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90_SB0743 New Act 20 ILCS 3960/3 from Ch. 111 1/2, par. 1153 210 ILCS 45/1-113 from Ch. 111 1/2, par. 4151-113 Creates the Assisted Living Establishment Act to require the registration of assisted living establishments with the Department on Aging. Provides that an assisted living establishment must execute a written contract with each tenant or his or her representative. Authorizes the Department to oversee and coordinate the enforcement of State consumer protection policies affecting tenants of assisted living establishments. Provides for the creation of an Assisted Living Advisory Commission to assist the Department with registration and disciplinary actions. Amends the Illinois Health Facilities Planning Act and the Nursing Home Care Act to exempt assisted living establishments from the licensing requirements of those Acts. Effective January 1, 1998. LRB9000385DPccC LRB9000385DPccC 1 AN ACT to create the Assisted Living Establishment Act, 2 amending named Acts. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 1. Short title. This Act may be cited as the 6 Assisted Living Establishment Act. 7 Section 3. Legislative purpose. The purpose of this Act 8 is to promote the availability of appropriate services for 9 elderly persons in the least restrictive and most homelike 10 environment; to encourage the development of assisted living 11 that promotes the dignity, individuality, privacy, and 12 decision-making ability of those persons; to provide for the 13 health, safety, and welfare of residents receiving assisted 14 living services in this State; to promote continuous quality 15 improvement of assisted living; and to encourage the 16 development of innovative and affordable assisted living 17 establishments. 18 It is the public policy of this State that assisted 19 living is an important part of the continuum of long-term 20 care in this State. In support of the goal of aging in place, 21 assisted living should be operated as residential 22 environments with supportive services. The services available 23 to residents, either directly or through contracts or 24 agreements, are intended to help residents remain as 25 independent as possible. Oversight of assisted living 26 establishments must be sufficiently flexible to allow 27 residents to age in place. 28 Section 5. Definitions. For purposes of this Act: 29 (a) "Assisted living establishment" or "establishment" 30 means a home, building, residence, or any other place where -2- LRB9000385DPccC 1 the services described below are provided: 2 (1) community-based residential care, including 3 housing and personal and health-related services, to 4 persons who need help with activities of daily living; 5 (2) supportive and intermittent health-related 6 services that are available 24 hours per day, if needed, 7 to meet scheduled and unscheduled needs of a tenant, in a 8 way that promotes self-direction and participation in 9 decisions that emphasize independence, individuality, 10 privacy, and dignity in a residential surrounding; 11 (3) sleeping accommodations for 3 or more unrelated 12 adult tenants, at least 80 percent of which are 55 years 13 of age or older; and 14 (4) all Group 1 services and one or more Group 2 15 services, whether provided directly by the establishment 16 or by another entity arranged for by the establishment 17 with the consent of the tenant or tenant's 18 representative. 19 An "assisted living establishment" or "establishment" also 20 means a home, building, residence, or any other place that 21 provides the services of items (1) through (4) of this 22 paragraph, and, in addition, any Group 3 services. 23 "Assisted living establishment" or "establishment" does 24 not mean: 25 (1) a home, institution, or similar place operated 26 by the federal government or the State of Illinois; 27 (2) a "long term care facility" licensed under the 28 Nursing Home Care Act. However, a long term care facility 29 may apply under this Act to convert sections of the 30 facility to assisted living. If the long term care 31 facility elects to do so, the facility retains the 32 Certificate of Need for its nursing beds that were 33 converted; 34 (3) a hospital, sanitarium, or other institution, -3- LRB9000385DPccC 1 the principal activity or business of which is the 2 diagnosis, care, and treatment of human illness and that 3 is required to be licensed under the Hospital Licensing 4 Act; 5 (4) a "facility for child care" as defined in the 6 Child Care Act of 1969; 7 (5) a "community living facility" as defined in the 8 Community Living Facilities Licensing Act; 9 (6) a "community residential alternative" as 10 defined in the Community Residential Alternatives 11 Licensing Act; 12 (7) a nursing home or sanitarium operated solely by 13 and for persons who rely exclusively upon treatment by 14 spiritual means through prayer, in accordance with the 15 creed or tenants of a well-recognized church or religious 16 denomination; 17 (8) a facility licensed by the Department of Human 18 Services as a "community-integrated living arrangement" 19 as defined in the Community-Integrated Living 20 Arrangements Licensure and Certification Act; 21 (9) a "supportive residence" licensed under the 22 Supportive Residences Licensing Act; 23 (10) a "life care facility" as defined in the Life 24 Care Facilities Act; and 25 (11) a freestanding hospice facility. 