Full Text of SB0264 95th General Assembly
SB0264eng 95TH GENERAL ASSEMBLY
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| AN ACT concerning regulation.
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| Be it enacted by the People of the State of Illinois, | 3 |
| represented in the General Assembly:
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| Section 5. The Alternative Health Care Delivery Act is | 5 |
| amended by changing
Sections 30 and 35 as follows:
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| (210 ILCS 3/30)
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| Sec. 30. Demonstration program requirements. The | 8 |
| requirements set forth in
this Section shall apply to | 9 |
| demonstration programs.
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| (a) There shall be no more than:
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| (i) 3 subacute care hospital alternative health care | 12 |
| models in the City of
Chicago (one of which shall be | 13 |
| located on a designated site and shall have been
licensed | 14 |
| as a hospital under the Illinois Hospital Licensing Act | 15 |
| within the 10
years immediately before the application for | 16 |
| a license);
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| (ii) 2 subacute care hospital alternative health care | 18 |
| models in the
demonstration program for each of the | 19 |
| following areas:
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| (1) Cook County outside the City of Chicago.
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| (2) DuPage, Kane, Lake, McHenry, and Will | 22 |
| Counties.
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| (3) Municipalities with a population greater than |
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| 50,000 not
located in the areas described in item (i) | 2 |
| of subsection (a) and paragraphs
(1) and (2) of item | 3 |
| (ii) of subsection (a); and
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| (iii) 4 subacute care hospital alternative health care
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| models in the demonstration program for rural areas.
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| In selecting among applicants for these
licenses in rural | 7 |
| areas, the Health Facilities Planning Board and the
Department | 8 |
| shall give preference to hospitals that may be unable for | 9 |
| economic
reasons to provide continued service to the community | 10 |
| in which they are located
unless the hospital were to receive | 11 |
| an alternative health care model license.
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| (a-5) There shall be no more than a total of 12 | 13 |
| postsurgical
recovery care
center alternative health care | 14 |
| models in the demonstration program, located as
follows:
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| (1) Two in the City of Chicago.
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| (2) Two in Cook County outside the City of Chicago. At | 17 |
| least
one of these shall be owned or operated by a hospital | 18 |
| devoted exclusively to
caring for children.
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| (3) Two in Kane, Lake, and McHenry Counties.
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| (4) Four in municipalities with a population of 50,000 | 21 |
| or more
not located
in the areas described in paragraphs | 22 |
| (1), (2), and (3), 3 of which
shall be
owned or operated by | 23 |
| hospitals, at least 2 of which shall be located in
counties | 24 |
| with a population of less than 175,000, according to the | 25 |
| most recent
decennial census for which data are available, | 26 |
| and one of
which shall be owned or operated by
an |
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| ambulatory surgical treatment center.
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| (5) Two in rural areas,
both of which shall be owned or | 3 |
| operated by
hospitals.
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| There shall be no postsurgical recovery care center | 5 |
| alternative health care
models located in counties with | 6 |
| populations greater than 600,000 but less
than 1,000,000. A | 7 |
| proposed postsurgical recovery care center must be owned or
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| operated by a hospital if it is to be located within, or will | 9 |
| primarily serve
the residents of, a health service area in | 10 |
| which more than 60% of the gross
patient revenue of the | 11 |
| hospitals within that health service area are derived
from | 12 |
| Medicaid and Medicare, according to the most recently available | 13 |
| calendar
year data from the Illinois Health Care Cost | 14 |
| Containment Council. Nothing in
this paragraph shall preclude a | 15 |
| hospital and an ambulatory surgical treatment
center from | 16 |
| forming a joint venture or developing a collaborative agreement | 17 |
| to
own or operate a postsurgical recovery care center.
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| (a-10) There shall be no more than a total of 8 children's | 19 |
| respite care
center alternative health care models in the | 20 |
| demonstration program, which shall
be located as follows:
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| (1) One in the City of Chicago.
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| (2) One in Cook County outside the City of Chicago.
