State of Illinois
91st General Assembly
Legislation

   [ Search ]   [ Legislation ]
[ Home ]   [ Back ]   [ Bottom ]


[ Introduced ][ Engrossed ][ Enrolled ]
[ House Amendment 001 ][ House Amendment 002 ][ House Amendment 009 ]
[ Senate Amendment 002 ]

91_SB0807sam001

 










                                           LRB9106074MWgcam01

 1                    AMENDMENT TO SENATE BILL 807

 2        AMENDMENT NO.     .  Amend Senate Bill 807  by  replacing
 3    the title with the following:

 4        "AN ACT concerning health facility planning."; and

 5    by  replacing  everything  after the enacting clause with the
 6    following:

 7        "Section 5.  The Open Meetings Act is amended by changing
 8    Section 1.02 as follows:

 9        (5 ILCS 120/1.02) (from Ch. 102, par. 41.02)
10        Sec. 1.02.  For the purposes of this Act:
11        "Meeting" means any gathering of a majority of  a  quorum
12    of  the  members  commissioners of a public body held for the
13    purpose of discussing public business.
14        "Public  body"  includes  all   legislative,   executive,
15    administrative  or  advisory  bodies  of the State, counties,
16    townships,  cities,  villages,  incorporated  towns,   school
17    districts  and  all  other  municipal  corporations,  boards,
18    bureaus,  committees  or  commissions  of this State, and any
19    subsidiary bodies of any of the foregoing including  but  not
20    limited  to  committees and subcommittees which are supported
21    in whole or in part by  tax  revenue,  or  which  expend  tax
 
                            -2-            LRB9106074MWgcam01
 1    revenue,  except  the  General  Assembly  and  committees  or
 2    commissions  thereof.   "Public body" includes tourism boards
 3    and convention or civic center  boards  located  in  counties
 4    that are contiguous to the Mississippi River with populations
 5    of  more  than  250,000 but less than 300,000.  "Public body"
 6    includes the Health Facilities Planning Board.  "Public body"
 7    does not include a child death review team established  under
 8    the  Child  Death  Review  Team  Act or an ethics commission,
 9    ethics officer, or ultimate jurisdictional  authority  acting
10    under  the  State  Gift  Ban Act as provided by Section 80 of
11    that Act.
12    (Source: P.A. 90-517,  eff.  8-22-97;  90-737,  eff.  1-1-99;
13    revised 11-8-99.)

14        Section  10.   The  State  Gift  Ban  Act  is  amended by
15    changing Section 5 as follows:

16        (5 ILCS 425/5)
17        Sec. 5.  Definitions.  As used in this Act:
18        "Commission" means an ethics commission created  by  this
19    Act.
20        "Employee"    means   all   full-time,   part-time,   and
21    contractual employees, appointed and elected  officials,  and
22    directors of a governmental entity.
23        "Gift"   means  any  gratuity,  discount,  entertainment,
24    hospitality,  loan,  forbearance,  or   other   tangible   or
25    intangible  item  having  monetary  value  including, but not
26    limited to, cash, food and drink, and honoraria for  speaking
27    engagements   related   to   or  attributable  to  government
28    employment or the official position of an  employee,  member,
29    officer, or judge.
30        "Governmental   entity"   means   each   office,   board,
31    commission,   agency,   department,  authority,  institution,
32    university, body politic and corporate, administrative  unit,
 
                            -3-            LRB9106074MWgcam01
 1    and  corporate  outgrowth  of the executive, legislative, and
 2    judicial branches of State government, whether created by the
 3    Illinois Constitution, by or in accordance with  statute,  or
 4    by  executive  order  of the Governor.  "Governmental entity"
 5    includes the Health Facilities Planning Board.
 6        "Judge" means judges and associate judges of the  Supreme
 7    Court, Appellate Courts, and Circuit Courts.
 8        "Member" means a member of the General Assembly.
 9        "Officer" means a State constitutional officer.
10        "Political   organization"   means  a  party,  committee,
11    association, fund, or  other  organization  (whether  or  not
12    incorporated)   organized  and  operated  primarily  for  the
13    purpose of directly or indirectly accepting contributions  or
14    making expenditures, or both, for the function of influencing
15    or   attempting   to  influence  the  selection,  nomination,
16    election, or appointment of any individual  to  any  federal,
17    state,  or  local  public  office  or  office  in a political
18    organization,   or   the   election   of   Presidential    or
19    Vice-Presidential electors, whether or  not the individual or
20    electors are selected, nominated, elected, or appointed.  The
21    term  includes  the  making  of  expenditures  relating to an
22    office described in the preceding sentence that, if  incurred
23    by the individual, would be allowable as a federal income tax
24    deduction for trade or business expenses.
25        "Prohibited source" means any person or entity who:
26             (1)  is  seeking  official action (i) by the member,
27        officer, or judge or (ii) in the case of an employee,  by
28        the   employee   or   by   the  member,  officer,  judge,
29        governmental entity,  or  other  employee  directing  the
30        employee;
31             (2)  does  business or seeks to do business (i) with
32        the member, officer,  or judge or (ii) in the case of  an
33        employee,  with the employee or with the member, officer,
34        judge, governmental entity, or other  employee  directing
 
                            -4-            LRB9106074MWgcam01
 1        the employee;
 2             (3)    conducts  activities  regulated  (i)  by  the
 3        member, officer, or judge or  (ii)  in  the  case  of  an
 4        employee,  by  the  employee  or  by the member, officer,
 5        judge, governmental entity, or other  employee  directing
 6        the employee;
 7             (4)    has   interests  that  may  be  substantially
 8        affected by the performance  or  non-performance  of  the
 9        official  duties  of  the  member,  officer, employee, or
10        judge; or
11             (5)  is registered or required to be registered with
12        the Secretary of State under  the  Lobbyist  Registration
13        Act.
14        "Ultimate jurisdictional authority" means the following:
15             (1)  For   members,   partisan   staff,   and  their
16        secretaries,   the   appropriate   legislative    leader:
17        President  of  the Senate, Minority Leader of the Senate,
18        Speaker of the  House  of  Representatives,  or  Minority
19        Leader of the House of Representatives.
20             (2)  For  State employees who are professional staff
21        or employees of the Senate and  not  covered  under  item
22        (1), the Senate Operations Commission.
23             (3)  For  State employees who are professional staff
24        or employees of the  House  of  Representatives  and  not
25        covered  under  item  (1),  the  Speaker  of the House of
26        Representatives.
27             (4)  For State employees who are  employees  of  the
28        legislative   support   services   agencies,   the  Joint
29        Committee on Legislative Support Services.
30             (5)  For judges, the Chief Justice  of  the  Supreme
31        Court.
32             (6)  For State employees of the judicial branch, the
33        Administrative Office of the Illinois Courts.
34             (7)  For  State  employees  of  an  executive branch
 
                            -5-            LRB9106074MWgcam01
 1        constitutional officer, the appropriate executive  branch
 2        constitutional officer.
 3             (8)  For  State employees not under the jurisdiction
 4        of paragraph (1), (2), (3), (4), (5), (6),  or  (7),  the
 5        Governor.
 6             (9)  For officers, the General Assembly.
 7    (Source: P.A. 90-737, eff. 1-1-99.)