26 (b) "Department" means the Department on Aging. 27 (c) "Director" means the Director of the Department on 28 Aging. 29 (d) "Group 1 services" include the following: 30 (1) meals provided in a dining room or the 31 tenant's own room and prepared by the establishment or 32 an outside contractor; 33 (2) housekeeping services, including but not 34 limited to vacuuming, dusting, and cleaning the kitchen -4- LRB9000385DPccC 1 and bathrooms of the tenant's unit; 2 (3) security provided 24 hours each day including 3 but not limited to locked entrances or building or 4 contract security personnel. 5 (4) an emergency communication response system, 6 which is a procedure in place 24 hours each day by which 7 a tenant can notify building management, an emergency 8 response vendor, or others able to respond to his or her 9 need for assistance. 10 (e) "Group 2 services" include the following: 11 (1) personal care, including one or more of the 12 following: assistance with bathing, dressing, grooming, 13 ambulating, toileting, transferring, meal planning, and 14 personal laundry; 15 (2) medication management, including one or more of 16 the following: reminders to take medication, monitoring 17 of tenant medications, storage of medications, and 18 assisting tenants with medications set up by a family 19 member or nurse; 20 (3) intermittent health services, including one or 21 more of the following: medication administration, 22 dressing changes, catheter care, therapies, and other 23 medical, nursing, or rehabilitative care provided by 24 personnel licensed under the Home Health Agency Licensing 25 Act and by the Department of Professional Regulation. 26 (f) "Group 3 services" include the following: 27 (1) transportation, including but not limited to 28 car or van service for shopping and medical appointments; 29 (2) a health assessment, which is a health history, 30 physical examination, risk profile, or screening by 31 licensed health care personnel; 32 (3) counseling for health, social services, 33 nutrition by licensed personnel; 34 (4) social or educational activities, including but -5- LRB9000385DPccC 1 not limited to trips, classes, lectures, and parties in 2 or outside the establishment. 3 (g) "Tenant" means a person residing in an assisted 4 living establishment. 5 Section 10. Registration requirement. No entity may 6 establish, operate, conduct, or maintain an assisted living 7 establishment in this State without a certificate of 8 registration issued by the Department under this Act. An 9 entity that violates the registration requirement of this 10 Section shall be subject to corrective action as established 11 by rule of the Department. 12 Section 15. Registration procedures. 13 (a) The Department shall establish forms and procedures 14 for the annual registration of assisted living 15 establishments. The Department shall set nonrefundable 16 registration fees in consultation with the Assisted Living 17 Advisory Commission. A registered establishment shall notify 18 the Department within 30 days of any change in the business 19 name or address of the establishment, the name or mailing 20 address of the owner or owners, or the name or mailing 21 address of the managing agent. There shall be no fee for the 22 submission of any such notification. 23 An establishment shall provide the following information 24 to the Department to be registered: 25 (1) the business name, street address, mailing 26 address, and telephone number of the establishment; 27 (2) the name and mailing address of the owner or 28 owners of the establishment and if the owner or owners 29 are not natural persons, identification of the type of 30 business entity of the owners, and the names and 31 addresses of the officers and members of the governing 32 body, or comparable persons for partnerships, limited -6- LRB9000385DPccC 1 liability corporations, or other types of business 2 organizations; 3 (3) the name and mailing address of the managing 4 agent of the establishment, whether hired under a 5 management agreement or lease agreement, if different 6 from the owner or owners, and the name of the on-site 7 manager, if any; 8 (4) verification that the establishment has entered 9 into an assisted living establishment contract, as 10 required under this Act, with each tenant or tenant's 11 representative; 12 (5) the name and address of at least one natural 13 person who shall be responsible for dealing with the 14 Department on all matters provided for in this Act, on 15 whom personal service of all notices and orders shall be 16 made, and who shall be authorized to accept service on 17 behalf of the owner or owners and the managing agent. 