State of Illinois
91st General Assembly
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[ Engrossed ][ House Amendment 001 ]

91_HB2627

 
                                               LRB9102945ACtm

 1        AN ACT to amend the Nursing Home  Care  Act  by  changing
 2    Section 2-204.

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

 5        Section 5.  The Nursing  Home  Care  Act  is  amended  by
 6    changing Section 2-204 as follows:

 7        (210 ILCS 45/2-204) (from Ch. 111 1/2, par. 4152-204)
 8        Sec.  2-204.  Long-Term  Quality  Care  Facility Advisory
 9    Board.
10        (a) There is hereby  created  a  Long-Term  Quality  Care
11    Facility  Advisory  Board  whose members are appointed by the
12    Governor and that shall consist of:
13             (1)  two members who  shall  be  selected  from  the
14        recommendations   of   organizations   whose   membership
15        consists of facilities;
16             (2)  one member who shall be a physician licensed to
17        practice medicine in all its branches and does not have a
18        fiduciary  of  other  affiliation  with  a long-term care
19        facility;
20             (3)  one member who  shall  be  a  registered  nurse
21        selected from the recommendations of the Board of Nursing
22        and does not have a fiduciary or other affiliation with a
23        long-term care facility;
24             (4)  four  members  who  shall represent the general
25        public who are  not  members  of  a  residents'  advisory
26        council established under Section 2-203 and do not have a
27        fiduciary  or  other  affiliation  with  a long-term care
28        facility;
29             (5)  four members who shall consist of residents  or
30        residents'  representatives  from  the recommendations of
31        consumer organizations that engage in advocacy  or  legal
 
                            -2-                LRB9102945ACtm
 1        representation on behalf of residents and their immediate
 2        families and do not have a fiduciary or other affiliation
 3        with a long-term care facility;
 4             (6)  four members of consumer advocacy organizations
 5        who   shall  be  selected  from  the  recommendations  of
 6        consumer organizations that engage in advocacy  or  legal
 7        representation on behalf of residents and their immediate
 8        families and do not have a fiduciary or other affiliation
 9        with a long-term care facility;
10             (7)  one  member  employed  as  a professional by an
11        Illinois   university   or   college   advanced    degree
12        gerontology  program from the recommendations of consumer
13        or  advocacy  organizations  and  who  does  not  have  a
14        fiduciary or other  affiliation  with  a  long-term  care
15        facility; and
16             (8)  one  representative each from the Department of
17        Public  Aid,  the  Department  of  Public   Health,   the
18        Department  of  Human  Services, the Department on Aging,
19        the Office of the State Fire Marshal, and the  Department
20        of Professional Regulation, all nonvoting members.
21        (b)  The terms of the members shall be for 3 years with a
22    maximum of 2 consecutive terms.
23        (c) The duties of the  Long-Term  Quality  Care  Facility
24    Advisory Board include the following:
25             (1)  to  advise  the  Department  of Public Aid, the
26        Department of Public  Health,  the  Department  of  Human
27        Services,  the  Department  on  Aging,  the Department of
28        Professional Regulation, the Governor,  and  the  General
29        Assembly;
30             (2)  to  assist  the  Department  of Public Aid, the
31        Department of Public  Health,  the  Department  of  Human
32        Services,  the  Department  on  Aging,  the Department of
33        Professional Regulation, and the  Governor  in  reporting
34        and  developing  data  and evaluations in identifying and
 
                            -3-                LRB9102945ACtm
 1        addressing  the  underlying  problems  of  residents   in
 2        long-term care facilities;
 3             (3)  to  advise  the  Department  of  Public  Health
 4        relative  to qualifications for administrative judges and
 5        the rules and procedures for hearings conducted;
 6             (4)  to advise the Department of  Public  Health  on
 7        promoting the rights of residents through procedures;
 8             (5)  to  comment  publicly  on any rules proposed by
 9        the State or Federal government regarding the concerns of
10        residents and the underlying problems of quality of  care
11        and dignity of life;
12             (6)  to  advise  State  and local agencies regarding
13        educational materials and programs needed to improve  the
14        quality  of care within nursing homes to enable residents
15        to fully exercise their constitutional and  legal  rights
16        and entitlements as citizens;
17             (7)  to  advise  the  State agencies on research for
18        policy decisions; and
19             (8)  to publish an annual Illinois  Consumer  Report
20        for  long-term  care  that  includes information on human
21        resources indicators critical  to  facility  care  in  an
22        easily understandable format.
23        (d)  The Board shall organize with a chairman selected by
24    the  Board members and shall meet at the call of the chairman
25    or 3 Board members upon 10 days written notice, but not  less
26    than 6 times a year.
27        (e)  The Board shall establish subcommittees, as it deems
28    appropriate, to review special long-term care facility issues
29    including,  but  not  limited  to, State reimbursement, staff
30    training, and certification and licensure of  long-term  care
31    facilities.
32        (f)  The Board shall have the authority to hold hearings,
33    conduct  studies,  issue  press  releases,  and perform other
34    functions in carrying out its duties.
 