 8        Section  15.  The Illinois Health Facilities Planning Act
 9    is amended by changing Sections 3, 4, 5, 6,  and  12  and  by
10    adding Sections 4.1 and 19.5 as follows:

11        (20 ILCS 3960/3) (from Ch. 111 1/2, par. 1153)
12        (Text of Section before amendment by P.A. 91-656)
13        Sec. 3.  As used in this Act:
14        "Health care facilities" means and includes the following
15    facilities and organizations:
16             1.  An ambulatory surgical treatment center required
17        to  be  licensed  pursuant  to  the  Ambulatory  Surgical
18        Treatment Center Act;
19             2.  An   institution,  place,  building,  or  agency
20        required  to  be  licensed  pursuant  to   the   Hospital
21        Licensing Act;
22             3.  Any institution required to be licensed pursuant
23        to the Nursing Home Care Act;
24             4.  Hospitals,  nursing  homes,  ambulatory surgical
25        treatment centers, or kidney  disease  treatment  centers
26        maintained  by  the  State  or  any  department or agency
27        thereof; and
28             5.  Kidney disease treatment  centers,  including  a
29        free-standing hemodialysis unit.
30        No  federally  owned  facility  shall  be  subject to the
31    provisions of  this  Act,  nor  facilities  used  solely  for
32    healing by prayer or spiritual means.
 
                            -6-            LRB9106074MWgcam01
 1        No  facility  licensed  under  the  Supportive Residences
 2    Licensing Act shall be subject to the provisions of this Act.
 3        A facility designated as  a  supportive  living  facility
 4    that  is  in  good  standing  with  the demonstration project
 5    established under Section 5-5.01a of the Illinois Public  Aid
 6    Code shall not be subject to the provisions of this Act.
 7        This  Act  does  not  apply to facilities granted waivers
 8    under Section 3-102.2 of the Nursing Home Care Act.  However,
 9    if a demonstration project  under  that  Act  applies  for  a
10    certificate  of  need  to  convert  to a nursing facility, it
11    shall meet the licensure and certificate of need requirements
12    in effect as of the date of application.
13        With  the  exception  of  those  health  care  facilities
14    specifically included in this Section, nothing  in  this  Act
15    shall be intended to include facilities operated as a part of
16    the  practice  of  a  physician or other licensed health care
17    professional, whether practicing in his  individual  capacity
18    or  within the legal structure of any partnership, medical or
19    professional  corporation,  or  unincorporated   medical   or
20    professional  group.  Further,  this  Act  shall not apply to
21    physicians  or  other  licensed  health  care  professional's
22    practices where such practices are carried out in  a  portion
23    of  a  health  care  facility under contract with such health
24    care facility by a physician or by other licensed health care
25    professionals, whether practicing in his individual  capacity
26    or  within the legal structure of any partnership, medical or
27    professional  corporation,  or  unincorporated   medical   or
28    professional groups.  This Act shall apply to construction or
29    modification   and  to  establishment  by  such  health  care
30    facility of such  contracted  portion  which  is  subject  to
31    facility  licensing  requirements,  irrespective of the party
32    responsible  for   such   action   or   attendant   financial
33    obligation.
34        "Person"  means  any  one  or more natural persons, legal
 
                            -7-            LRB9106074MWgcam01
 1    entities, governmental bodies  other  than  federal,  or  any
 2    combination thereof.
 3        "Consumer" means any person other than a person (a) whose
 4    major   occupation   currently  involves  or  whose  official
 5    capacity  within  the  last  12  months  has   involved   the
 6    providing,  administering  or financing of any type of health
 7    care facility, (b) who is engaged in health research  or  the
 8    teaching of health, (c) who has a material financial interest
 9    in  any  activity which involves the providing, administering
10    or financing of any type of health care facility, or (d)  who
11    is  or  ever has been a member of the immediate family of the
12    person defined by (a), (b), or (c).
13        "State Board" means the Health Facilities Planning Board.
14        "Construction or modification" means  the  establishment,
15    erection,      building,      alteration,     reconstruction,
16    modernization,   improvement,   extension,   discontinuation,
17    change of ownership, of or by a health care facility, or  the
18    purchase  or acquisition by or through a health care facility
19    of  equipment  or  service  for  diagnostic  or   therapeutic
20    purposes  or for facility administration or operation, or any
21    capital expenditure made by or on behalf  of  a  health  care
22    facility which exceeds the capital expenditure minimum.
23        "Establish"  means  the  construction  of  a  health care
24    facility or  the  replacement  of  an  existing  facility  on
25    another site.
26        "Change  of  ownership of a health care facility" means a
27    change in the person who has ownership or control of a health
28    care facility's  physical  plant  and  capital  assets.   The
29    following   types   of  transactions  indicate  a  change  in
30    ownership: sale,  transfer,  acquisition,  lease,  change  of
31    sponsorship, or other means of transferring control.
32        "Related person" means any person who (i) is at least 50%
33    owned,  either  directly  or indirectly, by either the health
34    care  facility  or  a  person  owning,  either  directly   or
 
                            -8-            LRB9106074MWgcam01
 1    indirectly,  at least 50% of the health care facility or (ii)
 2    owns, either directly or indirectly,  at  least  50%  of  the
 3    health care facility.
 4        "Major  medical  equipment" means medical equipment which
 5    is used  for  the  provision  of  medical  and  other  health
 6    services and which costs in excess of the capital expenditure
 7    minimum,  except  that  such  term  does  not include medical
 8    equipment acquired by or on behalf of a  clinical  laboratory
 9    to  provide  clinical  laboratory  services  if  the clinical
10    laboratory is independent  of  a  physician's  office  and  a
11    hospital  and it has been determined under Title XVIII of the
12    Social Security Act to meet the  requirements  of  paragraphs
13    (10) and (11) of Section 1861(s) of such Act.  In determining
14    whether  medical  equipment  has  a  value  in  excess of the
15    capital expenditure minimum, the value of  studies,  surveys,
16    designs,  plans,  working drawings, specifications, and other
17    activities essential to the  acquisition  of  such  equipment
18    shall be included.
19        "Capital  Expenditure" means an expenditure:  (A) made by
20    or on behalf of a health care facility (as such a facility is
21    defined in this Act); and (B) which under generally  accepted
22    accounting  principles  is  not  properly  chargeable  as  an
23    expense of operation and maintenance, or is made to obtain by
24    lease  or comparable arrangement any facility or part thereof
25    or any equipment for a facility or part;  and  which  exceeds
26    the capital expenditure minimum.
27        For  the  purpose  of  this  paragraph,  the  cost of any
28    studies,   surveys,   designs,   plans,   working   drawings,
29    specifications,  and  other  activities  essential   to   the
30    acquisition,  improvement,  expansion,  or replacement of any
31    plant or equipment with respect to which  an  expenditure  is
32    made  shall  be  included  in determining if such expenditure
33    exceeds  the  capital  expenditures  minimum.  Donations   of
34    equipment  or  facilities  to a health care facility which if
 