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| (3) A total of 2 in the area comprised of DuPage, Kane, | 24 |
| Lake, McHenry, and
Will counties.
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| (4) A total of 2 in municipalities with a population of | 26 |
| 50,000 or more and
not
located in the areas described in |
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| paragraphs (1), (2), or (3).
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| (5) A total of 2 in rural areas, as defined by the | 3 |
| Health Facilities
Planning Board.
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| No more than one children's respite care model owned and | 5 |
| operated by a
licensed skilled pediatric facility shall be | 6 |
| located in each of the areas
designated in this subsection | 7 |
| (a-10).
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| (a-15) There shall be an authorized community-based | 9 |
| residential
rehabilitation center alternative health care | 10 |
| model in the demonstration
program. The community-based | 11 |
| residential rehabilitation center shall be
located in the area | 12 |
| of Illinois south of Interstate Highway 70.
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| (a-20) There shall be an authorized
Alzheimer's disease | 14 |
| management center alternative health care model in the
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| demonstration program. The Alzheimer's disease management | 16 |
| center shall be
located in Will
County, owned by a
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| not-for-profit entity, and endorsed by a resolution approved by | 18 |
| the county
board before the effective date of this amendatory | 19 |
| Act of the 91st General
Assembly.
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| (a-25) There shall be no more than 10 birth center | 21 |
| alternative health care
models in the demonstration program, | 22 |
| located as follows:
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| (1) Four in the area comprising Cook, DuPage, Kane, | 24 |
| Lake, McHenry, and
Will counties, one of
which shall be | 25 |
| owned or operated by a hospital and one of which shall be | 26 |
| owned
or operated by a federally qualified health center.
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| (2) Three in municipalities with a population of 50,000 | 2 |
| or more not
located in the area described in paragraph (1) | 3 |
| of this subsection, one of
which shall be owned or operated | 4 |
| by a hospital and one of which shall be owned
or operated | 5 |
| by a federally qualified health center.
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| (3) Three in rural areas, one of which shall be owned | 7 |
| or operated by a
hospital and one of which shall be owned | 8 |
| or operated by a federally qualified
health center.
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| The first 3 birth centers authorized to operate by the | 10 |
| Department shall be
located in or predominantly serve the | 11 |
| residents of a health professional
shortage area as determined | 12 |
| by the United States Department of Health and Human
Services. | 13 |
| There shall be no more than 2 birth centers authorized to | 14 |
| operate in
any single health planning area for obstetric | 15 |
| services as determined under the
Illinois Health Facilities | 16 |
| Planning Act. If a birth center is located outside
of a
health | 17 |
| professional shortage area, (i) the birth center shall be | 18 |
| located in a
health planning
area with a demonstrated need for | 19 |
| obstetrical service beds, as determined by
the Illinois Health | 20 |
| Facilities Planning Board or (ii) there must be a
reduction in
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| the existing number of obstetrical service beds in the planning | 22 |
| area so that
the establishment of the birth center does not | 23 |
| result in an increase in the
total number of obstetrical | 24 |
| service beds in the health planning area.
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| (b) Alternative health care models, other than a model | 26 |
| authorized under
subsection (a-20), shall obtain a certificate |
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| of
need from the Illinois Health Facilities Planning Board | 2 |
| under the Illinois
Health Facilities Planning Act before | 3 |
| receiving a license by the
Department.
If, after obtaining its | 4 |
| initial certificate of need, an alternative health
care | 5 |
| delivery model that is a community based residential | 6 |
| rehabilitation center
seeks to
increase the bed capacity of | 7 |
| that center, it must obtain a certificate of need
from the | 8 |
| Illinois Health Facilities Planning Board before increasing | 9 |
| the bed
capacity. Alternative
health care models in medically | 10 |
| underserved areas
shall receive priority in obtaining a | 11 |
| certificate of need.
