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| [ Introduced ] | [ Engrossed ] | [ Senate Amendment 001 ] |
91_SB1613enr SB1613 Enrolled LRB9112970JSpc 1 AN ACT concerning the care of Alzheimer's disease 2 patients. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 5. The Alternative Health Care Delivery Act is 6 amended by changing Sections 30 and 35 as follows: 7 (210 ILCS 3/30) 8 Sec. 30. Demonstration program requirements. The 9 requirements set forth in this Section shall apply to 10 demonstration programs. 11 (a) There shall be no more than: 12 (i) 3 subacute care hospital alternative health 13 care models in the City of Chicago (one of which shall be 14 located on a designated site and shall have been licensed 15 as a hospital under the Illinois Hospital Licensing Act 16 within the 10 years immediately before the application 17 for a license); 18 (ii) 2 subacute care hospital alternative health 19 care models in the demonstration program for each of the 20 following areas: 21 (1) Cook County outside the City of Chicago. 22 (2) DuPage, Kane, Lake, McHenry, and Will 23 Counties. 24 (3) Municipalities with a population greater 25 than 50,000 not located in the areas described in 26 item (i) of subsection (a) and paragraphs (1) and 27 (2) of item (ii) of subsection (a); and 28 (iii) 4 subacute care hospital alternative health 29 care models in the demonstration program for rural areas. 30 In selecting among applicants for these licenses in rural 31 areas, the Health Facilities Planning Board and the SB1613 Enrolled -2- LRB9112970JSpc 1 Department shall give preference to hospitals that may be 2 unable for economic reasons to provide continued service to 3 the community in which they are located unless the hospital 4 were to receive an alternative health care model license. 5 (a-5) There shall be no more than a total of 12 6 postsurgical recovery care center alternative health care 7 models in the demonstration program, located as follows: 8 (1) Two in the City of Chicago. 9 (2) Two in Cook County outside the City of Chicago. 10 At least one of these shall be owned or operated by a 11 hospital devoted exclusively to caring for children. 12 (3) Two in Kane, Lake, and McHenry Counties. 13 (4) Four in municipalities with a population of 14 50,000 or more not located in the areas described in 15 paragraphs (1), (2), and (3), 3 of which shall be owned 16 or operated by hospitals, at least 2 of which shall be 17 located in counties with a population of less than 18 175,000, according to the most recent decennial census 19 for which data are available, and one of which shall be 20 owned or operated by an ambulatory surgical treatment 21 center. 22 (5) Two in rural areas, both of which shall be 23 owned or operated by hospitals. 24 There shall be no postsurgical recovery care center 25 alternative health care models located in counties with 26 populations greater than 600,000 but less than 1,000,000. A 27 proposed postsurgical recovery care center must be owned or 28 operated by a hospital if it is to be located within, or will 29 primarily serve the residents of, a health service area in 30 which more than 60% of the gross patient revenue of the 31 hospitals within that health service area are derived from 32 Medicaid and Medicare, according to the most recently 33 available calendar year data from the Illinois Health Care 34 Cost Containment Council. Nothing in this paragraph shall SB1613 Enrolled -3- LRB9112970JSpc 1 preclude a hospital and an ambulatory surgical treatment 2 center from forming a joint venture or developing a 3 collaborative agreement to own or operate a postsurgical 4 recovery care center. 5 (a-10) There shall be no more than a total of 8 6 children's respite care center alternative health care models 7 in the demonstration program, which shall be located as 8 follows: 9 (1) One in the City of Chicago. 10 (2) One in Cook County outside the City of Chicago. 11 (3) A total of 2 in the area comprised of DuPage, 12 Kane, Lake, McHenry, and Will counties. 13 (4) A total of 2 in municipalities with a 14 population of 50,000 or more and not located in the 15 areas described in paragraphs (1), (2), or (3). 16 (5) A total of 2 in rural areas, as defined by the 17 Health Facilities Planning Board. 18 No more than one children's respite care model owned and 19 operated by a licensed skilled pediatric facility shall be 20 located in each of the areas designated in this subsection 21 (a-10). 