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1 | | AN ACT concerning State government.
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2 | | Be it enacted by the People of the State of Illinois,
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3 | | represented in the General Assembly:
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4 | | Section 5. The Illinois Health Facilities Planning Act is |
5 | | amended by changing Sections 4, 5, 6, 12, and 14.1 and adding |
6 | | Section 6.2 as follows:
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7 | | (20 ILCS 3960/4) (from Ch. 111 1/2, par. 1154)
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8 | | (Section scheduled to be repealed on December 31, 2019)
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9 | | Sec. 4. Health Facilities and Services Review Board; |
10 | | membership; appointment; term;
compensation; quorum. |
11 | | Notwithstanding any other provision in this Section, members of |
12 | | the State Board holding office on the day before the effective |
13 | | date of this amendatory Act of the 96th General Assembly shall |
14 | | retain their authority. |
15 | | (a) There is created the Health
Facilities and Services |
16 | | Review Board, which
shall perform the functions described in |
17 | | this
Act. The Department shall provide operational support to |
18 | | the Board, including the provision of office space, supplies, |
19 | | and clerical, financial, and accounting services. The Board may |
20 | | contract with experts related to specific health services or |
21 | | facilities and create technical advisory panels to assist in |
22 | | the development of criteria, standards, and procedures used in |
23 | | the evaluation of applications for permit and exemption.
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1 | | (b) Beginning March 1, 2010, the State Board shall consist |
2 | | of 9 voting members. All members shall be residents of Illinois |
3 | | and at least 4 shall reside outside the Chicago Metropolitan |
4 | | Statistical Area. Consideration shall be given to potential |
5 | | appointees who reflect the ethnic and cultural diversity of the |
6 | | State. Neither Board members nor Board staff shall be convicted |
7 | | felons or have pled guilty to a felony. |
8 | | Each member shall have a reasonable knowledge of the |
9 | | practice, procedures and principles of the health care delivery |
10 | | system in Illinois, including at least 5 members who shall be |
11 | | knowledgeable about health care delivery systems, health |
12 | | systems planning, finance, or the management of health care |
13 | | facilities currently regulated under the Act. One member shall |
14 | | be a representative of a non-profit health care consumer |
15 | | advocacy organization. A spouse, parent, sibling, or child |
16 | | Spouses or other members of the immediate family of a the Board |
17 | | member cannot be an employee, agent, or under contract with |
18 | | services or facilities subject to the Act. Prior to appointment |
19 | | and in the course of service on the Board, members of the Board |
20 | | shall disclose the employment or other financial interest of |
21 | | any other relative of the member, if known, in service or |
22 | | facilities subject to the Act. Members of the Board shall |
23 | | declare any conflict of interest that may exist with respect to |
24 | | the status of those relatives and recuse themselves from voting |
25 | | on any issue for which a conflict of interest is declared. No |
26 | | person shall be appointed or continue to serve as a member of |
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1 | | the State Board who is, or whose spouse, parent, sibling, or |
2 | | child is, a member of the Board of Directors of, has a |
3 | | financial interest in, or has a business relationship with a |
4 | | health care facility. |
5 | | Notwithstanding any provision of this Section to the |
6 | | contrary, the term of
office of each member of the State Board |
7 | | serving on the day before the effective date of this amendatory |
8 | | Act of the 96th General Assembly is abolished on the date upon |
9 | | which members of the 9-member Board, as established by this |
10 | | amendatory Act of the 96th General Assembly, have been |
11 | | appointed and can begin to take action as a Board. Members of |
12 | | the State Board serving on the day before the effective date of |
13 | | this amendatory Act of the 96th General Assembly may be |
14 | | reappointed to the 9-member Board. Prior to March 1, 2010, the |
15 | | Health Facilities Planning Board shall establish a plan to |
16 | | transition its powers and duties to the Health Facilities and |
17 | | Services Review Board.
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18 | | (c) The State Board shall be appointed by the Governor, |
19 | | with the advice
and consent of the Senate. Not more than 5 of |
20 | | the
appointments shall be of the same political party at the |
21 | | time of the appointment.
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22 | | The Secretary of Human Services, the Director of Healthcare |
23 | | and Family Services, and
the Director of Public Health, or |
24 | | their designated representatives,
shall serve as ex-officio, |
25 | | non-voting members of the State Board.
