 

HB2755- 92 -LRB099 08043 RPS 28187 b

1Background Check Act at any time during or after a training
2program.
3    (a-1) Nursing assistants, habilitation aides, or child
4care aides seeking to be included on the registry maintained
5under Section 3-206.01 of this Act must authorize the
6Department of Public Health or its designee to request a
7criminal history record check in accordance with the Health
8Care Worker Background Check Act and submit all necessary
9information. An individual may not newly be included on the
10registry unless a criminal history record check has been
11conducted with respect to the individual.
12    (b) Persons subject to this Section shall perform their
13duties under the supervision of a licensed nurse or other
14appropriately trained, licensed, or certified personnel.
15    (c) It is unlawful for any facility to employ any person in
16the capacity of nursing assistant, habilitation aide, or child
17care aide, or under any other title, not licensed by the State
18of Illinois to assist in the personal, medical, or nursing care
19of residents in such facility unless such person has complied
20with this Section.
21    (d) Proof of compliance by each employee with the
22requirements set out in this Section shall be maintained for
23each such employee by each facility in the individual personnel
24folder of the employee. Proof of training shall be obtained
25only from the health care worker registry.
26    (e) Each facility shall obtain access to the health care

 

 

HB2755- 93 -LRB099 08043 RPS 28187 b

1worker registry's web application, maintain the employment and
2demographic information relating to each employee, and verify
3by the category and type of employment that each employee
4subject to this Section meets all the requirements of this
5Section.
6    (f) Any facility that is operated under Section 3-803 shall
7be exempt from the requirements of this Section.
8    (g) Each skilled nursing and intermediate care facility
9that admits persons who are diagnosed as having Alzheimer's
10disease or related dementias shall require all nursing
11assistants, habilitation aides, or child care aides, who did
12not receive 12 hours of training in the care and treatment of
13such residents during the training required under paragraph (5)
14of subsection (a), to obtain 12 hours of in house training in
15the care and treatment of such residents. If the facility does
16not provide the training in house, the training shall be
17obtained from other facilities, community colleges or other
18educational institutions that have a recognized course for such
19training. The Department shall, by rule, establish a recognized
20course for such training.
21    The Department's rules shall provide that such training may
22be conducted in house at each facility subject to the
23requirements of this subsection, in which case such training
24shall be monitored by the Department. The Department's rules
25shall also provide for circumstances and procedures whereby any
26person who has received training that meets the requirements of

 

 

HB2755- 94 -LRB099 08043 RPS 28187 b

1this subsection shall not be required to undergo additional
2training if he or she is transferred to or obtains employment
3at a different facility or a facility other than those licensed
4under this Act but remains continuously employed as a nursing
5assistant, habilitation aide, or child care aide. Individuals
6who have performed no nursing, nursing-related services, or
7habilitation services for a period of 24 consecutive months
8shall be listed as inactive and as such do not meet the
9requirements of this Section. Licensed sheltered care
10facilities shall be exempt from the requirements of this
11Section.
 
12    Section 3-206.01. Health care worker registry.
13    (a) The Department shall establish and maintain a registry
14of all individuals who (i) have satisfactorily completed the
15training required by Section 3-206, (ii) have begun a current
16course of training as set forth in Section 3-206, or (iii) are
17otherwise acting as a nursing assistant, habilitation aide,
18home health aide, or child care aide. The registry shall
19include the individual's name, his or her current address,
20Social Security number, and whether the individual has any of
21the disqualifying convictions listed in Section 25 of the
22Health Care Worker Background Check Act from the date and
23location of the training course completed by the individual,
24and the date of the individual's last criminal records check.
25Any individual placed on the registry is required to inform the

 

 

HB2755- 95 -LRB099 08043 RPS 28187 b

1Department of any change of address within 30 days. A facility
2shall not employ an individual as a nursing assistant,
3habilitation aide, home health aide, or child care aide, or
4newly hired as an individual who may have access to a resident,
5a resident's living quarters, or a resident's personal,
6financial, or medical records, unless the facility has inquired
7of the Department's health care worker registry as to
8information in the registry concerning the individual. The
9facility shall not employ an individual as a nursing assistant,
10habilitation aide, or child care aide if that individual is not
11on the registry unless the individual is enrolled in a training
12program under paragraph (5) of subsection (a) of Section 3-206
13of this Act.
14    If the Department finds that a nursing assistant,
15habilitation aide, home health aide, child care aide, or an
16unlicensed individual, has abused or neglected a resident or an
17individual under his or her care, or misappropriated property
18of a resident or an individual under his or her care in a
19facility, the Department shall notify the individual of this
20finding by certified mail sent to the address contained in the
21registry. The notice shall give the individual an opportunity
22to contest the finding in a hearing before the Department or to
23submit a written response to the findings in lieu of requesting
24a hearing. If, after a hearing or if the individual does not
25request a hearing, the Department finds that the individual
26abused a resident, neglected a resident, or misappropriated

 

 

HB2755- 96 -LRB099 08043 RPS 28187 b

1resident property in a facility, the finding shall be included
2as part of the registry as well as a clear and accurate summary
3statement from the individual, if he or she chooses to make
4such a statement. The Department shall make the following
5information in the registry available to the public: an
6individual's full name; the date an individual successfully
7completed a nurse aide training or competency evaluation; and
8whether the Department has made a finding that an individual
9has been guilty of abuse or neglect of a resident or
10misappropriation of resident's property. In the case of
11inquiries to the registry concerning an individual listed in
12the registry, any information disclosed concerning such a
13finding shall also include disclosure of the individual's
14statement in the registry relating to the finding or a clear
15and accurate summary of the statement.
16    (b) The Department shall add to the health care worker
17registry records of findings as reported by the Inspector
18General or remove from the health care worker registry records
19of findings as reported by the Department of Human Services,
20under subsection (s) of Section 1-17 of the Department of Human
21Services Act.
 
22    Section 3-206.02. Designation on registry for offense.
23    (a) The Department, after notice to the nursing assistant,
24habilitation aide, home health aide, or child care aide, may
25designate that the Department has found any of the following:

 

 

HB2755- 97 -LRB099 08043 RPS 28187 b

1        (1) The nursing assistant, habilitation aide, home
2    health aide, or child care aide has abused a resident.
3        (2) The nursing assistant, habilitation aide, home
4    health aide, or child care aide has neglected a resident.
5        (3) The nursing assistant, habilitation aide, home
6    health aide, or child care aide has misappropriated
7    resident property.
8        (4) The nursing assistant, habilitation aide, home
9    health aide, or child care aide has been convicted of (i) a
10    felony, (ii) a misdemeanor, an essential element of which
11    is dishonesty, or (iii) any crime that is directly related
12    to the duties of a nursing assistant, habilitation aide, or
13    child care aide.
14    (b) Notice under this Section shall include a clear and
15concise statement of the grounds denoting abuse, neglect, or
16theft and notice of the opportunity for a hearing to contest
17the designation.
18    (c) The Department may designate any nursing assistant,
19habilitation aide, home health aide, or child care aide on the
20registry who fails (i) to file a return, (ii) to pay the tax,
21penalty or interest shown in a filed return, or (iii) to pay
22any final assessment of tax, penalty or interest, as required
23by any tax Act administered by the Illinois Department of
24Revenue, until the time the requirements of the tax Act are
25satisfied.
26    (c-1) The Department shall document criminal background

 

 

HB2755- 98 -LRB099 08043 RPS 28187 b

1check results pursuant to the requirements of the Health Care
2Worker Background Check Act.
3    (d) At any time after the designation on the registry
4pursuant to subsection (a), (b), or (c) of this Section, a
5nursing assistant, habilitation aide, home health aide, or
6child care aide may petition the Department for removal of a
7designation of neglect on the registry. The Department may
8remove the designation of neglect of the nursing assistant,
9habilitation aide, home health aide, or child care aide on the
10registry unless, after an investigation and a hearing, the
11Department determines that removal of designation is not in the
12public interest.
 
13    Section 3-206.03. Resident attendants.
14    (a) As used in this Section, "resident attendant" means an
15individual who assists residents in a facility with the
16following activities:
17        (1) eating and drinking; and
18        (2) personal hygiene limited to washing a resident's
19    hands and face, brushing and combing a resident's hair,
20    oral hygiene, shaving residents with an electric razor, and
21    applying makeup.
22    The term "resident attendant" does not include an
23individual who:
24        (1) is a licensed health professional or a registered
25    dietitian;

 

 

HB2755- 99 -LRB099 08043 RPS 28187 b

1        (2) volunteers without monetary compensation;
2        (3) is a nurse assistant; or
3        (4) performs any nursing or nursing related services
4    for residents of a facility.
5    (b) A facility may employ resident attendants to assist the
6nurse aides with the activities authorized under subsection
7(a). The resident attendants shall not count in the minimum
8staffing requirements under rules implementing this Act.
9    (c) A facility may not use on a full time or other paid
10basis any individual as a resident attendant in the facility
11unless the individual:
12        (1) has completed a training and competency evaluation
13    program encompassing the tasks the individual provides;
14    and
15        (2) is competent to provide feeding, hydration, and
16    personal hygiene services.
17    (d) The training and competency evaluation program may be
18facility based. It may include one or more of the following
19units:
20        (1) A feeding unit that is a maximum of 5 hours in
21    length.
22        (2) A hydration unit that is a maximum of 3 hours in
23    length.
24        (3) A personal hygiene unit that is a maximum of 5
25    hours in length. These programs must be reviewed and
26    approved by the Department every 2 years.

 

 

HB2755- 100 -LRB099 08043 RPS 28187 b

1    (e) (Blank).
2    (f) A person seeking employment as a resident attendant is
3subject to the Health Care Worker Background Check Act.
 
4    Section 3-206.1. Transfer of ownership following
5suspension or revocation; discussion with new owner. Whenever
6ownership of a private facility is transferred to another
7private owner following a final order for a suspension or
8revocation of the facility's license, the Department shall
9discuss with the new owner all noted problems associated with
10the facility and shall determine what additional training, if
11any, is needed for the direct care staff.
 
12    Section 3-206.04. Registry checks for employees.
13    (a) Within 60 days after the effective date of this Act,
14the Department shall require all facilities to conduct required
15registry checks on employees at the time of hire and annually
16thereafter during employment. The required registries to be
17checked are the Health Care Worker Registry, the Department of
18Children and Family Services' State Central Register, and the
19Illinois Sex Offender Registry. A person may not be employed if
20he or she is found to have disqualifying convictions or
21substantiated cases of abuse or neglect. At the time of the
22annual registry checks, if a current employee's name has been
23placed on a registry with disqualifying convictions or
24disqualifying substantiated cases of abuse or neglect, then the

 

 

HB2755- 101 -LRB099 08043 RPS 28187 b

1employee must be terminated. Disqualifying convictions or
2disqualifying substantiated cases of abuse or neglect are
3defined for the Department of Children and Family Services
4Central Register by the Department of Children and Family
5Services' standards for background checks in Part 385 of Title
689 of the Illinois Administrative Code. Disqualifying
7convictions or disqualifying substantiated cases of abuse or
8neglect are defined for the Health Care Worker Registry by the
9Health Care Worker Background Check Act and within this Act. A
10facility's failure to conduct the required registry checks will
11constitute a Type "B" violation.
12    (b) In collaboration with the Department of Children and
13Family Services and the Department of Human Services, the
14Department shall establish a waiver process from the
15prohibition of employment or termination of employment
16requirements in subsection (a) of this Section for any
17applicant or employee listed under the Department of Children
18and Family Services' State Central Register seeking to be hired
19or maintain his or her employment with a facility under this
20Act. The waiver process for applicants and employees outlined
21under Section 40 of the Health Care Worker Background Check Act
22shall remain in effect for individuals listed on the Health
23Care Worker Registry.
 
24    Section 3-207. Statement of ownership.    
25    (a) As a condition of the issuance or renewal of the

 

 

HB2755- 102 -LRB099 08043 RPS 28187 b

1license of any facility, the applicant shall file a statement
2of ownership. The applicant shall update the information
3required in the statement of ownership within 10 days of any
4change.
5    (b) The statement of ownership shall include the following:
6        (1) The name, address, telephone number, occupation or
7    business activity, business address and business telephone
8    number of the person who is the owner of the facility and
9    every person who owns the building in which the facility is
10    located, if other than the owner of the facility, which is
11    the subject of the application or license; and if the owner
12    is a partnership or corporation, the name of every partner
13    and stockholder of the owner;
14        (2) The name and address of any facility, wherever
15    located, any financial interest in which is owned by the
16    applicant, if the facility were required to be licensed if
17    it were located in this State;
18        (3) Other information necessary to determine the
19    identity and qualifications of an applicant or licensee to
20    operate a facility in accordance with this Act as required
21    by the Department in regulations.
22    (c) The information in the statement of ownership shall be
23public information and shall be available from the Department.
 
24    Section 3-208. Annual financial statement.
25    (a) Each licensee shall file annually, or more often as the

 

 

HB2755- 103 -LRB099 08043 RPS 28187 b

1Director shall by rule prescribe an attested financial
2statement. The Director may order an audited financial
3statement of a particular facility by an auditor of the
4Director's choice, provided the cost of such audit is paid by
5the Department.
6    (b) No public funds shall be expended for the maintenance
7of any resident in a facility which has failed to file the
8financial statement required under this Section and no public
9funds shall be paid to or on behalf of a facility which has
10failed to file a statement.
11    (c) The Director of Public Health and the Director of
12Healthcare and Family Services shall promulgate under Sections
133-801 and 3-802, one set of regulations for the filing of these
14financial statements, and shall provide in these regulations
15for forms, required information, intervals and dates of filing
16and such other provisions as they may deem necessary.
17    (d) The Director of Public Health and the Director of
18Healthcare and Family Services shall seek the advice and
19comments of other State and federal agencies which require the
20submission of financial data from facilities licensed under
21this Act and shall incorporate the information requirements of
22these agencies so as to impose the least possible burden on
23licensees. No other State agency may require submission of
24financial data except as expressly authorized by law or as
25necessary to meet requirements of federal statutes or
26regulations. Information obtained under this Section shall be

 

 

HB2755- 104 -LRB099 08043 RPS 28187 b

1made available, upon request, by the Department to any other
2State agency or legislative commission to which such
3information is necessary for investigations or required for the
4purposes of State or federal law or regulation.
 
5    Section 3-209. Posting of information. Every facility
6shall conspicuously post for display in an area of its offices
7accessible to residents, employees, and visitors the
8following:
9        (1) Its current license;
10        (2) A description, provided by the Department, of
11    complaint procedures established under this Act and the
12    name, address, and telephone number of a person authorized
13    by the Department to receive complaints;
14        (3) A copy of any order pertaining to the facility
15    issued by the Department or a court; and
16        (4) A list of the material available for public
17    inspection under Section 3-210.
 
18    Section 3-210. Materials for public inspection.
19    A facility shall retain the following for public
20inspection:
21        (1) A complete copy of every inspection report of the
22    facility received from the Department during the past 5
23    years;
24        (2) A copy of every order pertaining to the facility

 

 

HB2755- 105 -LRB099 08043 RPS 28187 b

1    issued by the Department or a court during the past 5
2    years;
3        (3) A description of the services provided by the
4    facility and the rates charged for those services and items
5    for which a resident may be separately charged;
6        (4) A copy of the statement of ownership required by
7    Section 3-207;
8        (5) A record of personnel employed or retained by the
9    facility who are licensed, certified or registered by the
10    Department of Financial and Professional Regulation (as
11    successor to the Department of Professional Regulation);
12        (6) A complete copy of the most recent inspection
13    report of the facility received from the Department; and
14        (7) A copy of the current Consumer Choice Information
15    Report required by Section 2-214.
 
16    Section 3-211. No State or federal funds to unlicensed
17facility. No State or federal funds which are appropriated by
18the General Assembly or which pass through the General Revenue
19Fund or any special fund in the State Treasury shall be paid to
20a facility not having a license issued under this Act.
 
21    Section 3-212. Inspection of facility by Department;
22report.
23    (a) The Department, whenever it deems necessary in
24accordance with subsection (b), shall inspect, survey and

 

 

HB2755- 106 -LRB099 08043 RPS 28187 b

1evaluate every facility to determine compliance with
2applicable licensure requirements and standards. Submission of
3a facility's current Consumer Choice Information Report
4required by Section 2-214 shall be verified at the time of
5inspection. An inspection should occur within 120 days prior to
6license renewal. The Department may periodically visit a
7facility for the purpose of consultation. An inspection,
8survey, or evaluation, other than an inspection of financial
9records, shall be conducted without prior notice to the
10facility. A visit for the sole purpose of consultation may be
11announced. The Department shall provide training to surveyors
12about the appropriate assessment, care planning, and care of
13persons with mental illness (other than Alzheimer's disease or
14related disorders) to enable its surveyors to determine whether
15a facility is complying with State and federal requirements
16about the assessment, care planning, and care of those persons.
17    (a-1) An employee of a State or unit of local government
18agency charged with inspecting, surveying, and evaluating
19facilities who directly or indirectly gives prior notice of an
20inspection, survey, or evaluation, other than an inspection of
21financial records, to a facility or to an employee of a
22facility is guilty of a Class A misdemeanor. An inspector or an
23employee of the Department who intentionally prenotifies a
24facility, orally or in writing, of a pending complaint
25investigation or inspection shall be guilty of a Class A
26misdemeanor. Superiors of persons who have prenotified a

 

 

HB2755- 107 -LRB099 08043 RPS 28187 b

1facility shall be subject to the same penalties, if they have
2knowingly allowed the prenotification. A person found guilty of
3prenotifying a facility shall be subject to disciplinary action
4by his or her employer. If the Department has a good faith
5belief, based upon information that comes to its attention,
6that a violation of this subsection has occurred, it must file
7a complaint with the Attorney General or the State's Attorney
8in the county where the violation took place within 30 days
9after discovery of the information.
10    (a-2) An employee of a State or unit of local government
11agency charged with inspecting, surveying, or evaluating
12facilities who willfully profits from violating the
13confidentiality of the inspection, survey, or evaluation
14process shall be guilty of a Class 4 felony and that conduct
15shall be deemed unprofessional conduct that may subject a
16person to loss of his or her professional license. An action to
17prosecute a person for violating this subsection (a-2) may be
18brought by either the Attorney General or the State's Attorney
19in the county where the violation took place.
20    (b) In determining whether to make more than the required
21number of unannounced inspections, surveys and evaluations of a
22facility the Department shall consider one or more of the
23following: previous inspection reports; the facility's history
24of compliance with standards, rules and regulations
25promulgated under this Act and correction of violations,
26penalties or other enforcement actions; the number and severity

 

 

HB2755- 108 -LRB099 08043 RPS 28187 b

1of complaints received about the facility; any allegations of
2resident abuse or neglect; weather conditions; health
3emergencies; other reasonable belief that deficiencies exist.
4     (b-1) The Department shall not be required to determine
5whether a facility certified to participate in the Medicare
6program under Title XVIII of the Social Security Act, or the
7Medicaid program under Title XIX of the Social Security Act,
8and which the Department determines by inspection under this
9Section or under Section 3-702 of this Act to be in compliance
10with the certification requirements of Title XVIII or XIX, is
11in compliance with any requirement of this Act that is less
12stringent than or duplicates a federal certification
13requirement. In accordance with subsection (a) of this Section
14or subsection (d) of Section 3-702, the Department shall
15determine whether a certified facility is in compliance with
16requirements of this Act that exceed federal certification
17requirements. If a certified facility is found to be out of
18compliance with federal certification requirements, the
19results of an inspection conducted pursuant to Title XVIII or
20XIX of the Social Security Act may be used as the basis for
21enforcement remedies authorized and commenced, with the
22Department's discretion to evaluate whether penalties are
23warranted, under this Act. Enforcement of this Act against a
24certified facility shall be commenced pursuant to the
25requirements of this Act, unless enforcement remedies sought
26pursuant to Title XVIII or XIX of the Social Security Act

 

 

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1exceed those authorized by this Act. As used in this
2subsection, "enforcement remedy" means a sanction for
3violating a federal certification requirement or this Act.
4    (c) Upon completion of each inspection, survey and
5evaluation, the appropriate Department personnel who conducted
6the inspection, survey or evaluation shall submit a copy of
7their report to the licensee upon exiting the facility, and
8shall submit the actual report to the appropriate regional
9office of the Department. Such report and any recommendations
10for action by the Department under this Act shall be
11transmitted to the appropriate offices of the associate
12director of the Department, together with related comments or
13documentation provided by the licensee which may refute
14findings in the report, which explain extenuating
15circumstances that the facility could not reasonably have
16prevented, or which indicate methods and timetables for
17correction of deficiencies described in the report. Without
18affecting the application of subsection (a) of Section 3-303,
19any documentation or comments of the licensee shall be provided
20within 10 days of receipt of the copy of the report. Such
21report shall recommend to the Director appropriate action under
22this Act with respect to findings against a facility. The
23Director shall then determine whether the report's findings
24constitute a violation or violations of which the facility must
25be given notice. Such determination shall be based upon the
26severity of the finding, the danger posed to resident health

 

 

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1and safety, the comments and documentation provided by the
2facility, the diligence and efforts to correct deficiencies,
3correction of the reported deficiencies, the frequency and
4duration of similar findings in previous reports and the
5facility's general inspection history. The Department shall
6determine violations under this subsection no later than 90
7days after completion of each inspection, survey and
8evaluation.
9    (d) The Department shall maintain all inspection, survey
10and evaluation reports for at least 5 years in a manner
11accessible to and understandable by the public.
12    (e) The Department shall conduct a revisit to its licensure
13and certification surveys, consistent with federal regulations
14and guidelines.
 
15    Section 3-213. Periodic reports to Department. The
16Department shall require periodic reports and shall have access
17to and may reproduce or photocopy at its cost any books,
18records, and other documents maintained by the facility to the
19extent necessary to carry out this Act and the rules
20promulgated under this Act. The Department shall not divulge or
21disclose the contents of a record under this Section in
22violation of Section 2-206 or as otherwise prohibited by this
23Act.
 
24    Section 3-214. Consent to Department inspection. Any

 

 

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1holder of a license or applicant for a license shall be deemed
2to have given consent to any authorized officer, employee or
3agent of the Department to enter and inspect the facility in
4accordance with this Article. Refusal to permit such entry or
5inspection shall constitute grounds for denial, nonrenewal or
6revocation of a license as provided in Section 3-117 or 3-119
7of this Act.
 
8    Section 3-215. Annual report on facility by Department. The
9Department shall make at least one report on each facility in
10the State annually, unless the facility has been issued a
112-year license under subsection (b) of Section 3-110 for which
12the report shall be made every 2 years. All conditions and
13practices not in compliance with applicable standards within
14the report period shall be specifically stated. If a violation
15is corrected or is subject to an approved plan of correction,
16the same shall be specified in the report. The Department shall
17send a copy to any person on receiving a written request. The
18Department may charge a reasonable fee to cover copying costs.
 
19    Section 3-216. Fire inspections; authority.
20    (a) (Blank).
21    (b) For facilities licensed under this Act, the Office of
22the State Fire Marshal shall provide the necessary fire
23inspection to comply with licensing requirements. The Office of
24the State Fire Marshal may enter into an agreement with another

 

 

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1State agency to conduct this inspection if qualified personnel
2are employed by that agency. Code enforcement inspection of the
3facility by the local authority shall only occur if the local
4authority having jurisdiction enforces code requirements that
5are more stringent than those enforced by the State Fire
6Marshal. Nothing in this Section shall prohibit a local fire
7authority from conducting fire incident planning activities.
 
8
PART 3. VIOLATIONS AND PENALTIES

 
9    Section 3-301. Notice of violation of Act or rules. If
10after receiving the report specified in subsection (c) of
11Section 3-212 the Director or his or her designee determines
12that a facility is in violation of this Act or of any rule
13promulgated thereunder, the Director or his or her designee
14shall serve a notice of violation upon the licensee within 10
15days thereafter. Each notice of violation shall be prepared in
16writing and shall specify the nature of the violation, and the
17statutory provision or rule alleged to have been violated. The
18notice shall inform the licensee of any action the Department
19may take under the Act, including the requirement of a facility
20plan of correction under Section 3-303; placement of the
21facility on a list prepared under Section 3-304; assessment of
22a penalty under Section 3-305; a conditional license under
23Sections 3-311 through 3-317; or license suspension or
24revocation under Section 3-119. The Director or his or her

 

 

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1designee shall also inform the licensee of rights to a hearing
2under Section 3-703.
 
3    Section 3-302. Each day a separate violation. Each day the
4violation exists after the date upon which a notice of
5violation is served under Section 3-301 shall constitute a
6separate violation for purposes of assessing penalties or fines
7under Section 3-305. The submission of a plan of correction
8pursuant to subsection (b) of Section 3-303 does not prohibit
9or preclude the Department from assessing penalties or fines
10pursuant to Section 3-305 for those violations found to be
11valid except as provided under Section 3-308 in relation to
12Type "B" violations. No penalty or fine may be assessed for a
13condition for which the facility has received a variance or
14waiver of a standard.
 
15    Section 3-303. Correction of violations; hearing.
16    (a) The situation, condition or practice constituting a
17Type "AA" violation or a Type "A" violation shall be abated or
18eliminated immediately unless a fixed period of time, not
19exceeding 15 days, as determined by the Department and
20specified in the notice of violation, is required for
21correction.
22    (b) At the time of issuance of a notice of a Type "B"
23violation, the Department shall request a plan of correction
24which is subject to the Department's approval. The facility

 

 

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1shall have 10 days after receipt of notice of violation in
2which to prepare and submit a plan of correction. The
3Department may extend this period up to 30 days where
4correction involves substantial capital improvement. The plan
5shall include a fixed time period not in excess of 90 days
6within which violations are to be corrected. If the Department
7rejects a plan of correction, it shall send notice of the
8rejection and the reason for the rejection to the facility. The
9facility shall have 10 days after receipt of the notice of
10rejection in which to submit a modified plan. If the modified
11plan is not timely submitted, or if the modified plan is
12rejected, the facility shall follow an approved plan of
13correction imposed by the Department.
14    (c) If the violation has been corrected prior to submission
15and approval of a plan of correction, the facility may submit a
16report of correction in place of a plan of correction. Such
17report shall be signed by the administrator under oath.
18    (d) Upon a licensee's petition, the Department shall
19determine whether to grant a licensee's request for an extended
20correction time. Such petition shall be served on the
21Department prior to expiration of the correction time
22originally approved. The burden of proof is on the petitioning
23facility to show good cause for not being able to comply with
24the original correction time approved.
25    (e) If a facility desires to contest any Department action
26under this Section it shall send a written request for a

 

 

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1hearing under Section 3-703 to the Department within 10 days of
2receipt of notice of the contested action. The Department shall
3commence the hearing as provided under Section 3-703. Whenever
4possible, all action of the Department under this Section
5arising out of a violation shall be contested and determined at
6a single hearing. Issues decided after a hearing may not be
7reheard at subsequent hearings under this Section.
 
8    Section 3-303.1. Waiver of facility's compliance with rule
9or standard. Upon application by a facility, the Director may
10grant or renew the waiver of the facility's compliance with a
11rule or standard for a period not to exceed the duration of the
12current license or, in the case of an application for license
13renewal, the duration of the renewal period. The waiver may be
14conditioned upon the facility taking action prescribed by the
15Director as a measure equivalent to compliance. In determining
16whether to grant or renew a waiver, the Director shall consider
17the duration and basis for any current waiver with respect to
18the same rule or standard and the validity and effect upon
19patient health and safety of extending it on the same basis,
20the effect upon the health and safety of residents, the quality
21of resident care, the facility's history of compliance with the
22rules and standards of this Act and the facility's attempts to
23comply with the particular rule or standard in question. The
24Department may provide, by rule, for the automatic renewal of
25waivers concerning physical plant requirements upon the

 

 

HB2755- 116 -LRB099 08043 RPS 28187 b

1renewal of a license. The Department shall renew waivers
2relating to physical plant standards issued pursuant to this
3Section at the time of the indicated reviews, unless it can
4show why such waivers should not be extended for the following
5reasons:
6    (a) the condition of the physical plant has deteriorated or
7its use substantially changed so that the basis upon which the
8waiver was issued is materially different; or
9    (b) the facility is renovated or substantially remodeled in
10such a way as to permit compliance with the applicable rules
11and standards without substantial increase in cost. A copy of
12each waiver application and each waiver granted or renewed
13shall be on file with the Department and available for public
14inspection. The Director shall annually review such file and
15recommend to the DD Facility Advisory Board established under
16Section 2-204 of this Act any modification in rules or
17standards suggested by the number and nature of waivers
18requested and granted and the difficulties faced in compliance
19by similarly situated facilities.
 
20    Section 3-303.2. Administrative warning.
21    (a) If the Department finds a situation, condition or
22practice which violates this Act or any rule promulgated
23thereunder which does not constitute a Type "AA", Type "A",
24Type "B", or Type "C" violation, the Department shall issue an
25administrative warning. Any administrative warning shall be

 

 

HB2755- 117 -LRB099 08043 RPS 28187 b

1served upon the facility in the same manner as the notice of
2violation under Section 3-301. The facility shall be
3responsible for correcting the situation, condition or
4practice; however, no written plan of correction need be
5submitted for an administrative warning, except for violations
6of Sections 3-401 through 3-413 or the rules promulgated
7thereunder. A written plan of correction is required to be
8filed for an administrative warning issued for violations of
9Sections 3-401 through 3-413 or the rules promulgated
10thereunder.
11    (b) If, however, the situation, condition or practice which
12resulted in the issuance of an administrative warning, with the
13exception of administrative warnings issued pursuant to
14Sections 3-401 through 3-413 or the rules promulgated
15thereunder, is not corrected by the next on site inspection by
16the Department which occurs no earlier than 90 days from the
17issuance of the administrative warning, a written plan of
18correction must be submitted in the same manner as provided in
19subsection (b) of Section 3-303.
 
20    Section 3-304. Quarterly list of facilities against which
21Department has taken action.
22    (a) The Department shall prepare on a quarterly basis a
23list containing the names and addresses of all facilities
24against which the Department during the previous quarter has:
25        (1) sent a notice under Section 3-307 regarding a

 

 

HB2755- 118 -LRB099 08043 RPS 28187 b

1    penalty assessment under subsection (1) of Section 3-305;
2        (2) sent a notice of license revocation under Section
3    3-119;
4        (3) sent a notice refusing renewal of a license under
5    Section 3-119;
6        (4) sent a notice to suspend a license under Section
7    3-119;
8        (5) issued a conditional license for violations that
9    have not been corrected under Section 3-303 or penalties or
10    fines described under Section 3-305 have been assessed
11    under Section 3-307 or 3-308;
12        (6) placed a monitor under subsections (a), (b) and (c)
13    of Section 3-501 and under subsection (d) of such Section
14    where license revocation or nonrenewal notices have also
15    been issued;
16        (7) initiated an action to appoint a receiver;
17        (8) recommended to the Director of Healthcare and
18    Family Services, or the Secretary of the United States
19    Department of Health and Human Services, the
20    decertification for violations in relation to patient care
21    of a facility pursuant to Titles XVIII and XIX of the
22    federal Social Security Act.
23    (b) In addition to the name and address of the facility,
24the list shall include the name and address of the person or
25licensee against whom the action has been initiated, a self
26explanatory summary of the facts which warranted the initiation

 

 

HB2755- 119 -LRB099 08043 RPS 28187 b

1of each action, the type of action initiated, the date of the
2initiation of the action, the amount of the penalty sought to
3be assessed, if any, and the final disposition of the action,
4if completed.
5    (c) The list shall be available to any member of the public
6upon oral or written request without charge.
 
7    Section 3-304.1. Public computer access to information.
8    (a) The Department must make information regarding nursing
9homes in the State available to the public in electronic form
10on the World Wide Web, including all of the following
11information:
12        (1) who regulates facilities licensed under this Act;
13        (2) information in the possession of the Department
14    that is listed in Sections 3-210 and 3-304;
15        (3) deficiencies and plans of correction;
16        (4) enforcement remedies;
17        (5) penalty letters;
18        (6) designation of penalty monies;
19        (7) the U.S. Department of Health and Human Services'
20    Health Care Financing Administration special projects or
21    federally required inspections;
22        (8) advisory standards;
23        (9) deficiency free surveys;
24        (10) enforcement actions and enforcement summaries;
25    and

 

 

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1        (11) distressed facilities.
2    (b) No fee or other charge may be imposed by the Department
3as a condition of accessing the information.
4    (c) The electronic public access provided through the World
5Wide Web shall be in addition to any other electronic or print
6distribution of the information.
7    (d) The information shall be made available as provided in
8this Section in the shortest practicable time after it is
9publicly available in any other form.
 
10    Section 3-304.2. Designation of distressed facilities.
11    (a) The Department shall, by rule, adopt criteria to
12identify facilities that are distressed and shall publish this
13list quarterly. No facility shall be identified as a distressed
14facility unless it has committed violations or deficiencies
15that have actually harmed residents.
16    (b) The Department shall notify each facility and licensee
17of its distressed designation and of the calculation on which
18it is based.
19    (c) A distressed facility may contract with an independent
20consultant meeting criteria established by the Department. If
21the distressed facility does not seek the assistance of an
22independent consultant, then the Department shall place a
23monitor or a temporary manager in the facility, depending on
24the Department's assessment of the condition of the facility.
25    (d) A facility that has been designated a distressed

 

 

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1facility may contract with an independent consultant to develop
2and assist in the implementation of a plan of improvement to
3bring and keep the facility in compliance with this Act and, if
4applicable, with federal certification requirements. A
5facility that contracts with an independent consultant shall
6have 90 days to develop a plan of improvement and demonstrate a
7good faith effort at implementation, and another 90 days to
8achieve compliance and take whatever additional actions are
9called for in the improvement plan to maintain compliance in
10this subsection (d). "Independent" consultant means an
11individual who has no professional or financial relationship
12with the facility, any person with a reportable ownership
13interest in the facility, or any related parties. In this
14subsection (d), "related parties" has the meaning attributed to
15it in the instructions for completing Medicaid cost reports.
16    (e) A distressed facility that does not contract with a
17consultant shall be assigned a monitor or a temporary manager
18at the Department's discretion. The cost of the temporary
19manager shall be paid by the Department. The authority afforded
20the temporary manager shall be determined through rulemaking.
21    If a distressed facility that contracts with an independent
22consultant but does not, in a timely manner, develop an
23adequate plan of improvement or comply with the plan of
24improvement, then the Department may place a monitor in the
25facility.
26    Nothing in this Section shall limit the authority of the

 

 

HB2755- 122 -LRB099 08043 RPS 28187 b

1Department to place a monitor in a distressed facility if
2otherwise justified by law.
3    (f) The Department shall by rule establish a mentor program
4for owners of distressed facilities. That a mentor program does
5not exist, or that a mentor is not available to assist a
6distressed facility, shall not delay or prevent the imposition
7of any penalties on a distressed facility, authorized by this
8Act.
 
9    Section 3-305. Penalties or fines. The license of a
10facility which is in violation of this Act or any rule adopted
11thereunder may be subject to the penalties or fines levied by
12the Department as specified in this Section.
13        (1) A licensee who commits a Type "AA" violation as
14    defined in Section 1-128.5 is automatically issued a
15    conditional license for a period of 6 months to coincide
16    with an acceptable plan of correction and assessed a fine
17    of up to $25,000 per violation. For a facility licensed to
18    provide care to fewer than 100 residents, but no less than
19    17 residents, the fine shall be up to $18,500 per
20    violation. For a facility licensed to provide care to fewer
21    than 17 residents, the fine shall be up to $12,500 per
22    violation.
23        (1.5) A licensee who commits a Type "A" violation as
24    defined in Section 1-129 is automatically issued a
25    conditional license for a period of 6 months to coincide

 

 

HB2755- 123 -LRB099 08043 RPS 28187 b

1    with an acceptable plan of correction and assessed a fine
2    of up to $12,500 per violation. For a facility licensed to
3    provide care to fewer than 100 residents, but no less than
4    17 residents, the fine shall be up to $10,000 per
5    violation. For a facility licensed to provide care to fewer
6    than 17 residents, the fine shall be up to $6,250 per
7    violation.
8        (2) A licensee who commits a Type "B" violation as
9    defined in Section 1-130 shall be assessed a fine of up to
10    $1,100 per violation. For a facility licensed to provide
11    care to fewer than 100 residents, but no less than 17
12    residents, the fine shall be up to $750 per violation. For
13    a facility licensed to provide care to fewer than 17
14    residents, the fine shall be up to $550 per violation.
15        (2.5) A licensee who commits 8 or more Type "C"
16    violations as defined in Section 1-132 in a single survey
17    shall be assessed a fine of up to $250 per violation. A
18    facility licensed to provide care to fewer than 100
19    residents, but no less than 17 residents, that commits 8 or
20    more Type "C" violations in a single survey, shall be
21    assessed a fine of up to $200 per violation. A facility
22    licensed to provide care to fewer than 17 residents, that
23    commits 8 or more Type "C" violations in a single survey,
24    shall be assessed a fine of up to $175 per violation.
25        (3) A licensee who commits a Type "AA" or Type "A"
26    violation as defined in Section 1-128.5 or 1-129 which

 

 

HB2755- 124 -LRB099 08043 RPS 28187 b

1    continues beyond the time specified in paragraph (a) of
2    Section 3-303 which is cited as a repeat violation shall
3    have its license revoked and shall be assessed a fine of 3
4    times the fine computed under subsection (1).
5        (4) A licensee who fails to satisfactorily comply with
6    an accepted plan of correction for a Type "B" violation or
7    an administrative warning issued pursuant to Sections
8    3-401 through 3-413 or the rules promulgated thereunder
9    shall be automatically issued a conditional license for a
10    period of not less than 6 months. A second or subsequent
11    acceptable plan of correction shall be filed. A fine shall
12    be assessed in accordance with subsection (2) when cited
13    for the repeat violation. This fine shall be computed for
14    all days of the violation, including the duration of the
15    first plan of correction compliance time.
16        (5) (Blank).
17        (6) When the Department finds that a provision of
18    Article II has been violated with regard to a particular
19    resident, the Department shall issue an order requiring the
20    facility to reimburse the resident for injuries incurred,
21    or $100, whichever is greater. In the case of a violation
22    involving any action other than theft of money belonging to
23    a resident, reimbursement shall be ordered only if a
24    provision of Article II has been violated with regard to
25    that or any other resident of the facility within the 2
26    years immediately preceding the violation in question.

 

 

HB2755- 125 -LRB099 08043 RPS 28187 b

1        (7) For purposes of assessing fines under this Section,
2    a repeat violation shall be a violation which has been
3    cited during one inspection of the facility for which an
4    accepted plan of correction was not complied with or a new
5    citation of the same rule if the licensee is not
6    substantially addressing the issue routinely throughout
7    the facility.
8        (8) If an occurrence results in more than one type of
9    violation as defined in this Act (that is, a Type "AA",
10    Type "A", Type "B", or Type "C" violation), then the
11    maximum fine that may be assessed for that occurrence is
12    the maximum fine that may be assessed for the most serious
13    type of violation charged. For purposes of the preceding
14    sentence, a Type "AA" violation is the most serious type of
15    violation that may be charged, followed by a Type "A", Type
16    "B", or Type "C" violation, in that order.
17        (9) If any facility willfully makes a misstatement of
18    fact to the Department or willfully fails to make a
19    required notification to the Department and that
20    misstatement or failure delays the start of a survey or
21    impedes a survey, then it will constitute a Type "B"
22    violation. The minimum and maximum fines that may be
23    assessed pursuant to this subsection (9) shall be 3 times
24    those otherwise specified for any facility.
25        (10) If the Department finds that a facility has
26    violated a provision of the Illinois Administrative Code

 

 

HB2755- 126 -LRB099 08043 RPS 28187 b

1    that has a high-risk designation or that a facility has
2    violated the same provision of the Illinois Administrative
3    Code 3 or more times in the previous 12 months, then the
4    Department may assess a fine of up to 2 times the maximum
5    fine otherwise allowed.
 
6    Section 3-306. Factors to be considered in determining
7penalty. In determining whether a penalty is to be imposed and
8in determining the amount of the penalty to be imposed, if any,
9for a violation, the Director shall consider the following
10factors:
11        (1) The gravity of the violation, including the
12    probability that death or serious physical or mental harm
13    to a resident will result or has resulted; the severity of
14    the actual or potential harm, and the extent to which the
15    provisions of the applicable statutes or regulations were
16    violated;
17        (2) The reasonable diligence exercised by the licensee
18    and efforts to correct violations;
19        (3) Any previous violations committed by the licensee;
20    and
21        (4) The financial benefit to the facility of committing
22    or continuing the violation.
 
23    Section 3-307. Assessment of penalties; notice. The
24Director may directly assess penalties provided for under

 

 

HB2755- 127 -LRB099 08043 RPS 28187 b

1Section 3-305 of this Act. If the Director determines that a
2penalty should be assessed for a particular violation or for
3failure to correct it, the Director shall send a notice to the
4facility. The notice shall specify the amount of the penalty
5assessed, the violation, the statute or rule alleged to have
6been violated, and shall inform the licensee of the right to
7hearing under Section 3-703 of this Act. If the violation is
8continuing, the notice shall specify the amount of additional
9assessment per day for the continuing violation.
 
10    Section 3-308. Time of assessment; plan of correction. In
11the case of a Type "AA" or Type "A" violation, a penalty may be
12assessed from the date on which the violation is discovered. In
13the case of a Type "B" or Type "C" violation or an
14administrative warning issued pursuant to Sections 3-401
15through 3-413 or the rules promulgated thereunder, the facility
16shall submit a plan of correction as provided in Section 3-303.
17In the case of a Type "B" violation or an administrative
18warning issued pursuant to Sections 3-401 through 3-413 or the
19rules promulgated thereunder, a penalty shall be assessed on
20the date of notice of the violation, but the Director may
21reduce the amount or waive such payment for any of the
22following reasons:
23    (a) The facility submits a true report of correction within
2410 days;
25    (b) The facility submits a plan of correction within 10

 

 

HB2755- 128 -LRB099 08043 RPS 28187 b

1days and subsequently submits a true report of correction
2within 15 days thereafter;
3    (c) The facility submits a plan of correction within 10
4days which provides for a correction time that is less than or
5equal to 30 days and the Department approves such plan; or
6    (d) The facility submits a plan of correction for
7violations involving substantial capital improvements which
8provides for correction within the initial 90 day limit
9provided under Section 3-303. The Director shall consider the
10following factors in determinations to reduce or waive such
11penalties:
12        (1) The violation has not caused actual harm to a
13    resident;
14        (2) The facility has made a diligent effort to correct
15    the violation and to prevent its recurrence;
16        (3) The facility has no record of a pervasive pattern
17    of the same or similar violations; and
18        (4) The facility has a record of substantial compliance
19    with this Act and the regulations promulgated hereunder.
20    If a plan of correction is approved and carried out for a
21Type "C" violation, the fine provided under Section 3-305 shall
22be suspended for the time period specified in the approved plan
23of correction. If a plan of correction is approved and carried
24out for a Type "B" violation or an administrative warning
25issued pursuant to Sections 3-401 through 3-413 or the rules
26promulgated thereunder, with respect to a violation that

 

 

HB2755- 129 -LRB099 08043 RPS 28187 b

1continues after the date of notice of violation, the fine
2provided under Section 3-305 shall be suspended for the time
3period specified in the approved plan of correction.
4    If a good faith plan of correction is not received within
5the time provided by Section 3-303, a penalty may be assessed
6from the date of the notice of the Type "B" or "C" violation or
7an administrative warning issued pursuant to Sections 3-401
8through 3-413 or the rules promulgated thereunder served under
9Section 3-301 until the date of the receipt of a good faith
10plan of correction, or until the date the violation is
11corrected, whichever is earlier. If a violation is not
12corrected within the time specified by an approved plan of
13correction or any lawful extension thereof, a penalty may be
14assessed from the date of notice of the violation, until the
15date the violation is corrected.
 
16    Section 3-309. Contesting assessment of penalty. A
17facility may contest an assessment of a penalty by sending a
18written request to the Department for hearing under Section
193-703. Upon receipt of the request the Department shall hold a
20hearing as provided under Section 3-703. Instead of requesting
21a hearing pursuant to Section 3-703, a facility may, within 10
22business days after receipt of the notice of violation and fine
23assessment, transmit to the Department 65% of the amount
24assessed for each violation specified in the penalty
25assessment.
 

 

 

HB2755- 130 -LRB099 08043 RPS 28187 b

1    Section 3-310. Collection of penalties. All penalties
2shall be paid to the Department within 10 days of receipt of
3notice of assessment or, if the penalty is contested under
4Section 3-309, within 10 days of receipt of the final decision,
5unless the decision is appealed and the order is stayed by
6court order under Section 3-713. A facility choosing to waive
7the right to a hearing under Section 3-309 shall submit a
8payment totaling 65% of the original fine amount along with the
9written waiver. A penalty assessed under this Act shall be
10collected by the Department and shall be deposited with the
11State Treasurer into the Long Term Care Monitor/Receiver Fund.
12If the person or facility against whom a penalty has been
13assessed does not comply with a written demand for payment
14within 30 days, the Director shall issue an order to do any of
15the following:
16        (1) Direct the State Treasurer or Comptroller to deduct
17    the amount of the fine from amounts otherwise due from the
18    State for the penalty, including any payments to be made
19    from the Care Provider Fund for Persons with a
20    Developmental Disability established under Section 5C-7 of
21    the Illinois Public Aid Code, and remit that amount to the
22    Department;
23        (2) Add the amount of the penalty to the facility's
24    licensing fee; if the licensee refuses to make the payment
25    at the time of application for renewal of its license, the

 

 

HB2755- 131 -LRB099 08043 RPS 28187 b

1    license shall not be renewed; or
2        (3) Bring an action in circuit court to recover the
3    amount of the penalty.
 
4    Section 3-311. Issuance of conditional license in addition
5to penalties. In addition to the right to assess penalties
6under this Act, the Director may issue a conditional license
7under Section 3-305 to any facility if the Director finds that
8either a Type "A" or Type "B" violation exists in such
9facility. The issuance of a conditional license shall revoke
10any license held by the facility.
 
11    Section 3-312. Plan of correction required before issuance
12of conditional license. Prior to the issuance of a conditional
13license, the Department shall review and approve a written plan
14of correction. The Department shall specify the violations
15which prevent full licensure and shall establish a time
16schedule for correction of the deficiencies. Retention of the
17license shall be conditional on the timely correction of the
18deficiencies in accordance with the plan of correction.
 
19    Section 3-313. Notice of issuance of conditional license.
20Written notice of the decision to issue a conditional license
21shall be sent to the applicant or licensee together with the
22specification of all violations of this Act and the rules
23promulgated thereunder which prevent full licensure and which

 

 

HB2755- 132 -LRB099 08043 RPS 28187 b

1form the basis for the Department's decision to issue a
2conditional license and the required plan of correction. The
3notice shall inform the applicant or licensee of its right to a
4full hearing under Section 3-315 to contest the issuance of the
5conditional license.
 
6    Section 3-315. Hearing on conditional license or plan of
7correction. If the applicant or licensee desires to contest the
8basis for issuance of a conditional license, or the terms of
9the plan of correction, the applicant or licensee shall send a
10written request for hearing to the Department within 10 days
11after receipt by the applicant or licensee of the Department's
12notice and decision to issue a conditional license. The
13Department shall hold the hearing as provided under Section
143-703.
 
15    Section 3-316. Period of conditional license. A
16conditional license shall be issued for a period specified by
17the Department, but in no event for more than one year. The
18Department shall periodically inspect any facility operating
19under a conditional license. If the Department finds
20substantial failure by the facility to timely correct the
21violations which prevented full licensure and formed the basis
22for the Department's decision to issue a conditional license in
23accordance with the required plan of correction, the
24conditional license may be revoked as provided under Section

 

 

HB2755- 133 -LRB099 08043 RPS 28187 b

13-119.
 
2    Section 3-318. Business offenses.
3    (a) No person shall:
4        (1) Intentionally fail to correct or interfere with the
5    correction of a Type "AA", Type "A", or Type "B" violation
6    within the time specified on the notice or approved plan of
7    correction under this Act as the maximum period given for
8    correction, unless an extension is granted and the
9    corrections are made before expiration of extension;
10        (2) Intentionally prevent, interfere with, or attempt
11    to impede in any way any duly authorized investigation and
12    enforcement of this Act;
13        (3) Intentionally prevent or attempt to prevent any
14    examination of any relevant books or records pertinent to
15    investigations and enforcement of this Act;
16        (4) Intentionally prevent or interfere with the
17    preservation of evidence pertaining to any violation of
18    this Act or the rules promulgated under this Act;
19        (5) Intentionally retaliate or discriminate against
20    any resident or employee for contacting or providing
21    information to any state official, or for initiating,
22    participating in, or testifying in an action for any remedy
23    authorized under this Act;
24        (6) Willfully file any false, incomplete or
25    intentionally misleading information required to be filed

 

 

HB2755- 134 -LRB099 08043 RPS 28187 b

1    under this Act, or willfully fail or refuse to file any
2    required information; or
3        (7) Open or operate a facility without a license.
4    (b) A violation of this Section is a business offense,
5punishable by a fine not to exceed $10,000, except as otherwise
6provided in subsection (2) of Section 3-103 as to submission of
7false or misleading information in a license application.
8    (c) The State's Attorney of the county in which the
9facility is located, or the Attorney General, shall be notified
10by the Director of any violations of this Section.
 
11    Section 3-320. Review under Administrative Review Law. All
12final administrative decisions of the Department under this Act
13are subject to judicial review under the Administrative Review
14Law, as now or hereafter amended, and the rules adopted
15pursuant thereto. The term "administrative decision" is
16defined as in Section 3-101 of the Code of Civil Procedure.
 
17
PART 4. DISCHARGE AND TRANSFER

 
18    Section 3-401. Involuntary transfer or discharge of
19resident. A facility may involuntarily transfer or discharge a
20resident only for one or more of the following reasons:
21    (a) for medical reasons;
22    (b) for the resident's physical safety;
23    (c) for the physical safety of other residents, the

 

 

HB2755- 135 -LRB099 08043 RPS 28187 b

1facility staff or facility visitors; or
2    (d) for either late payment or nonpayment for the
3resident's stay, except as prohibited by Titles XVIII and XIX
4of the federal Social Security Act. For purposes of this
5Section, "late payment" means non-receipt of payment after
6submission of a bill. If payment is not received within 45 days
7after submission of a bill, a facility may send a notice to the
8resident and responsible party requesting payment within 30
9days. If payment is not received within such 30 days, the
10facility may thereupon institute transfer or discharge
11proceedings by sending a notice of transfer or discharge to the
12resident and responsible party by registered or certified mail.
13The notice shall state, in addition to the requirements of
14Section 3-403 of this Act, that the responsible party has the
15right to pay the amount of the bill in full up to the date the
16transfer or discharge is to be made and then the resident shall
17have the right to remain in the facility. Such payment shall
18terminate the transfer or discharge proceedings. This
19subsection does not apply to those residents whose care is
20provided for under the Illinois Public Aid Code. The Department
21shall adopt rules setting forth the criteria and procedures to
22be applied in cases of involuntary transfer or discharge
23permitted under this Section.
 
24    Section 3-401.1. Medical assistance recipients.
25    (a) A facility participating in the Medical Assistance

 

 

HB2755- 136 -LRB099 08043 RPS 28187 b

1Program is prohibited from failing or refusing to retain as a
2resident any person because he or she is a recipient of or an
3applicant for the Medical Assistance Program under Article V of
4the Illinois Public Aid Code.
5    (a-5) A facility of which only a distinct part is certified
6to participate in the Medical Assistance Program may refuse to
7retain as a resident any person who resides in a part of the
8facility that does not participate in the Medical Assistance
9Program and who is unable to pay for his or her care in the
10facility without Medical Assistance only if:
11        (1) the facility, no later than at the time of
12    admission and at the time of the resident's contract
13    renewal, explains to the resident (unless he or she is
14    incompetent), and to the resident's representative, and to
15    the person making payment on behalf of the resident for the
16    resident's stay, in writing, that the facility may
17    discharge the resident if the resident is no longer able to
18    pay for his or her care in the facility without Medical
19    Assistance;
20        (2) the resident (unless he or she is incompetent), the
21    resident's representative, and the person making payment
22    on behalf of the resident for the resident's stay,
23    acknowledge in writing that they have received the written
24    explanation.
25    (a-10) For the purposes of this Section, a recipient or
26applicant shall be considered a resident in the facility during

 

 

HB2755- 137 -LRB099 08043 RPS 28187 b

1any hospital stay totaling 10 days or less following a hospital
2admission. The Department of Healthcare and Family Services
3shall recoup funds from a facility when, as a result of the
4facility's refusal to readmit a recipient after
5hospitalization for 10 days or less, the recipient incurs
6hospital bills in an amount greater than the amount that would
7have been paid by that Department for care of the recipient in
8the facility. The amount of the recoupment shall be the
9difference between the Department of Healthcare and Family
10Services' payment for hospital care and the amount that
11Department would have paid for care in the facility.
12    (b) A facility which violates this Section shall be guilty
13of a business offense and fined not less than $500 nor more
14than $1,000 for the first offense and not less than $1,000 nor
15more than $5,000 for each subsequent offense.
 
16    Section 3-402. Notice of involuntary transfer or
17discharge. Involuntary transfer or discharge of a resident from
18a facility shall be preceded by the discussion required under
19Section 3-408 and by a minimum written notice of 21 days,
20except in one of the following instances:
21    (a) When an emergency transfer or discharge is ordered by
22the resident's attending physician because of the resident's
23health care needs.
24    (b) When the transfer or discharge is mandated by the
25physical safety of other residents, the facility staff, or

 

 

HB2755- 138 -LRB099 08043 RPS 28187 b

1facility visitors, as documented in the clinical record. The
2Department shall be notified prior to any such involuntary
3transfer or discharge. The Department shall immediately offer
4transfer, or discharge and relocation assistance to residents
5transferred or discharged under this subparagraph (b), and the
6Department may place relocation teams as provided in Section
73-419 of this Act.
 
8    Section 3-403. Contents of notice; right to hearing. The
9notice required by Section 3-402 shall be on a form prescribed
10by the Department and shall contain all of the following:
11    (a) The stated reason for the proposed transfer or
12discharge;
13    (b) The effective date of the proposed transfer or
14discharge;
15    (c) A statement in not less than 12 point type, which
16reads: "You have a right to appeal the facility's decision to
17transfer or discharge you. If you think you should not have to
18leave this facility, you may file a request for a hearing with
19the Department of Public Health within 10 days after receiving
20this notice. If you request a hearing, it will be held not
21later than 10 days after your request, and you generally will
22not be transferred or discharged during that time. If the
23decision following the hearing is not in your favor, you
24generally will not be transferred or discharged prior to the
25expiration of 30 days following receipt of the original notice

 

 

HB2755- 139 -LRB099 08043 RPS 28187 b

1of the transfer or discharge. A form to appeal the facility's
2decision and to request a hearing is attached. If you have any
3questions, call the Department of Public Health at the
4telephone number listed below.";
5    (d) A hearing request form, together with a postage paid,
6preaddressed envelope to the Department; and
7    (e) The name, address, and telephone number of the person
8charged with the responsibility of supervising the transfer or
9discharge.
 
10    Section 3-404. Request for hearing; effect on transfer. A
11request for a hearing made under Section 3-403 shall stay a
12transfer pending a hearing or appeal of the decision, unless a
13condition which would have allowed transfer or discharge in
14less than 21 days as described under paragraphs (a) and (b) of
15Section 3-402 develops in the interim.
 
16    Section 3-405. Copy of notice in resident's record; copy to
17Department. A copy of the notice required by Section 3-402
18shall be placed in the resident's clinical record and a copy
19shall be transmitted to the Department, the resident, and the
20resident's representative.
 
21    Section 3-406. Medical assistance recipient; transfer or
22discharge as result of action by Department of Healthcare and
23Family Services. When the basis for an involuntary transfer or

 

 

HB2755- 140 -LRB099 08043 RPS 28187 b

1discharge is the result of an action by the Department of
2Healthcare and Family Services with respect to a recipient of
3assistance under Title XIX of the Social Security Act and a
4hearing request is filed with the Department of Healthcare and
5Family Services, the 21-day written notice period shall not
6begin until a final decision in the matter is rendered by the
7Department of Healthcare and Family Services or a court of
8competent jurisdiction and notice of that final decision is
9received by the resident and the facility.
 
10    Section 3-407. Nonpayment as basis for transfer or
11discharge. When nonpayment is the basis for involuntary
12transfer or discharge, the resident shall have the right to
13redeem up to the date that the discharge or transfer is to be
14made and then shall have the right to remain in the facility.
 
15    Section 3-408. Discussion of planned transfer or
16discharge. The planned involuntary transfer or discharge shall
17be discussed with the resident, the resident's representative
18and person or agency responsible for the resident's placement,
19maintenance, and care in the facility. The explanation and
20discussion of the reasons for involuntary transfer or discharge
21shall include the facility administrator or other appropriate
22facility representative as the administrator's designee. The
23content of the discussion and explanation shall be summarized
24in writing and shall include the names of the individuals

 

 

HB2755- 141 -LRB099 08043 RPS 28187 b

1involved in the discussions and made a part of the resident's
2clinical record.
 
3    Section 3-409. Counseling services. The facility shall
4offer the resident counseling services before the transfer or
5discharge of the resident.
 
6    Section 3-410. Request for hearing on transfer or
7discharge. A resident subject to involuntary transfer or
8discharge from a facility, the resident's guardian or if the
9resident is a minor, his or her parent shall have the
10opportunity to file a request for a hearing with the Department
11within 10 days following receipt of the written notice of the
12involuntary transfer or discharge by the facility.
 
13    Section 3-411. Hearing; time. The Department of Public
14Health, when the basis for involuntary transfer or discharge is
15other than action by the Department of Healthcare and Family
16Services with respect to the Title XIX Medicaid recipient,
17shall hold a hearing at the resident's facility not later than
1810 days after a hearing request is filed, and render a decision
19within 14 days after the filing of the hearing request.
 
20    Section 3-412. Conduct of hearing. The hearing before the
21Department provided under Section 3-411 shall be conducted as
22prescribed under Section 3-703. In determining whether a

 

 

HB2755- 142 -LRB099 08043 RPS 28187 b

1transfer or discharge is authorized, the burden of proof in
2this hearing rests on the person requesting the transfer or
3discharge.
 
4    Section 3-413. Time for leaving facility. If the Department
5determines that a transfer or discharge is authorized under
6Section 3-401, the resident shall not be required to leave the
7facility before the 34th day following receipt of the notice
8required under Section 3-402, or the 10th day following receipt
9of the Department's decision, whichever is later, unless a
10condition which would have allowed transfer or discharge in
11less than 21 days as described under paragraphs (a) and (b) of
12Section 3-402 develops in the interim.
 
13    Section 3-414. Continuation of medical assistance funding.
14The Department of Healthcare and Family Services shall continue
15Title XIX Medicaid funding during the appeal, transfer, or
16discharge period for those residents who are recipients of
17assistance under Title XIX of the Social Security Act affected
18by Section 3-401.
 
19    Section 3-415. Transfer or discharge by Department;
20grounds. The Department may transfer or discharge any resident
21from any facility required to be licensed under this Act when
22any of the following conditions exist:
23    (a) Such facility is operating without a license;

 

 

HB2755- 143 -LRB099 08043 RPS 28187 b

1    (b) The Department has suspended, revoked or refused to
2renew the license of the facility as provided under Section
33-119;
4    (c) The facility has requested the aid of the Department in
5the transfer or discharge of the resident and the Department
6finds that the resident consents to transfer or discharge;
7    (d) The facility is closing or intends to close and
8adequate arrangement for relocation of the resident has not
9been made at least 30 days prior to closure; or
10    (e) The Department determines that an emergency exists
11which requires immediate transfer or discharge of the resident.
 
12    Section 3-416. Transfer or discharge by Department;
13likelihood of serious harm. In deciding to transfer or
14discharge a resident from a facility under Section 3-415, the
15Department shall consider the likelihood of serious harm which
16may result if the resident remains in the facility.
 
17    Section 3-417. Relocation assistance. The Department shall
18offer transfer or discharge and relocation assistance to
19residents transferred or discharged under Sections 3-401
20through 3-415, including information on available alternative
21placements. Residents shall be involved in planning the
22transfer or discharge and shall choose among the available
23alternative placements, except that where an emergency makes
24prior resident involvement impossible the Department may make a

 

 

HB2755- 144 -LRB099 08043 RPS 28187 b

1temporary placement until a final placement can be arranged.
2Residents may choose their final alternative placement and
3shall be given assistance in transferring to such place. No
4resident may be forced to remain in a temporary or permanent
5placement. Where the Department makes or participates in making
6the relocation decision, consideration shall be given to
7proximity to the resident's relatives and friends. The resident
8shall be allowed 3 visits to potential alternative placements
9prior to removal, except where medically contraindicated or
10where the need for immediate transfer or discharge requires
11reduction in the number of visits.
 
12    Section 3-418. Transfer or discharge plans. The Department
13shall prepare resident transfer or discharge plans to assure
14safe and orderly removals and protect residents' health,
15safety, welfare and rights. In nonemergencies, and where
16possible in emergencies, the Department shall design and
17implement such plans in advance of transfer or discharge.
 
18    Section 3-419. Relocation teams. The Department may place
19relocation teams in any facility from which residents are being
20discharged or transferred for any reason, for the purpose of
21implementing transfer or discharge plans.
 
22    Section 3-420. Transfer or discharge by Department;
23notice. In any transfer or discharge conducted under Sections

 

 

HB2755- 145 -LRB099 08043 RPS 28187 b

13-415 through 3-418 the Department shall do the following:
2    (a) Provide written notice to the facility prior to the
3transfer or discharge. The notice shall state the basis for the
4order of transfer or discharge and shall inform the facility of
5its right to an informal conference prior to transfer or
6discharge under this Section, and its right to a subsequent
7hearing under Section 3-422. If a facility desires to contest a
8nonemergency transfer or discharge, prior to transfer or
9discharge it shall, within 4 working days after receipt of the
10notice, send a written request for an informal conference to
11the Department. The Department shall, within 4 working days
12from the receipt of the request, hold an informal conference in
13the county in which the facility is located. Following this
14conference, the Department may affirm, modify or overrule its
15previous decision. Except in an emergency, transfer or
16discharge may not begin until the period for requesting a
17conference has passed or, if a conference is requested, until
18after a conference has been held.
19    (b) Provide written notice to any resident to be removed,
20to the resident's representative, if any, and to a member of
21the resident's family, where practicable, prior to the removal.
22The notice shall state the reason for which transfer or
23discharge is ordered and shall inform the resident of the
24resident's right to challenge the transfer or discharge under
25Section 3-422. The Department shall hold an informal conference
26with the resident or the resident's representative prior to

 

 

HB2755- 146 -LRB099 08043 RPS 28187 b

1transfer or discharge at which the resident or the
2representative may present any objections to the proposed
3transfer or discharge plan or alternative placement.
 
4    Section 3-421. Notice of emergency. In any transfer or
5discharge conducted under subsection (e) of Section 3-415, the
6Department shall notify the facility and any resident to be
7removed that an emergency has been found to exist and removal
8has been ordered, and shall involve the residents in removal
9planning if possible. Following emergency removal, the
10Department shall provide written notice to the facility, to the
11resident, to the resident's representative, if any, and to a
12member of the resident's family, where practicable, of the
13basis for the finding that an emergency existed and of the
14right to challenge removal under Section 3-422.
 
15    Section 3-422. Hearing to challenge transfer or discharge.
16Within 10 days following transfer or discharge, the facility or
17any resident transferred or discharged may send a written
18request to the Department for a hearing under Section 3-703 to
19challenge the transfer or discharge. The Department shall hold
20the hearing within 30 days of receipt of the request. The
21hearing shall be held at the facility from which the resident
22is being transferred or discharged, unless the resident or
23resident's representative, requests an alternative hearing
24site. If the facility prevails, it may file a claim against the

 

 

HB2755- 147 -LRB099 08043 RPS 28187 b

1State under the Court of Claims Act for payments lost less
2expenses saved as a result of the transfer or discharge. No
3resident transferred or discharged may be held liable for the
4charge for care which would have been made had the resident
5remained in the facility. If a resident prevails, the resident
6may file a claim against the State under the Court of Claims
7Act for any excess expenses directly caused by the order to
8transfer or discharge. The Department shall assist the resident
9in returning to the facility if assistance is requested.
 
10    Section 3-423. Closure of facility; notice. Any owner of a
11facility licensed under this Act shall give 90 days' notice
12prior to voluntarily closing a facility or closing any part of
13a facility, or prior to closing any part of a facility if
14closing such part will require the transfer or discharge of
15more than 10% of the residents. Such notice shall be given to
16the Department, to any resident who must be transferred or
17discharged, to the resident's representative, and to a member
18of the resident's family, where practicable. Notice shall state
19the proposed date of closing and the reason for closing. The
20facility shall offer to assist the resident in securing an
21alternative placement and shall advise the resident on
22available alternatives. Where the resident is unable to choose
23an alternate placement and is not under guardianship, the
24Department shall be notified of the need for relocation
25assistance. The facility shall comply with all applicable laws

 

 

HB2755- 148 -LRB099 08043 RPS 28187 b

1and regulations until the date of closing, including those
2related to transfer or discharge of residents. The Department
3may place a relocation team in the facility as provided under
4Section 3-419.
 
5
PART 5. MONITORS AND RECEIVERSHIP

 
6    Section 3-501. Monitor or receiver for facility; grounds.
7The Department may place an employee or agent to serve as a
8monitor in a facility or may petition the circuit court for
9appointment of a receiver for a facility, or both, when any of
10the following conditions exist:
11    (a) The facility is operating without a license;
12    (b) The Department has suspended, revoked or refused to
13renew the existing license of the facility;
14    (c) The facility is closing or has informed the Department
15that it intends to close and adequate arrangements for
16relocation of residents have not been made at least 30 days
17prior to closure;
18    (d) The Department determines that an emergency exists,
19whether or not it has initiated revocation or nonrenewal
20procedures, if because of the unwillingness or inability of the
21licensee to remedy the emergency the Department believes a
22monitor or receiver is necessary;
23    (e) The Department is notified that the facility is
24terminated or will not be renewed for participation in the

 

 

HB2755- 149 -LRB099 08043 RPS 28187 b

1federal reimbursement program under either Title XVIII or Title
2XIX of the Social Security Act. As used in subsection (d) and
3Section 3-503, "emergency" means a threat to the health, safety
4or welfare of a resident that the facility is unwilling or
5unable to correct;
6    (f) The facility has been designated a distressed facility
7by the Department and does not have a consultant employed
8pursuant to subsection (f) of Section 3-304.2 of this Act and
9an acceptable plan of improvement, or the Department has reason
10to believe the facility is not complying with the plan of
11improvement. Nothing in this paragraph (f) shall preclude the
12Department from placing a monitor in a facility if otherwise
13justified by law; or
14    (g) At the discretion of the Department when a review of
15facility compliance history, incident reports, or reports of
16financial problems raises a concern that a threat to resident
17health, safety, or welfare exists.
 
18    Section 3-502. Placement of monitor by Department. In any
19situation described in Section 3-501, the Department may place
20a qualified person to act as monitor in the facility. The
21monitor shall observe operation of the facility, assist the
22facility by advising it on how to comply with the State
23regulations, and shall report periodically to the Department on
24the operation of the facility. Once a monitor has been placed,
25the Department may retain the monitor until it is satisfied

 

 

HB2755- 150 -LRB099 08043 RPS 28187 b

1that the basis for the placement is resolved and the threat to
2the health, safety, or welfare of a resident is not likely to
3recur.
 
4    Section 3-503. Emergency; petition for receiver. Where a
5resident, a resident's representative or a resident's next of
6kin believes that an emergency exists each of them,
7collectively or separately, may file a verified petition to the
8circuit court for the county in which the facility is located
9for an order placing the facility under the control of a
10receiver.
 
11    Section 3-504. Hearing on petition for receiver; grounds
12for appointment of receiver. The court shall hold a hearing
13within 5 days of the filing of the petition. The petition and
14notice of the hearing shall be served on the owner,
15administrator or designated agent of the facility as provided
16under the Civil Practice Law, or the petition and notice of
17hearing shall be posted in a conspicuous place in the facility
18not later than 3 days before the time specified for the
19hearing, unless a different period is fixed by order of the
20court. The court shall appoint a receiver if it finds that:
21    (a) The facility is operating without a license;
22    (b) The Department has suspended, revoked or refused to
23renew the existing license of a facility;
24    (c) The facility is closing or has informed the Department

 

 

HB2755- 151 -LRB099 08043 RPS 28187 b

1that it intends to close and adequate arrangements for
2relocation of residents have not been made at least 30 days
3prior to closure; or
4    (d) An emergency exists, whether or not the Department has
5initiated revocation or nonrenewal procedures, if because of
6the unwillingness or inability of the licensee to remedy the
7emergency the appointment of a receiver is necessary.
 
8    Section 3-505. Emergency; time for hearing. If a petition
9filed under Section 3-503 alleges that the conditions set out
10in subsection 3-504 (d) exist within a facility, the court may
11set the matter for hearing at the earliest possible time. The
12petitioner shall notify the licensee, administrator of the
13facility, or registered agent of the licensee prior to the
14hearing. Any form of written notice may be used. A receivership
15shall not be established ex parte unless the court determines
16that the conditions set out in subsection 3-504(d) exist in a
17facility; that the licensee cannot be found; and that the
18petitioner has exhausted all reasonable means of locating and
19notifying the licensee, administrator or registered agent.
 
20    Section 3-506. Appointment of receiver. The court may
21appoint any qualified person as a receiver, except it shall not
22appoint any owner or affiliate of the facility which is in
23receivership as its receiver. The Department shall maintain a
24list of such persons to operate facilities which the court may

 

 

HB2755- 152 -LRB099 08043 RPS 28187 b

1consider. The court shall give preference to licensed nursing
2home administrators in appointing a receiver.
 
3    Section 3-507. Health, safety, and welfare of residents.
4The receiver shall make provisions for the continued health,
5safety and welfare of all residents of the facility.
 
6    Section 3-508. Receiver's powers and duties. A receiver
7appointed under this Act:
8    (a) Shall exercise those powers and shall perform those
9duties set out by the court.
10    (b) Shall operate the facility in such a manner as to
11assure safety and adequate health care for the residents.
12    (c) Shall have the same rights to possession of the
13building in which the facility is located and of all goods and
14fixtures in the building at the time the petition for
15receivership is filed as the owner would have had if the
16receiver had not been appointed, and of all assets of the
17facility. The receiver shall take such action as is reasonably
18necessary to protect or conserve the assets or property of
19which the receiver takes possession, or the proceeds from any
20transfer thereof, and may use them only in the performance of
21the powers and duties set forth in this Section and by order of
22the court.
23    (d) May use the building, fixtures, furnishings and any
24accompanying consumable goods in the provision of care and

 

 

HB2755- 153 -LRB099 08043 RPS 28187 b

1services to residents and to any other persons receiving
2services from the facility at the time the petition for
3receivership was filed. The receiver shall collect payments for
4all goods and services provided to residents or others during
5the period of the receivership at the same rate of payment
6charged by the owners at the time the petition for receivership
7was filed.
8    (e) May correct or eliminate any deficiency in the
9structure or furnishings of the facility which endangers the
10safety or health of residents while they remain in the
11facility, provided the total cost of correction does not exceed
12$3,000. The court may order expenditures for this purpose in
13excess of $3,000 on application from the receiver after notice
14to the owner and hearing.
15    (f) May let contracts and hire agents and employees to
16carry out the powers and duties of the receiver under this
17Section.
18    (g) Except as specified in Section 3-510, shall honor all
19leases, mortgages and secured transactions governing the
20building in which the facility is located and all goods and
21fixtures in the building of which the receiver has taken
22possession, but only to the extent of payments which, in the
23case of a rental agreement, are for the use of the property
24during the period of the receivership, or which, in the case of
25a purchase agreement, come due during the period of the
26receivership.

 

 

HB2755- 154 -LRB099 08043 RPS 28187 b

1    (h) Shall have full power to direct and manage and to
2discharge employees of the facility, subject to any contract
3rights they may have. The receiver shall pay employees at the
4same rate of compensation, including benefits, that the
5employees would have received from the owner. Receivership does
6not relieve the owner of any obligation to employees not
7carried out by the receiver.
8    (i) Shall, if any resident is transferred or discharged,
9follow the procedures set forth in Part 4 of this Article.
10    (j) Shall be entitled to and shall take possession of all
11property or assets of residents which are in the possession of
12a facility or its owner. The receiver shall preserve all
13property, assets and records of residents of which the receiver
14takes possession and shall provide for the prompt transfer of
15the property, assets and records to the new placement of any
16transferred resident.
17    (k) Shall report to the court on any actions he has taken
18to bring the facility into compliance with this Act or with
19Title XVIII or XIX of the Social Security Act that he believes
20should be continued when the receivership is terminated in
21order to protect the health, safety or welfare of the
22residents.
 
23    Section 3-509. Payment for goods or services provided by
24receiver.
25    (a) A person who is served with notice of an order of the

 

 

HB2755- 155 -LRB099 08043 RPS 28187 b

1court appointing a receiver and of the receiver's name and
2address shall be liable to pay the receiver for any goods or
3services provided by the receiver after the date of the order
4if the person would have been liable for the goods or services
5as supplied by the owner. The receiver shall give a receipt for
6each payment and shall keep a copy of each receipt on file. The
7receiver shall deposit amounts received in a separate account
8and shall use this account for all disbursements.
9    (b) The receiver may bring an action to enforce the
10liability created by subsection (a) of this Section.
11    (c) A payment to the receiver of any sum owing to the
12facility or its owner shall discharge any obligation to the
13facility to the extent of the payment.
 
14    Section 3-510. Receiver's avoidance of obligations;
15reasonable rental, price, or rate of interest to be paid by
16receiver.
17    (a) A receiver may petition the court that he or she not be
18required to honor any lease, mortgage, secured transaction or
19other wholly or partially executory contract entered into by
20the owner of the facility if the rent, price or rate of
21interest required to be paid under the agreement was
22substantially in excess of a reasonable rent, price or rate of
23interest at the time the contract was entered into, or if any
24material provision of the agreement was unreasonable.
25    (b) If the receiver is in possession of real estate or

 

 

HB2755- 156 -LRB099 08043 RPS 28187 b

1goods subject to a lease, mortgage or security interest which
2the receiver has obtained a court order to avoid under
3subsection (a) of this Section, and if the real estate or goods
4are necessary for the continued operation of the facility under
5this Section, the receiver may apply to the court to set a
6reasonable rental, price or rate of interest to be paid by the
7receiver during the duration of the receivership. The court
8shall hold a hearing on the application within 15 days. The
9receiver shall send notice of the application to any known
10persons who own the property involved at least 10 days prior to
11the hearing. Payment by the receiver of the amount determined
12by the court to be reasonable is a defense to any action
13against the receiver for payment or for possession of the goods
14or real estate subject to the lease, security interest or
15mortgage involved by any person who received such notice, but
16the payment does not relieve the owner of the facility of any
17liability for the difference between the amount paid by the
18receiver and the amount due under the original lease, security
19interest or mortgage involved.
 
20    Section 3-511. Insufficient funds collected; reimbursement
21of receiver by Department. If funds collected under Sections
223-508 and 3-509 are insufficient to meet the expenses of
23performing the powers and duties conferred on the receiver, or
24if there are insufficient funds on hand to meet those expenses,
25the Department may reimburse the receiver for those expenses

 

 

HB2755- 157 -LRB099 08043 RPS 28187 b

1from funds appropriated for its ordinary and contingent
2expenses by the General Assembly after funds contained in the
3Long Term Care Monitor/Receiver Fund have been exhausted.
 
4    Section 3-512. Receiver's compensation. The court shall
5set the compensation of the receiver, which will be considered
6a necessary expense of a receivership under Section 3-516.
 
7    Section 3-513. Action against receiver.
8    (a) In any action or special proceeding brought against a
9receiver in the receiver's official capacity for acts committed
10while carrying out powers and duties under this Article, the
11receiver shall be considered a public employee under the Local
12Governmental and Governmental Employees Tort Immunity Act, as
13now or hereafter amended.
14    (b) A receiver may be held liable in a personal capacity
15only for the receiver's own gross negligence, intentional acts
16or breach of fiduciary duty.
17    (c) The court may require a receiver to post a bond.
 
18    Section 3-514. License to facility in receivership. Other
19provisions of this Act notwithstanding, the Department may
20issue a license to a facility placed in receivership. The
21duration of a license issued under this Section is limited to
22the duration of the receivership.
 

 

 

HB2755- 158 -LRB099 08043 RPS 28187 b

1    Section 3-515. Termination of receivership. The court may
2terminate a receivership:
3    (a) If the time period specified in the order appointing
4the receiver elapses and is not extended;
5    (b) If the court determines that the receivership is no
6longer necessary because the conditions which gave rise to the
7receivership no longer exist; or the Department grants the
8facility a new license, whether the structure of the facility,
9the right to operate the facility, or the land on which it is
10located is under the same or different ownership; or
11    (c) If all of the residents in the facility have been
12transferred or discharged. Before terminating a receivership,
13the court may order the Department to require any licensee to
14comply with the recommendations of the receiver made under
15subsection (k) of Section 3-508. A licensee may petition the
16court to be relieved of this requirement.
 
17    Section 3-516. Accounting by receiver; Department's lien.
18    (a) Within 30 days after termination, the receiver shall
19give the court a complete accounting of all property of which
20the receiver has taken possession, of all funds collected, and
21of the expenses of the receivership.
22    (b) If the operating funds collected by the receiver under
23Sections 3-508 and 3-509 exceed the reasonable expenses of the
24receivership, the court shall order payment of the surplus to
25the owner, after reimbursement of funds drawn from the

 

 

HB2755- 159 -LRB099 08043 RPS 28187 b

1contingency fund under Section 3-511. If the operating funds
2are insufficient to cover the reasonable expenses of the
3receivership, the owner shall be liable for the deficiency.
4Payment recovered from the owner shall be used to reimburse the
5contingency fund for amounts drawn by the receiver under
6Section 3-511.
7    (c) The Department shall have a lien for any payment made
8under Section 3-511 upon any beneficial interest, direct or
9indirect, of any owner in the following property:
10        (1) The building in which the facility is located;
11        (2) Any fixtures, equipment or goods used in the
12    operation of the facility;
13        (3) The land on which the facility is located; or
14        (4) The proceeds from any conveyance of property
15    described in subparagraphs (1), (2) or (3) above, made by
16    the owner within one year prior to the filing of the
17    petition for receivership.
18    (d) The lien provided by this Section is prior to any lien
19or other interest which originates subsequent to the filing of
20a petition for receivership under this Article, except for a
21construction or mechanic's lien arising out of work performed
22with the express consent of the receiver.
23    (e) The receiver shall, within 60 days after termination of
24the receivership, file a notice of any lien created under this
25Section. If the lien is on real property, the notice shall be
26filed with the recorder. If the lien is on personal property,

 

 

HB2755- 160 -LRB099 08043 RPS 28187 b

1the lien shall be filed with the Secretary of State. The notice
2shall specify the name of the person against whom the lien is
3claimed, the name of the receiver, the dates of the petition
4for receivership and the termination of receivership, a
5description of the property involved and the amount claimed. No
6lien shall exist under this Article against any person, on any
7property, or for any amount not specified in the notice filed
8under this subsection (e).
 
9    Section 3-517. Civil and criminal liability during
10receivership. Nothing in this Act shall be deemed to relieve
11any owner, administrator or employee of a facility placed in
12receivership of any civil or criminal liability incurred, or
13any duty imposed by law, by reason of acts or omissions of the
14owner, administrator, or employee prior to the appointment of a
15receiver; nor shall anything contained in this Act be construed
16to suspend during the receivership any obligation of the owner,
17administrator, or employee for payment of taxes or other
18operating and maintenance expenses of the facility nor of the
19owner, administrator, employee or any other person for the
20payment of mortgages or liens. The owner shall retain the right
21to sell or mortgage any facility under receivership, subject to
22approval of the court which ordered the receivership.
 
23
PART 6. DUTIES

 

 

 

HB2755- 161 -LRB099 08043 RPS 28187 b

1    Section 3-601. Liability for injury to resident. The owner
2and licensee are liable to a resident for any intentional or
3negligent act or omission of their agents or employees which
4injures the resident.
 
5    Section 3-602. Damages for violation of resident's rights.
6The licensee shall pay the actual damages and costs and
7attorney's fees to a facility resident whose rights, as
8specified in Part 1 of Article II of this Act, are violated.
 
9    Section 3-603. Action by resident. A resident may maintain
10an action under this Act for any other type of relief,
11including injunctive and declaratory relief, permitted by law.
 
12    Section 3-604. Class action; remedies cumulative. Any
13damages recoverable under Sections 3-601 through 3-607,
14including minimum damages as provided by these Sections, may be
15recovered in any action which a court may authorize to be
16brought as a class action pursuant to the Civil Practice Law.
17The remedies provided in Sections 3-601 through 3-607, are in
18addition to and cumulative with any other legal remedies
19available to a resident. Exhaustion of any available
20administrative remedies shall not be required prior to
21commencement of suit hereunder.
 
22    Section 3-605. Amount of damages; no effect on medical

 

 

HB2755- 162 -LRB099 08043 RPS 28187 b

1assistance eligibility. The amount of damages recovered by a
2resident in an action brought under Sections 3-601 through
33-607 shall be exempt for purposes of determining initial or
4continuing eligibility for medical assistance under the
5Illinois Public Aid Code, as now or hereafter amended, and
6shall neither be taken into consideration nor required to be
7applied toward the payment or partial payment of the cost of
8medical care or services available under the Illinois Public
9Aid Code.
 
10    Section 3-606. Waiver of resident's right to bring action
11prohibited. Any waiver by a resident or his or her legal
12representative of the right to commence an action under
13Sections 3-601 through 3-607, whether oral or in writing, shall
14be null and void, and without legal force or effect.
 
15    Section 3-607. Trial by jury. Any party to an action
16brought under Sections 3-601 through 3-607 shall be entitled to
17a trial by jury and any waiver of the right to a trial by a
18jury, whether oral or in writing, prior to the commencement of
19an action, shall be null and void, and without legal force or
20effect.
 
21    Section 3-608. Retaliation against resident prohibited. A
22licensee or its agents or employees shall not transfer,
23discharge, evict, harass, dismiss, or retaliate against a

 

 

HB2755- 163 -LRB099 08043 RPS 28187 b

1resident, a resident's representative, or an employee or agent
2who makes a report under Section 2-107, brings or testifies in
3an action under Sections 3-601 through 3-607, or files a
4complaint under Section 3-702, because of the report,
5testimony, or complaint.
 
6    Section 3-609. Immunity from liability for making report.
7Any person, institution or agency, under this Act,
8participating in good faith in the making of a report, or in
9the investigation of such a report shall not be deemed to have
10violated any privileged communication and shall have immunity
11from any liability, civil, criminal or any other proceedings,
12civil or criminal as a consequence of making such report. The
13good faith of any persons required to report, or permitted to
14report, cases of suspected resident abuse or neglect under this
15Act, shall be presumed.
 
16    Section 3-610. Duty to report violations.
17    (a) A facility employee or agent who becomes aware of abuse
18or neglect of a resident prohibited by Section 2-107 shall
19immediately report the matter to the Department and to the
20facility administrator. A facility administrator who becomes
21aware of abuse or neglect of a resident prohibited by Section
222-107 shall immediately report the matter by telephone and in
23writing to the resident's representative, and to the
24Department. Any person may report a violation of Section 2-107

 

 

HB2755- 164 -LRB099 08043 RPS 28187 b

1to the Department.
2    (b) A facility employee or agent who becomes aware of
3another facility employee or agent's theft or misappropriation
4of a resident's property must immediately report the matter to
5the facility administrator. A facility administrator who
6becomes aware of a facility employee or agent's theft or
7misappropriation of a resident's property must immediately
8report the matter by telephone and in writing to the resident's
9representative, to the Department, and to the local law
10enforcement agency. Neither a licensee nor its employees or
11agents may dismiss or otherwise retaliate against a facility
12employee or agent who reports the theft or misappropriation of
13a resident's property under this subsection.
 
14    Section 3-611. Employee as perpetrator of abuse. When an
15investigation of a report of suspected abuse of a recipient
16indicates, based upon credible evidence, that an employee of a
17facility is the perpetrator of the abuse, that employee shall
18immediately be barred from any further contact with residents
19of the facility, pending the outcome of any further
20investigation, prosecution or disciplinary action against the
21employee.
 
22    Section 3-612. Resident as perpetrator of abuse. When an
23investigation of a report of suspected abuse of a resident
24indicates, based upon credible evidence, that another resident

 

 

HB2755- 165 -LRB099 08043 RPS 28187 b

1of the facility is the perpetrator of the abuse, that
2resident's condition shall be immediately evaluated to
3determine the most suitable therapy and placement for the
4resident, considering the safety of that resident as well as
5the safety of other residents and employees of the facility.
 
6
PART 7. COMPLAINT, HEARING, AND APPEAL

 
7    Section 3-701. Public nuisance; action for injunction. The
8operation or maintenance of a facility in violation of this
9Act, or of the rules and regulations promulgated by the
10Department, is declared a public nuisance inimical to the
11public welfare. The Director in the name of the people of the
12State, through the Attorney General, or the State's Attorney of
13the county in which the facility is located, or in respect to
14any city, village or incorporated town which provides for the
15licensing and regulation of any or all such facilities, the
16Director or the mayor or president of the Board of Trustees, as
17the case may require, of the city, village or incorporated
18town, in the name of the people of the State, through the
19Attorney General or State's attorney of the county in which the
20facility is located, may, in addition to other remedies herein
21provided, bring action for an injunction to restrain such
22violation or to enjoin the future operation or maintenance of
23any such facility.
 

 

 

HB2755- 166 -LRB099 08043 RPS 28187 b

1    Section 3-702. Request for investigation of violation.
2    (a) A person who believes that this Act or a rule
3promulgated under this Act may have been violated may request
4an investigation. The request may be submitted to the
5Department in writing, by telephone, by electronic means, or by
6personal visit. An oral complaint shall be reduced to writing
7by the Department. The Department shall make available, through
8its website and upon request, information regarding the oral
9and phone intake processes and the list of questions that will
10be asked of the complainant. The Department shall request
11information identifying the complainant, including the name,
12address and telephone number, to help enable appropriate follow
13up. The Department shall act on such complaints via on-site
14visits or other methods deemed appropriate to handle the
15complaints with or without such identifying information, as
16otherwise provided under this Section. The complainant shall be
17informed that compliance with such request is not required to
18satisfy the procedures for filing a complaint under this Act.
19The Department must notify complainants that complaints with
20less information provided are far more difficult to respond to
21and investigate.
22    (b) The substance of the complaint shall be provided in
23writing to the licensee, owner or administrator no earlier than
24at the commencement of an on-site inspection of the facility
25which takes place pursuant to the complaint.
26    (c) The Department shall not disclose the name of the

 

 

HB2755- 167 -LRB099 08043 RPS 28187 b

1complainant unless the complainant consents in writing to the
2disclosure or the investigation results in a judicial
3proceeding, or unless disclosure is essential to the
4investigation. The complainant shall be given the opportunity
5to withdraw the complaint before disclosure. Upon the request
6of the complainant, the Department may permit the complainant
7or a representative of the complainant to accompany the person
8making the on-site inspection of the facility.
9    (d) Upon receipt of a complaint, the Department shall
10determine whether this Act or a rule promulgated under this Act
11has been or is being violated. The Department shall investigate
12all complaints alleging abuse or neglect within 7 days after
13the receipt of the complaint except that complaints of abuse or
14neglect which indicate that a resident's life or safety is in
15imminent danger shall be investigated within 24 hours after
16receipt of the complaint. All other complaints shall be
17investigated within 30 days after the receipt of the complaint.
18The Department employees investigating a complaint shall
19conduct a brief, informal exit conference with the facility to
20alert its administration of any suspected serious deficiency
21that poses a direct threat to the health, safety or welfare of
22a resident to enable an immediate correction for the
23alleviation or elimination of such threat. Such information and
24findings discussed in the brief exit conference shall become a
25part of the investigating record but shall not in any way
26constitute an official or final notice of violation as provided

 

 

HB2755- 168 -LRB099 08043 RPS 28187 b

1under Section 3-301. All complaints shall be classified as "an
2invalid report", "a valid report", or "an undetermined report".
3For any complaint classified as "a valid report", the
4Department must determine within 30 working days if any rule or
5provision of this Act has been or is being violated.
6    (d-1) The Department shall, whenever possible, combine an
7on site investigation of a complaint in a facility with other
8inspections in order to avoid duplication of inspections.
9    (e) In all cases, the Department shall inform the
10complainant of its findings within 10 days of its determination
11unless otherwise indicated by the complainant, and the
12complainant may direct the Department to send a copy of such
13findings to another person. The Department's findings may
14include comments or documentation provided by either the
15complainant or the licensee pertaining to the complaint. The
16Department shall also notify the facility of such findings
17within 10 days of the determination, but the name of the
18complainant or residents shall not be disclosed in this notice
19to the facility. The notice of such findings shall include a
20copy of the written determination; the correction order, if
21any; the warning notice, if any; the inspection report; or the
22State licensure form on which the violation is listed.
23    (f) A written determination, correction order, or warning
24notice concerning a complaint, together with the facility's
25response, shall be available for public inspection, but the
26name of the complainant or resident shall not be disclosed

 

 

HB2755- 169 -LRB099 08043 RPS 28187 b

1without his or her consent.
2    (g) A complainant who is dissatisfied with the
3determination or investigation by the Department may request a
4hearing under Section 3-703. The facility shall be given notice
5of any such hearing and may participate in the hearing as a
6party. If a facility requests a hearing under Section 3-703
7which concerns a matter covered by a complaint, the complainant
8shall be given notice and may participate in the hearing as a
9party. A request for a hearing by either a complainant or a
10facility shall be submitted in writing to the Department within
1130 days after the mailing of the Department's findings as
12described in subsection (e) of this Section. Upon receipt of
13the request the Department shall conduct a hearing as provided
14under Section 3-703.
15    (g-5) The Department shall conduct an annual review and
16make a report concerning the complaint process that includes
17the number of complaints received, the breakdown of anonymous
18and non-anonymous complaints and whether the complaints were
19substantiated or not, the total number of substantiated
20complaints, and any other complaint information requested by
21the DD Facility Advisory Board. This report shall be provided
22to the DD Facility Advisory Board. The DD Facility Advisory
23Board shall review the report and suggest any changes deemed
24necessary to the Department for review and action, including
25how to investigate and substantiate anonymous complaints.
26    (h) Any person who knowingly transmits a false report to

 

 

HB2755- 170 -LRB099 08043 RPS 28187 b

1the Department commits the offense of disorderly conduct under
2subsection (a)(8) of Section 26-1 of the Criminal Code of 2012.
 
3    Section 3-703. Hearing to contest decision; applicable
4provisions. Any person requesting a hearing pursuant to
5Sections 2-110, 3-115, 3-118, 3-119, 3-119.1, 3-301, 3-303,
63-309, 3-410, 3-422 or 3-702 to contest a decision rendered in
7a particular case may have such decision reviewed in accordance
8with Sections 3-703 through 3-712.
 
9    Section 3-704. Hearing; notice; commencement. A request
10for a hearing by aggrieved persons shall be taken to the
11Department as follows:
12    (a) Upon the receipt of a request in writing for a hearing,
13the Director or a person designated in writing by the Director
14to act as a hearing officer shall conduct a hearing to review
15the decision.
16    (b) Before the hearing is held, notice of the hearing shall
17be sent by the Department to the person making the request for
18the hearing and to the person making the decision which is
19being reviewed. In the notice the Department shall specify the
20date, time and place of the hearing which shall be held not
21less than 10 days after the notice is mailed or delivered. The
22notice shall designate the decision being reviewed. The notice
23may be served by delivering it personally to the parties or
24their representatives or by mailing it by certified mail to the

 

 

HB2755- 171 -LRB099 08043 RPS 28187 b

1parties' addresses.
2    (c) The Department shall commence the hearing within 30
3days of the receipt of request for hearing. The hearing shall
4proceed as expeditiously as practicable, but in all cases shall
5conclude within 90 days of commencement.
 
6    Section 3-705. Subpoenas. The Director or hearing officer
7may compel by subpoena or subpoena duces tecum the attendance
8and testimony of witnesses and the production of books and
9papers, and administer oaths to witnesses.
 
10    Section 3-706. Appearance at hearing; depositions; record.
11The Director or hearing officer shall permit any party to
12appear in person and to be represented by counsel at the
13hearing, at which time the applicant or licensee shall be
14afforded an opportunity to present all relevant matter in
15support of his position. In the event of the inability of any
16party or the Department to procure the attendance of witnesses
17to give testimony or produce books and papers, any party or the
18Department may take the deposition of witnesses in accordance
19with the provisions of the laws of this State. All testimony
20taken at a hearing shall be reduced to writing, and all such
21testimony and other evidence introduced at the hearing shall be
22a part of the record of the hearing.
 
23    Section 3-707. Findings of fact; decision. The Director or

 

 

HB2755- 172 -LRB099 08043 RPS 28187 b

1hearing officer shall make findings of fact in such hearing,
2and the Director shall render his or her decision within 30
3days after the termination of the hearing, unless additional
4time not to exceed 90 days is required by him or her for a
5proper disposition of the matter. When the hearing has been
6conducted by a hearing officer, the Director shall review the
7record and findings of fact before rendering a decision. All
8decisions rendered by the Director shall be binding upon and
9complied with by the Department, the facility or the persons
10involved in the hearing, as appropriate to each case.
 
11    Section 3-708. Rules of evidence and procedure. The
12Director or hearing officer shall not be bound by common law or
13statutory rules of evidence, or by technical or formal rules of
14procedure, but shall conduct hearings in the manner best
15calculated to result in substantial justice.
 
16    Section 3-709. Service of subpoenas; witness fees. All
17subpoenas issued by the Director or hearing officer may be
18served as provided for in civil actions. The fees of witnesses
19for attendance and travel shall be the same as the fees for
20witnesses before the circuit court and shall be paid by the
21party to such proceeding at whose request the subpoena is
22issued. If such subpoena is issued at the request of the
23Department or by a person proceeding in forma pauperis the
24witness fee shall be paid by the Department as an

 

 

HB2755- 173 -LRB099 08043 RPS 28187 b

1administrative expense.
 
2    Section 3-710. Compelling obedience to subpoena. In cases
3of refusal of a witness to attend or testify or to produce
4books or papers, concerning any matter upon which he might be
5lawfully examined, the circuit court of the county wherein the
6hearing is held, upon application of any party to the
7proceeding, may compel obedience by a proceeding for contempt
8as in cases of a like refusal to obey a similar order of the
9court.
 