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| (c) An alternative health care model license shall be | 13 |
| issued for a
period of one year and shall be annually renewed | 14 |
| if the facility or
program is in substantial compliance with | 15 |
| the Department's rules
adopted under this Act. A licensed | 16 |
| alternative health care model that continues
to be in | 17 |
| substantial compliance after the conclusion of the | 18 |
| demonstration
program shall be eligible for annual renewals | 19 |
| unless and until a different
licensure program for that type of | 20 |
| health care model is established by
legislation. The Department | 21 |
| may issue a provisional license to any
alternative health care | 22 |
| model that does not substantially comply with the
provisions of | 23 |
| this Act and the rules adopted under this Act if (i)
the | 24 |
| Department finds that the alternative health care model has | 25 |
| undertaken
changes and corrections which upon completion will | 26 |
| render the alternative
health care model in substantial |
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| compliance with this Act and rules and
(ii) the health and | 2 |
| safety of the patients of the alternative
health care model | 3 |
| will be protected during the period for which the provisional
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| license is issued. The Department shall advise the licensee of
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| the conditions under which the provisional license is issued, | 6 |
| including
the manner in which the alternative health care model | 7 |
| fails to comply with
the provisions of this Act and rules, and | 8 |
| the time within which the changes
and corrections necessary for | 9 |
| the alternative health care model to
substantially comply with | 10 |
| this Act and rules shall be completed.
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| (d) Alternative health care models shall seek | 12 |
| certification under Titles
XVIII and XIX of the federal Social | 13 |
| Security Act. In addition, alternative
health care models shall | 14 |
| provide charitable care consistent with that provided
by | 15 |
| comparable health care providers in the geographic area.
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| (d-5) The Department of Healthcare and Family Services | 17 |
| (formerly Illinois Department of Public Aid ) , in cooperation | 18 |
| with the
Illinois Department of
Public Health, shall develop | 19 |
| and implement a reimbursement methodology for all
facilities | 20 |
| participating in the demonstration program. The Department of | 21 |
| Healthcare and Family Services
Illinois Department
of Public | 22 |
| Aid shall keep a record of services provided under the | 23 |
| demonstration
program to recipients of medical assistance | 24 |
| under the Illinois Public Aid Code
and shall submit an annual | 25 |
| report of that information to the Illinois
Department of Public | 26 |
| Health.
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| (e) Alternative health care models shall, to the extent | 2 |
| possible,
link and integrate their services with nearby health | 3 |
| care facilities.
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| (f) Each alternative health care model shall implement a | 5 |
| quality
assurance program with measurable benefits and at | 6 |
| reasonable cost.
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| (Source: P.A. 91-65, eff. 7-9-99; 91-838, eff. 6-16-00; revised | 8 |
| 12-15-05.)
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| (210 ILCS 3/35)
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| Sec. 35. Alternative health care models authorized. | 11 |
| Notwithstanding
any other law to the contrary, alternative | 12 |
| health care models
described in this Section may be established | 13 |
| on a demonstration basis.
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| (1) Alternative health care model; subacute care | 15 |
| hospital. A subacute
care hospital is a designated site | 16 |
| which provides medical specialty care for
patients who need | 17 |
| a greater intensity or complexity of care than generally
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| provided in a skilled nursing facility but who no longer | 19 |
| require acute hospital
care. The average length of stay for | 20 |
| patients treated in subacute care
hospitals shall not be | 21 |
| less than 20 days, and for individual patients, the
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| expected length of stay at the time of admission shall not | 23 |
| be less than 10
days. Variations from minimum lengths of | 24 |
| stay shall be reported to the
Department. There shall be no | 25 |
| more than 13 subacute care hospitals
authorized to operate |
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| by the Department. Subacute care includes physician
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| supervision, registered nursing, and physiological | 3 |
| monitoring on a continual
basis. A subacute care hospital | 4 |
| is either a freestanding building or a distinct
physical | 5 |
| and operational entity within a hospital or nursing home | 6 |
| building. A
subacute care hospital shall only consist of | 7 |
| beds currently existing in
licensed hospitals or skilled | 8 |
| nursing facilities, except, in the City of
Chicago, on a | 9 |
| designated site that was licensed as a hospital under the
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| Illinois Hospital Licensing Act within the 10 years | 11 |
| immediately before the
application for an alternative | 12 |
| health care model license. During the period of
operation | 13 |
| of the demonstration project, the existing licensed beds | 14 |
| shall remain
licensed as hospital or skilled nursing | 15 |
| facility beds as well as being licensed
under this Act. In | 16 |
| order to handle cases of
complications, emergencies, or | 17 |
| exigent circumstances, a subacute care hospital
shall | 18 |
| maintain a contractual relationship, including a transfer | 19 |
| agreement, with
a general acute care hospital. If a | 20 |
| subacute care model is located in a
general acute care | 21 |
| hospital, it shall utilize all or a portion of the bed
| 22 |
| capacity of that existing hospital. In no event shall a | 23 |
| subacute care hospital
use the word "hospital" in its | 24 |
| advertising or marketing activities or represent
or hold | 25 |
| itself out to the public as a general acute care hospital.
