Rep. Elaine Nekritz

Filed: 4/5/2006

 

 


 

 


 
09400SB2170ham002 LRB094 13493 LCT 58086 a

1
AMENDMENT TO SENATE BILL 2170

2     AMENDMENT NO. ______. Amend Senate Bill 2170 by replacing
3 everything after the enacting clause with the following:
 
4     "Section 5. The Nursing Home Care Act is amended by adding
5 Section 2-217 as follows:
 
6     (210 ILCS 45/2-217 new)
7     Sec. 2-217. Order for transportation of resident by
8 ambulance. If a facility orders transportation of a resident of
9 the facility by ambulance, the facility must maintain a written
10 record that shows (i) the name of the person who placed the
11 order for that transportation and (ii) the medical reason for
12 that transportation. The facility must maintain the record for
13 a period of at least 3 years after the date of the order for
14 transportation by ambulance.
 
15     Section 10. The Hospital Licensing Act is amended by adding
16 Section 6.22 as follows:
 
17     (210 ILCS 85/6.22 new)
18     Sec. 6.22. Arrangement for transportation of patient by
19 ambulance.
20     (a) In this Section:
21         "Ambulance service provider" means a Vehicle Service
22     Provider as defined in the Emergency Medical Services (EMS)

 

 

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1     Systems Act who provides non-emergency transportation
2     services by ambulance.
3         "Patient" means a person who is transported by an
4     ambulance service provider.
5     (b) If a hospital arranges for transportation of a patient
6 of the hospital by ambulance, the hospital must provide the
7 ambulance service provider, prior to transport, a Physician
8 Certification Statement formatted and completed in compliance
9 with federal regulations or an equivalent form developed by the
10 hospital. The Physician Certification Statement or equivalent
11 form is not required prior to transport if a delay in transport
12 can be expected to negatively affect the patient outcome.
13     (c) If a hospital is unable to provide a Physician
14 Certification Statement or equivalent form, then the hospital
15 shall provide to the patient a written notice and a verbal
16 explanation of the written notice, which notice must meet all
17 of the following requirements:
18         (1) The following caption must appear at the beginning
19     of the notice in at least 14-point type: Notice to Patient
20     Regarding Non-Emergency Ambulance Services.
21         (2) The notice must contain each of the following
22     statements in at least 14-point type:
23             (A) The purpose of this notice is to help you make
24         an informed choice about whether you want to be
25         transported by ambulance because your medical
26         condition does not meet medical necessity for
27         transportation by an ambulance.
28             (B) Your insurance may not cover the charges for
29         ambulance transportation.
30             (C) You may be responsible for the cost of
31         ambulance transportation.
32             (D) The estimated cost of ambulance transportation
33         is $(amount).
34         (3) The notice must be signed by the patient or by the

 

 

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1     patient's authorized representative. A copy shall be given
2     to the patient and the hospital shall retain a copy.
3     (d) The notice set forth in subsection (c) of this Section
4 shall not be required if a delay in transport can be expected
5 to negatively affect the patient outcome.
6     (e) If a patient is physically or mentally unable to sign
7 the notice described in subsection (c) of this Section and no
8 authorized representative of the patient is available to sign
9 the notice on the patient's behalf, the hospital must be able
10 to provide documentation of the patient's inability to sign the
11 notice and the unavailability of an authorized representative.
12 In any case described in this subsection (e), the hospital
13 shall be considered to have met the requirements of subsection
14 (c) of this Section.
 
15     Section 99. Effective date. This Act takes effect January
16 31, 2007.".