HB4735 Engrossed LRB093 19043 AMC 44778 b

1     AN ACT concerning nursing facilities.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 1. Short title. This Act may be cited as the
5 Nursing Facility Bed Conversion and Modernization Act.
 
6     Section 5. Nursing Facility Conversion and Modernization
7 Program.
8     (a) For the purposes of this Section:
9     "Nursing facility" means (1) a skilled nursing or
10 intermediate long term care facility, whether public or private
11 and whether organized for profit or not-for-profit, that is
12 subject to licensure by the Department of Public Health under
13 the Nursing Home Care Act, including a county nursing home
14 directed and maintained under Section 5-1005 of the Counties
15 Code, and that is certified under Title XIX of the Social
16 Security Act and (2) a part of a hospital in which skilled or
17 intermediate long term care services within the meaning of
18 Title XVIII or XIX of the Social Security Act are provided.
19     "Conversion and modernization" means the construction,
20 alteration, reconstruction, renovation, modernization, or
21 improvement of existing nursing facility beds or areas within
22 an existing nursing facility.
23     (b) Any nursing facility that has, for the previous 3
24 years, provided services to at least 35% of its resident
25 population under the medical assistance program under Title XIX
26 of the Social Security Act is eligible to apply for a Nursing
27 Facility Conversion and Modernization Grant.
28     (c) Nursing Facility Conversion and Modernization Grants
29 shall be available for the conversion and modernization of
30 existing nursing facility beds or areas within a nursing
31 facility for any or a combination of any of the following uses:
32         (1) Conversion of a portion of or all nursing facility

 

 

HB4735 Engrossed - 2 - LRB093 19043 AMC 44778 b

1 beds to an assisted living establishment or a special
2 program or unit for persons with Alzheimer's disease or
3 related disorders licensed under the Assisted Living and
4 Shared Housing Act or to a supported living facility as
5 provided pursuant to Section 5-5.01a of the Public Aid
6 Code.
7         (2) Conversion of shared nursing facility bedrooms to
8 private, single-bed rooms.
9         (3) Provision of any alternatives to nursing facility
10 care, which, for purposes of this Section, means those
11 services included in the program of home and
12 community-based waiver services for seniors under the
13 medical assistance program under Title XIX of the Security
14 Act, including, but not limited to, adult day services or
15 respite care living space within a nursing facility.
16     (d) A conversion and modernization shall not have the
17 effect of:
18         (1) diminishing or reducing the quality of services
19 available to nursing facility residents; or
20         (2) forcing any nursing facility resident to
21 involuntarily accept home or community-based services in
22 lieu of nursing facility services; or
23         (3) diminishing or reducing the supply of long-term
24 care services in any community below the level of need.
25     (e) Grants may not be used to expand a current building,
26 except (i) for additional space required to accommodate related
27 supportive services, such as dining rooms, kitchen and
28 recreation areas, or other community use areas; or (ii) if the
29 facility demonstrates that new construction is more cost
30 effective than the conversion of existing space.
31     (f) Notwithstanding any local ordinance related to
32 development, planning, or zoning to the contrary, the
33 conversion and modernization that closes or that curtails,
34 reduces, or changes operations shall be considered a conforming
35 use permitted under local law, provided that the facility is
36 converted to another long-term care service.

 

 

