97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
HB4482

 

Introduced 1/31/2012, by Rep. Lisa M. Dugan

 

SYNOPSIS AS INTRODUCED:
 
210 ILCS 50/32.5

    Amends the Emergency Medical Services (EMS) Systems Act. Makes technical changes in a Section concerning freestanding emergency centers.


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A BILL FOR

 

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1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Emergency Medical Services (EMS) Systems Act
5is amended by changing Section 32.5 as follows:
 
6    (210 ILCS 50/32.5)
7    Sec. 32.5. Freestanding Emergency Center.
8    (a) The The Department shall issue an annual Freestanding
9Emergency Center (FEC) license to any facility that has
10received a permit from the Health Facilities and Services
11Review Board to establish a Freestanding Emergency Center if
12the application for the permit has been deemed complete by the
13Department of Public Health by March 1, 2009, and:
14        (1) is located: (A) in a municipality with a population
15    of 75,000 or fewer inhabitants; (B) within 20 miles of the
16    hospital that owns or controls the FEC; and (C) within 20
17    miles of the Resource Hospital affiliated with the FEC as
18    part of the EMS System;
19        (2) is wholly owned or controlled by an Associate or
20    Resource Hospital, but is not a part of the hospital's
21    physical plant;
22        (3) meets the standards for licensed FECs, adopted by
23    rule of the Department, including, but not limited to:

 

 

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1            (A) facility design, specification, operation, and
2        maintenance standards;
3            (B) equipment standards; and
4            (C) the number and qualifications of emergency
5        medical personnel and other staff, which must include
6        at least one board certified emergency physician
7        present at the FEC 24 hours per day.
8        (4) limits its participation in the EMS System strictly
9    to receiving a limited number of BLS runs by emergency
10    medical vehicles according to protocols developed by the
11    Resource Hospital within the FEC's designated EMS System
12    and approved by the Project Medical Director and the
13    Department;
14        (5) provides comprehensive emergency treatment
15    services, as defined in the rules adopted by the Department
16    pursuant to the Hospital Licensing Act, 24 hours per day,
17    on an outpatient basis;
18        (6) provides an ambulance and maintains on site
19    ambulance services staffed with paramedics 24 hours per
20    day;
21        (7) (blank);
22        (8) complies with all State and federal patient rights
23    provisions, including, but not limited to, the Emergency
24    Medical Treatment Act and the federal Emergency Medical
25    Treatment and Active Labor Act;
26        (9) maintains a communications system that is fully

 

 

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1    integrated with its Resource Hospital within the FEC's
2    designated EMS System;
3        (10) reports to the Department any patient transfers
4    from the FEC to a hospital within 48 hours of the transfer
5    plus any other data determined to be relevant by the
6    Department;
7        (11) submits to the Department, on a quarterly basis,
8    the FEC's morbidity and mortality rates for patients
9    treated at the FEC and other data determined to be relevant
10    by the Department;
11        (12) does not describe itself or hold itself out to the
12    general public as a full service hospital or hospital
13    emergency department in its advertising or marketing
14    activities;
15        (13) complies with any other rules adopted by the
16    Department under this Act that relate to FECs;
17        (14) passes the Department's site inspection for
18    compliance with the FEC requirements of this Act;
19        (15) submits a copy of the permit issued by the Health
20    Facilities and Services Review Board indicating that the
21    facility has complied with the Illinois Health Facilities
22    Planning Act with respect to the health services to be
23    provided at the facility;
24        (16) submits an application for designation as an FEC
25    in a manner and form prescribed by the Department by rule;
26    and

 

 

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1        (17) pays the annual license fee as determined by the
2    Department by rule.
3    (a-5) Notwithstanding any other provision of this Section,
4the Department may issue an annual FEC license to a facility
5that is located in a county that does not have a licensed
6general acute care hospital if the facility's application for a
7permit from the Illinois Health Facilities Planning Board has
8been deemed complete by the Department of Public Health by
9March 1, 2009 and if the facility complies with the
10requirements set forth in paragraphs (1) through (17) of
11subsection (a).
12    (a-10) Notwithstanding any other provision of this
13Section, the Department may issue an annual FEC license to a
14facility if the facility has, by March 31, 2009, filed a letter
15of intent to establish an FEC and if the facility complies with
16the requirements set forth in paragraphs (1) through (17) of
17subsection (a).
18    (b) The Department shall:
19        (1) annually inspect facilities of initial FEC
20    applicants and licensed FECs, and issue annual licenses to
21    or annually relicense FECs that satisfy the Department's
22    licensure requirements as set forth in subsection (a);
23        (2) suspend, revoke, refuse to issue, or refuse to
24    renew the license of any FEC, after notice and an
25    opportunity for a hearing, when the Department finds that
26    the FEC has failed to comply with the standards and

 

 

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1    requirements of the Act or rules adopted by the Department
2    under the Act;
3        (3) issue an Emergency Suspension Order for any FEC
4    when the Director or his or her designee has determined
5    that the continued operation of the FEC poses an immediate
6    and serious danger to the public health, safety, and
7    welfare. An opportunity for a hearing shall be promptly
8    initiated after an Emergency Suspension Order has been
9    issued; and
10        (4) adopt rules as needed to implement this Section.
11(Source: P.A. 96-23, eff. 6-30-09; 96-31, eff. 6-30-09; 96-883,
12eff. 3-1-10; 96-1000, eff. 7-2-10; 97-333, eff. 8-12-11.)