10    Section 3-711. Record of hearing; transcript. The
11Department, at its expense, shall provide a stenographer to
12take the testimony, or otherwise record the testimony, and
13preserve a record of all proceedings under this Section. The
14notice of hearing, the complaint and all other documents in the
15nature of pleadings and written motions filed in the
16proceedings, the transcript of testimony, and the findings and
17decision shall be the record of the proceedings. The Department
18shall furnish a transcript of such record to any person
19interested in such hearing upon payment therefor of 70 cents
20per page for each original transcript and 25 cents per page for
21each certified copy thereof. However, the charge for any part
22of such transcript ordered and paid for previous to the writing
23of the original record shall be 25 cents per page.
 

 

 

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1    Section 3-712. Certification of record; fee. The
2Department shall not be required to certify any record or file
3any answer or otherwise appear in any proceeding for judicial
4review under Section 3-713 of this Act unless there is filed
5with the complaint a receipt from the Department acknowledging
6payment of the costs of furnishing and certifying the record,
7which cost shall be computed at the rate of 95 cents per page
8of such record. Failure on the part of the plaintiff to file
9such receipt in Court shall be grounds for dismissal of the
10action; provided, however, that persons proceeding in forma
11pauperis with the approval of the circuit court shall not be
12required to pay these fees.
 
13    Section 3-713. Judicial review; stay of enforcement of
14Department's decision.
15    (a) Final administrative decisions after hearing shall be
16subject to judicial review exclusively as provided in the
17Administrative Review Law, as now or hereafter amended, except
18that any petition for judicial review of Department action
19under this Act shall be filed within 15 days after receipt of
20notice of the final agency determination. The term
21"administrative decision" has the meaning ascribed to it in
22Section 3-101 of the Code of Civil Procedure.
23    (b) The court may stay enforcement of the Department's
24final decision or toll the continuing accrual of a penalty
25under Section 3-305 if a showing is made that there is a

 

 

HB2755- 175 -LRB099 08043 RPS 28187 b

1substantial probability that the party seeking review will
2prevail on the merits and will suffer irreparable harm if a
3stay is not granted, and that the facility will meet the
4requirements of this Act and the rules promulgated under this
5Act during such stay. Where a stay is granted the court may
6impose such conditions on the granting of the stay as may be
7necessary to safeguard the lives, health, rights, safety and
8welfare of residents, and to assure compliance by the facility
9with the requirements of this Act, including an order for
10transfer or discharge of residents under Sections 3-401 through
113-423 or for appointment of a receiver under Sections 3-501
12through 3-517.
13    (c) Actions brought under this Act shall be set for trial
14at the earliest possible date and shall take precedence on the
15court calendar over all other cases except matters to which
16equal or superior precedence is specifically granted by law.
 
17    Section 3-714. Remedies cumulative. The remedies provided
18by this Act are cumulative and shall not be construed as
19restricting any party from seeking any remedy, provisional or
20otherwise, provided by law for the benefit of the party, from
21obtaining additional relief based upon the same facts.
 
22
PART 8. MISCELLANEOUS PROVISIONS

 
23    Section 3-801. Rules and regulations. The Department shall

 

 

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1have the power to adopt rules and regulations to carry out the
2purpose of this Act.
 
3    Section 3-801.1. Access to records of resident with
4developmental disabilities. Notwithstanding the other
5provisions of this Act to the contrary, the agency designated
6by the Governor under Section 1 of "An Act in relation to the
7protection and advocacy of the rights of persons with
8developmental disabilities, and amending Acts therein named",
9enacted by the 84th General Assembly, shall have access to the
10records of a person with developmental disabilities who resides
11in a facility, subject to the limitations of this Act. The
12agency shall also have access for the purpose of inspection and
13copying, to the records of a person with developmental
14disabilities who resides in any such facility if (1) a
15complaint is received by such agency from or on behalf of the
16person with a developmental disability, and (2) such person
17does not have a guardian or the State or the designee of the
18State is the guardian of such person. The designated agency
19shall provide written notice to the person with developmental
20disabilities and the State guardian of the nature of the
21complaint based upon which the designated agency has gained
22access to the records. No record or the contents of any record
23shall be redisclosed by the designated agency unless the person
24with developmental disabilities and the State guardian are
25provided 7 days' advance written notice, except in emergency

 

 

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1situations, of the designated agency's intent to redisclose
2such record, during which time the person with developmental
3disabilities or the State guardian may seek to judicially
4enjoin the designated agency's redisclosure of such record on
5the grounds that such redisclosure is contrary to the interests
6of the person with developmental disabilities. If a person with
7developmental disabilities resides in such a facility and has a
8guardian other than the State or the designee of the State, the
9facility director shall disclose the guardian's name, address,
10and telephone number to the designated agency at the agency's
11request.
12    Upon request, the designated agency shall be entitled to
13inspect and copy any records or other materials which may
14further the agency's investigation of problems affecting
15numbers of persons with developmental disabilities. When
16required by law any personally identifiable information of
17persons with a developmental disability shall be removed from
18the records. However, the designated agency may not inspect or
19copy any records or other materials when the removal of
20personally identifiable information imposes an unreasonable
21burden on the facility. For the purposes of this Section,
22"developmental disability" means a severe, chronic disability
23of a person which:
24        (A) is attributable to a mental or physical impairment
25    or combination of mental and physical impairments;
26        (B) is manifested before the person attains age 22;

 

 

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1        (C) is likely to continue indefinitely;
2        (D) results in substantial functional limitations in 3
3    or more of the following areas of major life activity: (i)
4    self care, (ii) receptive and expressive language, (iii)
5    learning, (iv) mobility, (v) self direction, (vi) capacity
6    for independent living, and (vii) economic self
7    sufficiency; and
8        (E) reflects the person's need for combination and
9    sequence of special, interdisciplinary or generic care,
10    treatment or other services which are of lifelong or
11    extended duration and are individually planned and
12    coordinated.
 
13    Section 3-801.05. Rules adopted under prior law. The
14Department shall adopt rules to implement the changes
15concerning licensure of facilities under this Act instead of
16under the ID/DD Community Care Act. Until the Department adopts
17those rules, the rules adopted under the ID/DD Community Care
18Act that apply to long-term care for under age 22 facilities
19subject to licensure under the ID/DD Community Care Act shall
20apply to medically complex for the developmentally disabled
21facilities under this Act.
 
22    Section 3-802. Illinois Administrative Procedure Act. The
23provisions of the Illinois Administrative Procedure Act are
24hereby expressly adopted and shall apply to all administrative

 

 

HB2755- 179 -LRB099 08043 RPS 28187 b

1rules and procedures of the Department under this Act.
 
2    Section 3-803. Treatment by prayer or spiritual means.
3Nothing in this Act or the rules and regulations adopted
4pursuant thereto shall be construed as authorizing the medical
5supervision, regulation, or control of the remedial care or
6treatment of residents in any facility conducted for those who
7rely upon treatment by prayer or spiritual means in accordance
8with the creed or tenets of any well recognized church or
9religious denomination.
 
10    Section 3-804. Report to General Assembly. The Department
11shall report to the General Assembly by April 1 of each year
12upon the performance of its inspection, survey and evaluation
13duties under this Act, including the number and needs of the
14Department personnel engaged in such activities. The report
15shall also describe the Department's actions in enforcement of
16this Act, including the number and needs of personnel so
17engaged. The report shall also include the number of valid and
18invalid complaints filed with the Department within the last
19calendar year.
 
20    Section 3-808. Protocol for sexual assault victims; MC/DD
21facility. The Department shall develop a protocol for the care
22and treatment of residents who have been sexually assaulted in
23a MC/DD facility or elsewhere.
 

 

 

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1    Section 3-808.5. Facility fraud, abuse, or neglect
2prevention and reporting.
3    (a) A facility licensed to provide care to 17 or more
4residents that receives Medicaid funding shall prominently
5display in its lobby, in its dining areas, and on each floor of
6the facility information approved by the Illinois Medicaid
7Fraud Control Unit on how to report fraud, abuse, and neglect.
8A facility licensed to provide care to fewer than 17 residents
9that receives Medicaid funding shall prominently display in the
10facility so as to be easily seen by all residents, visitors,
11and employees information approved by the Illinois Medicaid
12Fraud Control Unit on how to report fraud, abuse, and neglect.
13In addition, information regarding the reporting of fraud,
14abuse, and neglect shall be provided to each resident at the
15time of admission and to the resident's guardian or resident's
16representative.
17    (b) Any owner or licensee of a facility licensed under this
18Act shall be responsible for the collection and maintenance of
19any and all records required to be maintained under this
20Section and any other applicable provisions of this Act and as
21a provider under the Illinois Public Aid Code, and shall be
22responsible for compliance with all of the disclosure
23requirements under this Section. All books and records and
24other papers and documents that are required to be kept, and
25all records showing compliance with all of the disclosure

 

 

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1requirements to be made pursuant to this Section, shall be kept
2by the licensee and available at the facility and shall, at all
3times during business hours, be subject to inspection by any
4law enforcement or health oversight agency or its duly
5authorized agents or employees.
6    (c) Any report of abuse and neglect of residents made by
7any individual in whatever manner, including, but not limited
8to, reports made under Sections 2-107 and 3-610 of this Act, or
9as provided under the Abused and Neglected Long Term Care
10Facility Residents Reporting Act, that is made to an
11administrator, a director of nursing, or any other person with
12management responsibility at a facility must be disclosed to
13the owners and licensee of the facility within 24 hours of the
14report. The owners and licensee of a facility shall maintain
15all records necessary to show compliance with this disclosure
16requirement.
17    (d) Any person with an ownership interest in a facility
18licensed by the Department must, within 30 days after the
19effective date of this Act, disclose the existence of any
20ownership interest in any vendor who does business with the
21facility. The disclosures required by this subsection (d) shall
22be made in the form and manner prescribed by the Department.
23Licensed facilities that receive Medicaid funding shall submit
24a copy of the disclosures required by this subsection (d) to
25the Illinois Medicaid Fraud Control Unit. The owners and
26licensee of a facility shall maintain all records necessary to

 

 

HB2755- 182 -LRB099 08043 RPS 28187 b

1show compliance with this disclosure requirement.
2    (e) Notwithstanding the provisions of Section 3-318 of this
3Act and in addition thereto, any person, owner, or licensee who
4willfully fails to keep and maintain, or willfully fails to
5produce for inspection, books and records, or willfully fails
6to make the disclosures required by this Section, is guilty of
7a Class A misdemeanor. A second or subsequent violation of this
8Section shall be punishable as a Class 4 felony.
9    (f) Any owner or licensee who willfully files or willfully
10causes to be filed a document with false information with the
11Department, the Department of Healthcare and Family Services,
12or the Illinois Medicaid Fraud Control Unit or any other law
13enforcement agency is guilty of a Class A misdemeanor.
 
14    Section 3-810. Whistleblower protection.
15    (a) In this Section, "retaliatory action" means the
16reprimand, discharge, suspension, demotion, denial of
17promotion or transfer, or change in the terms and conditions of
18employment of any employee of a facility that is taken in
19retaliation for the employee's involvement in a protected
20activity as set forth in paragraphs (1), (2), and (3) of
21subsection (b) of this Section.
22    (b) A facility shall not take any retaliatory action
23against an employee of the facility, including a nursing home
24administrator, because the employee does any of the following:
25        (1) Discloses or threatens to disclose to a supervisor

 

 

HB2755- 183 -LRB099 08043 RPS 28187 b

1    or to a public body an activity, inaction, policy, or
2    practice implemented by a facility that the employee
3    reasonably believes is in violation of a law, rule, or
4    regulation.
5        (2) Provides information to or testifies before any
6    public body conducting an investigation, hearing, or
7    inquiry into any violation of a law, rule, or regulation by
8    a nursing home administrator.
9        (3) Assists or participates in a proceeding to enforce
10    the provisions of this Act.
11    (c) A violation of this Section may be established only
12upon a finding that (1) the employee of the facility engaged in
13conduct described in subsection (b) of this Section and (2)
14this conduct was a contributing factor in the retaliatory
15action alleged by the employee. There is no violation of this
16Section, however, if the facility demonstrates by clear and
17convincing evidence that it would have taken the same
18unfavorable personnel action in the absence of that conduct.
19    (d) The employee of the facility may be awarded all
20remedies necessary to make the employee whole and to prevent
21future violations of this Section. Remedies imposed by the
22court may include, but are not limited to, all of the
23following:
24        (1) Reinstatement of the employee to either the same
25    position held before the retaliatory action or to an
26    equivalent position.

 

 

HB2755- 184 -LRB099 08043 RPS 28187 b

1        (2) Two times the amount of back pay.
2        (3) Interest on the back pay.
3        (4) Reinstatement of full fringe benefits and
4    seniority rights.
5        (5) Payment of reasonable costs and attorney's fees.
6    (e) Nothing in this Section shall be deemed to diminish the
7rights, privileges, or remedies of an employee of a facility
8under any other federal or State law, rule, or regulation or
9under any employment contract.
 
10    Section 5. The Election Code is amended by changing
11Sections 3-3, 4-6.3, 4-10, 5-9, 5-16.3, 6-50.3, 6-56, 19-4,
1219-12.1, and 19-12.2 as follows:
 
13    (10 ILCS 5/3-3)  (from Ch. 46, par. 3-3)
14    Sec. 3-3. Every honorably discharged soldier or sailor who
15is an inmate of any soldiers' and sailors' home within the
16State of Illinois, any person who is a resident of a facility
17licensed or certified pursuant to the Nursing Home Care Act,
18the Specialized Mental Health Rehabilitation Act of 2013, or
19the ID/DD Community Care Act, or the MC/DD Act, or any person
20who is a resident of a community-integrated living arrangement,
21as defined in Section 3 of the Community-Integrated Living
22Arrangements Licensure and Certification Act, for 30 days or
23longer, and who is a citizen of the United States and has
24resided in this State and in the election district 30 days next

 

 

HB2755- 185 -LRB099 08043 RPS 28187 b

1preceding any election shall be entitled to vote in the
2election district in which any such home or
3community-integrated living arrangement in which he is an
4inmate or resident is located, for all officers that now are or
5hereafter may be elected by the people, and upon all questions
6that may be submitted to the vote of the people: Provided, that
7he shall declare upon oath, that it was his bona fide intention
8at the time he entered said home or community-integrated living
9arrangement to become a resident thereof.
10(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
11eff. 7-13-12; 98-104, eff. 7-22-13.)
 
12    (10 ILCS 5/4-6.3)  (from Ch. 46, par. 4-6.3)
13    (Text of Section before amendment by P.A. 98-1171)
14    Sec. 4-6.3. The county clerk may establish a temporary
15place of registration for such times and at such locations
16within the county as the county clerk may select. However, no
17temporary place of registration may be in operation during the
1827 days preceding an election. Notice of the time and place of
19registration under this Section shall be published by the
20county clerk in a newspaper having a general circulation in the
21county not less than 3 nor more than 15 days before the holding
22of such registration.
23    Temporary places of registration shall be established so
24that the areas of concentration of population or use by the
25public are served, whether by facilities provided in places of

 

 

HB2755- 186 -LRB099 08043 RPS 28187 b

1private business or in public buildings or in mobile units.
2Areas which may be designated as temporary places of
3registration include, but are not limited to, facilities
4licensed or certified pursuant to the Nursing Home Care Act,
5the Specialized Mental Health Rehabilitation Act of 2013, or
6the ID/DD Community Care Act, Soldiers' and Sailors' Homes,
7shopping centers, business districts, public buildings and
8county fairs.
9    Temporary places of registration shall be available to the
10public not less than 2 hours per year for each 1,000 population
11or fraction thereof in the county.
12    All temporary places of registration shall be manned by
13deputy county clerks or deputy registrars appointed pursuant to
14Section 4-6.2.
15(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
16eff. 7-13-12; 98-104, eff. 7-22-13.)
 
17    (Text of Section after amendment by P.A. 98-1171)
18    Sec. 4-6.3. The county clerk may establish a temporary
19place of registration for such times and at such locations
20within the county as the county clerk may select. Notice of the
21time and place of registration under this Section shall be
22published by the county clerk in a newspaper having a general
23circulation in the county not less than 3 nor more than 15 days
24before the holding of such registration.
25    Temporary places of registration shall be established so

 

 

HB2755- 187 -LRB099 08043 RPS 28187 b

1that the areas of concentration of population or use by the
2public are served, whether by facilities provided in places of
3private business or in public buildings or in mobile units.
4Areas which may be designated as temporary places of
5registration include, but are not limited to, facilities
6licensed or certified pursuant to the Nursing Home Care Act,
7the Specialized Mental Health Rehabilitation Act of 2013, or
8the ID/DD Community Care Act, or the MC/DD Act, Soldiers' and
9Sailors' Homes, shopping centers, business districts, public
10buildings and county fairs.
11    Temporary places of registration shall be available to the
12public not less than 2 hours per year for each 1,000 population
13or fraction thereof in the county.
14    All temporary places of registration shall be manned by
15deputy county clerks or deputy registrars appointed pursuant to
16Section 4-6.2.
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; 98-1171, eff. 6-1-15.)
 
19    (10 ILCS 5/4-10)  (from Ch. 46, par. 4-10)
20    (Text of Section before amendment by P.A. 98-1171)
21    Sec. 4-10. Except as herein provided, no person shall be
22registered, unless he applies in person to a registration
23officer, answers such relevant questions as may be asked of him
24by the registration officer, and executes the affidavit of
25registration. The registration officer shall require the

 

 

HB2755- 188 -LRB099 08043 RPS 28187 b

1applicant to furnish two forms of identification, and except in
2the case of a homeless individual, one of which must include
3his or her residence address. These forms of identification
4shall include, but not be limited to, any of the following:
5driver's license, social security card, public aid
6identification card, utility bill, employee or student
7identification card, lease or contract for a residence, credit
8card, or a civic, union or professional association membership
9card. The registration officer shall require a homeless
10individual to furnish evidence of his or her use of the mailing
11address stated. This use may be demonstrated by a piece of mail
12addressed to that individual and received at that address or by
13a statement from a person authorizing use of the mailing
14address. The registration officer shall require each applicant
15for registration to read or have read to him the affidavit of
16registration before permitting him to execute the affidavit.
17    One of the registration officers or a deputy registration
18officer, county clerk, or clerk in the office of the county
19clerk, shall administer to all persons who shall personally
20apply to register the following oath or affirmation:
21    "You do solemnly swear (or affirm) that you will fully and
22truly answer all such questions as shall be put to you touching
23your name, place of residence, place of birth, your
24qualifications as an elector and your right as such to register
25and vote under the laws of the State of Illinois."
26    The registration officer shall satisfy himself that each

 

 

HB2755- 189 -LRB099 08043 RPS 28187 b

1applicant for registration is qualified to register before
2registering him. If the registration officer has reason to
3believe that the applicant is a resident of a Soldiers' and
4Sailors' Home or any facility which is licensed or certified
5pursuant to the Nursing Home Care Act, the Specialized Mental
6Health Rehabilitation Act of 2013, or the ID/DD Community Care
7Act, the following question shall be put, "When you entered the
8home which is your present address, was it your bona fide
9intention to become a resident thereof?" Any voter of a
10township, city, village or incorporated town in which such
11applicant resides, shall be permitted to be present at the
12place of any precinct registration and shall have the right to
13challenge any applicant who applies to be registered.
14    In case the officer is not satisfied that the applicant is
15qualified he shall forthwith notify such applicant in writing
16to appear before the county clerk to complete his registration.
17Upon the card of such applicant shall be written the word
18"incomplete" and no such applicant shall be permitted to vote
19unless such registration is satisfactorily completed as
20hereinafter provided. No registration shall be taken and marked
21as incomplete if information to complete it can be furnished on
22the date of the original application.
23    Any person claiming to be an elector in any election
24precinct and whose registration card is marked "Incomplete" may
25make and sign an application in writing, under oath, to the
26county clerk in substance in the following form:

 

 

HB2755- 190 -LRB099 08043 RPS 28187 b

1    "I do solemnly swear that I, ...., did on (insert date)
2make application to the board of registry of the .... precinct
3of the township of .... (or to the county clerk of .... county)
4and that said board or clerk refused to complete my
5registration as a qualified voter in said precinct. That I
6reside in said precinct, that I intend to reside in said
7precinct, and am a duly qualified voter of said precinct and am
8entitled to be registered to vote in said precinct at the next
9election.
10(Signature of applicant) ............................."
 
11    All such applications shall be presented to the county
12clerk or to his duly authorized representative by the
13applicant, in person between the hours of 9:00 a.m. and 5:00
14p.m. on any day after the days on which the 1969 and 1970
15precinct re-registrations are held but not on any day within 27
16days preceding the ensuing general election and thereafter for
17the registration provided in Section 4-7 all such applications
18shall be presented to the county clerk or his duly authorized
19representative by the applicant in person between the hours of
209:00 a.m. and 5:00 p.m. on any day prior to 27 days preceding
21the ensuing general election. Such application shall be heard
22by the county clerk or his duly authorized representative at
23the time the application is presented. If the applicant for
24registration has registered with the county clerk, such
25application may be presented to and heard by the county clerk

 

 

HB2755- 191 -LRB099 08043 RPS 28187 b

1or by his duly authorized representative upon the dates
2specified above or at any time prior thereto designated by the
3county clerk.
4    Any otherwise qualified person who is absent from his
5county of residence either due to business of the United States
6or because he is temporarily outside the territorial limits of
7the United States may become registered by mailing an
8application to the county clerk within the periods of
9registration provided for in this Article, or by simultaneous
10application for absentee registration and absentee ballot as
11provided in Article 20 of this Code.
12    Upon receipt of such application the county clerk shall
13immediately mail an affidavit of registration in duplicate,
14which affidavit shall contain the following and such other
15information as the State Board of Elections may think it proper
16to require for the identification of the applicant:
17    Name. The name of the applicant, giving surname and first
18or Christian name in full, and the middle name or the initial
19for such middle name, if any.
20    Sex.
21    Residence. The name and number of the street, avenue or
22other location of the dwelling, and such additional clear and
23definite description as may be necessary to determine the exact
24location of the dwelling of the applicant. Where the location
25cannot be determined by street and number, then the Section,
26congressional township and range number may be used, or such

 

 

HB2755- 192 -LRB099 08043 RPS 28187 b

1other information as may be necessary, including post office
2mailing address.
3    Electronic mail address, if the registrant has provided
4this information.
5    Term of residence in the State of Illinois and the
6precinct.
7    Nativity. The State or country in which the applicant was
8born.
9    Citizenship. Whether the applicant is native born or
10naturalized. If naturalized, the court, place and date of
11naturalization.
12    Age. Date of birth, by month, day and year.
13    Out of State address of ..........................
14
AFFIDAVIT OF REGISTRATION
15State of ...........)  
16                   )ss
17County of ..........)
18    I hereby swear (or affirm) that I am a citizen of the
19United States; that on the day of the next election I shall
20have resided in the State of Illinois and in the election
21precinct 30 days; that I am fully qualified to vote, that I am
22not registered to vote anywhere else in the United States, that
23I intend to remain a resident of the State of Illinois and of
24the election precinct, that I intend to return to the State of
25Illinois, and that the above statements are true.
26
..............................

 

 

HB2755- 193 -LRB099 08043 RPS 28187 b

1
(His or her signature or mark)
2    Subscribed and sworn to before me, an officer qualified to
3administer oaths, on (insert date).
4
........................................
5
Signature of officer administering oath.
6    Upon receipt of the executed duplicate affidavit of
7Registration, the county clerk shall transfer the information
8contained thereon to duplicate Registration Cards provided for
9in Section 4-8 of this Article and shall attach thereto a copy
10of each of the duplicate affidavit of registration and
11thereafter such registration card and affidavit shall
12constitute the registration of such person the same as if he
13had applied for registration in person.
14(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
15eff. 7-13-12; 98-104, eff. 7-22-13; 98-115, eff. 10-1-13;
1698-756, eff. 7-16-14.)
 
17    (Text of Section after amendment by P.A. 98-1171)
18    Sec. 4-10. Except as herein provided, no person shall be
19registered, unless he applies in person to a registration
20officer, answers such relevant questions as may be asked of him
21by the registration officer, and executes the affidavit of
22registration. The registration officer shall require the
23applicant to furnish two forms of identification, and except in
24the case of a homeless individual, one of which must include
25his or her residence address. These forms of identification

 

 

HB2755- 194 -LRB099 08043 RPS 28187 b

1shall include, but not be limited to, any of the following:
2driver's license, social security card, public aid
3identification card, utility bill, employee or student
4identification card, lease or contract for a residence, credit
5card, or a civic, union or professional association membership
6card. The registration officer shall require a homeless
7individual to furnish evidence of his or her use of the mailing
8address stated. This use may be demonstrated by a piece of mail
9addressed to that individual and received at that address or by
10a statement from a person authorizing use of the mailing
11address. The registration officer shall require each applicant
12for registration to read or have read to him the affidavit of
13registration before permitting him to execute the affidavit.
14    One of the registration officers or a deputy registration
15officer, county clerk, or clerk in the office of the county
16clerk, shall administer to all persons who shall personally
17apply to register the following oath or affirmation:
18    "You do solemnly swear (or affirm) that you will fully and
19truly answer all such questions as shall be put to you touching
20your name, place of residence, place of birth, your
21qualifications as an elector and your right as such to register
22and vote under the laws of the State of Illinois."
23    The registration officer shall satisfy himself that each
24applicant for registration is qualified to register before
25registering him. If the registration officer has reason to
26believe that the applicant is a resident of a Soldiers' and

 

 

HB2755- 195 -LRB099 08043 RPS 28187 b

1Sailors' Home or any facility which is licensed or certified
2pursuant to the Nursing Home Care Act, the Specialized Mental
3Health Rehabilitation Act of 2013, or the ID/DD Community Care
4Act, or the MC/DD Act, the following question shall be put,
5"When you entered the home which is your present address, was
6it your bona fide intention to become a resident thereof?" Any
7voter of a township, city, village or incorporated town in
8which such applicant resides, shall be permitted to be present
9at the place of any precinct registration and shall have the
10right to challenge any applicant who applies to be registered.
11    In case the officer is not satisfied that the applicant is
12qualified he shall forthwith notify such applicant in writing
13to appear before the county clerk to complete his registration.
14Upon the card of such applicant shall be written the word
15"incomplete" and no such applicant shall be permitted to vote
16unless such registration is satisfactorily completed as
17hereinafter provided. No registration shall be taken and marked
18as incomplete if information to complete it can be furnished on
19the date of the original application.
20    Any person claiming to be an elector in any election
21precinct and whose registration card is marked "Incomplete" may
22make and sign an application in writing, under oath, to the
23county clerk in substance in the following form:
24    "I do solemnly swear that I, ...., did on (insert date)
25make application to the board of registry of the .... precinct
26of the township of .... (or to the county clerk of .... county)

 

 

HB2755- 196 -LRB099 08043 RPS 28187 b

1and that said board or clerk refused to complete my
2registration as a qualified voter in said precinct. That I
3reside in said precinct, that I intend to reside in said
4precinct, and am a duly qualified voter of said precinct and am
5entitled to be registered to vote in said precinct at the next
6election.
7(Signature of applicant) ............................."
 
8    All such applications shall be presented to the county
9clerk or to his duly authorized representative by the
10applicant, in person between the hours of 9:00 a.m. and 5:00
11p.m. on any day after the days on which the 1969 and 1970
12precinct re-registrations are held but not on any day within 27
13days preceding the ensuing general election and thereafter for
14the registration provided in Section 4-7 all such applications
15shall be presented to the county clerk or his duly authorized
16representative by the applicant in person between the hours of
179:00 a.m. and 5:00 p.m. on any day prior to 27 days preceding
18the ensuing general election. Such application shall be heard
19by the county clerk or his duly authorized representative at
20the time the application is presented. If the applicant for
21registration has registered with the county clerk, such
22application may be presented to and heard by the county clerk
23or by his duly authorized representative upon the dates
24specified above or at any time prior thereto designated by the
25county clerk.

 

 

HB2755- 197 -LRB099 08043 RPS 28187 b

1    Any otherwise qualified person who is absent from his
2county of residence either due to business of the United States
3or because he is temporarily outside the territorial limits of
4the United States may become registered by mailing an
5application to the county clerk within the periods of
6registration provided for in this Article, or by simultaneous
7application for registration by mail and vote by mail ballot as
8provided in Article 20 of this Code.
9    Upon receipt of such application the county clerk shall
10immediately mail an affidavit of registration in duplicate,
11which affidavit shall contain the following and such other
12information as the State Board of Elections may think it proper
13to require for the identification of the applicant:
14    Name. The name of the applicant, giving surname and first
15or Christian name in full, and the middle name or the initial
16for such middle name, if any.
17    Sex.
18    Residence. The name and number of the street, avenue or
19other location of the dwelling, and such additional clear and
20definite description as may be necessary to determine the exact
21location of the dwelling of the applicant. Where the location
22cannot be determined by street and number, then the Section,
23congressional township and range number may be used, or such
24other information as may be necessary, including post office
25mailing address.
26    Electronic mail address, if the registrant has provided

 

 

HB2755- 198 -LRB099 08043 RPS 28187 b

1this information.
2    Term of residence in the State of Illinois and the
3precinct.
4    Nativity. The State or country in which the applicant was
5born.
6    Citizenship. Whether the applicant is native born or
7naturalized. If naturalized, the court, place and date of
8naturalization.
9    Age. Date of birth, by month, day and year.
10    Out of State address of ..........................
11
AFFIDAVIT OF REGISTRATION
12State of ...........)  
13                   )ss
14County of ..........)
15    I hereby swear (or affirm) that I am a citizen of the
16United States; that on the day of the next election I shall
17have resided in the State of Illinois and in the election
18precinct 30 days; that I am fully qualified to vote, that I am
19not registered to vote anywhere else in the United States, that
20I intend to remain a resident of the State of Illinois and of
21the election precinct, that I intend to return to the State of
22Illinois, and that the above statements are true.
23
..............................
24
(His or her signature or mark)
25    Subscribed and sworn to before me, an officer qualified to
26administer oaths, on (insert date).

 

 

HB2755- 199 -LRB099 08043 RPS 28187 b

1
........................................
2
Signature of officer administering oath.
3    Upon receipt of the executed duplicate affidavit of
4Registration, the county clerk shall transfer the information
5contained thereon to duplicate Registration Cards provided for
6in Section 4-8 of this Article and shall attach thereto a copy
7of each of the duplicate affidavit of registration and
8thereafter such registration card and affidavit shall
9constitute the registration of such person the same as if he
10had applied for registration in person.
11(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
12eff. 7-13-12; 98-104, eff. 7-22-13; 98-115, eff. 10-1-13;
1398-756, eff. 7-16-14; 98-1171, eff. 6-1-15.)
 
14    (10 ILCS 5/5-9)  (from Ch. 46, par. 5-9)
15    (Text of Section before amendment by P.A. 98-1171)
16    Sec. 5-9. Except as herein provided, no person shall be
17registered unless he applies in person to registration officer,
18answers such relevant questions as may be asked of him by the
19registration officer, and executes the affidavit of
20registration. The registration officer shall require the
21applicant to furnish two forms of identification, and except in
22the case of a homeless individual, one of which must include
23his or her residence address. These forms of identification
24shall include, but not be limited to, any of the following:
25driver's license, social security card, public aid

 

 

HB2755- 200 -LRB099 08043 RPS 28187 b

1identification card, utility bill, employee or student
2identification card, lease or contract for a residence, credit
3card, or a civic, union or professional association membership
4card. The registration officer shall require a homeless
5individual to furnish evidence of his or her use of the mailing
6address stated. This use may be demonstrated by a piece of mail
7addressed to that individual and received at that address or by
8a statement from a person authorizing use of the mailing
9address. The registration officer shall require each applicant
10for registration to read or have read to him the affidavit of
11registration before permitting him to execute the affidavit.
12    One of the Deputy Registrars, the Judge of Registration, or
13an Officer of Registration, County Clerk, or clerk in the
14office of the County Clerk, shall administer to all persons who
15shall personally apply to register the following oath or
16affirmation:
17    "You do solemnly swear (or affirm) that you will fully and
18truly answer all such questions as shall be put to you touching
19your place of residence, name, place of birth, your
20qualifications as an elector and your right as such to register
21and vote under the laws of the State of Illinois."
22    The Registration Officer shall satisfy himself that each
23applicant for registration is qualified to register before
24registering him. If the registration officer has reason to
25believe that the applicant is a resident of a Soldiers' and
26Sailors' Home or any facility which is licensed or certified

 

 

HB2755- 201 -LRB099 08043 RPS 28187 b

1pursuant to the Nursing Home Care Act, the Specialized Mental
2Health Rehabilitation Act of 2013, or the ID/DD Community Care
3Act, the following question shall be put, "When you entered the
4home which is your present address, was it your bona fide
5intention to become a resident thereof?" Any voter of a
6township, city, village or incorporated town in which such
7applicant resides, shall be permitted to be present at the
8place of precinct registration, and shall have the right to
9challenge any applicant who applies to be registered.
10    In case the officer is not satisfied that the applicant is
11qualified, he shall forthwith in writing notify such applicant
12to appear before the County Clerk to furnish further proof of
13his qualifications. Upon the card of such applicant shall be
14written the word "Incomplete" and no such applicant shall be
15permitted to vote unless such registration is satisfactorily
16completed as hereinafter provided. No registration shall be
17taken and marked as "incomplete" if information to complete it
18can be furnished on the date of the original application.
19    Any person claiming to be an elector in any election
20precinct in such township, city, village or incorporated town
21and whose registration is marked "Incomplete" may make and sign
22an application in writing, under oath, to the County Clerk in
23substance in the following form:
24    "I do solemnly swear that I, .........., did on (insert
25date) make application to the Board of Registry of the ........
26precinct of ........ ward of the City of .... or of the

 

 

HB2755- 202 -LRB099 08043 RPS 28187 b

1......... District ......... Town of .......... (or to the
2County Clerk of .............) and ............ County; that
3said Board or Clerk refused to complete my registration as a
4qualified voter in said precinct, that I reside in said
5precinct (or that I intend to reside in said precinct), am a
6duly qualified voter and entitled to vote in said precinct at
7the next election.
8
...........................
9
(Signature of Applicant)"
10    All such applications shall be presented to the County
11Clerk by the applicant, in person between the hours of nine
12o'clock a.m. and five o'clock p.m., on Monday and Tuesday of
13the third week subsequent to the weeks in which the 1961 and
141962 precinct re-registrations are to be held, and thereafter
15for the registration provided in Section 5-17 of this Article,
16all such applications shall be presented to the County Clerk by
17the applicant in person between the hours of nine o'clock a.m.
18and nine o'clock p.m. on Monday and Tuesday of the third week
19prior to the date on which such election is to be held.
20    Any otherwise qualified person who is absent from his
21county of residence either due to business of the United States
22or because he is temporarily outside the territorial limits of
23the United States may become registered by mailing an
24application to the county clerk within the periods of
25registration provided for in this Article or by simultaneous
26application for absentee registration and absentee ballot as

 

 

HB2755- 203 -LRB099 08043 RPS 28187 b

1provided in Article 20 of this Code.
2    Upon receipt of such application the county clerk shall
3immediately mail an affidavit of registration in duplicate,
4which affidavit shall contain the following and such other
5information as the State Board of Elections may think it proper
6to require for the identification of the applicant:
7    Name. The name of the applicant, giving surname and first
8or Christian name in full, and the middle name or the initial
9for such middle name, if any.
10    Sex.
11    Residence. The name and number of the street, avenue or
12other location of the dwelling, and such additional clear and
13definite description as may be necessary to determine the exact
14location of the dwelling of the applicant. Where the location
15cannot be determined by street and number, then the Section,
16congressional township and range number may be used, or such
17other information as may be necessary, including post office
18mailing address.
19    Electronic mail address, if the registrant has provided
20this information.
21    Term of residence in the State of Illinois and the
22precinct.
23    Nativity. The State or country in which the applicant was
24born.
25    Citizenship. Whether the applicant is native born or
26naturalized. If naturalized, the court, place and date of

 

 

HB2755- 204 -LRB099 08043 RPS 28187 b

1naturalization.
2    Age. Date of birth, by month, day and year.
3    Out of State address of ..........................
4
AFFIDAVIT OF REGISTRATION
5State of .........)  
6                 )ss
7County of ........)
8    I hereby swear (or affirm) that I am a citizen of the
9United States; that on the day of the next election I shall
10have resided in the State of Illinois for 6 months and in the
11election precinct 30 days; that I am fully qualified to vote,
12that I am not registered to vote anywhere else in the United
13States, that I intend to remain a resident of the State of
14Illinois and of the election precinct, that I intend to return
15to the State of Illinois, and that the above statements are
16true.
17
..............................
18
(His or her signature or mark)
19    Subscribed and sworn to before me, an officer qualified to
20administer oaths, on (insert date).
21
........................................
22
Signature of officer administering oath.

 
23    Upon receipt of the executed duplicate affidavit of
24Registration, the county clerk shall transfer the information
25contained thereon to duplicate Registration Cards provided for

 

 

HB2755- 205 -LRB099 08043 RPS 28187 b

1in Section 5-7 of this Article and shall attach thereto a copy
2of each of the duplicate affidavit of registration and
3thereafter such registration card and affidavit shall
4constitute the registration of such person the same as if he
5had applied for registration in person.
6(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
7eff. 7-13-12; 98-104, eff. 7-22-13; 98-115, eff. 10-1-13;
898-756, eff. 7-16-14.)
 
9    (Text of Section after amendment by P.A. 98-1171)
10    Sec. 5-9. Except as herein provided, no person shall be
11registered unless he applies in person to registration officer,
12answers such relevant questions as may be asked of him by the
13registration officer, and executes the affidavit of
14registration. The registration officer shall require the
15applicant to furnish two forms of identification, and except in
16the case of a homeless individual, one of which must include
17his or her residence address. These forms of identification
18shall include, but not be limited to, any of the following:
19driver's license, social security card, public aid
20identification card, utility bill, employee or student
21identification card, lease or contract for a residence, credit
22card, or a civic, union or professional association membership
23card. The registration officer shall require a homeless
24individual to furnish evidence of his or her use of the mailing
25address stated. This use may be demonstrated by a piece of mail

 

 

HB2755- 206 -LRB099 08043 RPS 28187 b

1addressed to that individual and received at that address or by
2a statement from a person authorizing use of the mailing
3address. The registration officer shall require each applicant
4for registration to read or have read to him the affidavit of
5registration before permitting him to execute the affidavit.
6    One of the Deputy Registrars, the Judge of Registration, or
7an Officer of Registration, County Clerk, or clerk in the
8office of the County Clerk, shall administer to all persons who
9shall personally apply to register the following oath or
10affirmation:
11    "You do solemnly swear (or affirm) that you will fully and
12truly answer all such questions as shall be put to you touching
13your place of residence, name, place of birth, your
14qualifications as an elector and your right as such to register
15and vote under the laws of the State of Illinois."
16    The Registration Officer shall satisfy himself that each
17applicant for registration is qualified to register before
18registering him. If the registration officer has reason to
19believe that the applicant is a resident of a Soldiers' and
20Sailors' Home or any facility which is licensed or certified
21pursuant to the Nursing Home Care Act, the Specialized Mental
22Health Rehabilitation Act of 2013, or the ID/DD Community Care
23Act, or the MC/DD Act, the following question shall be put,
24"When you entered the home which is your present address, was
25it your bona fide intention to become a resident thereof?" Any
26voter of a township, city, village or incorporated town in

 

 

HB2755- 207 -LRB099 08043 RPS 28187 b

1which such applicant resides, shall be permitted to be present
2at the place of precinct registration, and shall have the right
3to challenge any applicant who applies to be registered.
4    In case the officer is not satisfied that the applicant is
5qualified, he shall forthwith in writing notify such applicant
6to appear before the County Clerk to furnish further proof of
7his qualifications. Upon the card of such applicant shall be
8written the word "Incomplete" and no such applicant shall be
9permitted to vote unless such registration is satisfactorily
10completed as hereinafter provided. No registration shall be
11taken and marked as "incomplete" if information to complete it
12can be furnished on the date of the original application.
13    Any person claiming to be an elector in any election
14precinct in such township, city, village or incorporated town
15and whose registration is marked "Incomplete" may make and sign
16an application in writing, under oath, to the County Clerk in
17substance in the following form:
18    "I do solemnly swear that I, .........., did on (insert
19date) make application to the Board of Registry of the ........
20precinct of ........ ward of the City of .... or of the
21......... District ......... Town of .......... (or to the
22County Clerk of .............) and ............ County; that
23said Board or Clerk refused to complete my registration as a
24qualified voter in said precinct, that I reside in said
25precinct (or that I intend to reside in said precinct), am a
26duly qualified voter and entitled to vote in said precinct at

 

 

HB2755- 208 -LRB099 08043 RPS 28187 b

1the next election.
2
...........................
3
(Signature of Applicant)"
4    All such applications shall be presented to the County
5Clerk by the applicant, in person between the hours of nine
6o'clock a.m. and five o'clock p.m., on Monday and Tuesday of
7the third week subsequent to the weeks in which the 1961 and
81962 precinct re-registrations are to be held, and thereafter
9for the registration provided in Section 5-17 of this Article,
10all such applications shall be presented to the County Clerk by
11the applicant in person between the hours of nine o'clock a.m.
12and nine o'clock p.m. on Monday and Tuesday of the third week
13prior to the date on which such election is to be held.
14    Any otherwise qualified person who is absent from his
15county of residence either due to business of the United States
16or because he is temporarily outside the territorial limits of
17the United States may become registered by mailing an
18application to the county clerk within the periods of
19registration provided for in this Article or by simultaneous
20application for registration by mail and vote by mail ballot as
21provided in Article 20 of this Code.
22    Upon receipt of such application the county clerk shall
23immediately mail an affidavit of registration in duplicate,
24which affidavit shall contain the following and such other
25information as the State Board of Elections may think it proper
26to require for the identification of the applicant:

 

 

HB2755- 209 -LRB099 08043 RPS 28187 b

1    Name. The name of the applicant, giving surname and first
2or Christian name in full, and the middle name or the initial
3for such middle name, if any.
4    Sex.
5    Residence. The name and number of the street, avenue or
6other location of the dwelling, and such additional clear and
7definite description as may be necessary to determine the exact
8location of the dwelling of the applicant. Where the location
9cannot be determined by street and number, then the Section,
10congressional township and range number may be used, or such
11other information as may be necessary, including post office
12mailing address.
13    Electronic mail address, if the registrant has provided
14this information.
15    Term of residence in the State of Illinois and the
16precinct.
17    Nativity. The State or country in which the applicant was
18born.
19    Citizenship. Whether the applicant is native born or
20naturalized. If naturalized, the court, place and date of
21naturalization.
22    Age. Date of birth, by month, day and year.
23    Out of State address of ..........................
24
AFFIDAVIT OF REGISTRATION
25State of .........)  
26                 )ss

 

 

HB2755- 210 -LRB099 08043 RPS 28187 b

1County of ........)
2    I hereby swear (or affirm) that I am a citizen of the
3United States; that on the day of the next election I shall
4have resided in the State of Illinois for 6 months and in the
5election precinct 30 days; that I am fully qualified to vote,
6that I am not registered to vote anywhere else in the United
7States, that I intend to remain a resident of the State of
8Illinois and of the election precinct, that I intend to return
9to the State of Illinois, and that the above statements are
10true.
11
..............................
12
(His or her signature or mark)
13    Subscribed and sworn to before me, an officer qualified to
14administer oaths, on (insert date).
15
........................................
16
Signature of officer administering oath.

 
17    Upon receipt of the executed duplicate affidavit of
18Registration, the county clerk shall transfer the information
19contained thereon to duplicate Registration Cards provided for
20in Section 5-7 of this Article and shall attach thereto a copy
21of each of the duplicate affidavit of registration and
22thereafter such registration card and affidavit shall
23constitute the registration of such person the same as if he
24had applied for registration in person.
25(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,

 

 

HB2755- 211 -LRB099 08043 RPS 28187 b

1eff. 7-13-12; 98-104, eff. 7-22-13; 98-115, eff. 10-1-13;
298-756, eff. 7-16-14; 98-1171, eff. 6-1-15.)
 
3    (10 ILCS 5/5-16.3)  (from Ch. 46, par. 5-16.3)
4    (Text of Section before amendment by P.A. 98-1171)
5    Sec. 5-16.3. The county clerk may establish temporary
6places of registration for such times and at such locations
7within the county as the county clerk may select. However, no
8temporary place of registration may be in operation during the
927 days preceding an election. Notice of time and place of
10registration at any such temporary place of registration under
11this Section shall be published by the county clerk in a
12newspaper having a general circulation in the county not less
13than 3 nor more than 15 days before the holding of such
14registration.
15    Temporary places of registration shall be established so
16that the areas of concentration of population or use by the
17public are served, whether by facilities provided in places of
18private business or in public buildings or in mobile units.
19Areas which may be designated as temporary places of
20registration include, but are not limited to, facilities
21licensed or certified pursuant to the Nursing Home Care Act,
22the Specialized Mental Health Rehabilitation Act of 2013, or
23the ID/DD Community Care Act, Soldiers' and Sailors' Homes,
24shopping centers, business districts, public buildings and
25county fairs.

 

 

HB2755- 212 -LRB099 08043 RPS 28187 b

1    Temporary places of registration shall be available to the
2public not less than 2 hours per year for each 1,000 population
3or fraction thereof in the county.
4    All temporary places of registration shall be manned by
5deputy county clerks or deputy registrars appointed pursuant to
6Section 5-16.2.
7(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
8eff. 7-13-12; 98-104, eff. 7-22-13.)
 
9    (Text of Section after amendment by P.A. 98-1171)
10    Sec. 5-16.3. The county clerk may establish temporary
11places of registration for such times and at such locations
12within the county as the county clerk may select. Notice of
13time and place of registration at any such temporary place of
14registration under this Section shall be published by the
15county clerk in a newspaper having a general circulation in the
16county not less than 3 nor more than 15 days before the holding
17of such registration.
18    Temporary places of registration shall be established so
19that the areas of concentration of population or use by the
20public are served, whether by facilities provided in places of
21private business or in public buildings or in mobile units.
22Areas which may be designated as temporary places of
23registration include, but are not limited to, facilities
24licensed or certified pursuant to the Nursing Home Care Act,
25the Specialized Mental Health Rehabilitation Act of 2013, or

 

 

HB2755- 213 -LRB099 08043 RPS 28187 b

1the ID/DD Community Care Act, or the MC/DD Act, Soldiers' and
2Sailors' Homes, shopping centers, business districts, public
3buildings and county fairs.
4    Temporary places of registration shall be available to the
5public not less than 2 hours per year for each 1,000 population
6or fraction thereof in the county.
7    All temporary places of registration shall be manned by
8deputy county clerks or deputy registrars appointed pursuant to
9Section 5-16.2.
10(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
11eff. 7-13-12; 98-104, eff. 7-22-13; 98-1171, eff. 6-1-15.)
 
12    (10 ILCS 5/6-50.3)  (from Ch. 46, par. 6-50.3)
13    (Text of Section before amendment by P.A. 98-1171)
14    Sec. 6-50.3. The board of election commissioners may
15establish temporary places of registration for such times and
16at such locations as the board may select. However, no
17temporary place of registration may be in operation during the
1827 days preceding an election. Notice of the time and place of
19registration at any such temporary place of registration under
20this Section shall be published by the board of election
21commissioners in a newspaper having a general circulation in
22the city, village or incorporated town not less than 3 nor more
23than 15 days before the holding of such registration.
24    Temporary places of registration shall be established so
25that the areas of concentration of population or use by the

 

 

HB2755- 214 -LRB099 08043 RPS 28187 b

1public are served, whether by facilities provided in places of
2private business or in public buildings or in mobile units.
3Areas which may be designated as temporary places of
4registration include, but are not limited to, facilities
5licensed or certified pursuant to the Nursing Home Care Act,
6the Specialized Mental Health Rehabilitation Act of 2013, or
7the ID/DD Community Care Act, Soldiers' and Sailors' Homes,
8shopping centers, business districts, public buildings and
9county fairs.
10    Temporary places of registration shall be available to the
11public not less than 2 hours per year for each 1,000 population
12or fraction thereof in the county.
13    All temporary places of registration shall be manned by
14employees of the board of election commissioners or deputy
15registrars appointed pursuant to Section 6-50.2.
16(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
17eff. 7-13-12; 98-104, eff. 7-22-13.)
 
18    (Text of Section after amendment by P.A. 98-1171)
19    Sec. 6-50.3. The board of election commissioners may
20establish temporary places of registration for such times and
21at such locations as the board may select. Notice of the time
22and place of registration at any such temporary place of
23registration under this Section shall be published by the board
24of election commissioners in a newspaper having a general
25circulation in the city, village or incorporated town not less

 

 

HB2755- 215 -LRB099 08043 RPS 28187 b

1than 3 nor more than 15 days before the holding of such
2registration.
3    Temporary places of registration shall be established so
4that the areas of concentration of population or use by the
5public are served, whether by facilities provided in places of
6private business or in public buildings or in mobile units.
7Areas which may be designated as temporary places of
8registration include, but are not limited to, facilities
9licensed or certified pursuant to the Nursing Home Care Act,
10the Specialized Mental Health Rehabilitation Act of 2013, or
11the ID/DD Community Care Act, or the MC/DD Act, Soldiers' and
12Sailors' Homes, shopping centers, business districts, public
13buildings and county fairs.
14    Temporary places of registration shall be available to the
15public not less than 2 hours per year for each 1,000 population
16or fraction thereof in the county.
17    All temporary places of registration shall be manned by
18employees of the board of election commissioners or deputy
19registrars appointed pursuant to Section 6-50.2.
20(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
21eff. 7-13-12; 98-104, eff. 7-22-13; 98-1171, eff. 6-1-15.)
 
22    (10 ILCS 5/6-56)  (from Ch. 46, par. 6-56)
23    Sec. 6-56. Not more than 30 nor less than 28 days before
24any election under this Article, all owners, managers,
25administrators or operators of hotels, lodging houses, rooming

 

 

HB2755- 216 -LRB099 08043 RPS 28187 b

1houses, furnished apartments or facilities licensed or
2certified under the Nursing Home Care Act, which house 4 or
3more persons, outside the members of the family of such owner,
4manager, administrator or operator, shall file with the board
5of election commissioners a report, under oath, together with
6one copy thereof, in such form as may be required by the board
7of election commissioners, of the names and descriptions of all
8lodgers, guests or residents claiming a voting residence at the
9hotels, lodging houses, rooming houses, furnished apartments,
10or facility licensed or certified under the Nursing Home Care
11Act, the Specialized Mental Health Rehabilitation Act of 2013,
12or the ID/DD Community Care Act, or the MC/DD Act under their
13control. In counties having a population of 500,000 or more
14such report shall be made on forms mailed to them by the board
15of election commissioners. The board of election commissioners
16shall sort and assemble the sworn copies of the reports in
17numerical order according to ward and according to precincts
18within each ward and shall, not later than 5 days after the
19last day allowed by this Article for the filing of the reports,
20maintain one assembled set of sworn duplicate reports available
21for public inspection until 60 days after election days. Except
22as is otherwise expressly provided in this Article, the board
23shall not be required to perform any duties with respect to the
24sworn reports other than to mail, sort, assemble, post and file
25them as hereinabove provided.
26    Except in such cases where a precinct canvass is being

 

 

HB2755- 217 -LRB099 08043 RPS 28187 b

1conducted by the Board of Election Commissioners prior to a
2Primary or Election, the board of election commissioners shall
3compare the original copy of each such report with the list of
4registered voters from such addresses. Every person registered
5from such address and not listed in such report or whose name
6is different from any name so listed, shall immediately after
7the last day of registration be sent a notice through the
8United States mail, at the address appearing upon his
9registration record card, requiring him to appear before the
10board of election commissioners on one of the days specified in
11Section 6-45 of this Article and show cause why his
12registration should not be cancelled. The provisions of
13Sections 6-45, 6-46 and 6-47 of this Article shall apply to
14such hearing and proceedings subsequent thereto.
15    Any owner, manager or operator of any such hotel, lodging
16house, rooming house or furnished apartment who shall fail or
17neglect to file such statement and copy thereof as in this
18Article provided, may, upon written information of the attorney
19for the election commissioners, be cited by the election
20commissioners or upon the complaint of any voter of such city,
21village or incorporated town, to appear before them and furnish
22such sworn statement and copy thereof and make such oral
23statements under oath regarding such hotel, lodging house,
24rooming house or furnished apartment, as the election
25commissioners may require. The election commissioners shall
26sit to hear such citations on the Friday of the fourth week

 

 

HB2755- 218 -LRB099 08043 RPS 28187 b

1preceding the week in which such election is to be held. Such
2citation shall be served not later than the day preceding the
3day on which it is returnable.
4(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
5eff. 7-13-12; 98-104, eff. 7-22-13.)
 
6    (10 ILCS 5/19-4)   (from Ch. 46, par. 19-4)
7    (Text of Section before amendment by P.A. 98-1171)
8    Sec. 19-4. Mailing or delivery of ballots; time.
9Immediately upon the receipt of such application either by mail
10or electronic means, not more than 40 days nor less than 5 days
11prior to such election, or by personal delivery not more than
1240 days nor less than one day prior to such election, at the
13office of such election authority, it shall be the duty of such
14election authority to examine the records to ascertain whether
15or not such applicant is lawfully entitled to vote as
16requested, including a verification of the applicant's
17signature by comparison with the signature on the official
18registration record card, and if found so to be entitled to
19vote, to post within one business day thereafter the name,
20street address, ward and precinct number or township and
21district number, as the case may be, of such applicant given on
22a list, the pages of which are to be numbered consecutively to
23be kept by such election authority for such purpose in a
24conspicuous, open and public place accessible to the public at
25the entrance of the office of such election authority, and in

 

 

HB2755- 219 -LRB099 08043 RPS 28187 b

1such a manner that such list may be viewed without necessity of
2requesting permission therefor. Within one day after posting
3the name and other information of an applicant for an absentee
4ballot, the election authority shall transmit by electronic
5means pursuant to a process established by the State Board of
6Elections that name and other posted information to the State
7Board of Elections, which shall maintain those names and other
8information in an electronic format on its website, arranged by
9county and accessible to State and local political committees.
10Within 2 business days after posting a name and other
11information on the list within its office, the election
12authority shall mail, postage prepaid, or deliver in person in
13such office an official ballot or ballots if more than one are
14to be voted at said election. Mail delivery of Temporarily
15Absent Student ballot applications pursuant to Section 19-12.3
16shall be by nonforwardable mail. However, for the consolidated
17election, absentee ballots for certain precincts may be
18delivered to applicants not less than 25 days before the
19election if so much time is required to have prepared and
20printed the ballots containing the names of persons nominated
21for offices at the consolidated primary. The election authority
22shall enclose with each absentee ballot or application written
23instructions on how voting assistance shall be provided
24pursuant to Section 17-14 and a document, written and approved
25by the State Board of Elections, enumerating the circumstances
26under which a person is authorized to vote by absentee ballot

 

 

HB2755- 220 -LRB099 08043 RPS 28187 b

1pursuant to this Article; such document shall also include a
2statement informing the applicant that if he or she falsifies
3or is solicited by another to falsify his or her eligibility to
4cast an absentee ballot, such applicant or other is subject to
5penalties pursuant to Section 29-10 and Section 29-20 of the
6Election Code. Each election authority shall maintain a list of
7the name, street address, ward and precinct, or township and
8district number, as the case may be, of all applicants who have
9returned absentee ballots to such authority, and the name of
10such absent voter shall be added to such list within one
11business day from receipt of such ballot. If the absentee
12ballot envelope indicates that the voter was assisted in
13casting the ballot, the name of the person so assisting shall
14be included on the list. The list, the pages of which are to be
15numbered consecutively, shall be kept by each election
16authority in a conspicuous, open, and public place accessible
17to the public at the entrance of the office of the election
18authority and in a manner that the list may be viewed without
19necessity of requesting permission for viewing.
20    Each election authority shall maintain a list for each
21election of the voters to whom it has issued absentee ballots.
22The list shall be maintained for each precinct within the
23jurisdiction of the election authority. Prior to the opening of
24the polls on election day, the election authority shall deliver
25to the judges of election in each precinct the list of
26registered voters in that precinct to whom absentee ballots

 

 

HB2755- 221 -LRB099 08043 RPS 28187 b

1have been issued by mail.
2    Each election authority shall maintain a list for each
3election of voters to whom it has issued temporarily absent
4student ballots. The list shall be maintained for each election
5jurisdiction within which such voters temporarily abide.
6Immediately after the close of the period during which
7application may be made by mail or electronic means for
8absentee ballots, each election authority shall mail to each
9other election authority within the State a certified list of
10all such voters temporarily abiding within the jurisdiction of
11the other election authority.
12    In the event that the return address of an application for
13ballot by a physically incapacitated elector is that of a
14facility licensed or certified under the Nursing Home Care Act,
15the Specialized Mental Health Rehabilitation Act of 2013, or
16the ID/DD Community Care Act, within the jurisdiction of the
17election authority, and the applicant is a registered voter in
18the precinct in which such facility is located, the ballots
19shall be prepared and transmitted to a responsible judge of
20election no later than 9 a.m. on the Saturday, Sunday or Monday
21immediately preceding the election as designated by the
22election authority under Section 19-12.2. Such judge shall
23deliver in person on the designated day the ballot to the
24applicant on the premises of the facility from which
25application was made. The election authority shall by mail
26notify the applicant in such facility that the ballot will be

 

 

HB2755- 222 -LRB099 08043 RPS 28187 b

1delivered by a judge of election on the designated day.
2    All applications for absentee ballots shall be available at
3the office of the election authority for public inspection upon
4request from the time of receipt thereof by the election
5authority until 30 days after the election, except during the
6time such applications are kept in the office of the election
7authority pursuant to Section 19-7, and except during the time
8such applications are in the possession of the judges of
9election.
10(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
11eff. 7-13-12; 98-104, eff. 7-22-13; 98-115, eff. 7-29-13;
1298-756, eff. 7-16-14.)
 
13    (Text of Section after amendment by P.A. 98-1171)
14    Sec. 19-4. Mailing or delivery of ballots; time.
15Immediately upon the receipt of such application either by mail
16or electronic means, not more than 90 days nor less than 5 days
17prior to such election, or by personal delivery not more than
1890 days nor less than one day prior to such election, at the
19office of such election authority, it shall be the duty of such
20election authority to examine the records to ascertain whether
21or not such applicant is lawfully entitled to vote as
22requested, including a verification of the applicant's
23signature by comparison with the signature on the official
24registration record card, and if found so to be entitled to
25vote, to post within one business day thereafter the name,

 

 

HB2755- 223 -LRB099 08043 RPS 28187 b

1street address, ward and precinct number or township and
2district number, as the case may be, of such applicant given on
3a list, the pages of which are to be numbered consecutively to
4be kept by such election authority for such purpose in a
5conspicuous, open and public place accessible to the public at
6the entrance of the office of such election authority, and in
7such a manner that such list may be viewed without necessity of
8requesting permission therefor. Within one day after posting
9the name and other information of an applicant for a vote by
10mail ballot, the election authority shall transmit by
11electronic means pursuant to a process established by the State
12Board of Elections that name and other posted information to
13the State Board of Elections, which shall maintain those names
14and other information in an electronic format on its website,
15arranged by county and accessible to State and local political
16committees. Within 2 business days after posting a name and
17other information on the list within its office, but no sooner
18than 40 days before an election, the election authority shall
19mail, postage prepaid, or deliver in person in such office an
20official ballot or ballots if more than one are to be voted at
21said election. Mail delivery of Temporarily Absent Student
22ballot applications pursuant to Section 19-12.3 shall be by
23nonforwardable mail. However, for the consolidated election,
24vote by mail ballots for certain precincts may be delivered to
25applicants not less than 25 days before the election if so much
26time is required to have prepared and printed the ballots

 

 

HB2755- 224 -LRB099 08043 RPS 28187 b

1containing the names of persons nominated for offices at the
2consolidated primary. The election authority shall enclose
3with each vote by mail ballot or application written
4instructions on how voting assistance shall be provided
5pursuant to Section 17-14 and a document, written and approved
6by the State Board of Elections, informing the vote by mail
7voter of the required postage for returning the application and
8ballot, and enumerating the circumstances under which a person
9is authorized to vote by vote by mail ballot pursuant to this
10Article; such document shall also include a statement informing
11the applicant that if he or she falsifies or is solicited by
12another to falsify his or her eligibility to cast a vote by
13mail ballot, such applicant or other is subject to penalties
14pursuant to Section 29-10 and Section 29-20 of the Election
15Code. Each election authority shall maintain a list of the
16name, street address, ward and precinct, or township and
17district number, as the case may be, of all applicants who have
18returned vote by mail ballots to such authority, and the name
19of such vote by mail voter shall be added to such list within
20one business day from receipt of such ballot. If the vote by
21mail ballot envelope indicates that the voter was assisted in
22casting the ballot, the name of the person so assisting shall
23be included on the list. The list, the pages of which are to be
24numbered consecutively, shall be kept by each election
25authority in a conspicuous, open, and public place accessible
26to the public at the entrance of the office of the election

 

 

HB2755- 225 -LRB099 08043 RPS 28187 b

1authority and in a manner that the list may be viewed without
2necessity of requesting permission for viewing.
3    Each election authority shall maintain a list for each
4election of the voters to whom it has issued vote by mail
5ballots. The list shall be maintained for each precinct within
6the jurisdiction of the election authority. Prior to the
7opening of the polls on election day, the election authority
8shall deliver to the judges of election in each precinct the
9list of registered voters in that precinct to whom vote by mail
10ballots have been issued by mail.
11    Each election authority shall maintain a list for each
12election of voters to whom it has issued temporarily absent
13student ballots. The list shall be maintained for each election
14jurisdiction within which such voters temporarily abide.
15Immediately after the close of the period during which
16application may be made by mail or electronic means for vote by
17mail ballots, each election authority shall mail to each other
18election authority within the State a certified list of all
19such voters temporarily abiding within the jurisdiction of the
20other election authority.
21    In the event that the return address of an application for
22ballot by a physically incapacitated elector is that of a
23facility licensed or certified under the Nursing Home Care Act,
24the Specialized Mental Health Rehabilitation Act of 2013, or
25the ID/DD Community Care Act, or the MC/DD Act, within the
26jurisdiction of the election authority, and the applicant is a

 

 

HB2755- 226 -LRB099 08043 RPS 28187 b

1registered voter in the precinct in which such facility is
2located, the ballots shall be prepared and transmitted to a
3responsible judge of election no later than 9 a.m. on the
4Saturday, Sunday or Monday immediately preceding the election
5as designated by the election authority under Section 19-12.2.
6Such judge shall deliver in person on the designated day the
7ballot to the applicant on the premises of the facility from
8which application was made. The election authority shall by
9mail notify the applicant in such facility that the ballot will
10be delivered by a judge of election on the designated day.
11    All applications for vote by mail ballots shall be
12available at the office of the election authority for public
13inspection upon request from the time of receipt thereof by the
14election authority until 30 days after the election, except
15during the time such applications are kept in the office of the
16election authority pursuant to Section 19-7, and except during
17the time such applications are in the possession of the judges
18of election.
19(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
20eff. 7-13-12; 98-104, eff. 7-22-13; 98-115, eff. 7-29-13;
2198-756, eff. 7-16-14; 98-1171, eff. 6-1-15.)
 
22    (10 ILCS 5/19-12.1)  (from Ch. 46, par. 19-12.1)
23    (Text of Section before amendment by P.A. 98-1171)
24    Sec. 19-12.1. Any qualified elector who has secured an
25Illinois Person with a Disability Identification Card in

 

 

HB2755- 227 -LRB099 08043 RPS 28187 b

1accordance with the Illinois Identification Card Act,
2indicating that the person named thereon has a Class 1A or
3Class 2 disability or any qualified voter who has a permanent
4physical incapacity of such a nature as to make it improbable
5that he will be able to be present at the polls at any future
6election, or any voter who is a resident of (i) a federally
7operated veterans' home, hospital, or facility located in
8Illinois or (ii) a facility licensed or certified pursuant to
9the Nursing Home Care Act, the Specialized Mental Health
10Rehabilitation Act of 2013, or the ID/DD Community Care Act and
11has a condition or disability of such a nature as to make it
12improbable that he will be able to be present at the polls at
13any future election, may secure a disabled voter's or nursing
14home resident's identification card, which will enable him to
15vote under this Article as a physically incapacitated or
16nursing home voter. For the purposes of this Section,
17"federally operated veterans' home, hospital, or facility"
18means the long-term care facilities at the Jesse Brown VA
19Medical Center, Illiana Health Care System, Edward Hines, Jr.
20VA Hospital, Marion VA Medical Center, and Captain James A.
21Lovell Federal Health Care Center.
22    Application for a disabled voter's or nursing home
23resident's identification card shall be made either: (a) in
24writing, with voter's sworn affidavit, to the county clerk or
25board of election commissioners, as the case may be, and shall
26be accompanied by the affidavit of the attending physician

 

 

HB2755- 228 -LRB099 08043 RPS 28187 b

1specifically describing the nature of the physical incapacity
2or the fact that the voter is a nursing home resident and is
3physically unable to be present at the polls on election days;
4or (b) by presenting, in writing or otherwise, to the county
5clerk or board of election commissioners, as the case may be,
6proof that the applicant has secured an Illinois Person with a
7Disability Identification Card indicating that the person
8named thereon has a Class 1A or Class 2 disability. Upon the
9receipt of either the sworn-to application and the physician's
10affidavit or proof that the applicant has secured an Illinois
11Person with a Disability Identification Card indicating that
12the person named thereon has a Class 1A or Class 2 disability,
13the county clerk or board of election commissioners shall issue
14a disabled voter's or nursing home resident's identification
15card. Such identification cards shall be issued for a period of
165 years, upon the expiration of which time the voter may secure
17a new card by making application in the same manner as is
18prescribed for the issuance of an original card, accompanied by
19a new affidavit of the attending physician. The date of
20expiration of such five-year period shall be made known to any
21interested person by the election authority upon the request of
22such person. Applications for the renewal of the identification
23cards shall be mailed to the voters holding such cards not less
24than 3 months prior to the date of expiration of the cards.
25    Each disabled voter's or nursing home resident's
26identification card shall bear an identification number, which

 

 

HB2755- 229 -LRB099 08043 RPS 28187 b

1shall be clearly noted on the voter's original and duplicate
2registration record cards. In the event the holder becomes
3physically capable of resuming normal voting, he must surrender
4his disabled voter's or nursing home resident's identification
5card to the county clerk or board of election commissioners
6before the next election.
7    The holder of a disabled voter's or nursing home resident's
8identification card may make application by mail for an
9official ballot within the time prescribed by Section 19-2.
10Such application shall contain the same information as is
11included in the form of application for ballot by a physically
12incapacitated elector prescribed in Section 19-3 except that it
13shall also include the applicant's disabled voter's
14identification card number and except that it need not be sworn
15to. If an examination of the records discloses that the
16applicant is lawfully entitled to vote, he shall be mailed a
17ballot as provided in Section 19-4. The ballot envelope shall
18be the same as that prescribed in Section 19-5 for physically
19disabled voters, and the manner of voting and returning the
20ballot shall be the same as that provided in this Article for
21other absentee ballots, except that a statement to be
22subscribed to by the voter but which need not be sworn to shall
23be placed on the ballot envelope in lieu of the affidavit
24prescribed by Section 19-5.
25    Any person who knowingly subscribes to a false statement in
26connection with voting under this Section shall be guilty of a

 

 

HB2755- 230 -LRB099 08043 RPS 28187 b

1Class A misdemeanor.
2    For the purposes of this Section, "nursing home resident"
3includes a resident of (i) a federally operated veterans' home,
4hospital, or facility located in Illinois or (ii) a facility
5licensed under the ID/DD Community Care Act or the Specialized
6Mental Health Rehabilitation Act of 2013. For the purposes of
7this Section, "federally operated veterans' home, hospital, or
8facility" means the long-term care facilities at the Jesse
9Brown VA Medical Center, Illiana Health Care System, Edward
10Hines, Jr. VA Hospital, Marion VA Medical Center, and Captain
11James A. Lovell Federal Health Care Center.
12(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-275,
13eff. 1-1-12; 97-813, eff. 7-13-12; 97-1064, eff. 1-1-13;
1498-104, eff. 7-22-13.)
 
15    (Text of Section after amendment by P.A. 98-1171)
16    Sec. 19-12.1. Any qualified elector who has secured an
17Illinois Person with a Disability Identification Card in
18accordance with the Illinois Identification Card Act,
19indicating that the person named thereon has a Class 1A or
20Class 2 disability or any qualified voter who has a permanent
21physical incapacity of such a nature as to make it improbable
22that he will be able to be present at the polls at any future
23election, or any voter who is a resident of (i) a federally
24operated veterans' home, hospital, or facility located in
25Illinois or (ii) a facility licensed or certified pursuant to

 

 

HB2755- 231 -LRB099 08043 RPS 28187 b

1the Nursing Home Care Act, the Specialized Mental Health
2Rehabilitation Act of 2013, or the ID/DD Community Care Act, or
3the MC/DD Act and has a condition or disability of such a
4nature as to make it improbable that he will be able to be
5present at the polls at any future election, may secure a
6disabled voter's or nursing home resident's identification
7card, which will enable him to vote under this Article as a
8physically incapacitated or nursing home voter. For the
9purposes of this Section, "federally operated veterans' home,
10hospital, or facility" means the long-term care facilities at
11the Jesse Brown VA Medical Center, Illiana Health Care System,
12Edward Hines, Jr. VA Hospital, Marion VA Medical Center, and
13Captain James A. Lovell Federal Health Care Center.
14    Application for a disabled voter's or nursing home
15resident's identification card shall be made either: (a) in
16writing, with voter's sworn affidavit, to the county clerk or
17board of election commissioners, as the case may be, and shall
18be accompanied by the affidavit of the attending physician
19specifically describing the nature of the physical incapacity
20or the fact that the voter is a nursing home resident and is
21physically unable to be present at the polls on election days;
22or (b) by presenting, in writing or otherwise, to the county
23clerk or board of election commissioners, as the case may be,
24proof that the applicant has secured an Illinois Person with a
25Disability Identification Card indicating that the person
26named thereon has a Class 1A or Class 2 disability. Upon the

 

 

HB2755- 232 -LRB099 08043 RPS 28187 b

1receipt of either the sworn-to application and the physician's
2affidavit or proof that the applicant has secured an Illinois
3Person with a Disability Identification Card indicating that
4the person named thereon has a Class 1A or Class 2 disability,
5the county clerk or board of election commissioners shall issue
6a disabled voter's or nursing home resident's identification
7card. Such identification cards shall be issued for a period of
85 years, upon the expiration of which time the voter may secure
9a new card by making application in the same manner as is
10prescribed for the issuance of an original card, accompanied by
11a new affidavit of the attending physician. The date of
12expiration of such five-year period shall be made known to any
13interested person by the election authority upon the request of
14such person. Applications for the renewal of the identification
15cards shall be mailed to the voters holding such cards not less
16than 3 months prior to the date of expiration of the cards.
17    Each disabled voter's or nursing home resident's
18identification card shall bear an identification number, which
19shall be clearly noted on the voter's original and duplicate
20registration record cards. In the event the holder becomes
21physically capable of resuming normal voting, he must surrender
22his disabled voter's or nursing home resident's identification
23card to the county clerk or board of election commissioners
24before the next election.
25    The holder of a disabled voter's or nursing home resident's
26identification card may make application by mail for an

 

 

HB2755- 233 -LRB099 08043 RPS 28187 b

1official ballot within the time prescribed by Section 19-2.
2Such application shall contain the same information as is
3included in the form of application for ballot by a physically
4incapacitated elector prescribed in Section 19-3 except that it
5shall also include the applicant's disabled voter's
6identification card number and except that it need not be sworn
7to. If an examination of the records discloses that the
8applicant is lawfully entitled to vote, he shall be mailed a
9ballot as provided in Section 19-4. The ballot envelope shall
10be the same as that prescribed in Section 19-5 for physically
11disabled voters, and the manner of voting and returning the
12ballot shall be the same as that provided in this Article for
13other vote by mail ballots, except that a statement to be
14subscribed to by the voter but which need not be sworn to shall
15be placed on the ballot envelope in lieu of the affidavit
16prescribed by Section 19-5.
17    Any person who knowingly subscribes to a false statement in
18connection with voting under this Section shall be guilty of a
19Class A misdemeanor.
20    For the purposes of this Section, "nursing home resident"
21includes a resident of (i) a federally operated veterans' home,
22hospital, or facility located in Illinois or (ii) a facility
23licensed under the ID/DD Community Care Act, the MC/DD Act, or
24the Specialized Mental Health Rehabilitation Act of 2013. For
25the purposes of this Section, "federally operated veterans'
26home, hospital, or facility" means the long-term care

 

 

HB2755- 234 -LRB099 08043 RPS 28187 b

1facilities at the Jesse Brown VA Medical Center, Illiana Health
2Care System, Edward Hines, Jr. VA Hospital, Marion VA Medical
3Center, and Captain James A. Lovell Federal Health Care Center.
4(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-275,
5eff. 1-1-12; 97-813, eff. 7-13-12; 97-1064, eff. 1-1-13;
698-104, eff. 7-22-13; 98-1171, eff. 6-1-15.)
 
7    (10 ILCS 5/19-12.2)  (from Ch. 46, par. 19-12.2)
8    (Text of Section before amendment by P.A. 98-1171)
9    Sec. 19-12.2. Voting by physically incapacitated electors
10who have made proper application to the election authority not
11later than 5 days before the regular primary and general
12election of 1980 and before each election thereafter shall be
13conducted on the premises of (i) federally operated veterans'
14homes, hospitals, and facilities located in Illinois or (ii)
15facilities licensed or certified pursuant to the Nursing Home
16Care Act, the Specialized Mental Health Rehabilitation Act of
172013, or the ID/DD Community Care Act for the sole benefit of
18residents of such homes, hospitals, and facilities. For the
19purposes of this Section, "federally operated veterans' home,
20hospital, or facility" means the long-term care facilities at
21the Jesse Brown VA Medical Center, Illiana Health Care System,
22Edward Hines, Jr. VA Hospital, Marion VA Medical Center, and
23Captain James A. Lovell Federal Health Care Center. Such voting
24shall be conducted during any continuous period sufficient to
25allow all applicants to cast their ballots between the hours of

 

 

HB2755- 235 -LRB099 08043 RPS 28187 b

19 a.m. and 7 p.m. either on the Friday, Saturday, Sunday or
2Monday immediately preceding the regular election. This
3absentee voting on one of said days designated by the election
4authority shall be supervised by two election judges who must
5be selected by the election authority in the following order of
6priority: (1) from the panel of judges appointed for the
7precinct in which such home, hospital, or facility is located,
8or from a panel of judges appointed for any other precinct
9within the jurisdiction of the election authority in the same
10ward or township, as the case may be, in which the home,
11hospital, or facility is located or, only in the case where a
12judge or judges from the precinct, township or ward are
13unavailable to serve, (3) from a panel of judges appointed for
14any other precinct within the jurisdiction of the election
15authority. The two judges shall be from different political
16parties. Not less than 30 days before each regular election,
17the election authority shall have arranged with the chief
18administrative officer of each home, hospital, or facility in
19his or its election jurisdiction a mutually convenient time
20period on the Friday, Saturday, Sunday or Monday immediately
21preceding the election for such voting on the premises of the
22home, hospital, or facility and shall post in a prominent place
23in his or its office a notice of the agreed day and time period
24for conducting such voting at each home, hospital, or facility;
25provided that the election authority shall not later than noon
26on the Thursday before the election also post the names and

 

 

HB2755- 236 -LRB099 08043 RPS 28187 b

1addresses of those homes, hospitals, and facilities from which
2no applications were received and in which no supervised
3absentee voting will be conducted. All provisions of this Code
4applicable to pollwatchers shall be applicable herein. To the
5maximum extent feasible, voting booths or screens shall be
6provided to insure the privacy of the voter. Voting procedures
7shall be as described in Article 17 of this Code, except that
8ballots shall be treated as absentee ballots and shall not be
9counted until the close of the polls on the following day.
10After the last voter has concluded voting, the judges shall
11seal the ballots in an envelope and affix their signatures
12across the flap of the envelope. Immediately thereafter, the
13judges shall bring the sealed envelope to the office of the
14election authority who shall deliver such ballots to the
15election authority's central ballot counting location prior to
16the closing of the polls on the day of election. The judges of
17election shall also report to the election authority the name
18of any applicant in the home, hospital, or facility who, due to
19unforeseen circumstance or condition or because of a religious
20holiday, was unable to vote. In this event, the election
21authority may appoint a qualified person from his or its staff
22to deliver the ballot to such applicant on the day of election.
23This staff person shall follow the same procedures prescribed
24for judges conducting absentee voting in such homes, hospitals,
25or facilities and shall return the ballot to the central ballot
26counting location before the polls close. However, if the home,

 

 

HB2755- 237 -LRB099 08043 RPS 28187 b

1hospital, or facility from which the application was made is
2also used as a regular precinct polling place for that voter,
3voting procedures heretofore prescribed may be implemented by 2
4of the election judges of opposite party affiliation assigned
5to that polling place during the hours of voting on the day of
6the election. Judges of election shall be compensated not less
7than $25.00 for conducting absentee voting in such homes,
8hospitals, or facilities.
9    Not less than 120 days before each regular election, the
10Department of Public Health shall certify to the State Board of
11Elections a list of the facilities licensed or certified
12pursuant to the Nursing Home Care Act, the Specialized Mental
13Health Rehabilitation Act of 2013, or the ID/DD Community Care
14Act. The lists shall indicate the approved bed capacity and the
15name of the chief administrative officer of each such home,
16hospital, or facility, and the State Board of Elections shall
17certify the same to the appropriate election authority within
1820 days thereafter.
19(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-275,
20eff. 1-1-12; 97-813, eff. 7-13-12; 98-104, eff. 7-22-13.)
 
21    (Text of Section after amendment by P.A. 98-1171)
22    Sec. 19-12.2. Voting by physically incapacitated electors
23who have made proper application to the election authority not
24later than 5 days before the regular primary and general
25election of 1980 and before each election thereafter shall be

 

 

HB2755- 238 -LRB099 08043 RPS 28187 b

1conducted on the premises of (i) federally operated veterans'
2homes, hospitals, and facilities located in Illinois or (ii)
3facilities licensed or certified pursuant to the Nursing Home
4Care Act, the Specialized Mental Health Rehabilitation Act of
52013, or the ID/DD Community Care Act, or the MC/DD Act for the
6sole benefit of residents of such homes, hospitals, and
7facilities. For the purposes of this Section, "federally
8operated veterans' home, hospital, or facility" means the
9long-term care facilities at the Jesse Brown VA Medical Center,
10Illiana Health Care System, Edward Hines, Jr. VA Hospital,
11Marion VA Medical Center, and Captain James A. Lovell Federal
12Health Care Center. Such voting shall be conducted during any
13continuous period sufficient to allow all applicants to cast
14their ballots between the hours of 9 a.m. and 7 p.m. either on
15the Friday, Saturday, Sunday or Monday immediately preceding
16the regular election. This vote by mail voting on one of said
17days designated by the election authority shall be supervised
18by two election judges who must be selected by the election
19authority in the following order of priority: (1) from the
20panel of judges appointed for the precinct in which such home,
21hospital, or facility is located, or from a panel of judges
22appointed for any other precinct within the jurisdiction of the
23election authority in the same ward or township, as the case
24may be, in which the home, hospital, or facility is located or,
25only in the case where a judge or judges from the precinct,
26township or ward are unavailable to serve, (3) from a panel of

 

 

HB2755- 239 -LRB099 08043 RPS 28187 b

1judges appointed for any other precinct within the jurisdiction
2of the election authority. The two judges shall be from
3different political parties. Not less than 30 days before each
4regular election, the election authority shall have arranged
5with the chief administrative officer of each home, hospital,
6or facility in his or its election jurisdiction a mutually
7convenient time period on the Friday, Saturday, Sunday or
8Monday immediately preceding the election for such voting on
9the premises of the home, hospital, or facility and shall post
10in a prominent place in his or its office a notice of the
11agreed day and time period for conducting such voting at each
12home, hospital, or facility; provided that the election
13authority shall not later than noon on the Thursday before the
14election also post the names and addresses of those homes,
15hospitals, and facilities from which no applications were
16received and in which no supervised vote by mail voting will be
17conducted. All provisions of this Code applicable to
18pollwatchers shall be applicable herein. To the maximum extent
19feasible, voting booths or screens shall be provided to insure
20the privacy of the voter. Voting procedures shall be as
21described in Article 17 of this Code, except that ballots shall
22be treated as vote by mail ballots and shall not be counted
23until the close of the polls on the following day. After the
24last voter has concluded voting, the judges shall seal the
25ballots in an envelope and affix their signatures across the
26flap of the envelope. Immediately thereafter, the judges shall

 

 

HB2755- 240 -LRB099 08043 RPS 28187 b

1bring the sealed envelope to the office of the election
2authority who shall deliver such ballots to the election
3authority's central ballot counting location prior to the
4closing of the polls on the day of election. The judges of
5election shall also report to the election authority the name
6of any applicant in the home, hospital, or facility who, due to
7unforeseen circumstance or condition or because of a religious
8holiday, was unable to vote. In this event, the election
9authority may appoint a qualified person from his or its staff
10to deliver the ballot to such applicant on the day of election.
11This staff person shall follow the same procedures prescribed
12for judges conducting vote by mail voting in such homes,
13hospitals, or facilities and shall return the ballot to the
14central ballot counting location before the polls close.
15However, if the home, hospital, or facility from which the
16application was made is also used as a regular precinct polling
17place for that voter, voting procedures heretofore prescribed
18may be implemented by 2 of the election judges of opposite
19party affiliation assigned to that polling place during the
20hours of voting on the day of the election. Judges of election
21shall be compensated not less than $25.00 for conducting vote
22by mail voting in such homes, hospitals, or facilities.
23    Not less than 120 days before each regular election, the
24Department of Public Health shall certify to the State Board of
25Elections a list of the facilities licensed or certified
26pursuant to the Nursing Home Care Act, the Specialized Mental

 

 

HB2755- 241 -LRB099 08043 RPS 28187 b

1Health Rehabilitation Act of 2013, or the ID/DD Community Care
2Act, or the MC/DD Act. The lists shall indicate the approved
3bed capacity and the name of the chief administrative officer
4of each such home, hospital, or facility, and the State Board
5of Elections shall certify the same to the appropriate election
6authority within 20 days thereafter.
7(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-275,
8eff. 1-1-12; 97-813, eff. 7-13-12; 98-104, eff. 7-22-13;
998-1171, eff. 6-1-15.)
 
10    Section 10. The Illinois Act on the Aging is amended by
11changing Sections 4.04 and 4.08 as follows:
 
12    (20 ILCS 105/4.04)  (from Ch. 23, par. 6104.04)
13    Sec. 4.04. Long Term Care Ombudsman Program. The purpose of
14the Long Term Care Ombudsman Program is to ensure that older
15persons and persons with disabilities receive quality
16services. This is accomplished by providing advocacy services
17for residents of long term care facilities and participants
18receiving home care and community-based care. Managed care is
19increasingly becoming the vehicle for delivering health and
20long-term services and supports to seniors and persons with
21disabilities, including dual eligible participants. The
22additional ombudsman authority will allow advocacy services to
23be provided to Illinois participants for the first time and
24will produce a cost savings for the State of Illinois by

 

 

HB2755- 242 -LRB099 08043 RPS 28187 b

1supporting the rebalancing efforts of the Patient Protection
2and Affordable Care Act.
3    (a) Long Term Care Ombudsman Program. The Department shall
4establish a Long Term Care Ombudsman Program, through the
5Office of State Long Term Care Ombudsman ("the Office"), in
6accordance with the provisions of the Older Americans Act of
71965, as now or hereafter amended. The Long Term Care Ombudsman
8Program is authorized, subject to sufficient appropriations,
9to advocate on behalf of older persons and persons with
10disabilities residing in their own homes or community-based
11settings, relating to matters which may adversely affect the
12health, safety, welfare, or rights of such individuals.
13    (b) Definitions. As used in this Section, unless the
14context requires otherwise:
15        (1) "Access" means the right to:
16            (i) Enter any long term care facility or assisted
17        living or shared housing establishment or supportive
18        living facility;
19            (ii) Communicate privately and without restriction
20        with any resident, regardless of age, who consents to
21        the communication;
22            (iii) Seek consent to communicate privately and
23        without restriction with any participant or resident,
24        regardless of age;
25            (iv) Inspect the clinical and other records of a
26        participant or resident, regardless of age, with the

 

 

HB2755- 243 -LRB099 08043 RPS 28187 b

1        express written consent of the participant or
2        resident;
3            (v) Observe all areas of the long term care
4        facility or supportive living facilities, assisted
5        living or shared housing establishment except the
6        living area of any resident who protests the
7        observation; and
8            (vi) Subject to permission of the participant or
9        resident requesting services or his or her
10        representative, enter a home or community-based
11        setting.
12        (2) "Long Term Care Facility" means (i) any facility as
13    defined by Section 1-113 of the Nursing Home Care Act, as
14    now or hereafter amended; and (ii) any skilled nursing
15    facility or a nursing facility which meets the requirements
16    of Section 1819(a), (b), (c), and (d) or Section 1919(a),
17    (b), (c), and (d) of the Social Security Act, as now or
18    hereafter amended (42 U.S.C. 1395i-3(a), (b), (c), and (d)
19    and 42 U.S.C. 1396r(a), (b), (c), and (d)); (iii) and any
20    facility as defined by Section 1-113 of the ID/DD MR/DD
21    Community Care Act, as now or hereafter amended; and (iv)
22    any facility as defined by Section 1-113 of MC/DD Act, as
23    now or hereafter amended.
24        (2.5) "Assisted living establishment" and "shared
25    housing establishment" have the meanings given those terms
26    in Section 10 of the Assisted Living and Shared Housing

 

 

HB2755- 244 -LRB099 08043 RPS 28187 b

1    Act.
2        (2.7) "Supportive living facility" means a facility
3    established under Section 5-5.01a of the Illinois Public
4    Aid Code.
5        (2.8) "Community-based setting" means any place of
6    abode other than an individual's private home.
7        (3) "State Long Term Care Ombudsman" means any person
8    employed by the Department to fulfill the requirements of
9    the Office of State Long Term Care Ombudsman as required
10    under the Older Americans Act of 1965, as now or hereafter
11    amended, and Departmental policy.
12        (3.1) "Ombudsman" means any designated representative
13    of the State Long Term Care Ombudsman Program; provided
14    that the representative, whether he is paid for or
15    volunteers his ombudsman services, shall be qualified and
16    designated by the Office to perform the duties of an
17    ombudsman as specified by the Department in rules and in
18    accordance with the provisions of the Older Americans Act
19    of 1965, as now or hereafter amended.
20        (4) "Participant" means an older person aged 60 or over
21    or an adult with a disability aged 18 through 59 who is
22    eligible for services under any of the following:
23            (i) A medical assistance waiver administered by
24        the State.
25            (ii) A managed care organization providing care
26        coordination and other services to seniors and persons

 

 

HB2755- 245 -LRB099 08043 RPS 28187 b

1        with disabilities.
2        (5) "Resident" means an older person aged 60 or over or
3    an adult with a disability aged 18 through 59 who resides
4    in a long-term care facility.
5    (c) Ombudsman; rules. The Office of State Long Term Care
6Ombudsman shall be composed of at least one full-time ombudsman
7and shall include a system of designated regional long term
8care ombudsman programs. Each regional program shall be
9designated by the State Long Term Care Ombudsman as a
10subdivision of the Office and any representative of a regional
11program shall be treated as a representative of the Office.
12    The Department, in consultation with the Office, shall
13promulgate administrative rules in accordance with the
14provisions of the Older Americans Act of 1965, as now or
15hereafter amended, to establish the responsibilities of the
16Department and the Office of State Long Term Care Ombudsman and
17the designated regional Ombudsman programs. The administrative
18rules shall include the responsibility of the Office and
19designated regional programs to investigate and resolve
20complaints made by or on behalf of residents of long term care
21facilities, supportive living facilities, and assisted living
22and shared housing establishments, and participants residing
23in their own homes or community-based settings, including the
24option to serve residents and participants under the age of 60,
25relating to actions, inaction, or decisions of providers, or
26their representatives, of such facilities and establishments,

 

 

HB2755- 246 -LRB099 08043 RPS 28187 b

1of public agencies, or of social services agencies, which may
2adversely affect the health, safety, welfare, or rights of such
3residents and participants. The Office and designated regional
4programs may represent all residents and participants, but are
5not required by this Act to represent persons under 60 years of
6age, except to the extent required by federal law. When
7necessary and appropriate, representatives of the Office shall
8refer complaints to the appropriate regulatory State agency.
9The Department, in consultation with the Office, shall
10cooperate with the Department of Human Services and other State
11agencies in providing information and training to designated
12regional long term care ombudsman programs about the
13appropriate assessment and treatment (including information
14about appropriate supportive services, treatment options, and
15assessment of rehabilitation potential) of the participants
16they serve.
17    The State Long Term Care Ombudsman and all other ombudsmen,
18as defined in paragraph (3.1) of subsection (b) must submit to
19background checks under the Health Care Worker Background Check
20Act and receive training, as prescribed by the Illinois
21Department on Aging, before visiting facilities, private
22homes, or community-based settings. The training must include
23information specific to assisted living establishments,
24supportive living facilities, shared housing establishments,
25private homes, and community-based settings and to the rights
26of residents and participants guaranteed under the

 

 

HB2755- 247 -LRB099 08043 RPS 28187 b

1corresponding Acts and administrative rules.
2    (c-5) Consumer Choice Information Reports. The Office
3shall:
4        (1) In collaboration with the Attorney General, create
5    a Consumer Choice Information Report form to be completed
6    by all licensed long term care facilities to aid
7    Illinoisans and their families in making informed choices
8    about long term care. The Office shall create a Consumer
9    Choice Information Report for each type of licensed long
10    term care facility. The Office shall collaborate with the
11    Attorney General and the Department of Human Services to
12    create a Consumer Choice Information Report form for
13    facilities licensed under the ID/DD MR/DD Community Care
14    Act or the MC/DD Act.
15        (2) Develop a database of Consumer Choice Information
16    Reports completed by licensed long term care facilities
17    that includes information in the following consumer
18    categories:
19            (A) Medical Care, Services, and Treatment.
20            (B) Special Services and Amenities.
21            (C) Staffing.
22            (D) Facility Statistics and Resident Demographics.
23            (E) Ownership and Administration.
24            (F) Safety and Security.
25            (G) Meals and Nutrition.
26            (H) Rooms, Furnishings, and Equipment.

 

 

HB2755- 248 -LRB099 08043 RPS 28187 b

1            (I) Family, Volunteer, and Visitation Provisions.
2        (3) Make this information accessible to the public,
3    including on the Internet by means of a hyperlink labeled
4    "Resident's Right to Know" on the Office's World Wide Web
5    home page. Information about facilities licensed under the
6    ID/DD MR/DD Community Care Act or the MC/DD Act shall be
7    made accessible to the public by the Department of Human
8    Services, including on the Internet by means of a hyperlink
9    labeled "Resident's and Families' Right to Know" on the
10    Department of Human Services' "For Customers" website.
11        (4) Have the authority, with the Attorney General, to
12    verify that information provided by a facility is accurate.
13        (5) Request a new report from any licensed facility
14    whenever it deems necessary.
15        (6) Include in the Office's Consumer Choice
16    Information Report for each type of licensed long term care
17    facility additional information on each licensed long term
18    care facility in the State of Illinois, including
19    information regarding each facility's compliance with the
20    relevant State and federal statutes, rules, and standards;
21    customer satisfaction surveys; and information generated
22    from quality measures developed by the Centers for Medicare
23    and Medicaid Services.
24    (d) Access and visitation rights.
25        (1) In accordance with subparagraphs (A) and (E) of
26    paragraph (3) of subsection (c) of Section 1819 and

 

 

HB2755- 249 -LRB099 08043 RPS 28187 b

1    subparagraphs (A) and (E) of paragraph (3) of subsection
2    (c) of Section 1919 of the Social Security Act, as now or
3    hereafter amended (42 U.S.C. 1395i-3 (c)(3)(A) and (E) and
4    42 U.S.C. 1396r (c)(3)(A) and (E)), and Section 712 of the
5    Older Americans Act of 1965, as now or hereafter amended
6    (42 U.S.C. 3058f), a long term care facility, supportive
7    living facility, assisted living establishment, and shared
8    housing establishment must:
9            (i) permit immediate access to any resident,
10        regardless of age, by a designated ombudsman;
11            (ii) permit representatives of the Office, with
12        the permission of the resident's legal representative
13        or legal guardian, to examine a resident's clinical and
14        other records, regardless of the age of the resident,
15        and if a resident is unable to consent to such review,
16        and has no legal guardian, permit representatives of
17        the Office appropriate access, as defined by the
18        Department, in consultation with the Office, in
19        administrative rules, to the resident's records; and
20            (iii) permit a representative of the Program to
21        communicate privately and without restriction with any
22        participant who consents to the communication
23        regardless of the consent of, or withholding of consent
24        by, a legal guardian or an agent named in a power of
25        attorney executed by the participant.
26        (2) Each long term care facility, supportive living

 

 

HB2755- 250 -LRB099 08043 RPS 28187 b

1    facility, assisted living establishment, and shared
2    housing establishment shall display, in multiple,
3    conspicuous public places within the facility accessible
4    to both visitors and residents and in an easily readable
5    format, the address and phone number of the Office of the
6    Long Term Care Ombudsman, in a manner prescribed by the
7    Office.
8    (e) Immunity. An ombudsman or any representative of the
9Office participating in the good faith performance of his or
10her official duties shall have immunity from any liability
11(civil, criminal or otherwise) in any proceedings (civil,
12criminal or otherwise) brought as a consequence of the
13performance of his official duties.
14    (f) Business offenses.
15        (1) No person shall:
16            (i) Intentionally prevent, interfere with, or
17        attempt to impede in any way any representative of the
18        Office in the performance of his official duties under
19        this Act and the Older Americans Act of 1965; or
20            (ii) Intentionally retaliate, discriminate
21        against, or effect reprisals against any long term care
22        facility resident or employee for contacting or
23        providing information to any representative of the
24        Office.
25        (2) A violation of this Section is a business offense,
26    punishable by a fine not to exceed $501.