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26 | | (d) Of those 9 members initially appointed by the Governor |
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1 | | following the effective date of this
amendatory Act of the 96th |
2 | | General Assembly, 3 shall serve for terms expiring
July 1, |
3 | | 2011, 3 shall serve for terms expiring July 1, 2012, and 3 |
4 | | shall serve
for terms expiring July 1, 2013. Thereafter, each
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5 | | appointed member shall
hold office for a term of 3 years, |
6 | | provided that any member
appointed to fill a vacancy
occurring |
7 | | prior to the expiration of the
term for which his or her |
8 | | predecessor was appointed shall be appointed for the
remainder |
9 | | of such term and the term of office of each successor shall
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10 | | commence on July 1 of the year in which his predecessor's term |
11 | | expires. Each
member appointed after the effective date of this |
12 | | amendatory Act of the 96th General Assembly shall hold office |
13 | | until his or her successor is appointed and qualified. The |
14 | | Governor may reappoint a member for additional terms, but no |
15 | | member shall serve more than 3 terms, subject to review and |
16 | | re-approval every 3 years.
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17 | | (e) State Board members, while serving on business of the |
18 | | State Board,
shall receive actual and necessary travel and |
19 | | subsistence expenses while
so serving away from their places
of |
20 | | residence. Until March 1, 2010, a
member of the State Board who |
21 | | experiences a significant financial hardship
due to the loss of |
22 | | income on days of attendance at meetings or while otherwise
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23 | | engaged in the business of the State Board may be paid a |
24 | | hardship allowance, as
determined by and subject to the |
25 | | approval of the Governor's Travel Control
Board.
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26 | | (f) The Governor shall designate one of the members to |
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1 | | serve as the Chairman of the Board, who shall be a person with |
2 | | expertise in health care delivery system planning, finance or |
3 | | management of health care facilities that are regulated under |
4 | | the Act. The Chairman shall annually review Board member |
5 | | performance and shall report the attendance record of each |
6 | | Board member to the General Assembly. |
7 | | (g) The State Board, through the Chairman, shall prepare a |
8 | | separate and distinct budget approved by the General Assembly |
9 | | and shall hire and supervise its own professional staff |
10 | | responsible for carrying out the responsibilities of the Board.
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11 | | (h) The State Board shall meet at least every 45 days, or |
12 | | as often as
the Chairman of the State Board deems necessary, or |
13 | | upon the request of
a majority of the members.
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14 | | (i)
Five members of the State Board shall constitute a |
15 | | quorum.
The affirmative vote of 5 of the members of the State |
16 | | Board shall be
necessary for
any action requiring a vote to be |
17 | | taken by the State
Board. A vacancy in the membership of the |
18 | | State Board shall not impair the
right of a quorum to exercise |
19 | | all the rights and perform all the duties of the
State Board as |
20 | | provided by this Act.
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21 | | (j) A State Board member shall disqualify himself or |
22 | | herself from the
consideration of any application for a permit |
23 | | or
exemption in which the State Board member or the State Board |
24 | | member's spouse,
parent, sibling, or child: (i) has
an economic |
25 | | interest in the matter; or (ii) is employed by, serves as a
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26 | | consultant for, or is a member of the
governing board of the |
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1 | | applicant or a party opposing the application.
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2 | | (k) The Chairman, Board members, and Board staff must |
3 | | comply with the Illinois Governmental Ethics Act. |
4 | | (Source: P.A. 95-331, eff. 8-21-07; 96-31, eff. 6-30-09.)
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5 | | (20 ILCS 3960/5) (from Ch. 111 1/2, par. 1155)
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6 | | (Section scheduled to be repealed on December 31, 2019)
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7 | | Sec. 5. Construction, modification, or establishment of |
8 | | health care facilities or acquisition of major medical |
9 | | equipment; permits or exemptions. No person shall construct, |
10 | | modify or establish a
health care facility or acquire major |
11 | | medical equipment without first
obtaining a permit or exemption |
12 | | from the State
Board. The State Board shall not delegate to the |
13 | | staff of
the State Board or any other person or entity the |
14 | | authority to grant
permits or exemptions whenever the staff or |
15 | | other person or
entity would be required to exercise any |
16 | | discretion affecting the decision
to grant a permit or |
17 | | exemption. The State Board may, by rule, delegate authority to |
18 | | the Chairman to grant permits or exemptions when applications |
19 | | meet all of the State Board's review criteria and are |
20 | | unopposed.