22 (a-15) There shall be an authorized community-based 23 residential rehabilitation center alternative health care 24 model in the demonstration program. The community-based 25 residential rehabilitation center shall be located in the 26 area of Illinois south of Interstate Highway 70. 27 (a-20) There shall be an authorized Alzheimer's disease 28 management center alternative health care model in the 29 demonstration program. The Alzheimer's disease management 30 center shall be located in Will County, owned by a 31 not-for-profit entity, and endorsed by a resolution approved 32 by the county board before the effective date of this 33 amendatory Act of the 91st General Assembly. 34 (b) Alternative health care models, other than a model SB1613 Enrolled -4- LRB9112970JSpc 1 authorized under subsection (a-20), shall obtain a 2 certificate of need from the Illinois Health Facilities 3 Planning Board under the Illinois Health Facilities Planning 4 Act before receiving a license by the Department. If, after 5 obtaining its initial certificate of need, an alternative 6 health care delivery model that is a community based 7 residential rehabilitation center seeks to increase the bed 8 capacity of that center, it must obtain a certificate of need 9 from the Illinois Health Facilities Planning Board before 10 increasing the bed capacity. Alternative health care models 11 in medically underserved areas shall receive priority in 12 obtaining a certificate of need. 13 (c) An alternative health care model license shall be 14 issued for a period of one year and shall be annually renewed 15 if the facility or program is in substantial compliance with 16 the Department's rules adopted under this Act. A licensed 17 alternative health care model that continues to be in 18 substantial compliance after the conclusion of the 19 demonstration program shall be eligible for annual renewals 20 unless and until a different licensure program for that type 21 of health care model is established by legislation. The 22 Department may issue a provisional license to any alternative 23 health care model that does not substantially comply with the 24 provisions of this Act and the rules adopted under this Act 25 if (i) the Department finds that the alternative health care 26 model has undertaken changes and corrections which upon 27 completion will render the alternative health care model in 28 substantial compliance with this Act and rules and (ii) the 29 health and safety of the patients of the alternative health 30 care model will be protected during the period for which the 31 provisional license is issued. The Department shall advise 32 the licensee of the conditions under which the provisional 33 license is issued, including the manner in which the 34 alternative health care model fails to comply with the SB1613 Enrolled -5- LRB9112970JSpc 1 provisions of this Act and rules, and the time within which 2 the changes and corrections necessary for the alternative 3 health care model to substantially comply with this Act and 4 rules shall be completed. 5 (d) Alternative health care models shall seek 6 certification under Titles XVIII and XIX of the federal 7 Social Security Act. In addition, alternative health care 8 models shall provide charitable care consistent with that 9 provided by comparable health care providers in the 10 geographic area. 11 (d-5) The Illinois Department of Public Aid, in 12 cooperation with the Illinois Department of Public Health, 13 shall develop and implement a reimbursement methodology for 14 all facilities participating in the demonstration program. 15 The Illinois Department of Public Aid shall keep a record of 16 services provided under the demonstration program to 17 recipients of medical assistance under the Illinois Public 18 Aid Code and shall submit an annual report of that 19 information to the Illinois Department of Public Health. 20 (e) Alternative health care models shall, to the extent 21 possible, link and integrate their services with nearby 22 health care facilities. 23 (f) Each alternative health care model shall implement a 24 quality assurance program with measurable benefits and at 25 reasonable cost. 26 (Source: P.A. 91-65, eff. 7-9-99.) 27 (210 ILCS 3/35) 28 Sec. 35. Alternative health care models authorized. 29 Notwithstanding any other law to the contrary, alternative 30 health care models described in this Section may be 31 established on a demonstration basis. 