 

 

HB2755- 251 -LRB099 08043 RPS 28187 b

1        (3) The State Long Term Care Ombudsman shall notify the
2    State's Attorney of the county in which the long term care
3    facility, supportive living facility, or assisted living
4    or shared housing establishment is located, or the Attorney
5    General, of any violations of this Section.
6    (g) Confidentiality of records and identities. The
7Department shall establish procedures for the disclosure by the
8State Ombudsman or the regional ombudsmen entities of files
9maintained by the program. The procedures shall provide that
10the files and records may be disclosed only at the discretion
11of the State Long Term Care Ombudsman or the person designated
12by the State Ombudsman to disclose the files and records, and
13the procedures shall prohibit the disclosure of the identity of
14any complainant, resident, participant, witness, or employee
15of a long term care provider unless:
16        (1) the complainant, resident, participant, witness,
17    or employee of a long term care provider or his or her
18    legal representative consents to the disclosure and the
19    consent is in writing;
20        (2) the complainant, resident, participant, witness,
21    or employee of a long term care provider gives consent
22    orally; and the consent is documented contemporaneously in
23    writing in accordance with such requirements as the
24    Department shall establish; or
25        (3) the disclosure is required by court order.
26    (h) Legal representation. The Attorney General shall

 

 

HB2755- 252 -LRB099 08043 RPS 28187 b

1provide legal representation to any representative of the
2Office against whom suit or other legal action is brought in
3connection with the performance of the representative's
4official duties, in accordance with the State Employee
5Indemnification Act.
6    (i) Treatment by prayer and spiritual means. Nothing in
7this Act shall be construed to authorize or require the medical
8supervision, regulation or control of remedial care or
9treatment of any resident in a long term care facility operated
10exclusively by and for members or adherents of any church or
11religious denomination the tenets and practices of which
12include reliance solely upon spiritual means through prayer for
13healing.
14    (j) The Long Term Care Ombudsman Fund is created as a
15special fund in the State treasury to receive moneys for the
16express purposes of this Section. All interest earned on moneys
17in the fund shall be credited to the fund. Moneys contained in
18the fund shall be used to support the purposes of this Section.
19    (k) Each Regional Ombudsman may, in accordance with rules
20promulgated by the Office, establish a multi-disciplinary team
21to act in an advisory role for the purpose of providing
22professional knowledge and expertise in handling complex
23abuse, neglect, and advocacy issues involving participants.
24Each multi-disciplinary team may consist of one or more
25volunteer representatives from any combination of at least 7
26members from the following professions: banking or finance;

 

 

HB2755- 253 -LRB099 08043 RPS 28187 b

1disability care; health care; pharmacology; law; law
2enforcement; emergency responder; mental health care; clergy;
3coroner or medical examiner; substance abuse; domestic
4violence; sexual assault; or other related fields. To support
5multi-disciplinary teams in this role, law enforcement
6agencies and coroners or medical examiners shall supply records
7as may be requested in particular cases. The Regional
8Ombudsman, or his or her designee, of the area in which the
9multi-disciplinary team is created shall be the facilitator of
10the multi-disciplinary team.
11(Source: P.A. 97-38, eff. 6-28-11; 98-380, eff. 8-16-13;
1298-989, eff. 1-1-15.)
 
13    (20 ILCS 105/4.08)
14    Sec. 4.08. Rural and small town meals program. Subject to
15appropriation, the Department may establish a program to ensure
16the availability of congregate or home-delivered meals in
17communities with populations of under 5,000 that are not
18located within the large urban counties of Cook, DuPage, Kane,
19Lake, or Will.
20    The Department may meet these requirements by entering into
21agreements with Area Agencies on Aging or Department designees,
22which shall in turn enter into grants or contractual agreements
23with such local entities as restaurants, cafes, churches,
24facilities licensed under the Nursing Home Care Act, the ID/DD
25Community Care Act, the MC/DD Act, the Assisted Living and

 

 

HB2755- 254 -LRB099 08043 RPS 28187 b

1Shared Housing Act, or the Hospital Licensing Act, facilities
2certified by the Department of Healthcare and Family Services,
3senior centers, or Older American Act designated nutrition
4service providers.
5    First consideration shall be given to entities that can
6cost effectively meet the needs of seniors in the community by
7preparing the food locally.
8    In no instance shall funds provided pursuant to this
9Section be used to replace funds allocated to a given area or
10program as of the effective date of this amendatory Act of the
1195th General Assembly.
12    The Department shall establish guidelines and standards by
13administrative rule, which shall include submission of an
14expenditure plan by the recipient of the funds.
15(Source: P.A. 96-339, eff. 7-1-10; 97-227, eff. 1-1-12.)
 
16    Section 15. The Mental Health and Developmental
17Disabilities Administrative Act is amended by changing Section
1815 as follows:
 
19    (20 ILCS 1705/15)  (from Ch. 91 1/2, par. 100-15)
20    Sec. 15. Before any person is released from a facility
21operated by the State pursuant to an absolute discharge or a
22conditional discharge from hospitalization under this Act, the
23facility director of the facility in which such person is
24hospitalized shall determine that such person is not currently

 

 

HB2755- 255 -LRB099 08043 RPS 28187 b

1in need of hospitalization and:
2        (a) is able to live independently in the community; or
3        (b) requires further oversight and supervisory care
4    for which arrangements have been made with responsible
5    relatives or supervised residential program approved by
6    the Department; or
7        (c) requires further personal care or general
8    oversight as defined by the ID/DD Community Care Act, the
9    MC/DD Act, or the Specialized Mental Health Rehabilitation
10    Act of 2013, for which placement arrangements have been
11    made with a suitable family home or other licensed facility
12    approved by the Department under this Section; or
13        (d) requires community mental health services for
14    which arrangements have been made with a community mental
15    health provider in accordance with criteria, standards,
16    and procedures promulgated by rule.
17    Such determination shall be made in writing and shall
18become a part of the facility record of such absolutely or
19conditionally discharged person. When the determination
20indicates that the condition of the person to be granted an
21absolute discharge or a conditional discharge is described
22under subparagraph (c) or (d) of this Section, the name and
23address of the continuing care facility or home to which such
24person is to be released shall be entered in the facility
25record. Where a discharge from a mental health facility is made
26under subparagraph (c), the Department shall assign the person

 

 

HB2755- 256 -LRB099 08043 RPS 28187 b

1so discharged to an existing community based not-for-profit
2agency for participation in day activities suitable to the
3person's needs, such as but not limited to social and
4vocational rehabilitation, and other recreational, educational
5and financial activities unless the community based
6not-for-profit agency is unqualified to accept such
7assignment. Where the clientele of any not-for-profit agency
8increases as a result of assignments under this amendatory Act
9of 1977 by more than 3% over the prior year, the Department
10shall fully reimburse such agency for the costs of providing
11services to such persons in excess of such 3% increase. The
12Department shall keep written records detailing how many
13persons have been assigned to a community based not-for-profit
14agency and how many persons were not so assigned because the
15community based agency was unable to accept the assignments, in
16accordance with criteria, standards, and procedures
17promulgated by rule. Whenever a community based agency is found
18to be unable to accept the assignments, the name of the agency
19and the reason for the finding shall be included in the report.
20    Insofar as desirable in the interests of the former
21recipient, the facility, program or home in which the
22discharged person is to be placed shall be located in or near
23the community in which the person resided prior to
24hospitalization or in the community in which the person's
25family or nearest next of kin presently reside. Placement of
26the discharged person in facilities, programs or homes located

 

 

HB2755- 257 -LRB099 08043 RPS 28187 b

1outside of this State shall not be made by the Department
2unless there are no appropriate facilities, programs or homes
3available within this State. Out-of-state placements shall be
4subject to return of recipients so placed upon the availability
5of facilities, programs or homes within this State to
6accommodate these recipients, except where placement in a
7contiguous state results in locating a recipient in a facility
8or program closer to the recipient's home or family. If an
9appropriate facility or program becomes available equal to or
10closer to the recipient's home or family, the recipient shall
11be returned to and placed at the appropriate facility or
12program within this State.
13    To place any person who is under a program of the
14Department at board in a suitable family home or in such other
15facility or program as the Department may consider desirable.
16The Department may place in licensed nursing homes, sheltered
17care homes, or homes for the aged those persons whose
18behavioral manifestations and medical and nursing care needs
19are such as to be substantially indistinguishable from persons
20already living in such facilities. Prior to any placement by
21the Department under this Section, a determination shall be
22made by the personnel of the Department, as to the capability
23and suitability of such facility to adequately meet the needs
24of the person to be discharged. When specialized programs are
25necessary in order to enable persons in need of supervised
26living to develop and improve in the community, the Department

 

 

HB2755- 258 -LRB099 08043 RPS 28187 b

1shall place such persons only in specialized residential care
2facilities which shall meet Department standards including
3restricted admission policy, special staffing and programming
4for social and vocational rehabilitation, in addition to the
5requirements of the appropriate State licensing agency. The
6Department shall not place any new person in a facility the
7license of which has been revoked or not renewed on grounds of
8inadequate programming, staffing, or medical or adjunctive
9services, regardless of the pendency of an action for
10administrative review regarding such revocation or failure to
11renew. Before the Department may transfer any person to a
12licensed nursing home, sheltered care home or home for the aged
13or place any person in a specialized residential care facility
14the Department shall notify the person to be transferred, or a
15responsible relative of such person, in writing, at least 30
16days before the proposed transfer, with respect to all the
17relevant facts concerning such transfer, except in cases of
18emergency when such notice is not required. If either the
19person to be transferred or a responsible relative of such
20person objects to such transfer, in writing to the Department,
21at any time after receipt of notice and before the transfer,
22the facility director of the facility in which the person was a
23recipient shall immediately schedule a hearing at the facility
24with the presence of the facility director, the person who
25objected to such proposed transfer, and a psychiatrist who is
26familiar with the record of the person to be transferred. Such

 

 

HB2755- 259 -LRB099 08043 RPS 28187 b

1person to be transferred or a responsible relative may be
2represented by such counsel or interested party as he may
3appoint, who may present such testimony with respect to the
4proposed transfer. Testimony presented at such hearing shall
5become a part of the facility record of the
6person-to-be-transferred. The record of testimony shall be
7held in the person-to-be-transferred's record in the central
8files of the facility. If such hearing is held a transfer may
9only be implemented, if at all, in accordance with the results
10of such hearing. Within 15 days after such hearing the facility
11director shall deliver his findings based on the record of the
12case and the testimony presented at the hearing, by registered
13or certified mail, to the parties to such hearing. The findings
14of the facility director shall be deemed a final administrative
15decision of the Department. For purposes of this Section, "case
16of emergency" means those instances in which the health of the
17person to be transferred is imperiled and the most appropriate
18mental health care or medical care is available at a licensed
19nursing home, sheltered care home or home for the aged or a
20specialized residential care facility.
21    Prior to placement of any person in a facility under this
22Section the Department shall ensure that an appropriate
23training plan for staff is provided by the facility. Said
24training may include instruction and demonstration by
25Department personnel qualified in the area of mental illness or
26intellectual disabilities, as applicable to the person to be

 

 

HB2755- 260 -LRB099 08043 RPS 28187 b

1placed. Training may be given both at the facility from which
2the recipient is transferred and at the facility receiving the
3recipient, and may be available on a continuing basis
4subsequent to placement. In a facility providing services to
5former Department recipients, training shall be available as
6necessary for facility staff. Such training will be on a
7continuing basis as the needs of the facility and recipients
8change and further training is required.
9    The Department shall not place any person in a facility
10which does not have appropriately trained staff in sufficient
11numbers to accommodate the recipient population already at the
12facility. As a condition of further or future placements of
13persons, the Department shall require the employment of
14additional trained staff members at the facility where said
15persons are to be placed. The Secretary, or his or her
16designate, shall establish written guidelines for placement of
17persons in facilities under this Act. The Department shall keep
18written records detailing which facilities have been
19determined to have staff who have been appropriately trained by
20the Department and all training which it has provided or
21required under this Section.
22    Bills for the support for a person boarded out shall be
23payable monthly out of the proper maintenance funds and shall
24be audited as any other accounts of the Department. If a person
25is placed in a facility or program outside the Department, the
26Department may pay the actual costs of residence, treatment or

 

 

HB2755- 261 -LRB099 08043 RPS 28187 b

1maintenance in such facility and may collect such actual costs
2or a portion thereof from the recipient or the estate of a
3person placed in accordance with this Section.
4    Other than those placed in a family home the Department
5shall cause all persons who are placed in a facility, as
6defined by the ID/DD Community Care Act, the MC/DD Act, or the
7Specialized Mental Health Rehabilitation Act of 2013, or in
8designated community living situations or programs, to be
9visited at least once during the first month following
10placement, and once every month thereafter for the first year
11following placement when indicated, but at least quarterly.
12After the first year, the Department shall determine at what
13point the appropriate licensing entity for the facility or
14designated community living situation or program will assume
15the responsibility of ensuring that appropriate services are
16being provided to the resident. Once that responsibility is
17assumed, the Department may discontinue such visits. If a long
18term care facility has periodic care plan conferences, the
19visitor may participate in those conferences, if such
20participation is approved by the resident or the resident's
21guardian. Visits shall be made by qualified and trained
22Department personnel, or their designee, in the area of mental
23health or developmental disabilities applicable to the person
24visited, and shall be made on a more frequent basis when
25indicated. The Department may not use as designee any personnel
26connected with or responsible to the representatives of any

 

 

HB2755- 262 -LRB099 08043 RPS 28187 b

1facility in which persons who have been transferred under this
2Section are placed. In the course of such visit there shall be
3consideration of the following areas, but not limited thereto:
4effects of transfer on physical and mental health of the
5person, sufficiency of nursing care and medical coverage
6required by the person, sufficiency of staff personnel and
7ability to provide basic care for the person, social,
8recreational and programmatic activities available for the
9person, and other appropriate aspects of the person's
10environment.
11    A report containing the above observations shall be made to
12the Department, to the licensing agency, and to any other
13appropriate agency subsequent to each visitation. The report
14shall contain recommendations to improve the care and treatment
15of the resident, as necessary, which shall be reviewed by the
16facility's interdisciplinary team and the resident or the
17resident's legal guardian.
18    Upon the complaint of any person placed in accordance with
19this Section or any responsible citizen or upon discovery that
20such person has been abused, neglected, or improperly cared
21for, or that the placement does not provide the type of care
22required by the recipient's current condition, the Department
23immediately shall investigate, and determine if the
24well-being, health, care, or safety of any person is affected
25by any of the above occurrences, and if any one of the above
26occurrences is verified, the Department shall remove such

 

 

HB2755- 263 -LRB099 08043 RPS 28187 b

1person at once to a facility of the Department or to another
2facility outside the Department, provided such person's needs
3can be met at said facility. The Department may also provide
4any person placed in accordance with this Section who is
5without available funds, and who is permitted to engage in
6employment outside the facility, such sums for the
7transportation, and other expenses as may be needed by him
8until he receives his wages for such employment.
9    The Department shall promulgate rules and regulations
10governing the purchase of care for persons who are wards of or
11who are receiving services from the Department. Such rules and
12regulations shall apply to all monies expended by any agency of
13the State of Illinois for services rendered by any person,
14corporate entity, agency, governmental agency or political
15subdivision whether public or private outside of the Department
16whether payment is made through a contractual, per-diem or
17other arrangement. No funds shall be paid to any person,
18corporation, agency, governmental entity or political
19subdivision without compliance with such rules and
20regulations.
21    The rules and regulations governing purchase of care shall
22describe categories and types of service deemed appropriate for
23purchase by the Department.
24    Any provider of services under this Act may elect to
25receive payment for those services, and the Department is
26authorized to arrange for that payment, by means of direct

 

 

HB2755- 264 -LRB099 08043 RPS 28187 b

1deposit transmittals to the service provider's account
2maintained at a bank, savings and loan association, or other
3financial institution. The financial institution shall be
4approved by the Department, and the deposits shall be in
5accordance with rules and regulations adopted by the
6Department.
7(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
8eff. 7-13-12; 98-104, eff. 7-22-13.)
 
9    Section 20. The Department of Public Health Powers and
10Duties Law of the Civil Administrative Code of Illinois is
11amended by changing Sections 2310-550, 2310-560, 2310-565, and
122310-625 as follows:
 
13    (20 ILCS 2310/2310-550)  (was 20 ILCS 2310/55.40)
14    Sec. 2310-550. Long-term care facilities. The Department
15may perform, in all long-term care facilities as defined in the
16Nursing Home Care Act, all facilities as defined in the
17Specialized Mental Health Rehabilitation Act of 2013, and all
18facilities as defined in the ID/DD Community Care Act, and all
19facilities as defined in the MC/DD Act, all inspection,
20evaluation, certification, and inspection of care duties that
21the federal government may require the State of Illinois to
22perform or have performed as a condition of participation in
23any programs under Title XVIII or Title XIX of the federal
24Social Security Act.

 

 

HB2755- 265 -LRB099 08043 RPS 28187 b

1(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
2eff. 7-13-12; 98-104, eff. 7-22-13.)
 
3    (20 ILCS 2310/2310-560)  (was 20 ILCS 2310/55.87)
4    Sec. 2310-560. Advisory committees concerning construction
5of facilities.
6    (a) The Director shall appoint an advisory committee. The
7committee shall be established by the Department by rule. The
8Director and the Department shall consult with the advisory
9committee concerning the application of building codes and
10Department rules related to those building codes to facilities
11under the Ambulatory Surgical Treatment Center Act, the Nursing
12Home Care Act, the Specialized Mental Health Rehabilitation Act
13of 2013, and the ID/DD Community Care Act, and the MC/DD Act.
14    (b) The Director shall appoint an advisory committee to
15advise the Department and to conduct informal dispute
16resolution concerning the application of building codes for new
17and existing construction and related Department rules and
18standards under the Hospital Licensing Act, including without
19limitation rules and standards for (i) design and construction,
20(ii) engineering and maintenance of the physical plant, site,
21equipment, and systems (heating, cooling, electrical,
22ventilation, plumbing, water, sewer, and solid waste
23disposal), and (iii) fire and safety. The advisory committee
24shall be composed of all of the following members:
25        (1) The chairperson or an elected representative from

 

 

HB2755- 266 -LRB099 08043 RPS 28187 b

1    the Hospital Licensing Board under the Hospital Licensing
2    Act.
3        (2) Two health care architects with a minimum of 10
4    years of experience in institutional design and building
5    code analysis.
6        (3) Two engineering professionals (one mechanical and
7    one electrical) with a minimum of 10 years of experience in
8    institutional design and building code analysis.
9        (4) One commercial interior design professional with a
10    minimum of 10 years of experience.
11        (5) Two representatives from provider associations.
12        (6) The Director or his or her designee, who shall
13    serve as the committee moderator.
14    Appointments shall be made with the concurrence of the
15Hospital Licensing Board. The committee shall submit
16recommendations concerning the application of building codes
17and related Department rules and standards to the Hospital
18Licensing Board for review and comment prior to submission to
19the Department. The committee shall submit recommendations
20concerning informal dispute resolution to the Director. The
21Department shall provide per diem and travel expenses to the
22committee members.
23(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
24eff. 7-13-12; 98-104, eff. 7-22-13.)
 
25    (20 ILCS 2310/2310-565)  (was 20 ILCS 2310/55.88)

 

 

HB2755- 267 -LRB099 08043 RPS 28187 b

1    Sec. 2310-565. Facility construction training program. The
2Department shall conduct, at least annually, a joint in-service
3training program for architects, engineers, interior
4designers, and other persons involved in the construction of a
5facility under the Ambulatory Surgical Treatment Center Act,
6the Nursing Home Care Act, the Specialized Mental Health
7Rehabilitation Act of 2013, the ID/DD Community Care Act, the
8MC/DD Act, or the Hospital Licensing Act on problems and issues
9relating to the construction of facilities under any of those
10Acts.
11(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
12eff. 7-13-12; 98-104, eff. 7-22-13.)
 
13    (20 ILCS 2310/2310-625)
14    Sec. 2310-625. Emergency Powers.
15    (a) Upon proclamation of a disaster by the Governor, as
16provided for in the Illinois Emergency Management Agency Act,
17the Director of Public Health shall have the following powers,
18which shall be exercised only in coordination with the Illinois
19Emergency Management Agency and the Department of Financial and
20Professional Regulation:
21        (1) The power to suspend the requirements for temporary
22    or permanent licensure or certification of persons who are
23    licensed or certified in another state and are working
24    under the direction of the Illinois Emergency Management
25    Agency and the Illinois Department of Public Health

 

 

HB2755- 268 -LRB099 08043 RPS 28187 b

1    pursuant to the declared disaster.
2        (2) The power to modify the scope of practice
3    restrictions under the Emergency Medical Services (EMS)
4    Systems Act for any persons who are licensed under that Act
5    for any person working under the direction of the Illinois
6    Emergency Management Agency and the Illinois Department of
7    Public Health pursuant to the declared disaster.
8        (3) The power to modify the scope of practice
9    restrictions under the Nursing Home Care Act, the
10    Specialized Mental Health Rehabilitation Act of 2013, or
11    the ID/DD Community Care Act, or the MC/DD Act for
12    Certified Nursing Assistants for any person working under
13    the direction of the Illinois Emergency Management Agency
14    and the Illinois Department of Public Health pursuant to
15    the declared disaster.
16    (b) Persons exempt from licensure or certification under
17paragraph (1) of subsection (a) and persons operating under
18modified scope of practice provisions under paragraph (2) of
19subsection (a) and paragraph (3) of subsection (a) shall be
20exempt from licensure or certification or subject to modified
21scope of practice only until the declared disaster has ended as
22provided by law. For purposes of this Section, persons working
23under the direction of an emergency services and disaster
24agency accredited by the Illinois Emergency Management Agency
25and a local public health department, pursuant to a declared
26disaster, shall be deemed to be working under the direction of

 

 

HB2755- 269 -LRB099 08043 RPS 28187 b

1the Illinois Emergency Management Agency and the Department of
2Public Health.
3    (c) The Director shall exercise these powers by way of
4proclamation.
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    Section 25. The Disabilities Services Act of 2003 is
8amended by changing Section 52 as follows:
 
9    (20 ILCS 2407/52)
10    Sec. 52. Applicability; definitions. In accordance with
11Section 6071 of the Deficit Reduction Act of 2005 (P.L.
12109-171), as used in this Article:
13    "Departments". The term "Departments" means for the
14purposes of this Act, the Department of Human Services, the
15Department on Aging, Department of Healthcare and Family
16Services and Department of Public Health, unless otherwise
17noted.
18    "Home and community-based long-term care services". The
19term "home and community-based long-term care services" means,
20with respect to the State Medicaid program, a service aid, or
21benefit, home and community-based services, including but not
22limited to home health and personal care services, that are
23provided to a person with a disability, and are voluntarily
24accepted, as part of his or her long-term care that: (i) is

 

 

HB2755- 270 -LRB099 08043 RPS 28187 b

1provided under the State's qualified home and community-based
2program or that could be provided under such a program but is
3otherwise provided under the Medicaid program; (ii) is
4delivered in a qualified residence; and (iii) is necessary for
5the person with a disability to live in the community.
6    "ID/DD community care facility". The term "ID/DD community
7care facility", for the purposes of this Article, means a
8skilled nursing or intermediate long-term care facility
9subject to licensure by the Department of Public Health under
10the ID/DD Community Care Act or the MC/DD Act, an intermediate
11care facility for the developmentally disabled (ICF-DDs), and a
12State-operated developmental center or mental health center,
13whether publicly or privately owned.
14    "Money Follows the Person" Demonstration. Enacted by the
15Deficit Reduction Act of 2005, the Money Follows the Person
16(MFP) Rebalancing Demonstration is part of a comprehensive,
17coordinated strategy to assist states, in collaboration with
18stakeholders, to make widespread changes to their long-term
19care support systems. This initiative will assist states in
20their efforts to reduce their reliance on institutional care
21while developing community-based long-term care opportunities,
22enabling the elderly and people with disabilities to fully
23participate in their communities.
24    "Public funds" mean any funds appropriated by the General
25Assembly to the Departments of Human Services, on Aging, of
26Healthcare and Family Services and of Public Health for

 

 

HB2755- 271 -LRB099 08043 RPS 28187 b

1settings and services as defined in this Article.
2    "Qualified residence". The term "qualified residence"
3means, with respect to an eligible individual: (i) a home owned
4or leased by the individual or the individual's authorized
5representative (as defined by P.L. 109-171); (ii) an apartment
6with an individual lease, with lockable access and egress, and
7which includes living, sleeping, bathing, and cooking areas
8over which the individual or the individual's family has domain
9and control; or (iii) a residence, in a community-based
10residential setting, in which no more than 4 unrelated
11individuals reside. Where qualified residences are not
12sufficient to meet the demand of eligible individuals,
13time-limited exceptions to this definition may be developed
14through administrative rule.
15    "Self-directed services". The term "self-directed
16services" means, with respect to home and community-based
17long-term services for an eligible individual, those services
18for the individual that are planned and purchased under the
19direction and control of the individual or the individual's
20authorized representative, including the amount, duration,
21scope, provider, and location of such services, under the State
22Medicaid program consistent with the following requirements:
23        (a) Assessment: there is an assessment of the needs,
24    capabilities, and preference of the individual with
25    respect to such services.
26        (b) Individual service care or treatment plan: based on

 

 

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1    the assessment, there is development jointly with such
2    individual or individual's authorized representative, a
3    plan for such services for the individual that (i)
4    specifies those services, if any, that the individual or
5    the individual's authorized representative would be
6    responsible for directing; (ii) identifies the methods by
7    which the individual or the individual's authorized
8    representative or an agency designated by an individual or
9    representative will select, manage, and dismiss providers
10    of such services.
11(Source: P.A. 96-339, eff. 7-1-10; 97-227, eff. 1-1-12.)
 
12    Section 27. The Criminal Identification Act is amended by
13changing Section 7.5 as follows:
 
14    (20 ILCS 2630/7.5)
15    Sec. 7.5. Notification of outstanding warrant. If the
16existence of an outstanding arrest warrant is identified by the
17Department of State Police in connection with the criminal
18history background checks conducted pursuant to subsection (b)
19of Section 2-201.5 of the Nursing Home Care Act, and Section
202-201.5 of the ID/DD MR/DD Community Care Act, Section 2-201.5
21of the MC/DD Act, or subsection (d) of Section 6.09 of the
22Hospital Licensing Act, the Department shall notify the
23jurisdiction issuing the warrant of the following:
24        (1) Existence of the warrant.

 

 

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1        (2) The name, address, and telephone number of the
2    licensed long term care facility in which the wanted person
3    resides.
4    Local issuing jurisdictions shall be aware that nursing
5facilities have residents who may be fragile or vulnerable or
6who may have a mental illness. When serving a warrant, law
7enforcement shall make every attempt to mitigate the adverse
8impact on other facility residents.
9(Source: P.A. 96-1372, eff. 7-29-10; 97-38, eff. 6-28-11.)
 
10    Section 30. The Illinois Finance Authority Act is amended
11by changing Section 801-10 as follows:
 
12    (20 ILCS 3501/801-10)
13    Sec. 801-10. Definitions. The following terms, whenever
14used or referred to in this Act, shall have the following
15meanings, except in such instances where the context may
16clearly indicate otherwise:
17    (a) The term "Authority" means the Illinois Finance
18Authority created by this Act.
19    (b) The term "project" means an industrial project,
20conservation project, housing project, public purpose project,
21higher education project, health facility project, cultural
22institution project, municipal bond program project,
23agricultural facility or agribusiness, and "project" may
24include any combination of one or more of the foregoing

 

 

HB2755- 274 -LRB099 08043 RPS 28187 b

1undertaken jointly by any person with one or more other
2persons.
3    (c) The term "public purpose project" means any project or
4facility, including without limitation land, buildings,
5structures, machinery, equipment and all other real and
6personal property, which is authorized or required by law to be
7acquired, constructed, improved, rehabilitated, reconstructed,
8replaced or maintained by any unit of government or any other
9lawful public purpose which is authorized or required by law to
10be undertaken by any unit of government.
11    (d) The term "industrial project" means the acquisition,
12construction, refurbishment, creation, development or
13redevelopment of any facility, equipment, machinery, real
14property or personal property for use by any instrumentality of
15the State or its political subdivisions, for use by any person
16or institution, public or private, for profit or not for
17profit, or for use in any trade or business, including, but not
18limited to, any industrial, manufacturing or commercial
19enterprise that is located within or outside the State,
20provided that, with respect to a project involving property
21located outside the State, the property must be owned,
22operated, leased or managed by an entity located within the
23State or an entity affiliated with an entity located within the
24State, and which is (1) a capital project, including, but not
25limited to: (i) land and any rights therein, one or more
26buildings, structures or other improvements, machinery and

 

 

HB2755- 275 -LRB099 08043 RPS 28187 b

1equipment, whether now existing or hereafter acquired, and
2whether or not located on the same site or sites; (ii) all
3appurtenances and facilities incidental to the foregoing,
4including, but not limited to, utilities, access roads,
5railroad sidings, track, docking and similar facilities,
6parking facilities, dockage, wharfage, railroad roadbed,
7track, trestle, depot, terminal, switching and signaling or
8related equipment, site preparation and landscaping; and (iii)
9all non-capital costs and expenses relating thereto or (2) any
10addition to, renovation, rehabilitation or improvement of a
11capital project or (3) any activity or undertaking within or
12outside the State, provided that, with respect to a project
13involving property located outside the State, the property must
14be owned, operated, leased or managed by an entity located
15within the State or an entity affiliated with an entity located
16within the State, which the Authority determines will aid,
17assist or encourage economic growth, development or
18redevelopment within the State or any area thereof, will
19promote the expansion, retention or diversification of
20employment opportunities within the State or any area thereof
21or will aid in stabilizing or developing any industry or
22economic sector of the State economy. The term "industrial
23project" also means the production of motion pictures.
24    (e) The term "bond" or "bonds" shall include bonds, notes
25(including bond, grant or revenue anticipation notes),
26certificates and/or other evidences of indebtedness

 

 

HB2755- 276 -LRB099 08043 RPS 28187 b

1representing an obligation to pay money, including refunding
2bonds.
3    (f) The terms "lease agreement" and "loan agreement" shall
4mean: (i) an agreement whereby a project acquired by the
5Authority by purchase, gift or lease is leased to any person,
6corporation or unit of local government which will use or cause
7the project to be used as a project as heretofore defined upon
8terms providing for lease rental payments at least sufficient
9to pay when due all principal of, interest and premium, if any,
10on any bonds of the Authority issued with respect to such
11project, providing for the maintenance, insuring and operation
12of the project on terms satisfactory to the Authority,
13providing for disposition of the project upon termination of
14the lease term, including purchase options or abandonment of
15the premises, and such other terms as may be deemed desirable
16by the Authority, or (ii) any agreement pursuant to which the
17Authority agrees to loan the proceeds of its bonds issued with
18respect to a project or other funds of the Authority to any
19person which will use or cause the project to be used as a
20project as heretofore defined upon terms providing for loan
21repayment installments at least sufficient to pay when due all
22principal of, interest and premium, if any, on any bonds of the
23Authority, if any, issued with respect to the project, and
24providing for maintenance, insurance and other matters as may
25be deemed desirable by the Authority.
26    (g) The term "financial aid" means the expenditure of

 

 

HB2755- 277 -LRB099 08043 RPS 28187 b

1Authority funds or funds provided by the Authority through the
2issuance of its bonds, notes or other evidences of indebtedness
3or from other sources for the development, construction,
4acquisition or improvement of a project.
5    (h) The term "person" means an individual, corporation,
6unit of government, business trust, estate, trust, partnership
7or association, 2 or more persons having a joint or common
8interest, or any other legal entity.
9    (i) The term "unit of government" means the federal
10government, the State or unit of local government, a school
11district, or any agency or instrumentality, office, officer,
12department, division, bureau, commission, college or
13university thereof.
14    (j) The term "health facility" means: (a) any public or
15private institution, place, building, or agency required to be
16licensed under the Hospital Licensing Act; (b) any public or
17private institution, place, building, or agency required to be
18licensed under the Nursing Home Care Act, the Specialized
19Mental Health Rehabilitation Act of 2013, or the ID/DD
20Community Care Act, or the MC/DD Act; (c) any public or
21licensed private hospital as defined in the Mental Health and
22Developmental Disabilities Code; (d) any such facility
23exempted from such licensure when the Director of Public Health
24attests that such exempted facility meets the statutory
25definition of a facility subject to licensure; (e) any other
26public or private health service institution, place, building,

 

 

HB2755- 278 -LRB099 08043 RPS 28187 b

1or agency which the Director of Public Health attests is
2subject to certification by the Secretary, U.S. Department of
3Health and Human Services under the Social Security Act, as now
4or hereafter amended, or which the Director of Public Health
5attests is subject to standard-setting by a recognized public
6or voluntary accrediting or standard-setting agency; (f) any
7public or private institution, place, building or agency
8engaged in providing one or more supporting services to a
9health facility; (g) any public or private institution, place,
10building or agency engaged in providing training in the healing
11arts, including, but not limited to, schools of medicine,
12dentistry, osteopathy, optometry, podiatry, pharmacy or
13nursing, schools for the training of x-ray, laboratory or other
14health care technicians and schools for the training of
15para-professionals in the health care field; (h) any public or
16private congregate, life or extended care or elderly housing
17facility or any public or private home for the aged or infirm,
18including, without limitation, any Facility as defined in the
19Life Care Facilities Act; (i) any public or private mental,
20emotional or physical rehabilitation facility or any public or
21private educational, counseling, or rehabilitation facility or
22home, for those persons with a developmental disability, those
23who are physically ill or disabled, the emotionally disturbed,
24those persons with a mental illness or persons with learning or
25similar disabilities or problems; (j) any public or private
26alcohol, drug or substance abuse diagnosis, counseling

 

 

HB2755- 279 -LRB099 08043 RPS 28187 b

1treatment or rehabilitation facility, (k) any public or private
2institution, place, building or agency licensed by the
3Department of Children and Family Services or which is not so
4licensed but which the Director of Children and Family Services
5attests provides child care, child welfare or other services of
6the type provided by facilities subject to such licensure; (l)
7any public or private adoption agency or facility; and (m) any
8public or private blood bank or blood center. "Health facility"
9also means a public or private structure or structures suitable
10primarily for use as a laboratory, laundry, nurses or interns
11residence or other housing or hotel facility used in whole or
12in part for staff, employees or students and their families,
13patients or relatives of patients admitted for treatment or
14care in a health facility, or persons conducting business with
15a health facility, physician's facility, surgicenter,
16administration building, research facility, maintenance,
17storage or utility facility and all structures or facilities
18related to any of the foregoing or required or useful for the
19operation of a health facility, including parking or other
20facilities or other supporting service structures required or
21useful for the orderly conduct of such health facility. "Health
22facility" also means, with respect to a project located outside
23the State, any public or private institution, place, building,
24or agency which provides services similar to those described
25above, provided that such project is owned, operated, leased or
26managed by a participating health institution located within

 

 

HB2755- 280 -LRB099 08043 RPS 28187 b

1the State, or a participating health institution affiliated
2with an entity located within the State.
3    (k) The term "participating health institution" means (i) a
4private corporation or association or (ii) a public entity of
5this State, in either case authorized by the laws of this State
6or the applicable state to provide or operate a health facility
7as defined in this Act and which, pursuant to the provisions of
8this Act, undertakes the financing, construction or
9acquisition of a project or undertakes the refunding or
10refinancing of obligations, loans, indebtedness or advances as
11provided in this Act.
12    (l) The term "health facility project", means a specific
13health facility work or improvement to be financed or
14refinanced (including without limitation through reimbursement
15of prior expenditures), acquired, constructed, enlarged,
16remodeled, renovated, improved, furnished, or equipped, with
17funds provided in whole or in part hereunder, any accounts
18receivable, working capital, liability or insurance cost or
19operating expense financing or refinancing program of a health
20facility with or involving funds provided in whole or in part
21hereunder, or any combination thereof.
22    (m) The term "bond resolution" means the resolution or
23resolutions authorizing the issuance of, or providing terms and
24conditions related to, bonds issued under this Act and
25includes, where appropriate, any trust agreement, trust
26indenture, indenture of mortgage or deed of trust providing

 

 

HB2755- 281 -LRB099 08043 RPS 28187 b

1terms and conditions for such bonds.
2    (n) The term "property" means any real, personal or mixed
3property, whether tangible or intangible, or any interest
4therein, including, without limitation, any real estate,
5leasehold interests, appurtenances, buildings, easements,
6equipment, furnishings, furniture, improvements, machinery,
7rights of way, structures, accounts, contract rights or any
8interest therein.
9    (o) The term "revenues" means, with respect to any project,
10the rents, fees, charges, interest, principal repayments,
11collections and other income or profit derived therefrom.
12    (p) The term "higher education project" means, in the case
13of a private institution of higher education, an educational
14facility to be acquired, constructed, enlarged, remodeled,
15renovated, improved, furnished, or equipped, or any
16combination thereof.
17    (q) The term "cultural institution project" means, in the
18case of a cultural institution, a cultural facility to be
19acquired, constructed, enlarged, remodeled, renovated,
20improved, furnished, or equipped, or any combination thereof.
21    (r) The term "educational facility" means any property
22located within the State, or any property located outside the
23State, provided that, if the property is located outside the
24State, it must be owned, operated, leased or managed by an
25entity located within the State or an entity affiliated with an
26entity located within the State, in each case constructed or

 

 

HB2755- 282 -LRB099 08043 RPS 28187 b

1acquired before or after the effective date of this Act, which
2is or will be, in whole or in part, suitable for the
3instruction, feeding, recreation or housing of students, the
4conducting of research or other work of a private institution
5of higher education, the use by a private institution of higher
6education in connection with any educational, research or
7related or incidental activities then being or to be conducted
8by it, or any combination of the foregoing, including, without
9limitation, any such property suitable for use as or in
10connection with any one or more of the following: an academic
11facility, administrative facility, agricultural facility,
12assembly hall, athletic facility, auditorium, boating
13facility, campus, communication facility, computer facility,
14continuing education facility, classroom, dining hall,
15dormitory, exhibition hall, fire fighting facility, fire
16prevention facility, food service and preparation facility,
17gymnasium, greenhouse, health care facility, hospital,
18housing, instructional facility, laboratory, library,
19maintenance facility, medical facility, museum, offices,
20parking area, physical education facility, recreational
21facility, research facility, stadium, storage facility,
22student union, study facility, theatre or utility.
23    (s) The term "cultural facility" means any property located
24within the State, or any property located outside the State,
25provided that, if the property is located outside the State, it
26must be owned, operated, leased or managed by an entity located

 

 

HB2755- 283 -LRB099 08043 RPS 28187 b

1within the State or an entity affiliated with an entity located
2within the State, in each case constructed or acquired before
3or after the effective date of this Act, which is or will be,
4in whole or in part, suitable for the particular purposes or
5needs of a cultural institution, including, without
6limitation, any such property suitable for use as or in
7connection with any one or more of the following: an
8administrative facility, aquarium, assembly hall, auditorium,
9botanical garden, exhibition hall, gallery, greenhouse,
10library, museum, scientific laboratory, theater or zoological
11facility, and shall also include, without limitation, books,
12works of art or music, animal, plant or aquatic life or other
13items for display, exhibition or performance. The term
14"cultural facility" includes buildings on the National
15Register of Historic Places which are owned or operated by
16nonprofit entities.
17    (t) "Private institution of higher education" means a
18not-for-profit educational institution which is not owned by
19the State or any political subdivision, agency,
20instrumentality, district or municipality thereof, which is
21authorized by law to provide a program of education beyond the
22high school level and which:
23        (1) Admits as regular students only individuals having
24    a certificate of graduation from a high school, or the
25    recognized equivalent of such a certificate;
26        (2) Provides an educational program for which it awards

 

 

HB2755- 284 -LRB099 08043 RPS 28187 b

1    a bachelor's degree, or provides an educational program,
2    admission into which is conditioned upon the prior
3    attainment of a bachelor's degree or its equivalent, for
4    which it awards a postgraduate degree, or provides not less
5    than a 2-year program which is acceptable for full credit
6    toward such a degree, or offers a 2-year program in
7    engineering, mathematics, or the physical or biological
8    sciences which is designed to prepare the student to work
9    as a technician and at a semiprofessional level in
10    engineering, scientific, or other technological fields
11    which require the understanding and application of basic
12    engineering, scientific, or mathematical principles or
13    knowledge;
14        (3) Is accredited by a nationally recognized
15    accrediting agency or association or, if not so accredited,
16    is an institution whose credits are accepted, on transfer,
17    by not less than 3 institutions which are so accredited,
18    for credit on the same basis as if transferred from an
19    institution so accredited, and holds an unrevoked
20    certificate of approval under the Private College Act from
21    the Board of Higher Education, or is qualified as a "degree
22    granting institution" under the Academic Degree Act; and
23        (4) Does not discriminate in the admission of students
24    on the basis of race or color. "Private institution of
25    higher education" also includes any "academic
26    institution".

 

 

HB2755- 285 -LRB099 08043 RPS 28187 b

1    (u) The term "academic institution" means any
2not-for-profit institution which is not owned by the State or
3any political subdivision, agency, instrumentality, district
4or municipality thereof, which institution engages in, or
5facilitates academic, scientific, educational or professional
6research or learning in a field or fields of study taught at a
7private institution of higher education. Academic institutions
8include, without limitation, libraries, archives, academic,
9scientific, educational or professional societies,
10institutions, associations or foundations having such
11purposes.
12    (v) The term "cultural institution" means any
13not-for-profit institution which is not owned by the State or
14any political subdivision, agency, instrumentality, district
15or municipality thereof, which institution engages in the
16cultural, intellectual, scientific, educational or artistic
17enrichment of the people of the State. Cultural institutions
18include, without limitation, aquaria, botanical societies,
19historical societies, libraries, museums, performing arts
20associations or societies, scientific societies and zoological
21societies.
22    (w) The term "affiliate" means, with respect to financing
23of an agricultural facility or an agribusiness, any lender, any
24person, firm or corporation controlled by, or under common
25control with, such lender, and any person, firm or corporation
26controlling such lender.

 

 

HB2755- 286 -LRB099 08043 RPS 28187 b

1    (x) The term "agricultural facility" means land, any
2building or other improvement thereon or thereto, and any
3personal properties deemed necessary or suitable for use,
4whether or not now in existence, in farming, ranching, the
5production of agricultural commodities (including, without
6limitation, the products of aquaculture, hydroponics and
7silviculture) or the treating, processing or storing of such
8agricultural commodities when such activities are customarily
9engaged in by farmers as a part of farming and which land,
10building, improvement or personal property is located within
11the State, or is located outside the State, provided that, if
12such property is located outside the State, it must be owned,
13operated, leased, or managed by an entity located within the
14State or an entity affiliated with an entity located within the
15State.
16    (y) The term "lender" with respect to financing of an
17agricultural facility or an agribusiness, means any federal or
18State chartered bank, Federal Land Bank, Production Credit
19Association, Bank for Cooperatives, federal or State chartered
20savings and loan association or building and loan association,
21Small Business Investment Company or any other institution
22qualified within this State to originate and service loans,
23including, but without limitation to, insurance companies,
24credit unions and mortgage loan companies. "Lender" also means
25a wholly owned subsidiary of a manufacturer, seller or
26distributor of goods or services that makes loans to businesses

 

 

HB2755- 287 -LRB099 08043 RPS 28187 b

1or individuals, commonly known as a "captive finance company".
2    (z) The term "agribusiness" means any sole proprietorship,
3limited partnership, co-partnership, joint venture,
4corporation or cooperative which operates or will operate a
5facility located within the State or outside the State,
6provided that, if any facility is located outside the State, it
7must be owned, operated, leased, or managed by an entity
8located within the State or an entity affiliated with an entity
9located within the State, that is related to the processing of
10agricultural commodities (including, without limitation, the
11products of aquaculture, hydroponics and silviculture) or the
12manufacturing, production or construction of agricultural
13buildings, structures, equipment, implements, and supplies, or
14any other facilities or processes used in agricultural
15production. Agribusiness includes but is not limited to the
16following:
17        (1) grain handling and processing, including grain
18    storage, drying, treatment, conditioning, mailing and
19    packaging;
20        (2) seed and feed grain development and processing;
21        (3) fruit and vegetable processing, including
22    preparation, canning and packaging;
23        (4) processing of livestock and livestock products,
24    dairy products, poultry and poultry products, fish or
25    apiarian products, including slaughter, shearing,
26    collecting, preparation, canning and packaging;

 

 

HB2755- 288 -LRB099 08043 RPS 28187 b

1        (5) fertilizer and agricultural chemical
2    manufacturing, processing, application and supplying;
3        (6) farm machinery, equipment and implement
4    manufacturing and supplying;
5        (7) manufacturing and supplying of agricultural
6    commodity processing machinery and equipment, including
7    machinery and equipment used in slaughter, treatment,
8    handling, collecting, preparation, canning or packaging of
9    agricultural commodities;
10        (8) farm building and farm structure manufacturing,
11    construction and supplying;
12        (9) construction, manufacturing, implementation,
13    supplying or servicing of irrigation, drainage and soil and
14    water conservation devices or equipment;
15        (10) fuel processing and development facilities that
16    produce fuel from agricultural commodities or byproducts;
17        (11) facilities and equipment for processing and
18    packaging agricultural commodities specifically for
19    export;
20        (12) facilities and equipment for forestry product
21    processing and supplying, including sawmilling operations,
22    wood chip operations, timber harvesting operations, and
23    manufacturing of prefabricated buildings, paper, furniture
24    or other goods from forestry products;
25        (13) facilities and equipment for research and
26    development of products, processes and equipment for the

 

 

HB2755- 289 -LRB099 08043 RPS 28187 b

1    production, processing, preparation or packaging of
2    agricultural commodities and byproducts.
3    (aa) The term "asset" with respect to financing of any
4agricultural facility or any agribusiness, means, but is not
5limited to the following: cash crops or feed on hand; livestock
6held for sale; breeding stock; marketable bonds and securities;
7securities not readily marketable; accounts receivable; notes
8receivable; cash invested in growing crops; net cash value of
9life insurance; machinery and equipment; cars and trucks; farm
10and other real estate including life estates and personal
11residence; value of beneficial interests in trusts; government
12payments or grants; and any other assets.
13    (bb) The term "liability" with respect to financing of any
14agricultural facility or any agribusiness shall include, but
15not be limited to the following: accounts payable; notes or
16other indebtedness owed to any source; taxes; rent; amounts
17owed on real estate contracts or real estate mortgages;
18judgments; accrued interest payable; and any other liability.
19    (cc) The term "Predecessor Authorities" means those
20authorities as described in Section 845-75.
21    (dd) The term "housing project" means a specific work or
22improvement located within the State or outside the State and
23undertaken to provide residential dwelling accommodations,
24including the acquisition, construction or rehabilitation of
25lands, buildings and community facilities and in connection
26therewith to provide nonhousing facilities which are part of

 

 

HB2755- 290 -LRB099 08043 RPS 28187 b

1the housing project, including land, buildings, improvements,
2equipment and all ancillary facilities for use for offices,
3stores, retirement homes, hotels, financial institutions,
4service, health care, education, recreation or research
5establishments, or any other commercial purpose which are or
6are to be related to a housing development, provided that any
7work or improvement located outside the State is owned,
8operated, leased or managed by an entity located within the
9State, or any entity affiliated with an entity located within
10the State.
11    (ee) The term "conservation project" means any project
12including the acquisition, construction, rehabilitation,
13maintenance, operation, or upgrade that is intended to create
14or expand open space or to reduce energy usage through
15efficiency measures. For the purpose of this definition, "open
16space" has the definition set forth under Section 10 of the
17Illinois Open Land Trust Act.
18    (ff) The term "significant presence" means the existence
19within the State of the national or regional headquarters of an
20entity or group or such other facility of an entity or group of
21entities where a significant amount of the business functions
22are performed for such entity or group of entities.
23    (gg) The term "municipal bond issuer" means the State or
24any other state or commonwealth of the United States, or any
25unit of local government, school district, agency or
26instrumentality, office, department, division, bureau,

 

 

HB2755- 291 -LRB099 08043 RPS 28187 b

1commission, college or university thereof located in the State
2or any other state or commonwealth of the United States.
3    (hh) The term "municipal bond program project" means a
4program for the funding of the purchase of bonds, notes or
5other obligations issued by or on behalf of a municipal bond
6issuer.
7(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
8eff. 7-13-12; 98-90, eff. 7-15-13; 98-104, eff. 7-22-13;
998-756, eff. 7-16-14.)
 
10    Section 35. The Illinois Health Facilities Planning Act is
11amended by changing Sections 3, 12, 13, and 14.1 as follows:
 
12    (20 ILCS 3960/3)  (from Ch. 111 1/2, par. 1153)
13    (Section scheduled to be repealed on December 31, 2019)
14    Sec. 3. Definitions. As used in this Act:
15    "Health care facilities" means and includes the following
16facilities, organizations, and related persons:
17        (1) An ambulatory surgical treatment center required
18    to be licensed pursuant to the Ambulatory Surgical
19    Treatment Center Act.
20        (2) An institution, place, building, or agency
21    required to be licensed pursuant to the Hospital Licensing
22    Act.
23        (3) Skilled and intermediate long term care facilities
24    licensed under the Nursing Home Care Act.

 

 

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1            (A) If a demonstration project under the Nursing
2        Home Care Act applies for a certificate of need to
3        convert to a nursing facility, it shall meet the
4        licensure and certificate of need requirements in
5        effect as of the date of application.
6            (B) Except as provided in item (A) of this
7        subsection, this Act does not apply to facilities
8        granted waivers under Section 3-102.2 of the Nursing
9        Home Care Act.
10        (3.5) Skilled and intermediate care facilities
11    licensed under the ID/DD Community Care Act. (A) No permit
12    or exemption is required for a facility licensed under the
13    ID/DD Community Care Act prior to the reduction of the
14    number of beds at a facility. If there is a total reduction
15    of beds at a facility licensed under the ID/DD Community
16    Care Act, this is a discontinuation or closure of the
17    facility. If a facility licensed under the ID/DD Community
18    Care Act reduces the number of beds or discontinues the
19    facility, that facility must notify the Board as provided
20    in Section 14.1 of this Act.
21        (3.6) Skilled and intermediate care facilities
22    licensed under the MC/DD Act. No permit or exemption is
23    required for a facility licensed under the MC/DD Act prior
24    to the reduction of the number of beds at a facility. If
25    there is a total reduction of beds at a facility licensed
26    under the MC/DD Act, this is a discontinuation or closure

 

 

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1    of the facility. If a facility licensed under the MC/DD Act
2    reduces the number of beds or discontinues the facility,
3    that facility must notify the Board as provided in Section
4    14.1 of this Act.
5        (3.7) Facilities licensed under the Specialized Mental
6    Health Rehabilitation Act of 2013.
7        (4) Hospitals, nursing homes, ambulatory surgical
8    treatment centers, or kidney disease treatment centers
9    maintained by the State or any department or agency
10    thereof.
11        (5) Kidney disease treatment centers, including a
12    free-standing hemodialysis unit required to be licensed
13    under the End Stage Renal Disease Facility Act.
14            (A) This Act does not apply to a dialysis facility
15        that provides only dialysis training, support, and
16        related services to individuals with end stage renal
17        disease who have elected to receive home dialysis.
18            (B) This Act does not apply to a dialysis unit
19        located in a licensed nursing home that offers or
20        provides dialysis-related services to residents with
21        end stage renal disease who have elected to receive
22        home dialysis within the nursing home.
23            (C) The Board, however, may require dialysis
24        facilities and licensed nursing homes under items (A)
25        and (B) of this subsection to report statistical
26        information on a quarterly basis to the Board to be

 

 

HB2755- 294 -LRB099 08043 RPS 28187 b

1        used by the Board to conduct analyses on the need for
2        proposed kidney disease treatment centers.
3        (6) An institution, place, building, or room used for
4    the performance of outpatient surgical procedures that is
5    leased, owned, or operated by or on behalf of an
6    out-of-state facility.
7        (7) An institution, place, building, or room used for
8    provision of a health care category of service, including,
9    but not limited to, cardiac catheterization and open heart
10    surgery.
11        (8) An institution, place, building, or room housing
12    major medical equipment used in the direct clinical
13    diagnosis or treatment of patients, and whose project cost
14    is in excess of the capital expenditure minimum.
15    "Health care facilities" does not include the following
16entities or facility transactions:
17        (1) Federally-owned facilities.
18        (2) Facilities used solely for healing by prayer or
19    spiritual means.
20        (3) An existing facility located on any campus facility
21    as defined in Section 5-5.8b of the Illinois Public Aid
22    Code, provided that the campus facility encompasses 30 or
23    more contiguous acres and that the new or renovated
24    facility is intended for use by a licensed residential
25    facility.
26        (4) Facilities licensed under the Supportive

 

 

HB2755- 295 -LRB099 08043 RPS 28187 b

1    Residences Licensing Act or the Assisted Living and Shared
2    Housing Act.
3        (5) Facilities designated as supportive living
4    facilities that are in good standing with the program
5    established under Section 5-5.01a of the Illinois Public
6    Aid Code.
7        (6) Facilities established and operating under the
8    Alternative Health Care Delivery Act as a children's
9    community-based health care center children's respite care
10    center alternative health care model demonstration program
11    or as an Alzheimer's Disease Management Center alternative
12    health care model demonstration program.
13        (7) The closure of an entity or a portion of an entity
14    licensed under the Nursing Home Care Act, the Specialized
15    Mental Health Rehabilitation Act of 2013, or the ID/DD
16    Community Care Act, or the MC/DD Act, with the exception of
17    facilities operated by a county or Illinois Veterans Homes,
18    that elect to convert, in whole or in part, to an assisted
19    living or shared housing establishment licensed under the
20    Assisted Living and Shared Housing Act and with the
21    exception of a facility licensed under the Specialized
22    Mental Health Rehabilitation Act of 2013 in connection with
23    a proposal to close a facility and re-establish the
24    facility in another location.
25        (8) Any change of ownership of a health care healthcare
26    facility that is licensed under the Nursing Home Care Act,

 

 

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1    the Specialized Mental Health Rehabilitation Act of 2013,
2    or the ID/DD Community Care Act, or the MC/DD Act, with the
3    exception of facilities operated by a county or Illinois
4    Veterans Homes. Changes of ownership of facilities
5    licensed under the Nursing Home Care Act must meet the
6    requirements set forth in Sections 3-101 through 3-119 of
7    the Nursing Home Care Act. children's community-based
8    health care center of 2013 and with the exception of a
9    facility licensed under the Specialized Mental Health
10    Rehabilitation Act of 2013 in connection with a proposal to
11    close a facility and re-establish the facility in another
12    location of 2013
13    With the exception of those health care facilities
14specifically included in this Section, nothing in this Act
15shall be intended to include facilities operated as a part of
16the practice of a physician or other licensed health care
17professional, whether practicing in his individual capacity or
18within the legal structure of any partnership, medical or
19professional corporation, or unincorporated medical or
20professional group. Further, this Act shall not apply to
21physicians or other licensed health care professional's
22practices where such practices are carried out in a portion of
23a health care facility under contract with such health care
24facility by a physician or by other licensed health care
25professionals, whether practicing in his individual capacity
26or within the legal structure of any partnership, medical or

 

 

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1professional corporation, or unincorporated medical or
2professional groups, unless the entity constructs, modifies,
3or establishes a health care facility as specifically defined
4in this Section. This Act shall apply to construction or
5modification and to establishment by such health care facility
6of such contracted portion which is subject to facility
7licensing requirements, irrespective of the party responsible
8for such action or attendant financial obligation.
9    "Person" means any one or more natural persons, legal
10entities, governmental bodies other than federal, or any
11combination thereof.
12    "Consumer" means any person other than a person (a) whose
13major occupation currently involves or whose official capacity
14within the last 12 months has involved the providing,
15administering or financing of any type of health care facility,
16(b) who is engaged in health research or the teaching of
17health, (c) who has a material financial interest in any
18activity which involves the providing, administering or
19financing of any type of health care facility, or (d) who is or
20ever has been a member of the immediate family of the person
21defined by (a), (b), or (c).
22    "State Board" or "Board" means the Health Facilities and
23Services Review Board.
24    "Construction or modification" means the establishment,
25erection, building, alteration, reconstruction, modernization,
26improvement, extension, discontinuation, change of ownership,

 

 

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1of or by a health care facility, or the purchase or acquisition
2by or through a health care facility of equipment or service
3for diagnostic or therapeutic purposes or for facility
4administration or operation, or any capital expenditure made by
5or on behalf of a health care facility which exceeds the
6capital expenditure minimum; however, any capital expenditure
7made by or on behalf of a health care facility for (i) the
8construction or modification of a facility licensed under the
9Assisted Living and Shared Housing Act or (ii) a conversion
10project undertaken in accordance with Section 30 of the Older
11Adult Services Act shall be excluded from any obligations under
12this Act.
13    "Establish" means the construction of a health care
14facility or the replacement of an existing facility on another
15site or the initiation of a category of service.
16    "Major medical equipment" means medical equipment which is
17used for the provision of medical and other health services and
18which costs in excess of the capital expenditure minimum,
19except that such term does not include medical equipment
20acquired by or on behalf of a clinical laboratory to provide
21clinical laboratory services if the clinical laboratory is
22independent of a physician's office and a hospital and it has
23been determined under Title XVIII of the Social Security Act to
24meet the requirements of paragraphs (10) and (11) of Section
251861(s) of such Act. In determining whether medical equipment
26has a value in excess of the capital expenditure minimum, the

 

 

HB2755- 299 -LRB099 08043 RPS 28187 b

1value of studies, surveys, designs, plans, working drawings,
2specifications, and other activities essential to the
3acquisition of such equipment shall be included.
4    "Capital Expenditure" means an expenditure: (A) made by or
5on behalf of a health care facility (as such a facility is
6defined in this Act); and (B) which under generally accepted
7accounting principles is not properly chargeable as an expense
8of operation and maintenance, or is made to obtain by lease or
9comparable arrangement any facility or part thereof or any
10equipment for a facility or part; and which exceeds the capital
11expenditure minimum.
12    For the purpose of this paragraph, the cost of any studies,
13surveys, designs, plans, working drawings, specifications, and
14other activities essential to the acquisition, improvement,
15expansion, or replacement of any plant or equipment with
16respect to which an expenditure is made shall be included in
17determining if such expenditure exceeds the capital
18expenditures minimum. Unless otherwise interdependent, or
19submitted as one project by the applicant, components of
20construction or modification undertaken by means of a single
21construction contract or financed through the issuance of a
22single debt instrument shall not be grouped together as one
23project. Donations of equipment or facilities to a health care
24facility which if acquired directly by such facility would be
25subject to review under this Act shall be considered capital
26expenditures, and a transfer of equipment or facilities for

 

 

HB2755- 300 -LRB099 08043 RPS 28187 b

1less than fair market value shall be considered a capital
2expenditure for purposes of this Act if a transfer of the
3equipment or facilities at fair market value would be subject
4to review.
5    "Capital expenditure minimum" means $11,500,000 for
6projects by hospital applicants, $6,500,000 for applicants for
7projects related to skilled and intermediate care long-term
8care facilities licensed under the Nursing Home Care Act, and
9$3,000,000 for projects by all other applicants, which shall be
10annually adjusted to reflect the increase in construction costs
11due to inflation, for major medical equipment and for all other
12capital expenditures.
13    "Non-clinical service area" means an area (i) for the
14benefit of the patients, visitors, staff, or employees of a
15health care facility and (ii) not directly related to the
16diagnosis, treatment, or rehabilitation of persons receiving
17services from the health care facility. "Non-clinical service
18areas" include, but are not limited to, chapels; gift shops;
19news stands; computer systems; tunnels, walkways, and
20elevators; telephone systems; projects to comply with life
21safety codes; educational facilities; student housing;
22patient, employee, staff, and visitor dining areas;
23administration and volunteer offices; modernization of
24structural components (such as roof replacement and masonry
25work); boiler repair or replacement; vehicle maintenance and
26storage facilities; parking facilities; mechanical systems for

 

 

HB2755- 301 -LRB099 08043 RPS 28187 b

1heating, ventilation, and air conditioning; loading docks; and
2repair or replacement of carpeting, tile, wall coverings,
3window coverings or treatments, or furniture. Solely for the
4purpose of this definition, "non-clinical service area" does
5not include health and fitness centers.
6    "Areawide" means a major area of the State delineated on a
7geographic, demographic, and functional basis for health
8planning and for health service and having within it one or
9more local areas for health planning and health service. The
10term "region", as contrasted with the term "subregion", and the
11word "area" may be used synonymously with the term "areawide".
12    "Local" means a subarea of a delineated major area that on
13a geographic, demographic, and functional basis may be
14considered to be part of such major area. The term "subregion"
15may be used synonymously with the term "local".
16    "Physician" means a person licensed to practice in
17accordance with the Medical Practice Act of 1987, as amended.
18    "Licensed health care professional" means a person
19licensed to practice a health profession under pertinent
20licensing statutes of the State of Illinois.
21    "Director" means the Director of the Illinois Department of
22Public Health.
23    "Agency" means the Illinois Department of Public Health.
24    "Alternative health care model" means a facility or program
25authorized under the Alternative Health Care Delivery Act.
26    "Out-of-state facility" means a person that is both (i)

 

 

HB2755- 302 -LRB099 08043 RPS 28187 b

1licensed as a hospital or as an ambulatory surgery center under
2the laws of another state or that qualifies as a hospital or an
3ambulatory surgery center under regulations adopted pursuant
4to the Social Security Act and (ii) not licensed under the
5Ambulatory Surgical Treatment Center Act, the Hospital
6Licensing Act, or the Nursing Home Care Act. Affiliates of
7out-of-state facilities shall be considered out-of-state
8facilities. Affiliates of Illinois licensed health care
9facilities 100% owned by an Illinois licensed health care
10facility, its parent, or Illinois physicians licensed to
11practice medicine in all its branches shall not be considered
12out-of-state facilities. Nothing in this definition shall be
13construed to include an office or any part of an office of a
14physician licensed to practice medicine in all its branches in
15Illinois that is not required to be licensed under the
16Ambulatory Surgical Treatment Center Act.
17    "Change of ownership of a health care facility" means a
18change in the person who has ownership or control of a health
19care facility's physical plant and capital assets. A change in
20ownership is indicated by the following transactions: sale,
21transfer, acquisition, lease, change of sponsorship, or other
22means of transferring control.
23    "Related person" means any person that: (i) is at least 50%
24owned, directly or indirectly, by either the health care
25facility or a person owning, directly or indirectly, at least
2650% of the health care facility; or (ii) owns, directly or

 

 

HB2755- 303 -LRB099 08043 RPS 28187 b

1indirectly, at least 50% of the health care facility.
2    "Charity care" means care provided by a health care
3facility for which the provider does not expect to receive
4payment from the patient or a third-party payer.
5    "Freestanding emergency center" means a facility subject
6to licensure under Section 32.5 of the Emergency Medical
7Services (EMS) Systems Act.
8    "Category of service" means a grouping by generic class of
9various types or levels of support functions, equipment, care,
10or treatment provided to patients or residents, including, but
11not limited to, classes such as medical-surgical, pediatrics,
12or cardiac catheterization. A category of service may include
13subcategories or levels of care that identify a particular
14degree or type of care within the category of service. Nothing
15in this definition shall be construed to include the practice
16of a physician or other licensed health care professional while
17functioning in an office providing for the care, diagnosis, or
18treatment of patients. A category of service that is subject to
19the Board's jurisdiction must be designated in rules adopted by
20the Board.
21    "State Board Staff Report" means the document that sets
22forth the review and findings of the State Board staff, as
23prescribed by the State Board, regarding applications subject
24to Board jurisdiction.
25(Source: P.A. 97-38, eff. 6-28-11; 97-277, eff. 1-1-12; 97-813,
26eff. 7-13-12; 97-980, eff. 8-17-12; 98-414, eff. 1-1-14;

 

 

HB2755- 304 -LRB099 08043 RPS 28187 b

198-629, eff. 1-1-15; 98-651, eff. 6-16-14; 98-1086, eff.
28-26-14; revised 10-22-14.)
 
3    (20 ILCS 3960/12)  (from Ch. 111 1/2, par. 1162)
4    (Section scheduled to be repealed on December 31, 2019)
5    Sec. 12. Powers and duties of State Board. For purposes of
6this Act, the State Board shall exercise the following powers
7and duties:
8    (1) Prescribe rules, regulations, standards, criteria,
9procedures or reviews which may vary according to the purpose
10for which a particular review is being conducted or the type of
11project reviewed and which are required to carry out the
12provisions and purposes of this Act. Policies and procedures of
13the State Board shall take into consideration the priorities
14and needs of medically underserved areas and other health care
15services identified through the comprehensive health planning
16process, giving special consideration to the impact of projects
17on access to safety net services.
18    (2) Adopt procedures for public notice and hearing on all
19proposed rules, regulations, standards, criteria, and plans
20required to carry out the provisions of this Act.
21    (3) (Blank).
22    (4) Develop criteria and standards for health care
23facilities planning, conduct statewide inventories of health
24care facilities, maintain an updated inventory on the Board's
25web site reflecting the most recent bed and service changes and

 

 

HB2755- 305 -LRB099 08043 RPS 28187 b

1updated need determinations when new census data become
2available or new need formulae are adopted, and develop health
3care facility plans which shall be utilized in the review of
4applications for permit under this Act. Such health facility
5plans shall be coordinated by the Board with pertinent State
6Plans. Inventories pursuant to this Section of skilled or
7intermediate care facilities licensed under the Nursing Home
8Care Act, skilled or intermediate care facilities licensed
9under the ID/DD Community Care Act, skilled or intermediate
10care facilities licensed under the MC/DD Act, facilities
11licensed under the Specialized Mental Health Rehabilitation
12Act of 2013, or nursing homes licensed under the Hospital
13Licensing Act shall be conducted on an annual basis no later
14than July 1 of each year and shall include among the
15information requested a list of all services provided by a
16facility to its residents and to the community at large and
17differentiate between active and inactive beds.
18    In developing health care facility plans, the State Board
19shall consider, but shall not be limited to, the following:
20        (a) The size, composition and growth of the population
21    of the area to be served;
22        (b) The number of existing and planned facilities
23    offering similar programs;
24        (c) The extent of utilization of existing facilities;
25        (d) The availability of facilities which may serve as
26    alternatives or substitutes;

 

 

HB2755- 306 -LRB099 08043 RPS 28187 b

1        (e) The availability of personnel necessary to the
2    operation of the facility;
3        (f) Multi-institutional planning and the establishment
4    of multi-institutional systems where feasible;
5        (g) The financial and economic feasibility of proposed
6    construction or modification; and
7        (h) In the case of health care facilities established
8    by a religious body or denomination, the needs of the
9    members of such religious body or denomination may be
10    considered to be public need.
11    The health care facility plans which are developed and
12adopted in accordance with this Section shall form the basis
13for the plan of the State to deal most effectively with
14statewide health needs in regard to health care facilities.
15    (5) Coordinate with the Center for Comprehensive Health
16Planning and other state agencies having responsibilities
17affecting health care facilities, including those of licensure
18and cost reporting. Beginning no later than January 1, 2013,
19the Department of Public Health shall produce a written annual
20report to the Governor and the General Assembly regarding the
21development of the Center for Comprehensive Health Planning.
22The Chairman of the State Board and the State Board
23Administrator shall also receive a copy of the annual report.
24    (6) Solicit, accept, hold and administer on behalf of the
25State any grants or bequests of money, securities or property
26for use by the State Board or Center for Comprehensive Health

 

 

HB2755- 307 -LRB099 08043 RPS 28187 b

1Planning in the administration of this Act; and enter into
2contracts consistent with the appropriations for purposes
3enumerated in this Act.
4    (7) The State Board shall prescribe procedures for review,
5standards, and criteria which shall be utilized to make
6periodic reviews and determinations of the appropriateness of
7any existing health services being rendered by health care
8facilities subject to the Act. The State Board shall consider
9recommendations of the Board in making its determinations.
10    (8) Prescribe, in consultation with the Center for
11Comprehensive Health Planning, rules, regulations, standards,
12and criteria for the conduct of an expeditious review of
13applications for permits for projects of construction or
14modification of a health care facility, which projects are
15classified as emergency, substantive, or non-substantive in
16nature.
17    Six months after June 30, 2009 (the effective date of
18Public Act 96-31), substantive projects shall include no more
19than the following:
20        (a) Projects to construct (1) a new or replacement
21    facility located on a new site or (2) a replacement
22    facility located on the same site as the original facility
23    and the cost of the replacement facility exceeds the
24    capital expenditure minimum, which shall be reviewed by the
25    Board within 120 days;
26        (b) Projects proposing a (1) new service within an

 

 

HB2755- 308 -LRB099 08043 RPS 28187 b

1    existing healthcare facility or (2) discontinuation of a
2    service within an existing healthcare facility, which
3    shall be reviewed by the Board within 60 days; or
4        (c) Projects proposing a change in the bed capacity of
5    a health care facility by an increase in the total number
6    of beds or by a redistribution of beds among various
7    categories of service or by a relocation of beds from one
8    physical facility or site to another by more than 20 beds
9    or more than 10% of total bed capacity, as defined by the
10    State Board, whichever is less, over a 2-year period.
11    The Chairman may approve applications for exemption that
12meet the criteria set forth in rules or refer them to the full
13Board. The Chairman may approve any unopposed application that
14meets all of the review criteria or refer them to the full
15Board.
16    Such rules shall not abridge the right of the Center for
17Comprehensive Health Planning to make recommendations on the
18classification and approval of projects, nor shall such rules
19prevent the conduct of a public hearing upon the timely request
20of an interested party. Such reviews shall not exceed 60 days
21from the date the application is declared to be complete.
22    (9) Prescribe rules, regulations, standards, and criteria
23pertaining to the granting of permits for construction and
24modifications which are emergent in nature and must be
25undertaken immediately to prevent or correct structural
26deficiencies or hazardous conditions that may harm or injure

 

 

HB2755- 309 -LRB099 08043 RPS 28187 b

1persons using the facility, as defined in the rules and
2regulations of the State Board. This procedure is exempt from
3public hearing requirements of this Act.
4    (10) Prescribe rules, regulations, standards and criteria
5for the conduct of an expeditious review, not exceeding 60
6days, of applications for permits for projects to construct or
7modify health care facilities which are needed for the care and
8treatment of persons who have acquired immunodeficiency
9syndrome (AIDS) or related conditions.
10    (11) Issue written decisions upon request of the applicant
11or an adversely affected party to the Board. Requests for a
12written decision shall be made within 15 days after the Board
13meeting in which a final decision has been made. A "final
14decision" for purposes of this Act is the decision to approve
15or deny an application, or take other actions permitted under
16this Act, at the time and date of the meeting that such action
17is scheduled by the Board. State Board members shall provide
18their rationale when voting on an item before the State Board
19at a State Board meeting in order to comply with subsection (b)
20of Section 3-108 of the Administrative Review Law of the Code
21of Civil Procedure. The transcript of the State Board meeting
22shall be incorporated into the Board's final decision. The
23staff of the Board shall prepare a written copy of the final
24decision and the Board shall approve a final copy for inclusion
25in the formal record. The Board shall consider, for approval,
26the written draft of the final decision no later than the next

 

 

HB2755- 310 -LRB099 08043 RPS 28187 b

1scheduled Board meeting. The written decision shall identify
2the applicable criteria and factors listed in this Act and the
3Board's regulations that were taken into consideration by the
4Board when coming to a final decision. If the Board denies or
5fails to approve an application for permit or exemption, the
6Board shall include in the final decision a detailed
7explanation as to why the application was denied and identify
8what specific criteria or standards the applicant did not
9fulfill.
10    (12) Require at least one of its members to participate in
11any public hearing, after the appointment of a majority of the
12members to the Board.
13    (13) Provide a mechanism for the public to comment on, and
14request changes to, draft rules and standards.
15    (14) Implement public information campaigns to regularly
16inform the general public about the opportunity for public
17hearings and public hearing procedures.
18    (15) Establish a separate set of rules and guidelines for
19long-term care that recognizes that nursing homes are a
20different business line and service model from other regulated
21facilities. An open and transparent process shall be developed
22that considers the following: how skilled nursing fits in the
23continuum of care with other care providers, modernization of
24nursing homes, establishment of more private rooms,
25development of alternative services, and current trends in
26long-term care services. The Chairman of the Board shall

 

 

HB2755- 311 -LRB099 08043 RPS 28187 b

1appoint a permanent Health Services Review Board Long-term Care
2Facility Advisory Subcommittee that shall develop and
3recommend to the Board the rules to be established by the Board
4under this paragraph (15). The Subcommittee shall also provide
5continuous review and commentary on policies and procedures
6relative to long-term care and the review of related projects.
7In consultation with other experts from the health field of
8long-term care, the Board and the Subcommittee shall study new
9approaches to the current bed need formula and Health Service
10Area boundaries to encourage flexibility and innovation in
11design models reflective of the changing long-term care
12marketplace and consumer preferences. The Subcommittee shall
13evaluate, and make recommendations to the State Board
14regarding, the buying, selling, and exchange of beds between
15long-term care facilities within a specified geographic area or
16drive time. The Board shall file the proposed related
17administrative rules for the separate rules and guidelines for
18long-term care required by this paragraph (15) by no later than
19September 30, 2011. The Subcommittee shall be provided a
20reasonable and timely opportunity to review and comment on any
21review, revision, or updating of the criteria, standards,
22procedures, and rules used to evaluate project applications as
23provided under Section 12.3 of this Act.
24    (16) Prescribe and provide forms pertaining to the State
25Board Staff Report. A State Board Staff Report shall pertain to
26applications that include, but are not limited to, applications

 

 

HB2755- 312 -LRB099 08043 RPS 28187 b

1for permit or exemption, applications for permit renewal,
2applications for extension of the obligation period,
3applications requesting a declaratory ruling, or applications
4under the Health Care Worker Self-Referral Self Referral Act.
5State Board Staff Reports shall compare applications to the
6relevant review criteria under the Board's rules.
7    (17) (16) Establish a separate set of rules and guidelines
8for facilities licensed under the Specialized Mental Health
9Rehabilitation Act of 2013. An application for the
10re-establishment of a facility in connection with the
11relocation of the facility shall not be granted unless the
12applicant has a contractual relationship with at least one
13hospital to provide emergency and inpatient mental health
14services required by facility consumers, and at least one
15community mental health agency to provide oversight and
16assistance to facility consumers while living in the facility,
17and appropriate services, including case management, to assist
18them to prepare for discharge and reside stably in the
19community thereafter. No new facilities licensed under the
20Specialized Mental Health Rehabilitation Act of 2013 shall be
21established after June 16, 2014 (the effective date of Public
22Act 98-651) this amendatory Act of the 98th General Assembly
23except in connection with the relocation of an existing
24facility to a new location. An application for a new location
25shall not be approved unless there are adequate community
26services accessible to the consumers within a reasonable

 

 

HB2755- 313 -LRB099 08043 RPS 28187 b

1distance, or by use of public transportation, so as to
2facilitate the goal of achieving maximum individual self-care
3and independence. At no time shall the total number of
4authorized beds under this Act in facilities licensed under the
5Specialized Mental Health Rehabilitation Act of 2013 exceed the
6number of authorized beds on June 16, 2014 (the effective date
7of Public Act 98-651) this amendatory Act of the 98th General
8Assembly.
9(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
10eff. 7-13-12; 97-1045, eff. 8-21-13; 97-1115, eff. 8-27-12;
1198-414, eff. 1-1-14; 98-463, eff. 8-16-13; 98-651, eff.
126-16-14; 98-1086, eff. 8-26-14; revised 10-1-14.)
 
13    (20 ILCS 3960/13)  (from Ch. 111 1/2, par. 1163)
14    (Section scheduled to be repealed on December 31, 2019)
15    Sec. 13. Investigation of applications for permits and
16certificates of recognition. The State Board shall make or
17cause to be made such investigations as it deems necessary in
18connection with an application for a permit or an application
19for a certificate of recognition, or in connection with a
20determination of whether or not construction or modification
21which has been commenced is in accord with the permit issued by
22the State Board or whether construction or modification has
23been commenced without a permit having been obtained. The State
24Board may issue subpoenas duces tecum requiring the production
25of records and may administer oaths to such witnesses.

 

 

HB2755- 314 -LRB099 08043 RPS 28187 b

1    Any circuit court of this State, upon the application of
2the State Board or upon the application of any party to such
3proceedings, may, in its discretion, compel the attendance of
4witnesses, the production of books, papers, records, or
5memoranda and the giving of testimony before the State Board,
6by a proceeding as for contempt, or otherwise, in the same
7manner as production of evidence may be compelled before the
8court.
9    The State Board shall require all health facilities
10operating in this State to provide such reasonable reports at
11such times and containing such information as is needed by it
12to carry out the purposes and provisions of this Act. Prior to
13collecting information from health facilities, the State Board
14shall make reasonable efforts through a public process to
15consult with health facilities and associations that represent
16them to determine whether data and information requests will
17result in useful information for health planning, whether
18sufficient information is available from other sources, and
19whether data requested is routinely collected by health
20facilities and is available without retrospective record
21review. Data and information requests shall not impose undue
22paperwork burdens on health care facilities and personnel.
23Health facilities not complying with this requirement shall be
24reported to licensing, accrediting, certifying, or payment
25agencies as being in violation of State law. Health care
26facilities and other parties at interest shall have reasonable

 

 

HB2755- 315 -LRB099 08043 RPS 28187 b

1access, under rules established by the State Board, to all
2planning information submitted in accord with this Act
3pertaining to their area.
4    Among the reports to be required by the State Board are
5facility questionnaires for health care facilities licensed
6under the Ambulatory Surgical Treatment Center Act, the
7Hospital Licensing Act, the Nursing Home Care Act, the ID/DD
8Community Care Act, the MC/DD Act, the Specialized Mental
9Health Rehabilitation Act of 2013, or the End Stage Renal
10Disease Facility Act. These questionnaires shall be conducted
11on an annual basis and compiled by the State Board. For health
12care facilities licensed under the Nursing Home Care Act or the
13Specialized Mental Health Rehabilitation Act of 2013, these
14reports shall include, but not be limited to, the
15identification of specialty services provided by the facility
16to patients, residents, and the community at large. Annual
17reports for facilities licensed under the ID/DD Community Care
18Act and facilities licensed under the MC/DD Act shall be
19different from the annual reports required of other health care
20facilities and shall be specific to those facilities licensed
21under the ID/DD Community Care Act or the MC/DD Act. The Health
22Facilities and Services Review Board shall consult with
23associations representing facilities licensed under the ID/DD
24Community Care Act and associations representing facilities
25licensed under the MC/DD Act when developing the information
26requested in these annual reports. For health care facilities

 

 

HB2755- 316 -LRB099 08043 RPS 28187 b

1that contain long term care beds, the reports shall also
2include the number of staffed long term care beds, physical
3capacity for long term care beds at the facility, and long term
4care beds available for immediate occupancy. For purposes of
5this paragraph, "long term care beds" means beds (i) licensed
6under the Nursing Home Care Act, (ii) licensed under the ID/DD
7Community Care Act, (iii) licensed under the MC/DD Act, (iv)
8(iii) licensed under the Hospital Licensing Act, or (v) (iv)
9licensed under the Specialized Mental Health Rehabilitation
10Act of 2013 and certified as skilled nursing or nursing
11facility beds under Medicaid or Medicare.
12(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
13eff. 7-13-12; 97-980, eff. 8-17-12; 98-1086, eff. 8-26-14.)
 
14    (20 ILCS 3960/14.1)
15    Sec. 14.1. Denial of permit; other sanctions.
16    (a) The State Board may deny an application for a permit or
17may revoke or take other action as permitted by this Act with
18regard to a permit as the State Board deems appropriate,
19including the imposition of fines as set forth in this Section,
20for any one or a combination of the following:
21        (1) The acquisition of major medical equipment without
22    a permit or in violation of the terms of a permit.
23        (2) The establishment, construction, or modification
24    of a health care facility without a permit or in violation
25    of the terms of a permit.

 

 

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1        (3) The violation of any provision of this Act or any
2    rule adopted under this Act.
3        (4) The failure, by any person subject to this Act, to
4    provide information requested by the State Board or Agency
5    within 30 days after a formal written request for the
6    information.
7        (5) The failure to pay any fine imposed under this
8    Section within 30 days of its imposition.
9    (a-5) For facilities licensed under the ID/DD Community
10Care Act, no permit shall be denied on the basis of prior
11operator history, other than for actions specified under item
12(2), (4), or (5) of Section 3-117 of the ID/DD Community Care
13Act. For facilities licensed under the MC/DD Act, no permit
14shall be denied on the basis of prior operator history, other
15than for actions specified under item (2), (4), or (5) of
16Section 3-117 of the MC/DD Act. For facilities licensed under
17the Specialized Mental Health Rehabilitation Act of 2013, no
18permit shall be denied on the basis of prior operator history,
19other than for actions specified under item (2), (4), or (5) of
20Section 3-117 of the Specialized Mental Health Rehabilitation
21Act of 2013. For facilities licensed under the Nursing Home
22Care Act, no permit shall be denied on the basis of prior
23operator history, other than for: (i) actions specified under
24item (2), (3), (4), (5), or (6) of Section 3-117 of the Nursing
25Home Care Act; (ii) actions specified under item (a)(6) of
26Section 3-119 of the Nursing Home Care Act; or (iii) actions

 

 

HB2755- 318 -LRB099 08043 RPS 28187 b

1within the preceding 5 years constituting a substantial and
2repeated failure to comply with the Nursing Home Care Act or
3the rules and regulations adopted by the Department under that
4Act. The State Board shall not deny a permit on account of any
5action described in this subsection (a-5) without also
6considering all such actions in the light of all relevant
7information available to the State Board, including whether the
8permit is sought to substantially comply with a mandatory or
9voluntary plan of correction associated with any action
10described in this subsection (a-5).
11    (b) Persons shall be subject to fines as follows:
12        (1) A permit holder who fails to comply with the
13    requirements of maintaining a valid permit shall be fined
14    an amount not to exceed 1% of the approved permit amount
15    plus an additional 1% of the approved permit amount for
16    each 30-day period, or fraction thereof, that the violation
17    continues.
18        (2) A permit holder who alters the scope of an approved
19    project or whose project costs exceed the allowable permit
20    amount without first obtaining approval from the State
21    Board shall be fined an amount not to exceed the sum of (i)
22    the lesser of $25,000 or 2% of the approved permit amount
23    and (ii) in those cases where the approved permit amount is
24    exceeded by more than $1,000,000, an additional $20,000 for
25    each $1,000,000, or fraction thereof, in excess of the
26    approved permit amount.

 

 

HB2755- 319 -LRB099 08043 RPS 28187 b

1        (2.5) A permit holder who fails to comply with the
2    post-permit and reporting requirements set forth in
3    Section 5 shall be fined an amount not to exceed $10,000
4    plus an additional $10,000 for each 30-day period, or
5    fraction thereof, that the violation continues. This fine
6    shall continue to accrue until the date that (i) the
7    post-permit requirements are met and the post-permit
8    reports are received by the State Board or (ii) the matter
9    is referred by the State Board to the State Board's legal
10    counsel. The accrued fine is not waived by the permit
11    holder submitting the required information and reports.
12    Prior to any fine beginning to accrue, the Board shall
13    notify, in writing, a permit holder of the due date for the
14    post-permit and reporting requirements no later than 30
15    days before the due date for the requirements. This
16    paragraph (2.5) takes effect 6 months after August 27, 2012
17    (the effective date of Public Act 97-1115).
18        (3) A person who acquires major medical equipment or
19    who establishes a category of service without first
20    obtaining a permit or exemption, as the case may be, shall
21    be fined an amount not to exceed $10,000 for each such
22    acquisition or category of service established plus an
23    additional $10,000 for each 30-day period, or fraction
24    thereof, that the violation continues.
25        (4) A person who constructs, modifies, or establishes a
26    health care facility without first obtaining a permit shall

 

 

HB2755- 320 -LRB099 08043 RPS 28187 b

1    be fined an amount not to exceed $25,000 plus an additional
2    $25,000 for each 30-day period, or fraction thereof, that
3    the violation continues.
4        (5) A person who discontinues a health care facility or
5    a category of service without first obtaining a permit
6    shall be fined an amount not to exceed $10,000 plus an
7    additional $10,000 for each 30-day period, or fraction
8    thereof, that the violation continues. For purposes of this
9    subparagraph (5), facilities licensed under the Nursing
10    Home Care Act, or the ID/DD Community Care Act, or the
11    MC/DD Act, with the exceptions of facilities operated by a
12    county or Illinois Veterans Homes, are exempt from this
13    permit requirement. However, facilities licensed under the
14    Nursing Home Care Act, or the ID/DD Community Care Act, or
15    the MC/DD Act must comply with Section 3-423 of the Nursing
16    Home Care Act, or Section 3-423 of the ID/DD Community Care
17    Act, or Section 3-423 of the MC/DD Act and must provide the
18    Board and the Department of Human Services with 30 days'
19    written notice of their its intent to close. Facilities
20    licensed under the ID/DD Community Care Act or the MC/DD
21    Act also must provide the Board and the Department of Human
22    Services with 30 days' written notice of their its intent
23    to reduce the number of beds for a facility.
24        (6) A person subject to this Act who fails to provide
25    information requested by the State Board or Agency within
26    30 days of a formal written request shall be fined an

 

 

HB2755- 321 -LRB099 08043 RPS 28187 b

1    amount not to exceed $1,000 plus an additional $1,000 for
2    each 30-day period, or fraction thereof, that the
3    information is not received by the State Board or Agency.
4    (c) Before imposing any fine authorized under this Section,
5the State Board shall afford the person or permit holder, as
6the case may be, an appearance before the State Board and an
7opportunity for a hearing before a hearing officer appointed by
8the State Board. The hearing shall be conducted in accordance
9with Section 10.
10    (d) All fines collected under this Act shall be transmitted
11to the State Treasurer, who shall deposit them into the
12Illinois Health Facilities Planning Fund.
13(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
14eff. 7-13-12; 97-980, eff. 8-17-12; 97-1115, eff. 8-27-12;
1598-463, eff. 8-16-13.)
 
16    Section 40. The Illinois Income Tax Act is amended by
17changing Section 806 as follows:
 
18    (35 ILCS 5/806)
19    Sec. 806. Exemption from penalty. An individual taxpayer
20shall not be subject to a penalty for failing to pay estimated
21tax as required by Section 803 if the taxpayer is 65 years of
22age or older and is a permanent resident of a nursing home. For
23purposes of this Section, "nursing home" means a skilled
24nursing or intermediate long term care facility that is subject

 

 

HB2755- 322 -LRB099 08043 RPS 28187 b

1to licensure by the Illinois Department of Public Health under
2the Nursing Home Care Act, the Specialized Mental Health
3Rehabilitation Act of 2013, or the ID/DD Community Care Act, or
4the MC/DD Act.
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    Section 45. The Use Tax Act is amended by changing Section
83-5 as follows:
 
9    (35 ILCS 105/3-5)
10    Sec. 3-5. Exemptions. Use of the following tangible
11personal property is exempt from the tax imposed by this Act:
12    (1) Personal property purchased from a corporation,
13society, association, foundation, institution, or
14organization, other than a limited liability company, that is
15organized and operated as a not-for-profit service enterprise
16for the benefit of persons 65 years of age or older if the
17personal property was not purchased by the enterprise for the
18purpose of resale by the enterprise.
19    (2) Personal property purchased by a not-for-profit
20Illinois county fair association for use in conducting,
21operating, or promoting the county fair.
22    (3) Personal property purchased by a not-for-profit arts or
23cultural organization that establishes, by proof required by
24the Department by rule, that it has received an exemption under

 

 

HB2755- 323 -LRB099 08043 RPS 28187 b

1Section 501(c)(3) of the Internal Revenue Code and that is
2organized and operated primarily for the presentation or
3support of arts or cultural programming, activities, or
4services. These organizations include, but are not limited to,
5music and dramatic arts organizations such as symphony
6orchestras and theatrical groups, arts and cultural service
7organizations, local arts councils, visual arts organizations,
8and media arts organizations. On and after the effective date
9of this amendatory Act of the 92nd General Assembly, however,
10an entity otherwise eligible for this exemption shall not make
11tax-free purchases unless it has an active identification
12number issued by the Department.
13    (4) Personal property purchased by a governmental body, by
14a corporation, society, association, foundation, or
15institution organized and operated exclusively for charitable,
16religious, or educational purposes, or by a not-for-profit
17corporation, society, association, foundation, institution, or
18organization that has no compensated officers or employees and
19that is organized and operated primarily for the recreation of
20persons 55 years of age or older. A limited liability company
21may qualify for the exemption under this paragraph only if the
22limited liability company is organized and operated
23exclusively for educational purposes. On and after July 1,
241987, however, no entity otherwise eligible for this exemption
25shall make tax-free purchases unless it has an active exemption
26identification number issued by the Department.

