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90_SB1473enr 210 ILCS 5/8 from Ch. 111 1/2, par. 157-8.8 210 ILCS 45/3-202.5 210 ILCS 85/8 from Ch. 111 1/2, par. 149 Amends the Ambulatory Surgical Treatment Center Act, the Nursing Home Care Act, and the Hospital Licensing Act. Provides that architectural drawings and specifications therefor shall be submitted to the Department of Public Health for review and approval before commencing major construction, as defined by the Department, with an estimated cost greater than $25,000 (currently $5,000). Removes fee provisions for construction costing $5,000 or more but less than $25,000. LRB9011352LDdv SB1473 Enrolled LRB9011352LDdv 1 AN ACT concerning health care facilities, amending named 2 Acts. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 3. The Alternative Health Care Delivery Act is 6 amended by changing Section 25 as follows: 7 (210 ILCS 3/25) 8 Sec. 25. Department responsibilities. The Department 9 shall have the responsibilities set forth in this Section. 10 (a) The Department shall adopt rules for each 11 alternative health care model authorized under this Act that 12 shall include but not be limited to the following: 13 (1) Further definition of the alternative health 14 care models. 15 (2) The definition and scope of the demonstration 16 program, including the implementation date and period of 17 operation, not to exceed 5 years. 18 (3) License application information required by the 19 Department. 20 (4) The care of patients in the alternative health 21 care models. 22 (5) Rights afforded to patients of the alternative 23 health care models. 24 (6) Physical plant requirements. 25 (7) License application and renewal fees, which may 26 cover the cost of administering the demonstration 27 program. 28 (8) Information that may be necessary for the Board 29 and the Department to monitor and evaluate the 30 alternative health care model demonstration program. 31 (9) Administrative fines that may be assessed by SB1473 Enrolled -2- LRB9011352LDdv 1 the Department for violations of this Act or the rules 2 adopted under this Act. 3 (b) The Department shall issue, renew, deny, suspend, or 4 revoke licenses for alternative health care models. 5 (c) The Department shall perform licensure inspections 6 of alternative health care models as deemed necessary by the 7 Department to ensure compliance with this Act or rules. 8 (d) The Department shall deposit application fees, 9 renewal fees, and fines into the Regulatory Evaluation and 10 Basic Enforcement Fund. 11 (e)(d)The Department shall assist the Board in 12 performing the Board's responsibilities under this Act. 13 (f) The Department shall conduct a study to determine 14 the feasibility, the potential risks and benefits to 15 patients, and the potential effect on the health care 16 delivery system of authorizing recovery care of nonsurgical 17 patients in postsurgical recovery center demonstration 18 models. The Department shall report the findings of the 19 study to the General Assembly no later than November 1, 1998. 20 The Director shall appoint an advisory committee with 21 representation from the Illinois Hospital and Health Systems 22 Association, the Illinois State Medical Society, and the 23 Illinois Freestanding Surgery Center Association, a physician 24 who is board certified in internal medicine, a consumer, and 25 other representatives deemed appropriate by the Director. 26 The advisory committee shall advise the Department as it 27 carries out the study. 28 (g) Before November 1, 1998 the Department shall 29 initiate a process to request public comments on how 30 postsurgical recovery centers admitting nonsurgical patients 31 should be regulated. 32 (Source: P.A. 87-1188; revised 12-18-97.) 33 Section 5. The Ambulatory Surgical Treatment Center Act SB1473 Enrolled -3- LRB9011352LDdv 1 is amended by changing Section 8 as follows: 2 (210 ILCS 5/8) (from Ch. 111 1/2, par. 157-8.8) 3 Sec. 8. Facility plan review; fees. 4 (a) Before commencing construction of new facilities or 5 specified types of alteration or additions to an existing 6 ambulatory surgical treatment center involving major 7 construction, as defined by rule by the Department,orwith 8 an estimated cost greater than $100,000$5,000, architectural 9 drawings and specifications therefor shall be submitted to 10 the Department for review and approval. A facility may submit 11 architectural drawings and specifications for other 12 construction projects for Department review according to 13 subsection (b) that shall not be subject to fees under 14 subsection (d). Review of drawings and specifications shall 15 be conducted by an employee of the Department meeting the 16 qualifications established by the Department of Central 17 Management Services class specifications for such an 18 individual's position or by a person contracting with the 19 Department who meets those class specifications. Final 20 approval of the drawings and specifications for compliance 21 with design and construction standards shall be obtained from 22 the Department before the alteration, addition, or new 23 construction is begun. 