                            -9-            LRB9106074MWgcam01
 1    acquired directly by such facility would be subject to review
 2    under this Act shall be considered capital expenditures,  and
 3    a  transfer  of  equipment  or  facilities for less than fair
 4    market value shall be considered a  capital  expenditure  for
 5    purposes  of  this  Act  if  a  transfer  of the equipment or
 6    facilities at fair market value would be subject to review.
 7        "Capital expenditure minimum" means $7,000,000 $1,000,000
 8    for major medical equipment and $2,000,000 for  all  clinical
 9    other  capital  expenditures, both of which shall be annually
10    adjusted to reflect the increase in construction costs due to
11    inflation.
12        "Non-clinical service area" means an  area  that  is  not
13    directly    related   to   the   diagnosis,   treatment,   or
14    rehabilitation of persons receiving services from the  health
15    care  facility. "Non-clinical service areas" include, but are
16    not limited to, chapels; gift shops; news  stands  and  other
17    retail  space;  tunnels,  walkways,  and  elevators; computer
18    systems; telephone systems;  projects  to  comply  with  life
19    safety   codes;   educational  facilities;  student  housing;
20    residential units and  apartments;  restaurants,  cafeterias,
21    snack   bars,   and   all  other  non-patient  dining  areas;
22    administration  and  volunteer  offices;   modernization   of
23    structural  components  (such as roof replacement and masonry
24    work); boiler repair or replacement; vehicle maintenance  and
25    storage  facilities;  parking  facilities; mechanical systems
26    for  heating,  ventilation,  and  air  conditioning;  loading
27    docks; and repair or replacement  of  carpeting,  tile,  wall
28    coverings, window coverings or treatments, or furniture.
29        "Areawide"  means a major area of the State delineated on
30    a geographic, demographic, and functional  basis  for  health
31    planning  and  for health service and having within it one or
32    more local areas for health planning and health service.  The
33    term "region", as contrasted with the term  "subregion",  and
34    the  word  "area"  may  be  used  synonymously  with the term
 
                            -10-           LRB9106074MWgcam01
 1    "areawide".
 2        "Local" means a subarea of a delineated major  area  that
 3    on  a  geographic,  demographic,  and functional basis may be
 4    considered  to  be  part  of  such  major  area.   The   term
 5    "subregion" may be used synonymously with the term "local".
 6        "Areawide health planning organization" or "Comprehensive
 7    health planning organization" means the health systems agency
 8    designated  by  the Secretary, Department of Health and Human
 9    Services or any successor agency.
10        "Local health planning organization"  means  those  local
11    health  planning organizations that are designated as such by
12    the areawide health planning organization of the  appropriate
13    area.
14        "Physician"  means  a  person  licensed  to  practice  in
15    accordance with the Medical Practice Act of 1987, as amended.
16        "Licensed   health  care  professional"  means  a  person
17    licensed to practice  a  health  profession  under  pertinent
18    licensing statutes of the State of Illinois.
19        "Director" means the  Director of the Illinois Department
20    of Public Health.
21        "Agency" means the Illinois Department of Public Health.
22        "Comprehensive  health  planning"  means  health planning
23    concerned with  the  total  population  and  all  health  and
24    associated  problems that affect the well-being of people and
25    that encompasses health services, health manpower, and health
26    facilities; and the coordination among these and  with  those
27    social,  economic,  and  environmental  factors  that  affect
28    health.
29        "Alternative  health  care  model"  means  a  facility or
30    program authorized under the Alternative Health Care Delivery
31    Act.
32    (Source: P.A. 89-499, eff.  6-28-96;  89-530,  eff.  7-19-96;
33    90-14, eff. 7-1-97.)

34        (Text of Section after amendment by P.A. 91-656)
 
                            -11-           LRB9106074MWgcam01
 1        Sec. 3.  As used in this Act:
 2        "Health care facilities" means and includes the following
 3    facilities and organizations:
 4             1.  An ambulatory surgical treatment center required
 5        to  be  licensed  pursuant  to  the  Ambulatory  Surgical
 6        Treatment Center Act;
 7             2.  An   institution,  place,  building,  or  agency
 8        required  to  be  licensed  pursuant  to   the   Hospital
 9        Licensing Act;
10             3.  Skilled   and   intermediate   long   term  care
11        facilities licensed under the Nursing Home Care Act;
12             4.  Hospitals, nursing  homes,  ambulatory  surgical
13        treatment  centers,  or  kidney disease treatment centers
14        maintained by the  State  or  any  department  or  agency
15        thereof; and
16             5.  Kidney  disease  treatment  centers, including a
17        free-standing hemodialysis unit.
18        No federally owned  facility  shall  be  subject  to  the
19    provisions  of  this  Act,  nor  facilities  used  solely for
20    healing by prayer or spiritual means.
21        No facility  licensed  under  the  Supportive  Residences
22    Licensing  Act  or the Assisted Living and Shared Housing Act
23    shall be subject to the provisions of this Act.
24        A facility designated as  a  supportive  living  facility
25    that  is  in  good  standing  with  the demonstration project
26    established under Section 5-5.01a of the Illinois Public  Aid
27    Code shall not be subject to the provisions of this Act.
28        This  Act  does  not  apply to facilities granted waivers
29    under Section 3-102.2 of the Nursing Home Care Act.  However,
30    if a demonstration project  under  that  Act  applies  for  a
31    certificate  of  need  to  convert  to a nursing facility, it
32    shall meet the licensure and certificate of need requirements
33    in effect as of the date of application.
34        This Act shall not apply to the closure of an entity or a
 
                            -12-           LRB9106074MWgcam01
 1    portion of an entity licensed under the Nursing Home Care Act
 2    that elects to convert, in whole or in part, to  an  assisted
 3    living  or  shared  housing  establishment licensed under the
 4    Assisted Living and Shared Housing Establishment Act.
 5        With  the  exception  of  those  health  care  facilities
 6    specifically included in this Section, nothing  in  this  Act
 7    shall be intended to include facilities operated as a part of
 8    the  practice  of  a  physician or other licensed health care
 9    professional, whether practicing in his  individual  capacity
10    or  within the legal structure of any partnership, medical or
11    professional  corporation,  or  unincorporated   medical   or
12    professional  group.  Further,  this  Act  shall not apply to
13    physicians  or  other  licensed  health  care  professional's
14    practices where such practices are carried out in  a  portion
15    of  a  health  care  facility under contract with such health
16    care facility by a physician or by other licensed health care
17    professionals, whether practicing in his individual  capacity
18    or  within the legal structure of any partnership, medical or
19    professional  corporation,  or  unincorporated   medical   or
20    professional groups.  This Act shall apply to construction or
21    modification   and  to  establishment  by  such  health  care
22    facility of such  contracted  portion  which  is  subject  to
23    facility  licensing  requirements,  irrespective of the party
24    responsible  for   such   action   or   attendant   financial
25    obligation.
26        "Person"  means  any  one  or more natural persons, legal
27    entities, governmental bodies  other  than  federal,  or  any
28    combination thereof.
29        "Consumer" means any person other than a person (a) whose
30    major   occupation   currently  involves  or  whose  official
31    capacity  within  the  last  12  months  has   involved   the
32    providing,  administering  or financing of any type of health
33    care facility, (b) who is engaged in health research  or  the
34    teaching of health, (c) who has a material financial interest
 