32 (1) Alternative health care model; subacute care 33 hospital. A subacute care hospital is a designated site SB1613 Enrolled -6- LRB9112970JSpc 1 which provides medical specialty care for patients who 2 need a greater intensity or complexity of care than 3 generally provided in a skilled nursing facility but who 4 no longer require acute hospital care. The average length 5 of stay for patients treated in subacute care hospitals 6 shall not be less than 20 days, and for individual 7 patients, the expected length of stay at the time of 8 admission shall not be less than 10 days. Variations 9 from minimum lengths of stay shall be reported to the 10 Department. There shall be no more than 13 subacute care 11 hospitals authorized to operate by the Department. 12 Subacute care includes physician supervision, registered 13 nursing, and physiological monitoring on a continual 14 basis. A subacute care hospital is either a freestanding 15 building or a distinct physical and operational entity 16 within a hospital or nursing home building. A subacute 17 care hospital shall only consist of beds currently 18 existing in licensed hospitals or skilled nursing 19 facilities, except, in the City of Chicago, on a 20 designated site that was licensed as a hospital under the 21 Illinois Hospital Licensing Act within the 10 years 22 immediately before the application for an alternative 23 health care model license. During the period of operation 24 of the demonstration project, the existing licensed beds 25 shall remain licensed as hospital or skilled nursing 26 facility beds as well as being licensed under this Act. 27 In order to handle cases of complications, emergencies, 28 or exigent circumstances, a subacute care hospital shall 29 maintain a contractual relationship, including a transfer 30 agreement, with a general acute care hospital. If a 31 subacute care model is located in a general acute care 32 hospital, it shall utilize all or a portion of the bed 33 capacity of that existing hospital. In no event shall a 34 subacute care hospital use the word "hospital" in its SB1613 Enrolled -7- LRB9112970JSpc 1 advertising or marketing activities or represent or hold 2 itself out to the public as a general acute care 3 hospital. 4 (2) Alternative health care delivery model; 5 postsurgical recovery care center. A postsurgical 6 recovery care center is a designated site which provides 7 postsurgical recovery care for generally healthy patients 8 undergoing surgical procedures that require overnight 9 nursing care, pain control, or observation that would 10 otherwise be provided in an inpatient setting. A 11 postsurgical recovery care center is either freestanding 12 or a defined unit of an ambulatory surgical treatment 13 center or hospital. No facility, or portion of a 14 facility, may participate in a demonstration program as a 15 postsurgical recovery care center unless the facility has 16 been licensed as an ambulatory surgical treatment center 17 or hospital for at least 2 years before August 20, 1993 18 (the effective date of Public Act 88-441). The maximum 19 length of stay for patients in a postsurgical recovery 20 care center is not to exceed 48 hours unless the treating 21 physician requests an extension of time from the recovery 22 center's medical director on the basis of medical or 23 clinical documentation that an additional care period is 24 required for the recovery of a patient and the medical 25 director approves the extension of time. In no case, 26 however, shall a patient's length of stay in a 27 postsurgical recovery care center be longer than 72 28 hours. If a patient requires an additional care period 29 after the expiration of the 72-hour limit, the patient 30 shall be transferred to an appropriate facility. Reports 31 on variances from the 48-hour limit shall be sent to the 32 Department for its evaluation. The reports shall, before 33 submission to the Department, have removed from them all 34 patient and physician identifiers. In order to handle SB1613 Enrolled -8- LRB9112970JSpc 1 cases of complications, emergencies, or exigent 2 circumstances, every postsurgical recovery care center as 3 defined in this paragraph shall maintain a contractual 4 relationship, including a transfer agreement, with a 5 general acute care hospital. A postsurgical recovery 6 care center shall be no larger than 20 beds. A 7 postsurgical recovery care center shall be located within 8 15 minutes travel time from the general acute care 9 hospital with which the center maintains a contractual 10 relationship, including a transfer agreement, as required 11 under this paragraph. 12 No postsurgical recovery care center shall 13 discriminate against any patient requiring treatment 14 because of the source of payment for services, including 15 Medicare and Medicaid recipients. 