24 (b) The Department shall inform an applicant in writing 25 within 10 working days after receiving drawings and 26 specifications and the required fee, if any, from the 27 applicant whether the applicant's submission is complete or 28 incomplete. Failure to provide the applicant with this 29 notice within 10 working days shall result in the submission 30 being deemed complete for purposes of initiating the 60-day 31 review period under this Section. If the submission is 32 incomplete, the Department shall inform the applicant of the 33 deficiencies with the submission in writing. If the SB1473 Enrolled -4- LRB9011352LDdv 1 submission is complete and the required fee, if any, has been 2 paid, the Department shall approve or disapprove drawings and 3 specifications submitted to the Department no later than 60 4 days following receipt by the Department. The drawings and 5 specifications shall be of sufficient detail, as provided by 6 Department rule, to enable the Department to render a 7 determination of compliance with design and construction 8 standards under this Act. If the Department finds that the 9 drawings are not of sufficient detail for it to render a 10 determination of compliance, the plans shall be determined to 11 be incomplete and shall not be considered for purposes of 12 initiating the 60 day review period. If a submission of 13 drawings and specifications is incomplete, the applicant may 14 submit additional information. The 60-day review period 15 shall not commence until the Department determines that a 16 submission of drawings and specifications is complete or the 17 submission is deemed complete. If the Department has not 18 approved or disapproved the drawings and specifications 19 within 60 days, the construction, major alteration, or 20 addition shall be deemed approved. If the drawings and 21 specifications are disapproved, the Department shall state in 22 writing, with specificity, the reasons for the disapproval. 23 The entity submitting the drawings and specifications may 24 submit additional information in response to the written 25 comments from the Department or request a reconsideration of 26 the disapproval. A final decision of approval or disapproval 27 shall be made within 45 days of the receipt of the additional 28 information or reconsideration request. If denied, the 29 Department shall state the specific reasons for the denial. 30 (c) The Department shall provide written approval for 31 occupancy pursuant to subsection (g) and shall not issue a 32 violation to a facility as a result of a licensure or 33 complaint survey based upon the facility's physical structure 34 if: SB1473 Enrolled -5- LRB9011352LDdv 1 (1) the Department reviewed and approved or deemed 2 approved the drawings and specifications for compliance 3 with design and construction standards; 4 (2) the construction, major alteration, or addition 5 was built as submitted; 6 (3) the law or rules have not been amended since 7 the original approval; and 8 (4) the conditions at the facility indicate that 9 there is a reasonable degree of safety provided for the 10 patientsviolation does not create a direct threat to the11health, safety, or welfare of a resident. 12 (d) The Department shall charge the following fees in 13 connection with its reviews conducted before June 30, 2000 14 under this Section: 15 (1) (Blank).If the estimated dollar value of the16alteration, addition, or new construction is $5,000 or17more but less than $25,000, the fee shall be the greater18of $300 or 6% of that value.19 (2) (Blank).If the estimated dollar value of the20alteration, addition, or new construction is $25,000 or21more but less than $100,000, the fee shall be the greater22of $1,500 or 2.4% of that value.23 (3) If the estimated dollar value of the 24 alteration, addition, or new construction is $100,000 or 25 more but less than $500,000, the fee shall be the greater 26 of $2,400 or 1.2% of that value. 27 (4) If the estimated dollar value of the 28 alteration, addition, or new construction is $500,000 or 29 more but less than $1,000,000, the fee shall be the 30 greater of $6,000 or 0.96% of that value. 