                            -13-           LRB9106074MWgcam01
 1    in  any  activity which involves the providing, administering
 2    or financing of any type of health care facility, or (d)  who
 3    is  or  ever has been a member of the immediate family of the
 4    person defined by (a), (b), or (c).
 5        "State Board" means the Health Facilities Planning Board.
 6        "Construction or modification" means  the  establishment,
 7    erection,      building,      alteration,     reconstruction,
 8    modernization,   improvement,   extension,   discontinuation,
 9    change of ownership, of or by a health care facility, or  the
10    purchase  or acquisition by or through a health care facility
11    of  equipment  or  service  for  diagnostic  or   therapeutic
12    purposes  or for facility administration or operation, or any
13    capital expenditure made by or on behalf  of  a  health  care
14    facility which exceeds the capital expenditure minimum.
15        "Establish"  means  the  construction  of  a  health care
16    facility or  the  replacement  of  an  existing  facility  on
17    another site.
18        "Change  of  ownership of a health care facility" means a
19    change in the person who has ownership or control of a health
20    care facility's  physical  plant  and  capital  assets.   The
21    following   types   of  transactions  indicate  a  change  in
22    ownership: sale,  transfer,  acquisition,  lease,  change  of
23    sponsorship, or other means of transferring control.
24        "Related person" means any person who (i) is at least 50%
25    owned,  either  directly  or indirectly, by either the health
26    care  facility  or  a  person  owning,  either  directly   or
27    indirectly,  at least 50% of the health care facility or (ii)
28    owns, either directly or indirectly,  at  least  50%  of  the
29    health care facility.
30        "Major  medical  equipment" means medical equipment which
31    is used  for  the  provision  of  medical  and  other  health
32    services and which costs in excess of the capital expenditure
33    minimum,  except  that  such  term  does  not include medical
34    equipment acquired by or on behalf of a  clinical  laboratory
 
                            -14-           LRB9106074MWgcam01
 1    to  provide  clinical  laboratory  services  if  the clinical
 2    laboratory is independent  of  a  physician's  office  and  a
 3    hospital  and it has been determined under Title XVIII of the
 4    Social Security Act to meet the  requirements  of  paragraphs
 5    (10) and (11) of Section 1861(s) of such Act.  In determining
 6    whether  medical  equipment  has  a  value  in  excess of the
 7    capital expenditure minimum, the value of  studies,  surveys,
 8    designs,  plans,  working drawings, specifications, and other
 9    activities essential to the  acquisition  of  such  equipment
10    shall be included.
11        "Capital  Expenditure" means an expenditure:  (A) made by
12    or on behalf of a health care facility (as such a facility is
13    defined in this Act); and (B) which under generally  accepted
14    accounting  principles  is  not  properly  chargeable  as  an
15    expense of operation and maintenance, or is made to obtain by
16    lease  or comparable arrangement any facility or part thereof
17    or any equipment for a facility or part;  and  which  exceeds
18    the capital expenditure minimum.
19        For  the  purpose  of  this  paragraph,  the  cost of any
20    studies,   surveys,   designs,   plans,   working   drawings,
21    specifications,  and  other  activities  essential   to   the
22    acquisition,  improvement,  expansion,  or replacement of any
23    plant or equipment with respect to which  an  expenditure  is
24    made  shall  be  included  in determining if such expenditure
25    exceeds  the  capital  expenditures  minimum.  Donations   of
26    equipment  or  facilities  to a health care facility which if
27    acquired directly by such facility would be subject to review
28    under this Act shall be considered capital expenditures,  and
29    a  transfer  of  equipment  or  facilities for less than fair
30    market value shall be considered a  capital  expenditure  for
31    purposes  of  this  Act  if  a  transfer  of the equipment or
32    facilities at fair market value would be subject to review.
33        "Capital expenditure minimum" means $7,000,000 $1,000,000
34    for major medical equipment and $2,000,000 for  all  clinical
 
                            -15-           LRB9106074MWgcam01
 1    other  capital  expenditures, both of which shall be annually
 2    adjusted to reflect the increase in construction costs due to
 3    inflation.
 4        "Non-clinical service area" means an  area  that  is  not
 5    directly    related   to   the   diagnosis,   treatment,   or
 6    rehabilitation of persons receiving services from the  health
 7    care  facility. "Non-clinical service areas" include, but are
 8    not limited to, chapels; gift shops; news  stands  and  other
 9    retail  space;  tunnels,  walkways,  and  elevators; computer
10    systems; telephone systems;  projects  to  comply  with  life
11    safety   codes;   educational  facilities;  student  housing;
12    residential units and  apartments;  restaurants,  cafeterias,
13    snack   bars,   and   all  other  non-patient  dining  areas;
14    administration  and  volunteer  offices;   modernization   of
15    structural  components  (such as roof replacement and masonry
16    work); boiler repair or replacement; vehicle maintenance  and
17    storage  facilities;  parking  facilities; mechanical systems
18    for  heating,  ventilation,  and  air  conditioning;  loading
19    docks; and repair or replacement  of  carpeting,  tile,  wall
20    coverings, window coverings or treatments, or furniture.
21        "Areawide"  means a major area of the State delineated on
22    a geographic, demographic, and functional  basis  for  health
23    planning  and  for health service and having within it one or
24    more local areas for health planning and health service.  The
25    term "region", as contrasted with the term  "subregion",  and
26    the  word  "area"  may  be  used  synonymously  with the term
27    "areawide".
28        "Local" means a subarea of a delineated major  area  that
29    on  a  geographic,  demographic,  and functional basis may be
30    considered  to  be  part  of  such  major  area.   The   term
31    "subregion" may be used synonymously with the term "local".
32        "Areawide health planning organization" or "Comprehensive
33    health planning organization" means the health systems agency
34    designated  by  the Secretary, Department of Health and Human
 
                            -16-           LRB9106074MWgcam01
 1    Services or any successor agency.
 2        "Local health planning organization"  means  those  local
 3    health  planning organizations that are designated as such by
 4    the areawide health planning organization of the  appropriate
 5    area.
 6        "Physician"  means  a  person  licensed  to  practice  in
 7    accordance with the Medical Practice Act of 1987, as amended.
 8        "Licensed   health  care  professional"  means  a  person
 9    licensed to practice  a  health  profession  under  pertinent
10    licensing statutes of the State of Illinois.
11        "Director" means the  Director of the Illinois Department
12    of Public Health.
13        "Agency" means the Illinois Department of Public Health.
14        "Comprehensive  health  planning"  means  health planning
15    concerned with  the  total  population  and  all  health  and
16    associated  problems that affect the well-being of people and
17    that encompasses health services, health manpower, and health
18    facilities; and the coordination among these and  with  those
19    social,  economic,  and  environmental  factors  that  affect
20    health.
21        "Alternative  health  care  model"  means  a  facility or
22    program authorized under the Alternative Health Care Delivery
23    Act.
24    (Source: P.A. 90-14, eff. 7-1-97; 91-656, eff. 1-1-01.)