 

 

HB2755- 324 -LRB099 08043 RPS 28187 b

1    (5) Until July 1, 2003, a passenger car that is a
2replacement vehicle to the extent that the purchase price of
3the car is subject to the Replacement Vehicle Tax.
4    (6) Until July 1, 2003 and beginning again on September 1,
52004 through August 30, 2014, graphic arts machinery and
6equipment, including repair and replacement parts, both new and
7used, and including that manufactured on special order,
8certified by the purchaser to be used primarily for graphic
9arts production, and including machinery and equipment
10purchased for lease. Equipment includes chemicals or chemicals
11acting as catalysts but only if the chemicals or chemicals
12acting as catalysts effect a direct and immediate change upon a
13graphic arts product.
14    (7) Farm chemicals.
15    (8) Legal tender, currency, medallions, or gold or silver
16coinage issued by the State of Illinois, the government of the
17United States of America, or the government of any foreign
18country, and bullion.
19    (9) Personal property purchased from a teacher-sponsored
20student organization affiliated with an elementary or
21secondary school located in Illinois.
22    (10) A motor vehicle that is used for automobile renting,
23as defined in the Automobile Renting Occupation and Use Tax
24Act.
25    (11) Farm machinery and equipment, both new and used,
26including that manufactured on special order, certified by the

 

 

HB2755- 325 -LRB099 08043 RPS 28187 b

1purchaser to be used primarily for production agriculture or
2State or federal agricultural programs, including individual
3replacement parts for the machinery and equipment, including
4machinery and equipment purchased for lease, and including
5implements of husbandry defined in Section 1-130 of the
6Illinois Vehicle Code, farm machinery and agricultural
7chemical and fertilizer spreaders, and nurse wagons required to
8be registered under Section 3-809 of the Illinois Vehicle Code,
9but excluding other motor vehicles required to be registered
10under the Illinois Vehicle Code. Horticultural polyhouses or
11hoop houses used for propagating, growing, or overwintering
12plants shall be considered farm machinery and equipment under
13this item (11). Agricultural chemical tender tanks and dry
14boxes shall include units sold separately from a motor vehicle
15required to be licensed and units sold mounted on a motor
16vehicle required to be licensed if the selling price of the
17tender is separately stated.
18    Farm machinery and equipment shall include precision
19farming equipment that is installed or purchased to be
20installed on farm machinery and equipment including, but not
21limited to, tractors, harvesters, sprayers, planters, seeders,
22or spreaders. Precision farming equipment includes, but is not
23limited to, soil testing sensors, computers, monitors,
24software, global positioning and mapping systems, and other
25such equipment.
26    Farm machinery and equipment also includes computers,

 

 

HB2755- 326 -LRB099 08043 RPS 28187 b

1sensors, software, and related equipment used primarily in the
2computer-assisted operation of production agriculture
3facilities, equipment, and activities such as, but not limited
4to, the collection, monitoring, and correlation of animal and
5crop data for the purpose of formulating animal diets and
6agricultural chemicals. This item (11) is exempt from the
7provisions of Section 3-90.
8    (12) Until June 30, 2013, fuel and petroleum products sold
9to or used by an air common carrier, certified by the carrier
10to be used for consumption, shipment, or storage in the conduct
11of its business as an air common carrier, for a flight destined
12for or returning from a location or locations outside the
13United States without regard to previous or subsequent domestic
14stopovers.
15    Beginning July 1, 2013, fuel and petroleum products sold to
16or used by an air carrier, certified by the carrier to be used
17for consumption, shipment, or storage in the conduct of its
18business as an air common carrier, for a flight that (i) is
19engaged in foreign trade or is engaged in trade between the
20United States and any of its possessions and (ii) transports at
21least one individual or package for hire from the city of
22origination to the city of final destination on the same
23aircraft, without regard to a change in the flight number of
24that aircraft.
25    (13) Proceeds of mandatory service charges separately
26stated on customers' bills for the purchase and consumption of

 

 

HB2755- 327 -LRB099 08043 RPS 28187 b

1food and beverages purchased at retail from a retailer, to the
2extent that the proceeds of the service charge are in fact
3turned over as tips or as a substitute for tips to the
4employees who participate directly in preparing, serving,
5hosting or cleaning up the food or beverage function with
6respect to which the service charge is imposed.
7    (14) Until July 1, 2003, oil field exploration, drilling,
8and production equipment, including (i) rigs and parts of rigs,
9rotary rigs, cable tool rigs, and workover rigs, (ii) pipe and
10tubular goods, including casing and drill strings, (iii) pumps
11and pump-jack units, (iv) storage tanks and flow lines, (v) any
12individual replacement part for oil field exploration,
13drilling, and production equipment, and (vi) machinery and
14equipment purchased for lease; but excluding motor vehicles
15required to be registered under the Illinois Vehicle Code.
16    (15) Photoprocessing machinery and equipment, including
17repair and replacement parts, both new and used, including that
18manufactured on special order, certified by the purchaser to be
19used primarily for photoprocessing, and including
20photoprocessing machinery and equipment purchased for lease.
21    (16) Coal and aggregate exploration, mining, off-highway
22hauling, processing, maintenance, and reclamation equipment,
23including replacement parts and equipment, and including
24equipment purchased for lease, but excluding motor vehicles
25required to be registered under the Illinois Vehicle Code. The
26changes made to this Section by Public Act 97-767 apply on and

 

 

HB2755- 328 -LRB099 08043 RPS 28187 b

1after July 1, 2003, but no claim for credit or refund is
2allowed on or after August 16, 2013 (the effective date of
3Public Act 98-456) for such taxes paid during the period
4beginning July 1, 2003 and ending on August 16, 2013 (the
5effective date of Public Act 98-456).
6    (17) Until July 1, 2003, distillation machinery and
7equipment, sold as a unit or kit, assembled or installed by the
8retailer, certified by the user to be used only for the
9production of ethyl alcohol that will be used for consumption
10as motor fuel or as a component of motor fuel for the personal
11use of the user, and not subject to sale or resale.
12    (18) Manufacturing and assembling machinery and equipment
13used primarily in the process of manufacturing or assembling
14tangible personal property for wholesale or retail sale or
15lease, whether that sale or lease is made directly by the
16manufacturer or by some other person, whether the materials
17used in the process are owned by the manufacturer or some other
18person, or whether that sale or lease is made apart from or as
19an incident to the seller's engaging in the service occupation
20of producing machines, tools, dies, jigs, patterns, gauges, or
21other similar items of no commercial value on special order for
22a particular purchaser. The exemption provided by this
23paragraph (18) does not include machinery and equipment used in
24(i) the generation of electricity for wholesale or retail sale;
25(ii) the generation or treatment of natural or artificial gas
26for wholesale or retail sale that is delivered to customers

 

 

HB2755- 329 -LRB099 08043 RPS 28187 b

1through pipes, pipelines, or mains; or (iii) the treatment of
2water for wholesale or retail sale that is delivered to
3customers through pipes, pipelines, or mains. The provisions of
4Public Act 98-583 are declaratory of existing law as to the
5meaning and scope of this exemption.
6    (19) Personal property delivered to a purchaser or
7purchaser's donee inside Illinois when the purchase order for
8that personal property was received by a florist located
9outside Illinois who has a florist located inside Illinois
10deliver the personal property.
11    (20) Semen used for artificial insemination of livestock
12for direct agricultural production.
13    (21) Horses, or interests in horses, registered with and
14meeting the requirements of any of the Arabian Horse Club
15Registry of America, Appaloosa Horse Club, American Quarter
16Horse Association, United States Trotting Association, or
17Jockey Club, as appropriate, used for purposes of breeding or
18racing for prizes. This item (21) is exempt from the provisions
19of Section 3-90, and the exemption provided for under this item
20(21) applies for all periods beginning May 30, 1995, but no
21claim for credit or refund is allowed on or after January 1,
222008 for such taxes paid during the period beginning May 30,
232000 and ending on January 1, 2008.
24    (22) Computers and communications equipment utilized for
25any hospital purpose and equipment used in the diagnosis,
26analysis, or treatment of hospital patients purchased by a

 

 

HB2755- 330 -LRB099 08043 RPS 28187 b

1lessor who leases the equipment, under a lease of one year or
2longer executed or in effect at the time the lessor would
3otherwise be subject to the tax imposed by this Act, to a
4hospital that has been issued an active tax exemption
5identification number by the Department under Section 1g of the
6Retailers' Occupation Tax Act. If the equipment is leased in a
7manner that does not qualify for this exemption or is used in
8any other non-exempt manner, the lessor shall be liable for the
9tax imposed under this Act or the Service Use Tax Act, as the
10case may be, based on the fair market value of the property at
11the time the non-qualifying use occurs. No lessor shall collect
12or attempt to collect an amount (however designated) that
13purports to reimburse that lessor for the tax imposed by this
14Act or the Service Use Tax Act, as the case may be, if the tax
15has not been paid by the lessor. If a lessor improperly
16collects any such amount from the lessee, the lessee shall have
17a legal right to claim a refund of that amount from the lessor.
18If, however, that amount is not refunded to the lessee for any
19reason, the lessor is liable to pay that amount to the
20Department.
21    (23) Personal property purchased by a lessor who leases the
22property, under a lease of one year or longer executed or in
23effect at the time the lessor would otherwise be subject to the
24tax imposed by this Act, to a governmental body that has been
25issued an active sales tax exemption identification number by
26the Department under Section 1g of the Retailers' Occupation

 

 

HB2755- 331 -LRB099 08043 RPS 28187 b

1Tax Act. If the property is leased in a manner that does not
2qualify for this exemption or used in any other non-exempt
3manner, the lessor shall be liable for the tax imposed under
4this Act or the Service Use Tax Act, as the case may be, based
5on the fair market value of the property at the time the
6non-qualifying use occurs. No lessor shall collect or attempt
7to collect an amount (however designated) that purports to
8reimburse that lessor for the tax imposed by this Act or the
9Service Use Tax Act, as the case may be, if the tax has not been
10paid by the lessor. If a lessor improperly collects any such
11amount from the lessee, the lessee shall have a legal right to
12claim a refund of that amount from the lessor. If, however,
13that amount is not refunded to the lessee for any reason, the
14lessor is liable to pay that amount to the Department.
15    (24) Beginning with taxable years ending on or after
16December 31, 1995 and ending with taxable years ending on or
17before December 31, 2004, personal property that is donated for
18disaster relief to be used in a State or federally declared
19disaster area in Illinois or bordering Illinois by a
20manufacturer or retailer that is registered in this State to a
21corporation, society, association, foundation, or institution
22that has been issued a sales tax exemption identification
23number by the Department that assists victims of the disaster
24who reside within the declared disaster area.
25    (25) Beginning with taxable years ending on or after
26December 31, 1995 and ending with taxable years ending on or

 

 

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1before December 31, 2004, personal property that is used in the
2performance of infrastructure repairs in this State, including
3but not limited to municipal roads and streets, access roads,
4bridges, sidewalks, waste disposal systems, water and sewer
5line extensions, water distribution and purification
6facilities, storm water drainage and retention facilities, and
7sewage treatment facilities, resulting from a State or
8federally declared disaster in Illinois or bordering Illinois
9when such repairs are initiated on facilities located in the
10declared disaster area within 6 months after the disaster.
11    (26) Beginning July 1, 1999, game or game birds purchased
12at a "game breeding and hunting preserve area" as that term is
13used in the Wildlife Code. This paragraph is exempt from the
14provisions of Section 3-90.
15    (27) A motor vehicle, as that term is defined in Section
161-146 of the Illinois Vehicle Code, that is donated to a
17corporation, limited liability company, society, association,
18foundation, or institution that is determined by the Department
19to be organized and operated exclusively for educational
20purposes. For purposes of this exemption, "a corporation,
21limited liability company, society, association, foundation,
22or institution organized and operated exclusively for
23educational purposes" means all tax-supported public schools,
24private schools that offer systematic instruction in useful
25branches of learning by methods common to public schools and
26that compare favorably in their scope and intensity with the

 

 

HB2755- 333 -LRB099 08043 RPS 28187 b

1course of study presented in tax-supported schools, and
2vocational or technical schools or institutes organized and
3operated exclusively to provide a course of study of not less
4than 6 weeks duration and designed to prepare individuals to
5follow a trade or to pursue a manual, technical, mechanical,
6industrial, business, or commercial occupation.
7    (28) Beginning January 1, 2000, personal property,
8including food, purchased through fundraising events for the
9benefit of a public or private elementary or secondary school,
10a group of those schools, or one or more school districts if
11the events are sponsored by an entity recognized by the school
12district that consists primarily of volunteers and includes
13parents and teachers of the school children. This paragraph
14does not apply to fundraising events (i) for the benefit of
15private home instruction or (ii) for which the fundraising
16entity purchases the personal property sold at the events from
17another individual or entity that sold the property for the
18purpose of resale by the fundraising entity and that profits
19from the sale to the fundraising entity. This paragraph is
20exempt from the provisions of Section 3-90.
21    (29) Beginning January 1, 2000 and through December 31,
222001, new or used automatic vending machines that prepare and
23serve hot food and beverages, including coffee, soup, and other
24items, and replacement parts for these machines. Beginning
25January 1, 2002 and through June 30, 2003, machines and parts
26for machines used in commercial, coin-operated amusement and

 

 

HB2755- 334 -LRB099 08043 RPS 28187 b

1vending business if a use or occupation tax is paid on the
2gross receipts derived from the use of the commercial,
3coin-operated amusement and vending machines. This paragraph
4is exempt from the provisions of Section 3-90.
5    (30) Beginning January 1, 2001 and through June 30, 2016,
6food for human consumption that is to be consumed off the
7premises where it is sold (other than alcoholic beverages, soft
8drinks, and food that has been prepared for immediate
9consumption) and prescription and nonprescription medicines,
10drugs, medical appliances, and insulin, urine testing
11materials, syringes, and needles used by diabetics, for human
12use, when purchased for use by a person receiving medical
13assistance under Article V of the Illinois Public Aid Code who
14resides in a licensed long-term care facility, as defined in
15the Nursing Home Care Act, or in a licensed facility as defined
16in the ID/DD Community Care Act, the MC/DD Act, or the
17Specialized Mental Health Rehabilitation Act of 2013.
18    (31) Beginning on the effective date of this amendatory Act
19of the 92nd General Assembly, computers and communications
20equipment utilized for any hospital purpose and equipment used
21in the diagnosis, analysis, or treatment of hospital patients
22purchased by a lessor who leases the equipment, under a lease
23of one year or longer executed or in effect at the time the
24lessor would otherwise be subject to the tax imposed by this
25Act, to a hospital that has been issued an active tax exemption
26identification number by the Department under Section 1g of the

 

 

HB2755- 335 -LRB099 08043 RPS 28187 b

1Retailers' Occupation Tax Act. If the equipment is leased in a
2manner that does not qualify for this exemption or is used in
3any other nonexempt manner, the lessor shall be liable for the
4tax imposed under this Act or the Service Use Tax Act, as the
5case may be, based on the fair market value of the property at
6the time the nonqualifying use occurs. No lessor shall collect
7or attempt to collect an amount (however designated) that
8purports to reimburse that lessor for the tax imposed by this
9Act or the Service Use Tax Act, as the case may be, if the tax
10has not been paid by the lessor. If a lessor improperly
11collects any such amount from the lessee, the lessee shall have
12a legal right to claim a refund of that amount from the lessor.
13If, however, that amount is not refunded to the lessee for any
14reason, the lessor is liable to pay that amount to the
15Department. This paragraph is exempt from the provisions of
16Section 3-90.
17    (32) Beginning on the effective date of this amendatory Act
18of the 92nd General Assembly, personal property purchased by a
19lessor who leases the property, under a lease of one year or
20longer executed or in effect at the time the lessor would
21otherwise be subject to the tax imposed by this Act, to a
22governmental body that has been issued an active sales tax
23exemption identification number by the Department under
24Section 1g of the Retailers' Occupation Tax Act. If the
25property is leased in a manner that does not qualify for this
26exemption or used in any other nonexempt manner, the lessor

 

 

HB2755- 336 -LRB099 08043 RPS 28187 b

1shall be liable for the tax imposed under this Act or the
2Service Use Tax Act, as the case may be, based on the fair
3market value of the property at the time the nonqualifying use
4occurs. No lessor shall collect or attempt to collect an amount
5(however designated) that purports to reimburse that lessor for
6the tax imposed by this Act or the Service Use Tax Act, as the
7case may be, if the tax has not been paid by the lessor. If a
8lessor improperly collects any such amount from the lessee, the
9lessee shall have a legal right to claim a refund of that
10amount from the lessor. If, however, that amount is not
11refunded to the lessee for any reason, the lessor is liable to
12pay that amount to the Department. This paragraph is exempt
13from the provisions of Section 3-90.
14    (33) On and after July 1, 2003 and through June 30, 2004,
15the use in this State of motor vehicles of the second division
16with a gross vehicle weight in excess of 8,000 pounds and that
17are subject to the commercial distribution fee imposed under
18Section 3-815.1 of the Illinois Vehicle Code. Beginning on July
191, 2004 and through June 30, 2005, the use in this State of
20motor vehicles of the second division: (i) with a gross vehicle
21weight rating in excess of 8,000 pounds; (ii) that are subject
22to the commercial distribution fee imposed under Section
233-815.1 of the Illinois Vehicle Code; and (iii) that are
24primarily used for commercial purposes. Through June 30, 2005,
25this exemption applies to repair and replacement parts added
26after the initial purchase of such a motor vehicle if that

 

 

HB2755- 337 -LRB099 08043 RPS 28187 b

1motor vehicle is used in a manner that would qualify for the
2rolling stock exemption otherwise provided for in this Act. For
3purposes of this paragraph, the term "used for commercial
4purposes" means the transportation of persons or property in
5furtherance of any commercial or industrial enterprise,
6whether for-hire or not.
7    (34) Beginning January 1, 2008, tangible personal property
8used in the construction or maintenance of a community water
9supply, as defined under Section 3.145 of the Environmental
10Protection Act, that is operated by a not-for-profit
11corporation that holds a valid water supply permit issued under
12Title IV of the Environmental Protection Act. This paragraph is
13exempt from the provisions of Section 3-90.
14    (35) Beginning January 1, 2010, materials, parts,
15equipment, components, and furnishings incorporated into or
16upon an aircraft as part of the modification, refurbishment,
17completion, replacement, repair, or maintenance of the
18aircraft. This exemption includes consumable supplies used in
19the modification, refurbishment, completion, replacement,
20repair, and maintenance of aircraft, but excludes any
21materials, parts, equipment, components, and consumable
22supplies used in the modification, replacement, repair, and
23maintenance of aircraft engines or power plants, whether such
24engines or power plants are installed or uninstalled upon any
25such aircraft. "Consumable supplies" include, but are not
26limited to, adhesive, tape, sandpaper, general purpose

 

 

HB2755- 338 -LRB099 08043 RPS 28187 b

1lubricants, cleaning solution, latex gloves, and protective
2films. This exemption applies only to the use of qualifying
3tangible personal property by persons who modify, refurbish,
4complete, repair, replace, or maintain aircraft and who (i)
5hold an Air Agency Certificate and are empowered to operate an
6approved repair station by the Federal Aviation
7Administration, (ii) have a Class IV Rating, and (iii) conduct
8operations in accordance with Part 145 of the Federal Aviation
9Regulations. The exemption does not include aircraft operated
10by a commercial air carrier providing scheduled passenger air
11service pursuant to authority issued under Part 121 or Part 129
12of the Federal Aviation Regulations. The changes made to this
13paragraph (35) by Public Act 98-534 are declarative of existing
14law.
15    (36) Tangible personal property purchased by a
16public-facilities corporation, as described in Section
1711-65-10 of the Illinois Municipal Code, for purposes of
18constructing or furnishing a municipal convention hall, but
19only if the legal title to the municipal convention hall is
20transferred to the municipality without any further
21consideration by or on behalf of the municipality at the time
22of the completion of the municipal convention hall or upon the
23retirement or redemption of any bonds or other debt instruments
24issued by the public-facilities corporation in connection with
25the development of the municipal convention hall. This
26exemption includes existing public-facilities corporations as

 

 

HB2755- 339 -LRB099 08043 RPS 28187 b

1provided in Section 11-65-25 of the Illinois Municipal Code.
2This paragraph is exempt from the provisions of Section 3-90.
3(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-431,
4eff. 8-16-11; 97-636, eff. 6-1-12; 97-767, eff. 7-9-12; 98-104,
5eff. 7-22-13; 98-422, eff. 8-16-13; 98-456, eff. 8-16-13;
698-534, eff. 8-23-13; 98-574, eff. 1-1-14; 98-583, eff. 1-1-14;
798-756, eff. 7-16-14.)
 
8    Section 50. The Service Use Tax Act is amended by changing
9Sections 3-5 and 3-10 as follows:
 
10    (35 ILCS 110/3-5)
11    Sec. 3-5. Exemptions. Use of the following tangible
12personal property is exempt from the tax imposed by this Act:
13    (1) Personal property purchased from a corporation,
14society, association, foundation, institution, or
15organization, other than a limited liability company, that is
16organized and operated as a not-for-profit service enterprise
17for the benefit of persons 65 years of age or older if the
18personal property was not purchased by the enterprise for the
19purpose of resale by the enterprise.
20    (2) Personal property purchased by a non-profit Illinois
21county fair association for use in conducting, operating, or
22promoting the county fair.
23    (3) Personal property purchased by a not-for-profit arts or
24cultural organization that establishes, by proof required by

 

 

HB2755- 340 -LRB099 08043 RPS 28187 b

1the Department by rule, that it has received an exemption under
2Section 501(c)(3) of the Internal Revenue Code and that is
3organized and operated primarily for the presentation or
4support of arts or cultural programming, activities, or
5services. These organizations include, but are not limited to,
6music and dramatic arts organizations such as symphony
7orchestras and theatrical groups, arts and cultural service
8organizations, local arts councils, visual arts organizations,
9and media arts organizations. On and after the effective date
10of this amendatory Act of the 92nd General Assembly, however,
11an entity otherwise eligible for this exemption shall not make
12tax-free purchases unless it has an active identification
13number issued by the Department.
14    (4) Legal tender, currency, medallions, or gold or silver
15coinage issued by the State of Illinois, the government of the
16United States of America, or the government of any foreign
17country, and bullion.
18    (5) Until July 1, 2003 and beginning again on September 1,
192004 through August 30, 2014, graphic arts machinery and
20equipment, including repair and replacement parts, both new and
21used, and including that manufactured on special order or
22purchased for lease, certified by the purchaser to be used
23primarily for graphic arts production. Equipment includes
24chemicals or chemicals acting as catalysts but only if the
25chemicals or chemicals acting as catalysts effect a direct and
26immediate change upon a graphic arts product.

 

 

HB2755- 341 -LRB099 08043 RPS 28187 b

1    (6) Personal property purchased from a teacher-sponsored
2student organization affiliated with an elementary or
3secondary school located in Illinois.
4    (7) Farm machinery and equipment, both new and used,
5including that manufactured on special order, certified by the
6purchaser to be used primarily for production agriculture or
7State or federal agricultural programs, including individual
8replacement parts for the machinery and equipment, including
9machinery and equipment purchased for lease, and including
10implements of husbandry defined in Section 1-130 of the
11Illinois Vehicle Code, farm machinery and agricultural
12chemical and fertilizer spreaders, and nurse wagons required to
13be registered under Section 3-809 of the Illinois Vehicle Code,
14but excluding other motor vehicles required to be registered
15under the Illinois Vehicle Code. Horticultural polyhouses or
16hoop houses used for propagating, growing, or overwintering
17plants shall be considered farm machinery and equipment under
18this item (7). Agricultural chemical tender tanks and dry boxes
19shall include units sold separately from a motor vehicle
20required to be licensed and units sold mounted on a motor
21vehicle required to be licensed if the selling price of the
22tender is separately stated.
23    Farm machinery and equipment shall include precision
24farming equipment that is installed or purchased to be
25installed on farm machinery and equipment including, but not
26limited to, tractors, harvesters, sprayers, planters, seeders,

 

 

HB2755- 342 -LRB099 08043 RPS 28187 b

1or spreaders. Precision farming equipment includes, but is not
2limited to, soil testing sensors, computers, monitors,
3software, global positioning and mapping systems, and other
4such equipment.
5    Farm machinery and equipment also includes computers,
6sensors, software, and related equipment used primarily in the
7computer-assisted operation of production agriculture
8facilities, equipment, and activities such as, but not limited
9to, the collection, monitoring, and correlation of animal and
10crop data for the purpose of formulating animal diets and
11agricultural chemicals. This item (7) is exempt from the
12provisions of Section 3-75.
13    (8) Until June 30, 2013, fuel and petroleum products sold
14to or used by an air common carrier, certified by the carrier
15to be used for consumption, shipment, or storage in the conduct
16of its business as an air common carrier, for a flight destined
17for or returning from a location or locations outside the
18United States without regard to previous or subsequent domestic
19stopovers.
20    Beginning July 1, 2013, fuel and petroleum products sold to
21or used by an air carrier, certified by the carrier to be used
22for consumption, shipment, or storage in the conduct of its
23business as an air common carrier, for a flight that (i) is
24engaged in foreign trade or is engaged in trade between the
25United States and any of its possessions and (ii) transports at
26least one individual or package for hire from the city of

 

 

HB2755- 343 -LRB099 08043 RPS 28187 b

1origination to the city of final destination on the same
2aircraft, without regard to a change in the flight number of
3that aircraft.
4    (9) Proceeds of mandatory service charges separately
5stated on customers' bills for the purchase and consumption of
6food and beverages acquired as an incident to the purchase of a
7service from a serviceman, to the extent that the proceeds of
8the service charge are in fact turned over as tips or as a
9substitute for tips to the employees who participate directly
10in preparing, serving, hosting or cleaning up the food or
11beverage function with respect to which the service charge is
12imposed.
13    (10) Until July 1, 2003, oil field exploration, drilling,
14and production equipment, including (i) rigs and parts of rigs,
15rotary rigs, cable tool rigs, and workover rigs, (ii) pipe and
16tubular goods, including casing and drill strings, (iii) pumps
17and pump-jack units, (iv) storage tanks and flow lines, (v) any
18individual replacement part for oil field exploration,
19drilling, and production equipment, and (vi) machinery and
20equipment purchased for lease; but excluding motor vehicles
21required to be registered under the Illinois Vehicle Code.
22    (11) Proceeds from the sale of photoprocessing machinery
23and equipment, including repair and replacement parts, both new
24and used, including that manufactured on special order,
25certified by the purchaser to be used primarily for
26photoprocessing, and including photoprocessing machinery and

 

 

HB2755- 344 -LRB099 08043 RPS 28187 b

1equipment purchased for lease.
2    (12) Coal and aggregate exploration, mining, off-highway
3hauling, processing, maintenance, and reclamation equipment,
4including replacement parts and equipment, and including
5equipment purchased for lease, but excluding motor vehicles
6required to be registered under the Illinois Vehicle Code. The
7changes made to this Section by Public Act 97-767 apply on and
8after July 1, 2003, but no claim for credit or refund is
9allowed on or after August 16, 2013 (the effective date of
10Public Act 98-456) for such taxes paid during the period
11beginning July 1, 2003 and ending on August 16, 2013 (the
12effective date of Public Act 98-456).
13    (13) Semen used for artificial insemination of livestock
14for direct agricultural production.
15    (14) Horses, or interests in horses, registered with and
16meeting the requirements of any of the Arabian Horse Club
17Registry of America, Appaloosa Horse Club, American Quarter
18Horse Association, United States Trotting Association, or
19Jockey Club, as appropriate, used for purposes of breeding or
20racing for prizes. This item (14) is exempt from the provisions
21of Section 3-75, and the exemption provided for under this item
22(14) applies for all periods beginning May 30, 1995, but no
23claim for credit or refund is allowed on or after the effective
24date of this amendatory Act of the 95th General Assembly for
25such taxes paid during the period beginning May 30, 2000 and
26ending on the effective date of this amendatory Act of the 95th

 

 

HB2755- 345 -LRB099 08043 RPS 28187 b

1General Assembly.
2    (15) Computers and communications equipment utilized for
3any hospital purpose and equipment used in the diagnosis,
4analysis, or treatment of hospital patients purchased by a
5lessor who leases the equipment, under a lease of one year or
6longer executed or in effect at the time the lessor would
7otherwise be subject to the tax imposed by this Act, to a
8hospital that has been issued an active tax exemption
9identification number by the Department under Section 1g of the
10Retailers' Occupation Tax Act. If the equipment is leased in a
11manner that does not qualify for this exemption or is used in
12any other non-exempt manner, the lessor shall be liable for the
13tax imposed under this Act or the Use Tax Act, as the case may
14be, based on the fair market value of the property at the time
15the non-qualifying use occurs. No lessor shall collect or
16attempt to collect an amount (however designated) that purports
17to reimburse that lessor for the tax imposed by this Act or the
18Use Tax Act, as the case may be, if the tax has not been paid by
19the lessor. If a lessor improperly collects any such amount
20from the lessee, the lessee shall have a legal right to claim a
21refund of that amount from the lessor. If, however, that amount
22is not refunded to the lessee for any reason, the lessor is
23liable to pay that amount to the Department.
24    (16) Personal property purchased by a lessor who leases the
25property, under a lease of one year or longer executed or in
26effect at the time the lessor would otherwise be subject to the

 

 

HB2755- 346 -LRB099 08043 RPS 28187 b

1tax imposed by this Act, to a governmental body that has been
2issued an active tax exemption identification number by the
3Department under Section 1g of the Retailers' Occupation Tax
4Act. If the property is leased in a manner that does not
5qualify for this exemption or is used in any other non-exempt
6manner, the lessor shall be liable for the tax imposed under
7this Act or the Use Tax Act, as the case may be, based on the
8fair market value of the property at the time the
9non-qualifying use occurs. No lessor shall collect or attempt
10to collect an amount (however designated) that purports to
11reimburse that lessor for the tax imposed by this Act or the
12Use Tax Act, as the case may be, if the tax has not been paid by
13the lessor. If a lessor improperly collects any such amount
14from the lessee, the lessee shall have a legal right to claim a
15refund of that amount from the lessor. If, however, that amount
16is not refunded to the lessee for any reason, the lessor is
17liable to pay that amount to the Department.
18    (17) Beginning with taxable years ending on or after
19December 31, 1995 and ending with taxable years ending on or
20before December 31, 2004, personal property that is donated for
21disaster relief to be used in a State or federally declared
22disaster area in Illinois or bordering Illinois by a
23manufacturer or retailer that is registered in this State to a
24corporation, society, association, foundation, or institution
25that has been issued a sales tax exemption identification
26number by the Department that assists victims of the disaster

 

 

HB2755- 347 -LRB099 08043 RPS 28187 b

1who reside within the declared disaster area.
2    (18) Beginning with taxable years ending on or after
3December 31, 1995 and ending with taxable years ending on or
4before December 31, 2004, personal property that is used in the
5performance of infrastructure repairs in this State, including
6but not limited to municipal roads and streets, access roads,
7bridges, sidewalks, waste disposal systems, water and sewer
8line extensions, water distribution and purification
9facilities, storm water drainage and retention facilities, and
10sewage treatment facilities, resulting from a State or
11federally declared disaster in Illinois or bordering Illinois
12when such repairs are initiated on facilities located in the
13declared disaster area within 6 months after the disaster.
14    (19) Beginning July 1, 1999, game or game birds purchased
15at a "game breeding and hunting preserve area" as that term is
16used in the Wildlife Code. This paragraph is exempt from the
17provisions of Section 3-75.
18    (20) A motor vehicle, as that term is defined in Section
191-146 of the Illinois Vehicle Code, that is donated to a
20corporation, limited liability company, society, association,
21foundation, or institution that is determined by the Department
22to be organized and operated exclusively for educational
23purposes. For purposes of this exemption, "a corporation,
24limited liability company, society, association, foundation,
25or institution organized and operated exclusively for
26educational purposes" means all tax-supported public schools,

 

 

HB2755- 348 -LRB099 08043 RPS 28187 b

1private schools that offer systematic instruction in useful
2branches of learning by methods common to public schools and
3that compare favorably in their scope and intensity with the
4course of study presented in tax-supported schools, and
5vocational or technical schools or institutes organized and
6operated exclusively to provide a course of study of not less
7than 6 weeks duration and designed to prepare individuals to
8follow a trade or to pursue a manual, technical, mechanical,
9industrial, business, or commercial occupation.
10    (21) Beginning January 1, 2000, personal property,
11including food, purchased through fundraising events for the
12benefit of a public or private elementary or secondary school,
13a group of those schools, or one or more school districts if
14the events are sponsored by an entity recognized by the school
15district that consists primarily of volunteers and includes
16parents and teachers of the school children. This paragraph
17does not apply to fundraising events (i) for the benefit of
18private home instruction or (ii) for which the fundraising
19entity purchases the personal property sold at the events from
20another individual or entity that sold the property for the
21purpose of resale by the fundraising entity and that profits
22from the sale to the fundraising entity. This paragraph is
23exempt from the provisions of Section 3-75.
24    (22) Beginning January 1, 2000 and through December 31,
252001, new or used automatic vending machines that prepare and
26serve hot food and beverages, including coffee, soup, and other

 

 

HB2755- 349 -LRB099 08043 RPS 28187 b

1items, and replacement parts for these machines. Beginning
2January 1, 2002 and through June 30, 2003, machines and parts
3for machines used in commercial, coin-operated amusement and
4vending business if a use or occupation tax is paid on the
5gross receipts derived from the use of the commercial,
6coin-operated amusement and vending machines. This paragraph
7is exempt from the provisions of Section 3-75.
8    (23) Beginning August 23, 2001 and through June 30, 2016,
9food for human consumption that is to be consumed off the
10premises where it is sold (other than alcoholic beverages, soft
11drinks, and food that has been prepared for immediate
12consumption) and prescription and nonprescription medicines,
13drugs, medical appliances, and insulin, urine testing
14materials, syringes, and needles used by diabetics, for human
15use, when purchased for use by a person receiving medical
16assistance under Article V of the Illinois Public Aid Code who
17resides in a licensed long-term care facility, as defined in
18the Nursing Home Care Act, or in a licensed facility as defined
19in the ID/DD Community Care Act, the MC/DD Act, or the
20Specialized Mental Health Rehabilitation Act of 2013.
21    (24) Beginning on the effective date of this amendatory Act
22of the 92nd General Assembly, computers and communications
23equipment utilized for any hospital purpose and equipment used
24in the diagnosis, analysis, or treatment of hospital patients
25purchased by a lessor who leases the equipment, under a lease
26of one year or longer executed or in effect at the time the

 

 

HB2755- 350 -LRB099 08043 RPS 28187 b

1lessor would otherwise be subject to the tax imposed by this
2Act, to a hospital that has been issued an active tax exemption
3identification number by the Department under Section 1g of the
4Retailers' Occupation Tax Act. If the equipment is leased in a
5manner that does not qualify for this exemption or is used in
6any other nonexempt manner, the lessor shall be liable for the
7tax imposed under this Act or the Use Tax Act, as the case may
8be, based on the fair market value of the property at the time
9the nonqualifying use occurs. No lessor shall collect or
10attempt to collect an amount (however designated) that purports
11to reimburse that lessor for the tax imposed by this Act or the
12Use Tax Act, as the case may be, if the tax has not been paid by
13the lessor. If a lessor improperly collects any such amount
14from the lessee, the lessee shall have a legal right to claim a
15refund of that amount from the lessor. If, however, that amount
16is not refunded to the lessee for any reason, the lessor is
17liable to pay that amount to the Department. This paragraph is
18exempt from the provisions of Section 3-75.
19    (25) Beginning on the effective date of this amendatory Act
20of the 92nd General Assembly, personal property purchased by a
21lessor who leases the property, under a lease of one year or
22longer executed or in effect at the time the lessor would
23otherwise be subject to the tax imposed by this Act, to a
24governmental body that has been issued an active tax exemption
25identification number by the Department under Section 1g of the
26Retailers' Occupation Tax Act. If the property is leased in a

 

 

HB2755- 351 -LRB099 08043 RPS 28187 b

1manner that does not qualify for this exemption or is used in
2any other nonexempt manner, the lessor shall be liable for the
3tax imposed under this Act or the Use Tax Act, as the case may
4be, based on the fair market value of the property at the time
5the nonqualifying use occurs. No lessor shall collect or
6attempt to collect an amount (however designated) that purports
7to reimburse that lessor for the tax imposed by this Act or the
8Use Tax Act, as the case may be, if the tax has not been paid by
9the lessor. If a lessor improperly collects any such amount
10from the lessee, the lessee shall have a legal right to claim a
11refund of that amount from the lessor. If, however, that amount
12is not refunded to the lessee for any reason, the lessor is
13liable to pay that amount to the Department. This paragraph is
14exempt from the provisions of Section 3-75.
15    (26) Beginning January 1, 2008, tangible personal property
16used in the construction or maintenance of a community water
17supply, as defined under Section 3.145 of the Environmental
18Protection Act, that is operated by a not-for-profit
19corporation that holds a valid water supply permit issued under
20Title IV of the Environmental Protection Act. This paragraph is
21exempt from the provisions of Section 3-75.
22    (27) Beginning January 1, 2010, materials, parts,
23equipment, components, and furnishings incorporated into or
24upon an aircraft as part of the modification, refurbishment,
25completion, replacement, repair, or maintenance of the
26aircraft. This exemption includes consumable supplies used in

 

 

HB2755- 352 -LRB099 08043 RPS 28187 b

1the modification, refurbishment, completion, replacement,
2repair, and maintenance of aircraft, but excludes any
3materials, parts, equipment, components, and consumable
4supplies used in the modification, replacement, repair, and
5maintenance of aircraft engines or power plants, whether such
6engines or power plants are installed or uninstalled upon any
7such aircraft. "Consumable supplies" include, but are not
8limited to, adhesive, tape, sandpaper, general purpose
9lubricants, cleaning solution, latex gloves, and protective
10films. This exemption applies only to the use of qualifying
11tangible personal property transferred incident to the
12modification, refurbishment, completion, replacement, repair,
13or maintenance of aircraft by persons who (i) hold an Air
14Agency Certificate and are empowered to operate an approved
15repair station by the Federal Aviation Administration, (ii)
16have a Class IV Rating, and (iii) conduct operations in
17accordance with Part 145 of the Federal Aviation Regulations.
18The exemption does not include aircraft operated by a
19commercial air carrier providing scheduled passenger air
20service pursuant to authority issued under Part 121 or Part 129
21of the Federal Aviation Regulations. The changes made to this
22paragraph (27) by Public Act 98-534 are declarative of existing
23law.
24    (28) Tangible personal property purchased by a
25public-facilities corporation, as described in Section
2611-65-10 of the Illinois Municipal Code, for purposes of

 

 

HB2755- 353 -LRB099 08043 RPS 28187 b

1constructing or furnishing a municipal convention hall, but
2only if the legal title to the municipal convention hall is
3transferred to the municipality without any further
4consideration by or on behalf of the municipality at the time
5of the completion of the municipal convention hall or upon the
6retirement or redemption of any bonds or other debt instruments
7issued by the public-facilities corporation in connection with
8the development of the municipal convention hall. This
9exemption includes existing public-facilities corporations as
10provided in Section 11-65-25 of the Illinois Municipal Code.
11This paragraph is exempt from the provisions of Section 3-75.
12(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-431,
13eff. 8-16-11; 97-636, eff. 6-1-12; 97-767, eff. 7-9-12; 98-104,
14eff. 7-22-13; 98-422, eff. 8-16-13; 98-456, eff. 8-16-13;
1598-534, eff. 8-23-13; 98-756, eff. 7-16-14.)
 
16    (35 ILCS 110/3-10)  (from Ch. 120, par. 439.33-10)
17    Sec. 3-10. Rate of tax. Unless otherwise provided in this
18Section, the tax imposed by this Act is at the rate of 6.25% of
19the selling price of tangible personal property transferred as
20an incident to the sale of service, but, for the purpose of
21computing this tax, in no event shall the selling price be less
22than the cost price of the property to the serviceman.
23    Beginning on July 1, 2000 and through December 31, 2000,
24with respect to motor fuel, as defined in Section 1.1 of the
25Motor Fuel Tax Law, and gasohol, as defined in Section 3-40 of

 

 

HB2755- 354 -LRB099 08043 RPS 28187 b

1the Use Tax Act, the tax is imposed at the rate of 1.25%.
2    With respect to gasohol, as defined in the Use Tax Act, the
3tax imposed by this Act applies to (i) 70% of the selling price
4of property transferred as an incident to the sale of service
5on or after January 1, 1990, and before July 1, 2003, (ii) 80%
6of the selling price of property transferred as an incident to
7the sale of service on or after July 1, 2003 and on or before
8December 31, 2018, and (iii) 100% of the selling price
9thereafter. If, at any time, however, the tax under this Act on
10sales of gasohol, as defined in the Use Tax Act, is imposed at
11the rate of 1.25%, then the tax imposed by this Act applies to
12100% of the proceeds of sales of gasohol made during that time.
13    With respect to majority blended ethanol fuel, as defined
14in the Use Tax Act, the tax imposed by this Act does not apply
15to the selling price of property transferred as an incident to
16the sale of service on or after July 1, 2003 and on or before
17December 31, 2018 but applies to 100% of the selling price
18thereafter.
19    With respect to biodiesel blends, as defined in the Use Tax
20Act, with no less than 1% and no more than 10% biodiesel, the
21tax imposed by this Act applies to (i) 80% of the selling price
22of property transferred as an incident to the sale of service
23on or after July 1, 2003 and on or before December 31, 2018 and
24(ii) 100% of the proceeds of the selling price thereafter. If,
25at any time, however, the tax under this Act on sales of
26biodiesel blends, as defined in the Use Tax Act, with no less

 

 

HB2755- 355 -LRB099 08043 RPS 28187 b

1than 1% and no more than 10% biodiesel is imposed at the rate
2of 1.25%, then the tax imposed by this Act applies to 100% of
3the proceeds of sales of biodiesel blends with no less than 1%
4and no more than 10% biodiesel made during that time.
5    With respect to 100% biodiesel, as defined in the Use Tax
6Act, and biodiesel blends, as defined in the Use Tax Act, with
7more than 10% but no more than 99% biodiesel, the tax imposed
8by this Act does not apply to the proceeds of the selling price
9of property transferred as an incident to the sale of service
10on or after July 1, 2003 and on or before December 31, 2018 but
11applies to 100% of the selling price thereafter.
12    At the election of any registered serviceman made for each
13fiscal year, sales of service in which the aggregate annual
14cost price of tangible personal property transferred as an
15incident to the sales of service is less than 35%, or 75% in
16the case of servicemen transferring prescription drugs or
17servicemen engaged in graphic arts production, of the aggregate
18annual total gross receipts from all sales of service, the tax
19imposed by this Act shall be based on the serviceman's cost
20price of the tangible personal property transferred as an
21incident to the sale of those services.
22    The tax shall be imposed at the rate of 1% on food prepared
23for immediate consumption and transferred incident to a sale of
24service subject to this Act or the Service Occupation Tax Act
25by an entity licensed under the Hospital Licensing Act, the
26Nursing Home Care Act, the ID/DD Community Care Act, the MC/DD

 

 

HB2755- 356 -LRB099 08043 RPS 28187 b

1Act, the Specialized Mental Health Rehabilitation Act of 2013,
2or the Child Care Act of 1969. The tax shall also be imposed at
3the rate of 1% on food for human consumption that is to be
4consumed off the premises where it is sold (other than
5alcoholic beverages, soft drinks, and food that has been
6prepared for immediate consumption and is not otherwise
7included in this paragraph) and prescription and
8nonprescription medicines, drugs, medical appliances,
9modifications to a motor vehicle for the purpose of rendering
10it usable by a disabled person, and insulin, urine testing
11materials, syringes, and needles used by diabetics, for human
12use. For the purposes of this Section, until September 1, 2009:
13the term "soft drinks" means any complete, finished,
14ready-to-use, non-alcoholic drink, whether carbonated or not,
15including but not limited to soda water, cola, fruit juice,
16vegetable juice, carbonated water, and all other preparations
17commonly known as soft drinks of whatever kind or description
18that are contained in any closed or sealed bottle, can, carton,
19or container, regardless of size; but "soft drinks" does not
20include coffee, tea, non-carbonated water, infant formula,
21milk or milk products as defined in the Grade A Pasteurized
22Milk and Milk Products Act, or drinks containing 50% or more
23natural fruit or vegetable juice.
24    Notwithstanding any other provisions of this Act,
25beginning September 1, 2009, "soft drinks" means non-alcoholic
26beverages that contain natural or artificial sweeteners. "Soft

 

 

HB2755- 357 -LRB099 08043 RPS 28187 b

1drinks" do not include beverages that contain milk or milk
2products, soy, rice or similar milk substitutes, or greater
3than 50% of vegetable or fruit juice by volume.
4    Until August 1, 2009, and notwithstanding any other
5provisions of this Act, "food for human consumption that is to
6be consumed off the premises where it is sold" includes all
7food sold through a vending machine, except soft drinks and
8food products that are dispensed hot from a vending machine,
9regardless of the location of the vending machine. Beginning
10August 1, 2009, and notwithstanding any other provisions of
11this Act, "food for human consumption that is to be consumed
12off the premises where it is sold" includes all food sold
13through a vending machine, except soft drinks, candy, and food
14products that are dispensed hot from a vending machine,
15regardless of the location of the vending machine.
16    Notwithstanding any other provisions of this Act,
17beginning September 1, 2009, "food for human consumption that
18is to be consumed off the premises where it is sold" does not
19include candy. For purposes of this Section, "candy" means a
20preparation of sugar, honey, or other natural or artificial
21sweeteners in combination with chocolate, fruits, nuts or other
22ingredients or flavorings in the form of bars, drops, or
23pieces. "Candy" does not include any preparation that contains
24flour or requires refrigeration.
25    Notwithstanding any other provisions of this Act,
26beginning September 1, 2009, "nonprescription medicines and

 

 

HB2755- 358 -LRB099 08043 RPS 28187 b

1drugs" does not include grooming and hygiene products. For
2purposes of this Section, "grooming and hygiene products"
3includes, but is not limited to, soaps and cleaning solutions,
4shampoo, toothpaste, mouthwash, antiperspirants, and sun tan
5lotions and screens, unless those products are available by
6prescription only, regardless of whether the products meet the
7definition of "over-the-counter-drugs". For the purposes of
8this paragraph, "over-the-counter-drug" means a drug for human
9use that contains a label that identifies the product as a drug
10as required by 21 C.F.R. § 201.66. The "over-the-counter-drug"
11label includes:
12        (A) A "Drug Facts" panel; or
13        (B) A statement of the "active ingredient(s)" with a
14    list of those ingredients contained in the compound,
15    substance or preparation.
16    Beginning on January 1, 2014 (the effective date of Public
17Act 98-122), "prescription and nonprescription medicines and
18drugs" includes medical cannabis purchased from a registered
19dispensing organization under the Compassionate Use of Medical
20Cannabis Pilot Program Act.
21    If the property that is acquired from a serviceman is
22acquired outside Illinois and used outside Illinois before
23being brought to Illinois for use here and is taxable under
24this Act, the "selling price" on which the tax is computed
25shall be reduced by an amount that represents a reasonable
26allowance for depreciation for the period of prior out-of-state

 

 

HB2755- 359 -LRB099 08043 RPS 28187 b

1use.
2(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-636,
3eff. 6-1-12; 98-104, eff. 7-22-13; 98-122, eff. 1-1-14; 98-756,
4eff. 7-16-14.)
 
5    Section 55. The Service Occupation Tax Act is amended by
6changing Sections 3-5 and 3-10 as follows:
 
7    (35 ILCS 115/3-5)
8    Sec. 3-5. Exemptions. The following tangible personal
9property is exempt from the tax imposed by this Act:
10    (1) Personal property sold by a corporation, society,
11association, foundation, institution, or organization, other
12than a limited liability company, that is organized and
13operated as a not-for-profit service enterprise for the benefit
14of persons 65 years of age or older if the personal property
15was not purchased by the enterprise for the purpose of resale
16by the enterprise.
17    (2) Personal property purchased by a not-for-profit
18Illinois county fair association for use in conducting,
19operating, or promoting the county fair.
20    (3) Personal property purchased by any not-for-profit arts
21or cultural organization that establishes, by proof required by
22the Department by rule, that it has received an exemption under
23Section 501(c)(3) of the Internal Revenue Code and that is
24organized and operated primarily for the presentation or

 

 

HB2755- 360 -LRB099 08043 RPS 28187 b

1support of arts or cultural programming, activities, or
2services. These organizations include, but are not limited to,
3music and dramatic arts organizations such as symphony
4orchestras and theatrical groups, arts and cultural service
5organizations, local arts councils, visual arts organizations,
6and media arts organizations. On and after the effective date
7of this amendatory Act of the 92nd General Assembly, however,
8an entity otherwise eligible for this exemption shall not make
9tax-free purchases unless it has an active identification
10number issued by the Department.
11    (4) Legal tender, currency, medallions, or gold or silver
12coinage issued by the State of Illinois, the government of the
13United States of America, or the government of any foreign
14country, and bullion.
15    (5) Until July 1, 2003 and beginning again on September 1,
162004 through August 30, 2014, graphic arts machinery and
17equipment, including repair and replacement parts, both new and
18used, and including that manufactured on special order or
19purchased for lease, certified by the purchaser to be used
20primarily for graphic arts production. Equipment includes
21chemicals or chemicals acting as catalysts but only if the
22chemicals or chemicals acting as catalysts effect a direct and
23immediate change upon a graphic arts product.
24    (6) Personal property sold by a teacher-sponsored student
25organization affiliated with an elementary or secondary school
26located in Illinois.

 

 

HB2755- 361 -LRB099 08043 RPS 28187 b

1    (7) Farm machinery and equipment, both new and used,
2including that manufactured on special order, certified by the
3purchaser to be used primarily for production agriculture or
4State or federal agricultural programs, including individual
5replacement parts for the machinery and equipment, including
6machinery and equipment purchased for lease, and including
7implements of husbandry defined in Section 1-130 of the
8Illinois Vehicle Code, farm machinery and agricultural
9chemical and fertilizer spreaders, and nurse wagons required to
10be registered under Section 3-809 of the Illinois Vehicle Code,
11but excluding other motor vehicles required to be registered
12under the Illinois Vehicle Code. Horticultural polyhouses or
13hoop houses used for propagating, growing, or overwintering
14plants shall be considered farm machinery and equipment under
15this item (7). Agricultural chemical tender tanks and dry boxes
16shall include units sold separately from a motor vehicle
17required to be licensed and units sold mounted on a motor
18vehicle required to be licensed if the selling price of the
19tender is separately stated.
20    Farm machinery and equipment shall include precision
21farming equipment that is installed or purchased to be
22installed on farm machinery and equipment including, but not
23limited to, tractors, harvesters, sprayers, planters, seeders,
24or spreaders. Precision farming equipment includes, but is not
25limited to, soil testing sensors, computers, monitors,
26software, global positioning and mapping systems, and other

 

 

HB2755- 362 -LRB099 08043 RPS 28187 b

1such equipment.
2    Farm machinery and equipment also includes computers,
3sensors, software, and related equipment used primarily in the
4computer-assisted operation of production agriculture
5facilities, equipment, and activities such as, but not limited
6to, the collection, monitoring, and correlation of animal and
7crop data for the purpose of formulating animal diets and
8agricultural chemicals. This item (7) is exempt from the
9provisions of Section 3-55.
10    (8) Until June 30, 2013, fuel and petroleum products sold
11to or used by an air common carrier, certified by the carrier
12to be used for consumption, shipment, or storage in the conduct
13of its business as an air common carrier, for a flight destined
14for or returning from a location or locations outside the
15United States without regard to previous or subsequent domestic
16stopovers.
17    Beginning July 1, 2013, fuel and petroleum products sold to
18or used by an air carrier, certified by the carrier to be used
19for consumption, shipment, or storage in the conduct of its
20business as an air common carrier, for a flight that (i) is
21engaged in foreign trade or is engaged in trade between the
22United States and any of its possessions and (ii) transports at
23least one individual or package for hire from the city of
24origination to the city of final destination on the same
25aircraft, without regard to a change in the flight number of
26that aircraft.

 

 

HB2755- 363 -LRB099 08043 RPS 28187 b

1    (9) Proceeds of mandatory service charges separately
2stated on customers' bills for the purchase and consumption of
3food and beverages, to the extent that the proceeds of the
4service charge are in fact turned over as tips or as a
5substitute for tips to the employees who participate directly
6in preparing, serving, hosting or cleaning up the food or
7beverage function with respect to which the service charge is
8imposed.
9    (10) Until July 1, 2003, oil field exploration, drilling,
10and production equipment, including (i) rigs and parts of rigs,
11rotary rigs, cable tool rigs, and workover rigs, (ii) pipe and
12tubular goods, including casing and drill strings, (iii) pumps
13and pump-jack units, (iv) storage tanks and flow lines, (v) any
14individual replacement part for oil field exploration,
15drilling, and production equipment, and (vi) machinery and
16equipment purchased for lease; but excluding motor vehicles
17required to be registered under the Illinois Vehicle Code.
18    (11) Photoprocessing machinery and equipment, including
19repair and replacement parts, both new and used, including that
20manufactured on special order, certified by the purchaser to be
21used primarily for photoprocessing, and including
22photoprocessing machinery and equipment purchased for lease.
23    (12) Coal and aggregate exploration, mining, off-highway
24hauling, processing, maintenance, and reclamation equipment,
25including replacement parts and equipment, and including
26equipment purchased for lease, but excluding motor vehicles

 

 

HB2755- 364 -LRB099 08043 RPS 28187 b

1required to be registered under the Illinois Vehicle Code. The
2changes made to this Section by Public Act 97-767 apply on and
3after July 1, 2003, but no claim for credit or refund is
4allowed on or after August 16, 2013 (the effective date of
5Public Act 98-456) for such taxes paid during the period
6beginning July 1, 2003 and ending on August 16, 2013 (the
7effective date of Public Act 98-456).
8    (13) Beginning January 1, 1992 and through June 30, 2016,
9food for human consumption that is to be consumed off the
10premises where it is sold (other than alcoholic beverages, soft
11drinks and food that has been prepared for immediate
12consumption) and prescription and non-prescription medicines,
13drugs, medical appliances, and insulin, urine testing
14materials, syringes, and needles used by diabetics, for human
15use, when purchased for use by a person receiving medical
16assistance under Article V of the Illinois Public Aid Code who
17resides in a licensed long-term care facility, as defined in
18the Nursing Home Care Act, or in a licensed facility as defined
19in the ID/DD Community Care Act, the MC/DD Act, or the
20Specialized Mental Health Rehabilitation Act of 2013.
21    (14) Semen used for artificial insemination of livestock
22for direct agricultural production.
23    (15) Horses, or interests in horses, registered with and
24meeting the requirements of any of the Arabian Horse Club
25Registry of America, Appaloosa Horse Club, American Quarter
26Horse Association, United States Trotting Association, or

 

 

HB2755- 365 -LRB099 08043 RPS 28187 b

1Jockey Club, as appropriate, used for purposes of breeding or
2racing for prizes. This item (15) is exempt from the provisions
3of Section 3-55, and the exemption provided for under this item
4(15) applies for all periods beginning May 30, 1995, but no
5claim for credit or refund is allowed on or after January 1,
62008 (the effective date of Public Act 95-88) for such taxes
7paid during the period beginning May 30, 2000 and ending on
8January 1, 2008 (the effective date of Public Act 95-88).
9    (16) Computers and communications equipment utilized for
10any hospital purpose and equipment used in the diagnosis,
11analysis, or treatment of hospital patients sold to a lessor
12who leases the equipment, under a lease of one year or longer
13executed or in effect at the time of the purchase, to a
14hospital that has been issued an active tax exemption
15identification number by the Department under Section 1g of the
16Retailers' Occupation Tax Act.
17    (17) Personal property sold to a lessor who leases the
18property, under a lease of one year or longer executed or in
19effect at the time of the purchase, to a governmental body that
20has been issued an active tax exemption identification number
21by the Department under Section 1g of the Retailers' Occupation
22Tax Act.
23    (18) Beginning with taxable years ending on or after
24December 31, 1995 and ending with taxable years ending on or
25before December 31, 2004, personal property that is donated for
26disaster relief to be used in a State or federally declared

 

 

HB2755- 366 -LRB099 08043 RPS 28187 b

1disaster area in Illinois or bordering Illinois by a
2manufacturer or retailer that is registered in this State to a
3corporation, society, association, foundation, or institution
4that has been issued a sales tax exemption identification
5number by the Department that assists victims of the disaster
6who reside within the declared disaster area.
7    (19) Beginning with taxable years ending on or after
8December 31, 1995 and ending with taxable years ending on or
9before December 31, 2004, personal property that is used in the
10performance of infrastructure repairs in this State, including
11but not limited to municipal roads and streets, access roads,
12bridges, sidewalks, waste disposal systems, water and sewer
13line extensions, water distribution and purification
14facilities, storm water drainage and retention facilities, and
15sewage treatment facilities, resulting from a State or
16federally declared disaster in Illinois or bordering Illinois
17when such repairs are initiated on facilities located in the
18declared disaster area within 6 months after the disaster.
19    (20) Beginning July 1, 1999, game or game birds sold at a
20"game breeding and hunting preserve area" as that term is used
21in the Wildlife Code. This paragraph is exempt from the
22provisions of Section 3-55.
23    (21) A motor vehicle, as that term is defined in Section
241-146 of the Illinois Vehicle Code, that is donated to a
25corporation, limited liability company, society, association,
26foundation, or institution that is determined by the Department

 

 

HB2755- 367 -LRB099 08043 RPS 28187 b

1to be organized and operated exclusively for educational
2purposes. For purposes of this exemption, "a corporation,
3limited liability company, society, association, foundation,
4or institution organized and operated exclusively for
5educational purposes" means all tax-supported public schools,
6private schools that offer systematic instruction in useful
7branches of learning by methods common to public schools and
8that compare favorably in their scope and intensity with the
9course of study presented in tax-supported schools, and
10vocational or technical schools or institutes organized and
11operated exclusively to provide a course of study of not less
12than 6 weeks duration and designed to prepare individuals to
13follow a trade or to pursue a manual, technical, mechanical,
14industrial, business, or commercial occupation.
15    (22) Beginning January 1, 2000, personal property,
16including food, purchased through fundraising events for the
17benefit of a public or private elementary or secondary school,
18a group of those schools, or one or more school districts if
19the events are sponsored by an entity recognized by the school
20district that consists primarily of volunteers and includes
21parents and teachers of the school children. This paragraph
22does not apply to fundraising events (i) for the benefit of
23private home instruction or (ii) for which the fundraising
24entity purchases the personal property sold at the events from
25another individual or entity that sold the property for the
26purpose of resale by the fundraising entity and that profits

 

 

HB2755- 368 -LRB099 08043 RPS 28187 b

1from the sale to the fundraising entity. This paragraph is
2exempt from the provisions of Section 3-55.
3    (23) Beginning January 1, 2000 and through December 31,
42001, new or used automatic vending machines that prepare and
5serve hot food and beverages, including coffee, soup, and other
6items, and replacement parts for these machines. Beginning
7January 1, 2002 and through June 30, 2003, machines and parts
8for machines used in commercial, coin-operated amusement and
9vending business if a use or occupation tax is paid on the
10gross receipts derived from the use of the commercial,
11coin-operated amusement and vending machines. This paragraph
12is exempt from the provisions of Section 3-55.
13    (24) Beginning on the effective date of this amendatory Act
14of the 92nd General Assembly, computers and communications
15equipment utilized for any hospital purpose and equipment used
16in the diagnosis, analysis, or treatment of hospital patients
17sold to a lessor who leases the equipment, under a lease of one
18year or longer executed or in effect at the time of the
19purchase, to a hospital that has been issued an active tax
20exemption identification number by the Department under
21Section 1g of the Retailers' Occupation Tax Act. This paragraph
22is exempt from the provisions of Section 3-55.
23    (25) Beginning on the effective date of this amendatory Act
24of the 92nd General Assembly, personal property sold to a
25lessor who leases the property, under a lease of one year or
26longer executed or in effect at the time of the purchase, to a

 

 

HB2755- 369 -LRB099 08043 RPS 28187 b

1governmental body that has been issued an active tax exemption
2identification number by the Department under Section 1g of the
3Retailers' Occupation Tax Act. This paragraph is exempt from
4the provisions of Section 3-55.
5    (26) Beginning on January 1, 2002 and through June 30,
62016, tangible personal property purchased from an Illinois
7retailer by a taxpayer engaged in centralized purchasing
8activities in Illinois who will, upon receipt of the property
9in Illinois, temporarily store the property in Illinois (i) for
10the purpose of subsequently transporting it outside this State
11for use or consumption thereafter solely outside this State or
12(ii) for the purpose of being processed, fabricated, or
13manufactured into, attached to, or incorporated into other
14tangible personal property to be transported outside this State
15and thereafter used or consumed solely outside this State. The
16Director of Revenue shall, pursuant to rules adopted in
17accordance with the Illinois Administrative Procedure Act,
18issue a permit to any taxpayer in good standing with the
19Department who is eligible for the exemption under this
20paragraph (26). The permit issued under this paragraph (26)
21shall authorize the holder, to the extent and in the manner
22specified in the rules adopted under this Act, to purchase
23tangible personal property from a retailer exempt from the
24taxes imposed by this Act. Taxpayers shall maintain all
25necessary books and records to substantiate the use and
26consumption of all such tangible personal property outside of

 

 

HB2755- 370 -LRB099 08043 RPS 28187 b

1the State of Illinois.
2    (27) Beginning January 1, 2008, tangible personal property
3used in the construction or maintenance of a community water
4supply, as defined under Section 3.145 of the Environmental
5Protection Act, that is operated by a not-for-profit
6corporation that holds a valid water supply permit issued under
7Title IV of the Environmental Protection Act. This paragraph is
8exempt from the provisions of Section 3-55.
9    (28) Tangible personal property sold to a
10public-facilities corporation, as described in Section
1111-65-10 of the Illinois Municipal Code, for purposes of
12constructing or furnishing a municipal convention hall, but
13only if the legal title to the municipal convention hall is
14transferred to the municipality without any further
15consideration by or on behalf of the municipality at the time
16of the completion of the municipal convention hall or upon the
17retirement or redemption of any bonds or other debt instruments
18issued by the public-facilities corporation in connection with
19the development of the municipal convention hall. This
20exemption includes existing public-facilities corporations as
21provided in Section 11-65-25 of the Illinois Municipal Code.
22This paragraph is exempt from the provisions of Section 3-55.
23    (29) Beginning January 1, 2010, materials, parts,
24equipment, components, and furnishings incorporated into or
25upon an aircraft as part of the modification, refurbishment,
26completion, replacement, repair, or maintenance of the

 

 

HB2755- 371 -LRB099 08043 RPS 28187 b

1aircraft. This exemption includes consumable supplies used in
2the modification, refurbishment, completion, replacement,
3repair, and maintenance of aircraft, but excludes any
4materials, parts, equipment, components, and consumable
5supplies used in the modification, replacement, repair, and
6maintenance of aircraft engines or power plants, whether such
7engines or power plants are installed or uninstalled upon any
8such aircraft. "Consumable supplies" include, but are not
9limited to, adhesive, tape, sandpaper, general purpose
10lubricants, cleaning solution, latex gloves, and protective
11films. This exemption applies only to the transfer of
12qualifying tangible personal property incident to the
13modification, refurbishment, completion, replacement, repair,
14or maintenance of an aircraft by persons who (i) hold an Air
15Agency Certificate and are empowered to operate an approved
16repair station by the Federal Aviation Administration, (ii)
17have a Class IV Rating, and (iii) conduct operations in
18accordance with Part 145 of the Federal Aviation Regulations.
19The exemption does not include aircraft operated by a
20commercial air carrier providing scheduled passenger air
21service pursuant to authority issued under Part 121 or Part 129
22of the Federal Aviation Regulations. The changes made to this
23paragraph (29) by Public Act 98-534 are declarative of existing
24law.
25(Source: P.A. 97-38, eff. 6-28-11; 97-73, eff. 6-30-11; 97-227,
26eff. 1-1-12; 97-431, eff. 8-16-11; 97-636, eff. 6-1-12; 97-767,

 

 

HB2755- 372 -LRB099 08043 RPS 28187 b

1eff. 7-9-12; 98-104, eff. 7-22-13; 98-422, eff. 8-16-13;
298-456, eff. 8-16-13; 98-534, eff. 8-23-13; 98-756, eff.
37-16-14.)
 
4    (35 ILCS 115/3-10)  (from Ch. 120, par. 439.103-10)
5    Sec. 3-10. Rate of tax. Unless otherwise provided in this
6Section, the tax imposed by this Act is at the rate of 6.25% of
7the "selling price", as defined in Section 2 of the Service Use
8Tax Act, of the tangible personal property. For the purpose of
9computing this tax, in no event shall the "selling price" be
10less than the cost price to the serviceman of the tangible
11personal property transferred. The selling price of each item
12of tangible personal property transferred as an incident of a
13sale of service may be shown as a distinct and separate item on
14the serviceman's billing to the service customer. If the
15selling price is not so shown, the selling price of the
16tangible personal property is deemed to be 50% of the
17serviceman's entire billing to the service customer. When,
18however, a serviceman contracts to design, develop, and produce
19special order machinery or equipment, the tax imposed by this
20Act shall be based on the serviceman's cost price of the
21tangible personal property transferred incident to the
22completion of the contract.
23    Beginning on July 1, 2000 and through December 31, 2000,
24with respect to motor fuel, as defined in Section 1.1 of the
25Motor Fuel Tax Law, and gasohol, as defined in Section 3-40 of

 

 

HB2755- 373 -LRB099 08043 RPS 28187 b

1the Use Tax Act, the tax is imposed at the rate of 1.25%.
2    With respect to gasohol, as defined in the Use Tax Act, the
3tax imposed by this Act shall apply to (i) 70% of the cost
4price of property transferred as an incident to the sale of
5service on or after January 1, 1990, and before July 1, 2003,
6(ii) 80% of the selling price of property transferred as an
7incident to the sale of service on or after July 1, 2003 and on
8or before December 31, 2018, and (iii) 100% of the cost price
9thereafter. If, at any time, however, the tax under this Act on
10sales of gasohol, as defined in the Use Tax Act, is imposed at
11the rate of 1.25%, then the tax imposed by this Act applies to
12100% of the proceeds of sales of gasohol made during that time.
13    With respect to majority blended ethanol fuel, as defined
14in the Use Tax Act, the tax imposed by this Act does not apply
15to the selling price of property transferred as an incident to
16the sale of service on or after July 1, 2003 and on or before
17December 31, 2018 but applies to 100% of the selling price
18thereafter.
19    With respect to biodiesel blends, as defined in the Use Tax
20Act, with no less than 1% and no more than 10% biodiesel, the
21tax imposed by this Act applies to (i) 80% of the selling price
22of property transferred as an incident to the sale of service
23on or after July 1, 2003 and on or before December 31, 2018 and
24(ii) 100% of the proceeds of the selling price thereafter. If,
25at any time, however, the tax under this Act on sales of
26biodiesel blends, as defined in the Use Tax Act, with no less

 

 

HB2755- 374 -LRB099 08043 RPS 28187 b

1than 1% and no more than 10% biodiesel is imposed at the rate
2of 1.25%, then the tax imposed by this Act applies to 100% of
3the proceeds of sales of biodiesel blends with no less than 1%
4and no more than 10% biodiesel made during that time.
5    With respect to 100% biodiesel, as defined in the Use Tax
6Act, and biodiesel blends, as defined in the Use Tax Act, with
7more than 10% but no more than 99% biodiesel material, the tax
8imposed by this Act does not apply to the proceeds of the
9selling price of property transferred as an incident to the
10sale of service on or after July 1, 2003 and on or before
11December 31, 2018 but applies to 100% of the selling price
12thereafter.
13    At the election of any registered serviceman made for each
14fiscal year, sales of service in which the aggregate annual
15cost price of tangible personal property transferred as an
16incident to the sales of service is less than 35%, or 75% in
17the case of servicemen transferring prescription drugs or
18servicemen engaged in graphic arts production, of the aggregate
19annual total gross receipts from all sales of service, the tax
20imposed by this Act shall be based on the serviceman's cost
21price of the tangible personal property transferred incident to
22the sale of those services.
23    The tax shall be imposed at the rate of 1% on food prepared
24for immediate consumption and transferred incident to a sale of
25service subject to this Act or the Service Occupation Tax Act
26by an entity licensed under the Hospital Licensing Act, the

 

 

HB2755- 375 -LRB099 08043 RPS 28187 b

1Nursing Home Care Act, the ID/DD Community Care Act, the MC/DD
2Act, the Specialized Mental Health Rehabilitation Act of 2013,
3or the Child Care Act of 1969. The tax shall also be imposed at
4the rate of 1% on food for human consumption that is to be
5consumed off the premises where it is sold (other than
6alcoholic beverages, soft drinks, and food that has been
7prepared for immediate consumption and is not otherwise
8included in this paragraph) and prescription and
9nonprescription medicines, drugs, medical appliances,
10modifications to a motor vehicle for the purpose of rendering
11it usable by a disabled person, and insulin, urine testing
12materials, syringes, and needles used by diabetics, for human
13use. For the purposes of this Section, until September 1, 2009:
14the term "soft drinks" means any complete, finished,
15ready-to-use, non-alcoholic drink, whether carbonated or not,
16including but not limited to soda water, cola, fruit juice,
17vegetable juice, carbonated water, and all other preparations
18commonly known as soft drinks of whatever kind or description
19that are contained in any closed or sealed can, carton, or
20container, regardless of size; but "soft drinks" does not
21include coffee, tea, non-carbonated water, infant formula,
22milk or milk products as defined in the Grade A Pasteurized
23Milk and Milk Products Act, or drinks containing 50% or more
24natural fruit or vegetable juice.
25    Notwithstanding any other provisions of this Act,
26beginning September 1, 2009, "soft drinks" means non-alcoholic

 

 

HB2755- 376 -LRB099 08043 RPS 28187 b

1beverages that contain natural or artificial sweeteners. "Soft
2drinks" do not include beverages that contain milk or milk
3products, soy, rice or similar milk substitutes, or greater
4than 50% of vegetable or fruit juice by volume.
5    Until August 1, 2009, and notwithstanding any other
6provisions of this Act, "food for human consumption that is to
7be consumed off the premises where it is sold" includes all
8food sold through a vending machine, except soft drinks and
9food products that are dispensed hot from a vending machine,
10regardless of the location of the vending machine. Beginning
11August 1, 2009, and notwithstanding any other provisions of
12this Act, "food for human consumption that is to be consumed
13off the premises where it is sold" includes all food sold
14through a vending machine, except soft drinks, candy, and food
15products that are dispensed hot from a vending machine,
16regardless of the location of the vending machine.
17    Notwithstanding any other provisions of this Act,
18beginning September 1, 2009, "food for human consumption that
19is to be consumed off the premises where it is sold" does not
20include candy. For purposes of this Section, "candy" means a
21preparation of sugar, honey, or other natural or artificial
22sweeteners in combination with chocolate, fruits, nuts or other
23ingredients or flavorings in the form of bars, drops, or
24pieces. "Candy" does not include any preparation that contains
25flour or requires refrigeration.
26    Notwithstanding any other provisions of this Act,

 

 

HB2755- 377 -LRB099 08043 RPS 28187 b

1beginning September 1, 2009, "nonprescription medicines and
2drugs" does not include grooming and hygiene products. For
3purposes of this Section, "grooming and hygiene products"
4includes, but is not limited to, soaps and cleaning solutions,
5shampoo, toothpaste, mouthwash, antiperspirants, and sun tan
6lotions and screens, unless those products are available by
7prescription only, regardless of whether the products meet the
8definition of "over-the-counter-drugs". For the purposes of
9this paragraph, "over-the-counter-drug" means a drug for human
10use that contains a label that identifies the product as a drug
11as required by 21 C.F.R. § 201.66. The "over-the-counter-drug"
12label includes:
13        (A) A "Drug Facts" panel; or
14        (B) A statement of the "active ingredient(s)" with a
15    list of those ingredients contained in the compound,
16    substance or preparation.
17    Beginning on January 1, 2014 (the effective date of Public
18Act 98-122), "prescription and nonprescription medicines and
19drugs" includes medical cannabis purchased from a registered
20dispensing organization under the Compassionate Use of Medical
21Cannabis Pilot Program Act.
22(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-636,
23eff. 6-1-12; 98-104, eff. 7-22-13; 98-122, eff. 1-1-14; 98-756,
24eff. 7-16-14.)
 
25    Section 60. The Retailers' Occupation Tax Act is amended by

 

 

HB2755- 378 -LRB099 08043 RPS 28187 b

1changing Section 2-5 as follows:
 
2    (35 ILCS 120/2-5)
3    Sec. 2-5. Exemptions. Gross receipts from proceeds from the
4sale of the following tangible personal property are exempt
5from the tax imposed by this Act:
6    (1) Farm chemicals.
7    (2) Farm machinery and equipment, both new and used,
8including that manufactured on special order, certified by the
9purchaser to be used primarily for production agriculture or
10State or federal agricultural programs, including individual
11replacement parts for the machinery and equipment, including
12machinery and equipment purchased for lease, and including
13implements of husbandry defined in Section 1-130 of the
14Illinois Vehicle Code, farm machinery and agricultural
15chemical and fertilizer spreaders, and nurse wagons required to
16be registered under Section 3-809 of the Illinois Vehicle Code,
17but excluding other motor vehicles required to be registered
18under the Illinois Vehicle Code. Horticultural polyhouses or
19hoop houses used for propagating, growing, or overwintering
20plants shall be considered farm machinery and equipment under
21this item (2). Agricultural chemical tender tanks and dry boxes
22shall include units sold separately from a motor vehicle
23required to be licensed and units sold mounted on a motor
24vehicle required to be licensed, if the selling price of the
25tender is separately stated.

 

 

HB2755- 379 -LRB099 08043 RPS 28187 b

1    Farm machinery and equipment shall include precision
2farming equipment that is installed or purchased to be
3installed on farm machinery and equipment including, but not
4limited to, tractors, harvesters, sprayers, planters, seeders,
5or spreaders. Precision farming equipment includes, but is not
6limited to, soil testing sensors, computers, monitors,
7software, global positioning and mapping systems, and other
8such equipment.
9    Farm machinery and equipment also includes computers,
10sensors, software, and related equipment used primarily in the
11computer-assisted operation of production agriculture
12facilities, equipment, and activities such as, but not limited
13to, the collection, monitoring, and correlation of animal and
14crop data for the purpose of formulating animal diets and
15agricultural chemicals. This item (2) is exempt from the
16provisions of Section 2-70.
17    (3) Until July 1, 2003, distillation machinery and
18equipment, sold as a unit or kit, assembled or installed by the
19retailer, certified by the user to be used only for the
20production of ethyl alcohol that will be used for consumption
21as motor fuel or as a component of motor fuel for the personal
22use of the user, and not subject to sale or resale.
23    (4) Until July 1, 2003 and beginning again September 1,
242004 through August 30, 2014, graphic arts machinery and
25equipment, including repair and replacement parts, both new and
26used, and including that manufactured on special order or

 

 

HB2755- 380 -LRB099 08043 RPS 28187 b

1purchased for lease, certified by the purchaser to be used
2primarily for graphic arts production. Equipment includes
3chemicals or chemicals acting as catalysts but only if the
4chemicals or chemicals acting as catalysts effect a direct and
5immediate change upon a graphic arts product.
6    (5) A motor vehicle that is used for automobile renting, as
7defined in the Automobile Renting Occupation and Use Tax Act.
8This paragraph is exempt from the provisions of Section 2-70.
9    (6) Personal property sold by a teacher-sponsored student
10organization affiliated with an elementary or secondary school
11located in Illinois.
12    (7) Until July 1, 2003, proceeds of that portion of the
13selling price of a passenger car the sale of which is subject
14to the Replacement Vehicle Tax.
15    (8) Personal property sold to an Illinois county fair
16association for use in conducting, operating, or promoting the
17county fair.
18    (9) Personal property sold to a not-for-profit arts or
19cultural organization that establishes, by proof required by
20the Department by rule, that it has received an exemption under
21Section 501(c)(3) of the Internal Revenue Code and that is
22organized and operated primarily for the presentation or
23support of arts or cultural programming, activities, or
24services. These organizations include, but are not limited to,
25music and dramatic arts organizations such as symphony
26orchestras and theatrical groups, arts and cultural service

 

 

HB2755- 381 -LRB099 08043 RPS 28187 b

1organizations, local arts councils, visual arts organizations,
2and media arts organizations. On and after the effective date
3of this amendatory Act of the 92nd General Assembly, however,
4an entity otherwise eligible for this exemption shall not make
5tax-free purchases unless it has an active identification
6number issued by the Department.
7    (10) Personal property sold by a corporation, society,
8association, foundation, institution, or organization, other
9than a limited liability company, that is organized and
10operated as a not-for-profit service enterprise for the benefit
11of persons 65 years of age or older if the personal property
12was not purchased by the enterprise for the purpose of resale
13by the enterprise.
14    (11) Personal property sold to a governmental body, to a
15corporation, society, association, foundation, or institution
16organized and operated exclusively for charitable, religious,
17or educational purposes, or to a not-for-profit corporation,
18society, association, foundation, institution, or organization
19that has no compensated officers or employees and that is
20organized and operated primarily for the recreation of persons
2155 years of age or older. A limited liability company may
22qualify for the exemption under this paragraph only if the
23limited liability company is organized and operated
24exclusively for educational purposes. On and after July 1,
251987, however, no entity otherwise eligible for this exemption
26shall make tax-free purchases unless it has an active

 

 

HB2755- 382 -LRB099 08043 RPS 28187 b

1identification number issued by the Department.
2    (12) Tangible personal property sold to interstate
3carriers for hire for use as rolling stock moving in interstate
4commerce or to lessors under leases of one year or longer
5executed or in effect at the time of purchase by interstate
6carriers for hire for use as rolling stock moving in interstate
7commerce and equipment operated by a telecommunications
8provider, licensed as a common carrier by the Federal
9Communications Commission, which is permanently installed in
10or affixed to aircraft moving in interstate commerce.
11    (12-5) On and after July 1, 2003 and through June 30, 2004,
12motor vehicles of the second division with a gross vehicle
13weight in excess of 8,000 pounds that are subject to the
14commercial distribution fee imposed under Section 3-815.1 of
15the Illinois Vehicle Code. Beginning on July 1, 2004 and
16through June 30, 2005, the use in this State of motor vehicles
17of the second division: (i) with a gross vehicle weight rating
18in excess of 8,000 pounds; (ii) that are subject to the
19commercial distribution fee imposed under Section 3-815.1 of
20the Illinois Vehicle Code; and (iii) that are primarily used
21for commercial purposes. Through June 30, 2005, this exemption
22applies to repair and replacement parts added after the initial
23purchase of such a motor vehicle if that motor vehicle is used
24in a manner that would qualify for the rolling stock exemption
25otherwise provided for in this Act. For purposes of this
26paragraph, "used for commercial purposes" means the

 

 

HB2755- 383 -LRB099 08043 RPS 28187 b

1transportation of persons or property in furtherance of any
2commercial or industrial enterprise whether for-hire or not.
3    (13) Proceeds from sales to owners, lessors, or shippers of
4tangible personal property that is utilized by interstate
5carriers for hire for use as rolling stock moving in interstate
6commerce and equipment operated by a telecommunications
7provider, licensed as a common carrier by the Federal
8Communications Commission, which is permanently installed in
9or affixed to aircraft moving in interstate commerce.
10    (14) Machinery and equipment that will be used by the
11purchaser, or a lessee of the purchaser, primarily in the
12process of manufacturing or assembling tangible personal
13property for wholesale or retail sale or lease, whether the
14sale or lease is made directly by the manufacturer or by some
15other person, whether the materials used in the process are
16owned by the manufacturer or some other person, or whether the
17sale or lease is made apart from or as an incident to the
18seller's engaging in the service occupation of producing
19machines, tools, dies, jigs, patterns, gauges, or other similar
20items of no commercial value on special order for a particular
21purchaser. The exemption provided by this paragraph (14) does
22not include machinery and equipment used in (i) the generation
23of electricity for wholesale or retail sale; (ii) the
24generation or treatment of natural or artificial gas for
25wholesale or retail sale that is delivered to customers through
26pipes, pipelines, or mains; or (iii) the treatment of water for

 

 

HB2755- 384 -LRB099 08043 RPS 28187 b

1wholesale or retail sale that is delivered to customers through
2pipes, pipelines, or mains. The provisions of Public Act 98-583
3are declaratory of existing law as to the meaning and scope of
4this exemption.
5    (15) Proceeds of mandatory service charges separately
6stated on customers' bills for purchase and consumption of food
7and beverages, to the extent that the proceeds of the service
8charge are in fact turned over as tips or as a substitute for
9tips to the employees who participate directly in preparing,
10serving, hosting or cleaning up the food or beverage function
11with respect to which the service charge is imposed.
12    (16) Petroleum products sold to a purchaser if the seller
13is prohibited by federal law from charging tax to the
14purchaser.
15    (17) Tangible personal property sold to a common carrier by
16rail or motor that receives the physical possession of the
17property in Illinois and that transports the property, or
18shares with another common carrier in the transportation of the
19property, out of Illinois on a standard uniform bill of lading
20showing the seller of the property as the shipper or consignor
21of the property to a destination outside Illinois, for use
22outside Illinois.
23    (18) Legal tender, currency, medallions, or gold or silver
24coinage issued by the State of Illinois, the government of the
25United States of America, or the government of any foreign
26country, and bullion.

 

 

HB2755- 385 -LRB099 08043 RPS 28187 b

1    (19) Until July 1 2003, oil field exploration, drilling,
2and production equipment, including (i) rigs and parts of rigs,
3rotary rigs, cable tool rigs, and workover rigs, (ii) pipe and
4tubular goods, including casing and drill strings, (iii) pumps
5and pump-jack units, (iv) storage tanks and flow lines, (v) any
6individual replacement part for oil field exploration,
7drilling, and production equipment, and (vi) machinery and
8equipment purchased for lease; but excluding motor vehicles
9required to be registered under the Illinois Vehicle Code.
10    (20) Photoprocessing machinery and equipment, including
11repair and replacement parts, both new and used, including that
12manufactured on special order, certified by the purchaser to be
13used primarily for photoprocessing, and including
14photoprocessing machinery and equipment purchased for lease.
15    (21) Coal and aggregate exploration, mining, off-highway
16hauling, processing, maintenance, and reclamation equipment,
17including replacement parts and equipment, and including
18equipment purchased for lease, but excluding motor vehicles
19required to be registered under the Illinois Vehicle Code. The
20changes made to this Section by Public Act 97-767 apply on and
21after July 1, 2003, but no claim for credit or refund is
22allowed on or after August 16, 2013 (the effective date of
23Public Act 98-456) for such taxes paid during the period
24beginning July 1, 2003 and ending on August 16, 2013 (the
25effective date of Public Act 98-456).
26    (22) Until June 30, 2013, fuel and petroleum products sold

 

 

HB2755- 386 -LRB099 08043 RPS 28187 b

1to or used by an air carrier, certified by the carrier to be
2used for consumption, shipment, or storage in the conduct of
3its business as an air common carrier, for a flight destined
4for or returning from a location or locations outside the
5United States without regard to previous or subsequent domestic
6stopovers.
7    Beginning July 1, 2013, fuel and petroleum products sold to
8or used by an air carrier, certified by the carrier to be used
9for consumption, shipment, or storage in the conduct of its
10business as an air common carrier, for a flight that (i) is
11engaged in foreign trade or is engaged in trade between the
12United States and any of its possessions and (ii) transports at
13least one individual or package for hire from the city of
14origination to the city of final destination on the same
15aircraft, without regard to a change in the flight number of
16that aircraft.
17    (23) A transaction in which the purchase order is received
18by a florist who is located outside Illinois, but who has a
19florist located in Illinois deliver the property to the
20purchaser or the purchaser's donee in Illinois.
21    (24) Fuel consumed or used in the operation of ships,
22barges, or vessels that are used primarily in or for the
23transportation of property or the conveyance of persons for
24hire on rivers bordering on this State if the fuel is delivered
25by the seller to the purchaser's barge, ship, or vessel while
26it is afloat upon that bordering river.

 

 

HB2755- 387 -LRB099 08043 RPS 28187 b

1    (25) Except as provided in item (25-5) of this Section, a
2motor vehicle sold in this State to a nonresident even though
3the motor vehicle is delivered to the nonresident in this
4State, if the motor vehicle is not to be titled in this State,
5and if a drive-away permit is issued to the motor vehicle as
6provided in Section 3-603 of the Illinois Vehicle Code or if
7the nonresident purchaser has vehicle registration plates to
8transfer to the motor vehicle upon returning to his or her home
9state. The issuance of the drive-away permit or having the
10out-of-state registration plates to be transferred is prima
11facie evidence that the motor vehicle will not be titled in
12this State.
13    (25-5) The exemption under item (25) does not apply if the
14state in which the motor vehicle will be titled does not allow
15a reciprocal exemption for a motor vehicle sold and delivered
16in that state to an Illinois resident but titled in Illinois.
17The tax collected under this Act on the sale of a motor vehicle
18in this State to a resident of another state that does not
19allow a reciprocal exemption shall be imposed at a rate equal
20to the state's rate of tax on taxable property in the state in
21which the purchaser is a resident, except that the tax shall
22not exceed the tax that would otherwise be imposed under this
23Act. At the time of the sale, the purchaser shall execute a
24statement, signed under penalty of perjury, of his or her
25intent to title the vehicle in the state in which the purchaser
26is a resident within 30 days after the sale and of the fact of

 

 

HB2755- 388 -LRB099 08043 RPS 28187 b

1the payment to the State of Illinois of tax in an amount
2equivalent to the state's rate of tax on taxable property in
3his or her state of residence and shall submit the statement to
4the appropriate tax collection agency in his or her state of
5residence. In addition, the retailer must retain a signed copy
6of the statement in his or her records. Nothing in this item
7shall be construed to require the removal of the vehicle from
8this state following the filing of an intent to title the
9vehicle in the purchaser's state of residence if the purchaser
10titles the vehicle in his or her state of residence within 30
11days after the date of sale. The tax collected under this Act
12in accordance with this item (25-5) shall be proportionately
13distributed as if the tax were collected at the 6.25% general
14rate imposed under this Act.
15    (25-7) Beginning on July 1, 2007, no tax is imposed under
16this Act on the sale of an aircraft, as defined in Section 3 of
17the Illinois Aeronautics Act, if all of the following
18conditions are met:
19        (1) the aircraft leaves this State within 15 days after
20    the later of either the issuance of the final billing for
21    the sale of the aircraft, or the authorized approval for
22    return to service, completion of the maintenance record
23    entry, and completion of the test flight and ground test
24    for inspection, as required by 14 C.F.R. 91.407;
25        (2) the aircraft is not based or registered in this
26    State after the sale of the aircraft; and

 

 

HB2755- 389 -LRB099 08043 RPS 28187 b

1        (3) the seller retains in his or her books and records
2    and provides to the Department a signed and dated
3    certification from the purchaser, on a form prescribed by
4    the Department, certifying that the requirements of this
5    item (25-7) are met. The certificate must also include the
6    name and address of the purchaser, the address of the
7    location where the aircraft is to be titled or registered,
8    the address of the primary physical location of the
9    aircraft, and other information that the Department may
10    reasonably require.
11    For purposes of this item (25-7):
12    "Based in this State" means hangared, stored, or otherwise
13used, excluding post-sale customizations as defined in this
14Section, for 10 or more days in each 12-month period
15immediately following the date of the sale of the aircraft.
16    "Registered in this State" means an aircraft registered
17with the Department of Transportation, Aeronautics Division,
18or titled or registered with the Federal Aviation
19Administration to an address located in this State.
20    This paragraph (25-7) is exempt from the provisions of
21Section 2-70.
22    (26) Semen used for artificial insemination of livestock
23for direct agricultural production.
24    (27) Horses, or interests in horses, registered with and
25meeting the requirements of any of the Arabian Horse Club
26Registry of America, Appaloosa Horse Club, American Quarter

 

 

HB2755- 390 -LRB099 08043 RPS 28187 b

1Horse Association, United States Trotting Association, or
2Jockey Club, as appropriate, used for purposes of breeding or
3racing for prizes. This item (27) is exempt from the provisions
4of Section 2-70, and the exemption provided for under this item
5(27) applies for all periods beginning May 30, 1995, but no
6claim for credit or refund is allowed on or after January 1,
72008 (the effective date of Public Act 95-88) for such taxes
8paid during the period beginning May 30, 2000 and ending on
9January 1, 2008 (the effective date of Public Act 95-88).
10    (28) Computers and communications equipment utilized for
11any hospital purpose and equipment used in the diagnosis,
12analysis, or treatment of hospital patients sold to a lessor
13who leases the equipment, under a lease of one year or longer
14executed or in effect at the time of the purchase, to a
15hospital that has been issued an active tax exemption
16identification number by the Department under Section 1g of
17this Act.
18    (29) Personal property sold to a lessor who leases the
19property, under a lease of one year or longer executed or in
20effect at the time of the purchase, to a governmental body that
21has been issued an active tax exemption identification number
22by the Department under Section 1g of this Act.
23    (30) Beginning with taxable years ending on or after
24December 31, 1995 and ending with taxable years ending on or
25before December 31, 2004, personal property that is donated for
26disaster relief to be used in a State or federally declared

 

 

HB2755- 391 -LRB099 08043 RPS 28187 b

1disaster area in Illinois or bordering Illinois by a
2manufacturer or retailer that is registered in this State to a
3corporation, society, association, foundation, or institution
4that has been issued a sales tax exemption identification
5number by the Department that assists victims of the disaster
6who reside within the declared disaster area.
7    (31) Beginning with taxable years ending on or after
8December 31, 1995 and ending with taxable years ending on or
9before December 31, 2004, personal property that is used in the
10performance of infrastructure repairs in this State, including
11but not limited to municipal roads and streets, access roads,
12bridges, sidewalks, waste disposal systems, water and sewer
13line extensions, water distribution and purification
14facilities, storm water drainage and retention facilities, and
15sewage treatment facilities, resulting from a State or
16federally declared disaster in Illinois or bordering Illinois
17when such repairs are initiated on facilities located in the
18declared disaster area within 6 months after the disaster.
19    (32) Beginning July 1, 1999, game or game birds sold at a
20"game breeding and hunting preserve area" as that term is used
21in the Wildlife Code. This paragraph is exempt from the
22provisions of Section 2-70.
23    (33) A motor vehicle, as that term is defined in Section
241-146 of the Illinois Vehicle Code, that is donated to a
25corporation, limited liability company, society, association,
26foundation, or institution that is determined by the Department

 

 

HB2755- 392 -LRB099 08043 RPS 28187 b

1to be organized and operated exclusively for educational
2purposes. For purposes of this exemption, "a corporation,
3limited liability company, society, association, foundation,
4or institution organized and operated exclusively for
5educational purposes" means all tax-supported public schools,
6private schools that offer systematic instruction in useful
7branches of learning by methods common to public schools and
8that compare favorably in their scope and intensity with the
9course of study presented in tax-supported schools, and
10vocational or technical schools or institutes organized and
11operated exclusively to provide a course of study of not less
12than 6 weeks duration and designed to prepare individuals to
13follow a trade or to pursue a manual, technical, mechanical,
14industrial, business, or commercial occupation.
15    (34) Beginning January 1, 2000, personal property,
16including food, purchased through fundraising events for the
17benefit of a public or private elementary or secondary school,
18a group of those schools, or one or more school districts if
19the events are sponsored by an entity recognized by the school
20district that consists primarily of volunteers and includes
21parents and teachers of the school children. This paragraph
22does not apply to fundraising events (i) for the benefit of
23private home instruction or (ii) for which the fundraising
24entity purchases the personal property sold at the events from
25another individual or entity that sold the property for the
26purpose of resale by the fundraising entity and that profits

 

 

HB2755- 393 -LRB099 08043 RPS 28187 b

1from the sale to the fundraising entity. This paragraph is
2exempt from the provisions of Section 2-70.
3    (35) Beginning January 1, 2000 and through December 31,
42001, new or used automatic vending machines that prepare and
5serve hot food and beverages, including coffee, soup, and other
6items, and replacement parts for these machines. Beginning
7January 1, 2002 and through June 30, 2003, machines and parts
8for machines used in commercial, coin-operated amusement and
9vending business if a use or occupation tax is paid on the
10gross receipts derived from the use of the commercial,
11coin-operated amusement and vending machines. This paragraph
12is exempt from the provisions of Section 2-70.
13    (35-5) Beginning August 23, 2001 and through June 30, 2016,
14food for human consumption that is to be consumed off the
15premises where it is sold (other than alcoholic beverages, soft
16drinks, and food that has been prepared for immediate
17consumption) and prescription and nonprescription medicines,
18drugs, medical appliances, and insulin, urine testing
19materials, syringes, and needles used by diabetics, for human
20use, when purchased for use by a person receiving medical
21assistance under Article V of the Illinois Public Aid Code who
22resides in a licensed long-term care facility, as defined in
23the Nursing Home Care Act, or a licensed facility as defined in
24the ID/DD Community Care Act, the MC/DD Act, or the Specialized
25Mental Health Rehabilitation Act of 2013.
26    (36) Beginning August 2, 2001, computers and

 

 

HB2755- 394 -LRB099 08043 RPS 28187 b

1communications equipment utilized for any hospital purpose and
2equipment used in the diagnosis, analysis, or treatment of
3hospital patients sold to a lessor who leases the equipment,
4under a lease of one year or longer executed or in effect at
5the time of the purchase, to a hospital that has been issued an
6active tax exemption identification number by the Department
7under Section 1g of this Act. This paragraph is exempt from the
8provisions of Section 2-70.
9    (37) Beginning August 2, 2001, personal property sold to a
10lessor who leases the property, under a lease of one year or
11longer executed or in effect at the time of the purchase, to a
12governmental body that has been issued an active tax exemption
13identification number by the Department under Section 1g of
14this Act. This paragraph is exempt from the provisions of
15Section 2-70.
16    (38) Beginning on January 1, 2002 and through June 30,
172016, tangible personal property purchased from an Illinois
18retailer by a taxpayer engaged in centralized purchasing
19activities in Illinois who will, upon receipt of the property
20in Illinois, temporarily store the property in Illinois (i) for
21the purpose of subsequently transporting it outside this State
22for use or consumption thereafter solely outside this State or
23(ii) for the purpose of being processed, fabricated, or
24manufactured into, attached to, or incorporated into other
25tangible personal property to be transported outside this State
26and thereafter used or consumed solely outside this State. The

 

 

HB2755- 395 -LRB099 08043 RPS 28187 b

1Director of Revenue shall, pursuant to rules adopted in
2accordance with the Illinois Administrative Procedure Act,
3issue a permit to any taxpayer in good standing with the
4Department who is eligible for the exemption under this
5paragraph (38). The permit issued under this paragraph (38)
6shall authorize the holder, to the extent and in the manner
7specified in the rules adopted under this Act, to purchase
8tangible personal property from a retailer exempt from the
9taxes imposed by this Act. Taxpayers shall maintain all
10necessary books and records to substantiate the use and
11consumption of all such tangible personal property outside of
12the State of Illinois.
13    (39) Beginning January 1, 2008, tangible personal property
14used in the construction or maintenance of a community water
15supply, as defined under Section 3.145 of the Environmental
16Protection Act, that is operated by a not-for-profit
17corporation that holds a valid water supply permit issued under
18Title IV of the Environmental Protection Act. This paragraph is
19exempt from the provisions of Section 2-70.
20    (40) Beginning January 1, 2010, materials, parts,
21equipment, components, and furnishings incorporated into or
22upon an aircraft as part of the modification, refurbishment,
23completion, replacement, repair, or maintenance of the
24aircraft. This exemption includes consumable supplies used in
25the modification, refurbishment, completion, replacement,
26repair, and maintenance of aircraft, but excludes any

 

 

HB2755- 396 -LRB099 08043 RPS 28187 b

1materials, parts, equipment, components, and consumable
2supplies used in the modification, replacement, repair, and
3maintenance of aircraft engines or power plants, whether such
4engines or power plants are installed or uninstalled upon any
5such aircraft. "Consumable supplies" include, but are not
6limited to, adhesive, tape, sandpaper, general purpose
7lubricants, cleaning solution, latex gloves, and protective
8films. This exemption applies only to the sale of qualifying
9tangible personal property to persons who modify, refurbish,
10complete, replace, or maintain an aircraft and who (i) hold an
11Air Agency Certificate and are empowered to operate an approved
12repair station by the Federal Aviation Administration, (ii)
13have a Class IV Rating, and (iii) conduct operations in
14accordance with Part 145 of the Federal Aviation Regulations.
15The exemption does not include aircraft operated by a
16commercial air carrier providing scheduled passenger air
17service pursuant to authority issued under Part 121 or Part 129
18of the Federal Aviation Regulations. The changes made to this
19paragraph (40) by Public Act 98-534 are declarative of existing
20law.
21    (41) Tangible personal property sold to a
22public-facilities corporation, as described in Section
2311-65-10 of the Illinois Municipal Code, for purposes of
24constructing or furnishing a municipal convention hall, but
25only if the legal title to the municipal convention hall is
26transferred to the municipality without any further

 

 

HB2755- 397 -LRB099 08043 RPS 28187 b

1consideration by or on behalf of the municipality at the time
2of the completion of the municipal convention hall or upon the
3retirement or redemption of any bonds or other debt instruments
4issued by the public-facilities corporation in connection with
5the development of the municipal convention hall. This
6exemption includes existing public-facilities corporations as
7provided in Section 11-65-25 of the Illinois Municipal Code.
8This paragraph is exempt from the provisions of Section 2-70.
9(Source: P.A. 97-38, eff. 6-28-11; 97-73, eff. 6-30-11; 97-227,
10eff. 1-1-12; 97-431, eff. 8-16-11; 97-636, eff. 6-1-12; 97-767,
11eff. 7-9-12; 98-104, eff. 7-22-13; 98-422, eff. 8-16-13;
1298-456, eff. 8-16-13; 98-534, eff. 8-23-13; 98-574, eff.
131-1-14; 98-583, eff. 1-1-14; 98-756, eff. 7-16-14.)
 
14    Section 65. The Property Tax Code is amended by changing
15Sections 15-168, 15-170, and 15-172 as follows:
 
16    (35 ILCS 200/15-168)
17    Sec. 15-168. Disabled persons' homestead exemption.
18    (a) Beginning with taxable year 2007, an annual homestead
19exemption is granted to disabled persons in the amount of
20$2,000, except as provided in subsection (c), to be deducted
21from the property's value as equalized or assessed by the
22Department of Revenue. The disabled person shall receive the
23homestead exemption upon meeting the following requirements:
24        (1) The property must be occupied as the primary

 

 

HB2755- 398 -LRB099 08043 RPS 28187 b

1    residence by the disabled person.
2        (2) The disabled person must be liable for paying the
3    real estate taxes on the property.
4        (3) The disabled person must be an owner of record of
5    the property or have a legal or equitable interest in the
6    property as evidenced by a written instrument. In the case
7    of a leasehold interest in property, the lease must be for
8    a single family residence.
9    A person who is disabled during the taxable year is
10eligible to apply for this homestead exemption during that
11taxable year. Application must be made during the application
12period in effect for the county of residence. If a homestead
13exemption has been granted under this Section and the person
14awarded the exemption subsequently becomes a resident of a
15facility licensed under the Nursing Home Care Act, the
16Specialized Mental Health Rehabilitation Act of 2013, or the
17ID/DD Community Care Act, or the MC/DD Act, then the exemption
18shall continue (i) so long as the residence continues to be
19occupied by the qualifying person's spouse or (ii) if the
20residence remains unoccupied but is still owned by the person
21qualified for the homestead exemption.
22    (b) For the purposes of this Section, "disabled person"
23means a person unable to engage in any substantial gainful
24activity by reason of a medically determinable physical or
25mental impairment which can be expected to result in death or
26has lasted or can be expected to last for a continuous period

 

 

HB2755- 399 -LRB099 08043 RPS 28187 b

1of not less than 12 months. Disabled persons filing claims
2under this Act shall submit proof of disability in such form
3and manner as the Department shall by rule and regulation
4prescribe. Proof that a claimant is eligible to receive
5disability benefits under the Federal Social Security Act shall
6constitute proof of disability for purposes of this Act.
7Issuance of an Illinois Person with a Disability Identification
8Card stating that the claimant is under a Class 2 disability,
9as defined in Section 4A of the Illinois Identification Card
10Act, shall constitute proof that the person named thereon is a
11disabled person for purposes of this Act. A disabled person not
12covered under the Federal Social Security Act and not
13presenting an Illinois Person with a Disability Identification
14Card stating that the claimant is under a Class 2 disability
15shall be examined by a physician designated by the Department,
16and his status as a disabled person determined using the same
17standards as used by the Social Security Administration. The
18costs of any required examination shall be borne by the
19claimant.
20    (c) For land improved with (i) an apartment building owned
21and operated as a cooperative or (ii) a life care facility as
22defined under Section 2 of the Life Care Facilities Act that is
23considered to be a cooperative, the maximum reduction from the
24value of the property, as equalized or assessed by the
25Department, shall be multiplied by the number of apartments or
26units occupied by a disabled person. The disabled person shall

 

 

HB2755- 400 -LRB099 08043 RPS 28187 b

1receive the homestead exemption upon meeting the following
2requirements:
3        (1) The property must be occupied as the primary
4    residence by the disabled person.
5        (2) The disabled person must be liable by contract with
6    the owner or owners of record for paying the apportioned
7    property taxes on the property of the cooperative or life
8    care facility. In the case of a life care facility, the
9    disabled person must be liable for paying the apportioned
10    property taxes under a life care contract as defined in
11    Section 2 of the Life Care Facilities Act.
12        (3) The disabled person must be an owner of record of a
13    legal or equitable interest in the cooperative apartment
14    building. A leasehold interest does not meet this
15    requirement.
16If a homestead exemption is granted under this subsection, the
17cooperative association or management firm shall credit the
18savings resulting from the exemption to the apportioned tax
19liability of the qualifying disabled person. The chief county
20assessment officer may request reasonable proof that the
21association or firm has properly credited the exemption. A
22person who willfully refuses to credit an exemption to the
23qualified disabled person is guilty of a Class B misdemeanor.
24    (d) The chief county assessment officer shall determine the
25eligibility of property to receive the homestead exemption
26according to guidelines established by the Department. After a

 

 

HB2755- 401 -LRB099 08043 RPS 28187 b

1person has received an exemption under this Section, an annual
2verification of eligibility for the exemption shall be mailed
3to the taxpayer.
4    In counties with fewer than 3,000,000 inhabitants, the
5chief county assessment officer shall provide to each person
6granted a homestead exemption under this Section a form to
7designate any other person to receive a duplicate of any notice
8of delinquency in the payment of taxes assessed and levied
9under this Code on the person's qualifying property. The
10duplicate notice shall be in addition to the notice required to
11be provided to the person receiving the exemption and shall be
12given in the manner required by this Code. The person filing
13the request for the duplicate notice shall pay an
14administrative fee of $5 to the chief county assessment
15officer. The assessment officer shall then file the executed
16designation with the county collector, who shall issue the
17duplicate notices as indicated by the designation. A
18designation may be rescinded by the disabled person in the
19manner required by the chief county assessment officer.
20    (e) A taxpayer who claims an exemption under Section 15-165
21or 15-169 may not claim an exemption under this Section.
22(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
23eff. 7-13-12; 97-1064, eff. 1-1-13; 98-104, eff. 7-22-13.)
 
