Full Text of HB4228 93rd General Assembly
HB4228 93RD GENERAL ASSEMBLY
|
|
|
93RD GENERAL ASSEMBLY
State of Illinois
2003 and 2004 HB4228
Introduced 1/27/2004, by Angelo Saviano SYNOPSIS AS INTRODUCED: |
|
|
Amends the Home Medical Equipment and Services Provider License Act. Provides guidelines for companies, organizations, and health care professionals concerning providing wheeled mobility systems. Effective immediately.
|
|
|
|
|
| FISCAL NOTE ACT MAY APPLY | |
|
|
A BILL FOR
|
|
|
|
|
HB4228 |
|
LRB093 19366 AMC 45104 b |
|
| 1 |
| AN ACT concerning professional regulation.
| 2 |
| Be it enacted by the People of the State of Illinois,
| 3 |
| represented in the General Assembly:
| 4 |
| Section 5. The Home Medical Equipment and Services Provider | 5 |
| License Act is amended by adding Section 86 as follows: | 6 |
| (225 ILCS 51/86 new) | 7 |
| Sec. 86. Wheeled mobility systems.
| 8 |
| (a) For the purposes of this Section:
| 9 |
| "Assistive technology supplier" means service providers | 10 |
| involved in the sale and service of commercially available | 11 |
| wheeled mobility systems. | 12 |
| "Assistive technology practitioner" means therapists or | 13 |
| other allied health professionals primarily involved in | 14 |
| evaluating the consumer's needs and training in use of a | 15 |
| prescribed wheeled mobility system. | 16 |
| "Consumer" means the ultimate recipient of a wheeled | 17 |
| mobility system. | 18 |
| "Full-time employment" means approximately a 40 hour work | 19 |
| week. | 20 |
| "Health care professional" means a physician licensed to | 21 |
| practice medicine in all its branches licensed under the | 22 |
| Medical Practice Act of 1987, physical
therapist, occupational | 23 |
| therapist, or other allied health care professional that | 24 |
| performs physical evaluations within their scope of practice. | 25 |
| "Physical evaluation" means the determination and | 26 |
| documentation of the physiological, functional, and | 27 |
| environmental factors that impact the selection of an | 28 |
| appropriate seating and wheeled mobility system. | 29 |
| "Qualified rehabilitation professional" means: (A) an | 30 |
| individual who has appropriately obtained the designation of | 31 |
| assistive technology supplier, assistive technology | 32 |
| practitioner, rehabilitation engineering technologist after |
|
|
|
HB4228 |
- 2 - |
LRB093 19366 AMC 45104 b |
|
| 1 |
| meeting all the requirements thereof as established by the | 2 |
| Rehabilitation Engineering and Assistive Technology Society of | 3 |
| North America (RESNA) or (B) an individual who (i) can provide | 4 |
| documentation to prove completion of at least 15 contact hours | 5 |
| of continuing education (CEC) within the 12 months immediately | 6 |
| prior to July 1, 2005, and all other subsequent years | 7 |
| thereafter by June 30, in the field of seating and wheeled | 8 |
| mobility, which may include, but is not limited to, courses by | 9 |
| health care professionals,
courses by health care | 10 |
| associations,courses by a college or university,
courses by | 11 |
| manufacturers,
in-service training by manufacturers, or
| 12 |
| attendance at symposiums or conferences; (ii) can provide proof | 13 |
| of at least one year experience, at least 10 hours a week in a | 14 |
| forty hour work week in the field of rehabilitation technology; | 15 |
| and
(iii) can provide 3 recommendations from health care | 16 |
| professionals who can attest to the skills of the provider in | 17 |
| seating and wheeled mobility. | 18 |
| "Rehabilitation engineering technologist" means a person | 19 |
| who applies engineering principles to the design, | 20 |
| modification, and customization of wheeled mobility systems. | 21 |
| "Technology assessment" means the process and | 22 |
| documentation of matching the pathology, history, and | 23 |
| prognosis of the patient to the appropriate wheeled mobility | 24 |
| system. | 25 |
| "Wheeled mobility system" means a power or manual mobility | 26 |
| system prescribed by a physician and required for use by the | 27 |
| patient for a period of 6 months or more that includes | 28 |