25        (20 ILCS 3960/4) (from Ch. 111 1/2, par. 1154)
26        Sec. 4.  There is created the Health Facilities  Planning
27    Board,  which  shall  perform  such  functions as hereinafter
28    described in this Act.
29        The State Board  shall  consist  of  15  voting  members,
30    including:  8  consumer  members; one member representing the
31    commercial health insurance industry in Illinois; one  member
32    representing  proprietary  hospitals  in Illinois; one member
33    who is actively engaged in the field of hospital  management;
 
                            -17-           LRB9106074MWgcam01
 1    one   member  who  is  a  professional  nurse  registered  in
 2    Illinois; one member who is a  physician  in  active  private
 3    practice  licensed in Illinois to practice medicine in all of
 4    its branches; one member who is actively engaged in the field
 5    of skilled nursing or intermediate care facility  management;
 6    and  one member who is actively engaged in the administration
 7    of an ambulatory surgical treatment center licensed under the
 8    Ambulatory Surgical Treatment Center Act.
 9        The State Board shall be appointed by the Governor,  with
10    the   advice  and  consent  of  the  Senate.  In  making  the
11    appointments,  the  Governor  shall  give  consideration   to
12    recommendations  made  by  (1) the professional organizations
13    concerned  with  hospital   management   for   the   hospital
14    management   appointment,   (2)   professional  organizations
15    concerned with long term care  facility  management  for  the
16    long   term   care   facility   management  appointment,  (3)
17    professional  medical   organizations   for   the   physician
18    appointment,  (4)  professional nursing organizations for the
19    nurse  appointment,  and   (5)   professional   organizations
20    concerned  with ambulatory surgical treatment centers for the
21    ambulatory surgical treatment center appointment,  and  shall
22    appoint   as   consumer  members  individuals  familiar  with
23    community health needs but whose interest in  the  operation,
24    construction  or  utilization  of  health care facilities are
25    derived  from  factors  other  than  those  related  to   his
26    profession, business, or economic gain, and who represent, so
27    far as possible, different geographic areas of the State. Not
28    more  than  8  of  the  appointments  shall  be  of  the same
29    political party.
30        The Secretary of Human Services, the Director  of  Public
31    Aid,  and  the Director of Public Health, or their designated
32    representatives,  shall  serve  as   ex-officio,   non-voting
33    members of the State Board.
34        Of  those  appointed  by  the Governor as voting members,
 
                            -18-           LRB9106074MWgcam01
 1    each member  shall  hold  office  for  a  term  of  3  years:
 2    provided,  that  any  member  appointed  to  fill  a  vacancy
 3    occurring  prior  to the expiration of the term for which his
 4    predecessor  was  appointed  shall  be  appointed   for   the
 5    remainder  of  such  term  and  the  term  of  office of each
 6    successor shall commence on July 1 of the year in  which  his
 7    predecessor's  term  expires. In making original appointments
 8    to the State Board, the Governor shall appoint 5 members  for
 9    a term of one year, 5 for a term of 2 years, and 3 for a term
10    of  3 years, and each of these terms of office shall commence
11    on July 1, 1974. The initial term of office for  the  members
12    appointed  under  this  amendatory Act of 1996 shall begin on
13    July 1, 1996 and shall last for 2 years, and each  subsequent
14    appointment  shall  be  for  a  term of 3 years.  Each member
15    shall hold  office  until  his  successor  is  appointed  and
16    qualified.
17        Notwithstanding  any other provision of this Section, and
18    except  for  non-voting  ex  officio  members,  beginning  on
19    January 1, 2001, no person may be appointed to or serve as  a
20    member of the State Board if that person has served 3 or more
21    consecutive terms.
22        State  Board  members,  while  serving on business of the
23    State Board, shall receive actual and  necessary  travel  and
24    subsistence  expenses while so serving away from their places
25    of residence. In addition, while serving on business  of  the
26    State  Board,  each member shall receive compensation of $150
27    per day, except  that  such  compensation  shall  not  exceed
28    $7,500 in any one year for any member.
29        The  State  Board  shall provide for its own organization
30    and procedures, including the selection  of  a  Chairman  and
31    such  other  officers as deemed necessary. The Director, with
32    concurrence of the  State  Board,  shall  name  as  full-time
33    Executive Secretary of the State Board, a person qualified in
34    health  care  facility  planning  and in administration.  The
 
                            -19-           LRB9106074MWgcam01
 1    Agency shall provide administrative and staff support for the
 2    State Board.  The State Board shall advise  the  Director  of
 3    its  budgetary  and staff needs and consult with the Director
 4    on annual budget preparation.
 5        The State Board shall meet at least once each quarter, or
 6    as often as the Chairman of the State Board deems  necessary,
 7    or upon the request of a majority of the members.
 8        Eight  members  of  the  State  Board  shall constitute a
 9    quorum.  The affirmative vote of 8  of  the  members  of  the
10    State  Board  shall  be  necessary for any action requiring a
11    vote to be taken  by  the  State  Board.  A  vacancy  in  the
12    membership of the State Board shall not impair the right of a
13    quorum  to exercise all the rights and perform all the duties
14    of the State Board as provided by this Act.
15    (Source: P.A. 89-674, eff. 8-14-96; 90-14, eff. 7-1-97.)

16        (20 ILCS 3960/4.1 new)
17        Sec. 4.1. Ethics laws.
18        (a) All State Board meetings  are  subject  to  the  Open
19    Meetings Act.
20        (b) The State Board is subject to the State Gift Ban Act.

21        (20 ILCS 3960/5) (from Ch. 111 1/2, par. 1155)
22        Sec.  5.   After  effective dates set by the State Board,
23    no person shall construct, modify or establish a health  care
24    facility  or  acquire  major  medical equipment without first
25    obtaining a permit or exemption from  the  State  Board.  The
26    State  Board shall not delegate to the Executive Secretary of
27    the State Board or any other person or entity  the  authority
28    to   grant  permits  or  exemptions  whenever  the  Executive
29    Secretary or other person or  entity  would  be  required  to
30    exercise  any  discretion  affecting  the decision to grant a
31    permit or exemption.  The State  Board  shall  set  effective
32    dates applicable to all or to each classification or category
 
                            -20-           LRB9106074MWgcam01
 1    of  health care facilities and applicable to all or each type
 2    of transaction  for  which  a  permit  is  required.  Varying
 3    effective  dates  may  be set, providing the date or dates so
 4    set shall apply uniformly statewide.
 5        Notwithstanding any effective dates established  by  this
 6    Act  or  by  the  State Board, no person shall be required to
 7    obtain a permit for any purpose  under  this  Act  until  the
 8    State  health facilities plan referred to in paragraph (4) of
 9    Section 12 of this Act has been approved and adopted  by  the
10    State  Board  subsequent  to public hearings having been held
11    thereon.
12        A permit or exemption shall  be  obtained  prior  to  the
13    acquisition of major medical equipment or to the construction
14    or modification of a health care facility which:
15             (a)  requires  a total capital expenditure in excess
16        of the capital expenditure minimum; or
17             (b)  substantially changes the scope or changes  the
18        functional operation of the facility; or
19             (c)  changes  the  bed  capacity  of  a  health care
20        facility by increasing the total number  of  beds  or  by
21        distributing  beds among various categories of service or
22        by relocating beds from one physical facility or site  to
23        another  by  more  than 10 beds or more than 10% of total
24        bed capacity of beds used for a single licensure category
25        as defined by the State Board, whichever is less, over  a
26        2 year period.
27        A permit shall be valid only for the defined construction
28    or  modifications,  site,  amount  and  person  named  in the
29    application for such permit and shall not be transferable  or
30    assignable,  except  for  permits  or exemptions for projects
31    that are pending when the holder of the permit  or  exemption
32    undergoes  a  change  of  ownership.  A permit shall be valid
33    until such time as the project has been  completed,  provided
34    that  (a)  obligation  of the project occurs within 12 months
 
