State of Illinois
90th General Assembly
Legislation

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[ Introduced ][ Engrossed ][ House Amendment 001 ]
[ House Amendment 003 ]

90_HB0504ham002

                                           LRB9002463PTcwam03
 1                     AMENDMENT TO HOUSE BILL 504
 2        AMENDMENT NO.     .  Amend House  Bill  504  on  page  1,
 3    immediately below line 22, by inserting the following:
 4        "(a)(1)  "Assisted      living      establishment"     or
 5    "establishment" means a home,  building,  residence,  or  any
 6    other place where the services described below are provided:
 7             (A)  community-based   residential  care,  including
 8        housing and  personal  and  health-related  services,  to
 9        persons who need help with activities of daily living;
10             (B)  supportive   and   intermittent  health-related
11        services that are available 24 hours per day, if  needed,
12        to meet scheduled and unscheduled needs of a tenant, in a
13        way  that  promotes  self-direction  and participation in
14        decisions that   emphasize  independence,  individuality,
15        privacy, and dignity in a residential surrounding;
16             (C)  sleeping accommodations for 3 or more unrelated
17        adult  tenants, at least 80 percent of which are 55 years
18        of age or older; and
19             (D)  all Group 1 services and one or  more  Group  2
20        services,  whether provided directly by the establishment
21        or by another entity arranged for  by  the  establishment
22        with    the   consent   of   the   tenant   or   tenant's
23        representative.
24             An    "assisted     living     establishment"     or
                            -2-            LRB9002463PTcwam03
 1        "establishment"  also  means a home, building, residence,
 2        or any other place that provides the  services  of  items
 3        (A)  through (D) of this paragraph, and, in addition, any
 4        Group 3 services.
 5        (2)  "Assisted living establishment"  or  "establishment"
 6    does not mean:
 7             (A)  a  home, institution, or similar place operated
 8        by the federal government or the State of Illinois;
 9             (B)  a "long term care facility" licensed under  the
10        Nursing Home Care Act. However, a long term care facility
11        may  apply  under  this  Act  to  convert sections of the
12        facility to  assisted  living.  If  the  long  term  care
13        facility  elects  to  do  so,  the  facility  retains the
14        Certificate of  Need  for  its  nursing  beds  that  were
15        converted;
16             (C)  a  hospital,  sanitarium, or other institution,
17        the principal  activity  or  business  of  which  is  the
18        diagnosis,  care, and treatment of human illness and that
19        is required to be licensed under the  Hospital  Licensing
20        Act;
21             (D)  a  "facility  for child care" as defined in the
22        Child Care Act of 1969;
23             (E)  a "community living facility" as defined in the
24        Community Living Facilities Licensing Act;
25             (F)  a  "community   residential   alternative"   as
26        defined   in   the   Community  Residential  Alternatives
27        Licensing Act;
28             (G)  a nursing home or sanitarium operated solely by
29        and for persons who rely exclusively  upon  treatment  by
30        spiritual  means  through  prayer, in accordance with the
31        creed or tenants of a well-recognized church or religious
32        denomination;
33             (H)  a facility licensed by the Department of  Human
34        Services  as  a "community-integrated living arrangement"
                            -3-            LRB9002463PTcwam03
 1        as   defined   in   the    Community-Integrated    Living
 2        Arrangements Licensure and Certification Act;
 3             (I)  a  "supportive  residence"  licensed  under the
 4        Supportive Residences Licensing Act;
 5             (J)  a "life care facility" as defined in  the  Life
 6        Care Facilities Act; and
 7             (K)  a freestanding hospice facility.
 8        (3)  For  the  purposes  of  this  subsection,  "Group  1
 9    services" include the  following:
10             (A)  meals  provided  in  a  dining    room  or  the
11        tenant's  own  room and prepared  by the establishment or
12        an outside contractor;
13             (B)  housekeeping  services,   including   but   not
14        limited  to  vacuuming, dusting, and cleaning the kitchen
15        and bathrooms of the  tenant's unit;
16             (C)  security provided 24 hours each day,  including
17        but  not  limited  to  locked  entrances   or building or
18        contract security personnel.
19             (D)  an  emergency  communication  response  system,
20        which is a procedure in place 24 hours each day by  which
21        a  tenant  can  notify  building management, an emergency
22        response vendor, or others able to respond to his or  her
23        need for assistance.
24        (4)  For  the  purposes  of  this  subsection,  "Group  2
25    services" include the following:
26             (A)  personal  care,  including  one  or more of the
27        following:  assistance with bathing, dressing,  grooming,
28        ambulating,  toileting,  transferring, meal planning, and
29        personal laundry;
30             (B)  medication management, including one or more of
31        the following:  reminders to take medication,  monitoring
32        of   tenant  medications,  storage  of  medications,  and
33        assisting tenants with medications set  up  by  a  family
34        member or nurse;
                            -4-            LRB9002463PTcwam03
 1             (C)  intermittent  health services, including one or
 2        more  of  the  following:    medication   administration,
 3        dressing  changes,  catheter  care,  therapies, and other
 4        medical, nursing,  or  rehabilitative  care  provided  by
 5        personnel licensed under the Home Health Agency Licensing
 6        Act and by the Department of Professional Regulation.
 7        (5)  For  the  purposes  of  this  subsection,  "Group  3
 8    services" include the following:
 9             (A)  transportation,  including  but  not limited to
10        car or van service for shopping and medical appointments;
11             (B)  a health assessment, which is a health history,
12        physical  examination,  risk  profile,  or  screening  by
13        licensed health care personnel;
14             (C)  counseling for  health,  social  services,  and
15        nutrition  by licensed personnel;
16             (D)  social or educational activities, including but
17        not  limited  to trips, classes, lectures, and parties in
18        or outside the establishment.
19        (6)  For the purposes of this subsection, "tenant"  means
20    a person residing in an assisted living establishment."; and
21    on  page  1,  line  23,  immediately before ""Authority"", by
22    inserting "(b)"; and
23    on page 1, line 24, immediately before ""Elder  Care  Savings
24    Bonds"", by inserting "(c)"; and
25    on page 2, line 5, immediately after "sold", by inserting "in
26    fiscal year 1998 and the following fiscal years,"; and
27    on  page  5,  immediately  below  line  29,  by inserting the
28    following:
29             "(7)  Care in an  assisted  living  establishment.";
30        and
31    on page 9, by deleting lines 12 through 30; and
                            -5-            LRB9002463PTcwam03
 1    on page 10, by deleting lines 1 through 4.

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