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21 | | A permit or exemption shall be obtained prior to the |
22 | | acquisition
of major medical equipment or to the construction |
23 | | or modification of a
health care facility which:
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24 | | (a) requires a total capital expenditure in excess of |
25 | | the capital
expenditure
minimum; or
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1 | | (b) substantially changes the scope or changes the |
2 | | functional operation
of the facility; or
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3 | | (c) changes the bed capacity of a health care facility |
4 | | by increasing the
total number of beds or by distributing |
5 | | beds among
various categories of service or by relocating |
6 | | beds from one physical facility
or site to another by more |
7 | | than 20 beds or more than 10% of total bed
capacity as |
8 | | defined by the
State Board, whichever is less, over a 2 |
9 | | year period.
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10 | | A permit shall be valid only for the defined construction |
11 | | or modifications,
site, amount and person named in the |
12 | | application for such permit and
shall not be transferable or |
13 | | assignable. A permit shall be valid until such
time as the |
14 | | project has been completed,
provided that (a) obligation of the |
15 | | project occurs within 12 months following
issuance of the |
16 | | permit except for major construction projects such obligation
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17 | | must
occur within 18 months following issuance of the permit; |
18 | | and (b) the project
commences and proceeds to completion with |
19 | | due diligence by the completion date or extension date approved |
20 | | by the Board . |
21 | | A permit holder must do the following: (i) submit the final |
22 | | completion and cost report for the project within 90 days after |
23 | | the approved project completion date or extension date and (ii) |
24 | | submit annual progress reports no earlier than 30 days before |
25 | | and no later than 30 days after each anniversary date of the |
26 | | Board's approval of the permit until the project is completed. |
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1 | | To monitor progress toward project commencement and |
2 | | completion, routine post-permit reports shall be limited to |
3 | | annual progress reports and the final completion and cost |
4 | | report. |
5 | | The Certificate of Need process required under this Act is |
6 | | designed to restrain rising health care costs by preventing |
7 | | unnecessary construction or modification of health care |
8 | | facilities. The Board must assure that the establishment, |
9 | | construction, or modification of a health care facility or the |
10 | | acquisition of major medical equipment is consistent with the |
11 | | public interest and that the proposed project is consistent |
12 | | with the orderly and economic development or acquisition of |
13 | | those facilities and equipment and is in accord with the |
14 | | standards, criteria, or plans of need adopted and approved by |
15 | | the Board. Board decisions regarding the construction of health |
16 | | care facilities must consider capacity, quality, value, and |
17 | | equity. Projects may deviate from the costs, fees, and expenses |
18 | | provided in their project cost information for the project's |
19 | | cost components, provided that the final total project cost |
20 | | does not exceed the approved permit amount. |
21 | | Major construction
projects, for the purposes of this Act, |
22 | | shall include but are not limited
to: projects for the |
23 | | construction of new buildings; additions to existing
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24 | | facilities; modernization projects
whose cost is in excess of |
25 | | $1,000,000 or 10% of the facilities' operating
revenue, |
26 | | whichever is less; and such other projects as the State Board |
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1 | | shall
define and prescribe pursuant to this Act. |
2 | | The State Board may extend the
obligation period upon a |
3 | | showing of good cause by the permit holder. Permits
for |
4 | | projects that have not been obligated within the prescribed |
5 | | obligation
period shall expire on the last day of that period.
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6 | | The acquisition by any person of major medical equipment |
7 | | that will not
be owned by or located in a health care facility |
8 | | and that will not be used
to provide services to inpatients of |
9 | | a health care facility shall be exempt
from review provided |
10 | | that a notice is filed in accordance with exemption
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11 | | requirements.
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12 | | Notwithstanding any other provision of this Act, no permit |
13 | | or exemption is
required for the construction or modification |
14 | | of a non-clinical service area
of a health care facility.
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15 | | (Source: P.A. 96-31, eff. 6-30-09.)
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16 | | (20 ILCS 3960/6) (from Ch. 111 1/2, par. 1156)
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17 | | (Section scheduled to be repealed on December 31, 2019)
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18 | | Sec. 6. Application for permit or exemption; exemption |
19 | | regulations.
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20 | | (a) An application for a permit or exemption shall be made |
21 | | to
the State Board upon forms provided by the State Board. This |
22 | | application
shall contain such information
as the State Board |
23 | | deems necessary. The State Board shall not require an applicant |
24 | | to file a Letter of Intent before an application is filed. Such
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25 | | application shall include affirmative evidence on which the |
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1 | | State
Board or Chairman may make its decision on the approval |
2 | | or denial of the permit or
exemption.
