Sen. Kimberly A. Lightford

Filed: 5/24/2024

 

 


 

 


 
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1
AMENDMENT TO HOUSE BILL 5151

2    AMENDMENT NO. ______. Amend House Bill 5151, AS AMENDED,
3by replacing everything after the enacting clause with the
4following:
 
5    "Section 5. The Assisted Living and Shared Housing Act is
6amended by changing Sections 10, 15, 75, 80, 90, and 95 as
7follows:
 
8    (210 ILCS 9/10)
9    Sec. 10. Definitions. For purposes of this Act:
10    "Activities of daily living" means eating, dressing,
11bathing, toileting, transferring, or personal hygiene.
12    "Assisted living establishment" or "establishment" means a
13home, building, residence, or any other place where sleeping
14accommodations are provided for at least 3 unrelated adults,
15at least 80% of whom are 55 years of age or older and where the
16following are provided consistent with the purposes of this

 

 

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1Act:
2        (1) services consistent with a social model that is
3    based on the premise that the resident's unit in assisted
4    living and shared housing is his or her own home;
5        (2) community-based residential care for persons who
6    need assistance with activities of daily living, including
7    personal, supportive, and intermittent health-related
8    services available 24 hours per day, if needed, to meet
9    the scheduled and unscheduled needs of a resident;
10        (3) mandatory services, whether provided directly by
11    the establishment or by another entity arranged for by the
12    establishment, with the consent of the resident or
13    resident's representative; and
14        (4) a physical environment that is a homelike setting
15    that includes the following and such other elements as
16    established by the Department: individual living units
17    each of which shall accommodate small kitchen appliances
18    and contain private bathing, washing, and toilet
19    facilities, or private washing and toilet facilities with
20    a common bathing room readily accessible to each resident.
21    Units shall be maintained for single occupancy except in
22    cases in which 2 residents choose to share a unit.
23    Sufficient common space shall exist to permit individual
24    and group activities.
25    "Assisted living establishment" or "establishment" does
26not mean any of the following:

 

 

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1        (1) A home, institution, or similar place operated by
2    the federal government or the State of Illinois.
3        (2) A long term care facility licensed under the
4    Nursing Home Care Act, a facility licensed under the
5    Specialized Mental Health Rehabilitation Act of 2013, a
6    facility licensed under the ID/DD Community Care Act, or a
7    facility licensed under the MC/DD Act. However, a facility
8    licensed under any of those Acts may convert distinct
9    parts of the facility to assisted living. If the facility
10    elects to do so, the facility shall retain the Certificate
11    of Need for its nursing and sheltered care beds that were
12    converted.
13        (3) A hospital, sanitarium, or other institution, the
14    principal activity or business of which is the diagnosis,
15    care, and treatment of human illness and that is required
16    to be licensed under the Hospital Licensing Act.
17        (4) A facility for child care as defined in the Child
18    Care Act of 1969.
19        (5) A community living facility as defined in the
20    Community Living Facilities Licensing Act.
21        (6) A nursing home or sanitarium operated solely by
22    and for persons who rely exclusively upon treatment by
23    spiritual means through prayer in accordance with the
24    creed or tenants of a well-recognized church or religious
25    denomination.
26        (7) A facility licensed by the Department of Human

 

 

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1    Services as a community-integrated living arrangement as
2    defined in the Community-Integrated Living Arrangements
3    Licensure and Certification Act.
4        (8) A supportive residence licensed under the
5    Supportive Residences Licensing Act.
6        (9) The portion of a life care facility as defined in
7    the Life Care Facilities Act not licensed as an assisted
8    living establishment under this Act; a life care facility
9    may apply under this Act to convert sections of the
10    community to assisted living.
11        (10) A free-standing hospice facility licensed under
12    the Hospice Program Licensing Act.
13        (11) A shared housing establishment.
14        (12) A supportive living facility as described in
15    Section 5-5.01a of the Illinois Public Aid Code.
16    "Department" means the Department of Public Health.
17    "Director" means the Director of Public Health.
18    "Emergency situation" means imminent danger of death or
19serious physical harm to a resident of an establishment.
20    "License" means any of the following types of licenses
21issued to an applicant or licensee by the Department:
22        (1) "Probationary license" means a license issued to
23    an applicant or licensee that has not held a license under
24    this Act prior to its application or pursuant to a license
25    transfer in accordance with Section 50 of this Act.
26        (2) "Regular license" means a license issued by the

 

 