31 (5) If the estimated dollar value of the 32 alteration, addition, or new construction is $1,000,000 33 or more but less than $5,000,000, the fee shall be the 34 greater of $9,600 or 0.22% of that value. SB1473 Enrolled -6- LRB9011352LDdv 1 (6) If the estimated dollar value of the 2 alteration, addition, or new construction is $5,000,000 3 or more, the fee shall be the greater of $11,000 or 0.11% 4 of that value, but shall not exceed $40,000. 5 The fees provided in this subsection (d) shall not apply 6 to major construction projects involving facility changes 7 that are required by Department rule amendments. 8 The fees provided in this subsection (d) shall also not 9 apply to major construction projects if 51% or more of the 10 estimated cost of the project is attributed to capital 11 equipment. For major construction projects where 51% or more 12 of the estimated cost of the project is attributed to capital 13 equipment, the Department shall by rule establish a fee that 14 is reasonably related to the cost of reviewing the project. 15 The Department shall not commence the facility plan 16 review process under this Section until the applicable fee 17 has been paid. 18 (e) All fees received by the Department under this 19 Section shall be deposited into the Health Facility Plan 20 Review Fund, a special fund created in the State Treasury. 21 Moneys shall be appropriated from that Fund to the Department 22 only to pay the costs of conducting reviews under this 23 Section. All fees paid by ambulatory surgical treatment 24 centers under subsection (d) shall be used only to cover the 25 costs relating to the Department's review of ambulatory 26 surgical treatment center projects under this Section. None 27 of the moneys in the Health Facility Plan Review Fund shall 28 be used to reduce the amount of General Revenue Fund moneys 29 appropriated to the Department for facility plan reviews 30 conducted pursuant to this Section. 31 (f) (1) The provisions of this amendatory Act of 1997 32 concerning drawings and specifications shall apply only 33 to drawings and specifications submitted to the 34 Department on or after October 1, 1997. SB1473 Enrolled -7- LRB9011352LDdv 1 (2) On and after the effective date of this 2 amendatory Act of 1997 and before October 1, 1997, an 3 applicant may submit or resubmit drawings and 4 specifications to the Department and pay the fees 5 provided in subsection (d). If an applicant pays the 6 fees provided in subsection (d) under this paragraph (2), 7 the provisions of subsection (b) shall apply with regard 8 to those drawings and specifications. 9 (g) The Department shall conduct an on-site inspection 10 of the completed project no later than 30 days after 11 notification from the applicant that the project has been 12 completed and all certifications required by the Department 13 have been received and accepted by the Department. The 14 Department shall provide written approval for occupancy to 15 the applicant within 5 working days of the Department's final 16 inspection, provided the applicant has demonstrated 17 substantial compliance as defined by Department rule. 18 Occupancy of new major construction is prohibited until 19 Department approval is received, unless the Department has 20 not acted within the time frames provided in this subsection 21 (g), in which case the construction shall be deemed approved. 22 Occupancy shall be authorizedIf the plans and drawings are23approved pursuant to subsection (b), occupancy shall be24allowedafter any required health inspection by the 25 Department has been conducted. 26 (h) The Department shall establish, by rule, a procedure 27 to conduct interim on-site review of large or complex 28 construction projects. 29 (i) The Department shall establish, by rule, an 30 expedited process for emergency repairs or replacement of 31 like equipment. 32 (j) Nothing in this Section shall be construed to apply 33 to maintenance, upkeep, or renovation that does not affect 34 the structural integrity of the building, does not add beds SB1473 Enrolled -8- LRB9011352LDdv 1 or services over the number for which the facility is 2 licensed, and provides a reasonable degree of safety for the 3 patients. 4 (Source: P.A. 90-327, eff. 8-8-97.) 