24    (35 ILCS 200/15-170)
25    Sec. 15-170. Senior Citizens Homestead Exemption. An

 

 

HB2755- 402 -LRB099 08043 RPS 28187 b

1annual homestead exemption limited, except as described here
2with relation to cooperatives or life care facilities, to a
3maximum reduction set forth below from the property's value, as
4equalized or assessed by the Department, is granted for
5property that is occupied as a residence by a person 65 years
6of age or older who is liable for paying real estate taxes on
7the property and is an owner of record of the property or has a
8legal or equitable interest therein as evidenced by a written
9instrument, except for a leasehold interest, other than a
10leasehold interest of land on which a single family residence
11is located, which is occupied as a residence by a person 65
12years or older who has an ownership interest therein, legal,
13equitable or as a lessee, and on which he or she is liable for
14the payment of property taxes. Before taxable year 2004, the
15maximum reduction shall be $2,500 in counties with 3,000,000 or
16more inhabitants and $2,000 in all other counties. For taxable
17years 2004 through 2005, the maximum reduction shall be $3,000
18in all counties. For taxable years 2006 and 2007, the maximum
19reduction shall be $3,500. For taxable years 2008 through 2011,
20the maximum reduction is $4,000 in all counties. For taxable
21year 2012, the maximum reduction is $5,000 in counties with
223,000,000 or more inhabitants and $4,000 in all other counties.
23For taxable years 2013 and thereafter, the maximum reduction is
24$5,000 in all counties.
25    For land improved with an apartment building owned and
26operated as a cooperative, the maximum reduction from the value

 

 

HB2755- 403 -LRB099 08043 RPS 28187 b

1of the property, as equalized by the Department, shall be
2multiplied by the number of apartments or units occupied by a
3person 65 years of age or older who is liable, by contract with
4the owner or owners of record, for paying property taxes on the
5property and is an owner of record of a legal or equitable
6interest in the cooperative apartment building, other than a
7leasehold interest. For land improved with a life care
8facility, the maximum reduction from the value of the property,
9as equalized by the Department, shall be multiplied by the
10number of apartments or units occupied by persons 65 years of
11age or older, irrespective of any legal, equitable, or
12leasehold interest in the facility, who are liable, under a
13contract with the owner or owners of record of the facility,
14for paying property taxes on the property. In a cooperative or
15a life care facility where a homestead exemption has been
16granted, the cooperative association or the management firm of
17the cooperative or facility shall credit the savings resulting
18from that exemption only to the apportioned tax liability of
19the owner or resident who qualified for the exemption. Any
20person who willfully refuses to so credit the savings shall be
21guilty of a Class B misdemeanor. Under this Section and
22Sections 15-175, 15-176, and 15-177, "life care facility" means
23a facility, as defined in Section 2 of the Life Care Facilities
24Act, with which the applicant for the homestead exemption has a
25life care contract as defined in that Act.
26    When a homestead exemption has been granted under this

 

 

HB2755- 404 -LRB099 08043 RPS 28187 b

1Section and the person qualifying subsequently becomes a
2resident of a facility licensed under the Assisted Living and
3Shared Housing Act, the Nursing Home Care Act, the Specialized
4Mental Health Rehabilitation Act of 2013, or the ID/DD
5Community Care Act, or the MC/DD Act, the exemption shall
6continue so long as the residence continues to be occupied by
7the qualifying person's spouse if the spouse is 65 years of age
8or older, or if the residence remains unoccupied but is still
9owned by the person qualified for the homestead exemption.
10    A person who will be 65 years of age during the current
11assessment year shall be eligible to apply for the homestead
12exemption during that assessment year. Application shall be
13made during the application period in effect for the county of
14his residence.
15    Beginning with assessment year 2003, for taxes payable in
162004, property that is first occupied as a residence after
17January 1 of any assessment year by a person who is eligible
18for the senior citizens homestead exemption under this Section
19must be granted a pro-rata exemption for the assessment year.
20The amount of the pro-rata exemption is the exemption allowed
21in the county under this Section divided by 365 and multiplied
22by the number of days during the assessment year the property
23is occupied as a residence by a person eligible for the
24exemption under this Section. The chief county assessment
25officer must adopt reasonable procedures to establish
26eligibility for this pro-rata exemption.

 

 

HB2755- 405 -LRB099 08043 RPS 28187 b

1    The assessor or chief county assessment officer may
2determine the eligibility of a life care facility to receive
3the benefits provided by this Section, by affidavit,
4application, visual inspection, questionnaire or other
5reasonable methods in order to insure that the tax savings
6resulting from the exemption are credited by the management
7firm to the apportioned tax liability of each qualifying
8resident. The assessor may request reasonable proof that the
9management firm has so credited the exemption.
10    The chief county assessment officer of each county with
11less than 3,000,000 inhabitants shall provide to each person
12allowed a homestead exemption under this Section a form to
13designate any other person to receive a duplicate of any notice
14of delinquency in the payment of taxes assessed and levied
15under this Code on the property of the person receiving the
16exemption. The duplicate notice shall be in addition to the
17notice required to be provided to the person receiving the
18exemption, and shall be given in the manner required by this
19Code. The person filing the request for the duplicate notice
20shall pay a fee of $5 to cover administrative costs to the
21supervisor of assessments, who shall then file the executed
22designation with the county collector. Notwithstanding any
23other provision of this Code to the contrary, the filing of
24such an executed designation requires the county collector to
25provide duplicate notices as indicated by the designation. A
26designation may be rescinded by the person who executed such

 

 

HB2755- 406 -LRB099 08043 RPS 28187 b

1designation at any time, in the manner and form required by the
2chief county assessment officer.
3    The assessor or chief county assessment officer may
4determine the eligibility of residential property to receive
5the homestead exemption provided by this Section by
6application, visual inspection, questionnaire or other
7reasonable methods. The determination shall be made in
8accordance with guidelines established by the Department.
9    In counties with 3,000,000 or more inhabitants, beginning
10in taxable year 2010, each taxpayer who has been granted an
11exemption under this Section must reapply on an annual basis.
12The chief county assessment officer shall mail the application
13to the taxpayer. In counties with less than 3,000,000
14inhabitants, the county board may by resolution provide that if
15a person has been granted a homestead exemption under this
16Section, the person qualifying need not reapply for the
17exemption.
18    In counties with less than 3,000,000 inhabitants, if the
19assessor or chief county assessment officer requires annual
20application for verification of eligibility for an exemption
21once granted under this Section, the application shall be
22mailed to the taxpayer.
23    The assessor or chief county assessment officer shall
24notify each person who qualifies for an exemption under this
25Section that the person may also qualify for deferral of real
26estate taxes under the Senior Citizens Real Estate Tax Deferral

 

 

HB2755- 407 -LRB099 08043 RPS 28187 b

1Act. The notice shall set forth the qualifications needed for
2deferral of real estate taxes, the address and telephone number
3of county collector, and a statement that applications for
4deferral of real estate taxes may be obtained from the county
5collector.
6    Notwithstanding Sections 6 and 8 of the State Mandates Act,
7no reimbursement by the State is required for the
8implementation of any mandate created by this Section.
9(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
10eff. 7-13-12; 98-7, eff. 4-23-13; 98-104, eff. 7-22-13; 98-756,
11eff. 7-16-14.)
 
12    (35 ILCS 200/15-172)
13    Sec. 15-172. Senior Citizens Assessment Freeze Homestead
14Exemption.
15    (a) This Section may be cited as the Senior Citizens
16Assessment Freeze Homestead Exemption.
17    (b) As used in this Section:
18    "Applicant" means an individual who has filed an
19application under this Section.
20    "Base amount" means the base year equalized assessed value
21of the residence plus the first year's equalized assessed value
22of any added improvements which increased the assessed value of
23the residence after the base year.
24    "Base year" means the taxable year prior to the taxable
25year for which the applicant first qualifies and applies for

 

 

HB2755- 408 -LRB099 08043 RPS 28187 b

1the exemption provided that in the prior taxable year the
2property was improved with a permanent structure that was
3occupied as a residence by the applicant who was liable for
4paying real property taxes on the property and who was either
5(i) an owner of record of the property or had legal or
6equitable interest in the property as evidenced by a written
7instrument or (ii) had a legal or equitable interest as a
8lessee in the parcel of property that was single family
9residence. If in any subsequent taxable year for which the
10applicant applies and qualifies for the exemption the equalized
11assessed value of the residence is less than the equalized
12assessed value in the existing base year (provided that such
13equalized assessed value is not based on an assessed value that
14results from a temporary irregularity in the property that
15reduces the assessed value for one or more taxable years), then
16that subsequent taxable year shall become the base year until a
17new base year is established under the terms of this paragraph.
18For taxable year 1999 only, the Chief County Assessment Officer
19shall review (i) all taxable years for which the applicant
20applied and qualified for the exemption and (ii) the existing
21base year. The assessment officer shall select as the new base
22year the year with the lowest equalized assessed value. An
23equalized assessed value that is based on an assessed value
24that results from a temporary irregularity in the property that
25reduces the assessed value for one or more taxable years shall
26not be considered the lowest equalized assessed value. The

 

 

HB2755- 409 -LRB099 08043 RPS 28187 b

1selected year shall be the base year for taxable year 1999 and
2thereafter until a new base year is established under the terms
3of this paragraph.
4    "Chief County Assessment Officer" means the County
5Assessor or Supervisor of Assessments of the county in which
6the property is located.
7    "Equalized assessed value" means the assessed value as
8equalized by the Illinois Department of Revenue.
9    "Household" means the applicant, the spouse of the
10applicant, and all persons using the residence of the applicant
11as their principal place of residence.
12    "Household income" means the combined income of the members
13of a household for the calendar year preceding the taxable
14year.
15    "Income" has the same meaning as provided in Section 3.07
16of the Senior Citizens and Disabled Persons Property Tax Relief
17Act, except that, beginning in assessment year 2001, "income"
18does not include veteran's benefits.
19    "Internal Revenue Code of 1986" means the United States
20Internal Revenue Code of 1986 or any successor law or laws
21relating to federal income taxes in effect for the year
22preceding the taxable year.
23    "Life care facility that qualifies as a cooperative" means
24a facility as defined in Section 2 of the Life Care Facilities
25Act.
26    "Maximum income limitation" means:

 

 

HB2755- 410 -LRB099 08043 RPS 28187 b

1        (1) $35,000 prior to taxable year 1999;
2        (2) $40,000 in taxable years 1999 through 2003;
3        (3) $45,000 in taxable years 2004 through 2005;
4        (4) $50,000 in taxable years 2006 and 2007; and
5        (5) $55,000 in taxable year 2008 and thereafter.
6    "Residence" means the principal dwelling place and
7appurtenant structures used for residential purposes in this
8State occupied on January 1 of the taxable year by a household
9and so much of the surrounding land, constituting the parcel
10upon which the dwelling place is situated, as is used for
11residential purposes. If the Chief County Assessment Officer
12has established a specific legal description for a portion of
13property constituting the residence, then that portion of
14property shall be deemed the residence for the purposes of this
15Section.
16    "Taxable year" means the calendar year during which ad
17valorem property taxes payable in the next succeeding year are
18levied.
19    (c) Beginning in taxable year 1994, a senior citizens
20assessment freeze homestead exemption is granted for real
21property that is improved with a permanent structure that is
22occupied as a residence by an applicant who (i) is 65 years of
23age or older during the taxable year, (ii) has a household
24income that does not exceed the maximum income limitation,
25(iii) is liable for paying real property taxes on the property,
26and (iv) is an owner of record of the property or has a legal or

 

 

HB2755- 411 -LRB099 08043 RPS 28187 b

1equitable interest in the property as evidenced by a written
2instrument. This homestead exemption shall also apply to a
3leasehold interest in a parcel of property improved with a
4permanent structure that is a single family residence that is
5occupied as a residence by a person who (i) is 65 years of age
6or older during the taxable year, (ii) has a household income
7that does not exceed the maximum income limitation, (iii) has a
8legal or equitable ownership interest in the property as
9lessee, and (iv) is liable for the payment of real property
10taxes on that property.
11    In counties of 3,000,000 or more inhabitants, the amount of
12the exemption for all taxable years is the equalized assessed
13value of the residence in the taxable year for which
14application is made minus the base amount. In all other
15counties, the amount of the exemption is as follows: (i)
16through taxable year 2005 and for taxable year 2007 and
17thereafter, the amount of this exemption shall be the equalized
18assessed value of the residence in the taxable year for which
19application is made minus the base amount; and (ii) for taxable
20year 2006, the amount of the exemption is as follows:
21        (1) For an applicant who has a household income of
22    $45,000 or less, the amount of the exemption is the
23    equalized assessed value of the residence in the taxable
24    year for which application is made minus the base amount.
25        (2) For an applicant who has a household income
26    exceeding $45,000 but not exceeding $46,250, the amount of

 

 

HB2755- 412 -LRB099 08043 RPS 28187 b

1    the exemption is (i) the equalized assessed value of the
2    residence in the taxable year for which application is made
3    minus the base amount (ii) multiplied by 0.8.
4        (3) For an applicant who has a household income
5    exceeding $46,250 but not exceeding $47,500, the amount of
6    the exemption is (i) the equalized assessed value of the
7    residence in the taxable year for which application is made
8    minus the base amount (ii) multiplied by 0.6.
9        (4) For an applicant who has a household income
10    exceeding $47,500 but not exceeding $48,750, the amount of
11    the exemption is (i) the equalized assessed value of the
12    residence in the taxable year for which application is made
13    minus the base amount (ii) multiplied by 0.4.
14        (5) For an applicant who has a household income
15    exceeding $48,750 but not exceeding $50,000, the amount of
16    the exemption is (i) the equalized assessed value of the
17    residence in the taxable year for which application is made
18    minus the base amount (ii) multiplied by 0.2.
19    When the applicant is a surviving spouse of an applicant
20for a prior year for the same residence for which an exemption
21under this Section has been granted, the base year and base
22amount for that residence are the same as for the applicant for
23the prior year.
24    Each year at the time the assessment books are certified to
25the County Clerk, the Board of Review or Board of Appeals shall
26give to the County Clerk a list of the assessed values of

 

 

HB2755- 413 -LRB099 08043 RPS 28187 b

1improvements on each parcel qualifying for this exemption that
2were added after the base year for this parcel and that
3increased the assessed value of the property.
4    In the case of land improved with an apartment building
5owned and operated as a cooperative or a building that is a
6life care facility that qualifies as a cooperative, the maximum
7reduction from the equalized assessed value of the property is
8limited to the sum of the reductions calculated for each unit
9occupied as a residence by a person or persons (i) 65 years of
10age or older, (ii) with a household income that does not exceed
11the maximum income limitation, (iii) who is liable, by contract
12with the owner or owners of record, for paying real property
13taxes on the property, and (iv) who is an owner of record of a
14legal or equitable interest in the cooperative apartment
15building, other than a leasehold interest. In the instance of a
16cooperative where a homestead exemption has been granted under
17this Section, the cooperative association or its management
18firm shall credit the savings resulting from that exemption
19only to the apportioned tax liability of the owner who
20qualified for the exemption. Any person who willfully refuses
21to credit that savings to an owner who qualifies for the
22exemption is guilty of a Class B misdemeanor.
23    When a homestead exemption has been granted under this
24Section and an applicant then becomes a resident of a facility
25licensed under the Assisted Living and Shared Housing Act, the
26Nursing Home Care Act, the Specialized Mental Health

 

 

HB2755- 414 -LRB099 08043 RPS 28187 b

1Rehabilitation Act of 2013, or the ID/DD Community Care Act, or
2the MC/DD Act, the exemption shall be granted in subsequent
3years so long as the residence (i) continues to be occupied by
4the qualified applicant's spouse or (ii) if remaining
5unoccupied, is still owned by the qualified applicant for the
6homestead exemption.
7    Beginning January 1, 1997, when an individual dies who
8would have qualified for an exemption under this Section, and
9the surviving spouse does not independently qualify for this
10exemption because of age, the exemption under this Section
11shall be granted to the surviving spouse for the taxable year
12preceding and the taxable year of the death, provided that,
13except for age, the surviving spouse meets all other
14qualifications for the granting of this exemption for those
15years.
16    When married persons maintain separate residences, the
17exemption provided for in this Section may be claimed by only
18one of such persons and for only one residence.
19    For taxable year 1994 only, in counties having less than
203,000,000 inhabitants, to receive the exemption, a person shall
21submit an application by February 15, 1995 to the Chief County
22Assessment Officer of the county in which the property is
23located. In counties having 3,000,000 or more inhabitants, for
24taxable year 1994 and all subsequent taxable years, to receive
25the exemption, a person may submit an application to the Chief
26County Assessment Officer of the county in which the property

 

 

HB2755- 415 -LRB099 08043 RPS 28187 b

1is located during such period as may be specified by the Chief
2County Assessment Officer. The Chief County Assessment Officer
3in counties of 3,000,000 or more inhabitants shall annually
4give notice of the application period by mail or by
5publication. In counties having less than 3,000,000
6inhabitants, beginning with taxable year 1995 and thereafter,
7to receive the exemption, a person shall submit an application
8by July 1 of each taxable year to the Chief County Assessment
9Officer of the county in which the property is located. A
10county may, by ordinance, establish a date for submission of
11applications that is different than July 1. The applicant shall
12submit with the application an affidavit of the applicant's
13total household income, age, marital status (and if married the
14name and address of the applicant's spouse, if known), and
15principal dwelling place of members of the household on January
161 of the taxable year. The Department shall establish, by rule,
17a method for verifying the accuracy of affidavits filed by
18applicants under this Section, and the Chief County Assessment
19Officer may conduct audits of any taxpayer claiming an
20exemption under this Section to verify that the taxpayer is
21eligible to receive the exemption. Each application shall
22contain or be verified by a written declaration that it is made
23under the penalties of perjury. A taxpayer's signing a
24fraudulent application under this Act is perjury, as defined in
25Section 32-2 of the Criminal Code of 2012. The applications
26shall be clearly marked as applications for the Senior Citizens

 

 

HB2755- 416 -LRB099 08043 RPS 28187 b

1Assessment Freeze Homestead Exemption and must contain a notice
2that any taxpayer who receives the exemption is subject to an
3audit by the Chief County Assessment Officer.
4    Notwithstanding any other provision to the contrary, in
5counties having fewer than 3,000,000 inhabitants, if an
6applicant fails to file the application required by this
7Section in a timely manner and this failure to file is due to a
8mental or physical condition sufficiently severe so as to
9render the applicant incapable of filing the application in a
10timely manner, the Chief County Assessment Officer may extend
11the filing deadline for a period of 30 days after the applicant
12regains the capability to file the application, but in no case
13may the filing deadline be extended beyond 3 months of the
14original filing deadline. In order to receive the extension
15provided in this paragraph, the applicant shall provide the
16Chief County Assessment Officer with a signed statement from
17the applicant's physician stating the nature and extent of the
18condition, that, in the physician's opinion, the condition was
19so severe that it rendered the applicant incapable of filing
20the application in a timely manner, and the date on which the
21applicant regained the capability to file the application.
22    Beginning January 1, 1998, notwithstanding any other
23provision to the contrary, in counties having fewer than
243,000,000 inhabitants, if an applicant fails to file the
25application required by this Section in a timely manner and
26this failure to file is due to a mental or physical condition

 

 

HB2755- 417 -LRB099 08043 RPS 28187 b

1sufficiently severe so as to render the applicant incapable of
2filing the application in a timely manner, the Chief County
3Assessment Officer may extend the filing deadline for a period
4of 3 months. In order to receive the extension provided in this
5paragraph, the applicant shall provide the Chief County
6Assessment Officer with a signed statement from the applicant's
7physician stating the nature and extent of the condition, and
8that, in the physician's opinion, the condition was so severe
9that it rendered the applicant incapable of filing the
10application in a timely manner.
11    In counties having less than 3,000,000 inhabitants, if an
12applicant was denied an exemption in taxable year 1994 and the
13denial occurred due to an error on the part of an assessment
14official, or his or her agent or employee, then beginning in
15taxable year 1997 the applicant's base year, for purposes of
16determining the amount of the exemption, shall be 1993 rather
17than 1994. In addition, in taxable year 1997, the applicant's
18exemption shall also include an amount equal to (i) the amount
19of any exemption denied to the applicant in taxable year 1995
20as a result of using 1994, rather than 1993, as the base year,
21(ii) the amount of any exemption denied to the applicant in
22taxable year 1996 as a result of using 1994, rather than 1993,
23as the base year, and (iii) the amount of the exemption
24erroneously denied for taxable year 1994.
25    For purposes of this Section, a person who will be 65 years
26of age during the current taxable year shall be eligible to

 

 

HB2755- 418 -LRB099 08043 RPS 28187 b

1apply for the homestead exemption during that taxable year.
2Application shall be made during the application period in
3effect for the county of his or her residence.
4    The Chief County Assessment Officer may determine the
5eligibility of a life care facility that qualifies as a
6cooperative to receive the benefits provided by this Section by
7use of an affidavit, application, visual inspection,
8questionnaire, or other reasonable method in order to insure
9that the tax savings resulting from the exemption are credited
10by the management firm to the apportioned tax liability of each
11qualifying resident. The Chief County Assessment Officer may
12request reasonable proof that the management firm has so
13credited that exemption.
14    Except as provided in this Section, all information
15received by the chief county assessment officer or the
16Department from applications filed under this Section, or from
17any investigation conducted under the provisions of this
18Section, shall be confidential, except for official purposes or
19pursuant to official procedures for collection of any State or
20local tax or enforcement of any civil or criminal penalty or
21sanction imposed by this Act or by any statute or ordinance
22imposing a State or local tax. Any person who divulges any such
23information in any manner, except in accordance with a proper
24judicial order, is guilty of a Class A misdemeanor.
25    Nothing contained in this Section shall prevent the
26Director or chief county assessment officer from publishing or

 

 

HB2755- 419 -LRB099 08043 RPS 28187 b

1making available reasonable statistics concerning the
2operation of the exemption contained in this Section in which
3the contents of claims are grouped into aggregates in such a
4way that information contained in any individual claim shall
5not be disclosed.
6    (d) Each Chief County Assessment Officer shall annually
7publish a notice of availability of the exemption provided
8under this Section. The notice shall be published at least 60
9days but no more than 75 days prior to the date on which the
10application must be submitted to the Chief County Assessment
11Officer of the county in which the property is located. The
12notice shall appear in a newspaper of general circulation in
13the county.
14    Notwithstanding Sections 6 and 8 of the State Mandates Act,
15no reimbursement by the State is required for the
16implementation of any mandate created by this Section.
17(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-689,
18eff. 6-14-12; 97-813, eff. 7-13-12; 97-1150, eff. 1-25-13;
1998-104, eff. 7-22-13.)
 
20    Section 70. The Regional Transportation Authority Act is
21amended by changing Section 4.03 as follows:
 
22    (70 ILCS 3615/4.03)  (from Ch. 111 2/3, par. 704.03)
23    Sec. 4.03. Taxes.
24    (a) In order to carry out any of the powers or purposes of

 

 

HB2755- 420 -LRB099 08043 RPS 28187 b

1the Authority, the Board may by ordinance adopted with the
2concurrence of 12 of the then Directors, impose throughout the
3metropolitan region any or all of the taxes provided in this
4Section. Except as otherwise provided in this Act, taxes
5imposed under this Section and civil penalties imposed incident
6thereto shall be collected and enforced by the State Department
7of Revenue. The Department shall have the power to administer
8and enforce the taxes and to determine all rights for refunds
9for erroneous payments of the taxes. Nothing in this amendatory
10Act of the 95th General Assembly is intended to invalidate any
11taxes currently imposed by the Authority. The increased vote
12requirements to impose a tax shall only apply to actions taken
13after the effective date of this amendatory Act of the 95th
14General Assembly.
15    (b) The Board may impose a public transportation tax upon
16all persons engaged in the metropolitan region in the business
17of selling at retail motor fuel for operation of motor vehicles
18upon public highways. The tax shall be at a rate not to exceed
195% of the gross receipts from the sales of motor fuel in the
20course of the business. As used in this Act, the term "motor
21fuel" shall have the same meaning as in the Motor Fuel Tax Law.
22The Board may provide for details of the tax. The provisions of
23any tax shall conform, as closely as may be practicable, to the
24provisions of the Municipal Retailers Occupation Tax Act,
25including without limitation, conformity to penalties with
26respect to the tax imposed and as to the powers of the State

 

 

HB2755- 421 -LRB099 08043 RPS 28187 b

1Department of Revenue to promulgate and enforce rules and
2regulations relating to the administration and enforcement of
3the provisions of the tax imposed, except that reference in the
4Act to any municipality shall refer to the Authority and the
5tax shall be imposed only with regard to receipts from sales of
6motor fuel in the metropolitan region, at rates as limited by
7this Section.
8    (c) In connection with the tax imposed under paragraph (b)
9of this Section the Board may impose a tax upon the privilege
10of using in the metropolitan region motor fuel for the
11operation of a motor vehicle upon public highways, the tax to
12be at a rate not in excess of the rate of tax imposed under
13paragraph (b) of this Section. The Board may provide for
14details of the tax.
15    (d) The Board may impose a motor vehicle parking tax upon
16the privilege of parking motor vehicles at off-street parking
17facilities in the metropolitan region at which a fee is
18charged, and may provide for reasonable classifications in and
19exemptions to the tax, for administration and enforcement
20thereof and for civil penalties and refunds thereunder and may
21provide criminal penalties thereunder, the maximum penalties
22not to exceed the maximum criminal penalties provided in the
23Retailers' Occupation Tax Act. The Authority may collect and
24enforce the tax itself or by contract with any unit of local
25government. The State Department of Revenue shall have no
26responsibility for the collection and enforcement unless the

 

 

HB2755- 422 -LRB099 08043 RPS 28187 b

1Department agrees with the Authority to undertake the
2collection and enforcement. As used in this paragraph, the term
3"parking facility" means a parking area or structure having
4parking spaces for more than 2 vehicles at which motor vehicles
5are permitted to park in return for an hourly, daily, or other
6periodic fee, whether publicly or privately owned, but does not
7include parking spaces on a public street, the use of which is
8regulated by parking meters.
9    (e) The Board may impose a Regional Transportation
10Authority Retailers' Occupation Tax upon all persons engaged in
11the business of selling tangible personal property at retail in
12the metropolitan region. In Cook County the tax rate shall be
131.25% of the gross receipts from sales of food for human
14consumption that is to be consumed off the premises where it is
15sold (other than alcoholic beverages, soft drinks and food that
16has been prepared for immediate consumption) and prescription
17and nonprescription medicines, drugs, medical appliances and
18insulin, urine testing materials, syringes and needles used by
19diabetics, and 1% of the gross receipts from other taxable
20sales made in the course of that business. In DuPage, Kane,
21Lake, McHenry, and Will Counties, the tax rate shall be 0.75%
22of the gross receipts from all taxable sales made in the course
23of that business. The tax imposed under this Section and all
24civil penalties that may be assessed as an incident thereof
25shall be collected and enforced by the State Department of
26Revenue. The Department shall have full power to administer and

 

 

HB2755- 423 -LRB099 08043 RPS 28187 b

1enforce this Section; to collect all taxes and penalties so
2collected in the manner hereinafter provided; and to determine
3all rights to credit memoranda arising on account of the
4erroneous payment of tax or penalty hereunder. In the
5administration of, and compliance with this Section, the
6Department and persons who are subject to this Section shall
7have the same rights, remedies, privileges, immunities, powers
8and duties, and be subject to the same conditions,
9restrictions, limitations, penalties, exclusions, exemptions
10and definitions of terms, and employ the same modes of
11procedure, as are prescribed in Sections 1, 1a, 1a-1, 1c, 1d,
121e, 1f, 1i, 1j, 2 through 2-65 (in respect to all provisions
13therein other than the State rate of tax), 2c, 3 (except as to
14the disposition of taxes and penalties collected), 4, 5, 5a,
155b, 5c, 5d, 5e, 5f, 5g, 5h, 5i, 5j, 5k, 5l, 6, 6a, 6b, 6c, 7, 8,
169, 10, 11, 12 and 13 of the Retailers' Occupation Tax Act and
17Section 3-7 of the Uniform Penalty and Interest Act, as fully
18as if those provisions were set forth herein.
19    Persons subject to any tax imposed under the authority
20granted in this Section may reimburse themselves for their
21seller's tax liability hereunder by separately stating the tax
22as an additional charge, which charge may be stated in
23combination in a single amount with State taxes that sellers
24are required to collect under the Use Tax Act, under any
25bracket schedules the Department may prescribe.
26    Whenever the Department determines that a refund should be

 

 

HB2755- 424 -LRB099 08043 RPS 28187 b

1made under this Section to a claimant instead of issuing a
2credit memorandum, the Department shall notify the State
3Comptroller, who shall cause the warrant to be drawn for the
4amount specified, and to the person named, in the notification
5from the Department. The refund shall be paid by the State
6Treasurer out of the Regional Transportation Authority tax fund
7established under paragraph (n) of this Section.
8    If a tax is imposed under this subsection (e), a tax shall
9also be imposed under subsections (f) and (g) of this Section.
10    For the purpose of determining whether a tax authorized
11under this Section is applicable, a retail sale by a producer
12of coal or other mineral mined in Illinois, is a sale at retail
13at the place where the coal or other mineral mined in Illinois
14is extracted from the earth. This paragraph does not apply to
15coal or other mineral when it is delivered or shipped by the
16seller to the purchaser at a point outside Illinois so that the
17sale is exempt under the Federal Constitution as a sale in
18interstate or foreign commerce.
19    No tax shall be imposed or collected under this subsection
20on the sale of a motor vehicle in this State to a resident of
21another state if that motor vehicle will not be titled in this
22State.
23    Nothing in this Section shall be construed to authorize the
24Regional Transportation Authority to impose a tax upon the
25privilege of engaging in any business that under the
26Constitution of the United States may not be made the subject

 

 

HB2755- 425 -LRB099 08043 RPS 28187 b

1of taxation by this State.
2    (f) If a tax has been imposed under paragraph (e), a
3Regional Transportation Authority Service Occupation Tax shall
4also be imposed upon all persons engaged, in the metropolitan
5region in the business of making sales of service, who as an
6incident to making the sales of service, transfer tangible
7personal property within the metropolitan region, either in the
8form of tangible personal property or in the form of real
9estate as an incident to a sale of service. In Cook County, the
10tax rate shall be: (1) 1.25% of the serviceman's cost price of
11food prepared for immediate consumption and transferred
12incident to a sale of service subject to the service occupation
13tax by an entity licensed under the Hospital Licensing Act, the
14Nursing Home Care Act, the Specialized Mental Health
15Rehabilitation Act of 2013, or the ID/DD Community Care Act, or
16the MC/DD Act that is located in the metropolitan region; (2)
171.25% of the selling price of food for human consumption that
18is to be consumed off the premises where it is sold (other than
19alcoholic beverages, soft drinks and food that has been
20prepared for immediate consumption) and prescription and
21nonprescription medicines, drugs, medical appliances and
22insulin, urine testing materials, syringes and needles used by
23diabetics; and (3) 1% of the selling price from other taxable
24sales of tangible personal property transferred. In DuPage,
25Kane, Lake, McHenry and Will Counties the rate shall be 0.75%
26of the selling price of all tangible personal property

 

 

HB2755- 426 -LRB099 08043 RPS 28187 b

1transferred.
2    The tax imposed under this paragraph and all civil
3penalties that may be assessed as an incident thereof shall be
4collected and enforced by the State Department of Revenue. The
5Department shall have full power to administer and enforce this
6paragraph; to collect all taxes and penalties due hereunder; to
7dispose of taxes and penalties collected in the manner
8hereinafter provided; and to determine all rights to credit
9memoranda arising on account of the erroneous payment of tax or
10penalty hereunder. In the administration of and compliance with
11this paragraph, the Department and persons who are subject to
12this paragraph shall have the same rights, remedies,
13privileges, immunities, powers and duties, and be subject to
14the same conditions, restrictions, limitations, penalties,
15exclusions, exemptions and definitions of terms, and employ the
16same modes of procedure, as are prescribed in Sections 1a-1, 2,
172a, 3 through 3-50 (in respect to all provisions therein other
18than the State rate of tax), 4 (except that the reference to
19the State shall be to the Authority), 5, 7, 8 (except that the
20jurisdiction to which the tax shall be a debt to the extent
21indicated in that Section 8 shall be the Authority), 9 (except
22as to the disposition of taxes and penalties collected, and
23except that the returned merchandise credit for this tax may
24not be taken against any State tax), 10, 11, 12 (except the
25reference therein to Section 2b of the Retailers' Occupation
26Tax Act), 13 (except that any reference to the State shall mean

 

 

HB2755- 427 -LRB099 08043 RPS 28187 b

1the Authority), the first paragraph of Section 15, 16, 17, 18,
219 and 20 of the Service Occupation Tax Act and Section 3-7 of
3the Uniform Penalty and Interest Act, as fully as if those
4provisions were set forth herein.
5    Persons subject to any tax imposed under the authority
6granted in this paragraph may reimburse themselves for their
7serviceman's tax liability hereunder by separately stating the
8tax as an additional charge, that charge may be stated in
9combination in a single amount with State tax that servicemen
10are authorized to collect under the Service Use Tax Act, under
11any bracket schedules the Department may prescribe.
12    Whenever the Department determines that a refund should be
13made under this paragraph to a claimant instead of issuing a
14credit memorandum, the Department shall notify the State
15Comptroller, who shall cause the warrant to be drawn for the
16amount specified, and to the person named in the notification
17from the Department. The refund shall be paid by the State
18Treasurer out of the Regional Transportation Authority tax fund
19established under paragraph (n) of this Section.
20    Nothing in this paragraph shall be construed to authorize
21the Authority to impose a tax upon the privilege of engaging in
22any business that under the Constitution of the United States
23may not be made the subject of taxation by the State.
24    (g) If a tax has been imposed under paragraph (e), a tax
25shall also be imposed upon the privilege of using in the
26metropolitan region, any item of tangible personal property

 

 

HB2755- 428 -LRB099 08043 RPS 28187 b

1that is purchased outside the metropolitan region at retail
2from a retailer, and that is titled or registered with an
3agency of this State's government. In Cook County the tax rate
4shall be 1% of the selling price of the tangible personal
5property, as "selling price" is defined in the Use Tax Act. In
6DuPage, Kane, Lake, McHenry and Will counties the tax rate
7shall be 0.75% of the selling price of the tangible personal
8property, as "selling price" is defined in the Use Tax Act. The
9tax shall be collected from persons whose Illinois address for
10titling or registration purposes is given as being in the
11metropolitan region. The tax shall be collected by the
12Department of Revenue for the Regional Transportation
13Authority. The tax must be paid to the State, or an exemption
14determination must be obtained from the Department of Revenue,
15before the title or certificate of registration for the
16property may be issued. The tax or proof of exemption may be
17transmitted to the Department by way of the State agency with
18which, or the State officer with whom, the tangible personal
19property must be titled or registered if the Department and the
20State agency or State officer determine that this procedure
21will expedite the processing of applications for title or
22registration.
23    The Department shall have full power to administer and
24enforce this paragraph; to collect all taxes, penalties and
25interest due hereunder; to dispose of taxes, penalties and
26interest collected in the manner hereinafter provided; and to

 

 

HB2755- 429 -LRB099 08043 RPS 28187 b

1determine all rights to credit memoranda or refunds arising on
2account of the erroneous payment of tax, penalty or interest
3hereunder. In the administration of and compliance with this
4paragraph, the Department and persons who are subject to this
5paragraph shall have the same rights, remedies, privileges,
6immunities, powers and duties, and be subject to the same
7conditions, restrictions, limitations, penalties, exclusions,
8exemptions and definitions of terms and employ the same modes
9of procedure, as are prescribed in Sections 2 (except the
10definition of "retailer maintaining a place of business in this
11State"), 3 through 3-80 (except provisions pertaining to the
12State rate of tax, and except provisions concerning collection
13or refunding of the tax by retailers), 4, 11, 12, 12a, 14, 15,
1419 (except the portions pertaining to claims by retailers and
15except the last paragraph concerning refunds), 20, 21 and 22 of
16the Use Tax Act, and are not inconsistent with this paragraph,
17as fully as if those provisions were set forth herein.
18    Whenever the Department determines that a refund should be
19made under this paragraph to a claimant instead of issuing a
20credit memorandum, the Department shall notify the State
21Comptroller, who shall cause the order to be drawn for the
22amount specified, and to the person named in the notification
23from the Department. The refund shall be paid by the State
24Treasurer out of the Regional Transportation Authority tax fund
25established under paragraph (n) of this Section.
26    (h) The Authority may impose a replacement vehicle tax of

 

 

HB2755- 430 -LRB099 08043 RPS 28187 b

1$50 on any passenger car as defined in Section 1-157 of the
2Illinois Vehicle Code purchased within the metropolitan region
3by or on behalf of an insurance company to replace a passenger
4car of an insured person in settlement of a total loss claim.
5The tax imposed may not become effective before the first day
6of the month following the passage of the ordinance imposing
7the tax and receipt of a certified copy of the ordinance by the
8Department of Revenue. The Department of Revenue shall collect
9the tax for the Authority in accordance with Sections 3-2002
10and 3-2003 of the Illinois Vehicle Code.
11    The Department shall immediately pay over to the State
12Treasurer, ex officio, as trustee, all taxes collected
13hereunder.
14    As soon as possible after the first day of each month,
15beginning January 1, 2011, upon certification of the Department
16of Revenue, the Comptroller shall order transferred, and the
17Treasurer shall transfer, to the STAR Bonds Revenue Fund the
18local sales tax increment, as defined in the Innovation
19Development and Economy Act, collected under this Section
20during the second preceding calendar month for sales within a
21STAR bond district.
22    After the monthly transfer to the STAR Bonds Revenue Fund,
23on or before the 25th day of each calendar month, the
24Department shall prepare and certify to the Comptroller the
25disbursement of stated sums of money to the Authority. The
26amount to be paid to the Authority shall be the amount

 

 

HB2755- 431 -LRB099 08043 RPS 28187 b

1collected hereunder during the second preceding calendar month
2by the Department, less any amount determined by the Department
3to be necessary for the payment of refunds, and less any
4amounts that are transferred to the STAR Bonds Revenue Fund.
5Within 10 days after receipt by the Comptroller of the
6disbursement certification to the Authority provided for in
7this Section to be given to the Comptroller by the Department,
8the Comptroller shall cause the orders to be drawn for that
9amount in accordance with the directions contained in the
10certification.
11    (i) The Board may not impose any other taxes except as it
12may from time to time be authorized by law to impose.
13    (j) A certificate of registration issued by the State
14Department of Revenue to a retailer under the Retailers'
15Occupation Tax Act or under the Service Occupation Tax Act
16shall permit the registrant to engage in a business that is
17taxed under the tax imposed under paragraphs (b), (e), (f) or
18(g) of this Section and no additional registration shall be
19required under the tax. A certificate issued under the Use Tax
20Act or the Service Use Tax Act shall be applicable with regard
21to any tax imposed under paragraph (c) of this Section.
22    (k) The provisions of any tax imposed under paragraph (c)
23of this Section shall conform as closely as may be practicable
24to the provisions of the Use Tax Act, including without
25limitation conformity as to penalties with respect to the tax
26imposed and as to the powers of the State Department of Revenue

 

 

HB2755- 432 -LRB099 08043 RPS 28187 b

1to promulgate and enforce rules and regulations relating to the
2administration and enforcement of the provisions of the tax
3imposed. The taxes shall be imposed only on use within the
4metropolitan region and at rates as provided in the paragraph.
5    (l) The Board in imposing any tax as provided in paragraphs
6(b) and (c) of this Section, shall, after seeking the advice of
7the State Department of Revenue, provide means for retailers,
8users or purchasers of motor fuel for purposes other than those
9with regard to which the taxes may be imposed as provided in
10those paragraphs to receive refunds of taxes improperly paid,
11which provisions may be at variance with the refund provisions
12as applicable under the Municipal Retailers Occupation Tax Act.
13The State Department of Revenue may provide for certificates of
14registration for users or purchasers of motor fuel for purposes
15other than those with regard to which taxes may be imposed as
16provided in paragraphs (b) and (c) of this Section to
17facilitate the reporting and nontaxability of the exempt sales
18or uses.
19    (m) Any ordinance imposing or discontinuing any tax under
20this Section shall be adopted and a certified copy thereof
21filed with the Department on or before June 1, whereupon the
22Department of Revenue shall proceed to administer and enforce
23this Section on behalf of the Regional Transportation Authority
24as of September 1 next following such adoption and filing.
25Beginning January 1, 1992, an ordinance or resolution imposing
26or discontinuing the tax hereunder shall be adopted and a

 

 

HB2755- 433 -LRB099 08043 RPS 28187 b

1certified copy thereof filed with the Department on or before
2the first day of July, whereupon the Department shall proceed
3to administer and enforce this Section as of the first day of
4October next following such adoption and filing. Beginning
5January 1, 1993, an ordinance or resolution imposing,
6increasing, decreasing, or discontinuing the tax hereunder
7shall be adopted and a certified copy thereof filed with the
8Department, whereupon the Department shall proceed to
9administer and enforce this Section as of the first day of the
10first month to occur not less than 60 days following such
11adoption and filing. Any ordinance or resolution of the
12Authority imposing a tax under this Section and in effect on
13August 1, 2007 shall remain in full force and effect and shall
14be administered by the Department of Revenue under the terms
15and conditions and rates of tax established by such ordinance
16or resolution until the Department begins administering and
17enforcing an increased tax under this Section as authorized by
18this amendatory Act of the 95th General Assembly. The tax rates
19authorized by this amendatory Act of the 95th General Assembly
20are effective only if imposed by ordinance of the Authority.
21    (n) The State Department of Revenue shall, upon collecting
22any taxes as provided in this Section, pay the taxes over to
23the State Treasurer as trustee for the Authority. The taxes
24shall be held in a trust fund outside the State Treasury. On or
25before the 25th day of each calendar month, the State
26Department of Revenue shall prepare and certify to the

 

 

HB2755- 434 -LRB099 08043 RPS 28187 b

1Comptroller of the State of Illinois and to the Authority (i)
2the amount of taxes collected in each County other than Cook
3County in the metropolitan region, (ii) the amount of taxes
4collected within the City of Chicago, and (iii) the amount
5collected in that portion of Cook County outside of Chicago,
6each amount less the amount necessary for the payment of
7refunds to taxpayers located in those areas described in items
8(i), (ii), and (iii). Within 10 days after receipt by the
9Comptroller of the certification of the amounts, the
10Comptroller shall cause an order to be drawn for the payment of
11two-thirds of the amounts certified in item (i) of this
12subsection to the Authority and one-third of the amounts
13certified in item (i) of this subsection to the respective
14counties other than Cook County and the amount certified in
15items (ii) and (iii) of this subsection to the Authority.
16    In addition to the disbursement required by the preceding
17paragraph, an allocation shall be made in July 1991 and each
18year thereafter to the Regional Transportation Authority. The
19allocation shall be made in an amount equal to the average
20monthly distribution during the preceding calendar year
21(excluding the 2 months of lowest receipts) and the allocation
22shall include the amount of average monthly distribution from
23the Regional Transportation Authority Occupation and Use Tax
24Replacement Fund. The distribution made in July 1992 and each
25year thereafter under this paragraph and the preceding
26paragraph shall be reduced by the amount allocated and

 

 

HB2755- 435 -LRB099 08043 RPS 28187 b

1disbursed under this paragraph in the preceding calendar year.
2The Department of Revenue shall prepare and certify to the
3Comptroller for disbursement the allocations made in
4accordance with this paragraph.
5    (o) Failure to adopt a budget ordinance or otherwise to
6comply with Section 4.01 of this Act or to adopt a Five-year
7Capital Program or otherwise to comply with paragraph (b) of
8Section 2.01 of this Act shall not affect the validity of any
9tax imposed by the Authority otherwise in conformity with law.
10    (p) At no time shall a public transportation tax or motor
11vehicle parking tax authorized under paragraphs (b), (c) and
12(d) of this Section be in effect at the same time as any
13retailers' occupation, use or service occupation tax
14authorized under paragraphs (e), (f) and (g) of this Section is
15in effect.
16    Any taxes imposed under the authority provided in
17paragraphs (b), (c) and (d) shall remain in effect only until
18the time as any tax authorized by paragraphs (e), (f) or (g) of
19this Section are imposed and becomes effective. Once any tax
20authorized by paragraphs (e), (f) or (g) is imposed the Board
21may not reimpose taxes as authorized in paragraphs (b), (c) and
22(d) of the Section unless any tax authorized by paragraphs (e),
23(f) or (g) of this Section becomes ineffective by means other
24than an ordinance of the Board.
25    (q) Any existing rights, remedies and obligations
26(including enforcement by the Regional Transportation

 

 

HB2755- 436 -LRB099 08043 RPS 28187 b

1Authority) arising under any tax imposed under paragraphs (b),
2(c) or (d) of this Section shall not be affected by the
3imposition of a tax under paragraphs (e), (f) or (g) of this
4Section.
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    Section 75. The Alternative Health Care Delivery Act is
8amended by changing Section 15 as follows:
 
9    (210 ILCS 3/15)
10    Sec. 15. License required. No health care facility or
11program that meets the definition and scope of an alternative
12health care model shall operate as such unless it is a
13participant in a demonstration program under this Act and
14licensed by the Department as an alternative health care model.
15The provisions of this Act concerning children's
16community-based health care centers shall not apply to any
17facility licensed under the Hospital Licensing Act, the Nursing
18Home Care Act, the Specialized Mental Health Rehabilitation Act
19of 2013, the ID/DD Community Care Act, the MC/DD Act, or the
20University of Illinois Hospital Act that provides respite care
21services to children.
22(Source: P.A. 97-38, eff. 6-28-11; 97-135, eff. 7-14-11;
2397-227, eff. 1-1-12; 97-813, eff. 7-13-12; 98-629, eff.
241-1-15.)
 

 

 

HB2755- 437 -LRB099 08043 RPS 28187 b

1    Section 80. The Ambulatory Surgical Treatment Center Act is
2amended by changing Section 3 as follows:
 
3    (210 ILCS 5/3)  (from Ch. 111 1/2, par. 157-8.3)
4    Sec. 3. As used in this Act, unless the context otherwise
5requires, the following words and phrases shall have the
6meanings ascribed to them:
7    (A) "Ambulatory surgical treatment center" means any
8institution, place or building devoted primarily to the
9maintenance and operation of facilities for the performance of
10surgical procedures. "Ambulatory surgical treatment center"
11includes any place that meets and complies with the definition
12of an ambulatory surgical treatment center under the rules
13adopted by the Department or any facility in which a medical or
14surgical procedure is utilized to terminate a pregnancy,
15irrespective of whether the facility is devoted primarily to
16this purpose. Such facility shall not provide beds or other
17accommodations for the overnight stay of patients; however,
18facilities devoted exclusively to the treatment of children may
19provide accommodations and beds for their patients for up to 23
20hours following admission. Individual patients shall be
21discharged in an ambulatory condition without danger to the
22continued well being of the patients or shall be transferred to
23a hospital.
24    The term "ambulatory surgical treatment center" does not

 

 

HB2755- 438 -LRB099 08043 RPS 28187 b

1include any of the following:
2        (1) Any institution, place, building or agency
3    required to be licensed pursuant to the "Hospital Licensing
4    Act", approved July 1, 1953, as amended.
5        (2) Any person or institution required to be licensed
6    pursuant to the Nursing Home Care Act, the Specialized
7    Mental Health Rehabilitation Act of 2013, or the ID/DD
8    Community Care Act, or the MC/DD Act.
9        (3) Hospitals or ambulatory surgical treatment centers
10    maintained by the State or any department or agency
11    thereof, where such department or agency has authority
12    under law to establish and enforce standards for the
13    hospitals or ambulatory surgical treatment centers under
14    its management and control.
15        (4) Hospitals or ambulatory surgical treatment centers
16    maintained by the Federal Government or agencies thereof.
17        (5) Any place, agency, clinic, or practice, public or
18    private, whether organized for profit or not, devoted
19    exclusively to the performance of dental or oral surgical
20    procedures.
21    (B) "Person" means any individual, firm, partnership,
22corporation, company, association, or joint stock association,
23or the legal successor thereof.
24    (C) "Department" means the Department of Public Health of
25the State of Illinois.
26    (D) "Director" means the Director of the Department of

 

 

HB2755- 439 -LRB099 08043 RPS 28187 b

1Public Health of the State of Illinois.
2    (E) "Physician" means a person licensed to practice
3medicine in all of its branches in the State of Illinois.
4    (F) "Dentist" means a person licensed to practice dentistry
5under the Illinois Dental Practice Act.
6    (G) "Podiatric physician" means a person licensed to
7practice podiatry under the Podiatric Medical Practice Act of
81987.
9(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
10eff. 7-13-12; 98-214, eff. 8-9-13; 98-1123, eff. 1-1-15.)
 
11    Section 85. The Assisted Living and Shared Housing Act is
12amended by changing Sections 10, 35, 55, and 145 as follows:
 
13    (210 ILCS 9/10)
14    Sec. 10. Definitions. For purposes of this Act:
15    "Activities of daily living" means eating, dressing,
16bathing, toileting, transferring, or personal hygiene.
17    "Assisted living establishment" or "establishment" means a
18home, building, residence, or any other place where sleeping
19accommodations are provided for at least 3 unrelated adults, at
20least 80% of whom are 55 years of age or older and where the
21following are provided consistent with the purposes of this
22Act:
23        (1) services consistent with a social model that is
24    based on the premise that the resident's unit in assisted

 

 

HB2755- 440 -LRB099 08043 RPS 28187 b

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

 

 

HB2755- 441 -LRB099 08043 RPS 28187 b

1    Nursing Home Care Act, a facility licensed under the
2    Specialized Mental Health Rehabilitation Act of 2013, or a
3    facility licensed under the ID/DD Community Care Act, or a
4    facility licensed under the MC/DD Act. However, a facility
5    licensed under any either of those Acts may convert
6    distinct parts of the facility to assisted living. If the
7    facility elects to do so, the facility shall retain the
8    Certificate of Need for its nursing and sheltered care beds
9    that were converted.
10        (3) A hospital, sanitarium, or other institution, the
11    principal activity or business of which is the diagnosis,
12    care, and treatment of human illness and that is required
13    to be licensed under the Hospital Licensing Act.
14        (4) A facility for child care as defined in the Child
15    Care Act of 1969.
16        (5) A community living facility as defined in the
17    Community Living Facilities Licensing Act.
18        (6) A nursing home or sanitarium operated solely by and
19    for persons who rely exclusively upon treatment by
20    spiritual means through prayer in accordance with the creed
21    or tenants of a well-recognized church or religious
22    denomination.
23        (7) A facility licensed by the Department of Human
24    Services as a community-integrated living arrangement as
25    defined in the Community-Integrated Living Arrangements
26    Licensure and Certification Act.

 

 

HB2755- 442 -LRB099 08043 RPS 28187 b

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

 

 

HB2755- 443 -LRB099 08043 RPS 28187 b

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

 

 

HB2755- 444 -LRB099 08043 RPS 28187 b

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

 

 

HB2755- 445 -LRB099 08043 RPS 28187 b

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

 

 

HB2755- 446 -LRB099 08043 RPS 28187 b

1    establishment, with the consent of the resident or the
2    resident's representative.
3    "Shared housing establishment" or "establishment" does not
4mean any of the following:
5        (1) A home, institution, or similar place operated by
6    the federal government or the State of Illinois.
7        (2) A long term care facility licensed under the
8    Nursing Home Care Act, a facility licensed under the
9    Specialized Mental Health Rehabilitation Act of 2013, or a
10    facility licensed under the ID/DD Community Care Act, or a
11    facility licensed under the MC/DD Act. A facility licensed
12    under any either of those Acts may, however, convert
13    sections of the facility to assisted living. If the
14    facility elects to do so, the facility shall retain the
15    Certificate of Need for its nursing beds that were
16    converted.
17        (3) A hospital, sanitarium, or other institution, the
18    principal activity or business of which is the diagnosis,
19    care, and treatment of human illness and that is required
20    to be licensed under the Hospital Licensing Act.
21        (4) A facility for child care as defined in the Child
22    Care Act of 1969.
23        (5) A community living facility as defined in the
24    Community Living Facilities Licensing Act.
25        (6) A nursing home or sanitarium operated solely by and
26    for persons who rely exclusively upon treatment by

 

 

HB2755- 447 -LRB099 08043 RPS 28187 b

1    spiritual means through prayer in accordance with the creed
2    or tenants of a well-recognized church or religious
3    denomination.
4        (7) A facility licensed by the Department of Human
5    Services as a community-integrated living arrangement as
6    defined in the Community-Integrated Living Arrangements
7    Licensure and Certification Act.
8        (8) A supportive residence licensed under the
9    Supportive Residences Licensing Act.
10        (9) A life care facility as defined in the Life Care
11    Facilities Act; a life care facility may apply under this
12    Act to convert sections of the community to assisted
13    living.
14        (10) A free-standing hospice facility licensed under
15    the Hospice Program Licensing Act.
16        (11) An assisted living establishment.
17        (12) A supportive living facility as described in
18    Section 5-5.01a of the Illinois Public Aid Code.
19    "Total assistance" means that staff or another individual
20performs the entire activity of daily living without
21participation by the resident.
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 9/35)
25    Sec. 35. Issuance of license.

 

 

HB2755- 448 -LRB099 08043 RPS 28187 b

1    (a) Upon receipt and review of an application for a license
2and review of the applicant establishment, the Director may
3issue a license if he or she finds:
4        (1) that the individual applicant, or the corporation,
5    partnership, or other entity if the applicant is not an
6    individual, is a person responsible and suitable to operate
7    or to direct or participate in the operation of an
8    establishment by virtue of financial capacity, appropriate
9    business or professional experience, a record of lawful
10    compliance with lawful orders of the Department and lack of
11    revocation of a license issued under this Act, the Nursing
12    Home Care Act, the Specialized Mental Health
13    Rehabilitation Act of 2013, or the ID/DD Community Care
14    Act, or the MC/DD Act during the previous 5 years;
15        (2) that the establishment is under the supervision of
16    a full-time director who is at least 21 years of age and
17    has a high school diploma or equivalent plus either:
18            (A) 2 years of management experience or 2 years of
19        experience in positions of progressive responsibility
20        in health care, housing with services, or adult day
21        care or providing similar services to the elderly; or
22            (B) 2 years of management experience or 2 years of
23        experience in positions of progressive responsibility
24        in hospitality and training in health care and housing
25        with services management as defined by rule;
26        (3) that the establishment has staff sufficient in

 

 

HB2755- 449 -LRB099 08043 RPS 28187 b

1    number with qualifications, adequate skills, education,
2    and experience to meet the 24 hour scheduled and
3    unscheduled needs of residents and who participate in
4    ongoing training to serve the resident population;
5        (4) that all employees who are subject to the Health
6    Care Worker Background Check Act meet the requirements of
7    that Act;
8        (5) that the applicant is in substantial compliance
9    with this Act and such other requirements for a license as
10    the Department by rule may establish under this Act;
11        (6) that the applicant pays all required fees;
12        (7) that the applicant has provided to the Department
13    an accurate disclosure document in accordance with the
14    Alzheimer's Disease and Related Dementias Special Care
15    Disclosure Act and in substantial compliance with Section
16    150 of this Act.
17    In addition to any other requirements set forth in this
18Act, as a condition of licensure under this Act, the director
19of an establishment must participate in at least 20 hours of
20training every 2 years to assist him or her in better meeting
21the needs of the residents of the establishment and managing
22the operation of the establishment.
23    Any license issued by the Director shall state the physical
24location of the establishment, the date the license was issued,
25and the expiration date. All licenses shall be valid for one
26year, except as provided in Sections 40 and 45. Each license

 

 

HB2755- 450 -LRB099 08043 RPS 28187 b

1shall be issued only for the premises and persons named in the
2application, and shall not be transferable or assignable.
3(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
4eff. 7-13-12; 98-104, eff. 7-22-13.)
 
5    (210 ILCS 9/55)
6    Sec. 55. Grounds for denial of a license. An application
7for a license may be denied for any of the following reasons:
8        (1) failure to meet any of the standards set forth in
9    this Act or by rules adopted by the Department under this
10    Act;
11        (2) conviction of the applicant, or if the applicant is
12    a firm, partnership, or association, of any of its members,
13    or if a corporation, the conviction of the corporation or
14    any of its officers or stockholders, or of the person
15    designated to manage or supervise the establishment, of a
16    felony or of 2 or more misdemeanors involving moral
17    turpitude during the previous 5 years as shown by a
18    certified copy of the record of the court of conviction;
19        (3) personnel insufficient in number or unqualified by
20    training or experience to properly care for the residents;
21        (4) insufficient financial or other resources to
22    operate and conduct the establishment in accordance with
23    standards adopted by the Department under this Act;
24        (5) revocation of a license during the previous 5
25    years, if such prior license was issued to the individual

 

 

HB2755- 451 -LRB099 08043 RPS 28187 b

1    applicant, a controlling owner or controlling combination
2    of owners of the applicant; or any affiliate of the
3    individual applicant or controlling owner of the applicant
4    and such individual applicant, controlling owner of the
5    applicant or affiliate of the applicant was a controlling
6    owner of the prior license; provided, however, that the
7    denial of an application for a license pursuant to this
8    Section must be supported by evidence that the prior
9    revocation renders the applicant unqualified or incapable
10    of meeting or maintaining an establishment in accordance
11    with the standards and rules adopted by the Department
12    under this Act; or
13        (6) the establishment is not under the direct
14    supervision of a full-time director, as defined by rule.
15    The Department shall deny an application for a license if 6
16months after submitting its initial application the applicant
17has not provided the Department with all of the information
18required for review and approval or the applicant is not
19actively pursuing the processing of its application. In
20addition, the Department shall determine whether the applicant
21has violated any provision of the Nursing Home Care Act, the
22Specialized Mental Health Rehabilitation Act of 2013, or the
23ID/DD Community Care Act, or the MC/DD Act.
24(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
25eff. 7-13-12; 98-104, eff. 7-22-13.)
 

 

 

HB2755- 452 -LRB099 08043 RPS 28187 b

1    (210 ILCS 9/145)
2    Sec. 145. Conversion of facilities. Entities licensed as
3facilities under the Nursing Home Care Act, the Specialized
4Mental Health Rehabilitation Act of 2013, or the ID/DD
5Community Care Act, or the MC/DD Act may elect to convert to a
6license under this Act. Any facility that chooses to convert,
7in whole or in part, shall follow the requirements in the
8Nursing Home Care Act, the Specialized Mental Health
9Rehabilitation Act of 2013, or the ID/DD Community Care Act, or
10the MC/DD Act, as applicable, and rules promulgated under those
11Acts regarding voluntary closure and notice to residents. Any
12conversion of existing beds licensed under the Nursing Home
13Care Act, the Specialized Mental Health Rehabilitation Act of
142013, or the ID/DD Community Care Act, or the MC/DD Act to
15licensure under this Act is exempt from review by the Health
16Facilities and Services Review Board.
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 90. The Abuse Prevention Review Team Act is amended
20by changing Sections 10 and 50 as follows:
 
21    (210 ILCS 28/10)
22    Sec. 10. Definitions. As used in this Act, unless the
23context requires otherwise:
24    "Department" means the Department of Public Health.

 

 

HB2755- 453 -LRB099 08043 RPS 28187 b

1    "Director" means the Director of Public Health.
2    "Executive Council" means the Illinois Residential Health
3Care Facility Resident Sexual Assault and Death Review Teams
4Executive Council.
5    "Resident" means a person residing in and receiving
6personal care from a facility licensed under the Nursing Home
7Care Act, the Specialized Mental Health Rehabilitation Act of
82013, or the ID/DD Community Care Act, or the MC/DD Act.
9    "Review team" means a residential health care facility
10resident sexual assault and death review team appointed under
11this Act.
12(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
13eff. 7-13-12; 98-104, eff. 7-22-13.)
 
14    (210 ILCS 28/50)
15    Sec. 50. Funding. Notwithstanding any other provision of
16law, to the extent permitted by federal law, the Department
17shall use moneys from fines paid by facilities licensed under
18the Nursing Home Care Act, the Specialized Mental Health
19Rehabilitation Act of 2013, or the ID/DD Community Care Act, or
20the MC/DD Act for violating requirements for certification
21under Titles XVIII and XIX of the Social Security Act to
22implement the provisions of this Act. The Department shall use
23moneys deposited in the Long Term Care Monitor/Receiver Fund to
24pay the costs of implementing this Act that cannot be met by
25the use of federal civil monetary penalties.

 

 

HB2755- 454 -LRB099 08043 RPS 28187 b

1(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
2eff. 7-13-12; 98-104, eff. 7-22-13.)
 
3    Section 95. The Abused and Neglected Long Term Care
4Facility Residents Reporting Act is amended by changing
5Sections 3, 4, and 6 as follows:
 
6    (210 ILCS 30/3)  (from Ch. 111 1/2, par. 4163)
7    Sec. 3. As used in this Act unless the context otherwise
8requires:
9    a. "Department" means the Department of Public Health of
10the State of Illinois.
11    b. "Resident" means a person residing in and receiving
12personal care from a long term care facility, or residing in a
13mental health facility or developmental disability facility as
14defined in the Mental Health and Developmental Disabilities
15Code.
16    c. "Long term care facility" has the same meaning ascribed
17to such term in the Nursing Home Care Act, except that the term
18as used in this Act shall include any mental health facility or
19developmental disability facility as defined in the Mental
20Health and Developmental Disabilities Code. The term also
21includes any facility licensed under the ID/DD Community Care
22Act, the MC/DD Act, or the Specialized Mental Health
23Rehabilitation Act of 2013.
24    d. "Abuse" means any physical injury, sexual abuse or

 

 

HB2755- 455 -LRB099 08043 RPS 28187 b

1mental injury inflicted on a resident other than by accidental
2means.
3    e. "Neglect" means a failure in a long term care facility
4to provide adequate medical or personal care or maintenance,
5which failure results in physical or mental injury to a
6resident or in the deterioration of a resident's physical or
7mental condition.
8    f. "Protective services" means services provided to a
9resident who has been abused or neglected, which may include,
10but are not limited to alternative temporary institutional
11placement, nursing care, counseling, other social services
12provided at the nursing home where the resident resides or at
13some other facility, personal care and such protective services
14of voluntary agencies as are available.
15    g. Unless the context otherwise requires, direct or
16indirect references in this Act to the programs, personnel,
17facilities, services, service providers, or service recipients
18of the Department of Human Services shall be construed to refer
19only to those programs, personnel, facilities, services,
20service providers, or service recipients that pertain to the
21Department of Human Services' mental health and developmental
22disabilities functions.
23(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
24eff. 7-13-12; 98-104, eff. 7-22-13.)
 
25    (210 ILCS 30/4)  (from Ch. 111 1/2, par. 4164)

 

 

HB2755- 456 -LRB099 08043 RPS 28187 b

1    Sec. 4. Any long term care facility administrator, agent or
2employee or any physician, hospital, surgeon, dentist,
3osteopath, chiropractor, podiatric physician, accredited
4religious practitioner who provides treatment by spiritual
5means alone through prayer in accordance with the tenets and
6practices of the accrediting church, coroner, social worker,
7social services administrator, registered nurse, law
8enforcement officer, field personnel of the Department of
9Healthcare and Family Services, field personnel of the Illinois
10Department of Public Health and County or Municipal Health
11Departments, personnel of the Department of Human Services
12(acting as the successor to the Department of Mental Health and
13Developmental Disabilities or the Department of Public Aid),
14personnel of the Guardianship and Advocacy Commission,
15personnel of the State Fire Marshal, local fire department
16inspectors or other personnel, or personnel of the Illinois
17Department on Aging, or its subsidiary Agencies on Aging, or
18employee of a facility licensed under the Assisted Living and
19Shared Housing Act, having reasonable cause to believe any
20resident with whom they have direct contact has been subjected
21to abuse or neglect shall immediately report or cause a report
22to be made to the Department. Persons required to make reports
23or cause reports to be made under this Section include all
24employees of the State of Illinois who are involved in
25providing services to residents, including professionals
26providing medical or rehabilitation services and all other

 

 

HB2755- 457 -LRB099 08043 RPS 28187 b

1persons having direct contact with residents; and further
2include all employees of community service agencies who provide
3services to a resident of a public or private long term care
4facility outside of that facility. Any long term care surveyor
5of the Illinois Department of Public Health who has reasonable
6cause to believe in the course of a survey that a resident has
7been abused or neglected and initiates an investigation while
8on site at the facility shall be exempt from making a report
9under this Section but the results of any such investigation
10shall be forwarded to the central register in a manner and form
11described by the Department.
12    The requirement of this Act shall not relieve any long term
13care facility administrator, agent or employee of
14responsibility to report the abuse or neglect of a resident
15under Section 3-610 of the Nursing Home Care Act or under
16Section 3-610 of the ID/DD Community Care Act or under Section
173-610 of the MC/DD Act or under Section 2-107 of the
18Specialized Mental Health Rehabilitation Act of 2013.
19    In addition to the above persons required to report
20suspected resident abuse and neglect, any other person may make
21a report to the Department, or to any law enforcement officer,
22if such person has reasonable cause to suspect a resident has
23been abused or neglected.
24    This Section also applies to residents whose death occurs
25from suspected abuse or neglect before being found or brought
26to a hospital.

 

 

HB2755- 458 -LRB099 08043 RPS 28187 b

1    A person required to make reports or cause reports to be
2made under this Section who fails to comply with the
3requirements of this Section is guilty of a Class A
4misdemeanor.
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; 98-214, eff. 8-9-13;
798-756, eff. 7-16-14.)
 
8    (210 ILCS 30/6)  (from Ch. 111 1/2, par. 4166)
9    Sec. 6. All reports of suspected abuse or neglect made
10under this Act shall be made immediately by telephone to the
11Department's central register established under Section 14 on
12the single, State-wide, toll-free telephone number established
13under Section 13, or in person or by telephone through the
14nearest Department office. No long term care facility
15administrator, agent or employee, or any other person, shall
16screen reports or otherwise withhold any reports from the
17Department, and no long term care facility, department of State
18government, or other agency shall establish any rules,
19criteria, standards or guidelines to the contrary. Every long
20term care facility, department of State government and other
21agency whose employees are required to make or cause to be made
22reports under Section 4 shall notify its employees of the
23provisions of that Section and of this Section, and provide to
24the Department documentation that such notification has been
25given. The Department of Human Services shall train all of its

 

 

HB2755- 459 -LRB099 08043 RPS 28187 b

1mental health and developmental disabilities employees in the
2detection and reporting of suspected abuse and neglect of
3residents. Reports made to the central register through the
4State-wide, toll-free telephone number shall be transmitted to
5appropriate Department offices and municipal health
6departments that have responsibility for licensing long term
7care facilities under the Nursing Home Care Act, the
8Specialized Mental Health Rehabilitation Act of 2013, or the
9ID/DD Community Care Act, or the MC/DD Act. All reports
10received through offices of the Department shall be forwarded
11to the central register, in a manner and form described by the
12Department. The Department shall be capable of receiving
13reports of suspected abuse and neglect 24 hours a day, 7 days a
14week. Reports shall also be made in writing deposited in the
15U.S. mail, postage prepaid, within 24 hours after having
16reasonable cause to believe that the condition of the resident
17resulted from abuse or neglect. Such reports may in addition be
18made to the local law enforcement agency in the same manner.
19However, in the event a report is made to the local law
20enforcement agency, the reporter also shall immediately so
21inform the Department. The Department shall initiate an
22investigation of each report of resident abuse and neglect
23under this Act, whether oral or written, as provided for in
24Section 3-702 of the Nursing Home Care Act, Section 2-208 of
25the Specialized Mental Health Rehabilitation Act of 2013, or
26Section 3-702 of the ID/DD Community Care Act, or Section 3-702

 

 

HB2755- 460 -LRB099 08043 RPS 28187 b

1of the MC/DD Act, except that reports of abuse which indicate
2that a resident's life or safety is in imminent danger shall be
3investigated within 24 hours of such report. The Department may
4delegate to law enforcement officials or other public agencies
5the duty to perform such investigation.
6    With respect to investigations of reports of suspected
7abuse or neglect of residents of mental health and
8developmental disabilities institutions under the jurisdiction
9of the Department of Human Services, the Department shall
10transmit copies of such reports to the Department of State
11Police, the Department of Human Services, and the Inspector
12General appointed under Section 1-17 of the Department of Human
13Services Act. If the Department receives a report of suspected
14abuse or neglect of a recipient of services as defined in
15Section 1-123 of the Mental Health and Developmental
16Disabilities Code, the Department shall transmit copies of such
17report to the Inspector General and the Directors of the
18Guardianship and Advocacy Commission and the agency designated
19by the Governor pursuant to the Protection and Advocacy for
20Developmentally Disabled Persons Act. When requested by the
21Director of the Guardianship and Advocacy Commission, the
22agency designated by the Governor pursuant to the Protection
23and Advocacy for Developmentally Disabled Persons Act, or the
24Department of Financial and Professional Regulation, the
25Department, the Department of Human Services and the Department
26of State Police shall make available a copy of the final

 

 

HB2755- 461 -LRB099 08043 RPS 28187 b

1investigative report regarding investigations conducted by
2their respective agencies on incidents of suspected abuse or
3neglect of residents of mental health and developmental
4disabilities institutions or individuals receiving services at
5community agencies under the jurisdiction of the Department of
6Human Services. Such final investigative report shall not
7contain witness statements, investigation notes, draft
8summaries, results of lie detector tests, investigative files
9or other raw data which was used to compile the final
10investigative report. Specifically, the final investigative
11report of the Department of State Police shall mean the
12Director's final transmittal letter. The Department of Human
13Services shall also make available a copy of the results of
14disciplinary proceedings of employees involved in incidents of
15abuse or neglect to the Directors. All identifiable information
16in reports provided shall not be further disclosed except as
17provided by the Mental Health and Developmental Disabilities
18Confidentiality Act. Nothing in this Section is intended to
19limit or construe the power or authority granted to the agency
20designated by the Governor pursuant to the Protection and
21Advocacy for Developmentally Disabled Persons Act, pursuant to
22any other State or federal statute.
23    With respect to investigations of reported resident abuse
24or neglect, the Department shall effect with appropriate law
25enforcement agencies formal agreements concerning methods and
26procedures for the conduct of investigations into the criminal

 

 

HB2755- 462 -LRB099 08043 RPS 28187 b

1histories of any administrator, staff assistant or employee of
2the nursing home or other person responsible for the residents
3care, as well as for other residents in the nursing home who
4may be in a position to abuse, neglect or exploit the patient.
5Pursuant to the formal agreements entered into with appropriate
6law enforcement agencies, the Department may request
7information with respect to whether the person or persons set
8forth in this paragraph have ever been charged with a crime and
9if so, the disposition of those charges. Unless the criminal
10histories of the subjects involved crimes of violence or
11resident abuse or neglect, the Department shall be entitled
12only to information limited in scope to charges and their
13dispositions. In cases where prior crimes of violence or
14resident abuse or neglect are involved, a more detailed report
15can be made available to authorized representatives of the
16Department, pursuant to the agreements entered into with
17appropriate law enforcement agencies. Any criminal charges and
18their disposition information obtained by the Department shall
19be confidential and may not be transmitted outside the
20Department, except as required herein, to authorized
21representatives or delegates of the Department, and may not be
22transmitted to anyone within the Department who is not duly
23authorized to handle resident abuse or neglect investigations.
24    The Department shall effect formal agreements with
25appropriate law enforcement agencies in the various counties
26and communities to encourage cooperation and coordination in

 

 

HB2755- 463 -LRB099 08043 RPS 28187 b

1the handling of resident abuse or neglect cases pursuant to
2this Act. The Department shall adopt and implement methods and
3procedures to promote statewide uniformity in the handling of
4reports of abuse and neglect under this Act, and those methods
5and procedures shall be adhered to by personnel of the
6Department involved in such investigations and reporting. The
7Department shall also make information required by this Act
8available to authorized personnel within the Department, as
9well as its authorized representatives.
10    The Department shall keep a continuing record of all
11reports made pursuant to this Act, including indications of the
12final determination of any investigation and the final
13disposition of all reports.
14    The Department shall report annually to the General
15Assembly on the incidence of abuse and neglect of long term
16care facility residents, with special attention to residents
17who are mentally disabled. The report shall include but not be
18limited to data on the number and source of reports of
19suspected abuse or neglect filed under this Act, the nature of
20any injuries to residents, the final determination of
21investigations, the type and number of cases where abuse or
22neglect is determined to exist, and the final disposition of
23cases.
24(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
25eff. 7-13-12; 98-104, eff. 7-22-13.)
 

 

 

HB2755- 464 -LRB099 08043 RPS 28187 b

1    Section 100. The Nursing Home Care Act is amended by
2changing Sections 1-113, 2-201.5, and 3-202.5 as follows:
 
3    (210 ILCS 45/1-113)  (from Ch. 111 1/2, par. 4151-113)
4    Sec. 1-113. "Facility" or "long-term care facility" means a
5private home, institution, building, residence, or any other
6place, whether operated for profit or not, or a county home for
7the infirm and chronically ill operated pursuant to Division
85-21 or 5-22 of the Counties Code, or any similar institution
9operated by a political subdivision of the State of Illinois,
10which provides, through its ownership or management, personal
11care, sheltered care or nursing for 3 or more persons, not
12related to the applicant or owner by blood or marriage. It
13includes skilled nursing facilities and intermediate care
14facilities as those terms are defined in Title XVIII and Title
15XIX of the Federal Social Security Act. It also includes homes,
16institutions, or other places operated by or under the
17authority of the Illinois Department of Veterans' Affairs.
18    "Facility" does not include the following:
19        (1) A home, institution, or other place operated by the
20    federal government or agency thereof, or by the State of
21    Illinois, other than homes, institutions, or other places
22    operated by or under the authority of the Illinois
23    Department of Veterans' Affairs;
24        (2) A hospital, sanitarium, or other institution whose
25    principal activity or business is the diagnosis, care, and

 

 

HB2755- 465 -LRB099 08043 RPS 28187 b

1    treatment of human illness through the maintenance and
2    operation as organized facilities therefor, which is
3    required to be licensed under the Hospital Licensing Act;
4        (3) Any "facility for child care" as defined in the
5    Child Care Act of 1969;
6        (4) Any "Community Living Facility" as defined in the
7    Community Living Facilities Licensing Act;
8        (5) Any "community residential alternative" as defined
9    in the Community Residential Alternatives Licensing Act;
10        (6) Any nursing home or sanatorium operated solely by
11    and for persons who rely exclusively upon treatment by
12    spiritual means through prayer, in accordance with the
13    creed or tenets of any well-recognized church or religious
14    denomination. However, such nursing home or sanatorium
15    shall comply with all local laws and rules relating to
16    sanitation and safety;
17        (7) Any facility licensed by the Department of Human
18    Services as a community-integrated living arrangement as
19    defined in the Community-Integrated Living Arrangements
20    Licensure and Certification Act;
21        (8) Any "Supportive Residence" licensed under the
22    Supportive Residences Licensing Act;
23        (9) Any "supportive living facility" in good standing
24    with the program established under Section 5-5.01a of the
25    Illinois Public Aid Code, except only for purposes of the
26    employment of persons in accordance with Section 3-206.01;

 

 

HB2755- 466 -LRB099 08043 RPS 28187 b

1        (10) Any assisted living or shared housing
2    establishment licensed under the Assisted Living and
3    Shared Housing Act, except only for purposes of the
4    employment of persons in accordance with Section 3-206.01;
5        (11) An Alzheimer's disease management center
6    alternative health care model licensed under the
7    Alternative Health Care Delivery Act;
8        (12) A facility licensed under the ID/DD Community Care
9    Act; or
10        (13) A facility licensed under the Specialized Mental
11    Health Rehabilitation Act of 2013 ; or .
12        (14) A facility licensed under the MC/DD Act.
13(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
14eff. 7-13-12; 98-104, eff. 7-22-13.)
 
15    (210 ILCS 45/2-201.5)
16    Sec. 2-201.5. Screening prior to admission.
17    (a) All persons age 18 or older seeking admission to a
18nursing facility must be screened to determine the need for
19nursing facility services prior to being admitted, regardless
20of income, assets, or funding source. Screening for nursing
21facility services shall be administered through procedures
22established by administrative rule. Screening may be done by
23agencies other than the Department as established by
24administrative rule. This Section applies on and after July 1,
251996. No later than October 1, 2010, the Department of

 

 

HB2755- 467 -LRB099 08043 RPS 28187 b

1Healthcare and Family Services, in collaboration with the
2Department on Aging, the Department of Human Services, and the
3Department of Public Health, shall file administrative rules
4providing for the gathering, during the screening process, of
5information relevant to determining each person's potential
6for placing other residents, employees, and visitors at risk of
7harm.
8    (a-1) Any screening performed pursuant to subsection (a) of
9this Section shall include a determination of whether any
10person is being considered for admission to a nursing facility
11due to a need for mental health services. For a person who
12needs mental health services, the screening shall also include
13an evaluation of whether there is permanent supportive housing,
14or an array of community mental health services, including but
15not limited to supported housing, assertive community
16treatment, and peer support services, that would enable the
17person to live in the community. The person shall be told about
18the existence of any such services that would enable the person
19to live safely and humanely and about available appropriate
20nursing home services that would enable the person to live
21safely and humanely, and the person shall be given the
22assistance necessary to avail himself or herself of any
23available services.
24    (a-2) Pre-screening for persons with a serious mental
25illness shall be performed by a psychiatrist, a psychologist, a
26registered nurse certified in psychiatric nursing, a licensed

 

 

HB2755- 468 -LRB099 08043 RPS 28187 b

1clinical professional counselor, or a licensed clinical social
2worker, who is competent to (i) perform a clinical assessment
3of the individual, (ii) certify a diagnosis, (iii) make a
4determination about the individual's current need for
5treatment, including substance abuse treatment, and recommend
6specific treatment, and (iv) determine whether a facility or a
7community-based program is able to meet the needs of the
8individual.
9    For any person entering a nursing facility, the
10pre-screening agent shall make specific recommendations about
11what care and services the individual needs to receive,
12beginning at admission, to attain or maintain the individual's
13highest level of independent functioning and to live in the
14most integrated setting appropriate for his or her physical and
15personal care and developmental and mental health needs. These
16recommendations shall be revised as appropriate by the
17pre-screening or re-screening agent based on the results of
18resident review and in response to changes in the resident's
19wishes, needs, and interest in transition.
20    Upon the person entering the nursing facility, the
21Department of Human Services or its designee shall assist the
22person in establishing a relationship with a community mental
23health agency or other appropriate agencies in order to (i)
24promote the person's transition to independent living and (ii)
25support the person's progress in meeting individual goals.
26    (a-3) The Department of Human Services, by rule, shall

 

 

HB2755- 469 -LRB099 08043 RPS 28187 b

1provide for a prohibition on conflicts of interest for
2pre-admission screeners. The rule shall provide for waiver of
3those conflicts by the Department of Human Services if the
4Department of Human Services determines that a scarcity of
5qualified pre-admission screeners exists in a given community
6and that, absent a waiver of conflicts, an insufficient number
7of pre-admission screeners would be available. If a conflict is
8waived, the pre-admission screener shall disclose the conflict
9of interest to the screened individual in the manner provided
10for by rule of the Department of Human Services. For the
11purposes of this subsection, a "conflict of interest" includes,
12but is not limited to, the existence of a professional or
13financial relationship between (i) a PAS-MH corporate or a
14PAS-MH agent and (ii) a community provider or long-term care
15facility.
16    (b) In addition to the screening required by subsection
17(a), a facility, except for those licensed under the MC/DD Act
18as long term care for under age 22 facilities, shall, within 24
19hours after admission, request a criminal history background
20check pursuant to the Uniform Conviction Information Act for
21all persons age 18 or older seeking admission to the facility,
22unless a background check was initiated by a hospital pursuant
23to subsection (d) of Section 6.09 of the Hospital Licensing
24Act. Background checks conducted pursuant to this Section shall
25be based on the resident's name, date of birth, and other
26identifiers as required by the Department of State Police. If

 

 

HB2755- 470 -LRB099 08043 RPS 28187 b

1the results of the background check are inconclusive, the
2facility shall initiate a fingerprint-based check, unless the
3fingerprint check is waived by the Director of Public Health
4based on verification by the facility that the resident is
5completely immobile or that the resident meets other criteria
6related to the resident's health or lack of potential risk
7which may be established by Departmental rule. A waiver issued
8pursuant to this Section shall be valid only while the resident
9is immobile or while the criteria supporting the waiver exist.
10The facility shall provide for or arrange for any required
11fingerprint-based checks to be taken on the premises of the
12facility. If a fingerprint-based check is required, the
13facility shall arrange for it to be conducted in a manner that
14is respectful of the resident's dignity and that minimizes any
15emotional or physical hardship to the resident.
16    (c) If the results of a resident's criminal history
17background check reveal that the resident is an identified
18offender as defined in Section 1-114.01, the facility shall do
19the following:
20        (1) Immediately notify the Department of State Police,
21    in the form and manner required by the Department of State
22    Police, in collaboration with the Department of Public
23    Health, that the resident is an identified offender.
24        (2) Within 72 hours, arrange for a fingerprint-based
25    criminal history record inquiry to be requested on the
26    identified offender resident. The inquiry shall be based on

 

 

HB2755- 471 -LRB099 08043 RPS 28187 b

1    the subject's name, sex, race, date of birth, fingerprint
2    images, and other identifiers required by the Department of
3    State Police. The inquiry shall be processed through the
4    files of the Department of State Police and the Federal
5    Bureau of Investigation to locate any criminal history
6    record information that may exist regarding the subject.
7    The Federal Bureau of Investigation shall furnish to the
8    Department of State Police, pursuant to an inquiry under
9    this paragraph (2), any criminal history record
10    information contained in its files.
11    The facility shall comply with all applicable provisions
12contained in the Uniform Conviction Information Act.
13    All name-based and fingerprint-based criminal history
14record inquiries shall be submitted to the Department of State
15Police electronically in the form and manner prescribed by the
16Department of State Police. The Department of State Police may
17charge the facility a fee for processing name-based and
18fingerprint-based criminal history record inquiries. The fee
19shall be deposited into the State Police Services Fund. The fee
20shall not exceed the actual cost of processing the inquiry.
21    (d) (Blank).
22    (e) The Department shall develop and maintain a
23de-identified database of residents who have injured facility
24staff, facility visitors, or other residents, and the attendant
25circumstances, solely for the purposes of evaluating and
26improving resident pre-screening and assessment procedures

 

 

HB2755- 472 -LRB099 08043 RPS 28187 b

1(including the Criminal History Report prepared under Section
22-201.6) and the adequacy of Department requirements
3concerning the provision of care and services to residents. A
4resident shall not be listed in the database until a Department
5survey confirms the accuracy of the listing. The names of
6persons listed in the database and information that would allow
7them to be individually identified shall not be made public.
8Neither the Department nor any other agency of State government
9may use information in the database to take any action against
10any individual, licensee, or other entity, unless the
11Department or agency receives the information independent of
12this subsection (e). All information collected, maintained, or
13developed under the authority of this subsection (e) for the
14purposes of the database maintained under this subsection (e)
15shall be treated in the same manner as information that is
16subject to Part 21 of Article VIII of the Code of Civil
17Procedure.
18(Source: P.A. 96-1372, eff. 7-29-10; 97-48, eff. 6-28-11.)
 
19    (210 ILCS 45/3-202.5)
20    Sec. 3-202.5. Facility plan review; fees.
21    (a) Before commencing construction of a new facility or
22specified types of alteration or additions to an existing long
23term care facility involving major construction, as defined by
24rule by the Department, with an estimated cost greater than
25$100,000, architectural drawings and specifications for the

 

 

HB2755- 473 -LRB099 08043 RPS 28187 b

1facility shall be submitted to the Department for review and
2approval. A facility may submit architectural drawings and
3specifications for other construction projects for Department
4review according to subsection (b) that shall not be subject to
5fees under subsection (d). Review of drawings and
6specifications shall be conducted by an employee of the
7Department meeting the qualifications established by the
8Department of Central Management Services class specifications
9for such an individual's position or by a person contracting
10with the Department who meets those class specifications. Final
11approval of the drawings and specifications for compliance with
12design and construction standards shall be obtained from the
13Department before the alteration, addition, or new
14construction is begun.
15    (b) The Department shall inform an applicant in writing
16within 10 working days after receiving drawings and
17specifications and the required fee, if any, from the applicant
18whether the applicant's submission is complete or incomplete.
19Failure to provide the applicant with this notice within 10
20working days shall result in the submission being deemed
21complete for purposes of initiating the 60-day review period
22under this Section. If the submission is incomplete, the
23Department shall inform the applicant of the deficiencies with
24the submission in writing. If the submission is complete the
25required fee, if any, has been paid, the Department shall
26approve or disapprove drawings and specifications submitted to

 

 

HB2755- 474 -LRB099 08043 RPS 28187 b

1the Department no later than 60 days following receipt by the
2Department. The drawings and specifications shall be of
3sufficient detail, as provided by Department rule, to enable
4the Department to render a determination of compliance with
5design and construction standards under this Act. If the
6Department finds that the drawings are not of sufficient detail
7for it to render a determination of compliance, the plans shall
8be determined to be incomplete and shall not be considered for
9purposes of initiating the 60 day review period. If a
10submission of drawings and specifications is incomplete, the
11applicant may submit additional information. The 60-day review
12period shall not commence until the Department determines that
13a submission of drawings and specifications is complete or the
14submission is deemed complete. If the Department has not
15approved or disapproved the drawings and specifications within
1660 days, the construction, major alteration, or addition shall
17be deemed approved. If the drawings and specifications are
18disapproved, the Department shall state in writing, with
19specificity, the reasons for the disapproval. The entity
20submitting the drawings and specifications may submit
21additional information in response to the written comments from
22the Department or request a reconsideration of the disapproval.
23A final decision of approval or disapproval shall be made
24within 45 days of the receipt of the additional information or
25reconsideration request. If denied, the Department shall state
26the specific reasons for the denial.

 

 

HB2755- 475 -LRB099 08043 RPS 28187 b

1    (c) The Department shall provide written approval for
2occupancy pursuant to subsection (g) and shall not issue a
3violation to a facility as a result of a licensure or complaint
4survey based upon the facility's physical structure if:
5        (1) the Department reviewed and approved or deemed
6    approved the drawings and specifications for compliance
7    with design and construction standards;
8        (2) the construction, major alteration, or addition
9    was built as submitted;
10        (3) the law or rules have not been amended since the
11    original approval; and
12        (4) the conditions at the facility indicate that there
13    is a reasonable degree of safety provided for the
14    residents.
15    (d) The Department shall charge the following fees in
16connection with its reviews conducted before June 30, 2004
17under this Section:
18        (1) (Blank).
19        (2) (Blank).
20        (3) If the estimated dollar value of the alteration,
21    addition, or new construction is $100,000 or more but less
22    than $500,000, the fee shall be the greater of $2,400 or
23    1.2% of that value.
24        (4) If the estimated dollar value of the alteration,
25    addition, or new construction is $500,000 or more but less
26    than $1,000,000, the fee shall be the greater of $6,000 or

 

 

HB2755- 476 -LRB099 08043 RPS 28187 b

1    0.96% of that value.
2        (5) If the estimated dollar value of the alteration,
3    addition, or new construction is $1,000,000 or more but
4    less than $5,000,000, the fee shall be the greater of
5    $9,600 or 0.22% of that value.
6        (6) If the estimated dollar value of the alteration,
7    addition, or new construction is $5,000,000 or more, the
8    fee shall be the greater of $11,000 or 0.11% of that value,
9    but shall not exceed $40,000.
10    The fees provided in this subsection (d) shall not apply to
11major construction projects involving facility changes that
12are required by Department rule amendments.
13    The fees provided in this subsection (d) shall also not
14apply to major construction projects if 51% or more of the
15estimated cost of the project is attributed to capital
16equipment. For major construction projects where 51% or more of
17the estimated cost of the project is attributed to capital
18equipment, the Department shall by rule establish a fee that is
19reasonably related to the cost of reviewing the project.
20    The Department shall not commence the facility plan review
21process under this Section until the applicable fee has been
22paid.
23    (e) All fees received by the Department under this Section
24shall be deposited into the Health Facility Plan Review Fund, a
25special fund created in the State Treasury. All fees paid by
26long-term care facilities under subsection (d) shall be used

 

 

HB2755- 477 -LRB099 08043 RPS 28187 b

1only to cover the costs relating to the Department's review of
2long-term care facility projects under this Section. Moneys
3shall be appropriated from that Fund to the Department only to
4pay the costs of conducting reviews under this Section or under
5Section 3-202.5 of the ID/DD Community Care Act or Section
63-202.5 of the MC/DD Act. None of the moneys in the Health
7Facility Plan Review Fund shall be used to reduce the amount of
8General Revenue Fund moneys appropriated to the Department for
9facility plan reviews conducted pursuant to this Section.
10    (f)(1) The provisions of this amendatory Act of 1997
11concerning drawings and specifications shall apply only to
12drawings and specifications submitted to the Department on or
13after October 1, 1997.
14    (2) On and after the effective date of this amendatory Act
15of 1997 and before October 1, 1997, an applicant may submit or
16resubmit drawings and specifications to the Department and pay
17the fees provided in subsection (d). If an applicant pays the
18fees provided in subsection (d) under this paragraph (2), the
19provisions of subsection (b) shall apply with regard to those
20drawings and specifications.
21    (g) The Department shall conduct an on-site inspection of
22the completed project no later than 30 days after notification
23from the applicant that the project has been completed and all
24certifications required by the Department have been received
25and accepted by the Department. The Department shall provide
26written approval for occupancy to the applicant within 5

 

 

HB2755- 478 -LRB099 08043 RPS 28187 b

1working days of the Department's final inspection, provided the
2applicant has demonstrated substantial compliance as defined
3by Department rule. Occupancy of new major construction is
4prohibited until Department approval is received, unless the
5Department has not acted within the time frames provided in
6this subsection (g), in which case the construction shall be
7deemed approved. Occupancy shall be authorized after any
8required health inspection by the Department has been
9conducted.
10    (h) The Department shall establish, by rule, a procedure to
11conduct interim on-site review of large or complex construction
12projects.
13    (i) The Department shall establish, by rule, an expedited
14process for emergency repairs or replacement of like equipment.
15    (j) Nothing in this Section shall be construed to apply to
16maintenance, upkeep, or renovation that does not affect the
17structural integrity of the building, does not add beds or
18services over the number for which the long-term care facility
19is licensed, and provides a reasonable degree of safety for the
20residents.
21(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
22eff. 7-13-12; 98-104, eff. 7-22-13.)
 
23    Section 105. The ID/DD Community Care Act is amended by
24changing Sections 1-101.05 and 1-113 as follows:
 

 

 

HB2755- 479 -LRB099 08043 RPS 28187 b

1    (210 ILCS 47/1-101.05)
2    Sec. 1-101.05. Prior law.
3    (a) This Act provides for licensure of intermediate care
4facilities for the developmentally disabled and long-term care
5for under age 22 facilities under this Act instead of under the
6Nursing Home Care Act. On and after the effective date of this
7Act, those facilities shall be governed by this Act instead of
8the Nursing Home Care Act.
9    On and after the effective date of this amendatory Act of
10the 99th General Assembly, long-term care for under age 22
11facilities shall be known as medically complex for the
12developmentally disabled facilities and governed by the MC/DD
13Act instead of this Act.
14    (b) If any other Act of the General Assembly changes, adds,
15or repeals a provision of the Nursing Home Care Act that is the
16same as or substantially similar to a provision of this Act,
17then that change, addition, or repeal in the Nursing Home Care
18Act shall be construed together with this Act until July 1,
192010 and not thereafter.
20    (c) Nothing in this Act affects the validity or effect of
21any finding, decision, or action made or taken by the
22Department or the Director under the Nursing Home Care Act
23before the effective date of this Act with respect to a
24facility subject to licensure under this Act. That finding,
25decision, or action shall continue to apply to the facility on
26and after the effective date of this Act. Any finding,

 

 

HB2755- 480 -LRB099 08043 RPS 28187 b

1decision, or action with respect to the facility made or taken
2on or after the effective date of this Act shall be made or
3taken as provided in this Act.
4(Source: P.A. 96-339, eff. 7-1-10; 96-1187, eff. 7-22-10.)
 