16 The Department shall adopt rules to implement the 17 provisions of Public Act 88-441 concerning postsurgical 18 recovery care centers within 9 months after August 20, 19 1993. 20 (3) Alternative health care delivery model; 21 children's respite care center. A children's respite 22 care center model is a designated site that provides 23 respite for medically frail, technologically dependent, 24 clinically stable children, up to age 18, for a period of 25 one to 14 days. This care is to be provided in a 26 home-like environment that serves no more than 10 27 children at a time. Children's respite care center 28 services must be available through the model to all 29 families, including those whose care is paid for through 30 the Illinois Department of Public Aid or the Illinois 31 Department of Children and Family Services. Each respite 32 care model location shall be a facility physically 33 separate and apart from any other facility licensed by 34 the Department of Public Health under this or any other SB1613 Enrolled -9- LRB9112970JSpc 1 Act and shall provide, at a minimum, the following 2 services: out-of-home respite care; hospital to home 3 training for families and caregivers; short term 4 transitional care to facilitate placement and training 5 for foster care parents; parent and family support 6 groups. 7 Coverage for the services provided by the Illinois 8 Department of Public Aid under this paragraph (3) is 9 contingent upon federal waiver approval and is provided 10 only to Medicaid eligible clients participating in the 11 home and community based services waiver designated in 12 Section 1915(c) of the Social Security Act for medically 13 frail and technologically dependent children. 14 (4) Alternative health care delivery model; 15 community based residential rehabilitation center. A 16 community-based residential rehabilitation center model 17 is a designated site that provides rehabilitation or 18 support, or both, for persons who have experienced severe 19 brain injury, who are medically stable, and who no longer 20 require acute rehabilitative care or intense medical or 21 nursing services. The average length of stay in a 22 community-based residential rehabilitation center shall 23 not exceed 4 months. As an integral part of the services 24 provided, individuals are housed in a supervised living 25 setting while having immediate access to the community. 26 The residential rehabilitation center authorized by the 27 Department may have more than one residence included 28 under the license. A residence may be no larger than 12 29 beds and shall be located as an integral part of the 30 community. Day treatment or individualized outpatient 31 services shall be provided for persons who reside in 32 their own home. Functional outcome goals shall be 33 established for each individual. Services shall include, 34 but are not limited to, case management, training and SB1613 Enrolled -10- LRB9112970JSpc 1 assistance with activities of daily living, nursing 2 consultation, traditional therapies (physical, 3 occupational, speech), functional interventions in the 4 residence and community (job placement, shopping, 5 banking, recreation), counseling, self-management 6 strategies, productive activities, and multiple 7 opportunities for skill acquisition and practice 8 throughout the day. The design of individualized program 9 plans shall be consistent with the outcome goals that are 10 established for each resident. The programs provided in 11 this setting shall be accredited by the Commission on 12 Accreditation of Rehabilitation Facilities (CARF). The 13 program shall have been accredited by CARF as a Brain 14 Injury Community-Integrative Program for at least 3 15 years. 16 (5) Alternative health care delivery model; 17 Alzheimer's disease management center. An Alzheimer's 18 disease management center model is a designated site that 19 provides a safe and secure setting for care of persons 20 diagnosed with Alzheimer's disease. An Alzheimer's 21 disease management center model shall be a facility 22 separate from any other facility licensed by the 23 Department of Public Health under this or any other Act. 24 An Alzheimer's disease management center shall conduct 25 and document an assessment of each resident every 6 26 months. The assessment shall include an evaluation of 27 daily functioning, cognitive status, other medical 28 conditions, and behavioral problems. An Alzheimer's 29 disease management center shall develop and implement an 30 ongoing treatment plan