                            -21-           LRB9106074MWgcam01
 1    following  issuance  of   the   permit   except   for   major
 2    construction  projects  such  obligation must occur within 18
 3    months following issuance of the permit; and (b) the  project
 4    commences  and  proceeds  to  completion  with due diligence.
 5    Major construction projects, for the purposes  of  this  Act,
 6    shall  include  but  are  not  limited  to:  projects for the
 7    construction  of  new  buildings;   additions   to   existing
 8    facilities; modernization projects whose cost is in excess of
 9    $1,000,000  or  10%  of  the  facilities'  operating revenue,
10    whichever is less; and such other projects as the State Board
11    shall define and prescribe pursuant to this  Act.  The  State
12    Board may extend the obligation period upon a showing of good
13    cause  by  the permit holder.  Permits for projects that have
14    not been obligated within the  prescribed  obligation  period
15    shall expire on the last day of that period.
16        Persons  who  otherwise  would  be  required  to obtain a
17    permit shall be exempt from such  requirement  if  the  State
18    Board  finds that with respect to establishing a new facility
19    or  construction   of   new   buildings   or   additions   or
20    modifications  to  an  existing  facility,  final  plans  and
21    specifications  for  such work have prior to October 1, 1974,
22    been submitted to and approved by the  Department  of  Public
23    Health  in  accordance  with  the  requirements of applicable
24    laws.  Such exemptions shall be null and void after  December
25    31,  1979  unless  binding construction contracts were signed
26    prior  to  December  1,  1979  and  unless  construction  has
27    commenced prior to December 31, 1979.  Such exemptions  shall
28    be  valid  until  such time as the project has been completed
29    provided that the project proceeds  to  completion  with  due
30    diligence.
31        The  acquisition by any person of major medical equipment
32    that will not be  owned  by  or  located  in  a  health  care
33    facility  and  that  will  not be used to provide services to
34    inpatients of a health care facility  shall  be  exempt  from
 
                            -22-           LRB9106074MWgcam01
 1    review  provided  that  a  notice is filed in accordance with
 2    exemption requirements.
 3        Notwithstanding any  other  provision  of  this  Act,  no
 4    permit  or  exemption  is  required  for  the construction or
 5    modification of a non-clinical service area of a health  care
 6    facility.
 7        Notwithstanding  any  other  provision  of  this  Act, no
 8    permit or exemption is required  for  the  replacement  of  a
 9    health  care  facility that was granted a permit or exemption
10    when the facility was initially constructed.
11    (Source: P.A. 88-18.)

12        (20 ILCS 3960/6) (from Ch. 111 1/2, par. 1156)
13        Sec. 6.  (a) An application for  a  permit  or  exemption
14    shall  be  made to the State Board upon forms provided by the
15    State Board.  This application shall contain such information
16    as the State Board deems necessary.  Such  application  shall
17    include  affirmative  evidence on which the Director may make
18    the findings required under this Section and upon  which  the
19    State  Board  may make its decision on the approval or denial
20    of the permit or exemption.
21        (b)  The State Board shall establish  by  regulation  the
22    procedures and requirements regarding issuance of exemptions.
23    An  exemption application shall be approved when the required
24    information is submitted. Projects eligible for an  exemption
25    rather than a permit include, but are not limited to:
26             (1)  changes of ownership of a health care facility;
27        and
28             (2) discontinuation of a category of service.
29        (c) An exemption for a change of ownership  of  a  health
30    care  facility  between  unrelated  persons shall be approved
31    when the following information  (or  some  lesser  amount  of
32    information  determined  by  rule  by  the  State  Board)  is
33    submitted:
 
                            -23-           LRB9106074MWgcam01
 1             (1)  the name and address of the person proposing to
 2        acquire the facility;
 3             (2)  the  name  and  location  of  the  health  care
 4        facility to be acquired;
 5             (3)  a  signed  certification   stating   that   the
 6        categories  of  service  and  the  number  of beds in the
 7        facility will not substantially change;
 8             (4) documents that detail the conditions  and  terms
 9        of any lease or purchase agreement;
10             (5)  the most recent audited financial statements of
11        the applicant and a statement by the applicant specifying
12        the source of the funds that will be used to acquire  the
13        facility;
14             (6)  the  anticipated acquisition price and the fair
15        market value of the facility being acquired;
16             (7) proof of the publication of the  required  legal
17        notice of the change of ownership;
18             (8)  documentation  from the Office of the Secretary
19        of State stating that  the  applicant  is  registered  to
20        conduct business in Illinois and is in good standing;
21             (9)  a certification stating that the acquisition or
22        purchase agreement has  not  yet  been  entered  into  or
23        executed or, if the acquisition or purchase agreement has
24        been executed, that it contains a clause stating that the
25        transaction  is  contingent  upon the receipt of approval
26        from the State Board;
27             (10) certification stating  that  any  projects  for
28        which  permits  have been issued will be completed by the
29        applicant;
30             (11)  if  the  change  of   ownership   concerns   a
31        government  or  not-for-profit  facility or a proprietary
32        hospital, a certified  copy  of  the  transcript  of  the
33        required  public  hearing  and  copies  of  all exhibits,
34        documents, and other written materials presented  at  the
 
                            -24-           LRB9106074MWgcam01
 1        hearing;
 2             (12)   if   the   change  of  ownership  concerns  a
 3        government or not-for-profit facility  or  a  proprietary
 4        hospital,  copies of the by-laws of the existing facility
 5        and of the applicant; and
 6             (13)  if  the  change  of   ownership   concerns   a
 7        government  or  not-for-profit  facility or a proprietary
 8        hospital,  a  written  response  addressing  the   review
 9        criteria  set forth in 77 Ill.Adm.Code 1110.240 in effect
10        on January 1, 2000.  The response must be made  available
11        for  public inspection on the premises of the health care
12        facility at least  10  days  before  the  public  hearing
13        required under this Section.
14        (d)  Any  person  requesting an exemption for a change of
15    ownership of a health care facility between unrelated persons
16    must publish a legal notice of the change in a  newspaper  of
17    general circulation in the community in which the facility is
18    located.  The notice must provide the following information:
19             (1)  the  name and address of the facility for which
20        the exemption is sought;
21             (2) the name and address of the applicant requesting
22        the exemption;
23             (3) the nature of the transaction (such as purchase,
24        lease, or transfer of stock of the licensed entity);
25             (4) if the entity that will be assuming ownership of
26        the  facility  is  a  wholly  owned   subsidiary   of   a
27        corporation,   the   name   and  address  of  the  parent
28        corporation;
29             (5) a statement that all categories of  service  and
30        beds provided will be maintained;
31             (6) if the change of ownership concerns a government
32        or  not-for-profit  facility  or  a proprietary hospital,
33        notice of the public hearing containing  the  information
34        required under subsection (e); and
 