5    (210 ILCS 47/1-113)
6    Sec. 1-113. Facility. "ID/DD facility" or "facility" means
7an intermediate care facility for the developmentally disabled
8or a long-term care for under age 22 facility, whether operated
9for profit or not, which provides, through its ownership or
10management, personal care or nursing for 3 or more persons not
11related to the applicant or owner by blood or marriage. It
12includes intermediate care facilities for the intellectually
13disabled as the term is defined in Title XVIII and Title XIX of
14the federal Social Security Act.
15    "Facility" does not include the following:
16        (1) A home, institution, or other place operated by the
17    federal government or agency thereof, or by the State of
18    Illinois, other than homes, institutions, or other places
19    operated by or under the authority of the Illinois
20    Department of Veterans' Affairs;
21        (2) A hospital, sanitarium, or other institution whose
22    principal activity or business is the diagnosis, care, and
23    treatment of human illness through the maintenance and
24    operation as organized facilities therefore, which is
25    required to be licensed under the Hospital Licensing Act;

 

 

HB2755- 481 -LRB099 08043 RPS 28187 b

1        (3) Any "facility for child care" as defined in the
2    Child Care Act of 1969;
3        (4) Any "community living facility" as defined in the
4    Community Living Facilities Licensing Act;
5        (5) Any "community residential alternative" as defined
6    in the Community Residential Alternatives Licensing Act;
7        (6) Any nursing home or sanatorium operated solely by
8    and for persons who rely exclusively upon treatment by
9    spiritual means through prayer, in accordance with the
10    creed or tenets of any well recognized church or religious
11    denomination. However, such nursing home or sanatorium
12    shall comply with all local laws and rules relating to
13    sanitation and safety;
14        (7) Any facility licensed by the Department of Human
15    Services as a community-integrated living arrangement as
16    defined in the Community-Integrated Living Arrangements
17    Licensure and Certification Act;
18        (8) Any "supportive residence" licensed under the
19    Supportive Residences Licensing Act;
20        (9) Any "supportive living facility" in good standing
21    with the program established under Section 5-5.01a of the
22    Illinois Public Aid Code, except only for purposes of the
23    employment of persons in accordance with Section 3-206.01;
24        (10) Any assisted living or shared housing
25    establishment licensed under the Assisted Living and
26    Shared Housing Act, except only for purposes of the

 

 

HB2755- 482 -LRB099 08043 RPS 28187 b

1    employment of persons in accordance with Section 3-206.01;
2        (11) An Alzheimer's disease management center
3    alternative health care model licensed under the
4    Alternative Health Care Delivery Act; or
5        (12) A home, institution, or other place operated by or
6    under the authority of the Illinois Department of Veterans'
7    Affairs; or .
8        (13) Any MC/DD facility licensed under the MC/DD Act.
9(Source: P.A. 96-339, eff. 7-1-10; 96-1000, eff. 7-2-10;
1097-227, eff. 1-1-12.)
 
11    (210 ILCS 47/2-218 rep.)
12    Section 110. The ID/DD Community Care Act is amended by
13repealing Section 2-218.
 
14    Section 115. The Specialized Mental Health Rehabilitation
15Act of 2013 is amended by changing Section 1-102 as follows:
 
16    (210 ILCS 49/1-102)
17    Sec. 1-102. Definitions. For the purposes of this Act,
18unless the context otherwise requires:
19    "Abuse" means any physical or mental injury or sexual
20assault inflicted on a consumer other than by accidental means
21in a facility.
22    "Accreditation" means any of the following:
23        (1) the Joint Commission;

 

 

HB2755- 483 -LRB099 08043 RPS 28187 b

1        (2) the Commission on Accreditation of Rehabilitation
2    Facilities;
3        (3) the Healthcare Facilities Accreditation Program;
4    or
5        (4) any other national standards of care as approved by
6    the Department.
7    "Applicant" means any person making application for a
8license or a provisional license under this Act.
9    "Consumer" means a person, 18 years of age or older,
10admitted to a mental health rehabilitation facility for
11evaluation, observation, diagnosis, treatment, stabilization,
12recovery, and rehabilitation.
13    "Consumer" does not mean any of the following:
14        (i) an individual requiring a locked setting;
15        (ii) an individual requiring psychiatric
16    hospitalization because of an acute psychiatric crisis;
17        (iii) an individual under 18 years of age;
18        (iv) an individual who is actively suicidal or violent
19    toward others;
20        (v) an individual who has been found unfit to stand
21    trial;
22        (vi) an individual who has been found not guilty by
23    reason of insanity based on committing a violent act, such
24    as sexual assault, assault with a deadly weapon, arson, or
25    murder;
26        (vii) an individual subject to temporary detention and

 

 

HB2755- 484 -LRB099 08043 RPS 28187 b

1    examination under Section 3-607 of the Mental Health and
2    Developmental Disabilities Code;
3        (viii) an individual deemed clinically appropriate for
4    inpatient admission in a State psychiatric hospital; and
5        (ix) an individual transferred by the Department of
6    Corrections pursuant to Section 3-8-5 of the Unified Code
7    of Corrections.
8    "Consumer record" means a record that organizes all
9information on the care, treatment, and rehabilitation
10services rendered to a consumer in a specialized mental health
11rehabilitation facility.
12    "Controlled drugs" means those drugs covered under the
13federal Comprehensive Drug Abuse Prevention Control Act of
141970, as amended, or the Illinois Controlled Substances Act.
15    "Department" means the Department of Public Health.
16    "Discharge" means the full release of any consumer from a
17facility.
18    "Drug administration" means the act in which a single dose
19of a prescribed drug or biological is given to a consumer. The
20complete act of administration entails removing an individual
21dose from a container, verifying the dose with the prescriber's
22orders, giving the individual dose to the consumer, and
23promptly recording the time and dose given.
24    "Drug dispensing" means the act entailing the following of
25a prescription order for a drug or biological and proper
26selection, measuring, packaging, labeling, and issuance of the

 

 

HB2755- 485 -LRB099 08043 RPS 28187 b

1drug or biological to a consumer.
2    "Emergency" means a situation, physical condition, or one
3or more practices, methods, or operations which present
4imminent danger of death or serious physical or mental harm to
5consumers of a facility.
6    "Facility" means a specialized mental health
7rehabilitation facility that provides at least one of the
8following services: (1) triage center; (2) crisis
9stabilization; (3) recovery and rehabilitation supports; or
10(4) transitional living units for 3 or more persons. The
11facility shall provide a 24-hour program that provides
12intensive support and recovery services designed to assist
13persons, 18 years or older, with mental disorders to develop
14the skills to become self-sufficient and capable of increasing
15levels of independent functioning. It includes facilities that
16meet the following criteria:
17        (1) 100% of the consumer population of the facility has
18    a diagnosis of serious mental illness;
19        (2) no more than 15% of the consumer population of the
20    facility is 65 years of age or older;
21        (3) none of the consumers are non-ambulatory;
22        (4) none of the consumers have a primary diagnosis of
23    moderate, severe, or profound intellectual disability; and
24        (5) the facility must have been licensed under the
25    Specialized Mental Health Rehabilitation Act or the
26    Nursing Home Care Act immediately preceding the effective

 

 

HB2755- 486 -LRB099 08043 RPS 28187 b

1    date of this Act and qualifies as a institute for mental
2    disease under the federal definition of the term.
3    "Facility" does not include the following:
4        (1) a home, institution, or place operated by the
5    federal government or agency thereof, or by the State of
6    Illinois;
7        (2) a hospital, sanitarium, or other institution whose
8    principal activity or business is the diagnosis, care, and
9    treatment of human illness through the maintenance and
10    operation as organized facilities therefor which is
11    required to be licensed under the Hospital Licensing Act;
12        (3) a facility for child care as defined in the Child
13    Care Act of 1969;
14        (4) a community living facility as defined in the
15    Community Living Facilities Licensing Act;
16        (5) a nursing home or sanatorium operated solely by and
17    for persons who rely exclusively upon treatment by
18    spiritual means through prayer, in accordance with the
19    creed or tenets of any well-recognized church or religious
20    denomination; however, such nursing home or sanatorium
21    shall comply with all local laws and rules relating to
22    sanitation and safety;
23        (6) a facility licensed by the Department of Human
24    Services as a community-integrated living arrangement as
25    defined in the Community-Integrated Living Arrangements
26    Licensure and Certification Act;

 

 

HB2755- 487 -LRB099 08043 RPS 28187 b

1        (7) a supportive residence licensed under the
2    Supportive Residences Licensing Act;
3        (8) a supportive living facility in good standing with
4    the program established under Section 5-5.01a of the
5    Illinois Public Aid Code, except only for purposes of the
6    employment of persons in accordance with Section 3-206.01
7    of the Nursing Home Care Act;
8        (9) an assisted living or shared housing establishment
9    licensed under the Assisted Living and Shared Housing Act,
10    except only for purposes of the employment of persons in
11    accordance with Section 3-206.01 of the Nursing Home Care
12    Act;
13        (10) an Alzheimer's disease management center
14    alternative health care model licensed under the
15    Alternative Health Care Delivery Act;
16        (11) a home, institution, or other place operated by or
17    under the authority of the Illinois Department of Veterans'
18    Affairs;
19        (12) a facility licensed under the ID/DD Community Care
20    Act; or
21        (13) a facility licensed under the Nursing Home Care
22    Act after the effective date of this Act; or .
23        (14) a facility licensed under the MC/DD Act.
24    "Executive director" means a person who is charged with the
25general administration and supervision of a facility licensed
26under this Act.

 

 

HB2755- 488 -LRB099 08043 RPS 28187 b

1    "Guardian" means a person appointed as a guardian of the
2person or guardian of the estate, or both, of a consumer under
3the Probate Act of 1975.
4    "Identified offender" means a person who meets any of the
5following criteria:
6        (1) Has been convicted of, found guilty of, adjudicated
7    delinquent for, found not guilty by reason of insanity for,
8    or found unfit to stand trial for, any felony offense
9    listed in Section 25 of the Health Care Worker Background
10    Check Act, except for the following:
11            (i) a felony offense described in Section 10-5 of
12        the Nurse Practice Act;
13            (ii) a felony offense described in Section 4, 5, 6,
14        8, or 17.02 of the Illinois Credit Card and Debit Card
15        Act;
16            (iii) a felony offense described in Section 5, 5.1,
17        5.2, 7, or 9 of the Cannabis Control Act;
18            (iv) a felony offense described in Section 401,
19        401.1, 404, 405, 405.1, 407, or 407.1 of the Illinois
20        Controlled Substances Act; and
21            (v) a felony offense described in the
22        Methamphetamine Control and Community Protection Act.
23        (2) Has been convicted of, adjudicated delinquent for,
24    found not guilty by reason of insanity for, or found unfit
25    to stand trial for, any sex offense as defined in
26    subsection (c) of Section 10 of the Sex Offender Management

 

 

HB2755- 489 -LRB099 08043 RPS 28187 b

1    Board Act.
2    "Transitional living units" are residential units within a
3facility that have the purpose of assisting the consumer in
4developing and reinforcing the necessary skills to live
5independently outside of the facility. The duration of stay in
6such a setting shall not exceed 120 days for each consumer.
7Nothing in this definition shall be construed to be a
8prerequisite for transitioning out of a facility.
9    "Licensee" means the person, persons, firm, partnership,
10association, organization, company, corporation, or business
11trust to which a license has been issued.
12    "Misappropriation of a consumer's property" means the
13deliberate misplacement, exploitation, or wrongful temporary
14or permanent use of a consumer's belongings or money without
15the consent of a consumer or his or her guardian.
16    "Neglect" means a facility's failure to provide, or willful
17withholding of, adequate medical care, mental health
18treatment, psychiatric rehabilitation, personal care, or
19assistance that is necessary to avoid physical harm and mental
20anguish of a consumer.
21    "Personal care" means assistance with meals, dressing,
22movement, bathing, or other personal needs, maintenance, or
23general supervision and oversight of the physical and mental
24well-being of an individual who is incapable of maintaining a
25private, independent residence or who is incapable of managing
26his or her person, whether or not a guardian has been appointed

 

 

HB2755- 490 -LRB099 08043 RPS 28187 b

1for such individual. "Personal care" shall not be construed to
2confine or otherwise constrain a facility's pursuit to develop
3the skills and abilities of a consumer to become
4self-sufficient and capable of increasing levels of
5independent functioning.
6    "Recovery and rehabilitation supports" means a program
7that facilitates a consumer's longer-term symptom management
8and stabilization while preparing the consumer for
9transitional living units by improving living skills and
10community socialization. The duration of stay in such a setting
11shall be established by the Department by rule.
12    "Restraint" means:
13        (i) a physical restraint that is any manual method or
14    physical or mechanical device, material, or equipment
15    attached or adjacent to a consumer's body that the consumer
16    cannot remove easily and restricts freedom of movement or
17    normal access to one's body; devices used for positioning,
18    including, but not limited to, bed rails, gait belts, and
19    cushions, shall not be considered to be restraints for
20    purposes of this Section; or
21        (ii) a chemical restraint that is any drug used for
22    discipline or convenience and not required to treat medical
23    symptoms; the Department shall, by rule, designate certain
24    devices as restraints, including at least all those devices
25    that have been determined to be restraints by the United
26    States Department of Health and Human Services in

 

 

HB2755- 491 -LRB099 08043 RPS 28187 b

1    interpretive guidelines issued for the purposes of
2    administering Titles XVIII and XIX of the federal Social
3    Security Act. For the purposes of this Act, restraint shall
4    be administered only after utilizing a coercive free
5    environment and culture.
6    "Self-administration of medication" means consumers shall
7be responsible for the control, management, and use of their
8own medication.
9    "Crisis stabilization" means a secure and separate unit
10that provides short-term behavioral, emotional, or psychiatric
11crisis stabilization as an alternative to hospitalization or
12re-hospitalization for consumers from residential or community
13placement. The duration of stay in such a setting shall not
14exceed 21 days for each consumer.
15    "Therapeutic separation" means the removal of a consumer
16from the milieu to a room or area which is designed to aid in
17the emotional or psychiatric stabilization of that consumer.
18    "Triage center" means a non-residential 23-hour center
19that serves as an alternative to emergency room care,
20hospitalization, or re-hospitalization for consumers in need
21of short-term crisis stabilization. Consumers may access a
22triage center from a number of referral sources, including
23family, emergency rooms, hospitals, community behavioral
24health providers, federally qualified health providers, or
25schools, including colleges or universities. A triage center
26may be located in a building separate from the licensed

 

 

HB2755- 492 -LRB099 08043 RPS 28187 b

1location of a facility, but shall not be more than 1,000 feet
2from the licensed location of the facility and must meet all of
3the facility standards applicable to the licensed location. If
4the triage center does operate in a separate building, safety
5personnel shall be provided, on site, 24 hours per day and the
6triage center shall meet all other staffing requirements
7without counting any staff employed in the main facility
8building.
9(Source: P.A. 98-104, eff. 7-22-13; 98-651, eff. 6-16-14.)
 
10    Section 120. The Home Health, Home Services, and Home
11Nursing Agency Licensing Act is amended by changing Section
122.08 as follows:
 
13    (210 ILCS 55/2.08)
14    Sec. 2.08. "Home services agency" means an agency that
15provides services directly, or acts as a placement agency, for
16the purpose of placing individuals as workers providing home
17services for consumers in their personal residences. "Home
18services agency" does not include agencies licensed under the
19Nurse Agency Licensing Act, the Hospital Licensing Act, the
20Nursing Home Care Act, the ID/DD Community Care Act, the MC/DD
21Act, the Specialized Mental Health Rehabilitation Act of 2013,
22or the Assisted Living and Shared Housing Act and does not
23include an agency that limits its business exclusively to
24providing housecleaning services. Programs providing services

 

 

HB2755- 493 -LRB099 08043 RPS 28187 b

1exclusively through the Community Care Program of the Illinois
2Department on Aging, the Department of Human Services Office of
3Rehabilitation Services, or the United States Department of
4Veterans Affairs are not considered to be a home services
5agency under this Act.
6(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
7eff. 7-13-12; 98-104, eff. 7-22-13.)
 
8    Section 125. The Hospice Program Licensing Act is amended
9by changing Sections 3 and 4 as follows:
 
10    (210 ILCS 60/3)  (from Ch. 111 1/2, par. 6103)
11    Sec. 3. Definitions. As used in this Act, unless the
12context otherwise requires:
13    (a) "Bereavement" means the period of time during which the
14hospice patient's family experiences and adjusts to the death
15of the hospice patient.
16    (a-5) "Bereavement services" means counseling services
17provided to an individual's family after the individual's
18death.
19    (a-10) "Attending physician" means a physician who:
20        (1) is a doctor of medicine or osteopathy; and
21        (2) is identified by an individual, at the time the
22    individual elects to receive hospice care, as having the
23    most significant role in the determination and delivery of
24    the individual's medical care.

 

 

HB2755- 494 -LRB099 08043 RPS 28187 b

1    (b) "Department" means the Illinois Department of Public
2Health.
3    (c) "Director" means the Director of the Illinois
4Department of Public Health.
5    (d) "Hospice care" means a program of palliative care that
6provides for the physical, emotional, and spiritual care needs
7of a terminally ill patient and his or her family. The goal of
8such care is to achieve the highest quality of life as defined
9by the patient and his or her family through the relief of
10suffering and control of symptoms.
11    (e) "Hospice care team" means an interdisciplinary group or
12groups composed of individuals who provide or supervise the
13care and services offered by the hospice.
14    (f) "Hospice patient" means a terminally ill person
15receiving hospice services.
16    (g) "Hospice patient's family" means a hospice patient's
17immediate family consisting of a spouse, sibling, child, parent
18and those individuals designated as such by the patient for the
19purposes of this Act.
20    (g-1) "Hospice residence" means a separately licensed
21home, apartment building, or similar building providing living
22quarters:
23        (1) that is owned or operated by a person licensed to
24    operate as a comprehensive hospice; and
25        (2) at which hospice services are provided to facility
26    residents.

 

 

HB2755- 495 -LRB099 08043 RPS 28187 b

1    A building that is licensed under the Hospital Licensing
2Act, the Nursing Home Care Act, the Specialized Mental Health
3Rehabilitation Act of 2013, or the ID/DD Community Care Act, or
4the MC/DD Act is not a hospice residence.
5    (h) "Hospice services" means a range of professional and
6other supportive services provided to a hospice patient and his
7or her family. These services may include, but are not limited
8to, physician services, nursing services, medical social work
9services, spiritual counseling services, bereavement services,
10and volunteer services.
11    (h-5) "Hospice program" means a licensed public agency or
12private organization, or a subdivision of either of those, that
13is primarily engaged in providing care to terminally ill
14individuals through a program of home care or inpatient care,
15or both home care and inpatient care, utilizing a medically
16directed interdisciplinary hospice care team of professionals
17or volunteers, or both professionals and volunteers. A hospice
18program may be licensed as a comprehensive hospice program or a
19volunteer hospice program.
20    (h-10) "Comprehensive hospice" means a program that
21provides hospice services and meets the minimum standards for
22certification under the Medicare program set forth in the
23Conditions of Participation in 42 CFR Part 418 but is not
24required to be Medicare-certified.
25    (i) "Palliative care" means the management of pain and
26other distressing symptoms that incorporates medical, nursing,

 

 

HB2755- 496 -LRB099 08043 RPS 28187 b

1psychosocial, and spiritual care according to the needs,
2values, beliefs, and culture or cultures of the patient and his
3or her family. The evaluation and treatment is
4patient-centered, with a focus on the central role of the
5family unit in decision-making.
6    (j) "Hospice service plan" means a plan detailing the
7specific hospice services offered by a comprehensive or
8volunteer hospice program, and the administrative and direct
9care personnel responsible for those services. The plan shall
10include but not be limited to:
11        (1) Identification of the person or persons
12    administratively responsible for the program.
13        (2) The estimated average monthly patient census.
14        (3) The proposed geographic area the hospice will
15    serve.
16        (4) A listing of those hospice services provided
17    directly by the hospice, and those hospice services
18    provided indirectly through a contractual agreement.
19        (5) The name and qualifications of those persons or
20    entities under contract to provide indirect hospice
21    services.
22        (6) The name and qualifications of those persons
23    providing direct hospice services, with the exception of
24    volunteers.
25        (7) A description of how the hospice plans to utilize
26    volunteers in the provision of hospice services.

 

 

HB2755- 497 -LRB099 08043 RPS 28187 b

1        (8) A description of the program's record keeping
2    system.
3    (k) "Terminally ill" means a medical prognosis by a
4physician licensed to practice medicine in all of its branches
5that a patient has an anticipated life expectancy of one year
6or less.
7    (l) "Volunteer" means a person who offers his or her
8services to a hospice without compensation. Reimbursement for a
9volunteer's expenses in providing hospice service shall not be
10considered compensation.
11    (l-5) "Employee" means a paid or unpaid member of the staff
12of a hospice program, or, if the hospice program is a
13subdivision of an agency or organization, of the agency or
14organization, who is appropriately trained and assigned to the
15hospice program. "Employee" also means a volunteer whose duties
16are prescribed by the hospice program and whose performance of
17those duties is supervised by the hospice program.
18    (l-10) "Representative" means an individual who has been
19authorized under State law to terminate an individual's medical
20care or to elect or revoke the election of hospice care on
21behalf of a terminally ill individual who is mentally or
22physically incapacitated.
23    (m) "Volunteer hospice" means a program which provides
24hospice services to patients regardless of their ability to
25pay, with emphasis on the utilization of volunteers to provide
26services, under the administration of a not-for-profit agency.

 

 

HB2755- 498 -LRB099 08043 RPS 28187 b

1This definition does not prohibit the employment of staff.
2(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
3eff. 7-13-12; 98-104, eff. 7-22-13.)
 
4    (210 ILCS 60/4)  (from Ch. 111 1/2, par. 6104)
5    Sec. 4. License.
6    (a) No person shall establish, conduct or maintain a
7comprehensive or volunteer hospice program without first
8obtaining a license from the Department. A hospice residence
9may be operated only at the locations listed on the license. A
10comprehensive hospice program owning or operating a hospice
11residence is not subject to the provisions of the Nursing Home
12Care Act, the Specialized Mental Health Rehabilitation Act of
132013, or the ID/DD Community Care Act, or the MC/DD Act in
14owning or operating a hospice residence.
15    (b) No public or private agency shall advertise or present
16itself to the public as a comprehensive or volunteer hospice
17program which provides hospice services without meeting the
18provisions of subsection (a).
19    (c) The license shall be valid only in the possession of
20the hospice to which it was originally issued and shall not be
21transferred or assigned to any other person, agency, or
22corporation.
23    (d) The license shall be renewed annually.
24    (e) The license shall be displayed in a conspicuous place
25inside the hospice program office.

 

 

HB2755- 499 -LRB099 08043 RPS 28187 b

1(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
2eff. 7-13-12; 98-104, eff. 7-22-13.)
 
3    Section 130. The Hospital Licensing Act is amended by
4changing Sections 3, 6.09, 6.09a, and 7 as follows:
 
5    (210 ILCS 85/3)
6    Sec. 3. As used in this Act:
7    (A) "Hospital" means any institution, place, building,
8buildings on a campus, or agency, public or private, whether
9organized for profit or not, devoted primarily to the
10maintenance and operation of facilities for the diagnosis and
11treatment or care of 2 or more unrelated persons admitted for
12overnight stay or longer in order to obtain medical, including
13obstetric, psychiatric and nursing, care of illness, disease,
14injury, infirmity, or deformity.
15    The term "hospital", without regard to length of stay,
16shall also include:
17        (a) any facility which is devoted primarily to
18    providing psychiatric and related services and programs
19    for the diagnosis and treatment or care of 2 or more
20    unrelated persons suffering from emotional or nervous
21    diseases;
22        (b) all places where pregnant females are received,
23    cared for, or treated during delivery irrespective of the
24    number of patients received.

 

 

HB2755- 500 -LRB099 08043 RPS 28187 b

1    The term "hospital" includes general and specialized
2hospitals, tuberculosis sanitaria, mental or psychiatric
3hospitals and sanitaria, and includes maternity homes,
4lying-in homes, and homes for unwed mothers in which care is
5given during delivery.
6    The term "hospital" does not include:
7        (1) any person or institution required to be licensed
8    pursuant to the Nursing Home Care Act, the Specialized
9    Mental Health Rehabilitation Act of 2013, or the ID/DD
10    Community Care Act, or the MC/DD Act;
11        (2) hospitalization or care facilities maintained by
12    the State or any department or agency thereof, where such
13    department or agency has authority under law to establish
14    and enforce standards for the hospitalization or care
15    facilities under its management and control;
16        (3) hospitalization or care facilities maintained by
17    the federal government or agencies thereof;
18        (4) hospitalization or care facilities maintained by
19    any university or college established under the laws of
20    this State and supported principally by public funds raised
21    by taxation;
22        (5) any person or facility required to be licensed
23    pursuant to the Alcoholism and Other Drug Abuse and
24    Dependency Act;
25        (6) any facility operated solely by and for persons who
26    rely exclusively upon treatment by spiritual means through

 

 

HB2755- 501 -LRB099 08043 RPS 28187 b

1    prayer, in accordance with the creed or tenets of any
2    well-recognized church or religious denomination;
3        (7) an Alzheimer's disease management center
4    alternative health care model licensed under the
5    Alternative Health Care Delivery Act; or
6        (8) any veterinary hospital or clinic operated by a
7    veterinarian or veterinarians licensed under the
8    Veterinary Medicine and Surgery Practice Act of 2004 or
9    maintained by a State-supported or publicly funded
10    university or college.
11    (B) "Person" means the State, and any political subdivision
12or municipal corporation, individual, firm, partnership,
13corporation, company, association, or joint stock association,
14or the legal successor thereof.
15    (C) "Department" means the Department of Public Health of
16the State of Illinois.
17    (D) "Director" means the Director of Public Health of the
18State of Illinois.
19    (E) "Perinatal" means the period of time between the
20conception of an infant and the end of the first month after
21birth.
22    (F) "Federally designated organ procurement agency" means
23the organ procurement agency designated by the Secretary of the
24U.S. Department of Health and Human Services for the service
25area in which a hospital is located; except that in the case of
26a hospital located in a county adjacent to Wisconsin which

 

 

HB2755- 502 -LRB099 08043 RPS 28187 b

1currently contracts with an organ procurement agency located in
2Wisconsin that is not the organ procurement agency designated
3by the U.S. Secretary of Health and Human Services for the
4service area in which the hospital is located, if the hospital
5applies for a waiver pursuant to 42 USC 1320b-8(a), it may
6designate an organ procurement agency located in Wisconsin to
7be thereafter deemed its federally designated organ
8procurement agency for the purposes of this Act.
9    (G) "Tissue bank" means any facility or program operating
10in Illinois that is certified by the American Association of
11Tissue Banks or the Eye Bank Association of America and is
12involved in procuring, furnishing, donating, or distributing
13corneas, bones, or other human tissue for the purpose of
14injecting, transfusing, or transplanting any of them into the
15human body. "Tissue bank" does not include a licensed blood
16bank. For the purposes of this Act, "tissue" does not include
17organs.
18    (H) "Campus", as this terms applies to operations, has the
19same meaning as the term "campus" as set forth in federal
20Medicare regulations, 42 CFR 413.65.
21(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
22eff. 7-13-12; 98-104, eff. 7-22-13.)
 
23    (210 ILCS 85/6.09)  (from Ch. 111 1/2, par. 147.09)
24    Sec. 6.09. (a) In order to facilitate the orderly
25transition of aged and disabled patients from hospitals to

 

 

HB2755- 503 -LRB099 08043 RPS 28187 b

1post-hospital care, whenever a patient who qualifies for the
2federal Medicare program is hospitalized, the patient shall be
3notified of discharge at least 24 hours prior to discharge from
4the hospital. With regard to pending discharges to a skilled
5nursing facility, the hospital must notify the case
6coordination unit, as defined in 89 Ill. Adm. Code 240.260, at
7least 24 hours prior to discharge. When the assessment is
8completed in the hospital, the case coordination unit shall
9provide the discharge planner with a copy of the prescreening
10information and accompanying materials, which the discharge
11planner shall transmit when the patient is discharged to a
12skilled nursing facility. If home health services are ordered,
13the hospital must inform its designated case coordination unit,
14as defined in 89 Ill. Adm. Code 240.260, of the pending
15discharge and must provide the patient with the case
16coordination unit's telephone number and other contact
17information.
18    (b) Every hospital shall develop procedures for a physician
19with medical staff privileges at the hospital or any
20appropriate medical staff member to provide the discharge
21notice prescribed in subsection (a) of this Section. The
22procedures must include prohibitions against discharging or
23referring a patient to any of the following if unlicensed,
24uncertified, or unregistered: (i) a board and care facility, as
25defined in the Board and Care Home Act; (ii) an assisted living
26and shared housing establishment, as defined in the Assisted

 

 

HB2755- 504 -LRB099 08043 RPS 28187 b

1Living and Shared Housing Act; (iii) a facility licensed under
2the Nursing Home Care Act, the Specialized Mental Health
3Rehabilitation Act of 2013, or the ID/DD Community Care Act, or
4the MC/DD Act; (iv) a supportive living facility, as defined in
5Section 5-5.01a of the Illinois Public Aid Code; or (v) a
6free-standing hospice facility licensed under the Hospice
7Program Licensing Act if licensure, certification, or
8registration is required. The Department of Public Health shall
9annually provide hospitals with a list of licensed, certified,
10or registered board and care facilities, assisted living and
11shared housing establishments, nursing homes, supportive
12living facilities, facilities licensed under the ID/DD
13Community Care Act, the MC/DD Act, or the Specialized Mental
14Health Rehabilitation Act of 2013, and hospice facilities.
15Reliance upon this list by a hospital shall satisfy compliance
16with this requirement. The procedure may also include a waiver
17for any case in which a discharge notice is not feasible due to
18a short length of stay in the hospital by the patient, or for
19any case in which the patient voluntarily desires to leave the
20hospital before the expiration of the 24 hour period.
21    (c) At least 24 hours prior to discharge from the hospital,
22the patient shall receive written information on the patient's
23right to appeal the discharge pursuant to the federal Medicare
24program, including the steps to follow to appeal the discharge
25and the appropriate telephone number to call in case the
26patient intends to appeal the discharge.

 

 

HB2755- 505 -LRB099 08043 RPS 28187 b

1    (d) Before transfer of a patient to a long term care
2facility licensed under the Nursing Home Care Act where elderly
3persons reside, a hospital shall as soon as practicable
4initiate a name-based criminal history background check by
5electronic submission to the Department of State Police for all
6persons between the ages of 18 and 70 years; provided, however,
7that a hospital shall be required to initiate such a background
8check only with respect to patients who:
9        (1) are transferring to a long term care facility for
10    the first time;
11        (2) have been in the hospital more than 5 days;
12        (3) are reasonably expected to remain at the long term
13    care facility for more than 30 days;
14        (4) have a known history of serious mental illness or
15    substance abuse; and
16        (5) are independently ambulatory or mobile for more
17    than a temporary period of time.
18    A hospital may also request a criminal history background
19check for a patient who does not meet any of the criteria set
20forth in items (1) through (5).
21    A hospital shall notify a long term care facility if the
22hospital has initiated a criminal history background check on a
23patient being discharged to that facility. In all circumstances
24in which the hospital is required by this subsection to
25initiate the criminal history background check, the transfer to
26the long term care facility may proceed regardless of the

 

 

HB2755- 506 -LRB099 08043 RPS 28187 b

1availability of criminal history results. Upon receipt of the
2results, the hospital shall promptly forward the results to the
3appropriate long term care facility. If the results of the
4background check are inconclusive, the hospital shall have no
5additional duty or obligation to seek additional information
6from, or about, the patient.
7(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
8eff. 7-13-12; 98-104, eff. 7-22-13; 98-651, eff. 6-16-14.)
 
9    (210 ILCS 85/6.09a)
10    Sec. 6.09a. Report of Death. Every hospital shall promptly
11report the death of a person readily known to be, without an
12investigation by the hospital, a resident of a facility
13licensed under the ID/DD MR/DD Community Care Act or the MC/DD
14Act, to the coroner or medical examiner. The coroner or medical
15examiner shall promptly respond to the report by accepting or
16not accepting the body for investigation.
17(Source: P.A. 97-38, eff. 6-28-11.)
 
18    (210 ILCS 85/7)  (from Ch. 111 1/2, par. 148)
19    Sec. 7. (a) The Director after notice and opportunity for
20hearing to the applicant or licensee may deny, suspend, or
21revoke a permit to establish a hospital or deny, suspend, or
22revoke a license to open, conduct, operate, and maintain a
23hospital in any case in which he finds that there has been a
24substantial failure to comply with the provisions of this Act,

 

 

HB2755- 507 -LRB099 08043 RPS 28187 b

1the Hospital Report Card Act, or the Illinois Adverse Health
2Care Events Reporting Law of 2005 or the standards, rules, and
3regulations established by virtue of any of those Acts. The
4Department may impose fines on hospitals, not to exceed $500
5per occurrence, for failing to (1) initiate a criminal
6background check on a patient that meets the criteria for
7hospital-initiated background checks or (2) report the death of
8a person known to be a resident of a facility licensed under
9the ID/DD MR/DD Community Care Act or the MC/DD Act to the
10coroner or medical examiner within 24 hours as required by
11Section 6.09a of this Act. In assessing whether to impose such
12a fine for failure to initiate a criminal background check, the
13Department shall consider various factors including, but not
14limited to, whether the hospital has engaged in a pattern or
15practice of failing to initiate criminal background checks.
16Money from fines shall be deposited into the Long Term Care
17Provider Fund.
18    (b) Such notice shall be effected by registered mail or by
19personal service setting forth the particular reasons for the
20proposed action and fixing a date, not less than 15 days from
21the date of such mailing or service, at which time the
22applicant or licensee shall be given an opportunity for a
23hearing. Such hearing shall be conducted by the Director or by
24an employee of the Department designated in writing by the
25Director as Hearing Officer to conduct the hearing. On the
26basis of any such hearing, or upon default of the applicant or

 

 

HB2755- 508 -LRB099 08043 RPS 28187 b

1licensee, the Director shall make a determination specifying
2his findings and conclusions. In case of a denial to an
3applicant of a permit to establish a hospital, such
4determination shall specify the subsection of Section 6 under
5which the permit was denied and shall contain findings of fact
6forming the basis of such denial. A copy of such determination
7shall be sent by registered mail or served personally upon the
8applicant or licensee. The decision denying, suspending, or
9revoking a permit or a license shall become final 35 days after
10it is so mailed or served, unless the applicant or licensee,
11within such 35 day period, petitions for review pursuant to
12Section 13.
13    (c) The procedure governing hearings authorized by this
14Section shall be in accordance with rules promulgated by the
15Department and approved by the Hospital Licensing Board. A full
16and complete record shall be kept of all proceedings, including
17the notice of hearing, complaint, and all other documents in
18the nature of pleadings, written motions filed in the
19proceedings, and the report and orders of the Director and
20Hearing Officer. All testimony shall be reported but need not
21be transcribed unless the decision is appealed pursuant to
22Section 13. A copy or copies of the transcript may be obtained
23by any interested party on payment of the cost of preparing
24such copy or copies.
25    (d) The Director or Hearing Officer shall upon his own
26motion, or on the written request of any party to the

 

 

HB2755- 509 -LRB099 08043 RPS 28187 b

1proceeding, issue subpoenas requiring the attendance and the
2giving of testimony by witnesses, and subpoenas duces tecum
3requiring the production of books, papers, records, or
4memoranda. All subpoenas and subpoenas duces tecum issued under
5the terms of this Act may be served by any person of full age.
6The fees of witnesses for attendance and travel shall be the
7same as the fees of witnesses before the Circuit Court of this
8State, such fees to be paid when the witness is excused from
9further attendance. When the witness is subpoenaed at the
10instance of the Director, or Hearing Officer, such fees shall
11be paid in the same manner as other expenses of the Department,
12and when the witness is subpoenaed at the instance of any other
13party to any such proceeding the Department may require that
14the cost of service of the subpoena or subpoena duces tecum and
15the fee of the witness be borne by the party at whose instance
16the witness is summoned. In such case, the Department in its
17discretion, may require a deposit to cover the cost of such
18service and witness fees. A subpoena or subpoena duces tecum
19issued as aforesaid shall be served in the same manner as a
20subpoena issued out of a court.
21    (e) Any Circuit Court of this State upon the application of
22the Director, or upon the application of any other party to the
23proceeding, may, in its discretion, compel the attendance of
24witnesses, the production of books, papers, records, or
25memoranda and the giving of testimony before the Director or
26Hearing Officer conducting an investigation or holding a

 

 

HB2755- 510 -LRB099 08043 RPS 28187 b

1hearing authorized by this Act, by an attachment for contempt,
2or otherwise, in the same manner as production of evidence may
3be compelled before the court.
4    (f) The Director or Hearing Officer, or any party in an
5investigation or hearing before the Department, may cause the
6depositions of witnesses within the State to be taken in the
7manner prescribed by law for like depositions in civil actions
8in courts of this State, and to that end compel the attendance
9of witnesses and the production of books, papers, records, or
10memoranda.
11(Source: P.A. 96-1372, eff. 7-29-10; 97-38, eff. 6-28-11.)
 
12    Section 135. The Language Assistance Services Act is
13amended by changing Section 10 as follows:
 
14    (210 ILCS 87/10)
15    Sec. 10. Definitions. As used in this Act:
16    "Department" means the Department of Public Health.
17    "Interpreter" means a person fluent in English and in the
18necessary language of the patient who can accurately speak,
19read, and readily interpret the necessary second language, or a
20person who can accurately sign and read sign language.
21Interpreters shall have the ability to translate the names of
22body parts and to describe completely symptoms and injuries in
23both languages. Interpreters may include members of the medical
24or professional staff.

 

 

HB2755- 511 -LRB099 08043 RPS 28187 b

1    "Language or communication barriers" means either of the
2following:
3        (1) With respect to spoken language, barriers that are
4    experienced by limited-English-speaking or
5    non-English-speaking individuals who speak the same
6    primary language, if those individuals constitute at least
7    5% of the patients served by the health facility annually.
8        (2) With respect to sign language, barriers that are
9    experienced by individuals who are deaf and whose primary
10    language is sign language.
11    "Health facility" means a hospital licensed under the
12Hospital Licensing Act, a long-term care facility licensed
13under the Nursing Home Care Act, or a facility licensed under
14the ID/DD Community Care Act, the MC/DD Act, or the Specialized
15Mental Health Rehabilitation Act of 2013.
16(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
17eff. 7-13-12; 98-104, eff. 7-22-13.)
 
18    Section 140. The Community-Integrated Living Arrangements
19Licensure and Certification Act is amended by changing Section
204 as follows:
 
21    (210 ILCS 135/4)  (from Ch. 91 1/2, par. 1704)
22    Sec. 4. (a) Any community mental health or developmental
23services agency who wishes to develop and support a variety of
24community-integrated living arrangements may do so pursuant to

 

 

HB2755- 512 -LRB099 08043 RPS 28187 b

1a license issued by the Department under this Act. However,
2programs established under or otherwise subject to the Child
3Care Act of 1969, the Nursing Home Care Act, the Specialized
4Mental Health Rehabilitation Act of 2013, or the ID/DD
5Community Care Act, or the MC/DD Act, as now or hereafter
6amended, shall remain subject thereto, and this Act shall not
7be construed to limit the application of those Acts.
8    (b) The system of licensure established under this Act
9shall be for the purposes of:
10        (1) Insuring that all recipients residing in
11    community-integrated living arrangements are receiving
12    appropriate community-based services, including treatment,
13    training and habilitation or rehabilitation;
14        (2) Insuring that recipients' rights are protected and
15    that all programs provided to and placements arranged for
16    recipients comply with this Act, the Mental Health and
17    Developmental Disabilities Code, and applicable Department
18    rules and regulations;
19        (3) Maintaining the integrity of communities by
20    requiring regular monitoring and inspection of placements
21    and other services provided in community-integrated living
22    arrangements.
23    The licensure system shall be administered by a quality
24assurance unit within the Department which shall be
25administratively independent of units responsible for funding
26of agencies or community services.

 

 

HB2755- 513 -LRB099 08043 RPS 28187 b

1    (c) As a condition of being licensed by the Department as a
2community mental health or developmental services agency under
3this Act, the agency shall certify to the Department that:
4        (1) All recipients residing in community-integrated
5    living arrangements are receiving appropriate
6    community-based services, including treatment, training
7    and habilitation or rehabilitation;
8        (2) All programs provided to and placements arranged
9    for recipients are supervised by the agency; and
10        (3) All programs provided to and placements arranged
11    for recipients comply with this Act, the Mental Health and
12    Developmental Disabilities Code, and applicable Department
13    rules and regulations.
14    (d) An applicant for licensure as a community mental health
15or developmental services agency under this Act shall submit an
16application pursuant to the application process established by
17the Department by rule and shall pay an application fee in an
18amount established by the Department, which amount shall not be
19more than $200.
20    (e) If an applicant meets the requirements established by
21the Department to be licensed as a community mental health or
22developmental services agency under this Act, after payment of
23the licensing fee, the Department shall issue a license valid
24for 3 years from the date thereof unless suspended or revoked
25by the Department or voluntarily surrendered by the agency.
26    (f) Upon application to the Department, the Department may

 

 

HB2755- 514 -LRB099 08043 RPS 28187 b

1issue a temporary permit to an applicant for a 6-month period
2to allow the holder of such permit reasonable time to become
3eligible for a license under this Act.
4    (g)(1) The Department may conduct site visits to an agency
5licensed under this Act, or to any program or placement
6certified by the agency, and inspect the records or premises,
7or both, of such agency, program or placement as it deems
8appropriate, for the purpose of determining compliance with
9this Act, the Mental Health and Developmental Disabilities
10Code, and applicable Department rules and regulations.
11    (2) If the Department determines that an agency licensed
12under this Act is not in compliance with this Act or the rules
13and regulations promulgated under this Act, the Department
14shall serve a notice of violation upon the licensee. Each
15notice of violation shall be prepared in writing and shall
16specify the nature of the violation, the statutory provision or
17rule alleged to have been violated, and that the licensee
18submit a plan of correction to the Department if required. The
19notice shall also inform the licensee of any other action which
20the Department might take pursuant to this Act and of the right
21to a hearing.
22    (g-5) As determined by the Department, a disproportionate
23number or percentage of licensure complaints; a
24disproportionate number or percentage of substantiated cases
25of abuse, neglect, or exploitation involving an agency; an
26apparent unnatural death of an individual served by an agency;

 

 

HB2755- 515 -LRB099 08043 RPS 28187 b

1any egregious or life-threatening abuse or neglect within an
2agency; or any other significant event as determined by the
3Department shall initiate a review of the agency's license by
4the Department, as well as a review of its service agreement
5for funding. The Department shall adopt rules to establish the
6process by which the determination to initiate a review shall
7be made and the timeframe to initiate a review upon the making
8of such determination.
9    (h) Upon the expiration of any license issued under this
10Act, a license renewal application shall be required of and a
11license renewal fee in an amount established by the Department
12shall be charged to a community mental health or developmental
13services agency, provided that such fee shall not be more than
14$200.
15(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-441,
16eff. 8-19-11; 97-813, eff. 7-13-12; 98-104, eff. 7-22-13.)
 
17    Section 145. The Child Care Act of 1969 is amended by
18changing Section 2.06 as follows:
 
19    (225 ILCS 10/2.06)  (from Ch. 23, par. 2212.06)
20    Sec. 2.06. "Child care institution" means a child care
21facility where more than 7 children are received and maintained
22for the purpose of providing them with care or training or
23both. The term "child care institution" includes residential
24schools, primarily serving ambulatory handicapped children,

 

 

HB2755- 516 -LRB099 08043 RPS 28187 b

1and those operating a full calendar year, but does not include:
2    (a) Any State-operated institution for child care
3established by legislative action;
4    (b) Any juvenile detention or shelter care home established
5and operated by any county or child protection district
6established under the "Child Protection Act";
7    (c) Any institution, home, place or facility operating
8under a license pursuant to the Nursing Home Care Act, the
9Specialized Mental Health Rehabilitation Act of 2013, or the
10ID/DD Community Care Act, or the MC/DD Act;
11    (d) Any bona fide boarding school in which children are
12primarily taught branches of education corresponding to those
13taught in public schools, grades one through 12, or taught in
14public elementary schools, high schools, or both elementary and
15high schools, and which operates on a regular academic school
16year basis; or
17    (e) Any facility licensed as a "group home" as defined in
18this Act.
19(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
20eff. 7-13-12; 98-104, eff. 7-22-13.)
 
21    Section 150. The Health Care Worker Background Check Act is
22amended by changing Section 15 as follows:
 
23    (225 ILCS 46/15)
24    Sec. 15. Definitions. In this Act:

 

 

HB2755- 517 -LRB099 08043 RPS 28187 b

1    "Applicant" means an individual seeking employment with a
2health care employer who has received a bona fide conditional
3offer of employment.
4    "Conditional offer of employment" means a bona fide offer
5of employment by a health care employer to an applicant, which
6is contingent upon the receipt of a report from the Department
7of Public Health indicating that the applicant does not have a
8record of conviction of any of the criminal offenses enumerated
9in Section 25.
10    "Direct care" means the provision of nursing care or
11assistance with feeding, dressing, movement, bathing,
12toileting, or other personal needs, including home services as
13defined in the Home Health, Home Services, and Home Nursing
14Agency Licensing Act. The entity responsible for inspecting and
15licensing, certifying, or registering the health care employer
16may, by administrative rule, prescribe guidelines for
17interpreting this definition with regard to the health care
18employers that it licenses.
19    "Disqualifying offenses" means those offenses set forth in
20Section 25 of this Act.
21    "Employee" means any individual hired, employed, or
22retained to which this Act applies.
23    "Fingerprint-based criminal history records check" means a
24livescan fingerprint-based criminal history records check
25submitted as a fee applicant inquiry in the form and manner
26prescribed by the Department of State Police.

 

 

HB2755- 518 -LRB099 08043 RPS 28187 b

1    "Health care employer" means:
2        (1) the owner or licensee of any of the following:
3            (i) a community living facility, as defined in the
4        Community Living Facilities Act;
5            (ii) a life care facility, as defined in the Life
6        Care Facilities Act;
7            (iii) a long-term care facility;
8            (iv) a home health agency, home services agency, or
9        home nursing agency as defined in the Home Health, Home
10        Services, and Home Nursing Agency Licensing Act;
11            (v) a hospice care program or volunteer hospice
12        program, as defined in the Hospice Program Licensing
13        Act;
14            (vi) a hospital, as defined in the Hospital
15        Licensing Act;
16            (vii) (blank);
17            (viii) a nurse agency, as defined in the Nurse
18        Agency Licensing Act;
19            (ix) a respite care provider, as defined in the
20        Respite Program Act;
21            (ix-a) an establishment licensed under the
22        Assisted Living and Shared Housing Act;
23            (x) a supportive living program, as defined in the
24        Illinois Public Aid Code;
25            (xi) early childhood intervention programs as
26        described in 59 Ill. Adm. Code 121;

 

 

HB2755- 519 -LRB099 08043 RPS 28187 b

1            (xii) the University of Illinois Hospital,
2        Chicago;
3            (xiii) programs funded by the Department on Aging
4        through the Community Care Program;
5            (xiv) programs certified to participate in the
6        Supportive Living Program authorized pursuant to
7        Section 5-5.01a of the Illinois Public Aid Code;
8            (xv) programs listed by the Emergency Medical
9        Services (EMS) Systems Act as Freestanding Emergency
10        Centers;
11            (xvi) locations licensed under the Alternative
12        Health Care Delivery Act;
13        (2) a day training program certified by the Department
14    of Human Services;
15        (3) a community integrated living arrangement operated
16    by a community mental health and developmental service
17    agency, as defined in the Community-Integrated Living
18    Arrangements Licensing and Certification Act; or
19        (4) the State Long Term Care Ombudsman Program,
20    including any regional long term care ombudsman programs
21    under Section 4.04 of the Illinois Act on the Aging, only
22    for the purpose of securing background checks.
23    "Initiate" means obtaining from a student, applicant, or
24employee his or her social security number, demographics, a
25disclosure statement, and an authorization for the Department
26of Public Health or its designee to request a fingerprint-based

 

 

HB2755- 520 -LRB099 08043 RPS 28187 b

1criminal history records check; transmitting this information
2electronically to the Department of Public Health; conducting
3Internet searches on certain web sites, including without
4limitation the Illinois Sex Offender Registry, the Department
5of Corrections' Sex Offender Search Engine, the Department of
6Corrections' Inmate Search Engine, the Department of
7Corrections Wanted Fugitives Search Engine, the National Sex
8Offender Public Registry, and the website of the Health and
9Human Services Office of Inspector General to determine if the
10applicant has been adjudicated a sex offender, has been a
11prison inmate, or has committed Medicare or Medicaid fraud, or
12conducting similar searches as defined by rule; and having the
13student, applicant, or employee's fingerprints collected and
14transmitted electronically to the Department of State Police.
15    "Livescan vendor" means an entity whose equipment has been
16certified by the Department of State Police to collect an
17individual's demographics and inkless fingerprints and, in a
18manner prescribed by the Department of State Police and the
19Department of Public Health, electronically transmit the
20fingerprints and required data to the Department of State
21Police and a daily file of required data to the Department of
22Public Health. The Department of Public Health shall negotiate
23a contract with one or more vendors that effectively
24demonstrate that the vendor has 2 or more years of experience
25transmitting fingerprints electronically to the Department of
26State Police and that the vendor can successfully transmit the

 

 

HB2755- 521 -LRB099 08043 RPS 28187 b

1required data in a manner prescribed by the Department of
2Public Health. Vendor authorization may be further defined by
3administrative rule.
4    "Long-term care facility" means a facility licensed by the
5State or certified under federal law as a long-term care
6facility, including without limitation facilities licensed
7under the Nursing Home Care Act, the Specialized Mental Health
8Rehabilitation Act of 2013, or the ID/DD Community Care Act, or
9the MC/DD Act, a supportive living facility, an assisted living
10establishment, or a shared housing establishment or registered
11as a board and care home.
12(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
13eff. 7-13-12; 98-104, eff. 7-22-13.)
 
14    Section 155. The Nursing Home Administrators Licensing and
15Disciplinary Act is amended by changing Sections 4 and 17 as
16follows:
 
17    (225 ILCS 70/4)  (from Ch. 111, par. 3654)
18    (Section scheduled to be repealed on January 1, 2018)
19    Sec. 4. Definitions. For purposes of this Act, the
20following definitions shall have the following meanings,
21except where the context requires otherwise:
22        (1) "Act" means the Nursing Home Administrators
23    Licensing and Disciplinary Act.
24        (2) "Department" means the Department of Financial and

 

 

HB2755- 522 -LRB099 08043 RPS 28187 b

1    Professional Regulation.
2        (3) "Secretary" means the Secretary of Financial and
3    Professional Regulation.
4        (4) "Board" means the Nursing Home Administrators
5    Licensing and Disciplinary Board appointed by the
6    Governor.
7        (5) "Nursing home administrator" means the individual
8    licensed under this Act and directly responsible for
9    planning, organizing, directing and supervising the
10    operation of a nursing home, or who in fact performs such
11    functions, whether or not such functions are delegated to
12    one or more other persons.
13        (6) "Nursing home" or "facility" means any entity that
14    is required to be licensed by the Department of Public
15    Health under the Nursing Home Care Act, as amended, other
16    than a sheltered care home as defined thereunder, and
17    includes private homes, institutions, buildings,
18    residences, or other places, whether operated for profit or
19    not, irrespective of the names attributed to them, county
20    homes for the infirm and chronically ill operated pursuant
21    to the County Nursing Home Act, as amended, and any similar
22    institutions operated by a political subdivision of the
23    State of Illinois that provide, though their ownership or
24    management, maintenance, personal care, and nursing for 3
25    or more persons, not related to the owner by blood or
26    marriage, or any similar facilities in which maintenance is

 

 

HB2755- 523 -LRB099 08043 RPS 28187 b

1    provided to 3 or more persons who by reason of illness of
2    physical infirmity require personal care and nursing. The
3    term also means any facility licensed under the ID/DD
4    Community Care Act, the MC/DD Act, or the Specialized
5    Mental Health Rehabilitation Act of 2013.
6        (7) "Maintenance" means food, shelter and laundry.
7        (8) "Personal care" means assistance with meals,
8    dressing, movement, bathing, or other personal needs, or
9    general supervision of the physical and mental well-being
10    of an individual who because of age, physical, or mental
11    disability, emotion or behavior disorder, or an
12    intellectual disability is incapable of managing his or her
13    person, whether or not a guardian has been appointed for
14    such individual. For the purposes of this Act, this
15    definition does not include the professional services of a
16    nurse.
17        (9) "Nursing" means professional nursing or practical
18    nursing, as those terms are defined in the Nurse Practice
19    Act, for sick or infirm persons who are under the care and
20    supervision of licensed physicians or dentists.
21        (10) "Disciplinary action" means revocation,
22    suspension, probation, supervision, reprimand, required
23    education, fines or any other action taken by the
24    Department against a person holding a license.
25        (11) "Impaired" means the inability to practice with
26    reasonable skill and safety due to physical or mental

 

 

HB2755- 524 -LRB099 08043 RPS 28187 b

1    disabilities as evidenced by a written determination or
2    written consent based on clinical evidence including
3    deterioration through the aging process or loss of motor
4    skill, or abuse of drugs or alcohol, of sufficient degree
5    to diminish a person's ability to administer a nursing
6    home.
7        (12) "Address of record" means the designated address
8    recorded by the Department in the applicant's or licensee's
9    application file or license file maintained by the
10    Department's licensure maintenance unit. It is the duty of
11    the applicant or licensee to inform the Department of any
12    change of address, and such changes must be made either
13    through the Department's website or by contacting the
14    Department's licensure maintenance unit.
15(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
16eff. 7-13-12; 98-104, eff. 7-22-13.)
 
17    (225 ILCS 70/17)  (from Ch. 111, par. 3667)
18    Sec. 17. Grounds for disciplinary action.
19    (a) The Department may impose fines not to exceed $10,000
20or may refuse to issue or to renew, or may revoke, suspend,
21place on probation, censure, reprimand or take other
22disciplinary or non-disciplinary action with regard to the
23license of any person, for any one or combination of the
24following causes:
25        (1) Intentional material misstatement in furnishing

 

 

HB2755- 525 -LRB099 08043 RPS 28187 b

1    information to the Department.
2        (2) Conviction of or entry of a plea of guilty or nolo
3    contendere to any crime that is a felony under the laws of
4    the United States or any state or territory thereof or a
5    misdemeanor of which an essential element is dishonesty or
6    that is directly related to the practice of the profession
7    of nursing home administration.
8        (3) Making any misrepresentation for the purpose of
9    obtaining a license, or violating any provision of this
10    Act.
11        (4) Immoral conduct in the commission of any act, such
12    as sexual abuse or sexual misconduct, related to the
13    licensee's practice.
14        (5) Failing to respond within 30 days, to a written
15    request made by the Department for information.
16        (6) Engaging in dishonorable, unethical or
17    unprofessional conduct of a character likely to deceive,
18    defraud or harm the public.
19        (7) Habitual use or addiction to alcohol, narcotics,
20    stimulants, or any other chemical agent or drug which
21    results in the inability to practice with reasonable
22    judgment, skill or safety.
23        (8) Discipline by another U.S. jurisdiction if at least
24    one of the grounds for the discipline is the same or
25    substantially equivalent to those set forth herein.
26        (9) A finding by the Department that the licensee,

 

 

HB2755- 526 -LRB099 08043 RPS 28187 b

1    after having his or her license placed on probationary
2    status has violated the terms of probation.
3        (10) Willfully making or filing false records or
4    reports in his or her practice, including but not limited
5    to false records filed with State agencies or departments.
6        (11) Physical illness, mental illness, or other
7    impairment or disability, including, but not limited to,
8    deterioration through the aging process, or loss of motor
9    skill that results in the inability to practice the
10    profession with reasonable judgment, skill or safety.
11        (12) Disregard or violation of this Act or of any rule
12    issued pursuant to this Act.
13        (13) Aiding or abetting another in the violation of
14    this Act or any rule or regulation issued pursuant to this
15    Act.
16        (14) Allowing one's license to be used by an unlicensed
17    person.
18        (15) (Blank).
19        (16) Professional incompetence in the practice of
20    nursing home administration.
21        (17) Conviction of a violation of Section 12-19 or
22    subsection (a) of Section 12-4.4a of the Criminal Code of
23    1961 or the Criminal Code of 2012 for the abuse and
24    criminal neglect of a long term care facility resident.
25        (18) Violation of the Nursing Home Care Act, the
26    Specialized Mental Health Rehabilitation Act of 2013, or

 

 

HB2755- 527 -LRB099 08043 RPS 28187 b

1    the ID/DD Community Care Act, or the MC/DD Act or of any
2    rule issued under the Nursing Home Care Act, the
3    Specialized Mental Health Rehabilitation Act of 2013, or
4    the ID/DD Community Care Act, or the MC/DD Act. A final
5    adjudication of a Type "AA" violation of the Nursing Home
6    Care Act made by the Illinois Department of Public Health,
7    as identified by rule, relating to the hiring, training,
8    planning, organizing, directing, or supervising the
9    operation of a nursing home and a licensee's failure to
10    comply with this Act or the rules adopted under this Act,
11    shall create a rebuttable presumption of a violation of
12    this subsection.
13        (19) Failure to report to the Department any adverse
14    final action taken against the licensee by a licensing
15    authority of another state, territory of the United States,
16    or foreign country; or by any governmental or law
17    enforcement agency; or by any court for acts or conduct
18    similar to acts or conduct that would constitute grounds
19    for disciplinary action under this Section.
20        (20) Failure to report to the Department the surrender
21    of a license or authorization to practice as a nursing home
22    administrator in another state or jurisdiction for acts or
23    conduct similar to acts or conduct that would constitute
24    grounds for disciplinary action under this Section.
25        (21) Failure to report to the Department any adverse
26    judgment, settlement, or award arising from a liability

 

 

HB2755- 528 -LRB099 08043 RPS 28187 b

1    claim related to acts or conduct similar to acts or conduct
2    that would constitute grounds for disciplinary action
3    under this Section.
4        (22) Failure to submit any required report under
5    Section 80-10 of the Nurse Practice Act.
6    All proceedings to suspend, revoke, place on probationary
7status, or take any other disciplinary action as the Department
8may deem proper, with regard to a license on any of the
9foregoing grounds, must be commenced within 5 years next after
10receipt by the Department of (i) a complaint alleging the
11commission of or notice of the conviction order for any of the
12acts described herein or (ii) a referral for investigation
13under Section 3-108 of the Nursing Home Care Act.
14    The entry of an order or judgment by any circuit court
15establishing that any person holding a license under this Act
16is a person in need of mental treatment operates as a
17suspension of that license. That person may resume their
18practice only upon the entry of a Department order based upon a
19finding by the Board that they have been determined to be
20recovered from mental illness by the court and upon the Board's
21recommendation that they be permitted to resume their practice.
22    The Department, upon the recommendation of the Board, may
23adopt rules which set forth standards to be used in determining
24what constitutes:
25        (i) when a person will be deemed sufficiently
26    rehabilitated to warrant the public trust;

 

 

HB2755- 529 -LRB099 08043 RPS 28187 b

1        (ii) dishonorable, unethical or unprofessional conduct
2    of a character likely to deceive, defraud, or harm the
3    public;
4        (iii) immoral conduct in the commission of any act
5    related to the licensee's practice; and
6        (iv) professional incompetence in the practice of
7    nursing home administration.
8    However, no such rule shall be admissible into evidence in
9any civil action except for review of a licensing or other
10disciplinary action under this Act.
11    In enforcing this Section, the Department or Board, upon a
12showing of a possible violation, may compel any individual
13licensed to practice under this Act, or who has applied for
14licensure pursuant to this Act, to submit to a mental or
15physical examination, or both, as required by and at the
16expense of the Department. The examining physician or
17physicians shall be those specifically designated by the
18Department or Board. The Department or Board may order the
19examining physician to present testimony concerning this
20mental or physical examination of the licensee or applicant. No
21information shall be excluded by reason of any common law or
22statutory privilege relating to communications between the
23licensee or applicant and the examining physician. The
24individual to be examined may have, at his or her own expense,
25another physician of his or her choice present during all
26aspects of the examination. Failure of any individual to submit

 

 

HB2755- 530 -LRB099 08043 RPS 28187 b

1to mental or physical examination, when directed, shall be
2grounds for suspension of his or her license until such time as
3the individual submits to the examination if the Department
4finds, after notice and hearing, that the refusal to submit to
5the examination was without reasonable cause.
6    If the Department or Board finds an individual unable to
7practice because of the reasons set forth in this Section, the
8Department or Board shall require such individual to submit to
9care, counseling, or treatment by physicians approved or
10designated by the Department or Board, as a condition, term, or
11restriction for continued, reinstated, or renewed licensure to
12practice; or in lieu of care, counseling, or treatment, the
13Department may file, or the Board may recommend to the
14Department to file, a complaint to immediately suspend, revoke,
15or otherwise discipline the license of the individual. Any
16individual whose license was granted pursuant to this Act or
17continued, reinstated, renewed, disciplined or supervised,
18subject to such terms, conditions or restrictions who shall
19fail to comply with such terms, conditions or restrictions
20shall be referred to the Secretary for a determination as to
21whether the licensee shall have his or her license suspended
22immediately, pending a hearing by the Department. In instances
23in which the Secretary immediately suspends a license under
24this Section, a hearing upon such person's license must be
25convened by the Board within 30 days after such suspension and
26completed without appreciable delay. The Department and Board

 

 

HB2755- 531 -LRB099 08043 RPS 28187 b

1shall have the authority to review the subject administrator's
2record of treatment and counseling regarding the impairment, to
3the extent permitted by applicable federal statutes and
4regulations safeguarding the confidentiality of medical
5records.
6    An individual licensed under this Act, affected under this
7Section, shall be afforded an opportunity to demonstrate to the
8Department or Board that he or she can resume practice in
9compliance with acceptable and prevailing standards under the
10provisions of his or her license.
11    (b) Any individual or organization acting in good faith,
12and not in a wilful and wanton manner, in complying with this
13Act by providing any report or other information to the
14Department, or assisting in the investigation or preparation of
15such information, or by participating in proceedings of the
16Department, or by serving as a member of the Board, shall not,
17as a result of such actions, be subject to criminal prosecution
18or civil damages.
19    (c) Members of the Board, and persons retained under
20contract to assist and advise in an investigation, shall be
21indemnified by the State for any actions occurring within the
22scope of services on or for the Board, done in good faith and
23not wilful and wanton in nature. The Attorney General shall
24defend all such actions unless he or she determines either that
25there would be a conflict of interest in such representation or
26that the actions complained of were not in good faith or were

 

 

HB2755- 532 -LRB099 08043 RPS 28187 b

1wilful and wanton.
2    Should the Attorney General decline representation, a
3person entitled to indemnification under this Section shall
4have the right to employ counsel of his or her choice, whose
5fees shall be provided by the State, after approval by the
6Attorney General, unless there is a determination by a court
7that the member's actions were not in good faith or were wilful
8and wanton.
9    A person entitled to indemnification under this Section
10must notify the Attorney General within 7 days of receipt of
11notice of the initiation of any action involving services of
12the Board. Failure to so notify the Attorney General shall
13constitute an absolute waiver of the right to a defense and
14indemnification.
15    The Attorney General shall determine within 7 days after
16receiving such notice, whether he or she will undertake to
17represent a person entitled to indemnification under this
18Section.
19    (d) The determination by a circuit court that a licensee is
20subject to involuntary admission or judicial admission as
21provided in the Mental Health and Developmental Disabilities
22Code, as amended, operates as an automatic suspension. Such
23suspension will end only upon a finding by a court that the
24patient is no longer subject to involuntary admission or
25judicial admission and issues an order so finding and
26discharging the patient; and upon the recommendation of the

 

 

HB2755- 533 -LRB099 08043 RPS 28187 b

1Board to the Secretary that the licensee be allowed to resume
2his or her practice.
3    (e) The Department may refuse to issue or may suspend the
4license of any person who fails to file a return, or to pay the
5tax, penalty or interest shown in a filed return, or to pay any
6final assessment of tax, penalty or interest, as required by
7any tax Act administered by the Department of Revenue, until
8such time as the requirements of any such tax Act are
9satisfied.
10    (f) The Department of Public Health shall transmit to the
11Department a list of those facilities which receive an "A"
12violation as defined in Section 1-129 of the Nursing Home Care
13Act.
14(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12;
1597-1109, eff. 1-1-13; 97-1150, eff. 1-25-13; 98-104, eff.
167-22-13; 98-990, eff. 8-18-14.)
 
17    Section 160. The Pharmacy Practice Act is amended by
18changing Section 3 as follows:
 
19    (225 ILCS 85/3)
20    (Section scheduled to be repealed on January 1, 2018)
21    Sec. 3. Definitions. For the purpose of this Act, except
22where otherwise limited therein:
23    (a) "Pharmacy" or "drugstore" means and includes every
24store, shop, pharmacy department, or other place where

 

 

HB2755- 534 -LRB099 08043 RPS 28187 b

1pharmacist care is provided by a pharmacist (1) where drugs,
2medicines, or poisons are dispensed, sold or offered for sale
3at retail, or displayed for sale at retail; or (2) where
4prescriptions of physicians, dentists, advanced practice
5nurses, physician assistants, veterinarians, podiatric
6physicians, or optometrists, within the limits of their
7licenses, are compounded, filled, or dispensed; or (3) which
8has upon it or displayed within it, or affixed to or used in
9connection with it, a sign bearing the word or words
10"Pharmacist", "Druggist", "Pharmacy", "Pharmaceutical Care",
11"Apothecary", "Drugstore", "Medicine Store", "Prescriptions",
12"Drugs", "Dispensary", "Medicines", or any word or words of
13similar or like import, either in the English language or any
14other language; or (4) where the characteristic prescription
15sign (Rx) or similar design is exhibited; or (5) any store, or
16shop, or other place with respect to which any of the above
17words, objects, signs or designs are used in any advertisement.
18    (b) "Drugs" means and includes (l) articles recognized in
19the official United States Pharmacopoeia/National Formulary
20(USP/NF), or any supplement thereto and being intended for and
21having for their main use the diagnosis, cure, mitigation,
22treatment or prevention of disease in man or other animals, as
23approved by the United States Food and Drug Administration, but
24does not include devices or their components, parts, or
25accessories; and (2) all other articles intended for and having
26for their main use the diagnosis, cure, mitigation, treatment

 

 

HB2755- 535 -LRB099 08043 RPS 28187 b

1or prevention of disease in man or other animals, as approved
2by the United States Food and Drug Administration, but does not
3include devices or their components, parts, or accessories; and
4(3) articles (other than food) having for their main use and
5intended to affect the structure or any function of the body of
6man or other animals; and (4) articles having for their main
7use and intended for use as a component or any articles
8specified in clause (l), (2) or (3); but does not include
9devices or their components, parts or accessories.
10    (c) "Medicines" means and includes all drugs intended for
11human or veterinary use approved by the United States Food and
12Drug Administration.
13    (d) "Practice of pharmacy" means (1) the interpretation and
14the provision of assistance in the monitoring, evaluation, and
15implementation of prescription drug orders; (2) the dispensing
16of prescription drug orders; (3) participation in drug and
17device selection; (4) drug administration limited to the
18administration of oral, topical, injectable, and inhalation as
19follows: in the context of patient education on the proper use
20or delivery of medications; vaccination of patients 14 years of
21age and older pursuant to a valid prescription or standing
22order, by a physician licensed to practice medicine in all its
23branches, upon completion of appropriate training, including
24how to address contraindications and adverse reactions set
25forth by rule, with notification to the patient's physician and
26appropriate record retention, or pursuant to hospital pharmacy

 

 

HB2755- 536 -LRB099 08043 RPS 28187 b

1and therapeutics committee policies and procedures; (5)
2vaccination of patients ages 10 through 13 limited to the
3Influenza (inactivated influenza vaccine and live attenuated
4influenza intranasal vaccine) and Tdap (defined as tetanus,
5diphtheria, acellular pertussis) vaccines, pursuant to a valid
6prescription or standing order, by a physician licensed to
7practice medicine in all its branches, upon completion of
8appropriate training, including how to address
9contraindications and adverse reactions set forth by rule, with
10notification to the patient's physician and appropriate record
11retention, or pursuant to hospital pharmacy and therapeutics
12committee policies and procedures; (6) drug regimen review; (7)
13drug or drug-related research; (8) the provision of patient
14counseling; (9) the practice of telepharmacy; (10) the
15provision of those acts or services necessary to provide
16pharmacist care; (11) medication therapy management; and (12)
17the responsibility for compounding and labeling of drugs and
18devices (except labeling by a manufacturer, repackager, or
19distributor of non-prescription drugs and commercially
20packaged legend drugs and devices), proper and safe storage of
21drugs and devices, and maintenance of required records. A
22pharmacist who performs any of the acts defined as the practice
23of pharmacy in this State must be actively licensed as a
24pharmacist under this Act.
25    (e) "Prescription" means and includes any written, oral,
26facsimile, or electronically transmitted order for drugs or

 

 

HB2755- 537 -LRB099 08043 RPS 28187 b

1medical devices, issued by a physician licensed to practice
2medicine in all its branches, dentist, veterinarian, podiatric
3physician, or optometrist, within the limits of their licenses,
4by a physician assistant in accordance with subsection (f) of
5Section 4, or by an advanced practice nurse in accordance with
6subsection (g) of Section 4, containing the following: (l) name
7of the patient; (2) date when prescription was issued; (3) name
8and strength of drug or description of the medical device
9prescribed; and (4) quantity; (5) directions for use; (6)
10prescriber's name, address, and signature; and (7) DEA number
11where required, for controlled substances. The prescription
12may, but is not required to, list the illness, disease, or
13condition for which the drug or device is being prescribed. DEA
14numbers shall not be required on inpatient drug orders.
15    (f) "Person" means and includes a natural person,
16copartnership, association, corporation, government entity, or
17any other legal entity.
18    (g) "Department" means the Department of Financial and
19Professional Regulation.
20    (h) "Board of Pharmacy" or "Board" means the State Board of
21Pharmacy of the Department of Financial and Professional
22Regulation.
23    (i) "Secretary" means the Secretary of Financial and
24Professional Regulation.
25    (j) "Drug product selection" means the interchange for a
26prescribed pharmaceutical product in accordance with Section

 

 

HB2755- 538 -LRB099 08043 RPS 28187 b

125 of this Act and Section 3.14 of the Illinois Food, Drug and
2Cosmetic Act.
3    (k) "Inpatient drug order" means an order issued by an
4authorized prescriber for a resident or patient of a facility
5licensed under the Nursing Home Care Act, the ID/DD Community
6Care Act, the MC/DD Act, the Specialized Mental Health
7Rehabilitation Act of 2013, or the Hospital Licensing Act, or
8"An Act in relation to the founding and operation of the
9University of Illinois Hospital and the conduct of University
10of Illinois health care programs", approved July 3, 1931, as
11amended, or a facility which is operated by the Department of
12Human Services (as successor to the Department of Mental Health
13and Developmental Disabilities) or the Department of
14Corrections.
15    (k-5) "Pharmacist" means an individual health care
16professional and provider currently licensed by this State to
17engage in the practice of pharmacy.
18    (l) "Pharmacist in charge" means the licensed pharmacist
19whose name appears on a pharmacy license and who is responsible
20for all aspects of the operation related to the practice of
21pharmacy.
22    (m) "Dispense" or "dispensing" means the interpretation,
23evaluation, and implementation of a prescription drug order,
24including the preparation and delivery of a drug or device to a
25patient or patient's agent in a suitable container
26appropriately labeled for subsequent administration to or use

 

 

HB2755- 539 -LRB099 08043 RPS 28187 b

1by a patient in accordance with applicable State and federal
2laws and regulations. "Dispense" or "dispensing" does not mean
3the physical delivery to a patient or a patient's
4representative in a home or institution by a designee of a
5pharmacist or by common carrier. "Dispense" or "dispensing"
6also does not mean the physical delivery of a drug or medical
7device to a patient or patient's representative by a
8pharmacist's designee within a pharmacy or drugstore while the
9pharmacist is on duty and the pharmacy is open.
10    (n) "Nonresident pharmacy" means a pharmacy that is located
11in a state, commonwealth, or territory of the United States,
12other than Illinois, that delivers, dispenses, or distributes,
13through the United States Postal Service, commercially
14acceptable parcel delivery service, or other common carrier, to
15Illinois residents, any substance which requires a
16prescription.
17    (o) "Compounding" means the preparation and mixing of
18components, excluding flavorings, (1) as the result of a
19prescriber's prescription drug order or initiative based on the
20prescriber-patient-pharmacist relationship in the course of
21professional practice or (2) for the purpose of, or incident
22to, research, teaching, or chemical analysis and not for sale
23or dispensing. "Compounding" includes the preparation of drugs
24or devices in anticipation of receiving prescription drug
25orders based on routine, regularly observed dispensing
26patterns. Commercially available products may be compounded

 

 

HB2755- 540 -LRB099 08043 RPS 28187 b

1for dispensing to individual patients only if all of the
2following conditions are met: (i) the commercial product is not
3reasonably available from normal distribution channels in a
4timely manner to meet the patient's needs and (ii) the
5prescribing practitioner has requested that the drug be
6compounded.
7    (p) (Blank).
8    (q) (Blank).
9    (r) "Patient counseling" means the communication between a
10pharmacist or a student pharmacist under the supervision of a
11pharmacist and a patient or the patient's representative about
12the patient's medication or device for the purpose of
13optimizing proper use of prescription medications or devices.
14"Patient counseling" may include without limitation (1)
15obtaining a medication history; (2) acquiring a patient's
16allergies and health conditions; (3) facilitation of the
17patient's understanding of the intended use of the medication;
18(4) proper directions for use; (5) significant potential
19adverse events; (6) potential food-drug interactions; and (7)
20the need to be compliant with the medication therapy. A
21pharmacy technician may only participate in the following
22aspects of patient counseling under the supervision of a
23pharmacist: (1) obtaining medication history; (2) providing
24the offer for counseling by a pharmacist or student pharmacist;
25and (3) acquiring a patient's allergies and health conditions.
26    (s) "Patient profiles" or "patient drug therapy record"

 

 

HB2755- 541 -LRB099 08043 RPS 28187 b

1means the obtaining, recording, and maintenance of patient
2prescription information, including prescriptions for
3controlled substances, and personal information.
4    (t) (Blank).
5    (u) "Medical device" means an instrument, apparatus,
6implement, machine, contrivance, implant, in vitro reagent, or
7other similar or related article, including any component part
8or accessory, required under federal law to bear the label
9"Caution: Federal law requires dispensing by or on the order of
10a physician". A seller of goods and services who, only for the
11purpose of retail sales, compounds, sells, rents, or leases
12medical devices shall not, by reasons thereof, be required to
13be a licensed pharmacy.
14    (v) "Unique identifier" means an electronic signature,
15handwritten signature or initials, thumb print, or other
16acceptable biometric or electronic identification process as
17approved by the Department.
18    (w) "Current usual and customary retail price" means the
19price that a pharmacy charges to a non-third-party payor.
20    (x) "Automated pharmacy system" means a mechanical system
21located within the confines of the pharmacy or remote location
22that performs operations or activities, other than compounding
23or administration, relative to storage, packaging, dispensing,
24or distribution of medication, and which collects, controls,
25and maintains all transaction information.
26    (y) "Drug regimen review" means and includes the evaluation

 

 

HB2755- 542 -LRB099 08043 RPS 28187 b

1of prescription drug orders and patient records for (1) known
2allergies; (2) drug or potential therapy contraindications;
3(3) reasonable dose, duration of use, and route of
4administration, taking into consideration factors such as age,
5gender, and contraindications; (4) reasonable directions for
6use; (5) potential or actual adverse drug reactions; (6)
7drug-drug interactions; (7) drug-food interactions; (8)
8drug-disease contraindications; (9) therapeutic duplication;
9(10) patient laboratory values when authorized and available;
10(11) proper utilization (including over or under utilization)
11and optimum therapeutic outcomes; and (12) abuse and misuse.
12    (z) "Electronic transmission prescription" means any
13prescription order for which a facsimile or electronic image of
14the order is electronically transmitted from a licensed
15prescriber to a pharmacy. "Electronic transmission
16prescription" includes both data and image prescriptions.
17    (aa) "Medication therapy management services" means a
18distinct service or group of services offered by licensed
19pharmacists, physicians licensed to practice medicine in all
20its branches, advanced practice nurses authorized in a written
21agreement with a physician licensed to practice medicine in all
22its branches, or physician assistants authorized in guidelines
23by a supervising physician that optimize therapeutic outcomes
24for individual patients through improved medication use. In a
25retail or other non-hospital pharmacy, medication therapy
26management services shall consist of the evaluation of

 

 

HB2755- 543 -LRB099 08043 RPS 28187 b

1prescription drug orders and patient medication records to
2resolve conflicts with the following:
3        (1) known allergies;
4        (2) drug or potential therapy contraindications;
5        (3) reasonable dose, duration of use, and route of
6    administration, taking into consideration factors such as
7    age, gender, and contraindications;
8        (4) reasonable directions for use;
9        (5) potential or actual adverse drug reactions;
10        (6) drug-drug interactions;
11        (7) drug-food interactions;
12        (8) drug-disease contraindications;
13        (9) identification of therapeutic duplication;
14        (10) patient laboratory values when authorized and
15    available;
16        (11) proper utilization (including over or under
17    utilization) and optimum therapeutic outcomes; and
18        (12) drug abuse and misuse.
19    "Medication therapy management services" includes the
20following:
21        (1) documenting the services delivered and
22    communicating the information provided to patients'
23    prescribers within an appropriate time frame, not to exceed
24    48 hours;
25        (2) providing patient counseling designed to enhance a
26    patient's understanding and the appropriate use of his or

 

 

HB2755- 544 -LRB099 08043 RPS 28187 b

1    her medications; and
2        (3) providing information, support services, and
3    resources designed to enhance a patient's adherence with
4    his or her prescribed therapeutic regimens.
5    "Medication therapy management services" may also include
6patient care functions authorized by a physician licensed to
7practice medicine in all its branches for his or her identified
8patient or groups of patients under specified conditions or
9limitations in a standing order from the physician.
10    "Medication therapy management services" in a licensed
11hospital may also include the following:
12        (1) reviewing assessments of the patient's health
13    status; and
14        (2) following protocols of a hospital pharmacy and
15    therapeutics committee with respect to the fulfillment of
16    medication orders.
17    (bb) "Pharmacist care" means the provision by a pharmacist
18of medication therapy management services, with or without the
19dispensing of drugs or devices, intended to achieve outcomes
20that improve patient health, quality of life, and comfort and
21enhance patient safety.
22    (cc) "Protected health information" means individually
23identifiable health information that, except as otherwise
24provided, is:
25        (1) transmitted by electronic media;
26        (2) maintained in any medium set forth in the

 

 

HB2755- 545 -LRB099 08043 RPS 28187 b

1    definition of "electronic media" in the federal Health
2    Insurance Portability and Accountability Act; or
3        (3) transmitted or maintained in any other form or
4    medium.
5    "Protected health information" does not include
6individually identifiable health information found in:
7        (1) education records covered by the federal Family
8    Educational Right and Privacy Act; or
9        (2) employment records held by a licensee in its role
10    as an employer.
11    (dd) "Standing order" means a specific order for a patient
12or group of patients issued by a physician licensed to practice
13medicine in all its branches in Illinois.
14    (ee) "Address of record" means the address recorded by the
15Department in the applicant's or licensee's application file or
16license file, as maintained by the Department's licensure
17maintenance unit.
18    (ff) "Home pharmacy" means the location of a pharmacy's
19primary operations.
20(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
21eff. 7-13-12; 97-1043, eff. 8-21-12; 98-104, eff. 7-22-13;
2298-214, eff. 8-9-13; 98-756, eff. 7-16-14.)
 
23    Section 165. The Nurse Agency Licensing Act is amended by
24changing Section 3 as follows:
 

 

 

HB2755- 546 -LRB099 08043 RPS 28187 b

1    (225 ILCS 510/3)  (from Ch. 111, par. 953)
2    Sec. 3. Definitions. As used in this Act:
3    (a) "Certified nurse aide" means an individual certified as
4defined in Section 3-206 of the Nursing Home Care Act, or
5Section 3-206 of the ID/DD Community Care Act, or Section 3-206
6of the MC/DD Act, as now or hereafter amended.
7    (b) "Department" means the Department of Labor.
8    (c) "Director" means the Director of Labor.
9    (d) "Health care facility" is defined as in Section 3 of
10the Illinois Health Facilities Planning Act, as now or
11hereafter amended.
12    (e) "Licensee" means any nursing agency which is properly
13licensed under this Act.
14    (f) "Nurse" means a registered nurse or a licensed
15practical nurse as defined in the Nurse Practice Act.
16    (g) "Nurse agency" means any individual, firm,
17corporation, partnership or other legal entity that employs,
18assigns or refers nurses or certified nurse aides to a health
19care facility for a fee. The term "nurse agency" includes
20nurses registries. The term "nurse agency" does not include
21services provided by home health agencies licensed and operated
22under the Home Health, Home Services, and Home Nursing Agency
23Licensing Act or a licensed or certified individual who
24provides his or her own services as a regular employee of a
25health care facility, nor does it apply to a health care
26facility's organizing nonsalaried employees to provide

 

 

HB2755- 547 -LRB099 08043 RPS 28187 b

1services only in that facility.
2(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
3eff. 7-13-12; 98-104, eff. 7-22-13.)
 
4    Section 170. The Illinois Public Aid Code is amended by
5changing Sections 5-5, 5-5.7, 5-5.12, 5-5e, 5-6, 5B-1, 5E-5,
68A-11, 11-4.1, and 12-4.25 as follows:
 
7    (305 ILCS 5/5-5)  (from Ch. 23, par. 5-5)
8    Sec. 5-5. Medical services. The Illinois Department, by
9rule, shall determine the quantity and quality of and the rate
10of reimbursement for the medical assistance for which payment
11will be authorized, and the medical services to be provided,
12which may include all or part of the following: (1) inpatient
13hospital services; (2) outpatient hospital services; (3) other
14laboratory and X-ray services; (4) skilled nursing home
15services; (5) physicians' services whether furnished in the
16office, the patient's home, a hospital, a skilled nursing home,
17or elsewhere; (6) medical care, or any other type of remedial
18care furnished by licensed practitioners; (7) home health care
19services; (8) private duty nursing service; (9) clinic
20services; (10) dental services, including prevention and
21treatment of periodontal disease and dental caries disease for
22pregnant women, provided by an individual licensed to practice
23dentistry or dental surgery; for purposes of this item (10),
24"dental services" means diagnostic, preventive, or corrective

 

 

HB2755- 548 -LRB099 08043 RPS 28187 b

1procedures provided by or under the supervision of a dentist in
2the practice of his or her profession; (11) physical therapy
3and related services; (12) prescribed drugs, dentures, and
4prosthetic devices; and eyeglasses prescribed by a physician
5skilled in the diseases of the eye, or by an optometrist,
6whichever the person may select; (13) other diagnostic,
7screening, preventive, and rehabilitative services, including
8to ensure that the individual's need for intervention or
9treatment of mental disorders or substance use disorders or
10co-occurring mental health and substance use disorders is
11determined using a uniform screening, assessment, and
12evaluation process inclusive of criteria, for children and
13adults; for purposes of this item (13), a uniform screening,
14assessment, and evaluation process refers to a process that
15includes an appropriate evaluation and, as warranted, a
16referral; "uniform" does not mean the use of a singular
17instrument, tool, or process that all must utilize; (14)
18transportation and such other expenses as may be necessary;
19(15) medical treatment of sexual assault survivors, as defined
20in Section 1a of the Sexual Assault Survivors Emergency
21Treatment Act, for injuries sustained as a result of the sexual
22assault, including examinations and laboratory tests to
23discover evidence which may be used in criminal proceedings
24arising from the sexual assault; (16) the diagnosis and
25treatment of sickle cell anemia; and (17) any other medical
26care, and any other type of remedial care recognized under the

 

 

HB2755- 549 -LRB099 08043 RPS 28187 b

1laws of this State, but not including abortions, or induced
2miscarriages or premature births, unless, in the opinion of a
3physician, such procedures are necessary for the preservation
4of the life of the woman seeking such treatment, or except an
5induced premature birth intended to produce a live viable child
6and such procedure is necessary for the health of the mother or
7her unborn child. The Illinois Department, by rule, shall
8prohibit any physician from providing medical assistance to
9anyone eligible therefor under this Code where such physician
10has been found guilty of performing an abortion procedure in a
11wilful and wanton manner upon a woman who was not pregnant at
12the time such abortion procedure was performed. The term "any
13other type of remedial care" shall include nursing care and
14nursing home service for persons who rely on treatment by
15spiritual means alone through prayer for healing.
16    Notwithstanding any other provision of this Section, a
17comprehensive tobacco use cessation program that includes
18purchasing prescription drugs or prescription medical devices
19approved by the Food and Drug Administration shall be covered
20under the medical assistance program under this Article for
21persons who are otherwise eligible for assistance under this
22Article.
23    Notwithstanding any other provision of this Code, the
24Illinois Department may not require, as a condition of payment
25for any laboratory test authorized under this Article, that a
26physician's handwritten signature appear on the laboratory

 

 

HB2755- 550 -LRB099 08043 RPS 28187 b

1test order form. The Illinois Department may, however, impose
2other appropriate requirements regarding laboratory test order
3documentation.
4    Upon receipt of federal approval of an amendment to the
5Illinois Title XIX State Plan for this purpose, the Department
6shall authorize the Chicago Public Schools (CPS) to procure a
7vendor or vendors to manufacture eyeglasses for individuals
8enrolled in a school within the CPS system. CPS shall ensure
9that its vendor or vendors are enrolled as providers in the
10medical assistance program and in any capitated Medicaid
11managed care entity (MCE) serving individuals enrolled in a
12school within the CPS system. Under any contract procured under
13this provision, the vendor or vendors must serve only
14individuals enrolled in a school within the CPS system. Claims
15for services provided by CPS's vendor or vendors to recipients
16of benefits in the medical assistance program under this Code,
17the Children's Health Insurance Program, or the Covering ALL
18KIDS Health Insurance Program shall be submitted to the
19Department or the MCE in which the individual is enrolled for
20payment and shall be reimbursed at the Department's or the
21MCE's established rates or rate methodologies for eyeglasses.
22    On and after July 1, 2012, the Department of Healthcare and
23Family Services may provide the following services to persons
24eligible for assistance under this Article who are
25participating in education, training or employment programs
26operated by the Department of Human Services as successor to

 

 

HB2755- 551 -LRB099 08043 RPS 28187 b

1the Department of Public Aid:
2        (1) dental services provided by or under the
3    supervision of a dentist; and
4        (2) eyeglasses prescribed by a physician skilled in the
5    diseases of the eye, or by an optometrist, whichever the
6    person may select.
7    Notwithstanding any other provision of this Code and
8subject to federal approval, the Department may adopt rules to
9allow a dentist who is volunteering his or her service at no
10cost to render dental services through an enrolled
11not-for-profit health clinic without the dentist personally
12enrolling as a participating provider in the medical assistance
13program. A not-for-profit health clinic shall include a public
14health clinic or Federally Qualified Health Center or other
15enrolled provider, as determined by the Department, through
16which dental services covered under this Section are performed.
17The Department shall establish a process for payment of claims
18for reimbursement for covered dental services rendered under
19this provision.
20    The Illinois Department, by rule, may distinguish and
21classify the medical services to be provided only in accordance
22with the classes of persons designated in Section 5-2.
23    The Department of Healthcare and Family Services must
24provide coverage and reimbursement for amino acid-based
25elemental formulas, regardless of delivery method, for the
26diagnosis and treatment of (i) eosinophilic disorders and (ii)

 

 

HB2755- 552 -LRB099 08043 RPS 28187 b

1short bowel syndrome when the prescribing physician has issued
2a written order stating that the amino acid-based elemental
3formula is medically necessary.
4    The Illinois Department shall authorize the provision of,
5and shall authorize payment for, screening by low-dose
6mammography for the presence of occult breast cancer for women
735 years of age or older who are eligible for medical
8assistance under this Article, as follows:
9        (A) A baseline mammogram for women 35 to 39 years of
10    age.
11        (B) An annual mammogram for women 40 years of age or
12    older.
13        (C) A mammogram at the age and intervals considered
14    medically necessary by the woman's health care provider for
15    women under 40 years of age and having a family history of
16    breast cancer, prior personal history of breast cancer,
17    positive genetic testing, or other risk factors.
18        (D) A comprehensive ultrasound screening of an entire
19    breast or breasts if a mammogram demonstrates
20    heterogeneous or dense breast tissue, when medically
21    necessary as determined by a physician licensed to practice
22    medicine in all of its branches.
23    All screenings shall include a physical breast exam,
24instruction on self-examination and information regarding the
25frequency of self-examination and its value as a preventative
26tool. For purposes of this Section, "low-dose mammography"

 

 

HB2755- 553 -LRB099 08043 RPS 28187 b

1means the x-ray examination of the breast using equipment
2dedicated specifically for mammography, including the x-ray
3tube, filter, compression device, and image receptor, with an
4average radiation exposure delivery of less than one rad per
5breast for 2 views of an average size breast. The term also
6includes digital mammography.
7    On and after January 1, 2012, providers participating in a
8quality improvement program approved by the Department shall be
9reimbursed for screening and diagnostic mammography at the same
10rate as the Medicare program's rates, including the increased
11reimbursement for digital mammography.
12    The Department shall convene an expert panel including
13representatives of hospitals, free-standing mammography
14facilities, and doctors, including radiologists, to establish
15quality standards.
16    Subject to federal approval, the Department shall
17establish a rate methodology for mammography at federally
18qualified health centers and other encounter-rate clinics.
19These clinics or centers may also collaborate with other
20hospital-based mammography facilities.
21    The Department shall establish a methodology to remind
22women who are age-appropriate for screening mammography, but
23who have not received a mammogram within the previous 18
24months, of the importance and benefit of screening mammography.
25    The Department shall establish a performance goal for
26primary care providers with respect to their female patients

 

 

HB2755- 554 -LRB099 08043 RPS 28187 b

1over age 40 receiving an annual mammogram. This performance
2goal shall be used to provide additional reimbursement in the
3form of a quality performance bonus to primary care providers
4who meet that goal.
5    The Department shall devise a means of case-managing or
6patient navigation for beneficiaries diagnosed with breast
7cancer. This program shall initially operate as a pilot program
8in areas of the State with the highest incidence of mortality
9related to breast cancer. At least one pilot program site shall
10be in the metropolitan Chicago area and at least one site shall
11be outside the metropolitan Chicago area. An evaluation of the
12pilot program shall be carried out measuring health outcomes
13and cost of care for those served by the pilot program compared
14to similarly situated patients who are not served by the pilot
15program.
16    Any medical or health care provider shall immediately
17recommend, to any pregnant woman who is being provided prenatal
18services and is suspected of drug abuse or is addicted as
19defined in the Alcoholism and Other Drug Abuse and Dependency
20Act, referral to a local substance abuse treatment provider
21licensed by the Department of Human Services or to a licensed
22hospital which provides substance abuse treatment services.
23The Department of Healthcare and Family Services shall assure
24coverage for the cost of treatment of the drug abuse or
25addiction for pregnant recipients in accordance with the
26Illinois Medicaid Program in conjunction with the Department of

 

 

HB2755- 555 -LRB099 08043 RPS 28187 b

1Human Services.
2    All medical providers providing medical assistance to
3pregnant women under this Code shall receive information from
4the Department on the availability of services under the Drug
5Free Families with a Future or any comparable program providing
6case management services for addicted women, including
7information on appropriate referrals for other social services
8that may be needed by addicted women in addition to treatment
9for addiction.
10    The Illinois Department, in cooperation with the
11Departments of Human Services (as successor to the Department
12of Alcoholism and Substance Abuse) and Public Health, through a
13public awareness campaign, may provide information concerning
14treatment for alcoholism and drug abuse and addiction, prenatal
15health care, and other pertinent programs directed at reducing
16the number of drug-affected infants born to recipients of
17medical assistance.
18    Neither the Department of Healthcare and Family Services
19nor the Department of Human Services shall sanction the
20recipient solely on the basis of her substance abuse.
21    The Illinois Department shall establish such regulations
22governing the dispensing of health services under this Article
23as it shall deem appropriate. The Department should seek the
24advice of formal professional advisory committees appointed by
25the Director of the Illinois Department for the purpose of
26providing regular advice on policy and administrative matters,

 

 

HB2755- 556 -LRB099 08043 RPS 28187 b

1information dissemination and educational activities for
2medical and health care providers, and consistency in
3procedures to the Illinois Department.
4    The Illinois Department may develop and contract with
5Partnerships of medical providers to arrange medical services
6for persons eligible under Section 5-2 of this Code.
7Implementation of this Section may be by demonstration projects
8in certain geographic areas. The Partnership shall be
9represented by a sponsor organization. The Department, by rule,
10shall develop qualifications for sponsors of Partnerships.
11Nothing in this Section shall be construed to require that the
12sponsor organization be a medical organization.
13    The sponsor must negotiate formal written contracts with
14medical providers for physician services, inpatient and
15outpatient hospital care, home health services, treatment for
16alcoholism and substance abuse, and other services determined
17necessary by the Illinois Department by rule for delivery by
18Partnerships. Physician services must include prenatal and
19obstetrical care. The Illinois Department shall reimburse
20medical services delivered by Partnership providers to clients
21in target areas according to provisions of this Article and the
22Illinois Health Finance Reform Act, except that:
23        (1) Physicians participating in a Partnership and
24    providing certain services, which shall be determined by
25    the Illinois Department, to persons in areas covered by the
26    Partnership may receive an additional surcharge for such

 

 

HB2755- 557 -LRB099 08043 RPS 28187 b

1    services.
2        (2) The Department may elect to consider and negotiate
3    financial incentives to encourage the development of
4    Partnerships and the efficient delivery of medical care.
5        (3) Persons receiving medical services through
6    Partnerships may receive medical and case management
7    services above the level usually offered through the
8    medical assistance program.
9    Medical providers shall be required to meet certain
10qualifications to participate in Partnerships to ensure the
11delivery of high quality medical services. These
12qualifications shall be determined by rule of the Illinois
13Department and may be higher than qualifications for
14participation in the medical assistance program. Partnership
15sponsors may prescribe reasonable additional qualifications
16for participation by medical providers, only with the prior
17written approval of the Illinois Department.
18    Nothing in this Section shall limit the free choice of
19practitioners, hospitals, and other providers of medical
20services by clients. In order to ensure patient freedom of
21choice, the Illinois Department shall immediately promulgate
22all rules and take all other necessary actions so that provided
23services may be accessed from therapeutically certified
24optometrists to the full extent of the Illinois Optometric
25Practice Act of 1987 without discriminating between service
26providers.