| (i)customized seated positioning components, (ii) powered | 29 |
| seating options, (iii)alternative driving controls, | 30 |
| (iv)non-standard performance options, or (v)other complex or | 31 |
| specialized components. | 32 |
| (b) On and after July 1, 2005, all companies or | 33 |
| organizations must employ at least one qualified | 34 |
| rehabilitation professional if that company or organization | 35 |
| provides any wheeled mobility system to a consumer who: | 36 |
| (1) is under age 21; |
|
|
|
HB4228 |
- 3 - |
LRB093 19366 AMC 45104 b |
|
| 1 |
| (2) has a primary diagnosis that results from
childhood | 2 |
| or adult onset injury or trauma; | 3 |
| (3) has a primary diagnosis that is
progressive or | 4 |
| degenerative in nature and necessitates a specialized
| 5 |
| mobility system; | 6 |
| (4) has a primary diagnosis that is
neuromuscular in | 7 |
| nature and necessitates a specialized
mobility system; | 8 |
| (5) requires adaptive seating or positioning
| 9 |
| equipment; or | 10 |
| (6) has a diagnosis that indicates a need for
other | 11 |
| assistive technology such as speech generating
devices or | 12 |
| environmental controls. | 13 |
| (c) On and after July 1, 2005, in order for company or | 14 |
| organization to supply a wheeled mobility system, the recipient | 15 |
| must have undergone a physical evaluation by a health care | 16 |
| professional, who shall provide a written report of the | 17 |
| evaluation to be included in the consumer medical record and | 18 |
| maintained on file by the supplier. | 19 |
| (d) Health care professionals, except physicians licensed | 20 |
| to practice medicine in all its branches under the Medical | 21 |
| Practice Act of 1987, shall complete 5 contact hours (CEC) a | 22 |
| year in the area of rehabilitation seating and positioning. | 23 |
| (e) On and after July 1, 2005, all home care organizations | 24 |
| making available technology assessments on prescribed wheeled | 25 |
| mobility systems shall have on staff a qualified rehabilitation | 26 |
| professional. | 27 |
| (f) On and after July 1, 2005, qualified rehabilitation | 28 |
| professionals shall perform a complete, face-to-face | 29 |
| technology assessment, based upon the physical evaluation | 30 |
| required in subsection (c) and document, in writing, | 31 |
| recommendations for a wheeled mobility system as appropriate to | 32 |
| meet the consumer's needs. | 33 |
| (g) On and after July 1, 2008, a 180-day grace period shall | 34 |
| be provided to home care organizations that provide technology | 35 |
| assessments on prescribed wheeled mobility systems if the | 36 |
| qualified rehabilitation professional on staff ceases to be |
|
|
|
HB4228 |
- 4 - |
LRB093 19366 AMC 45104 b |
|
| 1 |
| employed and the organization has no other qualified | 2 |
| rehabilitation professional on staff. During the grace period, | 3 |
| the standards regarding qualified rehabilitation professionals | 4 |
| contained in subsections (e) and (f) shall apply. | 5 |
| (h) On and after July 1, 2008, the qualified rehabilitation | 6 |
| professional shall be RESNA certified with the designation of | 7 |
| assistive technology supplier, assistive technology | 8 |
| practitioner, or rehabilitation engineer technologist or have | 9 |
| an assistive technology degree from an accredited college or | 10 |
| university or any other designation approved by the Board. | 11 |
| (i) Final fitting of a wheeled mobility device shall be | 12 |
| completed with a qualified rehabilitation professional or | 13 |
| health care professional present. | 14 |
| (j) On and after July 1, 2005, all home care organizations | 15 |
| making available prescribed wheeled mobility system shall have | 16 |
| a physical location with a working telephone and maintain | 17 |
| $1,000,000 in liability insurance coverage. | 18 |
| (k) On or after July 1, 2008, all companies providing | 19 |
| wheeled mobility systems must be accredited by a nationally | 20 |
| recognized accreditation body.
| 21 |
| Section 99. Effective date. This Act takes effect upon | 22 |
| becoming law.
|
|