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1    Department to an applicant or licensee that is in
2    substantial compliance with this Act and any rules
3    promulgated under this Act.
4    "Licensee" means a person, agency, association,
5corporation, partnership, or organization that has been issued
6a license to operate an assisted living or shared housing
7establishment.
8    "Licensed health care professional" means a registered
9professional nurse, an advanced practice registered nurse, a
10physician assistant, and a licensed practical nurse.
11    "Mandatory services" include the following:
12        (1) 3 meals per day available to the residents
13    prepared by the establishment or an outside contractor;
14        (2) housekeeping services including, but not limited
15    to, vacuuming, dusting, and cleaning the resident's unit;
16        (3) personal laundry and linen services available to
17    the residents provided or arranged for by the
18    establishment;
19        (4) security provided 24 hours each day including, but
20    not limited to, locked entrances or building or contract
21    security personnel;
22        (5) an emergency communication response system, which
23    is a procedure in place 24 hours each day by which a
24    resident can notify building management, an emergency
25    response vendor, or others able to respond to his or her
26    need for assistance; and

 

 

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1        (6) assistance with activities of daily living as
2    required by each resident.
3    "Negotiated risk" is the process by which a resident, or
4his or her representative, may formally negotiate with
5providers what risks each are willing and unwilling to assume
6in service provision and the resident's living environment.
7The provider assures that the resident and the resident's
8representative, if any, are informed of the risks of these
9decisions and of the potential consequences of assuming these
10risks.
11    "Owner" means the individual, partnership, corporation,
12association, or other person who owns an assisted living or
13shared housing establishment. In the event an assisted living
14or shared housing establishment is operated by a person who
15leases or manages the physical plant, which is owned by
16another person, "owner" means the person who operates the
17assisted living or shared housing establishment, except that
18if the person who owns the physical plant is an affiliate of
19the person who operates the assisted living or shared housing
20establishment and has significant control over the day to day
21operations of the assisted living or shared housing
22establishment, the person who owns the physical plant shall
23incur jointly and severally with the owner all liabilities
24imposed on an owner under this Act.
25    "Physician" means a person licensed under the Medical
26Practice Act of 1987 to practice medicine in all of its

 

 

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1branches.
2    "Resident" means a person residing in an assisted living
3or shared housing establishment.
4    "Resident's representative" means a person, other than the
5owner, agent, or employee of an establishment or of the health
6care provider unless related to the resident, designated in
7writing by a resident or a court to be his or her
8representative. This designation may be accomplished through
9the Illinois Power of Attorney Act, pursuant to the
10guardianship process under the Probate Act of 1975, or
11pursuant to an executed designation of representative form
12specified by the Department.
13    "Self" means the individual or the individual's designated
14representative.
15    "Shared housing establishment" or "establishment" means a
16publicly or privately operated free-standing residence for 16
17or fewer persons, at least 80% of whom are 55 years of age or
18older and who are unrelated to the owners and one manager of
19the residence, where the following are provided:
20        (1) services consistent with a social model that is
21    based on the premise that the resident's unit is his or her
22    own home;
23        (2) community-based residential care for persons who
24    need assistance with activities of daily living, including
25    housing and personal, supportive, and intermittent
26    health-related services available 24 hours per day, if

 

 

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1    needed, to meet the scheduled and unscheduled needs of a
2    resident; and
3        (3) mandatory services, whether provided directly by
4    the establishment or by another entity arranged for by the
5    establishment, with the consent of the resident or the
6    resident's representative.
7    "Shared housing establishment" or "establishment" does not
8mean any of the following:
9        (1) A home, institution, or similar place operated by
10    the federal government or the State of Illinois.
11        (2) A long term care facility licensed under the
12    Nursing Home Care Act, a facility licensed under the
13    Specialized Mental Health Rehabilitation Act of 2013, a
14    facility licensed under the ID/DD Community Care Act, or a
15    facility licensed under the MC/DD Act. A facility licensed
16    under any of those Acts may, however, convert sections of
17    the facility to assisted living. If the facility elects to
18    do so, the facility shall retain the Certificate of Need
19    for its nursing beds that were converted.
20        (3) A hospital, sanitarium, or other institution, the
21    principal activity or business of which is the diagnosis,
22    care, and treatment of human illness and that is required
23    to be licensed under the Hospital Licensing Act.
24        (4) A facility for child care as defined in the Child
25    Care Act of 1969.
26        (5) A community living facility as defined in the

 

 

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1    Community Living Facilities Licensing Act.
2        (6) A nursing home or sanitarium operated solely by
3    and for persons who rely exclusively upon treatment by
4    spiritual means through prayer in accordance with the
5    creed or tenants of a well-recognized church or religious
6    denomination.
7        (7) A facility licensed by the Department of Human
8    Services as a community-integrated living arrangement as
9    defined in the Community-Integrated Living Arrangements
10    Licensure and Certification Act.
11        (8) A supportive residence licensed under the
12    Supportive Residences Licensing Act.
13        (9) A life care facility as defined in the Life Care
14    Facilities Act; a life care facility may apply under this
15    Act to convert sections of the community to assisted
16    living.
17        (10) A free-standing hospice facility licensed under
18    the Hospice Program Licensing Act.
19        (11) An assisted living establishment.
20        (12) A supportive living facility as described in
21    Section 5-5.01a of the Illinois Public Aid Code.
22    "Total assistance" means that staff or another individual
23performs the entire activity of daily living without
24participation by the resident.
25(Source: P.A. 99-180, eff. 7-29-15; 100-513, eff. 1-1-18.)
 