 

 

HB2755- 558 -LRB099 08043 RPS 28187 b

1    The Department shall apply for a waiver from the United
2States Health Care Financing Administration to allow for the
3implementation of Partnerships under this Section.
4    The Illinois Department shall require health care
5providers to maintain records that document the medical care
6and services provided to recipients of Medical Assistance under
7this Article. Such records must be retained for a period of not
8less than 6 years from the date of service or as provided by
9applicable State law, whichever period is longer, except that
10if an audit is initiated within the required retention period
11then the records must be retained until the audit is completed
12and every exception is resolved. The Illinois Department shall
13require health care providers to make available, when
14authorized by the patient, in writing, the medical records in a
15timely fashion to other health care providers who are treating
16or serving persons eligible for Medical Assistance under this
17Article. All dispensers of medical services shall be required
18to maintain and retain business and professional records
19sufficient to fully and accurately document the nature, scope,
20details and receipt of the health care provided to persons
21eligible for medical assistance under this Code, in accordance
22with regulations promulgated by the Illinois Department. The
23rules and regulations shall require that proof of the receipt
24of prescription drugs, dentures, prosthetic devices and
25eyeglasses by eligible persons under this Section accompany
26each claim for reimbursement submitted by the dispenser of such

 

 

HB2755- 559 -LRB099 08043 RPS 28187 b

1medical services. No such claims for reimbursement shall be
2approved for payment by the Illinois Department without such
3proof of receipt, unless the Illinois Department shall have put
4into effect and shall be operating a system of post-payment
5audit and review which shall, on a sampling basis, be deemed
6adequate by the Illinois Department to assure that such drugs,
7dentures, prosthetic devices and eyeglasses for which payment
8is being made are actually being received by eligible
9recipients. Within 90 days after the effective date of this
10amendatory Act of 1984, the Illinois Department shall establish
11a current list of acquisition costs for all prosthetic devices
12and any other items recognized as medical equipment and
13supplies reimbursable under this Article and shall update such
14list on a quarterly basis, except that the acquisition costs of
15all prescription drugs shall be updated no less frequently than
16every 30 days as required by Section 5-5.12.
17    The rules and regulations of the Illinois Department shall
18require that a written statement including the required opinion
19of a physician shall accompany any claim for reimbursement for
20abortions, or induced miscarriages or premature births. This
21statement shall indicate what procedures were used in providing
22such medical services.
23    Notwithstanding any other law to the contrary, the Illinois
24Department shall, within 365 days after July 22, 2013, (the
25effective date of Public Act 98-104), establish procedures to
26permit skilled care facilities licensed under the Nursing Home

 

 

HB2755- 560 -LRB099 08043 RPS 28187 b

1Care Act to submit monthly billing claims for reimbursement
2purposes. Following development of these procedures, the
3Department shall have an additional 365 days to test the
4viability of the new system and to ensure that any necessary
5operational or structural changes to its information
6technology platforms are implemented.
7    Notwithstanding any other law to the contrary, the Illinois
8Department shall, within 365 days after August 15, 2014 (the
9effective date of Public Act 98-963) this amendatory Act of the
1098th General Assembly, establish procedures to permit ID/DD
11facilities licensed under the ID/DD Community Care Act to
12submit monthly billing claims for reimbursement purposes.
13Following development of these procedures, the Department
14shall have an additional 365 days to test the viability of the
15new system and to ensure that any necessary operational or
16structural changes to its information technology platforms are
17implemented.
18    Notwithstanding any other law to the contrary, the Illinois
19Department shall, within 365 days after the effective date of
20this amendatory Act of the 99th General Assembly, establish
21procedures to permit MC/DD facilities licensed under the MC/DD
22Act to submit monthly billing claims for reimbursement
23purposes. Following development of these procedures, the
24Department shall have an additional 365 days to test the
25viability of the new system and to ensure that any necessary
26operational or structural changes to its information

 

 

HB2755- 561 -LRB099 08043 RPS 28187 b

1technology platforms are implemented.
2    The Illinois Department shall require all dispensers of
3medical services, other than an individual practitioner or
4group of practitioners, desiring to participate in the Medical
5Assistance program established under this Article to disclose
6all financial, beneficial, ownership, equity, surety or other
7interests in any and all firms, corporations, partnerships,
8associations, business enterprises, joint ventures, agencies,
9institutions or other legal entities providing any form of
10health care services in this State under this Article.
11    The Illinois Department may require that all dispensers of
12medical services desiring to participate in the medical
13assistance program established under this Article disclose,
14under such terms and conditions as the Illinois Department may
15by rule establish, all inquiries from clients and attorneys
16regarding medical bills paid by the Illinois Department, which
17inquiries could indicate potential existence of claims or liens
18for the Illinois Department.
19    Enrollment of a vendor shall be subject to a provisional
20period and shall be conditional for one year. During the period
21of conditional enrollment, the Department may terminate the
22vendor's eligibility to participate in, or may disenroll the
23vendor from, the medical assistance program without cause.
24Unless otherwise specified, such termination of eligibility or
25disenrollment is not subject to the Department's hearing
26process. However, a disenrolled vendor may reapply without

 

 

HB2755- 562 -LRB099 08043 RPS 28187 b

1penalty.
2    The Department has the discretion to limit the conditional
3enrollment period for vendors based upon category of risk of
4the vendor.
5    Prior to enrollment and during the conditional enrollment
6period in the medical assistance program, all vendors shall be
7subject to enhanced oversight, screening, and review based on
8the risk of fraud, waste, and abuse that is posed by the
9category of risk of the vendor. The Illinois Department shall
10establish the procedures for oversight, screening, and review,
11which may include, but need not be limited to: criminal and
12financial background checks; fingerprinting; license,
13certification, and authorization verifications; unscheduled or
14unannounced site visits; database checks; prepayment audit
15reviews; audits; payment caps; payment suspensions; and other
16screening as required by federal or State law.
17    The Department shall define or specify the following: (i)
18by provider notice, the "category of risk of the vendor" for
19each type of vendor, which shall take into account the level of
20screening applicable to a particular category of vendor under
21federal law and regulations; (ii) by rule or provider notice,
22the maximum length of the conditional enrollment period for
23each category of risk of the vendor; and (iii) by rule, the
24hearing rights, if any, afforded to a vendor in each category
25of risk of the vendor that is terminated or disenrolled during
26the conditional enrollment period.

 

 

HB2755- 563 -LRB099 08043 RPS 28187 b

1    To be eligible for payment consideration, a vendor's
2payment claim or bill, either as an initial claim or as a
3resubmitted claim following prior rejection, must be received
4by the Illinois Department, or its fiscal intermediary, no
5later than 180 days after the latest date on the claim on which
6medical goods or services were provided, with the following
7exceptions:
8        (1) In the case of a provider whose enrollment is in
9    process by the Illinois Department, the 180-day period
10    shall not begin until the date on the written notice from
11    the Illinois Department that the provider enrollment is
12    complete.
13        (2) In the case of errors attributable to the Illinois
14    Department or any of its claims processing intermediaries
15    which result in an inability to receive, process, or
16    adjudicate a claim, the 180-day period shall not begin
17    until the provider has been notified of the error.
18        (3) In the case of a provider for whom the Illinois
19    Department initiates the monthly billing process.
20        (4) In the case of a provider operated by a unit of
21    local government with a population exceeding 3,000,000
22    when local government funds finance federal participation
23    for claims payments.
24    For claims for services rendered during a period for which
25a recipient received retroactive eligibility, claims must be
26filed within 180 days after the Department determines the

 

 

HB2755- 564 -LRB099 08043 RPS 28187 b

1applicant is eligible. For claims for which the Illinois
2Department is not the primary payer, claims must be submitted
3to the Illinois Department within 180 days after the final
4adjudication by the primary payer.
5    In the case of long term care facilities, within 5 days of
6receipt by the facility of required prescreening information,
7data for new admissions shall be entered into the Medical
8Electronic Data Interchange (MEDI) or the Recipient
9Eligibility Verification (REV) System or successor system, and
10within 15 days of receipt by the facility of required
11prescreening information, admission documents shall be
12submitted through MEDI or REV or shall be submitted directly to
13the Department of Human Services using required admission
14forms. Effective September 1, 2014, admission documents,
15including all prescreening information, must be submitted
16through MEDI or REV. Confirmation numbers assigned to an
17accepted transaction shall be retained by a facility to verify
18timely submittal. Once an admission transaction has been
19completed, all resubmitted claims following prior rejection
20are subject to receipt no later than 180 days after the
21admission transaction has been completed.
22    Claims that are not submitted and received in compliance
23with the foregoing requirements shall not be eligible for
24payment under the medical assistance program, and the State
25shall have no liability for payment of those claims.
26    To the extent consistent with applicable information and

 

 

HB2755- 565 -LRB099 08043 RPS 28187 b

1privacy, security, and disclosure laws, State and federal
2agencies and departments shall provide the Illinois Department
3access to confidential and other information and data necessary
4to perform eligibility and payment verifications and other
5Illinois Department functions. This includes, but is not
6limited to: information pertaining to licensure;
7certification; earnings; immigration status; citizenship; wage
8reporting; unearned and earned income; pension income;
9employment; supplemental security income; social security
10numbers; National Provider Identifier (NPI) numbers; the
11National Practitioner Data Bank (NPDB); program and agency
12exclusions; taxpayer identification numbers; tax delinquency;
13corporate information; and death records.
14    The Illinois Department shall enter into agreements with
15State agencies and departments, and is authorized to enter into
16agreements with federal agencies and departments, under which
17such agencies and departments shall share data necessary for
18medical assistance program integrity functions and oversight.
19The Illinois Department shall develop, in cooperation with
20other State departments and agencies, and in compliance with
21applicable federal laws and regulations, appropriate and
22effective methods to share such data. At a minimum, and to the
23extent necessary to provide data sharing, the Illinois
24Department shall enter into agreements with State agencies and
25departments, and is authorized to enter into agreements with
26federal agencies and departments, including but not limited to:

 

 

HB2755- 566 -LRB099 08043 RPS 28187 b

1the Secretary of State; the Department of Revenue; the
2Department of Public Health; the Department of Human Services;
3and the Department of Financial and Professional Regulation.
4    Beginning in fiscal year 2013, the Illinois Department
5shall set forth a request for information to identify the
6benefits of a pre-payment, post-adjudication, and post-edit
7claims system with the goals of streamlining claims processing
8and provider reimbursement, reducing the number of pending or
9rejected claims, and helping to ensure a more transparent
10adjudication process through the utilization of: (i) provider
11data verification and provider screening technology; and (ii)
12clinical code editing; and (iii) pre-pay, pre- or
13post-adjudicated predictive modeling with an integrated case
14management system with link analysis. Such a request for
15information shall not be considered as a request for proposal
16or as an obligation on the part of the Illinois Department to
17take any action or acquire any products or services.
18    The Illinois Department shall establish policies,
19procedures, standards and criteria by rule for the acquisition,
20repair and replacement of orthotic and prosthetic devices and
21durable medical equipment. Such rules shall provide, but not be
22limited to, the following services: (1) immediate repair or
23replacement of such devices by recipients; and (2) rental,
24lease, purchase or lease-purchase of durable medical equipment
25in a cost-effective manner, taking into consideration the
26recipient's medical prognosis, the extent of the recipient's

 

 

HB2755- 567 -LRB099 08043 RPS 28187 b

1needs, and the requirements and costs for maintaining such
2equipment. Subject to prior approval, such rules shall enable a
3recipient to temporarily acquire and use alternative or
4substitute devices or equipment pending repairs or
5replacements of any device or equipment previously authorized
6for such recipient by the Department.
7    The Department shall execute, relative to the nursing home
8prescreening project, written inter-agency agreements with the
9Department of Human Services and the Department on Aging, to
10effect the following: (i) intake procedures and common
11eligibility criteria for those persons who are receiving
12non-institutional services; and (ii) the establishment and
13development of non-institutional services in areas of the State
14where they are not currently available or are undeveloped; and
15(iii) notwithstanding any other provision of law, subject to
16federal approval, on and after July 1, 2012, an increase in the
17determination of need (DON) scores from 29 to 37 for applicants
18for institutional and home and community-based long term care;
19if and only if federal approval is not granted, the Department
20may, in conjunction with other affected agencies, implement
21utilization controls or changes in benefit packages to
22effectuate a similar savings amount for this population; and
23(iv) no later than July 1, 2013, minimum level of care
24eligibility criteria for institutional and home and
25community-based long term care; and (v) no later than October
261, 2013, establish procedures to permit long term care

 

 

HB2755- 568 -LRB099 08043 RPS 28187 b

1providers access to eligibility scores for individuals with an
2admission date who are seeking or receiving services from the
3long term care provider. In order to select the minimum level
4of care eligibility criteria, the Governor shall establish a
5workgroup that includes affected agency representatives and
6stakeholders representing the institutional and home and
7community-based long term care interests. This Section shall
8not restrict the Department from implementing lower level of
9care eligibility criteria for community-based services in
10circumstances where federal approval has been granted.
11    The Illinois Department shall develop and operate, in
12cooperation with other State Departments and agencies and in
13compliance with applicable federal laws and regulations,
14appropriate and effective systems of health care evaluation and
15programs for monitoring of utilization of health care services
16and facilities, as it affects persons eligible for medical
17assistance under this Code.
18    The Illinois Department shall report annually to the
19General Assembly, no later than the second Friday in April of
201979 and each year thereafter, in regard to:
21        (a) actual statistics and trends in utilization of
22    medical services by public aid recipients;
23        (b) actual statistics and trends in the provision of
24    the various medical services by medical vendors;
25        (c) current rate structures and proposed changes in
26    those rate structures for the various medical vendors; and

 

 

HB2755- 569 -LRB099 08043 RPS 28187 b

1        (d) efforts at utilization review and control by the
2    Illinois Department.
3    The period covered by each report shall be the 3 years
4ending on the June 30 prior to the report. The report shall
5include suggested legislation for consideration by the General
6Assembly. The filing of one copy of the report with the
7Speaker, one copy with the Minority Leader and one copy with
8the Clerk of the House of Representatives, one copy with the
9President, one copy with the Minority Leader and one copy with
10the Secretary of the Senate, one copy with the Legislative
11Research Unit, and such additional copies with the State
12Government Report Distribution Center for the General Assembly
13as is required under paragraph (t) of Section 7 of the State
14Library Act shall be deemed sufficient to comply with this
15Section.
16    Rulemaking authority to implement Public Act 95-1045, if
17any, is conditioned on the rules being adopted in accordance
18with all provisions of the Illinois Administrative Procedure
19Act and all rules and procedures of the Joint Committee on
20Administrative Rules; any purported rule not so adopted, for
21whatever reason, is unauthorized.
22    On and after July 1, 2012, the Department shall reduce any
23rate of reimbursement for services or other payments or alter
24any methodologies authorized by this Code to reduce any rate of
25reimbursement for services or other payments in accordance with
26Section 5-5e.

 

 

HB2755- 570 -LRB099 08043 RPS 28187 b

1    Because kidney transplantation can be an appropriate, cost
2effective alternative to renal dialysis when medically
3necessary and notwithstanding the provisions of Section 1-11 of
4this Code, beginning October 1, 2014, the Department shall
5cover kidney transplantation for noncitizens with end-stage
6renal disease who are not eligible for comprehensive medical
7benefits, who meet the residency requirements of Section 5-3 of
8this Code, and who would otherwise meet the financial
9requirements of the appropriate class of eligible persons under
10Section 5-2 of this Code. To qualify for coverage of kidney
11transplantation, such person must be receiving emergency renal
12dialysis services covered by the Department. Providers under
13this Section shall be prior approved and certified by the
14Department to perform kidney transplantation and the services
15under this Section shall be limited to services associated with
16kidney transplantation.
17(Source: P.A. 97-48, eff. 6-28-11; 97-638, eff. 1-1-12; 97-689,
18eff. 6-14-12; 97-1061, eff. 8-24-12; 98-104, Article 9, Section
199-5, eff. 7-22-13; 98-104, Article 12, Section 12-20, eff.
207-22-13; 98-303, eff. 8-9-13; 98-463, eff. 8-16-13; 98-651,
21eff. 6-16-14; 98-756, eff. 7-16-14; 98-963, eff. 8-15-14;
22revised 10-2-14.)
 
23    (305 ILCS 5/5-5.7)  (from Ch. 23, par. 5-5.7)
24    Sec. 5-5.7. Cost Reports - Audits. The Department of
25Healthcare and Family Services shall work with the Department

 

 

HB2755- 571 -LRB099 08043 RPS 28187 b

1of Public Health to use cost report information currently being
2collected under provisions of the Nursing Home Care Act, the
3Specialized Mental Health Rehabilitation Act of 2013, and the
4ID/DD Community Care Act, and the MC/DD Act. The Department of
5Healthcare and Family Services may, in conjunction with the
6Department of Public Health, develop in accordance with
7generally accepted accounting principles a uniform chart of
8accounts which each facility providing services under the
9medical assistance program shall adopt, after a reasonable
10period.
11    Facilities licensed under the Nursing Home Care Act, the
12Specialized Mental Health Rehabilitation Act of 2013, or the
13ID/DD Community Care Act, or the MC/DD Act and providers of
14adult developmental training services certified by the
15Department of Human Services pursuant to Section 15.2 of the
16Mental Health and Developmental Disabilities Administrative
17Act which provide services to clients eligible for medical
18assistance under this Article are responsible for submitting
19the required annual cost report to the Department of Healthcare
20and Family Services.
21    The Department of Healthcare and Family Services shall
22audit the financial and statistical records of each provider
23participating in the medical assistance program as a nursing
24facility, a specialized mental health rehabilitation facility,
25or an ICF/DD over a 3 year period, beginning with the close of
26the first cost reporting year. Following the end of this 3-year

 

 

HB2755- 572 -LRB099 08043 RPS 28187 b

1term, audits of the financial and statistical records will be
2performed each year in at least 20% of the facilities
3participating in the medical assistance program with at least
410% being selected on a random sample basis, and the remainder
5selected on the basis of exceptional profiles. All audits shall
6be conducted in accordance with generally accepted auditing
7standards.
8    The Department of Healthcare and Family Services shall
9establish prospective payment rates for categories or levels of
10services within each licensure class, in order to more
11appropriately recognize the individual needs of patients in
12nursing facilities.
13    The Department of Healthcare and Family Services shall
14provide, during the process of establishing the payment rate
15for nursing facility, specialized mental health rehabilitation
16facility, or ICF/DD services, or when a substantial change in
17rates is proposed, an opportunity for public review and comment
18on the proposed rates prior to their becoming effective.
19(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
20eff. 7-13-12; 98-104, eff. 7-22-13.)
 
21    (305 ILCS 5/5-5.12)  (from Ch. 23, par. 5-5.12)
22    Sec. 5-5.12. Pharmacy payments.
23    (a) Every request submitted by a pharmacy for reimbursement
24under this Article for prescription drugs provided to a
25recipient of aid under this Article shall include the name of

 

 

HB2755- 573 -LRB099 08043 RPS 28187 b

1the prescriber or an acceptable identification number as
2established by the Department.
3    (b) Pharmacies providing prescription drugs under this
4Article shall be reimbursed at a rate which shall include a
5professional dispensing fee as determined by the Illinois
6Department, plus the current acquisition cost of the
7prescription drug dispensed. The Illinois Department shall
8update its information on the acquisition costs of all
9prescription drugs no less frequently than every 30 days.
10However, the Illinois Department may set the rate of
11reimbursement for the acquisition cost, by rule, at a
12percentage of the current average wholesale acquisition cost.
13    (c) (Blank).
14    (d) The Department shall review utilization of narcotic
15medications in the medical assistance program and impose
16utilization controls that protect against abuse.
17    (e) When making determinations as to which drugs shall be
18on a prior approval list, the Department shall include as part
19of the analysis for this determination, the degree to which a
20drug may affect individuals in different ways based on factors
21including the gender of the person taking the medication.
22    (f) The Department shall cooperate with the Department of
23Public Health and the Department of Human Services Division of
24Mental Health in identifying psychotropic medications that,
25when given in a particular form, manner, duration, or frequency
26(including "as needed") in a dosage, or in conjunction with

 

 

HB2755- 574 -LRB099 08043 RPS 28187 b

1other psychotropic medications to a nursing home resident or to
2a resident of a facility licensed under the ID/DD Community
3Care Act or the MC/DD Act, may constitute a chemical restraint
4or an "unnecessary drug" as defined by the Nursing Home Care
5Act or Titles XVIII and XIX of the Social Security Act and the
6implementing rules and regulations. The Department shall
7require prior approval for any such medication prescribed for a
8nursing home resident or to a resident of a facility licensed
9under the ID/DD Community Care Act or the MC/DD Act, that
10appears to be a chemical restraint or an unnecessary drug. The
11Department shall consult with the Department of Human Services
12Division of Mental Health in developing a protocol and criteria
13for deciding whether to grant such prior approval.
14    (g) The Department may by rule provide for reimbursement of
15the dispensing of a 90-day supply of a generic or brand name,
16non-narcotic maintenance medication in circumstances where it
17is cost effective.
18    (g-5) On and after July 1, 2012, the Department may require
19the dispensing of drugs to nursing home residents be in a 7-day
20supply or other amount less than a 31-day supply. The
21Department shall pay only one dispensing fee per 31-day supply.
22    (h) Effective July 1, 2011, the Department shall
23discontinue coverage of select over-the-counter drugs,
24including analgesics and cough and cold and allergy
25medications.
26    (h-5) On and after July 1, 2012, the Department shall

 

 

HB2755- 575 -LRB099 08043 RPS 28187 b

1impose utilization controls, including, but not limited to,
2prior approval on specialty drugs, oncolytic drugs, drugs for
3the treatment of HIV or AIDS, immunosuppressant drugs, and
4biological products in order to maximize savings on these
5drugs. The Department may adjust payment methodologies for
6non-pharmacy billed drugs in order to incentivize the selection
7of lower-cost drugs. For drugs for the treatment of AIDS, the
8Department shall take into consideration the potential for
9non-adherence by certain populations, and shall develop
10protocols with organizations or providers primarily serving
11those with HIV/AIDS, as long as such measures intend to
12maintain cost neutrality with other utilization management
13controls such as prior approval. For hemophilia, the Department
14shall develop a program of utilization review and control which
15may include, in the discretion of the Department, prior
16approvals. The Department may impose special standards on
17providers that dispense blood factors which shall include, in
18the discretion of the Department, staff training and education;
19patient outreach and education; case management; in-home
20patient assessments; assay management; maintenance of stock;
21emergency dispensing timeframes; data collection and
22reporting; dispensing of supplies related to blood factor
23infusions; cold chain management and packaging practices; care
24coordination; product recalls; and emergency clinical
25consultation. The Department may require patients to receive a
26comprehensive examination annually at an appropriate provider

 

 

HB2755- 576 -LRB099 08043 RPS 28187 b

1in order to be eligible to continue to receive blood factor.
2    (i) On and after July 1, 2012, the Department shall reduce
3any rate of reimbursement for services or other payments or
4alter any methodologies authorized by this Code to reduce any
5rate of reimbursement for services or other payments in
6accordance with Section 5-5e.
7    (j) On and after July 1, 2012, the Department shall impose
8limitations on prescription drugs such that the Department
9shall not provide reimbursement for more than 4 prescriptions,
10including 3 brand name prescriptions, for distinct drugs in a
1130-day period, unless prior approval is received for all
12prescriptions in excess of the 4-prescription limit. Drugs in
13the following therapeutic classes shall not be subject to prior
14approval as a result of the 4-prescription limit:
15immunosuppressant drugs, oncolytic drugs, anti-retroviral
16drugs, and, on or after July 1, 2014, antipsychotic drugs. On
17or after July 1, 2014, the Department may exempt children with
18complex medical needs enrolled in a care coordination entity
19contracted with the Department to solely coordinate care for
20such children, if the Department determines that the entity has
21a comprehensive drug reconciliation program.
22    (k) No medication therapy management program implemented
23by the Department shall be contrary to the provisions of the
24Pharmacy Practice Act.
25    (l) Any provider enrolled with the Department that bills
26the Department for outpatient drugs and is eligible to enroll

 

 

HB2755- 577 -LRB099 08043 RPS 28187 b

1in the federal Drug Pricing Program under Section 340B of the
2federal Public Health Services Act shall enroll in that
3program. No entity participating in the federal Drug Pricing
4Program under Section 340B of the federal Public Health
5Services Act may exclude Medicaid from their participation in
6that program, although the Department may exclude entities
7defined in Section 1905(l)(2)(B) of the Social Security Act
8from this requirement.
9(Source: P.A. 97-38, eff. 6-28-11; 97-74, eff. 6-30-11; 97-333,
10eff. 8-12-11; 97-426, eff. 1-1-12; 97-689, eff. 6-14-12;
1197-813, eff. 7-13-12; 98-463, eff. 8-16-13; 98-651, eff.
126-16-14.)
 
13    (305 ILCS 5/5-5e)
14    (Text of Section before amendment by P.A. 98-1166)
15    Sec. 5-5e. Adjusted rates of reimbursement.
16    (a) Rates or payments for services in effect on June 30,
172012 shall be adjusted and services shall be affected as
18required by any other provision of this amendatory Act of the
1997th General Assembly. In addition, the Department shall do the
20following:
21        (1) Delink the per diem rate paid for supportive living
22    facility services from the per diem rate paid for nursing
23    facility services, effective for services provided on or
24    after May 1, 2011.
25        (2) Cease payment for bed reserves in nursing

 

 

HB2755- 578 -LRB099 08043 RPS 28187 b

1    facilities and specialized mental health rehabilitation
2    facilities.
3        (2.5) Cease payment for bed reserves for purposes of
4    inpatient hospitalizations to intermediate care facilities
5    for persons with development disabilities, except in the
6    instance of residents who are under 21 years of age.
7        (3) Cease payment of the $10 per day add-on payment to
8    nursing facilities for certain residents with
9    developmental disabilities.
10    (b) After the application of subsection (a),
11notwithstanding any other provision of this Code to the
12contrary and to the extent permitted by federal law, on and
13after July 1, 2012, the rates of reimbursement for services and
14other payments provided under this Code shall further be
15reduced as follows:
16        (1) Rates or payments for physician services, dental
17    services, or community health center services reimbursed
18    through an encounter rate, and services provided under the
19    Medicaid Rehabilitation Option of the Illinois Title XIX
20    State Plan shall not be further reduced.
21        (2) Rates or payments, or the portion thereof, paid to
22    a provider that is operated by a unit of local government
23    or State University that provides the non-federal share of
24    such services shall not be further reduced.
25        (3) Rates or payments for hospital services delivered
26    by a hospital defined as a Safety-Net Hospital under

 

 

HB2755- 579 -LRB099 08043 RPS 28187 b

1    Section 5-5e.1 of this Code shall not be further reduced.
2        (4) Rates or payments for hospital services delivered
3    by a Critical Access Hospital, which is an Illinois
4    hospital designated as a critical care hospital by the
5    Department of Public Health in accordance with 42 CFR 485,
6    Subpart F, shall not be further reduced.
7        (5) Rates or payments for Nursing Facility Services
8    shall only be further adjusted pursuant to Section 5-5.2 of
9    this Code.
10        (6) Rates or payments for services delivered by long
11    term care facilities licensed under the ID/DD Community
12    Care Act and developmental training services shall not be
13    further reduced.
14        (7) Rates or payments for services provided under
15    capitation rates shall be adjusted taking into
16    consideration the rates reduction and covered services
17    required by this amendatory Act of the 97th General
18    Assembly.
19        (8) For hospitals not previously described in this
20    subsection, the rates or payments for hospital services
21    shall be further reduced by 3.5%, except for payments
22    authorized under Section 5A-12.4 of this Code.
23        (9) For all other rates or payments for services
24    delivered by providers not specifically referenced in
25    paragraphs (1) through (8), rates or payments shall be
26    further reduced by 2.7%.

 

 

HB2755- 580 -LRB099 08043 RPS 28187 b

1    (c) Any assessment imposed by this Code shall continue and
2nothing in this Section shall be construed to cause it to
3cease.
4    (d) Notwithstanding any other provision of this Code to the
5contrary, subject to federal approval under Title XIX of the
6Social Security Act, for dates of service on and after July 1,
72014, rates or payments for services provided for the purpose
8of transitioning children from a hospital to home placement or
9other appropriate setting by a children's community-based
10health care center authorized under the Alternative Health Care
11Delivery Act shall be $683 per day.
12    (e) Notwithstanding any other provision of this Code to the
13contrary, subject to federal approval under Title XIX of the
14Social Security Act, for dates of service on and after July 1,
152014, rates or payments for home health visits shall be $72.
16    (f) Notwithstanding any other provision of this Code to the
17contrary, subject to federal approval under Title XIX of the
18Social Security Act, for dates of service on and after July 1,
192014, rates or payments for the certified nursing assistant
20component of the home health agency rate shall be $20.
21(Source: P.A. 97-689, eff. 6-14-12; 98-104, eff. 7-22-13;
2298-651, eff. 6-16-14.)
 
23    (Text of Section after amendment by P.A. 98-1166)
24    Sec. 5-5e. Adjusted rates of reimbursement.
25    (a) Rates or payments for services in effect on June 30,

 

 

HB2755- 581 -LRB099 08043 RPS 28187 b

12012 shall be adjusted and services shall be affected as
2required by any other provision of this amendatory Act of the
397th General Assembly. In addition, the Department shall do the
4following:
5        (1) Delink the per diem rate paid for supportive living
6    facility services from the per diem rate paid for nursing
7    facility services, effective for services provided on or
8    after May 1, 2011.
9        (2) Cease payment for bed reserves in nursing
10    facilities and specialized mental health rehabilitation
11    facilities; for purposes of therapeutic home visits for
12    individuals scoring as TBI on the MDS 3.0, beginning June
13    1, 2015, the Department shall approve payments for bed
14    reserves in nursing facilities and specialized mental
15    health rehabilitation facilities that have at least a 90%
16    occupancy level and at least 80% of their residents are
17    Medicaid eligible. Payment shall be at a daily rate of 75%
18    of an individual's current Medicaid per diem and shall not
19    exceed 10 days in a calendar month.
20        (2.5) Cease payment for bed reserves for purposes of
21    inpatient hospitalizations to intermediate care facilities
22    for persons with development disabilities, except in the
23    instance of residents who are under 21 years of age.
24        (3) Cease payment of the $10 per day add-on payment to
25    nursing facilities for certain residents with
26    developmental disabilities.

 

 

HB2755- 582 -LRB099 08043 RPS 28187 b

1    (b) After the application of subsection (a),
2notwithstanding any other provision of this Code to the
3contrary and to the extent permitted by federal law, on and
4after July 1, 2012, the rates of reimbursement for services and
5other payments provided under this Code shall further be
6reduced as follows:
7        (1) Rates or payments for physician services, dental
8    services, or community health center services reimbursed
9    through an encounter rate, and services provided under the
10    Medicaid Rehabilitation Option of the Illinois Title XIX
11    State Plan shall not be further reduced.
12        (2) Rates or payments, or the portion thereof, paid to
13    a provider that is operated by a unit of local government
14    or State University that provides the non-federal share of
15    such services shall not be further reduced.
16        (3) Rates or payments for hospital services delivered
17    by a hospital defined as a Safety-Net Hospital under
18    Section 5-5e.1 of this Code shall not be further reduced.
19        (4) Rates or payments for hospital services delivered
20    by a Critical Access Hospital, which is an Illinois
21    hospital designated as a critical care hospital by the
22    Department of Public Health in accordance with 42 CFR 485,
23    Subpart F, shall not be further reduced.
24        (5) Rates or payments for Nursing Facility Services
25    shall only be further adjusted pursuant to Section 5-5.2 of
26    this Code.

 

 

HB2755- 583 -LRB099 08043 RPS 28187 b

1        (6) Rates or payments for services delivered by long
2    term care facilities licensed under the ID/DD Community
3    Care Act or the MC/DD Act and developmental training
4    services shall not be further reduced.
5        (7) Rates or payments for services provided under
6    capitation rates shall be adjusted taking into
7    consideration the rates reduction and covered services
8    required by this amendatory Act of the 97th General
9    Assembly.
10        (8) For hospitals not previously described in this
11    subsection, the rates or payments for hospital services
12    shall be further reduced by 3.5%, except for payments
13    authorized under Section 5A-12.4 of this Code.
14        (9) For all other rates or payments for services
15    delivered by providers not specifically referenced in
16    paragraphs (1) through (8), rates or payments shall be
17    further reduced by 2.7%.
18    (c) Any assessment imposed by this Code shall continue and
19nothing in this Section shall be construed to cause it to
20cease.
21    (d) Notwithstanding any other provision of this Code to the
22contrary, subject to federal approval under Title XIX of the
23Social Security Act, for dates of service on and after July 1,
242014, rates or payments for services provided for the purpose
25of transitioning children from a hospital to home placement or
26other appropriate setting by a children's community-based

 

 

HB2755- 584 -LRB099 08043 RPS 28187 b

1health care center authorized under the Alternative Health Care
2Delivery Act shall be $683 per day.
3    (e) Notwithstanding any other provision of this Code to the
4contrary, subject to federal approval under Title XIX of the
5Social Security Act, for dates of service on and after July 1,
62014, rates or payments for home health visits shall be $72.
7    (f) Notwithstanding any other provision of this Code to the
8contrary, subject to federal approval under Title XIX of the
9Social Security Act, for dates of service on and after July 1,
102014, rates or payments for the certified nursing assistant
11component of the home health agency rate shall be $20.
12(Source: P.A. 97-689, eff. 6-14-12; 98-104, eff. 7-22-13;
1398-651, eff. 6-16-14; 98-1166, eff. 6-1-15.)
 
14    (305 ILCS 5/5-6)  (from Ch. 23, par. 5-6)
15    Sec. 5-6. Obligations incurred prior to death of a
16recipient. Obligations incurred but not paid for at the time of
17a recipient's death for services authorized under Section 5-5,
18including medical and other care in facilities as defined in
19the Nursing Home Care Act, the Specialized Mental Health
20Rehabilitation Act of 2013, or the ID/DD Community Care Act, or
21the MC/DD Act, or in like facilities not required to be
22licensed under that Act, may be paid, subject to the rules and
23regulations of the Illinois Department, after the death of the
24recipient.
25(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,

 

 

HB2755- 585 -LRB099 08043 RPS 28187 b

1eff. 7-13-12; 98-104, eff. 7-22-13.)
 
2    (305 ILCS 5/5B-1)  (from Ch. 23, par. 5B-1)
3    Sec. 5B-1. Definitions. As used in this Article, unless the
4context requires otherwise:
5    "Fund" means the Long-Term Care Provider Fund.
6    "Long-term care facility" means (i) a nursing facility,
7whether public or private and whether organized for profit or
8not-for-profit, that is subject to licensure by the Illinois
9Department of Public Health under the Nursing Home Care Act, or
10the ID/DD Community Care Act, or the MC/DD Act, including a
11county nursing home directed and maintained under Section
125-1005 of the Counties Code, and (ii) a part of a hospital in
13which skilled or intermediate long-term care services within
14the meaning of Title XVIII or XIX of the Social Security Act
15are provided; except that the term "long-term care facility"
16does not include a facility operated by a State agency or
17operated solely as an intermediate care facility for the
18mentally retarded within the meaning of Title XIX of the Social
19Security Act.
20    "Long-term care provider" means (i) a person licensed by
21the Department of Public Health to operate and maintain a
22skilled nursing or intermediate long-term care facility or (ii)
23a hospital provider that provides skilled or intermediate
24long-term care services within the meaning of Title XVIII or
25XIX of the Social Security Act. For purposes of this paragraph,

 

 

HB2755- 586 -LRB099 08043 RPS 28187 b

1"person" means any political subdivision of the State,
2municipal corporation, individual, firm, partnership,
3corporation, company, limited liability company, association,
4joint stock association, or trust, or a receiver, executor,
5trustee, guardian, or other representative appointed by order
6of any court. "Hospital provider" means a person licensed by
7the Department of Public Health to conduct, operate, or
8maintain a hospital.
9    "Occupied bed days" shall be computed separately for each
10long-term care facility operated or maintained by a long-term
11care provider, and means the sum for all beds of the number of
12days during the month on which each bed was occupied by a
13resident, other than a resident for whom Medicare Part A is the
14primary payer. For a resident whose care is covered by the
15Medicare Medicaid Alignment initiative demonstration, Medicare
16Part A is considered the primary payer.
17(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
18eff. 7-13-12; 98-651, eff. 6-16-14.)
 
19    (305 ILCS 5/5E-5)
20    Sec. 5E-5. Definitions. As used in this Article, unless the
21context requires otherwise:
22    "Nursing home" means (i) a skilled nursing or intermediate
23long-term care facility, whether public or private and whether
24organized for profit or not-for-profit, that is subject to
25licensure by the Illinois Department of Public Health under the

 

 

HB2755- 587 -LRB099 08043 RPS 28187 b

1Nursing Home Care Act, or the ID/DD Community Care Act, or the
2MC/DD Act, including a county nursing home directed and
3maintained under Section 5-1005 of the Counties Code, and (ii)
4a part of a hospital in which skilled or intermediate long-term
5care services within the meaning of Title XVIII or XIX of the
6Social Security Act are provided; except that the term "nursing
7home" does not include a facility operated solely as an
8intermediate care facility for the intellectually disabled
9within the meaning of Title XIX of the Social Security Act or a
10specialized mental health rehabilitation facility.
11    "Nursing home provider" means (i) a person licensed by the
12Department of Public Health to operate and maintain a skilled
13nursing or intermediate long-term care facility which charges
14its residents, a third party payor, Medicaid, or Medicare for
15skilled nursing or intermediate long-term care services, or
16(ii) a hospital provider that provides skilled or intermediate
17long-term care services within the meaning of Title XVIII or
18XIX of the Social Security Act. "Nursing home provider" does
19not include a person who operates or a provider who provides
20services within a specialized mental health rehabilitation
21facility. For purposes of this paragraph, "person" means any
22political subdivision of the State, municipal corporation,
23individual, firm, partnership, corporation, company, limited
24liability company, association, joint stock association, or
25trust, or a receiver, executor, trustee, guardian, or other
26representative appointed by order of any court. "Hospital

 

 

HB2755- 588 -LRB099 08043 RPS 28187 b

1provider" means a person licensed by the Department of Public
2Health to conduct, operate, or maintain a hospital.
3    "Licensed bed days" shall be computed separately for each
4nursing home operated or maintained by a nursing home provider
5and means, with respect to a nursing home provider, the sum for
6all nursing home beds of the number of days during a calendar
7quarter on which each bed is covered by a license issued to
8that provider under the Nursing Home Care Act or the Hospital
9Licensing Act.
10(Source: P.A. 96-339, eff. 7-1-10; 97-38, eff. 6-28-11; 97-227,
11eff. 1-1-12; 97-813, eff. 7-13-12.)
 
12    (305 ILCS 5/8A-11)  (from Ch. 23, par. 8A-11)
13    Sec. 8A-11. (a) No person shall:
14        (1) Knowingly charge a resident of a nursing home for
15    any services provided pursuant to Article V of the Illinois
16    Public Aid Code, money or other consideration at a rate in
17    excess of the rates established for covered services by the
18    Illinois Department pursuant to Article V of the Illinois
19    Public Aid Code; or
20        (2) Knowingly charge, solicit, accept or receive, in
21    addition to any amount otherwise authorized or required to
22    be paid pursuant to Article V of the Illinois Public Aid
23    Code, any gift, money, donation or other consideration:
24            (i) As a precondition to admitting or expediting
25        the admission of a recipient or applicant, pursuant to

 

 

HB2755- 589 -LRB099 08043 RPS 28187 b

1        Article V of the Illinois Public Aid Code, to a
2        long-term care facility as defined in Section 1-113 of
3        the Nursing Home Care Act or a facility as defined in
4        Section 1-113 of the ID/DD Community Care Act, Section
5        1-113 of the MC/DD Act, or Section 1-102 of the
6        Specialized Mental Health Rehabilitation Act of 2013;
7        and
8            (ii) As a requirement for the recipient's or
9        applicant's continued stay in such facility when the
10        cost of the services provided therein to the recipient
11        is paid for, in whole or in part, pursuant to Article V
12        of the Illinois Public Aid Code.
13    (b) Nothing herein shall prohibit a person from making a
14voluntary contribution, gift or donation to a long-term care
15facility.
16    (c) This paragraph shall not apply to agreements to provide
17continuing care or life care between a life care facility as
18defined by the Life Care Facilities Act, and a person
19financially eligible for benefits pursuant to Article V of the
20Illinois Public Aid Code.
21    (d) Any person who violates this Section shall be guilty of
22a business offense and fined not less than $5,000 nor more than
23$25,000.
24    (e) "Person", as used in this Section, means an individual,
25corporation, partnership, or unincorporated association.
26    (f) The State's Attorney of the county in which the

 

 

HB2755- 590 -LRB099 08043 RPS 28187 b

1facility is located and the Attorney General shall be notified
2by the Illinois Department of any alleged violations of this
3Section known to the Department.
4    (g) The Illinois Department shall adopt rules and
5regulations to carry out the provisions of this Section.
6(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
7eff. 7-13-12; 98-104, eff. 7-22-13.)
 
8    (305 ILCS 5/11-4.1)
9    Sec. 11-4.1. Medical providers assisting with applications
10for medical assistance. A provider enrolled to provide medical
11assistance services may, upon the request of an individual,
12accompany, represent, and assist the individual in applying for
13medical assistance under Article V of this Code. If an
14individual is unable to request such assistance due to
15incapacity or mental incompetence and has no other
16representative willing or able to assist in the application
17process, a facility licensed under the Nursing Home Care Act,
18or the ID/DD Community Care Act, or the MC/DD Act or certified
19under this Code is authorized to assist the individual in
20applying for long-term care services. Subject to the provisions
21of the Free Healthcare Benefits Application Assistance Act,
22nothing in this Section shall be construed as prohibiting any
23individual or entity from assisting another individual in
24applying for medical assistance under Article V of this Code.
25(Source: P.A. 96-1439, eff. 8-20-10; 97-227, eff. 1-1-12.)
 

 

 

HB2755- 591 -LRB099 08043 RPS 28187 b

1    (305 ILCS 5/12-4.25)  (from Ch. 23, par. 12-4.25)
2    Sec. 12-4.25. Medical assistance program; vendor
3participation.
4    (A) The Illinois Department may deny, suspend, or terminate
5the eligibility of any person, firm, corporation, association,
6agency, institution or other legal entity to participate as a
7vendor of goods or services to recipients under the medical
8assistance program under Article V, or may exclude any such
9person or entity from participation as such a vendor, and may
10deny, suspend, or recover payments, if after reasonable notice
11and opportunity for a hearing the Illinois Department finds:
12        (a) Such vendor is not complying with the Department's
13    policy or rules and regulations, or with the terms and
14    conditions prescribed by the Illinois Department in its
15    vendor agreement, which document shall be developed by the
16    Department as a result of negotiations with each vendor
17    category, including physicians, hospitals, long term care
18    facilities, pharmacists, optometrists, podiatric
19    physicians, and dentists setting forth the terms and
20    conditions applicable to the participation of each vendor
21    group in the program; or
22        (b) Such vendor has failed to keep or make available
23    for inspection, audit or copying, after receiving a written
24    request from the Illinois Department, such records
25    regarding payments claimed for providing services. This

 

 

HB2755- 592 -LRB099 08043 RPS 28187 b

1    section does not require vendors to make available patient
2    records of patients for whom services are not reimbursed
3    under this Code; or
4        (c) Such vendor has failed to furnish any information
5    requested by the Department regarding payments for
6    providing goods or services; or
7        (d) Such vendor has knowingly made, or caused to be
8    made, any false statement or representation of a material
9    fact in connection with the administration of the medical
10    assistance program; or
11        (e) Such vendor has furnished goods or services to a
12    recipient which are (1) in excess of need, (2) harmful, or
13    (3) of grossly inferior quality, all of such determinations
14    to be based upon competent medical judgment and
15    evaluations; or
16        (f) The vendor; a person with management
17    responsibility for a vendor; an officer or person owning,
18    either directly or indirectly, 5% or more of the shares of
19    stock or other evidences of ownership in a corporate
20    vendor; an owner of a sole proprietorship which is a
21    vendor; or a partner in a partnership which is a vendor,
22    either:
23            (1) was previously terminated, suspended, or
24        excluded from participation in the Illinois medical
25        assistance program, or was terminated, suspended, or
26        excluded from participation in another state or

 

 

HB2755- 593 -LRB099 08043 RPS 28187 b

1        federal medical assistance or health care program; or
2            (2) was a person with management responsibility
3        for a vendor previously terminated, suspended, or
4        excluded from participation in the Illinois medical
5        assistance program, or terminated, suspended, or
6        excluded from participation in another state or
7        federal medical assistance or health care program
8        during the time of conduct which was the basis for that
9        vendor's termination, suspension, or exclusion; or
10            (3) was an officer, or person owning, either
11        directly or indirectly, 5% or more of the shares of
12        stock or other evidences of ownership in a corporate or
13        limited liability company vendor previously
14        terminated, suspended, or excluded from participation
15        in the Illinois medical assistance program, or
16        terminated, suspended, or excluded from participation
17        in a state or federal medical assistance or health care
18        program during the time of conduct which was the basis
19        for that vendor's termination, suspension, or
20        exclusion; or
21            (4) was an owner of a sole proprietorship or
22        partner of a partnership previously terminated,
23        suspended, or excluded from participation in the
24        Illinois medical assistance program, or terminated,
25        suspended, or excluded from participation in a state or
26        federal medical assistance or health care program

 

 

HB2755- 594 -LRB099 08043 RPS 28187 b

1        during the time of conduct which was the basis for that
2        vendor's termination, suspension, or exclusion; or
3        (f-1) Such vendor has a delinquent debt owed to the
4    Illinois Department; or
5        (g) The vendor; a person with management
6    responsibility for a vendor; an officer or person owning,
7    either directly or indirectly, 5% or more of the shares of
8    stock or other evidences of ownership in a corporate or
9    limited liability company vendor; an owner of a sole
10    proprietorship which is a vendor; or a partner in a
11    partnership which is a vendor, either:
12            (1) has engaged in practices prohibited by
13        applicable federal or State law or regulation; or
14            (2) was a person with management responsibility
15        for a vendor at the time that such vendor engaged in
16        practices prohibited by applicable federal or State
17        law or regulation; or
18            (3) was an officer, or person owning, either
19        directly or indirectly, 5% or more of the shares of
20        stock or other evidences of ownership in a vendor at
21        the time such vendor engaged in practices prohibited by
22        applicable federal or State law or regulation; or
23            (4) was an owner of a sole proprietorship or
24        partner of a partnership which was a vendor at the time
25        such vendor engaged in practices prohibited by
26        applicable federal or State law or regulation; or

 

 

HB2755- 595 -LRB099 08043 RPS 28187 b

1        (h) The direct or indirect ownership of the vendor
2    (including the ownership of a vendor that is a sole
3    proprietorship, a partner's interest in a vendor that is a
4    partnership, or ownership of 5% or more of the shares of
5    stock or other evidences of ownership in a corporate
6    vendor) has been transferred by an individual who is
7    terminated, suspended, or excluded or barred from
8    participating as a vendor to the individual's spouse,
9    child, brother, sister, parent, grandparent, grandchild,
10    uncle, aunt, niece, nephew, cousin, or relative by
11    marriage.
12    (A-5) The Illinois Department may deny, suspend, or
13terminate the eligibility of any person, firm, corporation,
14association, agency, institution, or other legal entity to
15participate as a vendor of goods or services to recipients
16under the medical assistance program under Article V, or may
17exclude any such person or entity from participation as such a
18vendor, if, after reasonable notice and opportunity for a
19hearing, the Illinois Department finds that the vendor; a
20person with management responsibility for a vendor; an officer
21or person owning, either directly or indirectly, 5% or more of
22the shares of stock or other evidences of ownership in a
23corporate vendor; an owner of a sole proprietorship that is a
24vendor; or a partner in a partnership that is a vendor has been
25convicted of an offense based on fraud or willful
26misrepresentation related to any of the following:

 

 

HB2755- 596 -LRB099 08043 RPS 28187 b

1        (1) The medical assistance program under Article V of
2    this Code.
3        (2) A medical assistance or health care program in
4    another state.
5        (3) The Medicare program under Title XVIII of the
6    Social Security Act.
7        (4) The provision of health care services.
8        (5) A violation of this Code, as provided in Article
9    VIIIA, or another state or federal medical assistance
10    program or health care program.
11    (A-10) The Illinois Department may deny, suspend, or
12terminate the eligibility of any person, firm, corporation,
13association, agency, institution, or other legal entity to
14participate as a vendor of goods or services to recipients
15under the medical assistance program under Article V, or may
16exclude any such person or entity from participation as such a
17vendor, if, after reasonable notice and opportunity for a
18hearing, the Illinois Department finds that (i) the vendor,
19(ii) a person with management responsibility for a vendor,
20(iii) an officer or person owning, either directly or
21indirectly, 5% or more of the shares of stock or other
22evidences of ownership in a corporate vendor, (iv) an owner of
23a sole proprietorship that is a vendor, or (v) a partner in a
24partnership that is a vendor has been convicted of an offense
25related to any of the following:
26        (1) Murder.

 

 

HB2755- 597 -LRB099 08043 RPS 28187 b

1        (2) A Class X felony under the Criminal Code of 1961 or
2    the Criminal Code of 2012.
3        (3) Sexual misconduct that may subject recipients to an
4    undue risk of harm.
5        (4) A criminal offense that may subject recipients to
6    an undue risk of harm.
7        (5) A crime of fraud or dishonesty.
8        (6) A crime involving a controlled substance.
9        (7) A misdemeanor relating to fraud, theft,
10    embezzlement, breach of fiduciary responsibility, or other
11    financial misconduct related to a health care program.
12    (A-15) The Illinois Department may deny the eligibility of
13any person, firm, corporation, association, agency,
14institution, or other legal entity to participate as a vendor
15of goods or services to recipients under the medical assistance
16program under Article V if, after reasonable notice and
17opportunity for a hearing, the Illinois Department finds:
18        (1) The applicant or any person with management
19    responsibility for the applicant; an officer or member of
20    the board of directors of an applicant; an entity owning
21    (directly or indirectly) 5% or more of the shares of stock
22    or other evidences of ownership in a corporate vendor
23    applicant; an owner of a sole proprietorship applicant; a
24    partner in a partnership applicant; or a technical or other
25    advisor to an applicant has a debt owed to the Illinois
26    Department, and no payment arrangements acceptable to the

 

 

HB2755- 598 -LRB099 08043 RPS 28187 b

1    Illinois Department have been made by the applicant.
2        (2) The applicant or any person with management
3    responsibility for the applicant; an officer or member of
4    the board of directors of an applicant; an entity owning
5    (directly or indirectly) 5% or more of the shares of stock
6    or other evidences of ownership in a corporate vendor
7    applicant; an owner of a sole proprietorship applicant; a
8    partner in a partnership vendor applicant; or a technical
9    or other advisor to an applicant was (i) a person with
10    management responsibility, (ii) an officer or member of the
11    board of directors of an applicant, (iii) an entity owning
12    (directly or indirectly) 5% or more of the shares of stock
13    or other evidences of ownership in a corporate vendor, (iv)
14    an owner of a sole proprietorship, (v) a partner in a
15    partnership vendor, (vi) a technical or other advisor to a
16    vendor, during a period of time where the conduct of that
17    vendor resulted in a debt owed to the Illinois Department,
18    and no payment arrangements acceptable to the Illinois
19    Department have been made by that vendor.
20        (3) There is a credible allegation of the use,
21    transfer, or lease of assets of any kind to an applicant
22    from a current or prior vendor who has a debt owed to the
23    Illinois Department, no payment arrangements acceptable to
24    the Illinois Department have been made by that vendor or
25    the vendor's alternate payee, and the applicant knows or
26    should have known of such debt.

 

 

HB2755- 599 -LRB099 08043 RPS 28187 b

1        (4) There is a credible allegation of a transfer of
2    management responsibilities, or direct or indirect
3    ownership, to an applicant from a current or prior vendor
4    who has a debt owed to the Illinois Department, and no
5    payment arrangements acceptable to the Illinois Department
6    have been made by that vendor or the vendor's alternate
7    payee, and the applicant knows or should have known of such
8    debt.
9        (5) There is a credible allegation of the use,
10    transfer, or lease of assets of any kind to an applicant
11    who is a spouse, child, brother, sister, parent,
12    grandparent, grandchild, uncle, aunt, niece, relative by
13    marriage, nephew, cousin, or relative of a current or prior
14    vendor who has a debt owed to the Illinois Department and
15    no payment arrangements acceptable to the Illinois
16    Department have been made.
17        (6) There is a credible allegation that the applicant's
18    previous affiliations with a provider of medical services
19    that has an uncollected debt, a provider that has been or
20    is subject to a payment suspension under a federal health
21    care program, or a provider that has been previously
22    excluded from participation in the medical assistance
23    program, poses a risk of fraud, waste, or abuse to the
24    Illinois Department.
25    As used in this subsection, "credible allegation" is
26defined to include an allegation from any source, including,

 

 

HB2755- 600 -LRB099 08043 RPS 28187 b

1but not limited to, fraud hotline complaints, claims data
2mining, patterns identified through provider audits, civil
3actions filed under the Illinois False Claims Act, and law
4enforcement investigations. An allegation is considered to be
5credible when it has indicia of reliability.
6    (B) The Illinois Department shall deny, suspend or
7terminate the eligibility of any person, firm, corporation,
8association, agency, institution or other legal entity to
9participate as a vendor of goods or services to recipients
10under the medical assistance program under Article V, or may
11exclude any such person or entity from participation as such a
12vendor:
13        (1) immediately, if such vendor is not properly
14    licensed, certified, or authorized;
15        (2) within 30 days of the date when such vendor's
16    professional license, certification or other authorization
17    has been refused renewal, restricted, revoked, suspended,
18    or otherwise terminated; or
19        (3) if such vendor has been convicted of a violation of
20    this Code, as provided in Article VIIIA.
21    (C) Upon termination, suspension, or exclusion of a vendor
22of goods or services from participation in the medical
23assistance program authorized by this Article, a person with
24management responsibility for such vendor during the time of
25any conduct which served as the basis for that vendor's
26termination, suspension, or exclusion is barred from

 

 

HB2755- 601 -LRB099 08043 RPS 28187 b

1participation in the medical assistance program.
2    Upon termination, suspension, or exclusion of a corporate
3vendor, the officers and persons owning, directly or
4indirectly, 5% or more of the shares of stock or other
5evidences of ownership in the vendor during the time of any
6conduct which served as the basis for that vendor's
7termination, suspension, or exclusion are barred from
8participation in the medical assistance program. A person who
9owns, directly or indirectly, 5% or more of the shares of stock
10or other evidences of ownership in a terminated, suspended, or
11excluded vendor may not transfer his or her ownership interest
12in that vendor to his or her spouse, child, brother, sister,
13parent, grandparent, grandchild, uncle, aunt, niece, nephew,
14cousin, or relative by marriage.
15    Upon termination, suspension, or exclusion of a sole
16proprietorship or partnership, the owner or partners during the
17time of any conduct which served as the basis for that vendor's
18termination, suspension, or exclusion are barred from
19participation in the medical assistance program. The owner of a
20terminated, suspended, or excluded vendor that is a sole
21proprietorship, and a partner in a terminated, suspended, or
22excluded vendor that is a partnership, may not transfer his or
23her ownership or partnership interest in that vendor to his or
24her spouse, child, brother, sister, parent, grandparent,
25grandchild, uncle, aunt, niece, nephew, cousin, or relative by
26marriage.

 

 

HB2755- 602 -LRB099 08043 RPS 28187 b

1    A person who owns, directly or indirectly, 5% or more of
2the shares of stock or other evidences of ownership in a
3corporate or limited liability company vendor who owes a debt
4to the Department, if that vendor has not made payment
5arrangements acceptable to the Department, shall not transfer
6his or her ownership interest in that vendor, or vendor assets
7of any kind, to his or her spouse, child, brother, sister,
8parent, grandparent, grandchild, uncle, aunt, niece, nephew,
9cousin, or relative by marriage.
10    Rules adopted by the Illinois Department to implement these
11provisions shall specifically include a definition of the term
12"management responsibility" as used in this Section. Such
13definition shall include, but not be limited to, typical job
14titles, and duties and descriptions which will be considered as
15within the definition of individuals with management
16responsibility for a provider.
17    A vendor or a prior vendor who has been terminated,
18excluded, or suspended from the medical assistance program, or
19from another state or federal medical assistance or health care
20program, and any individual currently or previously barred from
21the medical assistance program, or from another state or
22federal medical assistance or health care program, as a result
23of being an officer or a person owning, directly or indirectly,
245% or more of the shares of stock or other evidences of
25ownership in a corporate or limited liability company vendor
26during the time of any conduct which served as the basis for

 

 

HB2755- 603 -LRB099 08043 RPS 28187 b

1that vendor's termination, suspension, or exclusion, may be
2required to post a surety bond as part of a condition of
3enrollment or participation in the medical assistance program.
4The Illinois Department shall establish, by rule, the criteria
5and requirements for determining when a surety bond must be
6posted and the value of the bond.
7    A vendor or a prior vendor who has a debt owed to the
8Illinois Department and any individual currently or previously
9barred from the medical assistance program, or from another
10state or federal medical assistance or health care program, as
11a result of being an officer or a person owning, directly or
12indirectly, 5% or more of the shares of stock or other
13evidences of ownership in that corporate or limited liability
14company vendor during the time of any conduct which served as
15the basis for the debt, may be required to post a surety bond
16as part of a condition of enrollment or participation in the
17medical assistance program. The Illinois Department shall
18establish, by rule, the criteria and requirements for
19determining when a surety bond must be posted and the value of
20the bond.
21    (D) If a vendor has been suspended from the medical
22assistance program under Article V of the Code, the Director
23may require that such vendor correct any deficiencies which
24served as the basis for the suspension. The Director shall
25specify in the suspension order a specific period of time,
26which shall not exceed one year from the date of the order,

 

 

HB2755- 604 -LRB099 08043 RPS 28187 b

1during which a suspended vendor shall not be eligible to
2participate. At the conclusion of the period of suspension the
3Director shall reinstate such vendor, unless he finds that such
4vendor has not corrected deficiencies upon which the suspension
5was based.
6    If a vendor has been terminated, suspended, or excluded
7from the medical assistance program under Article V, such
8vendor shall be barred from participation for at least one
9year, except that if a vendor has been terminated, suspended,
10or excluded based on a conviction of a violation of Article
11VIIIA or a conviction of a felony based on fraud or a willful
12misrepresentation related to (i) the medical assistance
13program under Article V, (ii) a federal or another state's
14medical assistance or health care program, or (iii) the
15provision of health care services, then the vendor shall be
16barred from participation for 5 years or for the length of the
17vendor's sentence for that conviction, whichever is longer. At
18the end of one year a vendor who has been terminated,
19suspended, or excluded may apply for reinstatement to the
20program. Upon proper application to be reinstated such vendor
21may be deemed eligible by the Director providing that such
22vendor meets the requirements for eligibility under this Code.
23If such vendor is deemed not eligible for reinstatement, he
24shall be barred from again applying for reinstatement for one
25year from the date his application for reinstatement is denied.
26    A vendor whose termination, suspension, or exclusion from

 

 

HB2755- 605 -LRB099 08043 RPS 28187 b

1participation in the Illinois medical assistance program under
2Article V was based solely on an action by a governmental
3entity other than the Illinois Department may, upon
4reinstatement by that governmental entity or upon reversal of
5the termination, suspension, or exclusion, apply for
6rescission of the termination, suspension, or exclusion from
7participation in the Illinois medical assistance program. Upon
8proper application for rescission, the vendor may be deemed
9eligible by the Director if the vendor meets the requirements
10for eligibility under this Code.
11    If a vendor has been terminated, suspended, or excluded and
12reinstated to the medical assistance program under Article V
13and the vendor is terminated, suspended, or excluded a second
14or subsequent time from the medical assistance program, the
15vendor shall be barred from participation for at least 2 years,
16except that if a vendor has been terminated, suspended, or
17excluded a second time based on a conviction of a violation of
18Article VIIIA or a conviction of a felony based on fraud or a
19willful misrepresentation related to (i) the medical
20assistance program under Article V, (ii) a federal or another
21state's medical assistance or health care program, or (iii) the
22provision of health care services, then the vendor shall be
23barred from participation for life. At the end of 2 years, a
24vendor who has been terminated, suspended, or excluded may
25apply for reinstatement to the program. Upon application to be
26reinstated, the vendor may be deemed eligible if the vendor

 

 

HB2755- 606 -LRB099 08043 RPS 28187 b

1meets the requirements for eligibility under this Code. If the
2vendor is deemed not eligible for reinstatement, the vendor
3shall be barred from again applying for reinstatement for 2
4years from the date the vendor's application for reinstatement
5is denied.
6    (E) The Illinois Department may recover money improperly or
7erroneously paid, or overpayments, either by setoff, crediting
8against future billings or by requiring direct repayment to the
9Illinois Department. The Illinois Department may suspend or
10deny payment, in whole or in part, if such payment would be
11improper or erroneous or would otherwise result in overpayment.
12        (1) Payments may be suspended, denied, or recovered
13    from a vendor or alternate payee: (i) for services rendered
14    in violation of the Illinois Department's provider
15    notices, statutes, rules, and regulations; (ii) for
16    services rendered in violation of the terms and conditions
17    prescribed by the Illinois Department in its vendor
18    agreement; (iii) for any vendor who fails to grant the
19    Office of Inspector General timely access to full and
20    complete records, including, but not limited to, records
21    relating to recipients under the medical assistance
22    program for the most recent 6 years, in accordance with
23    Section 140.28 of Title 89 of the Illinois Administrative
24    Code, and other information for the purpose of audits,
25    investigations, or other program integrity functions,
26    after reasonable written request by the Inspector General;

 

 

HB2755- 607 -LRB099 08043 RPS 28187 b

1    this subsection (E) does not require vendors to make
2    available the medical records of patients for whom services
3    are not reimbursed under this Code or to provide access to
4    medical records more than 6 years old; (iv) when the vendor
5    has knowingly made, or caused to be made, any false
6    statement or representation of a material fact in
7    connection with the administration of the medical
8    assistance program; or (v) when the vendor previously
9    rendered services while terminated, suspended, or excluded
10    from participation in the medical assistance program or
11    while terminated or excluded from participation in another
12    state or federal medical assistance or health care program.
13        (2) Notwithstanding any other provision of law, if a
14    vendor has the same taxpayer identification number
15    (assigned under Section 6109 of the Internal Revenue Code
16    of 1986) as is assigned to a vendor with past-due financial
17    obligations to the Illinois Department, the Illinois
18    Department may make any necessary adjustments to payments
19    to that vendor in order to satisfy any past-due
20    obligations, regardless of whether the vendor is assigned a
21    different billing number under the medical assistance
22    program.
23    (E-5) Civil monetary penalties.
24        (1) As used in this subsection (E-5):
25            (a) "Knowingly" means that a person, with respect
26        to information: (i) has actual knowledge of the

 

 

HB2755- 608 -LRB099 08043 RPS 28187 b

1        information; (ii) acts in deliberate ignorance of the
2        truth or falsity of the information; or (iii) acts in
3        reckless disregard of the truth or falsity of the
4        information. No proof of specific intent to defraud is
5        required.
6            (b) "Overpayment" means any funds that a person
7        receives or retains from the medical assistance
8        program to which the person, after applicable
9        reconciliation, is not entitled under this Code.
10            (c) "Remuneration" means the offer or transfer of
11        items or services for free or for other than fair
12        market value by a person; however, remuneration does
13        not include items or services of a nominal value of no
14        more than $10 per item or service, or $50 in the
15        aggregate on an annual basis, or any other offer or
16        transfer of items or services as determined by the
17        Department.
18            (d) "Should know" means that a person, with respect
19        to information: (i) acts in deliberate ignorance of the
20        truth or falsity of the information; or (ii) acts in
21        reckless disregard of the truth or falsity of the
22        information. No proof of specific intent to defraud is
23        required.
24        (2) Any person (including a vendor, provider,
25    organization, agency, or other entity, or an alternate
26    payee thereof, but excluding a recipient) who:

 

 

HB2755- 609 -LRB099 08043 RPS 28187 b

1            (a) knowingly presents or causes to be presented to
2        an officer, employee, or agent of the State, a claim
3        that the Department determines:
4                (i) is for a medical or other item or service
5            that the person knows or should know was not
6            provided as claimed, including any person who
7            engages in a pattern or practice of presenting or
8            causing to be presented a claim for an item or
9            service that is based on a code that the person
10            knows or should know will result in a greater
11            payment to the person than the code the person
12            knows or should know is applicable to the item or
13            service actually provided;
14                (ii) is for a medical or other item or service
15            and the person knows or should know that the claim
16            is false or fraudulent;
17                (iii) is presented for a vendor physician's
18            service, or an item or service incident to a vendor
19            physician's service, by a person who knows or
20            should know that the individual who furnished, or
21            supervised the furnishing of, the service:
22                    (AA) was not licensed as a physician;
23                    (BB) was licensed as a physician but such
24                license had been obtained through a
25                misrepresentation of material fact (including
26                cheating on an examination required for

 

 

HB2755- 610 -LRB099 08043 RPS 28187 b

1                licensing); or
2                    (CC) represented to the patient at the
3                time the service was furnished that the
4                physician was certified in a medical specialty
5                by a medical specialty board, when the
6                individual was not so certified;
7                (iv) is for a medical or other item or service
8            furnished during a period in which the person was
9            excluded from the medical assistance program or a
10            federal or state health care program under which
11            the claim was made pursuant to applicable law; or
12                (v) is for a pattern of medical or other items
13            or services that a person knows or should know are
14            not medically necessary;
15            (b) knowingly presents or causes to be presented to
16        any person a request for payment which is in violation
17        of the conditions for receipt of vendor payments under
18        the medical assistance program under Section 11-13 of
19        this Code;
20            (c) knowingly gives or causes to be given to any
21        person, with respect to medical assistance program
22        coverage of inpatient hospital services, information
23        that he or she knows or should know is false or
24        misleading, and that could reasonably be expected to
25        influence the decision when to discharge such person or
26        other individual from the hospital;

 

 

HB2755- 611 -LRB099 08043 RPS 28187 b

1            (d) in the case of a person who is not an
2        organization, agency, or other entity, is excluded
3        from participating in the medical assistance program
4        or a federal or state health care program and who, at
5        the time of a violation of this subsection (E-5):
6                (i) retains a direct or indirect ownership or
7            control interest in an entity that is
8            participating in the medical assistance program or
9            a federal or state health care program, and who
10            knows or should know of the action constituting the
11            basis for the exclusion; or
12                (ii) is an officer or managing employee of such
13            an entity;
14            (e) offers or transfers remuneration to any
15        individual eligible for benefits under the medical
16        assistance program that such person knows or should
17        know is likely to influence such individual to order or
18        receive from a particular vendor, provider,
19        practitioner, or supplier any item or service for which
20        payment may be made, in whole or in part, under the
21        medical assistance program;
22            (f) arranges or contracts (by employment or
23        otherwise) with an individual or entity that the person
24        knows or should know is excluded from participation in
25        the medical assistance program or a federal or state
26        health care program, for the provision of items or

 

 

HB2755- 612 -LRB099 08043 RPS 28187 b

1        services for which payment may be made under such a
2        program;
3            (g) commits an act described in subsection (b) or
4        (c) of Section 8A-3;
5            (h) knowingly makes, uses, or causes to be made or
6        used, a false record or statement material to a false
7        or fraudulent claim for payment for items and services
8        furnished under the medical assistance program;
9            (i) fails to grant timely access, upon reasonable
10        request (as defined by the Department by rule), to the
11        Inspector General, for the purpose of audits,
12        investigations, evaluations, or other statutory
13        functions of the Inspector General of the Department;
14            (j) orders or prescribes a medical or other item or
15        service during a period in which the person was
16        excluded from the medical assistance program or a
17        federal or state health care program, in the case where
18        the person knows or should know that a claim for such
19        medical or other item or service will be made under
20        such a program;
21            (k) knowingly makes or causes to be made any false
22        statement, omission, or misrepresentation of a
23        material fact in any application, bid, or contract to
24        participate or enroll as a vendor or provider of
25        services or a supplier under the medical assistance
26        program;

 

 

HB2755- 613 -LRB099 08043 RPS 28187 b

1            (l) knows of an overpayment and does not report and
2        return the overpayment to the Department in accordance
3        with paragraph (6);
4    shall be subject, in addition to any other penalties that
5    may be prescribed by law, to a civil money penalty of not
6    more than $10,000 for each item or service (or, in cases
7    under subparagraph (c), $15,000 for each individual with
8    respect to whom false or misleading information was given;
9    in cases under subparagraph (d), $10,000 for each day the
10    prohibited relationship occurs; in cases under
11    subparagraph (g), $50,000 for each such act; in cases under
12    subparagraph (h), $50,000 for each false record or
13    statement; in cases under subparagraph (i), $15,000 for
14    each day of the failure described in such subparagraph; or
15    in cases under subparagraph (k), $50,000 for each false
16    statement, omission, or misrepresentation of a material
17    fact). In addition, such a person shall be subject to an
18    assessment of not more than 3 times the amount claimed for
19    each such item or service in lieu of damages sustained by
20    the State because of such claim (or, in cases under
21    subparagraph (g), damages of not more than 3 times the
22    total amount of remuneration offered, paid, solicited, or
23    received, without regard to whether a portion of such
24    remuneration was offered, paid, solicited, or received for
25    a lawful purpose; or in cases under subparagraph (k), an
26    assessment of not more than 3 times the total amount

 

 

HB2755- 614 -LRB099 08043 RPS 28187 b

1    claimed for each item or service for which payment was made
2    based upon the application, bid, or contract containing the
3    false statement, omission, or misrepresentation of a
4    material fact).
5        (3) In addition, the Director or his or her designee
6    may make a determination in the same proceeding to exclude,
7    terminate, suspend, or bar the person from participation in
8    the medical assistance program.
9        (4) The Illinois Department may seek the civil monetary
10    penalties and exclusion, termination, suspension, or
11    barment identified in this subsection (E-5). Prior to the
12    imposition of any penalties or sanctions, the affected
13    person shall be afforded an opportunity for a hearing after
14    reasonable notice. The Department shall establish hearing
15    procedures by rule.
16        (5) Any final order, decision, or other determination
17    made, issued, or executed by the Director under the
18    provisions of this subsection (E-5), whereby a person is
19    aggrieved, shall be subject to review in accordance with
20    the provisions of the Administrative Review Law, and the
21    rules adopted pursuant thereto, which shall apply to and
22    govern all proceedings for the judicial review of final
23    administrative decisions of the Director.
24        (6)(a) If a person has received an overpayment, the
25    person shall:
26            (i) report and return the overpayment to the

 

 

HB2755- 615 -LRB099 08043 RPS 28187 b

1        Department at the correct address; and
2            (ii) notify the Department in writing of the reason
3        for the overpayment.
4        (b) An overpayment must be reported and returned under
5    subparagraph (a) by the later of:
6            (i) the date which is 60 days after the date on
7        which the overpayment was identified; or
8            (ii) the date any corresponding cost report is due,
9        if applicable.
10    (E-10) A vendor who disputes an overpayment identified as
11part of a Department audit shall utilize the Department's
12self-referral disclosure protocol as set forth under this Code
13to identify, investigate, and return to the Department any
14undisputed audit overpayment amount. Unless the disputed
15overpayment amount is subject to a fraud payment suspension, or
16involves a termination sanction, the Department shall defer the
17recovery of the disputed overpayment amount up to one year
18after the date of the Department's final audit determination,
19or earlier, or as required by State or federal law. If the
20administrative hearing extends beyond one year, and such delay
21was not caused by the request of the vendor, then the
22Department shall not recover the disputed overpayment amount
23until the date of the final administrative decision. If a final
24administrative decision establishes that the disputed
25overpayment amount is owed to the Department, then the amount
26shall be immediately due to the Department. The Department

 

 

HB2755- 616 -LRB099 08043 RPS 28187 b

1shall be entitled to recover interest from the vendor on the
2overpayment amount from the date of the overpayment through the
3date the vendor returns the overpayment to the Department at a
4rate not to exceed the Wall Street Journal Prime Rate, as
5published from time to time, but not to exceed 5%. Any interest
6billed by the Department shall be due immediately upon receipt
7of the Department's billing statement.
8    (F) The Illinois Department may withhold payments to any
9vendor or alternate payee prior to or during the pendency of
10any audit or proceeding under this Section, and through the
11pendency of any administrative appeal or administrative review
12by any court proceeding. The Illinois Department shall state by
13rule with as much specificity as practicable the conditions
14under which payments will not be withheld under this Section.
15Payments may be denied for bills submitted with service dates
16occurring during the pendency of a proceeding, after a final
17decision has been rendered, or after the conclusion of any
18administrative appeal, where the final administrative decision
19is to terminate, exclude, or suspend eligibility to participate
20in the medical assistance program. The Illinois Department
21shall state by rule with as much specificity as practicable the
22conditions under which payments will not be denied for such
23bills. The Illinois Department shall state by rule a process
24and criteria by which a vendor or alternate payee may request
25full or partial release of payments withheld under this
26subsection. The Department must complete a proceeding under

 

 

HB2755- 617 -LRB099 08043 RPS 28187 b

1this Section in a timely manner.
2    Notwithstanding recovery allowed under subsection (E) or
3this subsection (F), the Illinois Department may withhold
4payments to any vendor or alternate payee who is not properly
5licensed, certified, or in compliance with State or federal
6agency regulations. Payments may be denied for bills submitted
7with service dates occurring during the period of time that a
8vendor is not properly licensed, certified, or in compliance
9with State or federal regulations. Facilities licensed under
10the Nursing Home Care Act shall have payments denied or
11withheld pursuant to subsection (I) of this Section.
12    (F-5) The Illinois Department may temporarily withhold
13payments to a vendor or alternate payee if any of the following
14individuals have been indicted or otherwise charged under a law
15of the United States or this or any other state with an offense
16that is based on alleged fraud or willful misrepresentation on
17the part of the individual related to (i) the medical
18assistance program under Article V of this Code, (ii) a federal
19or another state's medical assistance or health care program,
20or (iii) the provision of health care services:
21        (1) If the vendor or alternate payee is a corporation:
22    an officer of the corporation or an individual who owns,
23    either directly or indirectly, 5% or more of the shares of
24    stock or other evidence of ownership of the corporation.
25        (2) If the vendor is a sole proprietorship: the owner
26    of the sole proprietorship.

 

 

HB2755- 618 -LRB099 08043 RPS 28187 b

1        (3) If the vendor or alternate payee is a partnership:
2    a partner in the partnership.
3        (4) If the vendor or alternate payee is any other
4    business entity authorized by law to transact business in
5    this State: an officer of the entity or an individual who
6    owns, either directly or indirectly, 5% or more of the
7    evidences of ownership of the entity.
8    If the Illinois Department withholds payments to a vendor
9or alternate payee under this subsection, the Department shall
10not release those payments to the vendor or alternate payee
11while any criminal proceeding related to the indictment or
12charge is pending unless the Department determines that there
13is good cause to release the payments before completion of the
14proceeding. If the indictment or charge results in the
15individual's conviction, the Illinois Department shall retain
16all withheld payments, which shall be considered forfeited to
17the Department. If the indictment or charge does not result in
18the individual's conviction, the Illinois Department shall
19release to the vendor or alternate payee all withheld payments.
20    (F-10) If the Illinois Department establishes that the
21vendor or alternate payee owes a debt to the Illinois
22Department, and the vendor or alternate payee subsequently
23fails to pay or make satisfactory payment arrangements with the
24Illinois Department for the debt owed, the Illinois Department
25may seek all remedies available under the law of this State to
26recover the debt, including, but not limited to, wage

 

 

HB2755- 619 -LRB099 08043 RPS 28187 b

1garnishment or the filing of claims or liens against the vendor
2or alternate payee.
3    (F-15) Enforcement of judgment.
4        (1) Any fine, recovery amount, other sanction, or costs
5    imposed, or part of any fine, recovery amount, other
6    sanction, or cost imposed, remaining unpaid after the
7    exhaustion of or the failure to exhaust judicial review
8    procedures under the Illinois Administrative Review Law is
9    a debt due and owing the State and may be collected using
10    all remedies available under the law.
11        (2) After expiration of the period in which judicial
12    review under the Illinois Administrative Review Law may be
13    sought for a final administrative decision, unless stayed
14    by a court of competent jurisdiction, the findings,
15    decision, and order of the Director may be enforced in the
16    same manner as a judgment entered by a court of competent
17    jurisdiction.
18        (3) In any case in which any person or entity has
19    failed to comply with a judgment ordering or imposing any
20    fine or other sanction, any expenses incurred by the
21    Illinois Department to enforce the judgment, including,
22    but not limited to, attorney's fees, court costs, and costs
23    related to property demolition or foreclosure, after they
24    are fixed by a court of competent jurisdiction or the
25    Director, shall be a debt due and owing the State and may
26    be collected in accordance with applicable law. Prior to

 

 

HB2755- 620 -LRB099 08043 RPS 28187 b

1    any expenses being fixed by a final administrative decision
2    pursuant to this subsection (F-15), the Illinois
3    Department shall provide notice to the individual or entity
4    that states that the individual or entity shall appear at a
5    hearing before the administrative hearing officer to
6    determine whether the individual or entity has failed to
7    comply with the judgment. The notice shall set the date for
8    such a hearing, which shall not be less than 7 days from
9    the date that notice is served. If notice is served by
10    mail, the 7-day period shall begin to run on the date that
11    the notice was deposited in the mail.
12        (4) Upon being recorded in the manner required by
13    Article XII of the Code of Civil Procedure or by the
14    Uniform Commercial Code, a lien shall be imposed on the
15    real estate or personal estate, or both, of the individual
16    or entity in the amount of any debt due and owing the State
17    under this Section. The lien may be enforced in the same
18    manner as a judgment of a court of competent jurisdiction.
19    A lien shall attach to all property and assets of such
20    person, firm, corporation, association, agency,
21    institution, or other legal entity until the judgment is
22    satisfied.
23        (5) The Director may set aside any judgment entered by
24    default and set a new hearing date upon a petition filed at
25    any time (i) if the petitioner's failure to appear at the
26    hearing was for good cause, or (ii) if the petitioner

 

 

HB2755- 621 -LRB099 08043 RPS 28187 b

1    established that the Department did not provide proper
2    service of process. If any judgment is set aside pursuant
3    to this paragraph (5), the hearing officer shall have
4    authority to enter an order extinguishing any lien which
5    has been recorded for any debt due and owing the Illinois
6    Department as a result of the vacated default judgment.
7    (G) The provisions of the Administrative Review Law, as now
8or hereafter amended, and the rules adopted pursuant thereto,
9shall apply to and govern all proceedings for the judicial
10review of final administrative decisions of the Illinois
11Department under this Section. The term "administrative
12decision" is defined as in Section 3-101 of the Code of Civil
13Procedure.
14    (G-5) Vendors who pose a risk of fraud, waste, abuse, or
15harm.
16        (1) Notwithstanding any other provision in this
17    Section, the Department may terminate, suspend, or exclude
18    vendors who pose a risk of fraud, waste, abuse, or harm
19    from participation in the medical assistance program prior
20    to an evidentiary hearing but after reasonable notice and
21    opportunity to respond as established by the Department by
22    rule.
23        (2) Vendors who pose a risk of fraud, waste, abuse, or
24    harm shall submit to a fingerprint-based criminal
25    background check on current and future information
26    available in the State system and current information

 

 

HB2755- 622 -LRB099 08043 RPS 28187 b

1    available through the Federal Bureau of Investigation's
2    system by submitting all necessary fees and information in
3    the form and manner prescribed by the Department of State
4    Police. The following individuals shall be subject to the
5    check:
6            (A) In the case of a vendor that is a corporation,
7        every shareholder who owns, directly or indirectly, 5%
8        or more of the outstanding shares of the corporation.
9            (B) In the case of a vendor that is a partnership,
10        every partner.
11            (C) In the case of a vendor that is a sole
12        proprietorship, the sole proprietor.
13            (D) Each officer or manager of the vendor.
14        Each such vendor shall be responsible for payment of
15    the cost of the criminal background check.
16        (3) Vendors who pose a risk of fraud, waste, abuse, or
17    harm may be required to post a surety bond. The Department
18    shall establish, by rule, the criteria and requirements for
19    determining when a surety bond must be posted and the value
20    of the bond.
21        (4) The Department, or its agents, may refuse to accept
22    requests for authorization from specific vendors who pose a
23    risk of fraud, waste, abuse, or harm, including
24    prior-approval and post-approval requests, if:
25            (A) the Department has initiated a notice of
26        termination, suspension, or exclusion of the vendor

 

 

HB2755- 623 -LRB099 08043 RPS 28187 b

1        from participation in the medical assistance program;
2        or
3            (B) the Department has issued notification of its
4        withholding of payments pursuant to subsection (F-5)
5        of this Section; or
6            (C) the Department has issued a notification of its
7        withholding of payments due to reliable evidence of
8        fraud or willful misrepresentation pending
9        investigation.
10        (5) As used in this subsection, the following terms are
11    defined as follows:
12            (A) "Fraud" means an intentional deception or
13        misrepresentation made by a person with the knowledge
14        that the deception could result in some unauthorized
15        benefit to himself or herself or some other person. It
16        includes any act that constitutes fraud under
17        applicable federal or State law.
18            (B) "Abuse" means provider practices that are
19        inconsistent with sound fiscal, business, or medical
20        practices and that result in an unnecessary cost to the
21        medical assistance program or in reimbursement for
22        services that are not medically necessary or that fail
23        to meet professionally recognized standards for health
24        care. It also includes recipient practices that result
25        in unnecessary cost to the medical assistance program.
26        Abuse does not include diagnostic or therapeutic

 

 

HB2755- 624 -LRB099 08043 RPS 28187 b

1        measures conducted primarily as a safeguard against
2        possible vendor liability.
3            (C) "Waste" means the unintentional misuse of
4        medical assistance resources, resulting in unnecessary
5        cost to the medical assistance program. Waste does not
6        include diagnostic or therapeutic measures conducted
7        primarily as a safeguard against possible vendor
8        liability.
9            (D) "Harm" means physical, mental, or monetary
10        damage to recipients or to the medical assistance
11        program.
12    (G-6) The Illinois Department, upon making a determination
13based upon information in the possession of the Illinois
14Department that continuation of participation in the medical
15assistance program by a vendor would constitute an immediate
16danger to the public, may immediately suspend such vendor's
17participation in the medical assistance program without a
18hearing. In instances in which the Illinois Department
19immediately suspends the medical assistance program
20participation of a vendor under this Section, a hearing upon
21the vendor's participation must be convened by the Illinois
22Department within 15 days after such suspension and completed
23without appreciable delay. Such hearing shall be held to
24determine whether to recommend to the Director that the
25vendor's medical assistance program participation be denied,
26terminated, suspended, placed on provisional status, or

 

 

HB2755- 625 -LRB099 08043 RPS 28187 b

1reinstated. In the hearing, any evidence relevant to the vendor
2constituting an immediate danger to the public may be
3introduced against such vendor; provided, however, that the
4vendor, or his or her counsel, shall have the opportunity to
5discredit, impeach, and submit evidence rebutting such
6evidence.
7    (H) Nothing contained in this Code shall in any way limit
8or otherwise impair the authority or power of any State agency
9responsible for licensing of vendors.
10    (I) Based on a finding of noncompliance on the part of a
11nursing home with any requirement for certification under Title
12XVIII or XIX of the Social Security Act (42 U.S.C. Sec. 1395 et
13seq. or 42 U.S.C. Sec. 1396 et seq.), the Illinois Department
14may impose one or more of the following remedies after notice
15to the facility:
16        (1) Termination of the provider agreement.
17        (2) Temporary management.
18        (3) Denial of payment for new admissions.
19        (4) Civil money penalties.
20        (5) Closure of the facility in emergency situations or
21    transfer of residents, or both.
22        (6) State monitoring.
23        (7) Denial of all payments when the U.S. Department of
24    Health and Human Services has imposed this sanction.
25    The Illinois Department shall by rule establish criteria
26governing continued payments to a nursing facility subsequent

 

 

HB2755- 626 -LRB099 08043 RPS 28187 b

1to termination of the facility's provider agreement if, in the
2sole discretion of the Illinois Department, circumstances
3affecting the health, safety, and welfare of the facility's
4residents require those continued payments. The Illinois
5Department may condition those continued payments on the
6appointment of temporary management, sale of the facility to
7new owners or operators, or other arrangements that the
8Illinois Department determines best serve the needs of the
9facility's residents.
10    Except in the case of a facility that has a right to a
11hearing on the finding of noncompliance before an agency of the
12federal government, a facility may request a hearing before a
13State agency on any finding of noncompliance within 60 days
14after the notice of the intent to impose a remedy. Except in
15the case of civil money penalties, a request for a hearing
16shall not delay imposition of the penalty. The choice of
17remedies is not appealable at a hearing. The level of
18noncompliance may be challenged only in the case of a civil
19money penalty. The Illinois Department shall provide by rule
20for the State agency that will conduct the evidentiary
21hearings.
22    The Illinois Department may collect interest on unpaid
23civil money penalties.
24    The Illinois Department may adopt all rules necessary to
25implement this subsection (I).
26    (J) The Illinois Department, by rule, may permit individual

 

 

HB2755- 627 -LRB099 08043 RPS 28187 b

1practitioners to designate that Department payments that may be
2due the practitioner be made to an alternate payee or alternate
3payees.
4        (a) Such alternate payee or alternate payees shall be
5    required to register as an alternate payee in the Medical
6    Assistance Program with the Illinois Department.
7        (b) If a practitioner designates an alternate payee,
8    the alternate payee and practitioner shall be jointly and
9    severally liable to the Department for payments made to the
10    alternate payee. Pursuant to subsection (E) of this
11    Section, any Department action to suspend or deny payment
12    or recover money or overpayments from an alternate payee
13    shall be subject to an administrative hearing.
14        (c) Registration as an alternate payee or alternate
15    payees in the Illinois Medical Assistance Program shall be
16    conditional. At any time, the Illinois Department may deny
17    or cancel any alternate payee's registration in the
18    Illinois Medical Assistance Program without cause. Any
19    such denial or cancellation is not subject to an
20    administrative hearing.
21        (d) The Illinois Department may seek a revocation of
22    any alternate payee, and all owners, officers, and
23    individuals with management responsibility for such
24    alternate payee shall be permanently prohibited from
25    participating as an owner, an officer, or an individual
26    with management responsibility with an alternate payee in

 

 

HB2755- 628 -LRB099 08043 RPS 28187 b

1    the Illinois Medical Assistance Program, if after
2    reasonable notice and opportunity for a hearing the
3    Illinois Department finds that:
4            (1) the alternate payee is not complying with the
5        Department's policy or rules and regulations, or with
6        the terms and conditions prescribed by the Illinois
7        Department in its alternate payee registration
8        agreement; or
9            (2) the alternate payee has failed to keep or make
10        available for inspection, audit, or copying, after
11        receiving a written request from the Illinois
12        Department, such records regarding payments claimed as
13        an alternate payee; or
14            (3) the alternate payee has failed to furnish any
15        information requested by the Illinois Department
16        regarding payments claimed as an alternate payee; or
17            (4) the alternate payee has knowingly made, or
18        caused to be made, any false statement or
19        representation of a material fact in connection with
20        the administration of the Illinois Medical Assistance
21        Program; or
22            (5) the alternate payee, a person with management
23        responsibility for an alternate payee, an officer or
24        person owning, either directly or indirectly, 5% or
25        more of the shares of stock or other evidences of
26        ownership in a corporate alternate payee, or a partner

 

 

HB2755- 629 -LRB099 08043 RPS 28187 b

1        in a partnership which is an alternate payee:
2                (a) was previously terminated, suspended, or
3            excluded from participation as a vendor in the
4            Illinois Medical Assistance Program, or was
5            previously revoked as an alternate payee in the
6            Illinois Medical Assistance Program, or was
7            terminated, suspended, or excluded from
8            participation as a vendor in a medical assistance
9            program in another state that is of the same kind
10            as the program of medical assistance provided
11            under Article V of this Code; or
12                (b) was a person with management
13            responsibility for a vendor previously terminated,
14            suspended, or excluded from participation as a
15            vendor in the Illinois Medical Assistance Program,
16            or was previously revoked as an alternate payee in
17            the Illinois Medical Assistance Program, or was
18            terminated, suspended, or excluded from
19            participation as a vendor in a medical assistance
20            program in another state that is of the same kind
21            as the program of medical assistance provided
22            under Article V of this Code, during the time of
23            conduct which was the basis for that vendor's
24            termination, suspension, or exclusion or alternate
25            payee's revocation; or
26                (c) was an officer, or person owning, either

 

 

HB2755- 630 -LRB099 08043 RPS 28187 b

1            directly or indirectly, 5% or more of the shares of
2            stock or other evidences of ownership in a
3            corporate vendor previously terminated, suspended,
4            or excluded from participation as a vendor in the
5            Illinois Medical Assistance Program, or was
6            previously revoked as an alternate payee in the
7            Illinois Medical Assistance Program, or was
8            terminated, suspended, or excluded from
9            participation as a vendor in a medical assistance
10            program in another state that is of the same kind
11            as the program of medical assistance provided
12            under Article V of this Code, during the time of
13            conduct which was the basis for that vendor's
14            termination, suspension, or exclusion; or
15                (d) was an owner of a sole proprietorship or
16            partner in a partnership previously terminated,
17            suspended, or excluded from participation as a
18            vendor in the Illinois Medical Assistance Program,
19            or was previously revoked as an alternate payee in
20            the Illinois Medical Assistance Program, or was
21            terminated, suspended, or excluded from
22            participation as a vendor in a medical assistance
23            program in another state that is of the same kind
24            as the program of medical assistance provided
25            under Article V of this Code, during the time of
26            conduct which was the basis for that vendor's

 

 

HB2755- 631 -LRB099 08043 RPS 28187 b

1            termination, suspension, or exclusion or alternate
2            payee's revocation; or
3            (6) the alternate payee, a person with management
4        responsibility for an alternate payee, an officer or
5        person owning, either directly or indirectly, 5% or
6        more of the shares of stock or other evidences of
7        ownership in a corporate alternate payee, or a partner
8        in a partnership which is an alternate payee:
9                (a) has engaged in conduct prohibited by
10            applicable federal or State law or regulation
11            relating to the Illinois Medical Assistance
12            Program; or
13                (b) was a person with management
14            responsibility for a vendor or alternate payee at
15            the time that the vendor or alternate payee engaged
16            in practices prohibited by applicable federal or
17            State law or regulation relating to the Illinois
18            Medical Assistance Program; or
19                (c) was an officer, or person owning, either
20            directly or indirectly, 5% or more of the shares of
21            stock or other evidences of ownership in a vendor
22            or alternate payee at the time such vendor or
23            alternate payee engaged in practices prohibited by
24            applicable federal or State law or regulation
25            relating to the Illinois Medical Assistance
26            Program; or

 

 

HB2755- 632 -LRB099 08043 RPS 28187 b

1                (d) was an owner of a sole proprietorship or
2            partner in a partnership which was a vendor or
3            alternate payee at the time such vendor or
4            alternate payee engaged in practices prohibited by
5            applicable federal or State law or regulation
6            relating to the Illinois Medical Assistance
7            Program; or
8            (7) the direct or indirect ownership of the vendor
9        or alternate payee (including the ownership of a vendor
10        or alternate payee that is a partner's interest in a
11        vendor or alternate payee, or ownership of 5% or more
12        of the shares of stock or other evidences of ownership
13        in a corporate vendor or alternate payee) has been
14        transferred by an individual who is terminated,
15        suspended, or excluded or barred from participating as
16        a vendor or is prohibited or revoked as an alternate
17        payee to the individual's spouse, child, brother,
18        sister, parent, grandparent, grandchild, uncle, aunt,
19        niece, nephew, cousin, or relative by marriage.
20    (K) The Illinois Department of Healthcare and Family
21Services may withhold payments, in whole or in part, to a
22provider or alternate payee where there is credible evidence,
23received from State or federal law enforcement or federal
24oversight agencies or from the results of a preliminary
25Department audit, that the circumstances giving rise to the
26need for a withholding of payments may involve fraud or willful

 

 

HB2755- 633 -LRB099 08043 RPS 28187 b

1misrepresentation under the Illinois Medical Assistance
2program. The Department shall by rule define what constitutes
3"credible" evidence for purposes of this subsection. The
4Department may withhold payments without first notifying the
5provider or alternate payee of its intention to withhold such
6payments. A provider or alternate payee may request a
7reconsideration of payment withholding, and the Department
8must grant such a request. The Department shall state by rule a
9process and criteria by which a provider or alternate payee may
10request full or partial release of payments withheld under this
11subsection. This request may be made at any time after the
12Department first withholds such payments.
13        (a) The Illinois Department must send notice of its
14    withholding of program payments within 5 days of taking
15    such action. The notice must set forth the general
16    allegations as to the nature of the withholding action, but
17    need not disclose any specific information concerning its
18    ongoing investigation. The notice must do all of the
19    following:
20            (1) State that payments are being withheld in
21        accordance with this subsection.
22            (2) State that the withholding is for a temporary
23        period, as stated in paragraph (b) of this subsection,
24        and cite the circumstances under which withholding
25        will be terminated.
26            (3) Specify, when appropriate, which type or types

 

 

HB2755- 634 -LRB099 08043 RPS 28187 b

1        of Medicaid claims withholding is effective.
2            (4) Inform the provider or alternate payee of the
3        right to submit written evidence for reconsideration
4        of the withholding by the Illinois Department.
5            (5) Inform the provider or alternate payee that a
6        written request may be made to the Illinois Department
7        for full or partial release of withheld payments and
8        that such requests may be made at any time after the
9        Department first withholds such payments.
10        (b) All withholding-of-payment actions under this
11    subsection shall be temporary and shall not continue after
12    any of the following:
13            (1) The Illinois Department or the prosecuting
14        authorities determine that there is insufficient
15        evidence of fraud or willful misrepresentation by the
16        provider or alternate payee.
17            (2) Legal proceedings related to the provider's or
18        alternate payee's alleged fraud, willful
19        misrepresentation, violations of this Act, or
20        violations of the Illinois Department's administrative
21        rules are completed.
22            (3) The withholding of payments for a period of 3
23        years.
24        (c) The Illinois Department may adopt all rules
25    necessary to implement this subsection (K).
26    (K-5) The Illinois Department may withhold payments, in

 

 

HB2755- 635 -LRB099 08043 RPS 28187 b

1whole or in part, to a provider or alternate payee upon
2initiation of an audit, quality of care review, investigation
3when there is a credible allegation of fraud, or the provider
4or alternate payee demonstrating a clear failure to cooperate
5with the Illinois Department such that the circumstances give
6rise to the need for a withholding of payments. As used in this
7subsection, "credible allegation" is defined to include an
8allegation from any source, including, but not limited to,
9fraud hotline complaints, claims data mining, patterns
10identified through provider audits, civil actions filed under
11the Illinois False Claims Act, and law enforcement
12investigations. An allegation is considered to be credible when
13it has indicia of reliability. The Illinois Department may
14withhold payments without first notifying the provider or
15alternate payee of its intention to withhold such payments. A
16provider or alternate payee may request a hearing or a
17reconsideration of payment withholding, and the Illinois
18Department must grant such a request. The Illinois Department
19shall state by rule a process and criteria by which a provider
20or alternate payee may request a hearing or a reconsideration
21for the full or partial release of payments withheld under this
22subsection. This request may be made at any time after the
23Illinois Department first withholds such payments.
24        (a) The Illinois Department must send notice of its
25    withholding of program payments within 5 days of taking
26    such action. The notice must set forth the general

 

 

HB2755- 636 -LRB099 08043 RPS 28187 b

1    allegations as to the nature of the withholding action but
2    need not disclose any specific information concerning its
3    ongoing investigation. The notice must do all of the
4    following:
5            (1) State that payments are being withheld in
6        accordance with this subsection.
7            (2) State that the withholding is for a temporary
8        period, as stated in paragraph (b) of this subsection,
9        and cite the circumstances under which withholding
10        will be terminated.
11            (3) Specify, when appropriate, which type or types
12        of claims are withheld.
13            (4) Inform the provider or alternate payee of the
14        right to request a hearing or a reconsideration of the
15        withholding by the Illinois Department, including the
16        ability to submit written evidence.
17            (5) Inform the provider or alternate payee that a
18        written request may be made to the Illinois Department
19        for a hearing or a reconsideration for the full or
20        partial release of withheld payments and that such
21        requests may be made at any time after the Illinois
22        Department first withholds such payments.
23        (b) All withholding of payment actions under this
24    subsection shall be temporary and shall not continue after
25    any of the following:
26            (1) The Illinois Department determines that there

 

 

HB2755- 637 -LRB099 08043 RPS 28187 b

1        is insufficient evidence of fraud, or the provider or
2        alternate payee demonstrates clear cooperation with
3        the Illinois Department, as determined by the Illinois
4        Department, such that the circumstances do not give
5        rise to the need for withholding of payments; or
6            (2) The withholding of payments has lasted for a
7        period in excess of 3 years.
8        (c) The Illinois Department may adopt all rules
9    necessary to implement this subsection (K-5).
10    (L) The Illinois Department shall establish a protocol to
11enable health care providers to disclose an actual or potential
12violation of this Section pursuant to a self-referral
13disclosure protocol, referred to in this subsection as "the
14protocol". The protocol shall include direction for health care
15providers on a specific person, official, or office to whom
16such disclosures shall be made. The Illinois Department shall
17post information on the protocol on the Illinois Department's
18public website. The Illinois Department may adopt rules
19necessary to implement this subsection (L). In addition to
20other factors that the Illinois Department finds appropriate,
21the Illinois Department may consider a health care provider's
22timely use or failure to use the protocol in considering the
23provider's failure to comply with this Code.
24    (M) Notwithstanding any other provision of this Code, the
25Illinois Department, at its discretion, may exempt an entity
26licensed under the Nursing Home Care Act, and the ID/DD

 

 

HB2755- 638 -LRB099 08043 RPS 28187 b

1Community Care Act, or the MC/DD Act from the provisions of
2subsections (A-15), (B), and (C) of this Section if the
3licensed entity is in receivership.
4(Source: P.A. 97-689, eff. 6-14-12; 97-1150, eff. 1-25-13;
598-214, eff. 8-9-13; 98-550, eff. 8-27-13; 98-756, eff.
67-16-14.)
 