| 26 |
| (2) Alternative health care delivery model; |
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| postsurgical recovery care
center. A postsurgical recovery | 2 |
| care center is a designated site which
provides | 3 |
| postsurgical recovery care for generally healthy patients
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| undergoing surgical procedures that require overnight | 5 |
| nursing care, pain
control, or observation that would | 6 |
| otherwise be provided in an inpatient
setting. A | 7 |
| postsurgical recovery care center is either freestanding | 8 |
| or a
defined unit of an ambulatory surgical treatment | 9 |
| center or hospital.
No facility, or portion of a facility, | 10 |
| may participate in a demonstration
program as a | 11 |
| postsurgical recovery care center unless the facility has | 12 |
| been
licensed as an ambulatory surgical treatment center or | 13 |
| hospital for at least 2
years before August 20, 1993 (the | 14 |
| effective date of Public Act 88-441). The
maximum length of | 15 |
| stay for patients in a
postsurgical recovery care center is | 16 |
| not to exceed 48 hours unless the treating
physician | 17 |
| requests an extension of time from the recovery center's | 18 |
| medical
director on the basis of medical or clinical | 19 |
| documentation that an additional
care period is required | 20 |
| for the recovery of a patient and the medical director
| 21 |
| approves the extension of time. In no case, however, shall | 22 |
| a patient's length
of stay in a postsurgical recovery care | 23 |
| center be longer than 72 hours. If a
patient requires an | 24 |
| additional care period after the expiration of the 72-hour
| 25 |
| limit, the patient shall be transferred to an appropriate | 26 |
| facility. Reports on
variances from the 48-hour limit shall |
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| be sent to the Department for its
evaluation. The reports | 2 |
| shall, before submission to the Department, have
removed | 3 |
| from them all patient and physician identifiers. In order | 4 |
| to handle
cases of complications, emergencies, or exigent | 5 |
| circumstances, every
postsurgical recovery care center as | 6 |
| defined in this paragraph shall maintain a
contractual | 7 |
| relationship, including a transfer agreement, with a | 8 |
| general acute
care hospital. A postsurgical recovery care | 9 |
| center shall be no larger than 20
beds. A postsurgical | 10 |
| recovery care center shall be located within 15 minutes
| 11 |
| travel time from the general acute care hospital with which | 12 |
| the center
maintains a contractual relationship, including | 13 |
| a transfer agreement, as
required under this paragraph.
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| No postsurgical recovery care center shall | 15 |
| discriminate against any patient
requiring treatment | 16 |
| because of the source of payment for services, including
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| Medicare and Medicaid recipients.
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| The Department shall adopt rules to implement the | 19 |
| provisions of Public
Act 88-441 concerning postsurgical | 20 |
| recovery care centers within 9 months after
August 20, | 21 |
| 1993.