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3 | | (b) The State Board shall establish by regulation the |
4 | | procedures and
requirements
regarding issuance of exemptions.
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5 | | An exemption shall be approved when information required by the |
6 | | Board by rule
is submitted. Projects
eligible for an exemption, |
7 | | rather than a permit, include, but are not limited
to,
change |
8 | | of ownership of a health care facility. For a change of
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9 | | ownership of a health care
facility between related persons, |
10 | | the State Board shall provide by rule for an
expedited
process |
11 | | for obtaining an exemption. In connection with a change of |
12 | | ownership, the State Board may approve the transfer of an |
13 | | existing permit without regard to whether the permit to be |
14 | | transferred has yet been obligated, except for permits |
15 | | establishing a new facility or a new category of service.
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16 | | (c) All applications shall be signed by the applicant and |
17 | | shall be
verified by any 2 officers thereof.
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18 | | (c-5) Any written review or findings of the Board staff or |
19 | | any other reviewing organization under Section 8 concerning an |
20 | | application for a permit must be made available to the public |
21 | | at least 14 calendar days before the meeting of the State Board |
22 | | at which the review or findings are considered. The applicant |
23 | | and members of the public may submit, to the State Board, |
24 | | written responses regarding the facts set forth in the review |
25 | | or findings of the Board staff or reviewing organization. |
26 | | Members of the public shall have until 10 days before the |
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1 | | meeting of the State Board to submit any written response |
2 | | concerning the Board staff's written review or findings at |
3 | | least 10 days before the meeting of the State Board . The Board |
4 | | staff may revise any findings to address corrections of factual |
5 | | errors cited in the public response. At the meeting, the State |
6 | | Board may, in its discretion, permit the submission of other |
7 | | additional written materials.
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8 | | (d) Upon receipt of an application for a permit, the State |
9 | | Board shall
approve and authorize the issuance of a permit if |
10 | | it finds (1) that the
applicant is fit, willing, and able to |
11 | | provide a proper standard of
health care service for the |
12 | | community with particular regard to the
qualification, |
13 | | background and character of the applicant, (2) that
economic |
14 | | feasibility is demonstrated in terms of effect on the existing
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15 | | and projected operating budget of the applicant and of the |
16 | | health care
facility; in terms of the applicant's ability to |
17 | | establish and operate
such facility in accordance with |
18 | | licensure regulations promulgated under
pertinent state laws; |
19 | | and in terms of the projected impact on the total
health care |
20 | | expenditures in the facility and community, (3) that
safeguards |
21 | | are provided which assure that the establishment,
construction |
22 | | or modification of the health care facility or acquisition
of |
23 | | major medical equipment is consistent
with the public interest, |
24 | | and (4) that the proposed project is consistent
with the |
25 | | orderly and economic
development of such facilities and |
26 | | equipment and is in accord with standards,
criteria, or plans |
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1 | | of need adopted and approved pursuant to the
provisions of |
2 | | Section 12 of this Act.
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3 | | (Source: P.A. 95-237, eff. 1-1-08; 96-31, eff. 6-30-09.)
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4 | | (20 ILCS 3960/6.2 new) |
5 | | Sec. 6.2. Review of permits. Upon receipt of an application |
6 | | for a permit to establish,
construct, or modify a health care |
7 | | facility, the State Board staff
shall notify the applicant in |
8 | | writing within 10
working days either that the application is |
9 | | or is not complete. If the
application is complete, the State |
10 | | Board staff shall
notify the applicant of the beginning of the |
11 | | review process. If the application is not complete, the Board |
12 | | staff shall explain within the 10-day period why the |
13 | | application is incomplete. |
14 | | The State Board staff shall afford a reasonable amount of |
15 | | time as
established by the State Board, but not to exceed 120 |
16 | | days,
for the review of the application. The 120-day period
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17 | | begins on the day the application is found to be
substantially |
18 | | complete, as that term is defined by the State
Board. During |
19 | | the 120-day period, the applicant may request
an extension. An |
20 | | applicant may modify the application at any
time before a final |
21 | | administrative decision has been made on the
application.
