91st General Assembly
Summary of HB0427
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House Sponsors:
LYONS,JOSEPH-COWLISHAW-COULSON-CROTTY-CAPPARELLI, FRITCHEY, 
   SAVIANO, MCKEON, FEIGENHOLTZ, DAVIS,MONIQUE, MCGUIRE, GASH, 
   REITZ, LOPEZ, BRADLEY, BASSI, BELLOCK, BUGIELSKI, HOLBROOK, 
   DAVIS,STEVE, SHARP, FOWLER, MCAULIFFE, BRUNSVOLD, BROSNAHAN, 
   BOLAND, PUGH, HARTKE, DART, HARRIS, GILES, MOFFITT, 
   O'BRIEN, JOHNSON,TOM, MORROW, FRANKS, WOJCIK, WOOLARD, 
   HOWARD, STROGER, PERSICO, SILVA, MCCARTHY, GIGLIO, 
   MOORE,ANDREA, JONES,LOU, JONES,JOHN, HAMOS, DURKIN, 
   MITCHELL,JERRY, MEYER, MAUTINO, TURNER,ART, SCOTT, LAWFER, 
   OSMOND, ZICKUS, CURRY,JULIE, MATHIAS, SCULLY, 
   SCHOENBERG AND MITCHELL,BILL.

