Human Services Committee
Filed: 3/21/2007
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1 | AMENDMENT TO HOUSE BILL 614
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2 | AMENDMENT NO. ______. Amend House Bill 614 by replacing | ||||||
3 | lines 25 and 26 on page 8, all of page 9, and line 1 on page 10 | ||||||
4 | with the following: | ||||||
5 | " (6) Alternative health care model; long term acute | ||||||
6 | care hospital conversion. A long term acute care hospital | ||||||
7 | conversion is a Long Term Acute Care Hospital (LTACH) | ||||||
8 | created by converting a facility or a portion of a facility | ||||||
9 | previously licensed as a long-term care facility under the | ||||||
10 | Nursing Home Care Act. This model shall allow for a maximum | ||||||
11 | of 4 such LTACH conversions, one of which shall be located | ||||||
12 | in the area of Illinois within the St. Louis Metropolitan | ||||||
13 | Statistical Area. The LTACH conversions shall each have no | ||||||
14 | more than 60 beds and provide services to patients whose | ||||||
15 | medical condition requires long-term medical care as | ||||||
16 | described in Section 1886(d)(i)(B)(n) of the Social | ||||||
17 | Security Act as hospitals that have an average Medicare | ||||||
18 | inpatient length of stay greater than 25 days. The LTACH |
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1 | conversion shall provide extended medical and | ||||||
2 | rehabilitative care, such as but not limited to | ||||||
3 | comprehensive rehabilitation, respiratory therapy, cancer | ||||||
4 | treatment, head trauma treatment, and pain management, for | ||||||
5 | patients who are clinically complex and may suffer from | ||||||
6 | multiple acute or chronic conditions. Facilities licensed | ||||||
7 | under this model shall be exempt from the requirements of | ||||||
8 | the Illinois Health Facilities Planning Act. The | ||||||
9 | Department shall adopt rules specifying criteria, | ||||||
10 | standards, and procedures for the establishment, | ||||||
11 | licensure, and operation of LTACH conversions as | ||||||
12 | authorized under this Act. These rules shall create a new | ||||||
13 | category of licensure, which shall be consistent with the | ||||||
14 | LTACH requirements under the applicable provisions of the | ||||||
15 | Social Security Act to ensure that the LTACH conversions | ||||||
16 | can be certified under Medicare to provide such services. | ||||||
17 | The Department shall also adopt rules that identify the | ||||||
18 | applicable building codes for licensure of LTACH | ||||||
19 | conversions. The rules shall allow existing licensed and | ||||||
20 | certified buildings to be reviewed under "existing | ||||||
21 | construction" standards in the applicable codes. For | ||||||
22 | purposes of this Act, the facility must maintain a 2-hour | ||||||
23 | separation in accordance with the applicable construction | ||||||
24 | codes, for purposes of fire safety. This separation may be | ||||||
25 | vertical, horizontal, or a combination of both. For the | ||||||
26 | purpose of defining a horizontal building separation, a |
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1 | barrier of 2.5 inches or more of concrete, or any other | ||||||
2 | tested assembly that has a rating of 2 hours or more, will | ||||||
3 | be acceptable. | ||||||
4 | The Department shall adopt the rules implementing this | ||||||
5 | model within 6 months after the effective date of this | ||||||
6 | amendatory Act of the 95th General Assembly. If the | ||||||
7 | Department fails to adopt rules by the required date, the | ||||||
8 | Department shall proceed with licensure utilizing the | ||||||
9 | applicable Medicare conditions of participation. "; and
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10 | on page 10, after line 2, by inserting the following:
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11 | "Section 99. Effective date. This Act takes effect upon | ||||||
12 | becoming law.".
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