Date	Chamber	Action
1/8/2013	House	Session Sine Die

Statutes Amended In Order of Appearance

210 ILCS 45/3-103

from Ch. 111 1/2, par. 4153-103

210 ILCS 45/3-103.5 new

210 ILCS 45/3-216 new

Synopsis As Introduced
Amends the Nursing Home Care Act. Provides that an owner or operator of a facility shall purchase and maintain not less than $500,000 in liability insurance for each facility. Provides that no person may establish, own, or operate a facility in the State unless and until the person provides proof of liability insurance coverage to the Department of Public Health. Provides that the Department shall issue a license if the applicant and the facilities meet specified requirements. Provides that each application for a license for a facility shall be accompanied by a license fee of $20 for each bed in the facility, with a minimum fee per facility of $200 (instead of an annual fee of $1,990). Provides that an application for a license to operate a facility also shall include affirmative evidence of the ability to comply with the liability insurance requirement. Effective immediately.

	Judicial Note (Admin Office of the Illinois Courts)
	HB 6243 would neither increase nor decrease the number of judges needed in the State.

	Land Conveyance Appraisal Note (Dept. of Transportation)
	No land conveyances are included in this bill, therefore, there are no appraisals to be filed.

	Correctional Note (Dept of Corrections)
	There are no penalty enhancements associated with HB 6243. The bill would have no fiscal or population impact on the Department. of Corrections.

	Pension Note (Government Forecasting & Accountability)
	HB 6243 will not impact any public pension fund or retirement system in Illinois.

	State Debt Impact Note (Government Forecasting & Accountability)
	HB 6243 would not change the amount of authorization for any type of State-issued or State-supported bond, and, therefore, would not affect the level of State indebtedness.

	Home Rule Note (Dept. of Commerce & Economic Opportunity)
	HB 6243 does not pre-empt home rule authority.

	State Mandates Fiscal Note (Dept. of Commerce & Economic Opportunity)
	HB 6243 does create a State mandate.

	Housing Affordability Impact Note (Housing Development Authority)
	This bill will have no effect on the cost of constructing, purchasing, owning, or selling a single-family residence.

	Fiscal Note (Dept. of Revenue)
	The Illinois Department of Revenue has no data that would allow it to determine the fiscal impact of HB 6243.

	Balanced Budget Note (Office of Management and Budget)
	The fiscal impact of HB 6243 cannot be determined at this time. However, it should be noted that there is potential for a decrease in revenue due to the change in the Long Term Care licensing fees. Further analysis by the Department of Healthcare and Family Services will need to be done to determine the maximum licensing fees allowed by Federal government rules and regulations.

	Fiscal Note (Dept. of Healthcare & Family Services)
	Because the fee, as described, would be an impermissible tax under the federal Medicaid law, the amount of tax collected would be deducted from the federal claim. Therefore, the State would lose $0.50 in FFP for every $1.00 collected. The net benefit to the State is only half the tax collected.

	Fiscal Note (Dept. of Public Health)
	The proposed fee structure is a minimum of $50 to a maximum of $5000. The plan review process is supposed to be self sustaining and dropping the fees will cause staff problems and also delays in plan review times.

Actions 

Date	Chamber	Action
11/13/2012	House	Filed with the Clerk by Rep. André M. Thapedi
11/14/2012	House	First Reading
11/14/2012	House	Referred to Rules Committee
11/14/2012	House	Fiscal Note Requested by Rep. André M. Thapedi
11/14/2012	House	State Mandates Fiscal Note Requested by Rep. André M. Thapedi
11/14/2012	House	Balanced Budget Note Requested by Rep. André M. Thapedi
11/14/2012	House	Correctional Note Requested by Rep. André M. Thapedi
11/14/2012	House	Home Rule Note Requested by Rep. André M. Thapedi
11/14/2012	House	Housing Affordability Impact Note Requested by Rep. André M. Thapedi
11/14/2012	House	Judicial Note Requested by Rep. André M. Thapedi
11/14/2012	House	Land Conveyance Appraisal Note Requested by Rep. André M. Thapedi
11/14/2012	House	Pension Note Requested by Rep. André M. Thapedi
11/14/2012	House	State Debt Impact Note Requested by Rep. André M. Thapedi
11/26/2012	House	Judicial Note Filed
11/26/2012	House	Land Conveyance Appraisal Note Filed
11/26/2012	House	Correctional Note Filed
11/26/2012	House	Pension Note Filed
11/26/2012	House	State Debt Impact Note Filed
11/26/2012	House	Home Rule Note Filed
11/26/2012	House	State Mandates Fiscal Note Filed
11/27/2012	House	Housing Affordability Impact Note Filed
11/28/2012	House	Fiscal Note Filed
11/28/2012	House	Balanced Budget Note Filed
12/31/2012	House	Fiscal Note Filed
1/4/2013	House	Fiscal Note Filed
1/8/2013	House	Session Sine Die

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