18 Notwithstanding a contrary provision of the Code of Civil 19 Procedure, personal service on the persons identified 20 pursuant to this subsection shall be considered service 21 on the owner or owners and the managing agent, and it 22 shall not be a defense to any action that personal 23 service was not made on each individual or entity; 24 (6) the signature of the authorized representative 25 of the owner or owners; 26 (7) proof of an ongoing quality assurance program 27 in accordance with rules adopted by the Department in 28 collaboration with the Assisted Living Advisory 29 Commission; 30 (8) information about the number and types of 31 units, the maximum census, and the services to be 32 provided at the establishment and proof of compliance 33 with applicable State service standards, documentation of 34 compliance with applicable State and local residential -7- LRB9000385DPccC 1 standards, and a copy of the standard contract offered to 2 tenants; and 3 (9) documentation of adequate liability insurance. 4 Section 20. Issuance of certificate of registration. 5 The Department shall issue a certificate of registration to 6 an applicant who has met the requirements of Section 15 and 7 has paid the required application fee. 8 Section 25. Contract requirement. No entity may 9 establish, operate, conduct, or maintain an assisted living 10 establishment in this State unless a written assisted living 11 contract is executed between the establishment and each 12 tenant or tenant's representative in accordance with Section 13 30, and unless the establishment operates in accordance with 14 the terms of the contract. A tenant or the tenant's 15 representative shall be given a complete copy of the contract 16 and all supporting documents and attachments and any changes 17 whenever changes are made. 18 Section 30. Contents of contract. An assisted living 19 contract shall include at least the following elements in the 20 body or through supporting documents or attachments: 21 (1) the name, street address, and mailing address 22 of the establishment; 23 (2) the name and mailing address of the owner or 24 owners of the establishment and, if the owner or owners 25 are not natural persons, the type of business entity of 26 the owner or owners; 27 (3) the name and mailing address of the managing 28 agent of the establishment, whether hired under a 29 management agreement or lease agreement, if the managing 30 agent is different from the owner or owners; 31 (4) the name and address of at least one natural -8- LRB9000385DPccC 1 person who is authorized to accept service on behalf of 2 the owners and managing agent; 3 (5) a statement describing the registration status 4 of the establishment and the licensure status of a 5 provider of health-related or supportive services to a 6 tenant under an arrangement with the establishment; 7 (6) the duration of the contract; 8 (7) the base rate to be paid by the tenant and a 9 description of the services to be provided as part of 10 this rate; 11 (8) a description of any additional services to be 12 provided for an additional fee from the establishment 13 directly or by a third party provider under an 14 arrangement with the establishment; 15 (9) fee schedules outlining the cost of any 16 additional services; 17 (10) a description of the process through which the 18 contract may be modified, amended, or terminated; 19 (11) a description of the establishment's complaint 20 resolution process available to tenants and notice of the 21 availability of the Department's Senior Helpline for 22 complaints; 23 (12) the tenant's designated representative, if 24 any; 25 (13) the tenant's obligations in order to maintain 26 residency and to receive services; 27 (14) billing and payment procedures and 28 requirements; 29 (15) a statement affirming the tenant's freedom to 30 receive services from service providers with whom the 31 establishment does not have a contractual arrangement. 