 

 

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1    (210 ILCS 9/15)
2    Sec. 15. Assessment and service plan requirements. Prior
3to admission to any establishment covered by this Act, a
4comprehensive assessment that includes an evaluation of the
5prospective resident's physical, cognitive, and psychosocial
6condition shall be completed. At least annually, a
7comprehensive assessment shall be completed, and upon
8identification of a significant change in the resident's
9condition, including, but not limited to, a diagnosis of
10Alzheimer's disease or a related dementia, the resident shall
11be reassessed. The Department may by rule specify
12circumstances under which more frequent assessments of skin
13integrity and nutritional status shall be required. The
14comprehensive assessment shall be completed by a physician.
15Based on the assessment, the resident's interests and
16preferences, dislikes, and any known triggers for behavior
17that endangers the resident or others, a written service plan
18shall be developed and mutually agreed upon by the provider,
19and the resident, and the resident's representative, if any.
20The service plan, which shall be reviewed annually, or more
21often as the resident's condition, preferences, or service
22needs change, shall serve as a basis for the service delivery
23contract between the provider and the resident. The resident
24and the resident's representative, if any, shall, upon
25request, be given a copy of the most recent assessment; a
26supplemental assessment, if any, completed by the

 

 

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1establishment; and a service plan. Based on the assessment,
2the service plan may provide for the disconnection or removal
3of any appliance.
4(Source: P.A. 91-656, eff. 1-1-01.)
 
5    (210 ILCS 9/75)
6    Sec. 75. Residency requirements.
7    (a) No individual shall be accepted for residency or
8remain in residence if the establishment cannot provide or
9secure appropriate services, if the individual requires a
10level of service or type of service for which the
11establishment is not licensed or which the establishment does
12not provide, or if the establishment does not have the staff
13appropriate in numbers and with appropriate skill to provide
14such services.
15    (b) Only adults may be accepted for residency.
16    (c) A person shall not be accepted for residency if:
17        (1) the person poses a serious threat to himself or
18    herself or to others;
19        (2) the person is not able to communicate his or her
20    needs and no resident representative residing in the
21    establishment, and with a prior relationship to the
22    person, has been appointed to direct the provision of
23    services;
24        (3) the person requires total assistance with 2 or
25    more activities of daily living;

 

 

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1        (4) the person requires the assistance of more than
2    one paid caregiver at any given time with an activity of
3    daily living;
4        (5) the person requires more than minimal assistance
5    in moving to a safe area in an emergency;
6        (6) the person has a severe mental illness, which for
7    the purposes of this Section means a condition that is
8    characterized by the presence of a major mental disorder
9    as classified in the Diagnostic and Statistical Manual of
10    Mental Disorders, Fourth Edition (DSM-IV) (American
11    Psychiatric Association, 1994), where the individual is a
12    person with a substantial disability due to mental illness
13    in the areas of self-maintenance, social functioning,
14    activities of community living and work skills, and the
15    disability specified is expected to be present for a
16    period of not less than one year, but does not mean
17    Alzheimer's disease and other forms of dementia based on
18    organic or physical disorders;
19        (7) the person requires intravenous therapy or
20    intravenous feedings unless self-administered or
21    administered by a qualified, licensed health care
22    professional;
23        (8) the person requires gastrostomy feedings unless
24    self-administered or administered by a licensed health
25    care professional;
26        (9) the person requires insertion, sterile irrigation,

 

 

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1    and replacement of catheter, except for routine
2    maintenance of urinary catheters, unless the catheter care
3    is self-administered or administered by a licensed health
4    care professional;
5        (10) the person requires sterile wound care unless
6    care is self-administered or administered by a licensed
7    health care professional;
8        (11) (blank);
9        (12) the person is a diabetic requiring routine
10    insulin injections unless the injections are
11    self-administered or administered by a licensed health
12    care professional;
13        (13) the person requires treatment of stage 3 or stage
14    4 decubitus ulcers or exfoliative dermatitis;
15        (14) the person requires 5 or more skilled nursing
16    visits per week for conditions other than those listed in
17    items (13) and (15) of this subsection for a period of 3
18    consecutive weeks or more except when the course of
19    treatment is expected to extend beyond a 3-week 3 week
20    period for rehabilitative purposes and is certified as
21    temporary by a physician; or
22        (15) other reasons prescribed by the Department by
23    rule.
24    (d) A resident with a condition listed in items (1)
25through (15) of subsection (c) shall have his or her residency
26terminated.