5 Section 10. The Nursing Home Care Act is amended by 6 changing Section 3-202.5 as follows: 7 (210 ILCS 45/3-202.5) 8 Sec. 3-202.5. Facility plan review; fees. 9 (a) Before commencing construction of a new facility or 10 specified types of alteration or additions to an existing 11 long term care facility involving major construction, as 12 defined by rule by the Department,orwith an estimated cost 13 greater than $100,000$5,000, architectural drawings and 14 specifications for the facility shall be submitted to the 15 Department for review and approval. A facility may submit 16 architectural drawings and specifications for other 17 construction projects for Department review according to 18 subsection (b) that shall not be subject to fees under 19 subsection (d). Review of drawings and specifications shall 20 be conducted by an employee of the Department meeting the 21 qualifications established by the Department of Central 22 Management Services class specifications for such an 23 individual's position or by a person contracting with the 24 Department who meets those class specifications. Final 25 approval of the drawings and specifications for compliance 26 with design and construction standards shall be obtained from 27 the Department before the alteration, addition, or new 28 construction is begun. 29 (b) The Department shall inform an applicant in writing 30 within 10 working days after receiving drawings and 31 specifications and the required fee, if any, from the 32 applicant whether the applicant's submission is complete or SB1473 Enrolled -9- LRB9011352LDdv 1 incomplete. Failure to provide the applicant with this 2 notice within 10 working days shall result in the submission 3 being deemed complete for purposes of initiating the 60-day 4 review period under this Section. If the submission is 5 incomplete, the Department shall inform the applicant of the 6 deficiencies with the submission in writing. If the 7 submission is complete the required fee, if any, has been 8 paid, the Department shall approve or disapprove drawings and 9 specifications submitted to the Department no later than 60 10 days following receipt by the Department. The drawings and 11 specifications shall be of sufficient detail, as provided by 12 Department rule, to enable the Department to render a 13 determination of compliance with design and construction 14 standards under this Act. If the Department finds that the 15 drawings are not of sufficient detail for it to render a 16 determination of compliance, the plans shall be determined to 17 be incomplete and shall not be considered for purposes of 18 initiating the 60 day review period. If a submission of 19 drawings and specifications is incomplete, the applicant may 20 submit additional information. The 60-day review period 21 shall not commence until the Department determines that a 22 submission of drawings and specifications is complete or the 23 submission is deemed complete. If the Department has not 24 approved or disapproved the drawings and specifications 25 within 60 days, the construction, major alteration, or 26 addition shall be deemed approved. If the drawings and 27 specifications are disapproved, the Department shall state in 28 writing, with specificity, the reasons for the disapproval. 29 The entity submitting the drawings and specifications may 30 submit additional information in response to the written 31 comments from the Department or request a reconsideration of 32 the disapproval. A final decision of approval or disapproval 33 shall be made within 45 days of the receipt of the additional 34 information or reconsideration request. If denied, the SB1473 Enrolled -10- LRB9011352LDdv 1 Department shall state the specific reasons for the denial. 2 (c) The Department shall provide written approval for 3 occupancy pursuant to subsection (g) and shall not issue a 4 violation to a facility as a result of a licensure or 5 complaint survey based upon the facility's physical structure 6 if: 7 (1) the Department reviewed and approved or deemed 8 approved the drawings and specifications for compliance 9 with design and construction standards; 10 (2) the construction, major alteration, or addition 11 was built as submitted; 12 (3) the law or rules have not been amended since 13 the original approval; and 14 (4) the conditions at the facility indicate that 15 there is a reasonable degree of safety provided for the 16 residentsviolation does not create a direct threat to17the health, safety, or welfare of a resident. 18 (d) The Department shall charge the following fees in 19 connection with its reviews conducted before June 30, 2000 20 under this Section: 21 (1) (Blank).If the estimated dollar value of the22alteration, addition, or new construction is $5,000 or23more but less than $25,000, the fee shall be the greater24of $300 or 6% of the value.25 (2) (Blank).If the estimated dollar value of the26alteration, addition, or new construction is $25,000 or27more but less than $100,000, the fee shall be the greater28of $1,500 or 2.4% of that value.29 (3) If the estimated dollar value of the 30 alteration, addition, or new construction is $100,000 or 31 more but less than $500,000, the fee shall be the greater 32 of $2,400 or 1.2% of that value. 