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| (3) Alternative health care delivery model; children's | 23 |
| community-based
health care center. A children's | 24 |
| community-based health care center model is a
designated | 25 |
| site that provides nursing care, clinical support | 26 |
| services, and
therapies for a period of one to 14 days for |
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| short-term stays and 120 days to
facilitate transitions to | 2 |
| home or other appropriate settings for medically
fragile | 3 |
| children, technology
dependent children, and children with | 4 |
| special health care needs who are deemed
clinically stable | 5 |
| by a physician and are younger than 22 years of age. This
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| care is to be provided in a home-like environment that | 7 |
| serves no more than 12
children at a time. Children's | 8 |
| community-based health care center
services must be | 9 |
| available through the model to all families, including | 10 |
| those
whose care is paid for through the Department of | 11 |
| Healthcare and Family Services
Public Aid , the Department | 12 |
| of
Children and Family Services, the Department of Human | 13 |
| Services, and insurance
companies who cover home health | 14 |
| care services or private duty nursing care in
the home.
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| Each children's community-based health care center | 16 |
| model location shall be
physically separate and
apart from | 17 |
| any other facility licensed by the Department of Public | 18 |
| Health under
this or any other Act and shall provide the | 19 |
| following services: respite care,
registered nursing or | 20 |
| licensed practical nursing care, transitional care to
| 21 |
| facilitate home placement or other appropriate settings | 22 |
| and reunite families,
medical day care, weekend
camps, and | 23 |
| diagnostic studies typically done in the home setting.
| 24 |
| Coverage for the services provided by the Illinois
| 25 |
| Department of Healthcare and Family Services
Public
Aid
| 26 |
| under this paragraph (3) is contingent upon federal waiver |
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| approval and is
provided only to Medicaid eligible clients | 2 |
| participating in the home and
community based services | 3 |
| waiver designated in Section 1915(c) of the Social
Security | 4 |
| Act for medically frail and technologically dependent | 5 |
| children or
children in Department of Children and Family | 6 |
| Services foster care who receive
home health benefits.
| 7 |
| (4) Alternative health care delivery model; community | 8 |
| based residential
rehabilitation center.
A community-based | 9 |
| residential rehabilitation center model is a designated
| 10 |
| site that provides rehabilitation or support, or both, for | 11 |
| persons who have
experienced severe brain injury, who are | 12 |
| medically stable, and who no longer
require acute | 13 |
| rehabilitative care or intense medical or nursing | 14 |
| services. The
average length of stay in a community-based | 15 |
| residential rehabilitation center
shall not exceed 4 | 16 |
| months. As an integral part of the services provided,
| 17 |
| individuals are housed in a supervised living setting while | 18 |
| having immediate
access to the community. The residential | 19 |
| rehabilitation center authorized by
the Department may | 20 |
| have more than one residence included under the license.
A | 21 |
| residence may be no larger than 12 beds and shall be | 22 |
| located as an integral
part of the community. Day treatment | 23 |
| or
individualized outpatient services shall be provided | 24 |
| for persons who reside in
their own home. Functional | 25 |
| outcome goals shall be established for each
individual. | 26 |
| Services shall include, but are not limited to, case |
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| management,
training and assistance with activities of | 2 |
| daily living, nursing
consultation, traditional therapies | 3 |
| (physical, occupational, speech),
functional interventions | 4 |
| in the residence and community (job placement,
shopping, | 5 |
| banking, recreation), counseling, self-management | 6 |
| strategies,
productive activities, and multiple | 7 |
| opportunities for skill acquisition and
practice | 8 |
| throughout the day. The design of individualized program | 9 |
| plans shall
be consistent with the outcome goals that are | 10 |
| established for each resident.
The programs provided in | 11 |
| this setting shall be accredited by the
Commission
on | 12 |
| Accreditation of Rehabilitation Facilities (CARF). The | 13 |
| program shall have
been accredited by CARF as a Brain | 14 |
| Injury Community-Integrative Program for at
least 3 years.
| 15 |
| (5) Alternative health care delivery model; | 16 |
| Alzheimer's disease
management center. An Alzheimer's | 17 |
| disease management center model is a
designated site that | 18 |
| provides a safe and secure setting for care of persons
| 19 |
| diagnosed with Alzheimer's disease. An Alzheimer's disease | 20 |
| management center
model shall be a facility separate from | 21 |
| any other facility licensed by the
Department of Public | 22 |
| Health under this or any other Act. An Alzheimer's
disease | 23 |
| management center shall conduct and document an assessment | 24 |
| of each
resident every 6 months. The assessment shall | 25 |
| include an evaluation of daily
functioning, cognitive | 26 |
| status, other medical conditions, and behavioral
problems. |
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| An Alzheimer's disease management center shall develop and | 2 |
| implement
an ongoing treatment plan for each resident. The | 3 |
| treatment
plan shall have defined goals.