 

 

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1    (e) Residency shall be terminated when services available
2to the resident in the establishment are no longer adequate to
3meet the needs of the resident. The establishment shall notify
4the resident and the resident's representative, if any, when
5there is a significant change in the resident's condition that
6affects the establishment's ability to meet the resident's
7needs. The requirements of subsection (c) of Section 80 shall
8then apply. This provision shall not be interpreted as
9limiting the authority of the Department to require the
10residency termination of individuals.
11    (f) Subsection (d) of this Section shall not apply to
12terminally ill residents who receive or would qualify for
13hospice care and such care is coordinated by a hospice program
14licensed under the Hospice Program Licensing Act or other
15licensed health care professional employed by a licensed home
16health agency and the establishment and all parties agree to
17the continued residency.
18    (g) Items (3), (4), (5), and (9) of subsection (c) shall
19not apply to a quadriplegic, paraplegic, or individual with
20neuro-muscular diseases, such as muscular dystrophy and
21multiple sclerosis, or other chronic diseases and conditions
22as defined by rule if the individual is able to communicate his
23or her needs and does not require assistance with complex
24medical problems, and the establishment is able to accommodate
25the individual's needs. The Department shall prescribe rules
26pursuant to this Section that address special safety and

 

 

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1service needs of these individuals.
2    (h) For the purposes of items (7) through (10) of
3subsection (c), a licensed health care professional may not be
4employed by the owner or operator of the establishment, its
5parent entity, or any other entity with ownership common to
6either the owner or operator of the establishment or parent
7entity, including but not limited to an affiliate of the owner
8or operator of the establishment. Nothing in this Section is
9meant to limit a resident's right to choose his or her health
10care provider.
11    (i) Subsection (h) is not applicable to residents admitted
12to an assisted living establishment under a life care contract
13as defined in the Life Care Facilities Act if the life care
14facility has both an assisted living establishment and a
15skilled nursing facility. A licensed health care professional
16providing health-related or supportive services at a life care
17assisted living or shared housing establishment must be
18employed by an entity licensed by the Department under the
19Nursing Home Care Act or the Home Health, Home Services, and
20Home Nursing Agency Licensing Act.
21(Source: P.A. 103-444, eff. 1-1-24.)
 
22    (210 ILCS 9/80)
23    Sec. 80. Involuntary termination of residency.
24    (a) Residency shall be involuntarily terminated only for
25the following reasons:

 

 

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1        (1) as provided in Section 75 of this Act;
2        (2) nonpayment of contracted charges after the
3    resident and the resident's representative have received a
4    minimum of 30 days' 30-days written notice of the
5    delinquency and the resident or the resident's
6    representative has had at least 15 days to cure the
7    delinquency; or
8        (3) failure to execute a service delivery contract or
9    to substantially comply with its terms and conditions,
10    failure to comply with the assessment requirements
11    contained in Section 15, or failure to substantially
12    comply with the terms and conditions of the lease
13    agreement.
14    (b) A 30-day 30 day written notice of residency
15termination shall be provided to the resident, the resident's
16representative, or both, the Department, and the long term
17care ombudsman, which shall include the reason for the pending
18action, the date of the proposed move, and a notice, the
19content and form to be set forth by rule, of the resident's
20right to appeal, the steps that the resident or the resident's
21representative must take to initiate an appeal, and a
22statement of the resident's right to continue to reside in the
23establishment until a decision is rendered. The notice shall
24include a toll free telephone number to initiate an appeal and
25a written hearing request form, together with a postage paid,
26pre-addressed envelope to the Department. If the resident or

 

 

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1the resident's representative, if any, cannot read English,
2the notice must be provided in a language the individual
3receiving the notice can read or the establishment must
4provide a translator who has been trained to assist the
5resident or the resident's representative in the appeal
6process. In emergency situations as defined in Section 10 of
7this Act, the 30-day provision of the written notice may be
8waived.
9    (c) The establishment shall attempt to resolve with the
10resident or the resident's representative, if any,
11circumstances that if not remedied have the potential of
12resulting in an involuntary termination of residency and shall
13document those efforts in the resident's file. This action may
14occur prior to or during the 30-day 30 day notice period, but
15must occur prior to the termination of the residency. In
16emergency situations as defined in Section 10 of this Act, the
17requirements of this subsection may be waived.
18    (d) A request for a hearing shall stay an involuntary
19termination of residency until a decision has been rendered by
20the Department, according to a process adopted by rule. During
21this time period, the establishment may not terminate or
22reduce any service without the consent of the resident or the
23resident's representative, if any, for the purpose of making
24it more difficult or impossible for the resident to remain in
25the establishment.
26    (e) The establishment shall offer the resident and the