32 The statement may also disclaim liability on the part of 33 the assisted living establishment for such services; 34 (16) a statement regarding the availability of -9- LRB9000385DPccC 1 public funds for payment for services rendered under an 2 assisted living contract; and 3 (17) a statement acknowledging that, by contracting 4 with the assisted living establishment, the tenant does 5 not forfeit the following rights: 6 (a) federal and State constitutional rights; 7 (b) the right to retain and use personal 8 property and a place to store personal items that is 9 locked and secure; 10 (c) the right to refuse services and to be 11 advised of the consequences of that refusal; 12 (d) the right to respect for bodily privacy 13 and dignity at all times, especially during care and 14 treatment; 15 (e) the right to privacy with regard to mail, 16 phone calls, and visitors; 17 (f) the right to be free of retaliation for 18 criticizing the establishment or for making 19 complaints to appropriate agencies; 20 (g) the right to be free of restraints; 21 (h) the right to be free of abuse or neglect; 22 (i) the right to confidentiality of the 23 tenant's personal files maintained by the 24 establishment; 25 (j) the right of access and the right to copy 26 the tenant's personal files maintained by the 27 establishment; and 28 (k) the right to 24-hour access to the 29 establishment. 30 Section 35. Record retention. Assisted living contracts 31 and related documents executed by each tenant or tenant's 32 representative shall be maintained by the establishment in 33 files from the date of execution until 3 years after the -10- LRB9000385DPccC 1 contract is terminated. The establishment shall also 2 maintain and retain records to tenants to support compliance 3 with individual contracts and with applicable State and 4 federal laws and regulations. 5 Section 40. Powers and duties of the Director. 6 (a) Upon receipt of information that may indicate the 7 failure of the assisted living establishment, a tenant, a 8 tenant's representative, or a service provider to comply with 9 a provision of this Act, the Department may investigate the 10 matter and must obtain the signed consent of an individual 11 tenant before his or her individual tenant records may be 12 inspected, and shall make appropriate referrals to other 13 government agencies and entities having jurisdiction over the 14 subject matter of the possible violation. The Department may 15 also make referrals to any public or private agency that the 16 Department considers available for appropriate assistance to 17 persons involved. The Department may oversee and coordinate 18 the enforcement of State consumer protection policies 19 affecting tenants of assisted living establishments. 20 (b) The Director shall have standing to bring an action 21 for injunctive relief in the circuit court where an 22 establishment is located to compel the assisted living 23 establishment to meet the requirements of this Act or other 24 applicable State, county, or local requirements. Proceedings 25 for securing an injunction may be brought by the Director 26 through the Attorney General of the State of Illinois or the 27 State's Attorney of the county in which the alleged violation 28 occurred. The sanctions in this Section do not restrict the 29 availability of other sanctions. 30 (c) The Department shall establish by rule complaint 31 receipt, resolution, and appeal procedures. 32 (d) The Director shall establish an Assisted Living 33 Advisory Commission that shall be responsible for -11- LRB9000385DPccC 1 establishing registration fees and sanctions for 2 noncompliance with this Act. Members of the Commission shall 3 include users of assisted living services. 4 Section 45. Application of Act. An assisted living 5 establishment shall obtain and maintain all other licenses, 6 permits, certificates of registration, and other governmental 7 approvals required of it in addition to registration under 8 this Act, except that an assisted living establishment is 9 exempt from the provisions of the Illinois Health Facilities 10 Planning Act and the Nursing Home Care Act. An assisted 11 living establishment shall comply with the requirements of 12 all local, State, federal, and other applicable laws, 13 statutes, regulations, and ordinances. 14 Section 80. The Illinois Health Facilities Planning Act 15 is amended by changing Section 3 as follows: 16 (20 ILCS 3960/3) (from Ch. 111 1/2, par. 1153) 17 Sec. 3. As used in this Act: 18 "Health care facilities" means and includes the following 19 facilities and organizations: 20 1. An ambulatory surgical treatment center required 21 to be licensed pursuant to the Ambulatory Surgical 22 Treatment Center Act; 23 2. An institution, place, building, or agency 24 required to be licensed pursuant to the Hospital 25 Licensing Act; 26 3. Any institution required to be licensed pursuant 27 to the Nursing Home Care Act; 28 4. Hospitals, nursing homes, ambulatory surgical 29 treatment centers, or kidney disease treatment centers 30 maintained by the State or any department or agency 31 thereof; and -12- LRB9000385DPccC 1 5. Kidney disease treatment centers, including a 2 free-standing hemodialysis unit. 3 No federally owned facility shall be subject to the 4 provisions of this Act, nor facilities used solely for 5 healing by prayer or spiritual means. 