(210 ILCS 85/8)
(from Ch. 111 1/2, par. 149)
Facility plan review; fees.
(a) Before commencing construction of new facilities or specified types
of alteration or additions to an existing hospital involving major
construction, as defined by rule by the Department, with an estimated
cost greater than $100,000, architectural plans and
specifications therefor shall be submitted by the licensee to the
Department for review and approval.
A hospital may submit architectural drawings and specifications for other
construction projects for Department review according to subsection (b) that
shall not be subject to fees under subsection (d).
The Department must give a hospital that is planning to submit a construction
project for review the opportunity to discuss its plans and specifications with
the Department before the hospital formally submits the plans and
specifications for Department review.
Review of drawings and specifications shall be conducted by an employee of
the Department meeting the qualifications established by the Department of
Central Management Services class specifications for such an individual's
position or by a person contracting with the Department who meets those class
Final approval of the plans and specifications for compliance
with design and construction standards shall be obtained from the
Department before the alteration, addition, or new construction is begun. Subject to this Section 8, and prior to January 1, 2012, the Department shall consider the re-licensing of an existing hospital structure according to the standards for an existing hospital, as set forth in the Department's rules. Re-licensing under this provision shall occur only if that facility operated as a licensed hospital on July 1, 2005, has had no intervening use as other than a hospital, and exists in a county with a population of less than 20,000 that does not have another licensed hospital on the effective date of this amendatory Act of the 95th General Assembly.
(b) The Department shall inform an applicant in writing within 10 working
days after receiving drawings and specifications and the required fee, if any,
from the applicant whether the applicant's submission is complete or
incomplete. Failure to provide the applicant with this notice within 10
working days shall result in the submission being deemed complete for purposes
of initiating the 60-day review period under this Section. If the submission
is incomplete, the Department shall inform the applicant of the deficiencies
with the submission in writing. If the submission is complete and the required
fee, if any, has been paid,
the Department shall approve or disapprove drawings and specifications
submitted to the Department no later than 60 days following receipt by the
Department. The drawings and specifications shall be of sufficient detail, as
provided by Department rule, to
enable the Department to
render a determination of compliance with design and construction standards
under this Act.
If the Department finds that the drawings are not of sufficient detail for it
to render a determination of compliance, the plans shall be determined to be
incomplete and shall not be considered for purposes of initiating the 60 day
If a submission of drawings and specifications is incomplete, the applicant
may submit additional information. The 60-day review period shall not commence
until the Department determines that a submission of drawings and
specifications is complete or the submission is deemed complete.
If the Department has not approved or disapproved the
drawings and specifications within 60 days, the construction, major alteration,
or addition shall be deemed approved. If the drawings and specifications are
disapproved, the Department shall state in writing, with specificity, the
reasons for the disapproval. The entity submitting the drawings and
specifications may submit additional information in response to the written
comments from the Department or request a reconsideration of the disapproval.
A final decision of approval or disapproval shall be made within 45 days of the
receipt of the additional information or reconsideration request. A final decision shall be subject to review under the Administrative Review Law.
(c) The Department shall provide written approval for occupancy pursuant
to subsection (g) and shall not issue a violation to a facility as a result of
a licensure or complaint survey based upon the facility's physical structure
(1) the Department reviewed and approved or deemed
approved the drawing and specifications for compliance with design and construction standards;
(2) the construction, major alteration, or addition
(3) the law or rules have not been amended since the
(4) the conditions at the facility indicate that
there is a reasonable degree of safety provided for the patients.
(c-5) The Department shall not issue a violation to a facility if the
inspected aspects of the facility were previously found to be in compliance
with applicable standards, the relevant law or rules have not been amended,
conditions at the facility
reasonably protect the safety of its patients, and alterations or new hazards
have not been
(d) The Department shall charge the following fees in connection with its
reviews conducted before June 30, 2004 under this Section:
(3) If the estimated dollar value of the major
construction is greater than $500,000, the fee shall be established by the Department pursuant to rules that reflect the reasonable and direct cost of the Department in conducting the architectural reviews required under this Section. The estimated dollar value of the major construction subject to review under this Section shall be annually readjusted to reflect the increase in construction costs due to inflation.
The fees provided in this subsection (d) shall not apply to major
construction projects involving facility changes that are required by
Department rule amendments or to projects related to homeland security.
The fees provided in this subsection (d) shall also not apply to major
construction projects if 51% or more of the estimated cost of the project is
attributed to capital equipment. For major construction projects where 51% or
more of the estimated cost of the project is attributed to capital equipment,
the Department shall by rule establish a fee that is reasonably related to the
cost of reviewing the project.
Disproportionate share hospitals and rural hospitals shall only pay
one-half of the fees
required in this subsection (d).
For the purposes of this subsection (d),
(i) "disproportionate share hospital" means a hospital described in items (1)
through (5) of subsection (b) of Section 5-5.02 of the Illinois Public Aid
Code and (ii)
"rural hospital" means a hospital that
is (A) located
outside a metropolitan statistical area or (B) located 15 miles or less from a
county that is
outside a metropolitan statistical area and is licensed to perform
obstetrical services and has a combined total bed capacity of 75 or fewer beds
in these 2
service categories as of July 14, 1993, as determined by the Department.
The Department shall not commence the facility plan review process under this
Section until the applicable fee has been paid.
(e) All fees received by the Department under this Section shall be
deposited into the Health Facility Plan Review Fund, a special fund created in
the State treasury.
All fees paid by hospitals under subsection (d) shall be used only to cover
the direct and reasonable costs relating to the Department's review of hospital
projects under this
Moneys shall be appropriated from that Fund to the
Department only to pay the costs of conducting reviews under this Section.
None of the moneys in the Health Facility Plan Review Fund shall be used to
reduce the amount of General Revenue Fund moneys appropriated to the Department
for facility plan reviews conducted pursuant to this Section.
(g) The Department shall conduct an on-site inspection of the completed
project no later than 15 business days after notification from the
applicant that the
project has been completed and all certifications required by the Department
have been received and accepted by the Department. The Department may extend
this deadline only if a federally mandated survey time frame takes
precedence. The Department shall
provide written approval for occupancy to the applicant within 5 working days
of the Department's final inspection, provided the applicant has demonstrated
substantial compliance as defined by Department rule.
Occupancy of new major construction is prohibited until Department approval is
received, unless the Department has not acted within the time frames provided
in this subsection (g), in which case the construction shall be deemed
approved. Occupancy shall be authorized after any
required health inspection by the Department has been conducted.
(h) The Department shall establish, by rule, a procedure to conduct interim
on-site review of large or complex construction projects.
(i) The Department shall establish, by rule, an expedited process for
emergency repairs or replacement of like equipment.
(j) Nothing in this Section shall be construed to apply to maintenance,
upkeep, or renovation that does not affect the structural integrity of the
building, does not add beds or services over the number for which the facility
is licensed, and provides a reasonable degree of safety for the patients.
(Source: P.A. 99-639, eff. 7-28-16.)