The
Alzheimer's | 4 |
| disease management center shall treat behavioral problems | 5 |
| and mood
disorders using nonpharmacologic approaches such | 6 |
| as environmental modification,
task simplification, and | 7 |
| other appropriate activities.
All staff must have | 8 |
| necessary
training to care for all stages of Alzheimer's | 9 |
| Disease. An
Alzheimer's disease
management center shall | 10 |
| provide education and support for residents and
| 11 |
| caregivers. The
education and support shall include | 12 |
| referrals to support organizations for
educational | 13 |
| materials on community resources, support groups, legal | 14 |
| and
financial issues, respite care, and future care needs | 15 |
| and options. The
education and support shall also include a | 16 |
| discussion of the resident's need to
make advance | 17 |
| directives and to identify surrogates for medical and legal
| 18 |
| decision-making. The provisions of this paragraph | 19 |
| establish the minimum level
of services that must be | 20 |
| provided by an Alzheimer's disease management
center. An | 21 |
| Alzheimer's disease management center model shall have no | 22 |
| more
than 100 residents. Nothing in this paragraph (5) | 23 |
| shall be construed as
prohibiting a person or facility from | 24 |
| providing services and care to persons
with Alzheimer's | 25 |
| disease as otherwise authorized under State law.
| 26 |
| (6) Alternative health care delivery model; birth |
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LRB095 03976 DRJ 30779 b |
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| center. A birth
center shall have no more than 10 beds. A | 2 |
| birth center is a designated site
that is away from the | 3 |
| mother's usual place of residence and in which births are
| 4 |
| planned to occur following a normal, uncomplicated, and | 5 |
| low-risk pregnancy. A
birth center shall offer prenatal | 6 |
| care and community education services and
shall coordinate | 7 |
| these services with other health care services available in
| 8 |
| the community. A birth center shall be one or more of the | 9 |
| following:
| 10 |
| (A) A part of a hospital.
| 11 |
| (B) A freestanding facility that is physically | 12 |
| distinct from a hospital
but is operated under a | 13 |
| license issued to a hospital under the Hospital
| 14 |
| Licensing Act.
| 15 |
| (C) A part of the operation of a federally | 16 |
| qualified health center as
designated by the United | 17 |
| States Department of Health and Human Services.
| 18 |
| (D) An entity or facility whose costs are | 19 |
| reimbursable under Title XIX
of the federal Social | 20 |
| Security Act.
| 21 |
| The Department shall adopt rules that establish | 22 |
| standards equivalent to
those of the American Association | 23 |
| of Birth Centers' Standards for
Freestanding Birth Centers | 24 |
| for all birth centers. The Department's rules
shall | 25 |
| stipulate the necessary equipment for emergency care | 26 |
| according to the
American Association of Birth Centers' |
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| standards. The Department's
rules shall
provide for a time | 2 |
| period within which each birth center not part of a | 3 |
| hospital must
become accredited by the Commission for the | 4 |
| Accreditation of Freestanding Birth
Centers.
| 5 |
| A birth center shall be certified to participate in the | 6 |
| Medicare and Medicaid
programs under Titles XVIII and XIX, | 7 |
| respectively, of the federal Social
Security Act.