6 No facility licensed under the Supportive Residences 7 Licensing Act or registered under the Assisted Living 8 Establishment Act shall be subject to the provisions of this 9 Act. 10 A facility designated as a supportive living facility 11 that is in good standing with the demonstration project 12 established under Section 5-5.01a of the Illinois Public Aid 13 Code shall not be subject to the provisions of this Act. 14 This Act does not apply to facilities granted waivers 15 under Section 3-102.2 of the Nursing Home Care Act. However, 16 if a demonstration project under that Act applies for a 17 certificate of need to convert to a nursing facility, it 18 shall meet the licensure and certificate of need requirements 19 in effect as of the date of application. 20 With the exception of those health care facilities 21 specifically included in this Section, nothing in this Act 22 shall be intended to include facilities operated as a part of 23 the practice of a physician or other licensed health care 24 professional, whether practicing in his individual capacity 25 or within the legal structure of any partnership, medical or 26 professional corporation, or unincorporated medical or 27 professional group. Further, this Act shall not apply to 28 physicians or other licensed health care professional's 29 practices where such practices are carried out in a portion 30 of a health care facility under contract with such health 31 care facility by a physician or by other licensed health care 32 professionals, whether practicing in his individual capacity 33 or within the legal structure of any partnership, medical or 34 professional corporation, or unincorporated medical or -13- LRB9000385DPccC 1 professional groups. This Act shall apply to construction or 2 modification and to establishment by such health care 3 facility of such contracted portion which is subject to 4 facility licensing requirements, irrespective of the party 5 responsible for such action or attendant financial 6 obligation. 7 "Person" means any one or more natural persons, legal 8 entities, governmental bodies other than federal, or any 9 combination thereof. 10 "Consumer" means any person other than a person (a) whose 11 major occupation currently involves or whose official 12 capacity within the last 12 months has involved the 13 providing, administering or financing of any type of health 14 care facility, (b) who is engaged in health research or the 15 teaching of health, (c) who has a material financial interest 16 in any activity which involves the providing, administering 17 or financing of any type of health care facility, or (d) who 18 is or ever has been a member of the immediate family of the 19 person defined by (a), (b), or (c). 20 "State Board" means the Health Facilities Planning Board. 21 "Construction or modification" means the establishment, 22 erection, building, alteration, reconstruction, 23 modernization, improvement, extension, discontinuation, 24 change of ownership, of or by a health care facility, or the 25 purchase or acquisition by or through a health care facility 26 of equipment or service for diagnostic or therapeutic 27 purposes or for facility administration or operation, or any 28 capital expenditure made by or on behalf of a health care 29 facility which exceeds the capital expenditure minimum. 30 "Establish" means the construction of a health care 31 facility or the replacement of an existing facility on 32 another site. 33 "Major medical equipment" means medical equipment which 34 is used for the provision of medical and other health -14- LRB9000385DPccC 1 services and which costs in excess of the capital expenditure 2 minimum, except that such term does not include medical 3 equipment acquired by or on behalf of a clinical laboratory 4 to provide clinical laboratory services if the clinical 5 laboratory is independent of a physician's office and a 6 hospital and it has been determined under Title XVIII of the 7 Social Security Act to meet the requirements of paragraphs 8 (10) and (11) of Section 1861(s) of such Act. In determining 9 whether medical equipment has a value in excess of the 10 capital expenditure minimum, the value of studies, surveys, 11 designs, plans, working drawings, specifications, and other 12 activities essential to the acquisition of such equipment 13 shall be included. 