                            -25-           LRB9106074MWgcam01
 1             (7)  the name, title, address, and phone number of a
 2        person  from   whom   interested   parties   may   obtain
 3        information concerning the proposed transaction.
 4        (e)  Any  person  requesting an exemption for a change of
 5    ownership of  a  government  or  not-for-profit  facility  or
 6    proprietary hospital between unrelated persons must conduct a
 7    public  hearing  in  the  community  in which the facility is
 8    located. The hearing must be held in a  place  of  reasonable
 9    size   and   accessibility.   A  full  and  complete  written
10    transcript of the proceeding must  be  made.   The  applicant
11    must  include in the notice required under subsection (d) the
12    following information:
13             (1) a statement concerning the anticipated  benefits
14        to the community of the proposed changes in ownership;
15             (2) a statement of the anticipated or potential cost
16        savings  to  the community and the facility, if any, that
17        will result from the change in ownership;
18             (3) a description of the mechanism that will be used
19        to assure quality control;
20             (4) a description of the applicant's  organizational
21        structure, including a list of  controlling or subsidiary
22        persons;
23             (5)  a description of the selection process that the
24        acquiring entity will use  in  selecting  the  facility's
25        board of directors;
26             (6)  a  statement  that the applicant has prepared a
27        written response addressing the review criteria contained
28        in 77 Ill.Adm.Code 1110.240 in effect on January 1,  2000
29        and a statement that the response is available for public
30        review on the premises of the health care facility;
31             (7) the location, time, and date of the hearing; and
32             (8)  a  statement that the hearing is an open public
33        meeting and that an opportunity to be heard will be given
34        to  all  persons  wishing  to  present  oral  or  written
 
                            -26-           LRB9106074MWgcam01
 1        comments.
 2        The public hearing must be held not less then 10 days and
 3    not more than 30 days after the legal notice is published.
 4        (f) An exemption for a change of ownership  of  a  health
 5    care  facility between related persons shall be approved when
 6    the  following  information  (or  some   lesser   amount   of
 7    information  determined  by  rule  by  the  State  Board)  is
 8    submitted:
 9             (1)  the name and address of the person proposing to
10        acquire the facility;
11             (2)  the  name  and  location  of  the  health  care
12        facility to be acquired;
13             (3)  a  signed  certification   stating   that   the
14        categories  of  service  and  the  number  of beds in the
15        facility will not substantially change;
16             (4) documents that detail the conditions  and  terms
17        of any lease or purchase agreement;
18             (5)  the most recent audited financial statements of
19        the applicant and a statement by the applicant specifying
20        the source of the funds that will be used to acquire  the
21        facility;
22             (6)  the  anticipated acquisition price and the fair
23        market value of the facility being acquired;
24             (7) documentation from the Office of  the  Secretary
25        of  State  stating  that  the  applicant is registered to
26        conduct business in Illinois and is in good standing; and
27             (8) a certification that the acquisition or purchase
28        agreement has not yet been entered into or  executed  or,
29        if   the  acquisition  or  purchase  agreement  has  been
30        executed, that it contains  a  clause  stating  that  the
31        transaction  is  contingent  upon the receipt of approval
32        from the State Board.
33        (g)  All applications shall be signed  by  the  applicant
34    and shall be verified by any 2 officers thereof.
 
                            -27-           LRB9106074MWgcam01
 1        (h)  Upon  receipt  of  an  application for a permit, the
 2    State Board shall approve and authorize  the  issuance  of  a
 3    permit  if  it  finds (1) that the applicant is fit, willing,
 4    and able to provide a proper standard of health care  service
 5    for   the   community   with   particular   regard   to   the
 6    qualification, background and character of the applicant, (2)
 7    that  economic feasibility is demonstrated in terms of effect
 8    on  the  existing  and  projected  operating  budget  of  the
 9    applicant and of the health care facility; in  terms  of  the
10    applicant's ability to establish and operate such facility in
11    accordance   with  licensure  regulations  promulgated  under
12    pertinent state laws; and in terms of the projected impact on
13    the total  health  care  expenditures  in  the  facility  and
14    community, (3) that safeguards are provided which assure that
15    the establishment, construction or modification of the health
16    care  facility  or  acquisition of major medical equipment is
17    consistent  with  the  public  interest,  and  (4)  that  the
18    proposed project is consistent with the orderly and  economic
19    development of such facilities and equipment and is in accord
20    with  standards,  criteria,  or  plans  of  need  adopted and
21    approved pursuant to the provisions of  Section  12  of  this
22    Act.
23    (Source: P.A. 88-18.)

24        (20 ILCS 3960/12) (from Ch. 111 1/2, par. 1162)
25        Sec. 12.  For purposes of this Act, the State Board shall
26    exercise the following powers and duties:
27        (1)  Prescribe  rules,  regulations, standards, criteria,
28    procedures or reviews which may vary according to the purpose
29    for which a particular review is being conducted or the  type
30    of  project  reviewed and which are required to carry out the
31    provisions and purposes of this Act.
32        (2)  Adopt procedures for public notice  and  hearing  on
33    all  proposed  rules,  regulations,  standards, criteria, and
 
                            -28-           LRB9106074MWgcam01
 1    plans required to carry out the provisions of this Act.
 2        (3)  Prescribe  criteria  for  recognition  for  areawide
 3    health planning organizations, including, but not limited to,
 4    standards for evaluating the scientific bases  for  judgments
 5    on need and procedure for making these determinations.
 6        (4)  Develop  criteria  and  standards  for  health  care
 7    facilities  planning, conduct statewide inventories of health
 8    care facilities, and develop health care facility plans which
 9    shall be utilized in the review of  applications  for  permit
10    under   this  Act.   Such  health  facility  plans  shall  be
11    coordinated by the Agency with the health care facility plans
12    areawide  health  planning  organizations  and   with   other
13    pertinent State Plans.
14        In developing health care facility plans, the State Board
15    shall consider, but shall not be limited to, the following:
16             (a)  The   size,   composition  and  growth  of  the
17        population of the area to be served;
18             (b)  The number of existing and  planned  facilities
19        offering similar programs;
20             (c)  The   extent   of   utilization   of   existing
21        facilities;
22             (d)  The  availability of facilities which may serve
23        as alternatives or substitutes;
24             (e)  The availability of personnel necessary to  the
25        operation of the facility;
26             (f)  Multi-institutional     planning     and    the
27        establishment  of   multi-institutional   systems   where
28        feasible;
29             (g)  The   financial  and  economic  feasibility  of
30        proposed construction or modification; and
31             (h)  In  the  case   of   health   care   facilities
32        established  by  a  religious  body  or denomination, the
33        needs  of  the  members  of  such   religious   body   or
34        denomination may be considered to be public need.
 
                            -29-           LRB9106074MWgcam01
 1        The  health  care  facility plans which are developed and
 2    adopted in accordance with this Section shall form the  basis
 3    for  the  plan  of  the  State  to deal most effectively with
 4    statewide health needs in regard to health care facilities.
 5        (5)  Coordinate  with   other   state   agencies   having
 6    responsibilities  affecting health care facilities, including
 7    those of licensure and cost reporting.
 8        (6)  Solicit, accept, hold and administer  on  behalf  of
 9    the  State  any  grants  or  bequests of money, securities or
10    property for use by the State Board  or  recognized  areawide
11    health  planning  organizations in the administration of this
12    Act;  and  enter   into   contracts   consistent   with   the
13    appropriations for purposes enumerated in this Act.
14        (7)  The  State  Board  shall  prescribe, in consultation
15    with the recognized areawide health  planning  organizations,
16    procedures for review, standards, and criteria which shall be
17    utilized to make periodic areawide reviews and determinations
18    of  the appropriateness of any existing health services being
19    rendered by health care facilities subject to the  Act.   The
20    State  Board  shall  consider recommendations of the areawide
21    health planning organization and the  Agency  in  making  its
22    determinations.
23        (8)  Prescribe,   in  consultation  with  the  recognized
24    areawide health planning organizations,  rules,  regulations,
25    standards,  and  criteria  for  the conduct of an expeditious
26    review  of  applications  for   permits   for   projects   of
27    construction or modification of a health care facility, which
28    projects are non-substantive in nature.  Such rules shall not
29    abridge  the  right of areawide health planning organizations
30    to make recommendations on the classification and approval of
31    projects, nor shall such  rules  prevent  the  conduct  of  a
32    public  hearing  upon  the  timely  request  of an interested
33    party.  Such reviews shall not exceed 60 days from  the  date
34    the application is declared to be complete by the Agency.
 