Senate Sponsors:
FAWELL-TROTTER-RADOGNO-O'MALLEY-SHAW

Short description: 
ASSISTED LIVING-SHARED HOUSING                                             

Synopsis of Bill as introduced:
        Creates the Assisted Living and Shared Housing Act.  Provides for      
   the Act to be administered by the Department on  Aging.   Permits  the      
   development  and  operation  of  assisted  living  and  shared housing      
   establishments  for  senior  citizens.   Assisted  living  and  shared      
   housing  establishments   provide   residential   accommodations   and      
   specified  services  to  seniors.   Certain  services including meals,      
   housekeeping, security, and necessary assistance  with  activities  of      
   daily  living  must  be provided.  Requires all housing to be provided      
   pursuant to contract.  Establishes minimum staffing levels.   Requires      
   facilities  to be licensed and establishes license requirements.  Sets      
   forth penalties for  violations.   Creates  the  Assisted  Living  and      
   Shared  Housing  Advisory Board to advise the Director of Aging in the      
   administration of the Act.  Creates the  Assisted  Living  and  Shared      
   Housing  Regulatory  Fund.   Requires the Department on Aging to study      
   and report the effects of the Act upon the availability of housing for      
   seniors. Amends the Illinois Act on the Aging to include assisted           
   living and shared housing establishments in the Long Term Care              
   Ombudsman Program. Amends the Illinois Health Facilities Planning Act       
   and the Nursing Home Care Act to exclude assisted living and shared         
   housing establishments from the scope of those Acts. Amends the Health      
   Care Worker Background Check Act, the Alzheimer's Special Care              
   Disclosure Act, and the Abused and Neglected Long Term Care Facility        
   Residents Reporting Act to include assisted living and shared housing       
   establishments within the scope of those Acts.  Effective  January  1,      
   2000, except certain provisions are effective immediately.                  
          FISCAL NOTE (Dept. on Aging)                                         
          Total fiscal impact for a full year program manager would be         
          $503,760; for FY2001, $687,300.                                      
        HOUSE AMENDMENT NO. 1. (Tabled March 18, 1999)                         
        Provides that a long term care facility may elect to  retain  its      
   Certificate  of  Need  for  sheltered  care beds converted to assisted      
   living use.  Excludes facilities licensed under the Hospice  Licensing      
   Act  from  the  scope  of  the bill.  Provides that medication must be      
   administered by a  licensed  health  care  professional.   Limits  the      
   powers  of  the  Assisted  Living  and  Shared Housing Advisory Board.      
   Removes provisions exempting licensees under this Act from the Nursing      
   Home Care Act.  Also makes technical changes. Provides for the Act  to      
   be  administered  by  the  Department of Public Health rather than the      
   Department on Aging.  Removes provisions  authorizing  residents  with      
   certain  serious  ailments to remain in the establishment for 21 days.      
   Adds requirements for obtaining a license.                                  
          BALANCED BUDGET NOTE (Bureau of the Budget)                          
          Since the bill is not a supplemental appropriation, the Balanc-      
          ed Budget Note Act is inapplicable.                                  
          BALANCED BUDGET NOTE, H-AM 1 (Bureau of the Budget)                  
          Same as previous balanced budget note.                               
          JUDICIAL NOTE (Administrative Office of Ill. Courts)                 
          There would be no decrease or increase in the number of judges       
          needed.                                                              
          JUDICIAL NOTE, H-AM 1 (Administrative Office of Ill. Courts)         
          Same as previous judicial note.                                      
          HOUSING AFFORDABILITY NOTE (Housing Development Authority)           
          There would be no fiscal effect on a single-family residence.        
          HOUSING AFFORDABILITY NOTE, H-AM 1 (Housing Development Auth.)       
          Same as previous note.                                               
          FISCAL NOTE, H-AM 1, 2  (Dept. on Aging)                             
          Fiscal impact totals $110,250 in FY2000 and $201,000 in FY2001.      
          STATE MANDATES NOTE, H-AM 1                                          
          (Department of Commerce and Community Affairs)                       
          HB 427 (H-am 1) does not create a State mandate.                     
          FISCAL NOTE, H-AM 1, 2  (Dept. of Public Health)                     
          Estimated total fiscal impact is $845,000.                           
        HOUSE AMENDMENT NO. 2.                                                 
        Provides that a long term care facility may elect to  retain  its      
   Certificate  of  Need  for  sheltered  care beds converted to assisted      
   living use.  Excludes facilities licensed under the Hospice  Licensing      
   Act  from  the  scope  of  the bill.  Provides that medication must be      
   administered by a licensed health care  professional.   Provides  that      
   supervision  of  self-administered medication shall be performed under      
   the direction of a licensed  health  care  professional.   Limits  the      
   powers  of  the  Assisted  Living  and  Shared Housing Advisory Board.      
   Removes provisions exempting licensees under this Act from the Nursing      
   Home Care Act.  Also makes technical changes. Provides for the Act  to      
   be  administered  by  the  Department of Public Health rather than the      
   Department on Aging.  Removes provisions  authorizing  residents  with      
   certain  serious  ailments to remain in the establishment for 21 days.      
   Adds requirements for obtaining a license. Provides  that  supervision      
   of  self-medication  administration  must  be  performed by a licensed      
   health care professional.  Excludes physicians  licensed  to  practice      
   medicine   from   the   scope   of  the  term  "licensed  health  care      
   professional".  Authorizes the opening of  medication  containers  for      
   residents  who  are  unable  to  open  the  containers  on  their own.      
   Requires that notices of residency terminations be sent  to  the  long      
   term  care  ombudsman.   Establishes criteria for residency of persons      
   who suffer from dementia.                                                   
        SENATE AMENDMENT NO. 1. (Senate recedes May 27, 1999)                  
        Provides for the Act to be  administered  by  the  Department  on      
   Aging rather than the Department of Public Health.                          
        CONFERENCE COMMITTEE REPORT NO. 1.                                     
        Recommends that the Senate recede from S-am 1.                         
        Recommends that the bill be amended as follows:                        
        Deletes everything and reinserts the engrossed bill with numerous      
   changes throughout.                                                         
        GOVERNOR'S AMENDATORY VETO MESSAGE                                     
        Recommends that the Assisted Living and Shared Housing Act be          
   further amended. Limits the range of entities that may employ a             
   licensed health care professional to perform certain medical proce-         
   dures at the residence. Provides that the Governor, rather than the         
   Director of Public Health, shall appoint the Assisted Living and            
   Shared Housing Advisory Board and the Assisted Living and Shared            
   Housing Quality of Life Advisory Committee. Provides that the members       
   of the Assisted Living and Shared Housing Advisory Board shall be           
   appointed by January 1, 2001, rather than on or after January 1, 2000       
   but on or before March 1, 2000. Replaces the varied effective date          
   with a January 1, 2001 effective date.                                      
 
Last action on Bill: PUBLIC ACT.............................. 91-0656

   Last action date: 99-12-22

           Location: House

 Amendments to Bill: AMENDMENTS ADOPTED: HOUSE -   1     SENATE -   1


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