7    Section 175. The Nursing Home Grant Assistance Act is
8amended by changing Section 5 as follows:
 
9    (305 ILCS 40/5)  (from Ch. 23, par. 7100-5)
10    Sec. 5. Definitions. As used in this Act, unless the
11context requires otherwise:
12    "Applicant" means an eligible individual who makes a
13payment of at least $1 in a quarter to a nursing home.
14    "Application" means the receipt by a nursing home of at
15least $1 from an eligible individual that is a resident of the
16home.
17    "Department" means the Department of Revenue.
18    "Director" means the Director of the Department of Revenue.
19    "Distribution agent" means a nursing home that is residence
20to one or more eligible individuals, which receives an
21application from one or more applicants for participation in
22the Nursing Home Grant Assistance Program provided for by this
23Act, and is thereby designated as distributing agent by such
24applicant or applicants, and which is thereby authorized by

 

 

HB2755- 639 -LRB099 08043 RPS 28187 b

1virtue of its license to receive from the Department and
2distribute to eligible individuals residing in the nursing home
3Nursing Home Grant Assistance payments under this Act.
4    "Qualified distribution agent" means a distribution agent
5that the Department of Public Health has certified to the
6Department of Revenue to be a licensed nursing home in good
7standing.
8    "Eligible individual" means an individual eligible for a
9nursing home grant assistance payment because he or she meets
10each of the following requirements:
11        (1) The individual resides, after June 30, 1992, in a
12    nursing home as defined in this Act.
13        (2) For each day for which nursing home grant
14    assistance is sought, the individual's nursing home care
15    was not paid for, in whole or in part, by a federal, State,
16    or combined federal-State medical care program; the
17    receipt of Medicare Part B benefits does not make a person
18    ineligible for nursing home grant assistance.
19        (3) The individual's annual adjusted gross income,
20    after payment of any expenses for nursing home care, does
21    not exceed 250% of the federal poverty guidelines for an
22    individual as published annually by the U.S. Department of
23    Health and Human Services for purposes of determining
24    Medicaid eligibility.
25    "Fund" means the Nursing Home Grant Assistance Fund.
26    "Nursing home" means a skilled nursing or intermediate long

 

 

HB2755- 640 -LRB099 08043 RPS 28187 b

1term care facility that is subject to licensure by the Illinois
2Department of Public Health under the Nursing Home Care Act, or
3the ID/DD Community Care Act, or the MC/DD Act.
4    "Occupied bed days" means the sum for all beds of the
5number of days during a quarter for which grant assistance is
6sought under this Act on which a bed is occupied by an
7individual.
8(Source: P.A. 96-339, eff. 7-1-10; 97-227, eff. 1-1-12.)
 
9    Section 180. The Adult Protective Services Act is amended
10by changing Section 2 as follows:
 
11    (320 ILCS 20/2)  (from Ch. 23, par. 6602)
12    Sec. 2. Definitions. As used in this Act, unless the
13context requires otherwise:
14    (a) "Abuse" means causing any physical, mental or sexual
15injury to an eligible adult, including exploitation of such
16adult's financial resources.
17    Nothing in this Act shall be construed to mean that an
18eligible adult is a victim of abuse, neglect, or self-neglect
19for the sole reason that he or she is being furnished with or
20relies upon treatment by spiritual means through prayer alone,
21in accordance with the tenets and practices of a recognized
22church or religious denomination.
23    Nothing in this Act shall be construed to mean that an
24eligible adult is a victim of abuse because of health care

 

 

HB2755- 641 -LRB099 08043 RPS 28187 b

1services provided or not provided by licensed health care
2professionals.
3    (a-5) "Abuser" means a person who abuses, neglects, or
4financially exploits an eligible adult.
5    (a-6) "Adult with disabilities" means a person aged 18
6through 59 who resides in a domestic living situation and whose
7disability as defined in subsection (c-5) impairs his or her
8ability to seek or obtain protection from abuse, neglect, or
9exploitation.
10    (a-7) "Caregiver" means a person who either as a result of
11a family relationship, voluntarily, or in exchange for
12compensation has assumed responsibility for all or a portion of
13the care of an eligible adult who needs assistance with
14activities of daily living or instrumental activities of daily
15living.
16    (b) "Department" means the Department on Aging of the State
17of Illinois.
18    (c) "Director" means the Director of the Department.
19    (c-5) "Disability" means a physical or mental disability,
20including, but not limited to, a developmental disability, an
21intellectual disability, a mental illness as defined under the
22Mental Health and Developmental Disabilities Code, or dementia
23as defined under the Alzheimer's Disease Assistance Act.
24    (d) "Domestic living situation" means a residence where the
25eligible adult at the time of the report lives alone or with
26his or her family or a caregiver, or others, or other

 

 

HB2755- 642 -LRB099 08043 RPS 28187 b

1community-based unlicensed facility, but is not:
2        (1) A licensed facility as defined in Section 1-113 of
3    the Nursing Home Care Act;
4        (1.5) A facility licensed under the ID/DD Community
5    Care Act;
6        (1.6) A facility licensed under the MC/DD Act;
7        (1.7) A facility licensed under the Specialized Mental
8    Health Rehabilitation Act of 2013;
9        (2) A "life care facility" as defined in the Life Care
10    Facilities Act;
11        (3) A home, institution, or other place operated by the
12    federal government or agency thereof or by the State of
13    Illinois;
14        (4) A hospital, sanitarium, or other institution, the
15    principal activity or business of which is the diagnosis,
16    care, and treatment of human illness through the
17    maintenance and operation of organized facilities
18    therefor, which is required to be licensed under the
19    Hospital Licensing Act;
20        (5) A "community living facility" as defined in the
21    Community Living Facilities Licensing Act;
22        (6) (Blank);
23        (7) A "community-integrated living arrangement" as
24    defined in the Community-Integrated Living Arrangements
25    Licensure and Certification Act or a "community
26    residential alternative" as licensed under that Act;

 

 

HB2755- 643 -LRB099 08043 RPS 28187 b

1        (8) An assisted living or shared housing establishment
2    as defined in the Assisted Living and Shared Housing Act;
3    or
4        (9) A supportive living facility as described in
5    Section 5-5.01a of the Illinois Public Aid Code.
6    (e) "Eligible adult" means either an adult with
7disabilities aged 18 through 59 or a person aged 60 or older
8who resides in a domestic living situation and is, or is
9alleged to be, abused, neglected, or financially exploited by
10another individual or who neglects himself or herself.
11    (f) "Emergency" means a situation in which an eligible
12adult is living in conditions presenting a risk of death or
13physical, mental or sexual injury and the provider agency has
14reason to believe the eligible adult is unable to consent to
15services which would alleviate that risk.
16    (f-1) "Financial exploitation" means the use of an eligible
17adult's resources by another to the disadvantage of that adult
18or the profit or advantage of a person other than that adult.
19    (f-5) "Mandated reporter" means any of the following
20persons while engaged in carrying out their professional
21duties:
22        (1) a professional or professional's delegate while
23    engaged in: (i) social services, (ii) law enforcement,
24    (iii) education, (iv) the care of an eligible adult or
25    eligible adults, or (v) any of the occupations required to
26    be licensed under the Clinical Psychologist Licensing Act,

 

 

HB2755- 644 -LRB099 08043 RPS 28187 b

1    the Clinical Social Work and Social Work Practice Act, the
2    Illinois Dental Practice Act, the Dietitian Nutritionist
3    Practice Act, the Marriage and Family Therapy Licensing
4    Act, the Medical Practice Act of 1987, the Naprapathic
5    Practice Act, the Nurse Practice Act, the Nursing Home
6    Administrators Licensing and Disciplinary Act, the
7    Illinois Occupational Therapy Practice Act, the Illinois
8    Optometric Practice Act of 1987, the Pharmacy Practice Act,
9    the Illinois Physical Therapy Act, the Physician Assistant
10    Practice Act of 1987, the Podiatric Medical Practice Act of
11    1987, the Respiratory Care Practice Act, the Professional
12    Counselor and Clinical Professional Counselor Licensing
13    and Practice Act, the Illinois Speech-Language Pathology
14    and Audiology Practice Act, the Veterinary Medicine and
15    Surgery Practice Act of 2004, and the Illinois Public
16    Accounting Act;
17        (1.5) an employee of an entity providing developmental
18    disabilities services or service coordination funded by
19    the Department of Human Services;
20        (2) an employee of a vocational rehabilitation
21    facility prescribed or supervised by the Department of
22    Human Services;
23        (3) an administrator, employee, or person providing
24    services in or through an unlicensed community based
25    facility;
26        (4) any religious practitioner who provides treatment

 

 

HB2755- 645 -LRB099 08043 RPS 28187 b

1    by prayer or spiritual means alone in accordance with the
2    tenets and practices of a recognized church or religious
3    denomination, except as to information received in any
4    confession or sacred communication enjoined by the
5    discipline of the religious denomination to be held
6    confidential;
7        (5) field personnel of the Department of Healthcare and
8    Family Services, Department of Public Health, and
9    Department of Human Services, and any county or municipal
10    health department;
11        (6) personnel of the Department of Human Services, the
12    Guardianship and Advocacy Commission, the State Fire
13    Marshal, local fire departments, the Department on Aging
14    and its subsidiary Area Agencies on Aging and provider
15    agencies, and the Office of State Long Term Care Ombudsman;
16        (7) any employee of the State of Illinois not otherwise
17    specified herein who is involved in providing services to
18    eligible adults, including professionals providing medical
19    or rehabilitation services and all other persons having
20    direct contact with eligible adults;
21        (8) a person who performs the duties of a coroner or
22    medical examiner; or
23        (9) a person who performs the duties of a paramedic or
24    an emergency medical technician.
25    (g) "Neglect" means another individual's failure to
26provide an eligible adult with or willful withholding from an

 

 

HB2755- 646 -LRB099 08043 RPS 28187 b

1eligible adult the necessities of life including, but not
2limited to, food, clothing, shelter or health care. This
3subsection does not create any new affirmative duty to provide
4support to eligible adults. Nothing in this Act shall be
5construed to mean that an eligible adult is a victim of neglect
6because of health care services provided or not provided by
7licensed health care professionals.
8    (h) "Provider agency" means any public or nonprofit agency
9in a planning and service area that is selected by the
10Department or appointed by the regional administrative agency
11with prior approval by the Department on Aging to receive and
12assess reports of alleged or suspected abuse, neglect, or
13financial exploitation. A provider agency is also referenced as
14a "designated agency" in this Act.
15    (i) "Regional administrative agency" means any public or
16nonprofit agency in a planning and service area that provides
17regional oversight and performs functions as set forth in
18subsection (b) of Section 3 of this Act. The Department shall
19designate an Area Agency on Aging as the regional
20administrative agency or, in the event the Area Agency on Aging
21in that planning and service area is deemed by the Department
22to be unwilling or unable to provide those functions, the
23Department may serve as the regional administrative agency or
24designate another qualified entity to serve as the regional
25administrative agency; any such designation shall be subject to
26terms set forth by the Department.

 

 

HB2755- 647 -LRB099 08043 RPS 28187 b

1    (i-5) "Self-neglect" means a condition that is the result
2of an eligible adult's inability, due to physical or mental
3impairments, or both, or a diminished capacity, to perform
4essential self-care tasks that substantially threaten his or
5her own health, including: providing essential food, clothing,
6shelter, and health care; and obtaining goods and services
7necessary to maintain physical health, mental health,
8emotional well-being, and general safety. The term includes
9compulsive hoarding, which is characterized by the acquisition
10and retention of large quantities of items and materials that
11produce an extensively cluttered living space, which
12significantly impairs the performance of essential self-care
13tasks or otherwise substantially threatens life or safety.
14    (j) "Substantiated case" means a reported case of alleged
15or suspected abuse, neglect, financial exploitation, or
16self-neglect in which a provider agency, after assessment,
17determines that there is reason to believe abuse, neglect, or
18financial exploitation has occurred.
19    (k) "Verified" means a determination that there is "clear
20and convincing evidence" that the specific injury or harm
21alleged was the result of abuse, neglect, or financial
22exploitation.
23(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-300,
24eff. 8-11-11; 97-706, eff. 6-25-12; 97-813, eff. 7-13-12;
2597-1141, eff. 12-28-12; 98-49, eff. 7-1-13; 98-104, eff.
267-22-13; 98-756, eff. 7-16-14; 98-1039, eff. 8-25-14.)
 

 

 

HB2755- 648 -LRB099 08043 RPS 28187 b

1    Section 185. The Older Adult Services Act is amended by
2changing Section 10 as follows:
 
3    (320 ILCS 42/10)
4    Sec. 10. Definitions. In this Act:
5    "Advisory Committee" means the Older Adult Services
6Advisory Committee.
7    "Certified nursing home" means any nursing home licensed
8under the Nursing Home Care Act, or the ID/DD Community Care
9Act, or the MC/DD Act and certified under Title XIX of the
10Social Security Act to participate as a vendor in the medical
11assistance program under Article V of the Illinois Public Aid
12Code.
13    "Comprehensive case management" means the assessment of
14needs and preferences of an older adult at the direction of the
15older adult or the older adult's designated representative and
16the arrangement, coordination, and monitoring of an optimum
17package of services to meet the needs of the older adult.
18    "Consumer-directed" means decisions made by an informed
19older adult from available services and care options, which may
20range from independently making all decisions and managing
21services directly to limited participation in decision-making,
22based upon the functional and cognitive level of the older
23adult.
24    "Coordinated point of entry" means an integrated access

 

 

HB2755- 649 -LRB099 08043 RPS 28187 b

1point where consumers receive information and assistance,
2assessment of needs, care planning, referral, assistance in
3completing applications, authorization of services where
4permitted, and follow-up to ensure that referrals and services
5are accessed.
6    "Department" means the Department on Aging, in
7collaboration with the departments of Public Health and
8Healthcare and Family Services and other relevant agencies and
9in consultation with the Advisory Committee, except as
10otherwise provided.
11    "Departments" means the Department on Aging, the
12departments of Public Health and Healthcare and Family
13Services, and other relevant agencies in collaboration with
14each other and in consultation with the Advisory Committee,
15except as otherwise provided.
16    "Family caregiver" means an adult family member or another
17individual who is an uncompensated provider of home-based or
18community-based care to an older adult.
19    "Health services" means activities that promote, maintain,
20improve, or restore mental or physical health or that are
21palliative in nature.
22    "Older adult" means a person age 60 or older and, if
23appropriate, the person's family caregiver.
24    "Person-centered" means a process that builds upon an older
25adult's strengths and capacities to engage in activities that
26promote community life and that reflect the older adult's

 

 

HB2755- 650 -LRB099 08043 RPS 28187 b

1preferences, choices, and abilities, to the extent
2practicable.
3    "Priority service area" means an area identified by the
4Departments as being less-served with respect to the
5availability of and access to older adult services in Illinois.
6The Departments shall determine by rule the criteria and
7standards used to designate such areas.
8    "Priority service plan" means the plan developed pursuant
9to Section 25 of this Act.
10    "Provider" means any supplier of services under this Act.
11    "Residential setting" means the place where an older adult
12lives.
13    "Restructuring" means the transformation of Illinois'
14comprehensive system of older adult services from funding
15primarily a facility-based service delivery system to
16primarily a home-based and community-based system, taking into
17account the continuing need for 24-hour skilled nursing care
18and congregate housing with services.
19    "Services" means the range of housing, health, financial,
20and supportive services, other than acute health care services,
21that are delivered to an older adult with functional or
22cognitive limitations, or socialization needs, who requires
23assistance to perform activities of daily living, regardless of
24the residential setting in which the services are delivered.
25    "Supportive services" means non-medical assistance given
26over a period of time to an older adult that is needed to

 

 

HB2755- 651 -LRB099 08043 RPS 28187 b

1compensate for the older adult's functional or cognitive
2limitations, or socialization needs, or those services
3designed to restore, improve, or maintain the older adult's
4functional or cognitive abilities.
5(Source: P.A. 96-339, eff. 7-1-10; 97-227, eff. 1-1-12.)
 
6    Section 190. The Mental Health and Developmental
7Disabilities Code is amended by changing Section 2-107 as
8follows:
 
9    (405 ILCS 5/2-107)  (from Ch. 91 1/2, par. 2-107)
10    Sec. 2-107. Refusal of services; informing of risks.
11    (a) An adult recipient of services or the recipient's
12guardian, if the recipient is under guardianship, and the
13recipient's substitute decision maker, if any, must be informed
14of the recipient's right to refuse medication or
15electroconvulsive therapy. The recipient and the recipient's
16guardian or substitute decision maker shall be given the
17opportunity to refuse generally accepted mental health or
18developmental disability services, including but not limited
19to medication or electroconvulsive therapy. If such services
20are refused, they shall not be given unless such services are
21necessary to prevent the recipient from causing serious and
22imminent physical harm to the recipient or others and no less
23restrictive alternative is available. The facility director
24shall inform a recipient, guardian, or substitute decision

 

 

HB2755- 652 -LRB099 08043 RPS 28187 b

1maker, if any, who refuses such services of alternate services
2available and the risks of such alternate services, as well as
3the possible consequences to the recipient of refusal of such
4services.
5    (b) Psychotropic medication or electroconvulsive therapy
6may be administered under this Section for up to 24 hours only
7if the circumstances leading up to the need for emergency
8treatment are set forth in writing in the recipient's record.
9    (c) Administration of medication or electroconvulsive
10therapy may not be continued unless the need for such treatment
11is redetermined at least every 24 hours based upon a personal
12examination of the recipient by a physician or a nurse under
13the supervision of a physician and the circumstances
14demonstrating that need are set forth in writing in the
15recipient's record.
16    (d) Neither psychotropic medication nor electroconvulsive
17therapy may be administered under this Section for a period in
18excess of 72 hours, excluding Saturdays, Sundays, and holidays,
19unless a petition is filed under Section 2-107.1 and the
20treatment continues to be necessary under subsection (a) of
21this Section. Once the petition has been filed, treatment may
22continue in compliance with subsections (a), (b), and (c) of
23this Section until the final outcome of the hearing on the
24petition.
25    (e) The Department shall issue rules designed to insure
26that in State-operated mental health facilities psychotropic

 

 

HB2755- 653 -LRB099 08043 RPS 28187 b

1medication and electroconvulsive therapy are administered in
2accordance with this Section and only when appropriately
3authorized and monitored by a physician or a nurse under the
4supervision of a physician in accordance with accepted medical
5practice. The facility director of each mental health facility
6not operated by the State shall issue rules designed to insure
7that in that facility psychotropic medication and
8electroconvulsive therapy are administered in accordance with
9this Section and only when appropriately authorized and
10monitored by a physician or a nurse under the supervision of a
11physician in accordance with accepted medical practice. Such
12rules shall be available for public inspection and copying
13during normal business hours.
14    (f) The provisions of this Section with respect to the
15emergency administration of psychotropic medication and
16electroconvulsive therapy do not apply to facilities licensed
17under the Nursing Home Care Act, the Specialized Mental Health
18Rehabilitation Act of 2013, or the ID/DD Community Care Act, or
19the MC/DD Act.
20    (g) Under no circumstances may long-acting psychotropic
21medications be administered under this Section.
22    (h) Whenever psychotropic medication or electroconvulsive
23therapy is refused pursuant to subsection (a) of this Section
24at least once that day, the physician shall determine and state
25in writing the reasons why the recipient did not meet the
26criteria for administration of medication or electroconvulsive

 

 

HB2755- 654 -LRB099 08043 RPS 28187 b

1therapy under subsection (a) and whether the recipient meets
2the standard for administration of psychotropic medication or
3electroconvulsive therapy under Section 2-107.1 of this Code.
4If the physician determines that the recipient meets the
5standard for administration of psychotropic medication or
6electroconvulsive therapy under Section 2-107.1, the facility
7director or his or her designee shall petition the court for
8administration of psychotropic medication or electroconvulsive
9therapy pursuant to that Section unless the facility director
10or his or her designee states in writing in the recipient's
11record why the filing of such a petition is not warranted. This
12subsection (h) applies only to State-operated mental health
13facilities.
14    (i) The Department shall conduct annual trainings for all
15physicians and registered nurses working in State-operated
16mental health facilities on the appropriate use of emergency
17administration of psychotropic medication and
18electroconvulsive therapy, standards for their use, and the
19methods of authorization under this Section.
20(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
21eff. 7-13-12; 98-104, eff. 7-22-13.)
 
22    Section 195. The Protection and Advocacy for
23Developmentally Disabled Persons Act is amended by changing
24Section 1 as follows:
 

 

 

HB2755- 655 -LRB099 08043 RPS 28187 b

1    (405 ILCS 40/1)  (from Ch. 91 1/2, par. 1151)
2    Sec. 1. The Governor may designate a private not-for-profit
3corporation as the agency to administer a State plan to protect
4and advocate the rights of persons with developmental
5disabilities pursuant to the requirements of the federal
6Developmental Disabilities Assistance and Bill of Rights Act,
742 U.S.C. 6001 to 6081, as now or hereafter amended. The
8designated agency may pursue legal, administrative, and other
9appropriate remedies to ensure the protection of the rights of
10such persons who are receiving treatment, services or
11habilitation within this State. The agency designated by the
12Governor shall be independent of any agency which provides
13treatment, services, guardianship, or habilitation to persons
14with developmental disabilities, and such agency shall not be
15administered by the Governor's Planning Council on
16Developmental Disabilities or any successor State Planning
17Council organized pursuant to federal law.
18    The designated agency may receive and expend funds to
19protect and advocate the rights of persons with developmental
20disabilities. In order to properly exercise its powers and
21duties, such agency shall have access to developmental
22disability facilities and mental health facilities, as defined
23under Sections 1-107 and 1-114 of the Mental Health and
24Developmental Disabilities Code, and facilities as defined in
25Section 1-113 of the Nursing Home Care Act, or Section 1-113 of
26the ID/DD Community Care Act, or Section 1-113 of the MC/DD

 

 

HB2755- 656 -LRB099 08043 RPS 28187 b

1Act. Such access shall be granted for the purposes of meeting
2with residents and staff, informing them of services available
3from the agency, distributing written information about the
4agency and the rights of persons with developmental
5disabilities, conducting scheduled and unscheduled visits, and
6performing other activities designed to protect the rights of
7persons with developmental disabilities. The agency also shall
8have access, for the purpose of inspection and copying, to the
9records of a person with developmental disabilities who resides
10in any such facility subject to the limitations of this Act,
11the Mental Health and Developmental Disabilities
12Confidentiality Act, the Nursing Home Care Act, and the ID/DD
13Community Care Act, and the MC/DD Act. The agency also shall
14have access, for the purpose of inspection and copying, to the
15records of a person with developmental disabilities who resides
16in any such facility if (1) a complaint is received by the
17agency from or on behalf of the person with a developmental
18disability, and (2) such person does not have a legal guardian
19or the State or the designee of the State is the legal guardian
20of such person. The designated agency shall provide written
21notice to the person with developmental disabilities and the
22State guardian of the nature of the complaint based upon which
23the designated agency has gained access to the records. No
24record or the contents of any record shall be redisclosed by
25the designated agency unless the person with developmental
26disabilities and the State guardian are provided 7 days advance

 

 

HB2755- 657 -LRB099 08043 RPS 28187 b

1written notice, except in emergency situations, of the
2designated agency's intent to redisclose such record, during
3which time the person with developmental disabilities or the
4State guardian may seek to judicially enjoin the designated
5agency's redisclosure of such record on the grounds that such
6redisclosure is contrary to the interests of the person with
7developmental disabilities. Any person who in good faith
8complains to the designated agency on behalf of a person with
9developmental disabilities, or provides information or
10participates in the investigation of any such complaint shall
11have immunity from any liability, civil, criminal or otherwise,
12and shall not be subject to any penalties, sanctions,
13restrictions or retaliation as a consequence of making such
14complaint, providing such information or participating in such
15investigation.
16    Upon request, the designated agency shall be entitled to
17inspect and copy any records or other materials which may
18further the agency's investigation of problems affecting
19numbers of persons with developmental disabilities. When
20required by law any personally identifiable information of
21persons with developmental disabilities shall be removed from
22the records. However, the designated agency may not inspect or
23copy any records or other materials when the removal of
24personally identifiable information imposes an unreasonable
25burden on mental health and developmental disabilities
26facilities pursuant to the Mental Health and Developmental

 

 

HB2755- 658 -LRB099 08043 RPS 28187 b

1Disabilities Code or facilities as defined in the Nursing Home
2Care Act, or the ID/DD Community Care Act, or the MC/DD Act.
3    The Governor shall not redesignate the agency to administer
4the State plan to protect and advocate the rights of persons
5with developmental disabilities unless there is good cause for
6the redesignation and unless notice of the intent to make such
7redesignation is given to persons with developmental
8disabilities or their representatives, the federal Secretary
9of Health and Human Services, and the General Assembly at least
1060 days prior thereto.
11    As used in this Act, the term "developmental disability"
12means a severe, chronic disability of a person which:
13        (A) is attributable to a mental or physical impairment
14    or combination of mental and physical impairments;
15        (B) is manifested before the person attains age 22;
16        (C) is likely to continue indefinitely;
17        (D) results in substantial functional limitations in 3
18    or more of the following areas of major life activity: (i)
19    self-care, (ii) receptive and expressive language, (iii)
20    learning, (iv) mobility, (v) self-direction, (vi) capacity
21    for independent living, and (vii) economic
22    self-sufficiency; and
23        (E) reflects the person's need for combination and
24    sequence of special, interdisciplinary or generic care,
25    treatment or other services which are of lifelong or
26    extended duration and are individually planned and

 

 

HB2755- 659 -LRB099 08043 RPS 28187 b

1    coordinated.
2(Source: P.A. 96-339, eff. 7-1-10; 97-227, eff. 1-1-12.)
 
3    Section 200. The Protection and Advocacy for Mentally Ill
4Persons Act is amended by changing Section 3 as follows:
 
5    (405 ILCS 45/3)  (from Ch. 91 1/2, par. 1353)
6    Sec. 3. Powers and Duties.
7    (A) In order to properly exercise its powers and duties,
8the agency shall have the authority to:
9        (1) Investigate incidents of abuse and neglect of
10    mentally ill persons if the incidents are reported to the
11    agency or if there is probable cause to believe that the
12    incidents occurred. In case of conflict with provisions of
13    the Abused and Neglected Child Reporting Act or the Nursing
14    Home Care Act, the provisions of those Acts shall apply.
15        (2) Pursue administrative, legal and other appropriate
16    remedies to ensure the protection of the rights of mentally
17    ill persons who are receiving care and treatment in this
18    State.
19        (3) Pursue administrative, legal and other remedies on
20    behalf of an individual who:
21            (a) was a mentally ill individual; and
22            (b) is a resident of this State, but only with
23        respect to matters which occur within 90 days after the
24        date of the discharge of such individual from a

 

 

HB2755- 660 -LRB099 08043 RPS 28187 b

1        facility providing care and treatment.
2        (4) Establish a board which shall:
3            (a) advise the protection and advocacy system on
4        policies and priorities to be carried out in protecting
5        and advocating the rights of mentally ill individuals;
6        and
7            (b) include attorneys, mental health
8        professionals, individuals from the public who are
9        knowledgeable about mental illness, a provider of
10        mental health services, individuals who have received
11        or are receiving mental health services and family
12        members of such individuals. At least one-half the
13        members of the board shall be individuals who have
14        received or are receiving mental health services or who
15        are family members of such individuals.
16        (5) On January 1, 1988, and on January 1 of each
17    succeeding year, prepare and transmit to the Secretary of
18    the United States Department of Health and Human Services
19    and to the Illinois Secretary of Human Services a report
20    describing the activities, accomplishments and
21    expenditures of the protection and advocacy system during
22    the most recently completed fiscal year.
23    (B) The agency shall have access to all mental health
24facilities as defined in Sections 1-107 and 1-114 of the Mental
25Health and Developmental Disabilities Code, all facilities as
26defined in Section 1-113 of the Nursing Home Care Act, all

 

 

HB2755- 661 -LRB099 08043 RPS 28187 b

1facilities as defined in Section 1-102 of the Specialized
2Mental Health Rehabilitation Act of 2013, all facilities as
3defined in Section 1-113 of the ID/DD Community Care Act, all
4facilities as defined in Section 1-113 of the MC/DD Act, all
5facilities as defined in Section 2.06 of the Child Care Act of
61969, as now or hereafter amended, and all other facilities
7providing care or treatment to mentally ill persons. Such
8access shall be granted for the purposes of meeting with
9residents and staff, informing them of services available from
10the agency, distributing written information about the agency
11and the rights of persons who are mentally ill, conducting
12scheduled and unscheduled visits, and performing other
13activities designed to protect the rights of mentally ill
14persons.
15    (C) The agency shall have access to all records of mentally
16ill persons who are receiving care or treatment from a
17facility, subject to the limitations of this Act, the Mental
18Health and Developmental Disabilities Confidentiality Act, the
19Nursing Home Care Act and the Child Care Act of 1969, as now or
20hereafter amended. If the mentally ill person has a legal
21guardian other than the State or a designee of the State, the
22facility director shall disclose the guardian's name, address
23and telephone number to the agency upon its request. In cases
24of conflict with provisions of the Abused and Neglected Child
25Reporting Act and the Nursing Home Care Act, the provisions of
26the Abused and Neglected Child Reporting Act and the Nursing

 

 

HB2755- 662 -LRB099 08043 RPS 28187 b

1Home Care Act shall apply. The agency shall also have access,
2for the purpose of inspection and copying, to the records of a
3mentally ill person (i) who by reason of his or her mental or
4physical condition is unable to authorize the agency to have
5such access; (ii) who does not have a legal guardian or for
6whom the State or a designee of the State is the legal
7guardian; and (iii) with respect to whom a complaint has been
8received by the agency or with respect to whom there is
9probable cause to believe that such person has been subjected
10to abuse or neglect.
11    The agency shall provide written notice to the mentally ill
12person and the State guardian of the nature of the complaint
13based upon which the agency has gained access to the records.
14No record or the contents of the record shall be redisclosed by
15the agency unless the person who is mentally ill and the State
16guardian are provided 7 days advance written notice, except in
17emergency situations, of the agency's intent to redisclose such
18record. Within such 7-day period, the mentally ill person or
19the State guardian may seek an injunction prohibiting the
20agency's redisclosure of such record on the grounds that such
21redisclosure is contrary to the interests of the mentally ill
22person.
23    Upon request, the authorized agency shall be entitled to
24inspect and copy any clinical or trust fund records of mentally
25ill persons which may further the agency's investigation of
26alleged problems affecting numbers of mentally ill persons.

 

 

HB2755- 663 -LRB099 08043 RPS 28187 b

1When required by law, any personally identifiable information
2of mentally ill persons shall be removed from the records.
3However, the agency may not inspect or copy any records or
4other materials when the removal of personally identifiable
5information imposes an unreasonable burden on any facility as
6defined by the Mental Health and Developmental Disabilities
7Code, the Nursing Home Care Act, the Specialized Mental Health
8Rehabilitation Act of 2013, or the Child Care Act of 1969, or
9any other facility providing care or treatment to mentally ill
10persons.
11    (D) Prior to instituting any legal action in a federal or
12State court on behalf of a mentally ill individual, an eligible
13protection and advocacy system, or a State agency or nonprofit
14organization which entered into a contract with such an
15eligible system under Section 104(a) of the federal Protection
16and Advocacy for Mentally Ill Individuals Act of 1986, shall
17exhaust in a timely manner all administrative remedies where
18appropriate. If, in pursuing administrative remedies, the
19system, State agency or organization determines that any matter
20with respect to such individual will not be resolved within a
21reasonable time, the system, State agency or organization may
22pursue alternative remedies, including the initiation of
23appropriate legal action.
24(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
25eff. 7-13-12; 98-104, eff. 7-22-13.)
 

 

 

HB2755- 664 -LRB099 08043 RPS 28187 b

1    Section 205. The Developmental Disability and Mental
2Disability Services Act is amended by changing Sections 2-3 and
35-1 as follows:
 
4    (405 ILCS 80/2-3)  (from Ch. 91 1/2, par. 1802-3)
5    Sec. 2-3. As used in this Article, unless the context
6requires otherwise:
7    (a) "Agency" means an agency or entity licensed by the
8Department pursuant to this Article or pursuant to the
9Community Residential Alternatives Licensing Act.
10    (b) "Department" means the Department of Human Services, as
11successor to the Department of Mental Health and Developmental
12Disabilities.
13    (c) "Home-based services" means services provided to a
14mentally disabled adult who lives in his or her own home. These
15services include but are not limited to:
16        (1) home health services;
17        (2) case management;
18        (3) crisis management;
19        (4) training and assistance in self-care;
20        (5) personal care services;
21        (6) habilitation and rehabilitation services;
22        (7) employment-related services;
23        (8) respite care; and
24        (9) other skill training that enables a person to
25    become self-supporting.

 

 

HB2755- 665 -LRB099 08043 RPS 28187 b

1    (d) "Legal guardian" means a person appointed by a court of
2competent jurisdiction to exercise certain powers on behalf of
3a mentally disabled adult.
4    (e) "Mentally disabled adult" means a person over the age
5of 18 years who lives in his or her own home; who needs
6home-based services, but does not require 24-hour-a-day
7supervision; and who has one of the following conditions:
8severe autism, severe mental illness, a severe or profound
9intellectual disability, or severe and multiple impairments.
10    (f) In one's "own home" means that a mentally disabled
11adult lives alone; or that a mentally disabled adult is in
12full-time residence with his or her parents, legal guardian, or
13other relatives; or that a mentally disabled adult is in
14full-time residence in a setting not subject to licensure under
15the Nursing Home Care Act, the Specialized Mental Health
16Rehabilitation Act of 2013, the ID/DD Community Care Act, the
17MC/DD Act, or the Child Care Act of 1969, as now or hereafter
18amended, with 3 or fewer other adults unrelated to the mentally
19disabled adult who do not provide home-based services to the
20mentally disabled adult.
21    (g) "Parent" means the biological or adoptive parent of a
22mentally disabled adult, or a person licensed as a foster
23parent under the laws of this State who acts as a mentally
24disabled adult's foster parent.
25    (h) "Relative" means any of the following relationships by
26blood, marriage or adoption: parent, son, daughter, brother,

 

 

HB2755- 666 -LRB099 08043 RPS 28187 b

1sister, grandparent, uncle, aunt, nephew, niece, great
2grandparent, great uncle, great aunt, stepbrother, stepsister,
3stepson, stepdaughter, stepparent or first cousin.
4    (i) "Severe autism" means a lifelong developmental
5disability which is typically manifested before 30 months of
6age and is characterized by severe disturbances in reciprocal
7social interactions; verbal and nonverbal communication and
8imaginative activity; and repertoire of activities and
9interests. A person shall be determined severely autistic, for
10purposes of this Article, if both of the following are present:
11        (1) Diagnosis consistent with the criteria for
12    autistic disorder in the current edition of the Diagnostic
13    and Statistical Manual of Mental Disorders.
14        (2) Severe disturbances in reciprocal social
15    interactions; verbal and nonverbal communication and
16    imaginative activity; repertoire of activities and
17    interests. A determination of severe autism shall be based
18    upon a comprehensive, documented assessment with an
19    evaluation by a licensed clinical psychologist or
20    psychiatrist. A determination of severe autism shall not be
21    based solely on behaviors relating to environmental,
22    cultural or economic differences.
23    (j) "Severe mental illness" means the manifestation of all
24of the following characteristics:
25        (1) A primary diagnosis of one of the major mental
26    disorders in the current edition of the Diagnostic and

 

 

HB2755- 667 -LRB099 08043 RPS 28187 b

1    Statistical Manual of Mental Disorders listed below:
2            (A) Schizophrenia disorder.
3            (B) Delusional disorder.
4            (C) Schizo-affective disorder.
5            (D) Bipolar affective disorder.
6            (E) Atypical psychosis.
7            (F) Major depression, recurrent.
8        (2) The individual's mental illness must substantially
9    impair his or her functioning in at least 2 of the
10    following areas:
11            (A) Self-maintenance.
12            (B) Social functioning.
13            (C) Activities of community living.
14            (D) Work skills.
15        (3) Disability must be present or expected to be
16    present for at least one year.
17    A determination of severe mental illness shall be based
18upon a comprehensive, documented assessment with an evaluation
19by a licensed clinical psychologist or psychiatrist, and shall
20not be based solely on behaviors relating to environmental,
21cultural or economic differences.
22    (k) "Severe or profound intellectual disability" means a
23manifestation of all of the following characteristics:
24        (1) A diagnosis which meets Classification in Mental
25    Retardation or criteria in the current edition of the
26    Diagnostic and Statistical Manual of Mental Disorders for

 

 

HB2755- 668 -LRB099 08043 RPS 28187 b

1    severe or profound mental retardation (an IQ of 40 or
2    below). This must be measured by a standardized instrument
3    for general intellectual functioning.
4        (2) A severe or profound level of disturbed adaptive
5    behavior. This must be measured by a standardized adaptive
6    behavior scale or informal appraisal by the professional in
7    keeping with illustrations in Classification in Mental
8    Retardation, 1983.
9        (3) Disability diagnosed before age of 18.
10    A determination of a severe or profound intellectual
11disability shall be based upon a comprehensive, documented
12assessment with an evaluation by a licensed clinical
13psychologist or certified school psychologist or a
14psychiatrist, and shall not be based solely on behaviors
15relating to environmental, cultural or economic differences.
16    (l) "Severe and multiple impairments" means the
17manifestation of all of the following characteristics:
18        (1) The evaluation determines the presence of a
19    developmental disability which is expected to continue
20    indefinitely, constitutes a substantial handicap and is
21    attributable to any of the following:
22            (A) Intellectual disability, which is defined as
23        general intellectual functioning that is 2 or more
24        standard deviations below the mean concurrent with
25        impairment of adaptive behavior which is 2 or more
26        standard deviations below the mean. Assessment of the

 

 

HB2755- 669 -LRB099 08043 RPS 28187 b

1        individual's intellectual functioning must be measured
2        by a standardized instrument for general intellectual
3        functioning.
4            (B) Cerebral palsy.
5            (C) Epilepsy.
6            (D) Autism.
7            (E) Any other condition which results in
8        impairment similar to that caused by an intellectual
9        disability and which requires services similar to
10        those required by intellectually disabled persons.
11        (2) The evaluation determines multiple handicaps in
12    physical, sensory, behavioral or cognitive functioning
13    which constitute a severe or profound impairment
14    attributable to one or more of the following:
15            (A) Physical functioning, which severely impairs
16        the individual's motor performance that may be due to:
17                (i) Neurological, psychological or physical
18            involvement resulting in a variety of disabling
19            conditions such as hemiplegia, quadriplegia or
20            ataxia,
21                (ii) Severe organ systems involvement such as
22            congenital heart defect,
23                (iii) Physical abnormalities resulting in the
24            individual being non-mobile and non-ambulatory or
25            confined to bed and receiving assistance in
26            transferring, or

 

 

HB2755- 670 -LRB099 08043 RPS 28187 b

1                (iv) The need for regular medical or nursing
2            supervision such as gastrostomy care and feeding.
3            Assessment of physical functioning must be based
4        on clinical medical assessment by a physician licensed
5        to practice medicine in all its branches, using the
6        appropriate instruments, techniques and standards of
7        measurement required by the professional.
8            (B) Sensory, which involves severe restriction due
9        to hearing or visual impairment limiting the
10        individual's movement and creating dependence in
11        completing most daily activities. Hearing impairment
12        is defined as a loss of 70 decibels aided or speech
13        discrimination of less than 50% aided. Visual
14        impairment is defined as 20/200 corrected in the better
15        eye or a visual field of 20 degrees or less. Sensory
16        functioning must be based on clinical medical
17        assessment by a physician licensed to practice
18        medicine in all its branches using the appropriate
19        instruments, techniques and standards of measurement
20        required by the professional.
21            (C) Behavioral, which involves behavior that is
22        maladaptive and presents a danger to self or others, is
23        destructive to property by deliberately breaking,
24        destroying or defacing objects, is disruptive by
25        fighting, or has other socially offensive behaviors in
26        sufficient frequency or severity to seriously limit

 

 

HB2755- 671 -LRB099 08043 RPS 28187 b

1        social integration. Assessment of behavioral
2        functioning may be measured by a standardized scale or
3        informal appraisal by a clinical psychologist or
4        psychiatrist.
5            (D) Cognitive, which involves intellectual
6        functioning at a measured IQ of 70 or below. Assessment
7        of cognitive functioning must be measured by a
8        standardized instrument for general intelligence.
9        (3) The evaluation determines that development is
10    substantially less than expected for the age in cognitive,
11    affective or psychomotor behavior as follows:
12            (A) Cognitive, which involves intellectual
13        functioning at a measured IQ of 70 or below. Assessment
14        of cognitive functioning must be measured by a
15        standardized instrument for general intelligence.
16            (B) Affective behavior, which involves over and
17        under responding to stimuli in the environment and may
18        be observed in mood, attention to awareness, or in
19        behaviors such as euphoria, anger or sadness that
20        seriously limit integration into society. Affective
21        behavior must be based on clinical assessment using the
22        appropriate instruments, techniques and standards of
23        measurement required by the professional.
24            (C) Psychomotor, which includes a severe
25        developmental delay in fine or gross motor skills so
26        that development in self-care, social interaction,

 

 

HB2755- 672 -LRB099 08043 RPS 28187 b

1        communication or physical activity will be greatly
2        delayed or restricted.
3        (4) A determination that the disability originated
4    before the age of 18 years.
5    A determination of severe and multiple impairments shall be
6based upon a comprehensive, documented assessment with an
7evaluation by a licensed clinical psychologist or
8psychiatrist.
9    If the examiner is a licensed clinical psychologist,
10ancillary evaluation of physical impairment, cerebral palsy or
11epilepsy must be made by a physician licensed to practice
12medicine in all its branches.
13    Regardless of the discipline of the examiner, ancillary
14evaluation of visual impairment must be made by an
15ophthalmologist or a licensed optometrist.
16    Regardless of the discipline of the examiner, ancillary
17evaluation of hearing impairment must be made by an
18otolaryngologist or an audiologist with a certificate of
19clinical competency.
20    The only exception to the above is in the case of a person
21with cerebral palsy or epilepsy who, according to the
22eligibility criteria listed below, has multiple impairments
23which are only physical and sensory. In such a case, a
24physician licensed to practice medicine in all its branches may
25serve as the examiner.
26    (m) "Twenty-four-hour-a-day supervision" means

 

 

HB2755- 673 -LRB099 08043 RPS 28187 b

124-hour-a-day care by a trained mental health or developmental
2disability professional on an ongoing basis.
3(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
4eff. 7-13-12; 98-104, eff. 7-22-13.)
 
5    (405 ILCS 80/5-1)  (from Ch. 91 1/2, par. 1805-1)
6    Sec. 5-1. As the mental health and developmental
7disabilities or intellectual disabilities authority for the
8State of Illinois, the Department of Human Services shall have
9the authority to license, certify and prescribe standards
10governing the programs and services provided under this Act, as
11well as all other agencies or programs which provide home-based
12or community-based services to the mentally disabled, except
13those services, programs or agencies established under or
14otherwise subject to the Child Care Act of 1969, the
15Specialized Mental Health Rehabilitation Act of 2013, or the
16ID/DD Community Care Act, or the MC/DD Act, as now or hereafter
17amended, and this Act shall not be construed to limit the
18application of those Acts.
19(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
20eff. 7-13-12; 98-104, eff. 7-22-13.)
 
21    Section 210. The Medical Patient Rights Act is amended by
22changing Section 6 as follows:
 
23    (410 ILCS 50/6)

 

 

HB2755- 674 -LRB099 08043 RPS 28187 b

1    Sec. 6. Identification badges. A health care facility that
2provides treatment or care to a patient in this State shall
3require each employee of or volunteer for the facility,
4including a student, who examines or treats a patient or
5resident of the facility to wear an identification badge that
6readily discloses the first name, licensure status, if any, and
7staff position of the person examining or treating the patient
8or resident. This Section does not apply to a facility licensed
9or certified under the ID/DD Community Care Act, the MC/DD Act,
10or the Community-Integrated Living Arrangements Licensure and
11Certification Act.
12(Source: P.A. 98-243, eff. 1-1-14; 98-890, eff. 1-1-15.)
 
13    Section 215. The Facilities Requiring Smoke Detectors Act
14is amended by changing Section 1 as follows:
 
15    (425 ILCS 10/1)  (from Ch. 127 1/2, par. 821)
16    Sec. 1. For purposes of this Act, unless the context
17requires otherwise:
18    (a) "Facility" means:
19        (1) Any long-term care facility as defined in Section
20    1-113 of the Nursing Home Care Act or any facility as
21    defined in Section 1-113 of the ID/DD Community Care Act,
22    Section 1-113 of the MC/DD Act, or the Specialized Mental
23    Health Rehabilitation Act of 2013, as amended;
24        (2) Any community residential alternative as defined

 

 

HB2755- 675 -LRB099 08043 RPS 28187 b

1    in paragraph (4) of Section 3 of the Community Residential
2    Alternatives Licensing Act, as amended; and
3        (3) Any child care facility as defined in Section 2.05
4    of the Child Care Act of 1969, as amended.
5    (b) "Approved smoke detector" or "detector" means a smoke
6detector of the ionization or photoelectric type which complies
7with all the requirements of the rules and regulations of the
8Illinois State Fire Marshal.
9(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
10eff. 7-13-12; 98-104, eff. 7-22-13.)
 
11    Section 220. The Criminal Code of 2012 is amended by
12changing Sections 12-4.4a and 26-1 as follows:
 
13    (720 ILCS 5/12-4.4a)
14    Sec. 12-4.4a. Abuse or criminal neglect of a long term care
15facility resident; criminal abuse or neglect of an elderly
16person or person with a disability.
17    (a) Abuse or criminal neglect of a long term care facility
18resident.
19        (1) A person or an owner or licensee commits abuse of a
20    long term care facility resident when he or she knowingly
21    causes any physical or mental injury to, or commits any
22    sexual offense in this Code against, a resident.
23        (2) A person or an owner or licensee commits criminal
24    neglect of a long term care facility resident when he or

 

 

HB2755- 676 -LRB099 08043 RPS 28187 b

1    she recklessly:
2            (A) performs acts that cause a resident's life to
3        be endangered, health to be injured, or pre-existing
4        physical or mental condition to deteriorate, or that
5        create the substantial likelihood that an elderly
6        person's or person with a disability's life will be
7        endangered, health will be injured, or pre-existing
8        physical or mental condition will deteriorate;
9            (B) fails to perform acts that he or she knows or
10        reasonably should know are necessary to maintain or
11        preserve the life or health of a resident, and that
12        failure causes the resident's life to be endangered,
13        health to be injured, or pre-existing physical or
14        mental condition to deteriorate, or that create the
15        substantial likelihood that an elderly person's or
16        person with a disability's life will be endangered,
17        health will be injured, or pre-existing physical or
18        mental condition will deteriorate; or
19            (C) abandons a resident.
20        (3) A person or an owner or licensee commits neglect of
21    a long term care facility resident when he or she
22    negligently fails to provide adequate medical care,
23    personal care, or maintenance to the resident which results
24    in physical or mental injury or deterioration of the
25    resident's physical or mental condition. An owner or
26    licensee is guilty under this subdivision (a)(3), however,

 

 

HB2755- 677 -LRB099 08043 RPS 28187 b

1    only if the owner or licensee failed to exercise reasonable
2    care in the hiring, training, supervising, or providing of
3    staff or other related routine administrative
4    responsibilities.
5    (b) Criminal abuse or neglect of an elderly person or
6person with a disability.
7        (1) A caregiver commits criminal abuse or neglect of an
8    elderly person or person with a disability when he or she
9    knowingly does any of the following:
10            (A) performs acts that cause the person's life to
11        be endangered, health to be injured, or pre-existing
12        physical or mental condition to deteriorate;
13            (B) fails to perform acts that he or she knows or
14        reasonably should know are necessary to maintain or
15        preserve the life or health of the person, and that
16        failure causes the person's life to be endangered,
17        health to be injured, or pre-existing physical or
18        mental condition to deteriorate;
19            (C) abandons the person;
20            (D) physically abuses, harasses, intimidates, or
21        interferes with the personal liberty of the person; or
22            (E) exposes the person to willful deprivation.
23        (2) It is not a defense to criminal abuse or neglect of
24    an elderly person or person with a disability that the
25    caregiver reasonably believed that the victim was not an
26    elderly person or person with a disability.

 

 

HB2755- 678 -LRB099 08043 RPS 28187 b

1    (c) Offense not applicable.
2        (1) Nothing in this Section applies to a physician
3    licensed to practice medicine in all its branches or a duly
4    licensed nurse providing care within the scope of his or
5    her professional judgment and within the accepted
6    standards of care within the community.
7        (2) Nothing in this Section imposes criminal liability
8    on a caregiver who made a good faith effort to provide for
9    the health and personal care of an elderly person or person
10    with a disability, but through no fault of his or her own
11    was unable to provide such care.
12        (3) Nothing in this Section applies to the medical
13    supervision, regulation, or control of the remedial care or
14    treatment of residents in a long term care facility
15    conducted for those who rely upon treatment by prayer or
16    spiritual means in accordance with the creed or tenets of
17    any well-recognized church or religious denomination as
18    described in Section 3-803 of the Nursing Home Care Act,
19    Section 1-102 of the Specialized Mental Health
20    Rehabilitation Act of 2013, or Section 3-803 of the ID/DD
21    Community Care Act, or Section 3-803 of the MC/DD Act.
22        (4) Nothing in this Section prohibits a caregiver from
23    providing treatment to an elderly person or person with a
24    disability by spiritual means through prayer alone and care
25    consistent therewith in lieu of medical care and treatment
26    in accordance with the tenets and practices of any church

 

 

HB2755- 679 -LRB099 08043 RPS 28187 b

1    or religious denomination of which the elderly person or
2    person with a disability is a member.
3        (5) Nothing in this Section limits the remedies
4    available to the victim under the Illinois Domestic
5    Violence Act of 1986.
6    (d) Sentence.
7        (1) Long term care facility. Abuse of a long term care
8    facility resident is a Class 3 felony. Criminal neglect of
9    a long term care facility resident is a Class 4 felony,
10    unless it results in the resident's death in which case it
11    is a Class 3 felony. Neglect of a long term care facility
12    resident is a petty offense.
13        (2) Caregiver. Criminal abuse or neglect of an elderly
14    person or person with a disability is a Class 3 felony,
15    unless it results in the person's death in which case it is
16    a Class 2 felony, and if imprisonment is imposed it shall
17    be for a minimum term of 3 years and a maximum term of 14
18    years.
19    (e) Definitions. For the purposes of this Section:
20    "Abandon" means to desert or knowingly forsake a resident
21or an elderly person or person with a disability under
22circumstances in which a reasonable person would continue to
23provide care and custody.
24    "Caregiver" means a person who has a duty to provide for an
25elderly person or person with a disability's health and
26personal care, at the elderly person or person with a

 

 

HB2755- 680 -LRB099 08043 RPS 28187 b

1disability's place of residence, including, but not limited to,
2food and nutrition, shelter, hygiene, prescribed medication,
3and medical care and treatment, and includes any of the
4following:
5        (1) A parent, spouse, adult child, or other relative by
6    blood or marriage who resides with or resides in the same
7    building with or regularly visits the elderly person or
8    person with a disability, knows or reasonably should know
9    of such person's physical or mental impairment, and knows
10    or reasonably should know that such person is unable to
11    adequately provide for his or her own health and personal
12    care.
13        (2) A person who is employed by the elderly person or
14    person with a disability or by another to reside with or
15    regularly visit the elderly person or person with a
16    disability and provide for such person's health and
17    personal care.
18        (3) A person who has agreed for consideration to reside
19    with or regularly visit the elderly person or person with a
20    disability and provide for such person's health and
21    personal care.
22        (4) A person who has been appointed by a private or
23    public agency or by a court of competent jurisdiction to
24    provide for the elderly person or person with a
25    disability's health and personal care.
26    "Caregiver" does not include a long-term care facility

 

 

HB2755- 681 -LRB099 08043 RPS 28187 b

1licensed or certified under the Nursing Home Care Act or a
2facility licensed or certified under the ID/DD Community Care
3Act, the MC/DD Act, or the Specialized Mental Health
4Rehabilitation Act of 2013, or any administrative, medical, or
5other personnel of such a facility, or a health care provider
6who is licensed under the Medical Practice Act of 1987 and
7renders care in the ordinary course of his or her profession.
8    "Elderly person" means a person 60 years of age or older
9who is incapable of adequately providing for his or her own
10health and personal care.
11    "Licensee" means the individual or entity licensed to
12operate a facility under the Nursing Home Care Act, the
13Specialized Mental Health Rehabilitation Act of 2013, the ID/DD
14Community Care Act, the MC/DD Act, or the Assisted Living and
15Shared Housing Act.
16    "Long term care facility" means a private home,
17institution, building, residence, or other place, whether
18operated for profit or not, or a county home for the infirm and
19chronically ill operated pursuant to Division 5-21 or 5-22 of
20the Counties Code, or any similar institution operated by the
21State of Illinois or a political subdivision thereof, which
22provides, through its ownership or management, personal care,
23sheltered care, or nursing for 3 or more persons not related to
24the owner by blood or marriage. The term also includes skilled
25nursing facilities and intermediate care facilities as defined
26in Titles XVIII and XIX of the federal Social Security Act and

 

 

HB2755- 682 -LRB099 08043 RPS 28187 b

1assisted living establishments and shared housing
2establishments licensed under the Assisted Living and Shared
3Housing Act.
4    "Owner" means the owner a long term care facility as
5provided in the Nursing Home Care Act, the owner of a facility
6as provided under the Specialized Mental Health Rehabilitation
7Act of 2013, the owner of a facility as provided in the ID/DD
8Community Care Act, the owner of a facility as provided in the
9MC/DD Act, or the owner of an assisted living or shared housing
10establishment as provided in the Assisted Living and Shared
11Housing Act.
12    "Person with a disability" means a person who suffers from
13a permanent physical or mental impairment, resulting from
14disease, injury, functional disorder, or congenital condition,
15which renders the person incapable of adequately providing for
16his or her own health and personal care.
17    "Resident" means a person residing in a long term care
18facility.
19    "Willful deprivation" has the meaning ascribed to it in
20paragraph (15) of Section 103 of the Illinois Domestic Violence
21Act of 1986.
22(Source: P.A. 96-1551, eff. 7-1-11; incorporates 97-38, eff.
236-28-11, and 97-227, eff. 1-1-12; 97-1109, eff. 1-1-13; 98-104,
24eff. 7-22-13.)
 
25    (720 ILCS 5/26-1)  (from Ch. 38, par. 26-1)

 

 

HB2755- 683 -LRB099 08043 RPS 28187 b

1    Sec. 26-1. Disorderly conduct.
2    (a) A person commits disorderly conduct when he or she
3knowingly:
4        (1) Does any act in such unreasonable manner as to
5    alarm or disturb another and to provoke a breach of the
6    peace;
7        (2) Transmits or causes to be transmitted in any manner
8    to the fire department of any city, town, village or fire
9    protection district a false alarm of fire, knowing at the
10    time of the transmission that there is no reasonable ground
11    for believing that the fire exists;
12        (3) Transmits or causes to be transmitted in any manner
13    to another a false alarm to the effect that a bomb or other
14    explosive of any nature or a container holding poison gas,
15    a deadly biological or chemical contaminant, or
16    radioactive substance is concealed in a place where its
17    explosion or release would endanger human life, knowing at
18    the time of the transmission that there is no reasonable
19    ground for believing that the bomb, explosive or a
20    container holding poison gas, a deadly biological or
21    chemical contaminant, or radioactive substance is
22    concealed in the place;
23        (3.5) Transmits or causes to be transmitted a threat of
24    destruction of a school building or school property, or a
25    threat of violence, death, or bodily harm directed against
26    persons at a school, school function, or school event,

 

 

HB2755- 684 -LRB099 08043 RPS 28187 b

1    whether or not school is in session;
2        (4) Transmits or causes to be transmitted in any manner
3    to any peace officer, public officer or public employee a
4    report to the effect that an offense will be committed, is
5    being committed, or has been committed, knowing at the time
6    of the transmission that there is no reasonable ground for
7    believing that the offense will be committed, is being
8    committed, or has been committed;
9        (5) Transmits or causes to be transmitted a false
10    report to any public safety agency without the reasonable
11    grounds necessary to believe that transmitting the report
12    is necessary for the safety and welfare of the public; or
13        (6) Calls the number "911" for the purpose of making or
14    transmitting a false alarm or complaint and reporting
15    information when, at the time the call or transmission is
16    made, the person knows there is no reasonable ground for
17    making the call or transmission and further knows that the
18    call or transmission could result in the emergency response
19    of any public safety agency;
20        (7) Transmits or causes to be transmitted a false
21    report to the Department of Children and Family Services
22    under Section 4 of the "Abused and Neglected Child
23    Reporting Act";
24        (8) Transmits or causes to be transmitted a false
25    report to the Department of Public Health under the Nursing
26    Home Care Act, the Specialized Mental Health

 

 

HB2755- 685 -LRB099 08043 RPS 28187 b

1    Rehabilitation Act of 2013, or the ID/DD Community Care
2    Act, or the MC/DD Act;
3        (9) Transmits or causes to be transmitted in any manner
4    to the police department or fire department of any
5    municipality or fire protection district, or any privately
6    owned and operated ambulance service, a false request for
7    an ambulance, emergency medical technician-ambulance or
8    emergency medical technician-paramedic knowing at the time
9    there is no reasonable ground for believing that the
10    assistance is required;
11        (10) Transmits or causes to be transmitted a false
12    report under Article II of "An Act in relation to victims
13    of violence and abuse", approved September 16, 1984, as
14    amended;
15        (11) Enters upon the property of another and for a lewd
16    or unlawful purpose deliberately looks into a dwelling on
17    the property through any window or other opening in it; or
18        (12) While acting as a collection agency as defined in
19    the Collection Agency Act or as an employee of the
20    collection agency, and while attempting to collect an
21    alleged debt, makes a telephone call to the alleged debtor
22    which is designed to harass, annoy or intimidate the
23    alleged debtor.
24    (b) Sentence. A violation of subsection (a)(1) of this
25Section is a Class C misdemeanor. A violation of subsection
26(a)(5) or (a)(11) of this Section is a Class A misdemeanor. A

 

 

HB2755- 686 -LRB099 08043 RPS 28187 b

1violation of subsection (a)(8) or (a)(10) of this Section is a
2Class B misdemeanor. A violation of subsection (a)(2),
3(a)(3.5), (a)(4), (a)(6), (a)(7), or (a)(9) of this Section is
4a Class 4 felony. A violation of subsection (a)(3) of this
5Section is a Class 3 felony, for which a fine of not less than
6$3,000 and no more than $10,000 shall be assessed in addition
7to any other penalty imposed.
8    A violation of subsection (a)(12) of this Section is a
9Business Offense and shall be punished by a fine not to exceed
10$3,000. A second or subsequent violation of subsection (a)(7)
11or (a)(5) of this Section is a Class 4 felony. A third or
12subsequent violation of subsection (a)(11) of this Section is a
13Class 4 felony.
14    (c) In addition to any other sentence that may be imposed,
15a court shall order any person convicted of disorderly conduct
16to perform community service for not less than 30 and not more
17than 120 hours, if community service is available in the
18jurisdiction and is funded and approved by the county board of
19the county where the offense was committed. In addition,
20whenever any person is placed on supervision for an alleged
21offense under this Section, the supervision shall be
22conditioned upon the performance of the community service.
23    This subsection does not apply when the court imposes a
24sentence of incarceration.
25    (d) In addition to any other sentence that may be imposed,
26the court shall order any person convicted of disorderly

 

 

HB2755- 687 -LRB099 08043 RPS 28187 b

1conduct under paragraph (3) of subsection (a) involving a false
2alarm of a threat that a bomb or explosive device has been
3placed in a school to reimburse the unit of government that
4employs the emergency response officer or officers that were
5dispatched to the school for the cost of the search for a bomb
6or explosive device. For the purposes of this Section,
7"emergency response" means any incident requiring a response by
8a police officer, a firefighter, a State Fire Marshal employee,
9or an ambulance.
10(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
11eff. 7-13-12; 97-1108, eff. 1-1-13; 98-104, eff. 7-22-13.)
 
12    Section 225. The Unified Code of Corrections is amended by
13changing Section 5-5-3.2 as follows:
 
14    (730 ILCS 5/5-5-3.2)
15    Sec. 5-5-3.2. Factors in Aggravation and Extended-Term
16Sentencing.
17    (a) The following factors shall be accorded weight in favor
18of imposing a term of imprisonment or may be considered by the
19court as reasons to impose a more severe sentence under Section
205-8-1 or Article 4.5 of Chapter V:
21        (1) the defendant's conduct caused or threatened
22    serious harm;
23        (2) the defendant received compensation for committing
24    the offense;

 

 

HB2755- 688 -LRB099 08043 RPS 28187 b

1        (3) the defendant has a history of prior delinquency or
2    criminal activity;
3        (4) the defendant, by the duties of his office or by
4    his position, was obliged to prevent the particular offense
5    committed or to bring the offenders committing it to
6    justice;
7        (5) the defendant held public office at the time of the
8    offense, and the offense related to the conduct of that
9    office;
10        (6) the defendant utilized his professional reputation
11    or position in the community to commit the offense, or to
12    afford him an easier means of committing it;
13        (7) the sentence is necessary to deter others from
14    committing the same crime;
15        (8) the defendant committed the offense against a
16    person 60 years of age or older or such person's property;
17        (9) the defendant committed the offense against a
18    person who is physically handicapped or such person's
19    property;
20        (10) by reason of another individual's actual or
21    perceived race, color, creed, religion, ancestry, gender,
22    sexual orientation, physical or mental disability, or
23    national origin, the defendant committed the offense
24    against (i) the person or property of that individual; (ii)
25    the person or property of a person who has an association
26    with, is married to, or has a friendship with the other

 

 

HB2755- 689 -LRB099 08043 RPS 28187 b

1    individual; or (iii) the person or property of a relative
2    (by blood or marriage) of a person described in clause (i)
3    or (ii). For the purposes of this Section, "sexual
4    orientation" means heterosexuality, homosexuality, or
5    bisexuality;
6        (11) the offense took place in a place of worship or on
7    the grounds of a place of worship, immediately prior to,
8    during or immediately following worship services. For
9    purposes of this subparagraph, "place of worship" shall
10    mean any church, synagogue or other building, structure or
11    place used primarily for religious worship;
12        (12) the defendant was convicted of a felony committed
13    while he was released on bail or his own recognizance
14    pending trial for a prior felony and was convicted of such
15    prior felony, or the defendant was convicted of a felony
16    committed while he was serving a period of probation,
17    conditional discharge, or mandatory supervised release
18    under subsection (d) of Section 5-8-1 for a prior felony;
19        (13) the defendant committed or attempted to commit a
20    felony while he was wearing a bulletproof vest. For the
21    purposes of this paragraph (13), a bulletproof vest is any
22    device which is designed for the purpose of protecting the
23    wearer from bullets, shot or other lethal projectiles;
24        (14) the defendant held a position of trust or
25    supervision such as, but not limited to, family member as
26    defined in Section 11-0.1 of the Criminal Code of 2012,

 

 

HB2755- 690 -LRB099 08043 RPS 28187 b

1    teacher, scout leader, baby sitter, or day care worker, in
2    relation to a victim under 18 years of age, and the
3    defendant committed an offense in violation of Section
4    11-1.20, 11-1.30, 11-1.40, 11-1.50, 11-1.60, 11-6, 11-11,
5    11-14.4 except for an offense that involves keeping a place
6    of juvenile prostitution, 11-15.1, 11-19.1, 11-19.2,
7    11-20.1, 11-20.1B, 11-20.3, 12-13, 12-14, 12-14.1, 12-15
8    or 12-16 of the Criminal Code of 1961 or the Criminal Code
9    of 2012 against that victim;
10        (15) the defendant committed an offense related to the
11    activities of an organized gang. For the purposes of this
12    factor, "organized gang" has the meaning ascribed to it in
13    Section 10 of the Streetgang Terrorism Omnibus Prevention
14    Act;
15        (16) the defendant committed an offense in violation of
16    one of the following Sections while in a school, regardless
17    of the time of day or time of year; on any conveyance
18    owned, leased, or contracted by a school to transport
19    students to or from school or a school related activity; on
20    the real property of a school; or on a public way within
21    1,000 feet of the real property comprising any school:
22    Section 10-1, 10-2, 10-5, 11-1.20, 11-1.30, 11-1.40,
23    11-1.50, 11-1.60, 11-14.4, 11-15.1, 11-17.1, 11-18.1,
24    11-19.1, 11-19.2, 12-2, 12-4, 12-4.1, 12-4.2, 12-4.3,
25    12-6, 12-6.1, 12-6.5, 12-13, 12-14, 12-14.1, 12-15, 12-16,
26    18-2, or 33A-2, or Section 12-3.05 except for subdivision

 

 

HB2755- 691 -LRB099 08043 RPS 28187 b

1    (a)(4) or (g)(1), of the Criminal Code of 1961 or the
2    Criminal Code of 2012;
3        (16.5) the defendant committed an offense in violation
4    of one of the following Sections while in a day care
5    center, regardless of the time of day or time of year; on
6    the real property of a day care center, regardless of the
7    time of day or time of year; or on a public way within
8    1,000 feet of the real property comprising any day care
9    center, regardless of the time of day or time of year:
10    Section 10-1, 10-2, 10-5, 11-1.20, 11-1.30, 11-1.40,
11    11-1.50, 11-1.60, 11-14.4, 11-15.1, 11-17.1, 11-18.1,
12    11-19.1, 11-19.2, 12-2, 12-4, 12-4.1, 12-4.2, 12-4.3,
13    12-6, 12-6.1, 12-6.5, 12-13, 12-14, 12-14.1, 12-15, 12-16,
14    18-2, or 33A-2, or Section 12-3.05 except for subdivision
15    (a)(4) or (g)(1), of the Criminal Code of 1961 or the
16    Criminal Code of 2012;
17        (17) the defendant committed the offense by reason of
18    any person's activity as a community policing volunteer or
19    to prevent any person from engaging in activity as a
20    community policing volunteer. For the purpose of this
21    Section, "community policing volunteer" has the meaning
22    ascribed to it in Section 2-3.5 of the Criminal Code of
23    2012;
24        (18) the defendant committed the offense in a nursing
25    home or on the real property comprising a nursing home. For
26    the purposes of this paragraph (18), "nursing home" means a

 

 

HB2755- 692 -LRB099 08043 RPS 28187 b

1    skilled nursing or intermediate long term care facility
2    that is subject to license by the Illinois Department of
3    Public Health under the Nursing Home Care Act, the
4    Specialized Mental Health Rehabilitation Act of 2013, or
5    the ID/DD Community Care Act, or the MC/DD Act;
6        (19) the defendant was a federally licensed firearm
7    dealer and was previously convicted of a violation of
8    subsection (a) of Section 3 of the Firearm Owners
9    Identification Card Act and has now committed either a
10    felony violation of the Firearm Owners Identification Card
11    Act or an act of armed violence while armed with a firearm;
12        (20) the defendant (i) committed the offense of
13    reckless homicide under Section 9-3 of the Criminal Code of
14    1961 or the Criminal Code of 2012 or the offense of driving
15    under the influence of alcohol, other drug or drugs,
16    intoxicating compound or compounds or any combination
17    thereof under Section 11-501 of the Illinois Vehicle Code
18    or a similar provision of a local ordinance and (ii) was
19    operating a motor vehicle in excess of 20 miles per hour
20    over the posted speed limit as provided in Article VI of
21    Chapter 11 of the Illinois Vehicle Code;
22        (21) the defendant (i) committed the offense of
23    reckless driving or aggravated reckless driving under
24    Section 11-503 of the Illinois Vehicle Code and (ii) was
25    operating a motor vehicle in excess of 20 miles per hour
26    over the posted speed limit as provided in Article VI of

 

 

HB2755- 693 -LRB099 08043 RPS 28187 b

1    Chapter 11 of the Illinois Vehicle Code;
2        (22) the defendant committed the offense against a
3    person that the defendant knew, or reasonably should have
4    known, was a member of the Armed Forces of the United
5    States serving on active duty. For purposes of this clause
6    (22), the term "Armed Forces" means any of the Armed Forces
7    of the United States, including a member of any reserve
8    component thereof or National Guard unit called to active
9    duty;
10        (23) the defendant committed the offense against a
11    person who was elderly, disabled, or infirm by taking
12    advantage of a family or fiduciary relationship with the
13    elderly, disabled, or infirm person;
14        (24) the defendant committed any offense under Section
15    11-20.1 of the Criminal Code of 1961 or the Criminal Code
16    of 2012 and possessed 100 or more images;
17        (25) the defendant committed the offense while the
18    defendant or the victim was in a train, bus, or other
19    vehicle used for public transportation;
20        (26) the defendant committed the offense of child
21    pornography or aggravated child pornography, specifically
22    including paragraph (1), (2), (3), (4), (5), or (7) of
23    subsection (a) of Section 11-20.1 of the Criminal Code of
24    1961 or the Criminal Code of 2012 where a child engaged in,
25    solicited for, depicted in, or posed in any act of sexual
26    penetration or bound, fettered, or subject to sadistic,

 

 

HB2755- 694 -LRB099 08043 RPS 28187 b

1    masochistic, or sadomasochistic abuse in a sexual context
2    and specifically including paragraph (1), (2), (3), (4),
3    (5), or (7) of subsection (a) of Section 11-20.1B or
4    Section 11-20.3 of the Criminal Code of 1961 where a child
5    engaged in, solicited for, depicted in, or posed in any act
6    of sexual penetration or bound, fettered, or subject to
7    sadistic, masochistic, or sadomasochistic abuse in a
8    sexual context;
9        (27) the defendant committed the offense of first
10    degree murder, assault, aggravated assault, battery,
11    aggravated battery, robbery, armed robbery, or aggravated
12    robbery against a person who was a veteran and the
13    defendant knew, or reasonably should have known, that the
14    person was a veteran performing duties as a representative
15    of a veterans' organization. For the purposes of this
16    paragraph (27), "veteran" means an Illinois resident who
17    has served as a member of the United States Armed Forces, a
18    member of the Illinois National Guard, or a member of the
19    United States Reserve Forces; and "veterans' organization"
20    means an organization comprised of members of which
21    substantially all are individuals who are veterans or
22    spouses, widows, or widowers of veterans, the primary
23    purpose of which is to promote the welfare of its members
24    and to provide assistance to the general public in such a
25    way as to confer a public benefit; or
26        (28) the defendant committed the offense of assault,

 

 

HB2755- 695 -LRB099 08043 RPS 28187 b

1    aggravated assault, battery, aggravated battery, robbery,
2    armed robbery, or aggravated robbery against a person that
3    the defendant knew or reasonably should have known was a
4    letter carrier or postal worker while that person was
5    performing his or her duties delivering mail for the United
6    States Postal Service.
7    For the purposes of this Section:
8    "School" is defined as a public or private elementary or
9secondary school, community college, college, or university.
10    "Day care center" means a public or private State certified
11and licensed day care center as defined in Section 2.09 of the
12Child Care Act of 1969 that displays a sign in plain view
13stating that the property is a day care center.
14    "Public transportation" means the transportation or
15conveyance of persons by means available to the general public,
16and includes paratransit services.
17    (b) The following factors, related to all felonies, may be
18considered by the court as reasons to impose an extended term
19sentence under Section 5-8-2 upon any offender:
20        (1) When a defendant is convicted of any felony, after
21    having been previously convicted in Illinois or any other
22    jurisdiction of the same or similar class felony or greater
23    class felony, when such conviction has occurred within 10
24    years after the previous conviction, excluding time spent
25    in custody, and such charges are separately brought and
26    tried and arise out of different series of acts; or

 

 

HB2755- 696 -LRB099 08043 RPS 28187 b

1        (2) When a defendant is convicted of any felony and the
2    court finds that the offense was accompanied by
3    exceptionally brutal or heinous behavior indicative of
4    wanton cruelty; or
5        (3) When a defendant is convicted of any felony
6    committed against:
7            (i) a person under 12 years of age at the time of
8        the offense or such person's property;
9            (ii) a person 60 years of age or older at the time
10        of the offense or such person's property; or
11            (iii) a person physically handicapped at the time
12        of the offense or such person's property; or
13        (4) When a defendant is convicted of any felony and the
14    offense involved any of the following types of specific
15    misconduct committed as part of a ceremony, rite,
16    initiation, observance, performance, practice or activity
17    of any actual or ostensible religious, fraternal, or social
18    group:
19            (i) the brutalizing or torturing of humans or
20        animals;
21            (ii) the theft of human corpses;
22            (iii) the kidnapping of humans;
23            (iv) the desecration of any cemetery, religious,
24        fraternal, business, governmental, educational, or
25        other building or property; or
26            (v) ritualized abuse of a child; or

 

 

HB2755- 697 -LRB099 08043 RPS 28187 b

1        (5) When a defendant is convicted of a felony other
2    than conspiracy and the court finds that the felony was
3    committed under an agreement with 2 or more other persons
4    to commit that offense and the defendant, with respect to
5    the other individuals, occupied a position of organizer,
6    supervisor, financier, or any other position of management
7    or leadership, and the court further finds that the felony
8    committed was related to or in furtherance of the criminal
9    activities of an organized gang or was motivated by the
10    defendant's leadership in an organized gang; or
11        (6) When a defendant is convicted of an offense
12    committed while using a firearm with a laser sight attached
13    to it. For purposes of this paragraph, "laser sight" has
14    the meaning ascribed to it in Section 26-7 of the Criminal
15    Code of 2012; or
16        (7) When a defendant who was at least 17 years of age
17    at the time of the commission of the offense is convicted
18    of a felony and has been previously adjudicated a
19    delinquent minor under the Juvenile Court Act of 1987 for
20    an act that if committed by an adult would be a Class X or
21    Class 1 felony when the conviction has occurred within 10
22    years after the previous adjudication, excluding time
23    spent in custody; or
24        (8) When a defendant commits any felony and the
25    defendant used, possessed, exercised control over, or
26    otherwise directed an animal to assault a law enforcement

 

 

HB2755- 698 -LRB099 08043 RPS 28187 b

1    officer engaged in the execution of his or her official
2    duties or in furtherance of the criminal activities of an
3    organized gang in which the defendant is engaged; or
4        (9) When a defendant commits any felony and the
5    defendant knowingly video or audio records the offense with
6    the intent to disseminate the recording.
7    (c) The following factors may be considered by the court as
8reasons to impose an extended term sentence under Section 5-8-2
9(730 ILCS 5/5-8-2) upon any offender for the listed offenses:
10        (1) When a defendant is convicted of first degree
11    murder, after having been previously convicted in Illinois
12    of any offense listed under paragraph (c)(2) of Section
13    5-5-3 (730 ILCS 5/5-5-3), when that conviction has occurred
14    within 10 years after the previous conviction, excluding
15    time spent in custody, and the charges are separately
16    brought and tried and arise out of different series of
17    acts.
18        (1.5) When a defendant is convicted of first degree
19    murder, after having been previously convicted of domestic
20    battery (720 ILCS 5/12-3.2) or aggravated domestic battery
21    (720 ILCS 5/12-3.3) committed on the same victim or after
22    having been previously convicted of violation of an order
23    of protection (720 ILCS 5/12-30) in which the same victim
24    was the protected person.
25        (2) When a defendant is convicted of voluntary
26    manslaughter, second degree murder, involuntary

 

 

HB2755- 699 -LRB099 08043 RPS 28187 b

1    manslaughter, or reckless homicide in which the defendant
2    has been convicted of causing the death of more than one
3    individual.
4        (3) When a defendant is convicted of aggravated
5    criminal sexual assault or criminal sexual assault, when
6    there is a finding that aggravated criminal sexual assault
7    or criminal sexual assault was also committed on the same
8    victim by one or more other individuals, and the defendant
9    voluntarily participated in the crime with the knowledge of
10    the participation of the others in the crime, and the
11    commission of the crime was part of a single course of
12    conduct during which there was no substantial change in the
13    nature of the criminal objective.
14        (4) If the victim was under 18 years of age at the time
15    of the commission of the offense, when a defendant is
16    convicted of aggravated criminal sexual assault or
17    predatory criminal sexual assault of a child under
18    subsection (a)(1) of Section 11-1.40 or subsection (a)(1)
19    of Section 12-14.1 of the Criminal Code of 1961 or the
20    Criminal Code of 2012 (720 ILCS 5/11-1.40 or 5/12-14.1).
21        (5) When a defendant is convicted of a felony violation
22    of Section 24-1 of the Criminal Code of 1961 or the
23    Criminal Code of 2012 (720 ILCS 5/24-1) and there is a
24    finding that the defendant is a member of an organized
25    gang.
26        (6) When a defendant was convicted of unlawful use of

 

 

HB2755- 700 -LRB099 08043 RPS 28187 b

1    weapons under Section 24-1 of the Criminal Code of 1961 or
2    the Criminal Code of 2012 (720 ILCS 5/24-1) for possessing
3    a weapon that is not readily distinguishable as one of the
4    weapons enumerated in Section 24-1 of the Criminal Code of
5    1961 or the Criminal Code of 2012 (720 ILCS 5/24-1).
6        (7) When a defendant is convicted of an offense
7    involving the illegal manufacture of a controlled
8    substance under Section 401 of the Illinois Controlled
9    Substances Act (720 ILCS 570/401), the illegal manufacture
10    of methamphetamine under Section 25 of the Methamphetamine
11    Control and Community Protection Act (720 ILCS 646/25), or
12    the illegal possession of explosives and an emergency
13    response officer in the performance of his or her duties is
14    killed or injured at the scene of the offense while
15    responding to the emergency caused by the commission of the
16    offense. In this paragraph, "emergency" means a situation
17    in which a person's life, health, or safety is in jeopardy;
18    and "emergency response officer" means a peace officer,
19    community policing volunteer, fireman, emergency medical
20    technician-ambulance, emergency medical
21    technician-intermediate, emergency medical
22    technician-paramedic, ambulance driver, other medical
23    assistance or first aid personnel, or hospital emergency
24    room personnel.
25        (8) When the defendant is convicted of attempted mob
26    action, solicitation to commit mob action, or conspiracy to

 

 

HB2755- 701 -LRB099 08043 RPS 28187 b

1    commit mob action under Section 8-1, 8-2, or 8-4 of the
2    Criminal Code of 2012, where the criminal object is a
3    violation of Section 25-1 of the Criminal Code of 2012, and
4    an electronic communication is used in the commission of
5    the offense. For the purposes of this paragraph (8),
6    "electronic communication" shall have the meaning provided
7    in Section 26.5-0.1 of the Criminal Code of 2012.
8    (d) For the purposes of this Section, "organized gang" has
9the meaning ascribed to it in Section 10 of the Illinois
10Streetgang Terrorism Omnibus Prevention Act.
11    (e) The court may impose an extended term sentence under
12Article 4.5 of Chapter V upon an offender who has been
13convicted of a felony violation of Section 11-1.20, 11-1.30,
1411-1.40, 11-1.50, 11-1.60, 12-13, 12-14, 12-14.1, 12-15, or
1512-16 of the Criminal Code of 1961 or the Criminal Code of 2012
16when the victim of the offense is under 18 years of age at the
17time of the commission of the offense and, during the
18commission of the offense, the victim was under the influence
19of alcohol, regardless of whether or not the alcohol was
20supplied by the offender; and the offender, at the time of the
21commission of the offense, knew or should have known that the
22victim had consumed alcohol.
23(Source: P.A. 97-38, eff. 6-28-11, 97-227, eff. 1-1-12; 97-333,
24eff. 8-12-11; 97-693, eff. 1-1-13; 97-1108, eff. 1-1-13;
2597-1109, eff. 1-1-13; 97-1150, eff. 1-25-13; 98-14, eff.
261-1-14; 98-104, eff. 7-22-13; 98-385, eff. 1-1-14; 98-756, eff.

 

 

HB2755- 702 -LRB099 08043 RPS 28187 b

17-16-14.)
 
2    Section 230. The Secure Residential Youth Care Facility
3Licensing Act is amended by changing Section 45-10 as follows:
 
4    (730 ILCS 175/45-10)
5    Sec. 45-10. Definitions. As used in this Act:
6    "Department" means the Illinois Department of Corrections.
7    "Director" means the Director of Corrections.
8    "Secure residential youth care facility" means a facility
9(1) where youth are placed and reside for care, treatment, and
10custody; (2) that is designed and operated so as to ensure that
11all entrances and exits from the facility, or from a building
12or distinct part of a building within the facility, are under
13the exclusive control of the staff of the facility, whether or
14not the youth has freedom of movement within the perimeter of
15the facility or within the perimeter of a building or distinct
16part of a building within the facility; and (3) that uses
17physically restrictive construction including, but not limited
18to, locks, bolts, gates, doors, bars, fences, and screen
19barriers. This definition does not include jails, prisons,
20detention centers, or other such correctional facilities;
21State operated mental health facilities; or facilities
22operating as psychiatric hospitals under a license pursuant to
23the ID/DD Community Care Act, the MC/DD Act, the Nursing Home
24Care Act, the Specialized Mental Health Rehabilitation Act of

 

 

HB2755- 703 -LRB099 08043 RPS 28187 b

12013, or the Hospital Licensing Act.
2    "Youth" means an adjudicated delinquent who is 18 years of
3age or under and is transferred to the Department pursuant to
4Section 3-10-11 of the Unified Code of Corrections.
5(Source: P.A. 96-339, eff. 7-1-10; 97-38, eff. 6-28-11; 97-227,
6eff. 1-1-12; 97-813, eff. 7-13-12.)
 
7    Section 235. The Code of Civil Procedure is amended by
8changing Section 2-203 as follows:
 
9    (735 ILCS 5/2-203)  (from Ch. 110, par. 2-203)
10    Sec. 2-203. Service on individuals.
11    (a) Except as otherwise expressly provided, service of
12summons upon an individual defendant shall be made (1) by
13leaving a copy of the summons with the defendant personally,
14(2) by leaving a copy at the defendant's usual place of abode,
15with some person of the family or a person residing there, of
16the age of 13 years or upwards, and informing that person of
17the contents of the summons, provided the officer or other
18person making service shall also send a copy of the summons in
19a sealed envelope with postage fully prepaid, addressed to the
20defendant at his or her usual place of abode, or (3) as
21provided in Section 1-2-9.2 of the Illinois Municipal Code with
22respect to violation of an ordinance governing parking or
23standing of vehicles in cities with a population over 500,000.
24The certificate of the officer or affidavit of the person that

 

 

HB2755- 704 -LRB099 08043 RPS 28187 b

1he or she has sent the copy in pursuance of this Section is
2evidence that he or she has done so. No employee of a facility
3licensed under the Nursing Home Care Act, the Specialized
4Mental Health Rehabilitation Act of 2013, or the ID/DD
5Community Care Act, or the MC/DD Act shall obstruct an officer
6or other person making service in compliance with this Section.
7An employee of a gated residential community shall grant entry
8into the community, including its common areas and common
9elements, to a process server authorized under Section 2-202 of
10this Code who is attempting to serve process on a defendant or
11witness who resides within or is known to be within the
12community. As used in this Section, "gated residential
13community" includes a condominium association, housing
14cooperative, or private community.
15    (b) The officer, in his or her certificate or in a record
16filed and maintained in the Sheriff's office, or other person
17making service, in his or her affidavit or in a record filed
18and maintained in his or her employer's office, shall (1)
19identify as to sex, race, and approximate age the defendant or
20other person with whom the summons was left and (2) state the
21place where (whenever possible in terms of an exact street
22address) and the date and time of the day when the summons was
23left with the defendant or other person.
24    (c) Any person who knowingly sets forth in the certificate
25or affidavit any false statement, shall be liable in civil
26contempt. When the court holds a person in civil contempt under

 

 

HB2755- 705 -LRB099 08043 RPS 28187 b

1this Section, it shall award such damages as it determines to
2be just and, when the contempt is prosecuted by a private
3attorney, may award reasonable attorney's fees.
4(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
5eff. 7-13-12; 98-104, eff. 7-22-13; 98-966, eff. 1-1-15.)
 
6    Section 240. The Consumer Fraud and Deceptive Business
7Practices Act is amended by changing Section 2BBB as follows:
 
8    (815 ILCS 505/2BBB)
9    Sec. 2BBB. Long term care facility, ID/DD facility, MC/DD
10facility, or specialized mental health rehabilitation
11facility; Consumer Choice Information Report. A long term care
12facility that fails to comply with Section 2-214 of the Nursing
13Home Care Act, or a facility that fails to comply with Section
142-214 of the ID/DD Community Care Act, or a facility that fails
15to comply with Section 2-214 of the MC/DD Act commits an
16unlawful practice within the meaning of this Act.
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 900. The State Mandates Act is amended by adding
20Section 8.39 as follows:
 
21    (30 ILCS 805/8.39 new)
22    Sec. 8.39. Exempt mandate. Notwithstanding Sections 6 and 8

 

 

HB2755- 706 -LRB099 08043 RPS 28187 b

1of this Act, no reimbursement by the State is required for the
2implementation of any mandate created by this amendatory Act of
3the 99th General Assembly.
 
4    Section 950. No acceleration or delay. Where this Act makes
5changes in a statute that is represented in this Act by text
6that is not yet or no longer in effect (for example, a Section
7represented by multiple versions), the use of that text does
8not accelerate or delay the taking effect of (i) the changes
9made by this Act or (ii) provisions derived from any other
10Public Act.
 
11    Section 999. Effective date. This Act takes effect July 1,
122015.

 

 

HB2755- 707 -LRB099 08043 RPS 28187 b

1 INDEX
2 Statutes amended in order of appearance
3    New Act
4    10 ILCS 5/3-3from Ch. 46, par. 3-3
5    10 ILCS 5/4-6.3from Ch. 46, par. 4-6.3
6    10 ILCS 5/4-10from Ch. 46, par. 4-10
7    10 ILCS 5/5-9from Ch. 46, par. 5-9
8    10 ILCS 5/5-16.3from Ch. 46, par. 5-16.3
9    10 ILCS 5/6-50.3from Ch. 46, par. 6-50.3
10    10 ILCS 5/6-56from Ch. 46, par. 6-56
11    10 ILCS 5/19-4from Ch. 46, par. 19-4
12    10 ILCS 5/19-12.1from Ch. 46, par. 19-12.1
13    10 ILCS 5/19-12.2from Ch. 46, par. 19-12.2
14    20 ILCS 105/4.04from Ch. 23, par. 6104.04
15    20 ILCS 105/4.08
16    20 ILCS 1705/15from Ch. 91 1/2, par. 100-15
17    20 ILCS 2310/2310-550was 20 ILCS 2310/55.40
18    20 ILCS 2310/2310-560was 20 ILCS 2310/55.87
19    20 ILCS 2310/2310-565was 20 ILCS 2310/55.88
20    20 ILCS 2310/2310-625
21    20 ILCS 2407/52
22    20 ILCS 2630/7.5
23    20 ILCS 3501/801-10
24    20 ILCS 3960/3from Ch. 111 1/2, par. 1153
25    20 ILCS 3960/12from Ch. 111 1/2, par. 1162

 

 

HB2755- 708 -LRB099 08043 RPS 28187 b

1    20 ILCS 3960/13from Ch. 111 1/2, par. 1163
2    20 ILCS 3960/14.1
3    35 ILCS 5/806
4    35 ILCS 105/3-5
5    35 ILCS 110/3-5
6    35 ILCS 110/3-10from Ch. 120, par. 439.33-10
7    35 ILCS 115/3-5
8    35 ILCS 115/3-10from Ch. 120, par. 439.103-10
9    35 ILCS 120/2-5
10    35 ILCS 200/15-168
11    35 ILCS 200/15-170
12    35 ILCS 200/15-172
13    70 ILCS 3615/4.03from Ch. 111 2/3, par. 704.03
14    210 ILCS 3/15
15    210 ILCS 5/3from Ch. 111 1/2, par. 157-8.3
16    210 ILCS 9/10
17    210 ILCS 9/35
18    210 ILCS 9/55
19    210 ILCS 9/145
20    210 ILCS 28/10
21    210 ILCS 28/50
22    210 ILCS 30/3from Ch. 111 1/2, par. 4163
23    210 ILCS 30/4from Ch. 111 1/2, par. 4164
24    210 ILCS 30/6from Ch. 111 1/2, par. 4166
25    210 ILCS 45/1-113from Ch. 111 1/2, par. 4151-113
26    210 ILCS 45/2-201.5

 

 

HB2755- 709 -LRB099 08043 RPS 28187 b

1    210 ILCS 45/3-202.5
2    210 ILCS 47/1-101.05
3    210 ILCS 47/1-113
4    210 ILCS 47/2-218 rep.
5    210 ILCS 49/1-102
6    210 ILCS 55/2.08
7    210 ILCS 60/3from Ch. 111 1/2, par. 6103
8    210 ILCS 60/4from Ch. 111 1/2, par. 6104
9    210 ILCS 85/3
10    210 ILCS 85/6.09from Ch. 111 1/2, par. 147.09
11    210 ILCS 85/6.09a
12    210 ILCS 85/7from Ch. 111 1/2, par. 148
13    210 ILCS 87/10
14    210 ILCS 135/4from Ch. 91 1/2, par. 1704
15    225 ILCS 10/2.06from Ch. 23, par. 2212.06
16    225 ILCS 46/15
17    225 ILCS 70/4from Ch. 111, par. 3654
18    225 ILCS 70/17from Ch. 111, par. 3667
19    225 ILCS 85/3
20    225 ILCS 510/3from Ch. 111, par. 953
21    305 ILCS 5/5-5from Ch. 23, par. 5-5
22    305 ILCS 5/5-5.7from Ch. 23, par. 5-5.7
23    305 ILCS 5/5-5.12from Ch. 23, par. 5-5.12
24    305 ILCS 5/5-5e
25    305 ILCS 5/5-6from Ch. 23, par. 5-6
26    305 ILCS 5/5B-1from Ch. 23, par. 5B-1

 

 

HB2755- 710 -LRB099 08043 RPS 28187 b

1    305 ILCS 5/5E-5
2    305 ILCS 5/8A-11from Ch. 23, par. 8A-11
3    305 ILCS 5/11-4.1
4    305 ILCS 5/12-4.25from Ch. 23, par. 12-4.25
5    305 ILCS 40/5from Ch. 23, par. 7100-5
6    320 ILCS 20/2from Ch. 23, par. 6602
7    320 ILCS 42/10
8    405 ILCS 5/2-107from Ch. 91 1/2, par. 2-107
9    405 ILCS 40/1from Ch. 91 1/2, par. 1151
10    405 ILCS 45/3from Ch. 91 1/2, par. 1353
11    405 ILCS 80/2-3from Ch. 91 1/2, par. 1802-3
12    405 ILCS 80/5-1from Ch. 91 1/2, par. 1805-1
13    410 ILCS 50/6
14    425 ILCS 10/1from Ch. 127 1/2, par. 821
15    720 ILCS 5/12-4.4a
16    720 ILCS 5/26-1from Ch. 38, par. 26-1
17    730 ILCS 5/5-5-3.2
18    730 ILCS 175/45-10
19    735 ILCS 5/2-203from Ch. 110, par. 2-203
20    815 ILCS 505/2BBB
21    30 ILCS 805/8.39 new