for each resident. The treatment 31 plan shall have defined goals. The Alzheimer's disease 32 management center shall treat behavioral problems and 33 mood disorders using nonpharmacologic approaches such as 34 environmental modification, task simplification, and SB1613 Enrolled -11- LRB9112970JSpc 1 other appropriate activities. All staff must have 2 necessary training to care for all stages of Alzheimer's 3 Disease. An Alzheimer's disease management center shall 4 provide education and support for residents and 5 caregivers. The education and support shall include 6 referrals to support organizations for educational 7 materials on community resources, support groups, legal 8 and financial issues, respite care, and future care needs 9 and options. The education and support shall also 10 include a discussion of the resident's need to make 11 advance directives and to identify surrogates for medical 12 and legal decision-making. The provisions of this 13 paragraph establish the minimum level of services that 14 must be provided by an Alzheimer's disease management 15 center. An Alzheimer's disease management center model 16 shall have no more than 100 residents. Nothing in this 17 paragraph (5) shall be construed as prohibiting a person 18 or facility from providing services and care to persons 19 with Alzheimer's disease as otherwise authorized under 20 State law. 21 (Source: P.A. 91-65, eff. 7-9-99; 91-357, eff. 7-29-99.) 22 Section 10. The Alzheimer's Special Care Disclosure Act 23 is amended by changing Section 10 as follows: 24 (210 ILCS 4/10) 25 (Text of Section before amendment by P.A. 91-656) 26 Sec. 10. Facility defined. As used in this Act, 27 "facility" means a facility licensed or permitted under the 28 Nursing Home Care Act, the Life Care Facility Act,orthe 29 Community Living Facilities Licensing Act, or subsection 30 (a-20) of Section 30 of the Alternative Health Care Delivery 31 Act. 32 (Source: P.A. 90-341, eff. 1-1-98.) SB1613 Enrolled -12- LRB9112970JSpc 1 (Text of Section after amendment by P.A. 91-656) 2 Sec. 10. Facility defined. As used in this Act, 3 "facility" means a facility licensed or permitted under the 4 Nursing Home Care Act, the Life Care Facility Act, the 5 Assisted Living and Shared Housing Act,orthe Community 6 Living Facilities Licensing Act, or subsection (a-20) of 7 Section 30 of the Alternative Health Care Delivery Act. 8 (Source: P.A. 90-341, eff. 1-1-98; 91-656, eff. 1-1-01.) 9 Section 15. The Nursing Home Care Act is amended by 10 changing Section 1-113 as follows: 11 (210 ILCS 45/1-113) (from Ch. 111 1/2, par. 4151-113) 12 (Text of Section before amendment by P.A. 91-656) 13 Sec. 1-113. "Facility" or "long-term care facility" 14 means a private home, institution, building, residence, or 15 any other place, whether operated for profit or not, or a 16 county home for the infirm and chronically ill operated 17 pursuant to Division 5-21 or 5-22 of the Counties Code, or 18 any similar institution operated by a political subdivision 19 of the State of Illinois, which provides, through its 20 ownership or management, personal care, sheltered care or 21 nursing for 3 or more persons, not related to the applicant 22 or owner by blood or marriage. It includes skilled nursing 23 facilities and intermediate care facilities as those terms 24 are defined in Title XVIII and Title XIX of the Federal 25 Social Security Act. It also includes homes, institutions, or 26 other places operated by or under the authority of the 27 Illinois Department of Veterans' Affairs. 28 "Facility" does not include the following: 29 (1) A home, institution, or other place operated by the 30 federal government or agency thereof, or by the State of 31 Illinois, other than homes, institutions, or other places 32 operated by or under the authority of the Illinois Department SB1613 Enrolled -13- LRB9112970JSpc 1 of Veterans' Affairs; 2 (2) A hospital, sanitarium, or other institution whose 3 principal activity or business is the diagnosis, care, and 4 treatment of human illness through the maintenance and 5 operation as organized facilities therefor, which is required 6 to be licensed under the Hospital Licensing Act; 7 (3) Any "facility for child care" as defined in the 8 Child Care Act of 1969; 9 (4) Any "Community Living Facility" as defined in the 10 Community Living Facilities Licensing Act; 11 (5) Any "community residential alternative" as defined 12 in the Community Residential Alternatives Licensing Act; 13 (6) Any nursing home or sanatorium operated solely by 14 and for persons who rely exclusively