 

 

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1resident's representative, if any, residency termination and
2relocation assistance including information on available
3alternative placement. Residents shall be involved in planning
4the move and shall choose among the available alternative
5placements except when an emergency situation makes prior
6resident involvement impossible. Emergency placements are
7deemed temporary until the resident's input can be sought in
8the final placement decision. No resident shall be forced to
9remain in a temporary or permanent placement.
10    (f) The Department may offer assistance to the
11establishment and the resident in the preparation of residency
12termination and relocation plans to assure safe and orderly
13transition and to protect the resident's health, safety,
14welfare, and rights. In nonemergencies, and where possible in
15emergencies, the transition plan shall be designed and
16implemented in advance of transfer or residency termination.
17    (g) An establishment may not initiate a termination of
18residency due to an emergency situation if the establishment
19is able to safely care for the resident and (1) the resident
20has been hospitalized and the resident's physician, the
21establishment's manager, and the establishment's director of
22nursing state that returning to the establishment would not
23create an imminent danger of death or serious physical harm to
24the resident; or (2) the emergency can be negated by changes in
25activities, health care, personal care, or available rooming
26accommodations, consistent with the license and services of

 

 

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1the establishment. The Department may not find an
2establishment to be in violation of Section 75 of this Act for
3failing to initiate an emergency discharge in these
4circumstances.
5    (h) If the Department determines that an involuntary
6termination of residency does not meet the requirements of
7this Act, the Department shall issue a written decision
8stating that the involuntary termination of residency is
9denied. If the action of the establishment giving rise to the
10request for hearings is the establishment's failure to readmit
11the resident following hospitalization, other medical leave of
12absence, or other absence, the Department shall order the
13immediate readmission of the resident to the establishment
14unless a condition which would have allowed transfer or
15discharge develops within that timeframe.
16    (i) If an order to readmit is entered pursuant to
17subsection (h), the establishment shall immediately comply. As
18used in this subsection, "comply" means the establishment and
19the resident have agreed on a schedule for readmission or the
20resident is living in the establishment.
21    (j) An establishment that does not readmit a resident
22after the Department has ordered readmission shall be assessed
23a fine. The establishment shall be required to submit an
24acceptable plan of correction to the Department within 30 days
25after the violation is affirmed.
26    (k) Once a notice of appeal is filed, the Department shall

 

 

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1hold a hearing unless the notice of appeal is withdrawn. If the
2notice of appeal is withdrawn based upon a representation made
3by the establishment to the resident and the Department,
4including the hearing officer, that a resident who has been
5previously denied readmission will be readmitted, failure to
6comply with the representation shall be considered a failure
7to comply with a Department order pursuant to subsection (h)
8and shall result in the imposition of a fine as provided in
9subsection (j) of this Section.
10(Source: P.A. 91-656, eff. 1-1-01.)
 
11    (210 ILCS 9/90)
12    Sec. 90. Contents of service delivery contract. A contract
13between an establishment and a resident must be entitled
14"assisted living establishment contract" or "shared housing
15establishment contract" as applicable, shall be printed in no
16less than 12 point type, and shall include at least the
17following elements in the body or through supporting documents
18or attachments:
19        (1) the name, street address, and mailing address of
20    the establishment;
21        (2) the name and mailing address of the owner or
22    owners of the establishment and, if the owner or owners
23    are not natural persons, the type of business entity of
24    the owner or owners;
25        (3) the name and mailing address of the managing agent

 

 

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1    of the establishment, whether hired under a management
2    agreement or lease agreement, if the managing agent is
3    different from the owner or owners;
4        (4) the name and address of at least one natural
5    person who is authorized to accept service on behalf of
6    the owners and managing agent;
7        (5) a statement describing the license status of the
8    establishment and the license status of all providers of
9    health-related or supportive services to a resident under
10    arrangement with the establishment;
11        (6) the duration of the contract;
12        (7) the base rate to be paid by the resident and a
13    description of the services to be provided as part of this
14    rate;
15        (8) a description of any additional services to be
16    provided for an additional fee by the establishment
17    directly or by a third party provider under arrangement
18    with the establishment;
19        (9) the fee schedules outlining the cost of any
20    additional services;
21        (10) a description of the process through which the
22    contract may be modified, amended, or terminated;
23        (11) a description of the establishment's complaint
24    resolution process available to residents and notice of
25    the availability of the Department on Aging's Senior
26    Helpline for complaints;

 

 