                            -30-           LRB9106074MWgcam01
 1        (9)  Prescribe   rules,   regulations,   standards,   and
 2    criteria   pertaining   to   the   granting  of  permits  for
 3    construction and modifications which are emergent  in  nature
 4    and  must  be  undertaken  immediately  to prevent or correct
 5    structural deficiencies or hazardous conditions that may harm
 6    or injure persons using the facility, as defined in the rules
 7    and regulations of the State Board. This procedure is  exempt
 8    from public hearing requirements of this Act.
 9        (10)  Prescribe   rules,   regulations,   standards   and
10    criteria  for  the  conduct  of  an  expeditious  review, not
11    exceeding 60 days, of applications for permits  for  projects
12    to  construct  or  modify  health  care  facilities which are
13    needed for  the  care  and  treatment  of  persons  who  have
14    acquired   immunodeficiency   syndrome   (AIDS)   or  related
15    conditions.
16        Notwithstanding any other provision of law, not less than
17    30 days before submitting any rules or changes  to  any  rule
18    for  publication  in  the  Illinois Register, the State Board
19    must submit copies of the proposed rules or changes to  rules
20    to  all  affected  parties.  Upon  receipt of the copies, the
21    affected parties may submit comments  or  objections  to  the
22    State  Board.  The State Board must consider all comments and
23    objections before submitting the proposed rules or changes to
24    rules for publication in the Illinois Register.
25    (Source: P.A. 88-18; 89-276, eff. 8-10-95.)

26        (20 ILCS 3960/19.5 new)
27        Sec. 19.5. Audit.  The Auditor  General  must  conduct  a
28    study of the State Board to determine:
29             (1)  whether  the  certificate  of  need  process is
30        successful in controlling health care costs;
31             (2) whether the State Board is following its adopted
32        rules and procedures;
33             (3)  whether  the  State  Board  is  consistent   in
 
                            -31-           LRB9106074MWgcam01
 1        awarding and denying certificates of need; and
 2             (4) whether the State Board's annual reports reflect
 3        a cost savings to the State.
 4        The  Auditor  General  must  report on the results of the
 5    study to the General Assembly on or before January 1, 2002.
 6        This Section is repealed when the Auditor  General  files
 7    his or her report with the General Assembly.

 8        Section  20.   The Illinois State Auditing Act is amended
 9    by changing Section 3-1 as follows:

10        (30 ILCS 5/3-1) (from Ch. 15, par. 303-1)
11        Sec. 3-1. Jurisdiction of Auditor  General.  The  Auditor
12    General has jurisdiction over all State agencies to make post
13    audits  and investigations authorized by or under this Act or
14    the Constitution.
15        The  Auditor  General   has   jurisdiction   over   local
16    government agencies and private agencies only:
17             (a)  to make such post audits authorized by or under
18        this  Act as are necessary and incidental to a post audit
19        of a State agency or of a program administered by a State
20        agency involving public funds  of  the  State,  but  this
21        jurisdiction  does  not  include  any authority to review
22        local governmental agencies in the  obligation,  receipt,
23        expenditure  or use of public funds of the State that are
24        granted without limitation or condition imposed  by  law,
25        other than the general limitation that such funds be used
26        for public purposes;
27             (b)  to  make  investigations authorized by or under
28        this Act or the Constitution; and
29             (c)  to  make  audits  of  the  records   of   local
30        government   agencies   to   verify   actual   costs   of
31        state-mandated  programs  when  directed  to do so by the
32        Legislative Audit Commission at the request of the  State
 
                            -32-           LRB9106074MWgcam01
 1        Board of Appeals under the State Mandates Act.
 2        In  addition  to  the  foregoing, the Auditor General may
 3    conduct an audit of  the  Metropolitan  Pier  and  Exposition
 4    Authority,   the   Regional   Transportation  Authority,  the
 5    Suburban Bus Division, the Commuter  Rail  Division  and  the
 6    Chicago  Transit  Authority  and any other subsidized carrier
 7    when authorized by the Legislative  Audit  Commission.   Such
 8    audit may be a financial, management or program audit, or any
 9    combination thereof.
10        The  audit  shall determine whether they are operating in
11    accordance with all applicable laws and regulations.  Subject
12    to  the  limitations  of  this  Act,  the  Legislative  Audit
13    Commission    may    by    resolution    specify   additional
14    determinations to be included in the scope of the audit.
15        The Auditor General  may  also  conduct  an  audit,  when
16    authorized  by  the  Legislative  Audit  Commission,  of  any
17    hospital  which  receives  10%  or more of its gross revenues
18    from payments from  the  State  of  Illinois,  Department  of
19    Public Aid, Medical Assistance Program.
20        The  Auditor  General  is authorized to conduct financial
21    and compliance  audits  of  the  Illinois  Distance  Learning
22    Foundation and the Illinois Conservation Foundation.
23        As  soon  as  practical  after the effective date of this
24    amendatory Act of 1995, the Auditor General shall  conduct  a
25    compliance  and  management  audit of the City of Chicago and
26    any other entity with regard  to  the  operation  of  Chicago
27    O'Hare  International  Airport,  Chicago  Midway  Airport and
28    Merrill C. Meigs Field. The audit shall include, but  not  be
29    limited   to,  an  examination  of  revenues,  expenses,  and
30    transfers of funds; purchasing and contracting  policies  and
31    practices;   staffing   levels;   and  hiring  practices  and
32    procedures.  When  completed,  the  audit  required  by  this
33    paragraph shall be distributed  in  accordance  with  Section
34    3-14.
 
                            -33-           LRB9106074MWgcam01
 1        The   Auditor  General  shall  conduct  a  financial  and
 2    compliance  and  program  audit  of  distributions  from  the
 3    Municipal Economic Development Fund  during  the  immediately
 4    preceding  calendar  year  pursuant to Section 8-403.1 of the
 5    Public Utilities Act at no cost  to  the  city,  village,  or
 6    incorporated town that received the distributions.
 7        The  Auditor  General  must conduct a study of the Health
 8    Facilities Planning Board pursuant to  Section  19.5  of  the
 9    Illinois Health Facilities Planning Act.
10    (Source: P.A. 89-386, eff. 8-18-95; 90-813, eff. 1-29-99.)

11        Section  95.   No  acceleration or delay.  Where this Act
12    makes changes in a statute that is represented in this Act by
13    text that is not yet or no longer in effect (for  example,  a
14    Section  represented  by  multiple versions), the use of that
15    text does not accelerate or delay the taking  effect  of  (i)
16    the  changes made by this Act or (ii) provisions derived from
17    any other Public Act.

18        Section 99.  Effective date.  This Act takes effect  upon
19    becoming law.".

[ Top ]