HB4735 Engrossed - 3 - LRB093 19043 AMC 44778 b

1     (g) Conversions and modernization pursuant to this Act are
2 exempt from the requirements of the Health Facilities Planning
3 Act.
4     (h) Subject to available appropriations, Nursing Facility
5 Conversion and Modernization Grants shall be available from the
6 Nursing Facility Conversion and Modernization Fund, a special
7 fund hereby created in the State treasury, for capital or
8 one-time capital expenditures, for a maximum of $1,000,000 per
9 nursing facility; provided that grantees shall be required to
10 provide 20%, and may offer to provide more than 20%, as match
11 toward the total cost of the capital project. Any application
12 for a Nursing Facility Conversion and Modernization Grant shall
13 include the total budget that will be necessary, including
14 State and federal funding, for services to operate the program
15 once the capital project is completed, and shall specify the
16 number of existing nursing facility beds that the nursing
17 facility provider agrees to de-license. In distribution of the
18 grants, the following factors shall be considered:
19         (1) the unique needs of residents and their caregivers
20 in the area in which the facility is located;
21         (2) the nursing facility bed need in the area in which
22 the facility is located;
23         (3) the extent to which the conversion and
24 modernization results in the reduction of certified
25 nursing facility beds in an area with excess beds;
26         (4) compliance history with licensure and
27 certification requirements; and
28         (5) the extent to which the application reflects
29 collaboration and support for the conversion or
30 modernization by other providers and local government
31 leaders in the community.
32 The application and grant process, including rules and
33 regulations for the Nursing Facility Conversion and
34 Modernization Program, shall be promulgated by the Director of
35 Public Health, in coordination with the Director of Public Aid,
36 the Director of Aging, and the Secretary of Human Services.

 

 

HB4735 Engrossed - 4 - LRB093 19043 AMC 44778 b

1     (i) Any nursing facility receiving a grant pursuant to the
2 Nursing Facility Conversion and Modernization Program shall
3 reduce the number of certified nursing facility beds by an
4 amount equal to or greater than the number of beds being
5 constructed or modernized for one or more of the permitted uses
6 pursuant to subsection (c).
7     (j) Any nursing facility receiving a grant pursuant to the
8 Nursing Facility Conversion and Modernization Program shall
9 agree, for a minimum of 10 years after the date that the grant
10 is awarded, to maintain a minimum of 35% of its occupancy for
11 residents eligible for services under the medical assistance
12 program under Title XIX of the Social Security Act. In the
13 event the nursing facility provider or its successor in
14 interest ceases to comply with the requirement set forth in
15 this subsection, the provider shall refund to the Nursing
16 Facility Conversion and Modernization Fund, on an amortized
17 basis, the amount of the grant.
18     (k) Any nursing facility receiving a grant pursuant to the
19 Nursing Facility Conversion and Modernization Program shall
20 not segregate residents receiving nursing facility services
21 under the medical assistance program under Title XIX of the
22 Social Security Act in an area, section, or portion of the
23 nursing facility and shall not move or transfer a resident
24 within the nursing facility solely due to a change in payment
25 status from private payment to government subsidy.
26     (l) Nothing in this Section shall prohibit a nursing
27 facility from moving or transferring a resident as authorized
28 by the Nursing Home Care Act.
 
29     Section 10. Reporting. The Director of Public Health, in
30 coordination with the Director of Public Aid, the Director of
31 Aging, and the Secretary of Human Services, shall implement
32 mechanisms to monitor and analyze the effect of the Nursing
33 Facility Conversion and Modernization Program, including
34 documenting and verifying the savings to the Medicaid program
35 attributable to this Act. A report containing the analysis

 

 

HB4735 Engrossed - 5 - LRB093 19043 AMC 44778 b

1 shall be submitted to the Governor and the General Assembly on
2 January 1, 2006 and on January 1 of each year thereafter.
 
3     Section 90. The Illinois Health Facilities Planning Act is
4 amended by adding Section 12.05 as follows:
 
5     (20 ILCS 3960/12.05 new)
6     Sec. 12.05. Nursing Facility Conversion and Modernization
7 Act. The criteria and standards for health care planning,
8 including but not limited to the statewide inventory
9 established under Section 12 of this Act, shall not be adjusted
10 by any change in the number of nursing facility beds resulting
11 from nursing home conversion or modernization pursuant to the
12 Nursing Facility Conversion and Modernization Act.
 
13     Section 95. The State Finance Act is amended by adding
14 Section 5.625 as follows:
 
15     (30 ILCS 105/5.625 new)
16     Sec. 5.625. The Nursing Facility Conversion and
17 Modernization Fund.
 
18     Section 99. Effective date. This Act takes effect upon
19 becoming law.