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1        (12) the name of the resident's designated
2    representative, if any;
3        (13) the resident's obligations in order to maintain
4    residency and receive services including compliance with
5    all assessments required under Section 15;
6        (14) the billing and payment procedures and
7    requirements;
8        (15) a statement affirming the resident's freedom to
9    receive services from service providers with whom the
10    establishment does not have a contractual arrangement,
11    which may also disclaim liability on the part of the
12    establishment for those services;
13        (16) a statement that medical assistance under Article
14    V or Article VI of the Illinois Public Aid Code is not
15    available for payment for services provided in an
16    establishment, excluding contracts executed with residents
17    residing in licensed establishments participating in the
18    Department on Aging's Comprehensive Care in Residential
19    Settings Demonstration Project;
20        (17) a statement detailing the admission, risk
21    management, and residency termination criteria and
22    procedures;
23        (18) a written explanation, prepared by the Office of
24    State Long Term Care Ombudsman, statement listing the
25    rights specified in Sections 80 and Section 95, including
26    an acknowledgment by the establishment and acknowledging

 

 

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1    that, by contracting with the assisted living or shared
2    housing establishment, the resident does not forfeit those
3    rights;
4        (19) a statement detailing the Department's annual
5    on-site review process including what documents contained
6    in a resident's personal file shall be reviewed by the
7    on-site reviewer as defined by rule; and
8        (20) a statement outlining whether the establishment
9    charges a community fee and, if so, the amount of the fee
10    and whether it is refundable; if the fee is refundable,
11    the contract must describe the conditions under which it
12    is refundable and how the amount of the refund is
13    determined.
14(Source: P.A. 93-775, eff. 1-1-05; 94-256, eff. 7-19-05.)
 
15    (210 ILCS 9/95)
16    Sec. 95. Resident rights. No resident shall be deprived of
17any rights, benefits, or privileges guaranteed by law, the
18Constitution of the State of Illinois, or the Constitution of
19the United States solely on account of his or her status as a
20resident of an establishment, nor shall a resident forfeit any
21of the following rights:
22        (1) the right to retain and use personal property and
23    a place to store personal items that is locked and secure;
24        (2) the right to refuse services and to be advised of
25    the consequences of that refusal;

 

 

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1        (3) the right to respect for bodily privacy and
2    dignity at all times, especially during care and
3    treatment;
4        (4) the right to the free exercise of religion;
5        (5) the right to privacy with regard to mail, phone
6    calls, and visitors;
7        (6) the right to uncensored access to the State
8    Ombudsman or his or her designee;
9        (7) the right to be free of retaliation for
10    criticizing the establishment or making complaints to
11    appropriate agencies;
12        (8) the right to be free of chemical and physical
13    restraints;
14        (9) the right to be free of abuse or neglect or to
15    refuse to perform labor;
16        (10) the right to confidentiality of the resident's
17    medical records;
18        (11) the right of access and the right to copy the
19    resident's personal files maintained by the establishment;
20        (12) the right to 24 hours access to the
21    establishment;
22        (13) the right to a minimum of 90 days' 90-days notice
23    of a planned establishment closure;
24        (14) the right to a minimum of 30 days' 30-days notice
25    of an involuntary residency termination, except where the
26    resident poses a threat to himself or others, or in other

 

 

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1    emergency situations, and the right to appeal such
2    termination; if an establishment withdraws a notice of
3    involuntary termination of residency, then the resident
4    has the right to maintain residency at the establishment;
5    and
6        (15) the right to a 30-day notice of delinquency and
7    at least 15 days right to cure delinquency; and .
8        (16) the right to not be unlawfully transferred or
9    discharged.
10(Source: P.A. 91-656, eff. 1-1-01.)
 
11    Section 10. The Nursing Home Care Act is amended by
12changing Sections 1-114.005, 2-111, 3-401, 3-402, 3-404,
133-405, 3-411, and 3-413 and by adding Sections 3-305.6,
143-305.7, and 3-413.1 as follows:
 
15    (210 ILCS 45/1-114.005)
16    Sec. 1-114.005. High risk designation. "High risk
17designation" means a violation of a provision of the Illinois
18Administrative Code or statute that has been identified by the
19Department through rulemaking or designated in statute to be
20inherently necessary to protect the health, safety, and
21welfare of a resident.
22(Source: P.A. 96-1372, eff. 7-29-10.)
 
23    (210 ILCS 45/2-111)  (from Ch. 111 1/2, par. 4152-111)

 

 

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1    Sec. 2-111. A resident shall not be transferred or
2discharged in violation of this Act. A resident may be
3discharged from a facility after he gives the administrator, a
4physician, or a nurse of the facility written notice of his
5desire to be discharged. If a guardian has been appointed for a
6resident or if the resident is a minor, the resident shall be
7discharged upon written consent of his guardian or if the
8resident is a minor, his parent unless there is a court order
9to the contrary. In such cases, upon the resident's discharge,
10the facility is relieved from any responsibility for the
11resident's care, safety or well-being. A resident has the
12right to not be unlawfully transferred or discharged.
13(Source: P.A. 81-223.)
 