upon treatment by 15 spiritual means through prayer, in accordance with the creed 16 or tenets of any well-recognized church or religious 17 denomination. However, such nursing home or sanatorium shall 18 comply with all local laws and rules relating to sanitation 19 and safety; 20 (7) Any facility licensed by the Department of Human 21 Services as a community-integrated living arrangement as 22 defined in the Community-Integrated Living Arrangements 23 Licensure and Certification Act; 24 (8) Any "Supportive Residence" licensed under the 25 Supportive Residences Licensing Act;or26 (9) Any "supportive living facility" in good standing 27 with the demonstration project established under Section 28 5-5.01a of the Illinois Public Aid Code; or.29 (11) An Alzheimer's disease management center 30 alternative health care model licensed under the Alternative 31 Health Care Delivery Act. 32 (Source: P.A. 89-499, eff. 6-28-96; 89-507, eff. 7-1-97; 33 90-14, eff. 7-1-97; 90-763, eff. 8-14-98.) 34 (Text of Section after amendment by P.A. 91-656) SB1613 Enrolled -14- LRB9112970JSpc 1 Sec. 1-113. "Facility" or "long-term care facility" 2 means a private home, institution, building, residence, or 3 any other place, whether operated for profit or not, or a 4 county home for the infirm and chronically ill operated 5 pursuant to Division 5-21 or 5-22 of the Counties Code, or 6 any similar institution operated by a political subdivision 7 of the State of Illinois, which provides, through its 8 ownership or management, personal care, sheltered care or 9 nursing for 3 or more persons, not related to the applicant 10 or owner by blood or marriage. It includes skilled nursing 11 facilities and intermediate care facilities as those terms 12 are defined in Title XVIII and Title XIX of the Federal 13 Social Security Act. It also includes homes, institutions, or 14 other places operated by or under the authority of the 15 Illinois Department of Veterans' Affairs. 16 "Facility" does not include the following: 17 (1) A home, institution, or other place operated by the 18 federal government or agency thereof, or by the State of 19 Illinois, other than homes, institutions, or other places 20 operated by or under the authority of the Illinois Department 21 of Veterans' Affairs; 22 (2) A hospital, sanitarium, or other institution whose 23 principal activity or business is the diagnosis, care, and 24 treatment of human illness through the maintenance and 25 operation as organized facilities therefor, which is required 26 to be licensed under the Hospital Licensing Act; 27 (3) Any "facility for child care" as defined in the 28 Child Care Act of 1969; 29 (4) Any "Community Living Facility" as defined in the 30 Community Living Facilities Licensing Act; 31 (5) Any "community residential alternative" as defined 32 in the Community Residential Alternatives Licensing Act; 33 (6) Any nursing home or sanatorium operated solely by 34 and for persons who rely exclusively upon treatment by SB1613 Enrolled -15- LRB9112970JSpc 1 spiritual means through prayer, in accordance with the creed 2 or tenets of any well-recognized church or religious 3 denomination. However, such nursing home or sanatorium shall 4 comply with all local laws and rules relating to sanitation 5 and safety; 6 (7) Any facility licensed by the Department of Human 7 Services as a community-integrated living arrangement as 8 defined in the Community-Integrated Living Arrangements 9 Licensure and Certification Act; 10 (8) Any "Supportive Residence" licensed under the 11 Supportive Residences Licensing Act; 12 (9) Any "supportive living facility" in good standing 13 with the demonstration project established under Section 14 5-5.01a of the Illinois Public Aid Code;or15 (10) Any assisted living or shared housing establishment 16 licensed under the Assisted Living and Shared Housing Act; 17 or.18 (11) An Alzheimer's disease management center 19 alternative health care model licensed under the Alternative 20 Health Care Delivery Act. 21 (Source: P.A. 90-14, eff. 7-1-97; 90-763, eff. 8-14-98; 22 91-656, eff. 1-1-01.) 23 Section 20. The Hospital Licensing Act is amended by 24 changing Section 3 as follows: 25 (210 ILCS 85/3) (from Ch. 111 1/2, par. 144) 26 Sec. 3. As used in this Act: 27 (A) "Hospital" means any institution, place, building, 28 or agency, public or private, whether organized for profit or 29 not, devoted primarily to the maintenance and operation of 30 facilities for the diagnosis and treatment or care of 2 or 31 more unrelated persons admitted for overnight stay or longer 32 in order to obtain medical, including obstetric, psychiatric SB1613 Enrolled -16- LRB9112970JSpc 1 and nursing, care of illness, disease, injury, infirmity, or 2 deformity. 