The |
22 | | State Board shall prescribe and provide the forms upon
which |
23 | | the review and findings of the State Board staff shall be
made. |
24 | | The State Board staff shall submit its review and findings
to |
25 | | the State Board for its approval or denial of the permit. |
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1 | | When an application for a permit is initially reviewed by
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2 | | State Board staff, as provided in this Section, the State Board |
3 | | shall, upon request, afford an opportunity for a public hearing |
4 | | within a reasonable amount of time
after receipt of the |
5 | | complete application, but not to exceed
90 days after receipt |
6 | | of the complete application. Notice of the hearing shall be |
7 | | made promptly, within 10 days before the hearing, by
certified |
8 | | mail to the applicant and, within 10 days before the
hearing, |
9 | | by publication in a newspaper of general circulation
in the |
10 | | area or community to be affected. The hearing shall
be held in |
11 | | the area or community in which the proposed
project is to be |
12 | | located, and shall be for the purpose of allowing
the applicant |
13 | | and any interested person to present public
testimony |
14 | | concerning the approval, denial, renewal, or
revocation of the |
15 | | permit. All interested persons attending
the hearing shall be |
16 | | given a reasonable opportunity to present
their views or |
17 | | arguments in writing or orally, and a record
of all of the |
18 | | testimony shall accompany any findings of the State
Board |
19 | | staff. The State Board shall adopt reasonable rules and |
20 | | regulations
governing the procedure and conduct of the |
21 | | hearings.
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22 | | (20 ILCS 3960/12) (from Ch. 111 1/2, par. 1162)
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23 | | (Section scheduled to be repealed on December 31, 2019) |
24 | | Sec. 12. Powers and duties of State Board. For purposes of |
25 | | this Act,
the State Board
shall
exercise the following powers |
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1 | | and duties:
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2 | | (1) Prescribe rules,
regulations, standards, criteria, |
3 | | procedures or reviews which may vary
according to the purpose |
4 | | for which a particular review is being conducted
or the type of |
5 | | project reviewed and which are required to carry out the
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6 | | provisions and purposes of this Act. Policies and procedures of |
7 | | the State Board shall take into consideration the priorities |
8 | | and needs of medically underserved areas and other health care |
9 | | services identified through the comprehensive health planning |
10 | | process, giving special consideration to the impact of projects |
11 | | on access to safety net services.
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12 | | (2) Adopt procedures for public
notice and hearing on all |
13 | | proposed rules, regulations, standards,
criteria, and plans |
14 | | required to carry out the provisions of this Act.
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15 | | (3) (Blank).
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16 | | (4) Develop criteria and standards for health care |
17 | | facilities planning,
conduct statewide inventories of health |
18 | | care facilities, maintain an updated
inventory on the Board's |
19 | | web site reflecting the
most recent bed and service
changes and |
20 | | updated need determinations when new census data become |
21 | | available
or new need formulae
are adopted,
and
develop health |
22 | | care facility plans which shall be utilized in the review of
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23 | | applications for permit under
this Act. Such health facility |
24 | | plans shall be coordinated by the Board
with pertinent State |
25 | | Plans. Inventories pursuant to this Section of skilled or |
26 | | intermediate care facilities licensed under the Nursing Home |
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1 | | Care Act, skilled or intermediate care facilities licensed |
2 | | under the MR/DD Community Care Act, or nursing homes licensed |
3 | | under the Hospital Licensing Act shall be conducted on an |
4 | | annual basis no later than July 1 of each year and shall |
5 | | include among the information requested a list of all services |
6 | | provided by a facility to its residents and to the community at |
7 | | large and differentiate between active and inactive beds.
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8 | | In developing health care facility plans, the State Board |
9 | | shall consider,
but shall not be limited to, the following:
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10 | | (a) The size, composition and growth of the population |
11 | | of the area
to be served;
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12 | | (b) The number of existing and planned facilities |
13 | | offering similar
programs;
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14 | | (c) The extent of utilization of existing facilities;
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15 | | (d) The availability of facilities which may serve as |
16 | | alternatives
or substitutes;
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17 | | (e) The availability of personnel necessary to the |
18 | | operation of the
facility;
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19 | | (f) Multi-institutional planning and the establishment |
20 | | of
multi-institutional systems where feasible;
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21 | | (g) The financial and economic feasibility of proposed |
22 | | construction
or modification; and
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23 | | (h) In the case of health care facilities established |
24 | | by a religious
body or denomination, the needs of the |
25 | | members of such religious body or
denomination may be |
26 | | considered to be public need.
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1 | | The health care facility plans which are developed and |
2 | | adopted in
accordance with this Section shall form the basis |
3 | | for the plan of the State
to deal most effectively with |
4 | | statewide health needs in regard to health
care facilities.