14 "Capital Expenditure" means an expenditure: (A) made by 15 or on behalf of a health care facility (as such a facility is 16 defined in this Act); and (B) which under generally accepted 17 accounting principles is not properly chargeable as an 18 expense of operation and maintenance, or is made to obtain by 19 lease or comparable arrangement any facility or part thereof 20 or any equipment for a facility or part; and which exceeds 21 the capital expenditure minimum. 22 For the purpose of this paragraph, the cost of any 23 studies, surveys, designs, plans, working drawings, 24 specifications, and other activities essential to the 25 acquisition, improvement, expansion, or replacement of any 26 plant or equipment with respect to which an expenditure is 27 made shall be included in determining if such expenditure 28 exceeds the capital expenditures minimum. Donations of 29 equipment or facilities to a health care facility which if 30 acquired directly by such facility would be subject to review 31 under this Act shall be considered capital expenditures, and 32 a transfer of equipment or facilities for less than fair 33 market value shall be considered a capital expenditure for 34 purposes of this Act if a transfer of the equipment or -15- LRB9000385DPccC 1 facilities at fair market value would be subject to review. 2 "Capital expenditure minimum" means $1,000,000 for major 3 medical equipment and $2,000,000 for all other capital 4 expenditures, both of which shall be annually adjusted to 5 reflect the increase in construction costs due to inflation. 6 "Areawide" means a major area of the State delineated on 7 a geographic, demographic, and functional basis for health 8 planning and for health service and having within it one or 9 more local areas for health planning and health service. The 10 term "region", as contrasted with the term "subregion", and 11 the word "area" may be used synonymously with the term 12 "areawide". 13 "Local" means a subarea of a delineated major area that 14 on a geographic, demographic, and functional basis may be 15 considered to be part of such major area. The term 16 "subregion" may be used synonymously with the term "local". 17 "Areawide health planning organization" or "Comprehensive 18 health planning organization" means the health systems agency 19 designated by the Secretary, Department of Health and Human 20 Services or any successor agency. 21 "Local health planning organization" means those local 22 health planning organizations that are designated as such by 23 the areawide health planning organization of the appropriate 24 area. 25 "Physician" means a person licensed to practice in 26 accordance with the Medical Practice Act of 1987, as amended. 27 "Licensed health care professional" means a person 28 licensed to practice a health profession under pertinent 29 licensing statutes of the State of Illinois. 30 "Director" means the Director of the Illinois Department 31 of Public Health. 32 "Agency" means the Illinois Department of Public Health. 33 "Comprehensive health planning" means health planning 34 concerned with the total population and all health and -16- LRB9000385DPccC 1 associated problems that affect the well-being of people and 2 that encompasses health services, health manpower, and health 3 facilities; and the coordination among these and with those 4 social, economic, and environmental factors that affect 5 health. 6 "Alternative health care model" means a facility or 7 program authorized under the Alternative Health Care Delivery 8 Act. 9 (Source: P.A. 88-18; 89-499, eff. 6-28-96; 89-530, eff. 10 7-19-96; revised 8-15-96.) 11 Section 85. The Nursing Home Care Act is amended by 12 changing Section 1-113 as follows: 13 (210 ILCS 45/1-113) (from Ch. 111 1/2, par. 4151-113) 14 (Text of Section before amendment by P.A. 89-507) 15 Sec. 1-113. "Facility" or "long-term care facility" 16 means a private home, institution, building, residence, or 17 any other place, whether operated for profit or not, or a 18 county home for the infirm and chronically ill operated 19 pursuant to Division 5-21 or 5-22 of the Counties Code, or 20 any similar institution operated by a political subdivision 21 of the State of Illinois, which provides, through its 22 ownership or management, personal care, sheltered care or 23 nursing for 3 or more persons, not related to the applicant 24 or owner by blood or marriage. It includes skilled nursing 25 facilities and intermediate care facilities as those terms 26 are defined in Title XVIII and Title XIX of the Federal 27 Social Security Act. 28 "Facility" does not include the following: 29 (1) A home, institution, or other place operated by the 30 federal government or agency thereof, or by the