3 The term "hospital", without regard to length of stay, 4 shall also include: 5 (a) any facility which is devoted primarily to 6 providing psychiatric and related services and programs 7 for the diagnosis and treatment or care of 2 or more 8 unrelated persons suffering from emotional or nervous 9 diseases; 10 (b) all places where pregnant females are received, 11 cared for, or treated during delivery irrespective of the 12 number of patients received. 13 The term "hospital" includes general and specialized 14 hospitals, tuberculosis sanitaria, mental or psychiatric 15 hospitals and sanitaria, and includes maternity homes, 16 lying-in homes, and homes for unwed mothers in which care is 17 given during delivery. 18 The term "hospital" does not include: 19 (1) any person or institution required to be 20 licensed pursuant to the Nursing Home Care Act, as 21 amended; 22 (2) hospitalization or care facilities maintained 23 by the State or any department or agency thereof, where 24 such department or agency has authority under law to 25 establish and enforce standards for the hospitalization 26 or care facilities under its management and control; 27 (3) hospitalization or care facilities maintained 28 by the federal government or agencies thereof; 29 (4) hospitalization or care facilities maintained 30 by any university or college established under the laws 31 of this State and supported principally by public funds 32 raised by taxation; 33 (5) any person or facility required to be licensed 34 pursuant to the Alcoholism and Other Drug Abuse and SB1613 Enrolled -17- LRB9112970JSpc 1 Dependency Act;or2 (6) any facility operated solely by and for persons 3 who rely exclusively upon treatment by spiritual means 4 through prayer, in accordance with the creed or tenets of 5 any well-recognized church or religious denomination; or.6 (7) An Alzheimer's disease management center 7 alternative health care model licensed under the 8 Alternative Health Care Delivery Act. 9 (B) "Person" means the State, and any political 10 subdivision or municipal corporation, individual, firm, 11 partnership, corporation, company, association, or joint 12 stock association, or the legal successor thereof. 13 (C) "Department" means the Department of Public Health 14 of the State of Illinois. 15 (D) "Director" means the Director of Public Health of 16 the State of Illinois. 17 (E) "Perinatal" means the period of time between the 18 conception of an infant and the end of the first month after 19 birth. 20 (F) "Federally designated organ procurement agency" 21 means the organ procurement agency designated by the 22 Secretary of the U.S. Department of Health and Human Services 23 for the service area in which a hospital is located; except 24 that in the case of a hospital located in a county adjacent 25 to Wisconsin which currently contracts with an organ 26 procurement agency located in Wisconsin that is not the organ 27 procurement agency designated by the U.S. Secretary of Health 28 and Human Services for the service area in which the hospital 29 is located, if the hospital applies for a waiver pursuant to 30 42 USC 1320b-8(a), it may designate an organ procurement 31 agency located in Wisconsin to be thereafter deemed its 32 federally designated organ procurement agency for the 33 purposes of this Act. 34 (G) "Tissue bank" means any facility or program SB1613 Enrolled -18- LRB9112970JSpc 1 operating in Illinois that is certified by the American 2 Association of Tissue Banks or the Eye Bank Association of 3 America and is involved in procuring, furnishing, donating, 4 or distributing corneas, bones, or other human tissue for the 5 purpose of injecting, transfusing, or transplanting any of 6 them into the human body. "Tissue bank" does not include a 7 licensed blood bank. For the purposes of this Act, "tissue" 8 does not include organs. 9 (Source: P.A. 88-670, eff. 12-2-94; 89-393, eff. 8-20-95.) 10 Section 95. No acceleration or delay. Where this Act 11 makes changes in a statute that is represented in this Act by 12 text that is not yet or no longer in effect (for example, a 13 Section represented by multiple versions), the use of that 14 text does not accelerate or delay the taking effect of (i) 15 the changes made by this Act or (ii) provisions derived from 16 any other Public Act. 17 Section 99. Effective date. This Act takes effect upon 18 becoming law.