14    (210 ILCS 45/3-305.6 new)
15    Sec. 3-305.6. Failure to readmit a resident. A facility
16that fails to comply with an order of the Department to readmit
17a resident, pursuant to Section 3-703, who wishes to return to
18the facility and is appropriate for that level of care and
19services provided, shall be assessed a $2,500 fine.
20    As used in this Section, "comply with an order" means that
21a resident is living in a facility or that a facility and a
22resident have agreed on a schedule for readmission.
 
23    (210 ILCS 45/3-305.7 new)
24    Sec. 3-305.7. Ordered readmission of a resident.

 

 

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1    (a) A facility that complies with an order of the
2Department to readmit a resident that has been deemed to have
3been unlawfully discharged shall notify the Department within
410 business days that the resident has been readmitted to the
5facility. The notice provided to the Department shall include,
6but not be limited to, the following information:
7        (1) the executed order to readmit the resident that
8    was issued by the Department;
9        (2) the Administrative Law Judge's Report and
10    Recommendations submitted by the administrative law judge;
11        (3) the reason or reasons for which the resident was
12    involuntarily discharged and an explanation of why the
13    facility determined it should discharge the resident prior
14    to the order to readmit;
15        (4) the interventions the facility had taken to
16    attempt to mitigate or correct the behavior or condition
17    of the resident who was involuntarily discharged and
18    ordered to be readmitted;
19        (5) any concerns that the facility maintains about
20    risks to safety associated with readmission of the
21    resident; and
22        (6) a copy of the resident's current face sheet that
23    indicates the readmission date.
24    (b) Upon readmission of a resident following an executed
25order by the Department, the facility shall conduct a
26reassessment of the resident to determine any necessary

 

 

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1changes to the resident's care plan. The assessment shall
2include identification of any steps the facility could take to
3attempt to mitigate or correct the behavior or condition of
4the resident that resulted in the resident being involuntarily
5discharged.
6    (c) If a resident whose readmission was ordered by the
7Department commits the same action for which the facility
8noted concerns about pursuant to subsection (a), the
9Department shall take into account the notice provided by the
10facility under this Section in considering whether to impose a
11fine.
 
12    (210 ILCS 45/3-401)  (from Ch. 111 1/2, par. 4153-401)
13    Sec. 3-401. A facility may involuntarily transfer or
14discharge a resident only for one or more of the following
15reasons:
16        (a) the facility is unable to meet the medical needs
17    of the resident, as documented in the resident's clinical
18    record by the resident's physician for medical reasons for
19    medical reasons;
20        (b) for the resident's physical safety;
21        (c) for the physical safety of other residents, the
22    facility staff or facility visitors; or
23        (d) for either late payment or nonpayment for the
24    resident's stay, except as prohibited by Titles XVIII and
25    XIX of the federal Social Security Act. For purposes of

 

 

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1    this Section, "late payment" means non-receipt of payment
2    after submission of a bill. If payment is not received
3    within 45 days after submission of a bill, a facility may
4    send a notice to the resident and responsible party
5    requesting payment within 30 days. If payment is not
6    received within such 30 days, the facility may thereupon
7    institute transfer or discharge proceedings by sending a
8    notice of transfer or discharge to the resident and
9    responsible party by registered or certified mail. The
10    notice shall state, in addition to the requirements of
11    Section 3-403 of this Act, that the responsible party has
12    the right to pay the amount of the bill in full up to the
13    date the transfer or discharge is to be made and then the
14    resident shall have the right to remain in the facility.
15    Such payment shall terminate the transfer or discharge
16    proceedings. This subsection does not apply to those
17    residents whose care is provided for under the Illinois
18    Public Aid Code. The Department shall adopt rules setting
19    forth the criteria and procedures to be applied in cases
20    of involuntary transfer or discharge permitted under this
21    Section.
22    In the absence of other bases for transfer or discharge in
23this Section, unless it has complied with the prior notice and
24other procedural requirements of this Act, a facility may not
25refuse to readmit a resident following a medical leave of
26absence if the resident's need for care does not exceed the

 

 

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1provisions of the facility's license or current services
2offered.
3(Source: P.A. 91-357, eff. 7-29-99.)
 