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5 | | (5) Coordinate with the Center for Comprehensive Health |
6 | | Planning and other state agencies having responsibilities
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7 | | affecting health care facilities, including those of licensure |
8 | | and cost
reporting.
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9 | | (6) Solicit, accept, hold and administer on behalf of the |
10 | | State
any grants or bequests of money, securities or property |
11 | | for
use by the State Board or Center for Comprehensive Health |
12 | | Planning in the administration of this Act; and enter into |
13 | | contracts
consistent with the appropriations for purposes |
14 | | enumerated in this Act.
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15 | | (7) The State Board shall prescribe procedures for review, |
16 | | standards,
and criteria which shall be utilized
to make |
17 | | periodic reviews and determinations of the appropriateness
of |
18 | | any existing health services being rendered by health care |
19 | | facilities
subject to the Act. The State Board shall consider |
20 | | recommendations of the
Board in making its
determinations.
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21 | | (8) Prescribe, in consultation
with the Center for |
22 | | Comprehensive Health Planning, rules, regulations,
standards, |
23 | | and criteria for the conduct of an expeditious review of
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24 | | applications
for permits for projects of construction or |
25 | | modification of a health care
facility, which projects are |
26 | | classified as emergency, substantive, or non-substantive in |
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1 | | nature. |
2 | | Six months after June 30, 2009 (the effective date of |
3 | | Public Act 96-31), substantive projects shall include no more |
4 | | than the following: |
5 | | (a) Projects to construct (1) a new or replacement |
6 | | facility located on a new site or
(2) a replacement |
7 | | facility located on the same site as the original facility |
8 | | and the cost of the replacement facility exceeds the |
9 | | capital expenditure minimum , which shall be reviewed by the |
10 | | Board within 120 days ; |
11 | | (b) Projects proposing a
(1) new service within an |
12 | | existing healthcare facility or
(2) discontinuation of a |
13 | | service within an existing healthcare facility , which |
14 | | shall be reviewed by the Board within 60 days; or |
15 | | (c) Projects proposing a change in the bed capacity of |
16 | | a health care facility by an increase in the total number |
17 | | of beds or by a redistribution of beds among various |
18 | | categories of service or by a relocation of beds from one |
19 | | physical facility or site to another by more than 20 beds |
20 | | or more than 10% of total bed capacity, as defined by the |
21 | | State Board, whichever is less, over a 2-year period. |
22 | | The Chairman may approve applications for exemption that |
23 | | meet the criteria set forth in rules or refer them to the full |
24 | | Board. The Chairman may approve any unopposed application that |
25 | | meets all of the review criteria or refer them to the full |
26 | | Board. |
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1 | | Such rules shall
not abridge the right of the Center for |
2 | | Comprehensive Health Planning to make
recommendations on the |
3 | | classification and approval of projects, nor shall
such rules |
4 | | prevent the conduct of a public hearing upon the timely request
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5 | | of an interested party. Such reviews shall not exceed 60 days |
6 | | from the
date the application is declared to be complete.
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7 | | (9) Prescribe rules, regulations,
standards, and criteria |
8 | | pertaining to the granting of permits for
construction
and |
9 | | modifications which are emergent in nature and must be |
10 | | undertaken
immediately to prevent or correct structural |
11 | | deficiencies or hazardous
conditions that may harm or injure |
12 | | persons using the facility, as defined
in the rules and |
13 | | regulations of the State Board. This procedure is exempt
from |
14 | | public hearing requirements of this Act.
|
15 | | (10) Prescribe rules,
regulations, standards and criteria |
16 | | for the conduct of an expeditious
review, not exceeding 60 |
17 | | days, of applications for permits for projects to
construct or |
18 | | modify health care facilities which are needed for the care
and |
19 | | treatment of persons who have acquired immunodeficiency |
20 | | syndrome (AIDS)
or related conditions.