                            -4-                LRB9102945ACtm
 1        (g)  The Board shall consider any rule or plan  submitted
 2    by  a  State  agency  affecting  the  rights  of residents or
 3    long-term care within  60  days  after  its  receipt  by  the
 4    chairman.
 5        (h)  The  Advisory  Board  shall advise the Department of
 6    Public Health on all aspects of  its  responsibilities  under
 7    this  Act,  including  the  format  and  content of any rules
 8    promulgated by the Department  of  Public  Health.  Any  such
 9    rules, except emergency rules promulgated pursuant to Section
10    5-45   of   the   Illinois   Administrative   Procedure  Act,
11    promulgated without obtaining the advice  of  the  Board  are
12    null  and  void.   In  the event that the Department fails to
13    follow the advice of the Board, the Department  shall,  prior
14    to  the  promulgation  of  such  rules,  transmit  a  written
15    explanation  of  the  reason thereof to the Board. During its
16    review of rules, the Board shall  analyze  the  economic  and
17    regulatory  impact  of  these  rules.  If the Advisory Board,
18    having been  asked  for  its  advice,  fails  to  advise  the
19    Department  within  90  days,  the  rules shall be considered
20    acted upon.
21        (i)  The Department of Public Health shall  designate  an
22    employee to act as executive secretary of the Board and shall
23    furnish  all  professional  and clerical assistance necessary
24    for the performance  of  its  powers  and  duties,  including
25    public notices of the meetings.
26        (j)  A quorum shall consist of 6 members of the Board and
27    affirmative action shall require the vote of 6 members of the
28    Board.
29        (k)  A member of the Board can designate a replacement to
30    serve at the Board meeting and vote in place of the member by
31    submitting  a  letter of designation to the chairman prior to
32    or at the  Board  meeting.  The  replacement  cannot  have  a
33    fiduciary  or  other  affiliation  with  any  long-term  care
34    facility  that  would  cause a potential conflict of interest
 
                            -5-                LRB9102945ACtm
 1    unless the member represents a facility organization.
 2        (l)  Members   of   the   Board   shall   serve   without
 3    compensation, but shall be entitled to reasonable amounts for
 4    expenses necessarily incurred in  the  performance  of  their
 5    duties.
 6        (m)  The   Board   shall   develop   by-laws,   including
 7    procedures  for  public  participation  for  efficient  board
 8    operation.
 9        The  Director  shall  appoint  a  Long-Term Care Facility
10    Advisory  Board  to  consult  with  the  Department  and  the
11    residents' advisory councils created under Section 2-203.
12        (a)  The  Board  shall  be  comprised  of  the  following
13    persons:
14             (1)  The Director who shall serve  as  chairman,  ex
15        officio and nonvoting; and
16             (2)  One  representative  each  of the Department of
17        Public  Aid,  the  Department  of  Human  Services,   the
18        Department  on  Aging,  and  the Office of the State Fire
19        Marshal, all nonvoting members;
20             (3)  One member who shall be a physician licensed to
21        practice medicine in all its branches;
22             (4)  One member who  shall  be  a  registered  nurse
23        selected from the recommendations of professional nursing
24        associations;
25             (5)  Four  members  who  shall  be selected from the
26        recommendations   by   organizations   whose   membership
27        consists of facilities;
28             (6)  Two members who  shall  represent  the  general
29        public  who  are  not  members  of  a residents' advisory
30        council established under Section 2-203 and who  have  no
31        responsibility  for  management or formation of policy or
32        financial interest in a facility;
33             (7)  One member who is  a  member  of  a  residents'
34        advisory  council  established under Section 2-203 and is
 
                            -6-                LRB9102945ACtm
 1        capable of actively participating on the Board; and
 2             (8)  One member  who  shall  be  selected  from  the
 3        recommendations  of  consumer  organizations which engage
 4        solely in advocacy or legal representation on  behalf  of
 5        residents and their immediate families.
 6        (b)  The  terms  of  those members of the Board appointed
 7    prior to the effective date of this amendatory  Act  of  1988
 8    shall  expire  on  December  31,  1988.  Members of the Board
 9    created by this amendatory Act of 1988 shall be appointed  to
10    serve  for terms as follows: 3 for 2 years, 3 for 3 years and
11    3 for 4 years.   The  member  of  the  Board  added  by  this
12    amendatory Act of 1989 shall be appointed to serve for a term
13    of  4  years.  Each successor member shall be appointed for a
14    term of 4 years.  Any member  appointed  to  fill  a  vacancy
15    occurring  prior  to the expiration of the term for which his
16    predecessor  was  appointed  shall  be  appointed   for   the
17    remainder  of  such term.  The Board shall meet as frequently
18    as the chairman deems necessary, but not less  than  4  times
19    each  year.   Upon  request by 4 or more members the chairman
20    shall call a meeting of the Board.  The affirmative vote of 6
21    members of the Board shall be necessary for Board action.   A
22    member  of  the Board can designate a replacement to serve at
23    the Board  meeting  and  vote  in  place  of  the  member  by
24    submitting  a  letter of designation to the chairman prior to
25    or  at  the  Board  meeting.  The  Board  members  shall   be
26    reimbursed   for   their  actual  expenses  incurred  in  the
27    performance of their duties.
28        (c)  The Advisory Board shall advise  the  Department  of
29    Public  Health  on  all aspects of its responsibilities under
30    this Act, including the  format  and  content  of  any  rules
31    promulgated  by  the  Department  of Public Health.  Any such
32    rules, except emergency rules promulgated pursuant to Section
33    5-45  of   the   Illinois   Administrative   Procedure   Act,
34    promulgated  without  obtaining  the  advice  of the Advisory
 
                            -7-                LRB9102945ACtm
 1    Board are null and void.  In the event  that  the  Department
 2    fails  to  follow  the  advice  of  the Board, the Department
 3    shall, prior to the promulgation of such  rules,  transmit  a
 4    written  explanation  of  the  reason  thereof  to the Board.
 5    During its review of  rules,  the  Board  shall  analyze  the
 6    economic  and  regulatory  impact  of  those  rules.   If the
 7    Advisory Board, having been asked for its  advice,  fails  to
 8    advise  the  Department  within  90  days, the rules shall be
 9    considered acted upon.
10    (Source: P.A. 88-45; 89-507, eff. 7-1-97.)

11        Section 99.  Effective date.  This Act takes effect  July
12    1, 1999.

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