4    (210 ILCS 45/3-402)  (from Ch. 111 1/2, par. 4153-402)
5    Sec. 3-402. Involuntary transfer or discharge of a
6resident from a facility shall be preceded by the discussion
7required under Section 3-408 and by a minimum written notice
8of 30 21 days, except in one of the following instances:
9    (a) When an emergency transfer or discharge is ordered by
10the resident's attending physician because of the resident's
11health care needs. The State Long Term Care Ombudsman shall be
12notified at the time of the emergency transfer or discharge.
13    (b) When the transfer or discharge is mandated by the
14physical safety of other residents, the facility staff, or
15facility visitors, as documented in the clinical record. The
16Department, the Office of State Long Term Care Ombudsman, and
17the resident's managed care organization, if applicable, and
18the State Long Term Care Ombudsman shall be notified prior to
19any such involuntary transfer or discharge. The Department
20shall immediately offer transfer, or discharge and relocation
21assistance to residents transferred or discharged under this
22subparagraph (b), and the Department may place relocation
23teams as provided in Section 3-419 of this Act.
24    (c) When an identified offender is within the provisional
25admission period defined in Section 1-120.3. If the Identified

 

 

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1Offender Report and Recommendation prepared under Section
22-201.6 shows that the identified offender poses a serious
3threat or danger to the physical safety of other residents,
4the facility staff, or facility visitors in the admitting
5facility and the facility determines that it is unable to
6provide a safe environment for the other residents, the
7facility staff, or facility visitors, the facility shall
8transfer or discharge the identified offender within 3 days
9after its receipt of the Identified Offender Report and
10Recommendation.
11(Source: P.A. 103-320, eff. 1-1-24.)
 
12    (210 ILCS 45/3-404)  (from Ch. 111 1/2, par. 4153-404)
13    Sec. 3-404. A request for a hearing made under Section
143-403 shall stay a transfer or discharge pending a hearing or
15appeal of the decision, unless a condition which would have
16allowed transfer or discharge in less than 30 21 days as
17described under paragraphs (a) and (b) of Section 3-402
18develops in the interim.
19(Source: P.A. 81-223.)
 
20    (210 ILCS 45/3-405)  (from Ch. 111 1/2, par. 4153-405)
21    Sec. 3-405. A copy of the notice required by Section 3-402
22shall be placed in the resident's clinical record and a copy
23shall be transmitted to the Department, the State Long Term
24Care Ombudsman, the resident, and the resident's

 

 

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1representative, if any, the resident's managed care
2organization.
3(Source: P.A. 103-320, eff. 1-1-24.)
 
4    (210 ILCS 45/3-411)  (from Ch. 111 1/2, par. 4153-411)
5    Sec. 3-411. The Department of Public Health, when the
6basis for involuntary transfer or discharge is other than
7action by the Department of Healthcare and Family Services
8(formerly Department of Public Aid) with respect to the Title
9XIX Medicaid recipient, shall hold a hearing at the resident's
10facility not later than 10 days after a hearing request is
11filed, and render a decision within 14 days after the filing of
12the hearing request. The Department has continuing
13jurisdiction over the transfer or discharge irrespective of
14the timing of the hearing and decision. Once a request for a
15hearing is filed, the Department shall hold a hearing unless
16the request is withdrawn by the resident. If the request for a
17hearing is withdrawn based upon a representation made by the
18facility to the resident and the Department, including the
19hearing officer, that a resident who has been denied
20readmission will be readmitted, and the resident or resident
21representative notifies the Department that the facility is
22still denying readmission, failure to readmit is considered
23failure to comply with a Department order to readmit pursuant
24to Section 3-305.6, including the imposition of a $2,500 fine
25under Section 3-305.6.

 

 

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1(Source: P.A. 95-331, eff. 8-21-07.)
 
2    (210 ILCS 45/3-413)  (from Ch. 111 1/2, par. 4153-413)
3    Sec. 3-413. If the Department determines that a transfer
4or discharge is authorized under Section 3-401, the resident
5shall not be required to leave the facility before the 34th day
6following receipt of the notice required under Section 3-402,
7or the 10th day following receipt of the Department's
8decision, whichever is later, unless a condition which would
9have allowed transfer or discharge in less than 30 21 days as
10described under paragraphs (a) and (b) of Section 3-402
11develops in the interim. The Department maintains jurisdiction
12over the transfer or discharge irrespective of the timing of
13the notice and discharge.
14(Source: P.A. 81-223.)
 
15    (210 ILCS 45/3-413.1 new)
16    Sec. 3-413.1. Denial of transfer or discharge. If the
17Department determines that a transfer or discharge is not
18authorized under Section 3-401, then the Department shall
19issue a written decision stating that the transfer or
20discharge is denied. If the action of the facility giving rise
21to the request for hearings is the facility's failure to
22readmit the resident following hospitalization, other medical
23leave of absence, or other absence, then the Department shall
24order the immediate readmission of the resident to the

 

 

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1facility. The facility shall comply with the order
2immediately. A copy of the Department's written decision shall
3be placed in the resident's medical chart. A surveyor shall
4make an on-site inspection of the facility's compliance with
5the order unless the resident or resident representative
6notifies the Department in writing that there is compliance
7with the order.".