|
21 | | (11) Issue written decisions upon request of the applicant |
22 | | or an adversely affected party to the Board within 30 days of |
23 | | the meeting in which a final decision has been made. A "final |
24 | | decision" for purposes of this Act is the decision to approve |
25 | | or deny an application, or take other actions permitted under |
26 | | this Act, at the time and date of the meeting that such action |
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1 | | is scheduled by the Board. The staff of the State Board shall |
2 | | prepare a written copy of the final decision and the State |
3 | | Board shall approve a final copy for inclusion in the formal |
4 | | record. |
5 | | (12) Require at least one of its members to participate in |
6 | | any public hearing, after the appointment of a majority of the |
7 | | the 9 members to the Board. |
8 | | (13) Provide a mechanism for the public to comment on, and |
9 | | request changes to, draft rules and standards. |
10 | | (14) Implement public information campaigns to regularly |
11 | | inform the general public about the opportunity for public |
12 | | hearings and public hearing procedures. |
13 | | (15) Establish a separate set of rules and guidelines for |
14 | | long-term care that recognizes that nursing homes are a |
15 | | different business line and service model from other regulated |
16 | | facilities. An open and transparent process shall be developed |
17 | | that considers the following: how skilled nursing fits in the |
18 | | continuum of care with other care providers, modernization of |
19 | | nursing homes, establishment of more private rooms, |
20 | | development of alternative services, and current trends in |
21 | | long-term care services.
The Chairman of the Board shall |
22 | | appoint a permanent Health Services Review Board Long-term Care |
23 | | Facility Advisory Subcommittee that shall develop and |
24 | | recommend to the Board the rules to be established by the Board |
25 | | under this paragraph (15). The Subcommittee shall also provide |
26 | | continuous review and commentary on policies and procedures |
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1 | | relative to long-term care and the review of related projects. |
2 | | In consultation with other experts from the health field of |
3 | | long-term care, the Board and the Subcommittee shall study new |
4 | | approaches to the current bed need formula and Health Service |
5 | | Area boundaries to encourage flexibility and innovation in |
6 | | design models reflective of the changing long-term care |
7 | | marketplace and consumer preferences. The Board shall file the |
8 | | proposed related administrative rules for the separate rules |
9 | | and guidelines for long-term care required by this paragraph |
10 | | (15) by no later than September 30, 2011 1, 2010 . The |
11 | | Subcommittee shall be provided a reasonable and timely |
12 | | opportunity to review and comment on any review, revision, or |
13 | | updating of the criteria, standards, procedures, and rules used |
14 | | to evaluate project applications as provided under Section 12.3 |
15 | | of this Act prior to approval by the Board and promulgation of |
16 | | related rules. |
17 | | (Source: P.A. 96-31, eff. 6-30-09; 96-339, eff. 7-1-10; |
18 | | 96-1000, eff. 7-2-10.)
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19 | | (20 ILCS 3960/14.1)
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20 | | Sec. 14.1. Denial of permit; other sanctions. |
21 | | (a) The State Board may deny an application for a permit or |
22 | | may revoke or
take other action as permitted by this Act with |
23 | | regard to a permit as the State
Board deems appropriate, |
24 | | including the imposition of fines as set forth in this
Section, |
25 | | for any one or a combination of the following: |
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1 | | (1) The acquisition of major medical equipment without |
2 | | a permit or in
violation of the terms of a permit. |
3 | | (2) The establishment, construction, or modification |
4 | | of a health care
facility without a permit or in violation |
5 | | of the terms of a permit. |
6 | | (3) The violation of any provision of this Act or any |
7 | | rule adopted
under this Act. |
8 | | (4) The failure, by any person subject to this Act, to |
9 | | provide information
requested by the State Board or Agency |
10 | | within 30 days after a formal written
request for the |
11 | | information. |
12 | | (5) The failure to pay any fine imposed under this |
13 | | Section within 30 days
of its imposition. |
14 | | (a-5) For facilities licensed under the MR/DD Community |
15 | | Care Act, no permit shall be denied on the basis of prior |
16 | | operator history, other than for actions specified under item |
17 | | (2), (4), or (5) of Section 3-117 of the MR/DD Community Care |
18 | | Act. For facilities licensed under the Nursing Home Care Act, |
19 | | no permit shall be denied on the basis of prior operator |
20 | | history, other than for: (i) actions specified under item (2), |
21 | | (3), (4), (5), or (6) of Section 3-117 of the Nursing Home Care |
22 | | Act; (ii) actions specified under item (a)(6) of Section 3-119 |
23 | | of the Nursing Home Care Act; or (iii) actions within the |
24 | | preceding 5 years constituting a substantial and repeated |
25 | | failure to comply with the Nursing Home Care Act or the rules |
26 | | and regulations adopted by the Department under that Act. The |
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1 | | State Board shall not deny a permit on account of any action |
2 | | described in this subsection (a-5) without also considering all |
3 | | such actions in the light of all relevant information available |
4 | | to the State Board, including whether the permit is sought to |
5 | | substantially comply with a mandatory or voluntary plan of |
6 | | correction associated with any action described in this |
7 | | subsection (a-5).