To the | 8 |
| extent necessary, the Illinois Department of Healthcare | 9 |
| and Family Services shall apply for
a waiver from the | 10 |
| United States Health Care Financing Administration to | 11 |
| allow
birth centers to be reimbursed under Title XIX of the | 12 |
| federal Social Security
Act.
| 13 |
| A birth center shall be located within 30 minutes | 14 |
| travel time from the general acute care hospital
with which | 15 |
| the birth center maintains a contractual relationship, | 16 |
| including a
transfer agreement, as required under this | 17 |
| paragraph, except that for a
birth center located in a | 18 |
| rural area that has been designated as a health
| 19 |
| professional shortage area as determined by the United | 20 |
| States Department of
Health
and Human Services and that has | 21 |
| a demonstrated need for obstetrical service
beds as | 22 |
| determined by the Illinois Health Facilities Planning | 23 |
| Board, the travel time may not exceed 30 minutes. | 24 |
| The services of a
consultant physician who is certified | 25 |
| or eligible for certification by the
American Board of | 26 |
| Obstetrics and Gynecology or the
American Board of |
|
|
|
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LRB095 03976 DRJ 30779 b |
|
| 1 |
| Osteopathic Obstetricians and Gynecologists or has | 2 |
| hospital
obstetrical privileges are required in birth | 3 |
| centers that do not have a
physician on the clinical staff | 4 |
| who is certified or eligible for certification
by the | 5 |
| American Board of Obstetrics and Gynecology or the American | 6 |
| Board of
Osteopathic Obstetricians and Gynecologists or | 7 |
| who has hospital obstetrical
privileges. A consultant | 8 |
| physician
may be available either on the premises or by | 9 |
| phone. | 10 |
| If a birth center employs
certified nurse midwives, a | 11 |
| certified nurse midwife shall be the Director of
Nursing | 12 |
| for Midwifery
Services who is responsible for the | 13 |
| development of policies and procedures for
services as | 14 |
| provided by Department rules. | 15 |
| An obstetrician, family
practitioner, or certified | 16 |
| nurse midwife shall attend each woman in labor from
the | 17 |
| time of admission through birth and throughout the | 18 |
| immediate postpartum
period. Attendance may be delegated | 19 |
| only to another physician or certified
nurse
midwife. | 20 |
| Additionally, a second staff person shall also be present | 21 |
| at each
birth who is under the supervision of the physician | 22 |
| or certified nurse midwife
in attendance, has specialized | 23 |
| training in labor and delivery techniques and
care of | 24 |
| newborns, and receives planned and ongoing training as | 25 |
| needed to
perform assigned duties effectively. | 26 |
| The maximum length of stay in a birth center shall be
|
|
|
|
SB0264 Engrossed |
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LRB095 03976 DRJ 30779 b |
|
| 1 |
| consistent with existing State laws allowing a 48-hour stay | 2 |
| or appropriate
post-delivery care, if discharged earlier | 3 |
| than 48 hours. | 4 |
| A birth center shall
participate in the Illinois | 5 |
| Perinatal
System under the Developmental Disability | 6 |
| Prevention Act. At a minimum, this
participation shall | 7 |
| require a birth center to establish a letter of agreement
| 8 |
| with a hospital designated under the Perinatal System. A | 9 |
| hospital that
operates or has a letter of agreement with a | 10 |
| birth center shall include the
birth center under its | 11 |
| maternity service plan under the Hospital Licensing Act
and | 12 |
| shall include the birth center in the hospital's letter of | 13 |
| agreement with
its regional perinatal center.
| 14 |
| A birth center may not discriminate against any patient | 15 |
| requiring treatment
because of the source of payment for | 16 |
| services, including Medicare and Medicaid
recipients.
| 17 |
| Within 9 months after the effective date of this | 18 |
| amendatory Act of the 95th
General Assembly, the Department | 19 |
| shall adopt
rules that are consistent with standards | 20 |
| developed by the American College
of Obstetrics and | 21 |
| Gynecology.
| 22 |
| The Department shall adopt other rules as necessary to | 23 |
| implement the provisions of this
amendatory Act of the 95th | 24 |
| General Assembly within 9 months after the
effective date | 25 |
| of this amendatory Act of the 95th General Assembly.
| 26 |
| (Source: P.A. 93-402, eff. 1-1-04; revised 12-15-05.)
|
|