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90_HB0214enr 210 ILCS 50/32.5 Amends the Emergency Medical Services (EMS) Systems Act. With respect to the qualifications for a freestanding emergency center license, allows a center to be located, subject to certain other requirements, in either (i) a municipality that has a hospital that has been providing emergency services but is expected to close by the end of 1997, or (ii) a county with a population of more than 350,000 but less than 1,000,000 inhabitants. Effective immediately. LRB9000846EGfgA HB0214 Enrolled LRB9000846EGfgA 1 AN ACT to amend the Emergency Medical Services (EMS) 2 Systems Act by changing Section 32.5. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 5. The Emergency Medical Services (EMS) Systems 6 Act is amended by changing Section 32.5 as follows: 7 (210 ILCS 50/32.5) 8 Sec. 32.5. Freestanding Emergency Center; demonstration 9 program. 10 (a) The Department shall issue an annual Freestanding 11 Emergency Center (FEC) license to anyafacility that: 12 (1) is located: (i) in a municipality with a 13 population of 60,00050,000or fewer inhabitants; (ii) 14 either in a municipality that has a hospital that has 15 been providing emergency services but is expected to 16 close by the end of 1997 or in a county with a population 17 of more than 350,000 but less than 500,000 inhabitants; 18 (iii) within 15 miles of the hospital that owns or 19 controls the FEC; and (iv) within 10 miles of the 20 Resource Hospital affiliated with the FEC as part of the 21 EMS System; 22 (2) is wholly owned or controlled by an Associate 23 or Resource Hospital, but is not a part of the hospital's 24 physical plant; 25 (3) meets the standards for licensed FECs, adopted 26 by rule of the Department, including, but not limited to: 27 (A) facility design, specification, operation, 28 and maintenance standards; 29 (B) equipment standards; and 30 (C) the number and qualifications of emergency 31 medical personnel and other staff, which must HB0214 Enrolled -2- LRB9000846EGfgA 1 include at least one board certified emergency 2 physician present at the FEC 24 hours per day. 3 (4) limits its participation in the EMS System 4 strictly to receiving a limited number of BLS runs by 5 emergency medical vehicles according to protocols 6 developed by the Resource Hospital within the FEC's 7 designated EMS System and approved by the Project Medical 8 Director and the Department; 9 (5) provides comprehensive emergency treatment 10 services, as defined in the rules adopted by the 11 Department pursuant to the Hospital Licensing Act, 24 12 hours per day, on an outpatient basis; 13 (6) provides an ambulance and maintains on site 14 ambulance services staffed with paramedics 24 hours per 15 day; 16 (7) maintains helicopter landing capabilities 17 approved by appropriate State and federal authorities; 18 (8) complies with all State and federal patient 19 rights provisions, including, but not limited to, the 20 Emergency Medical Treatment Act and the federal Emergency 21 Medical Treatment and Active Labor Act; 22 (9) maintains a communications system that is fully 23 integrated with its Resource Hospital within the FEC's 24 designated EMS System; 25 (10) reports to the Department any patient 26 transfers from the FEC to a hospital within 48 hours of 27 the transfer plus any other data determined to be 28 relevant by the Department; 29 (11) submits to the Department, on a quarterly 30 basis, the FEC's morbidity and mortality rates for 31 patients treated at the FEC and other data determined to 32 be relevant by the Department; 33 (12) does not describe itself or hold itself out to 34 the general public as a full service hospital or hospital HB0214 Enrolled -3- LRB9000846EGfgA 1 emergency department in its advertising or marketing 2 activities; 3 (13) complies with any other rules adopted by the 4 Department under this Act that relate to FECs; 5 (14) passes the Department's site inspection for 6 compliance with the FEC requirements of this Act; 7 (15) submits a copy of a certificate of need or 8 other permit issued by the Illinois Health Facilities 9 Planning Board indicating that the facility that will 10 house the proposed FEC complies with State health 11 planning laws; provided, however, that the Illinois 12 Health Facilities Planning Board shall waive this 13 certificate of need or permit requirement for any 14 proposed FEC that, as of the effective date of this 15 amendatory Act of 1996, meets the criteria for providing 16 comprehensive emergency treatment services, as defined by 17 the rules promulgated under the Hospital Licensing Act, 18 but is not a licensed hospital; 19 (16) submits an application for designation as an 20 FEC in a manner and form prescribed by the Department by 21 rule; and 22 (17) pays the annual license fee as determined by 23 the Department by rule. 24 (b) The Department shall: 25 (1) annually inspect facilities of initial FEC 26 applicants and licensed FECs, and issue annual licenses 27 to or annually relicense FECs that satisfy the 28 Department's licensure requirements as set forth in 29 subsection (a); 30 (2) suspend, revoke, refuse to issue, or refuse to 31 renew the license of any FEC, after notice and an 32 opportunity for a hearing, when the Department finds that 33 the FEC has failed to comply with the standards and 34 requirements of the Act or rules adopted by the HB0214 Enrolled -4- LRB9000846EGfgA 1 Department under the Act; 2 (3) issue an Emergency Suspension Order for any FEC 3 when the Director or his or her designee has determined 4 that the continued operation of the FEC poses an 5 immediate and serious danger to the public health, 6 safety, and welfare. An opportunity for a hearing shall 7 be promptly initiated after an Emergency Suspension Order 8 has been issued; and 9 (4) adopt rules as needed to implement this 10 Section. 11 (c) The FEC demonstration program shall be conducted for 12 an initial period concluding on September 1, 19991998. If, 13 by that date, the Department determines that the 14 demonstration program is operating in a manner consistent 15 with the purposes of this Act, the program shall continue and 16 sunset on September 1, 20012000. The Department shall 17 submit a report concerning the effectiveness of the 18 demonstration program to the General Assembly by September 1, 19 2000. 20 An FEC license issued pursuant to this Section shall 21 expire upon the termination of the demonstration program. 22 (Source: P.A. 89-516, eff. 7-18-96.) 23 Section 99. Effective date. This Act takes effect upon 24 becoming law.