State of 31 Illinois; 32 (2) A hospital, sanitarium, or other institution whose -17- LRB9000385DPccC 1 principal activity or business is the diagnosis, care, and 2 treatment of human illness through the maintenance and 3 operation as organized facilities therefor, which is required 4 to be licensed under the Hospital Licensing Act; 5 (3) Any "facility for child care" as defined in the 6 Child Care Act of 1969; 7 (4) Any "Community Living Facility" as defined in the 8 Community Living Facilities Licensing Act; 9 (5) Any "community residential alternative" as defined 10 in the Community Residential Alternatives Licensing Act; 11 (6) Any nursing home or sanatorium operated solely by 12 and for persons who rely exclusively upon treatment by 13 spiritual means through prayer, in accordance with the creed 14 or tenets of any well-recognized church or religious 15 denomination. However, such nursing home or sanatorium shall 16 comply with all local laws and rules relating to sanitation 17 and safety; 18 (7) Any facility licensed by the Department of Mental 19 Health and Developmental Disabilities as a 20 community-integrated living arrangement as defined in the 21 Community-Integrated Living Arrangements Licensure and 22 Certification Act; 23 (8) Any "Supportive Residence" licensed under the 24 Supportive Residences Licensing Act; or 25 (9) Any "supportive living facility" in good standing 26 with the demonstration project established under Section 27 5-5.01a of the Illinois Public Aid Code; and.28 (10) An assisted living establishment registered under 29 the Assisted Living Establishment Act. 30 (Source: P.A. 89-499, eff. 6-28-96; revised 8-26-96.) 31 (Text of Section after amendment by P.A. 89-507) 32 Sec. 1-113. "Facility" or "long-term care facility" 33 means a private home, institution, building, residence, or 34 any other place, whether operated for profit or not, or a -18- LRB9000385DPccC 1 county home for the infirm and chronically ill operated 2 pursuant to Division 5-21 or 5-22 of the Counties Code, or 3 any similar institution operated by a political subdivision 4 of the State of Illinois, which provides, through its 5 ownership or management, personal care, sheltered care or 6 nursing for 3 or more persons, not related to the applicant 7 or owner by blood or marriage. It includes skilled nursing 8 facilities and intermediate care facilities as those terms 9 are defined in Title XVIII and Title XIX of the Federal 10 Social Security Act. 11 "Facility" does not include the following: 12 (1) A home, institution, or other place operated by the 13 federal government or agency thereof, or by the State of 14 Illinois; 15 (2) A hospital, sanitarium, or other institution whose 16 principal activity or business is the diagnosis, care, and 17 treatment of human illness through the maintenance and 18 operation as organized facilities therefor, which is required 19 to be licensed under the Hospital Licensing Act; 20 (3) Any "facility for child care" as defined in the 21 Child Care Act of 1969; 22 (4) Any "Community Living Facility" as defined in the 23 Community Living Facilities Licensing Act; 24 (5) Any "community residential alternative" as defined 25 in the Community Residential Alternatives Licensing Act; 26 (6) Any nursing home or sanatorium operated solely by 27 and for persons who rely exclusively upon treatment by 28 spiritual means through prayer, in accordance with the creed 29 or tenets of any well-recognized church or religious 30 denomination. However, such nursing home or sanatorium shall 31 comply with all local laws and rules relating to sanitation 32 and safety; 33 (7) Any facility licensed by the Department of Human 34 Services as a community-integrated living arrangement as -19- LRB9000385DPccC 1 defined in the Community-Integrated Living Arrangements 2 Licensure and Certification Act; 3 (8) Any "Supportive Residence" licensed under the 4 Supportive Residences Licensing Act; or 5 (9) Any "supportive living facility" in good standing 6 with the demonstration project established under Section 7 5-5.01a of the Illinois Public Aid Code; and.8 (10) An assisted living establishment registered under 9 the Assisted Living Establishment Act. 10 (Source: P.A. 89-499, eff. 6-28-96; 89-507, eff. 7-1-97; 11 revised 8-26-96.) 12 Section 95. No acceleration or delay. Where this Act 13 makes changes in a statute that is represented in this Act by 14 text that is not yet or no longer in effect (for example, a 15 Section represented by multiple versions), the use of that 16 text does not accelerate or delay the taking effect of (i) 17 the changes made by this Act or (ii) provisions derived from 18 any other Public Act. 19 Section 99. Effective date. This Act takes effect January 20 1, 1998.