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8 | | (b) Persons shall be subject to fines as follows: |
9 | | (1) A permit holder who fails to comply with the |
10 | | requirements of
maintaining a valid permit shall be fined |
11 | | an amount not to exceed 1% of the
approved permit amount |
12 | | plus an additional 1% of the approved permit amount for
|
13 | | each 30-day period, or fraction thereof, that the violation |
14 | | continues. |
15 | | (2) A permit holder who alters the scope of an approved |
16 | | project or whose
project costs exceed the allowable permit |
17 | | amount without first obtaining
approval from the State |
18 | | Board shall be fined an amount not to exceed the sum of
(i) |
19 | | the lesser of $25,000 or 2% of the approved permit amount |
20 | | and (ii) in those
cases where the approved permit amount is |
21 | | exceeded by more than $1,000,000, an
additional $20,000 for |
22 | | each $1,000,000, or fraction thereof, in excess of the
|
23 | | approved permit amount. |
24 | | (2.5) A permit holder who fails to comply with the |
25 | | post-permit and reporting requirements set forth in |
26 | | Section 5 shall be fined an amount not to exceed $10,000 |
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1 | | plus an additional $10,000 for each 30-day period, or |
2 | | fraction thereof, that the violation continues. This fine |
3 | | shall continue to accrue until the date that (i) the |
4 | | post-permit requirements are met and the post-permit |
5 | | reports are received by the State Board or (ii) the matter |
6 | | is referred by the State Board to the State Board's legal |
7 | | counsel. The accrued fine is not waived by the permit |
8 | | holder submitting the required information and reports. |
9 | | Beginning 6 months after the effective date of this |
10 | | amendatory Act of the 97th General Assembly, the Board |
11 | | shall notify, in writing, a permit holder of the due date |
12 | | for the post-permit requirements no later than 30 days |
13 | | before the due date for the requirements. |
14 | | (3) A person who acquires major medical equipment or |
15 | | who establishes a
category of service without first |
16 | | obtaining a permit or exemption, as the case
may be, shall |
17 | | be fined an amount not to exceed $10,000 for each such
|
18 | | acquisition or category of service established plus an |
19 | | additional $10,000 for
each 30-day period, or fraction |
20 | | thereof, that the violation continues. |
21 | | (4) A person who constructs, modifies, or establishes a |
22 | | health care
facility without first obtaining a permit shall |
23 | | be fined an amount not to
exceed $25,000 plus an additional |
24 | | $25,000 for each 30-day period, or fraction
thereof, that |
25 | | the violation continues. |
26 | | (5) A person who discontinues a health care facility or |
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1 | | a category of
service without first obtaining a permit |
2 | | shall be fined an amount not to exceed
$10,000 plus an |
3 | | additional $10,000 for each 30-day period, or fraction |
4 | | thereof,
that the violation continues. For purposes of this |
5 | | subparagraph (5), facilities licensed under the Nursing |
6 | | Home Care Act or the MR/DD Community Care Act, with the |
7 | | exceptions of facilities operated by a county or Illinois |
8 | | Veterans Homes, are exempt from this permit requirement. |
9 | | However, facilities licensed under the Nursing Home Care |
10 | | Act or the MR/DD Community Care Act must comply with |
11 | | Section 3-423 of the Nursing Home Care Act or Section 3-423 |
12 | | of the MR/DD Community Care Act and must provide the Board |
13 | | with 30-days' written notice of its intent to close.
|
14 | | (6) A person subject to this Act who fails to provide |
15 | | information
requested by the State Board or Agency within |
16 | | 30 days of a formal written
request shall be fined an |
17 | | amount not to exceed $1,000 plus an additional $1,000
for |
18 | | each 30-day period, or fraction thereof, that the |
19 | | information is not
received by the State Board or Agency. |
20 | | (c) Before imposing any fine authorized under this Section, |
21 | | the State Board
shall afford the person or permit holder, as |
22 | | the case may be, an appearance
before the State Board and an |
23 | | opportunity for a hearing before a hearing
officer appointed by |
24 | | the State Board. The hearing shall be conducted in
accordance |
25 | | with Section 10. |
26 | | (d) All fines collected under this Act shall be transmitted |