33 (4) If the estimated dollar value of the 34 alteration, addition, or new construction is $500,000 or SB1473 Enrolled -11- LRB9011352LDdv 1 more but less than $1,000,000, the fee shall be the 2 greater of $6,000 or 0.96% of that value. 3 (5) If the estimated dollar value of the 4 alteration, addition, or new construction is $1,000,000 5 or more but less than $5,000,000, the fee shall be the 6 greater of $9,600 or 0.22% of that value. 7 (6) If the estimated dollar value of the 8 alteration, addition, or new construction is $5,000,000 9 or more, the fee shall be the greater of $11,000 or 0.11% 10 of that value, but shall not exceed $40,000. 11 The fees provided in this subsection (d) shall not apply 12 to major construction projects involving facility changes 13 that are required by Department rule amendments. 14 The fees provided in this subsection (d) shall also not 15 apply to major construction projects if 51% or more of the 16 estimated cost of the project is attributed to capital 17 equipment. For major construction projects where 51% or more 18 of the estimated cost of the project is attributed to capital 19 equipment, the Department shall by rule establish a fee that 20 is reasonably related to the cost of reviewing the project. 21 The Department shall not commence the facility plan 22 review process under this Section until the applicable fee 23 has been paid. 24 (e) All fees received by the Department under this 25 Section shall be deposited into the Health Facility Plan 26 Review Fund, a special fund created in the State Treasury. 27 All fees paid by long-term care facilities under subsection 28 (d) shall be used only to cover the costs relating to the 29 Department's review of long-term care facility projects under 30 this Section. Moneys shall be appropriated from that Fund to 31 the Department only to pay the costs of conducting reviews 32 under this Section. None of the moneys in the Health Facility 33 Plan Review Fund shall be used to reduce the amount of 34 General Revenue Fund moneys appropriated to the Department SB1473 Enrolled -12- LRB9011352LDdv 1 for facility plan reviews conducted pursuant to this Section. 2 (f) (1) The provisions of this amendatory Act of 1997 3 concerning drawings and specifications shall apply only 4 to drawings and specifications submitted to the 5 Department on or after October 1, 1997. 6 (2) On and after the effective date of this 7 amendatory Act of 1997 and before October 1, 1997, an 8 applicant may submit or resubmit drawings and 9 specifications to the Department and pay the fees 10 provided in subsection (d). If an applicant pays the 11 fees provided in subsection (d) under this paragraph (2), 12 the provisions of subsection (b) shall apply with regard 13 to those drawings and specifications. 14 (g) The Department shall conduct an on-site inspection 15 of the completed project no later than 30 days after 16 notification from the applicant that the project has been 17 completed and all certifications required by the Department 18 have been received and accepted by the Department. The 19 Department shall provide written approval for occupancy to 20 the applicant within 5 working days of the Department's final 21 inspection, provided the applicant has demonstrated 22 substantial compliance as defined by Department rule. 23 Occupancy of new major construction is prohibited until 24 Department approval is received, unless the Department has 25 not acted within the time frames provided in this subsection 26 (g), in which case the construction shall be deemed approved. 27 Occupancy shall be authorizedIf the plans and drawings are28approved pursuant to subsection (b), occupancy shall be29allowedafter any required health inspection by the 30 Department has been conducted. 31 (h) The Department shall establish, by rule, a procedure 32 to conduct interim on-site review of large or complex 33 construction projects. 34 (i) The Department shall establish, by rule, an SB1473 Enrolled -13- LRB9011352LDdv 1 expedited process for emergency repairs or replacement of 2 like equipment. 3 (j) Nothing in this Section shall be construed to apply 4 to maintenance, upkeep, or renovation that does not affect 5 the structural integrity of the building, does not add beds 6 or services over the number for which the long-term care 7 facility is licensed, and provides a reasonable degree of 8 safety for the residents. 9 (Source: P.A. 90-327, eff. 8-8-97.) 10 Section 15. The Hospital Licensing Act is amended by 11 changing Section 8 as follows: 12 (210 ILCS 85/8) (from Ch. 111 1/2, par. 149) 13 Sec. 8. Facility plan review; fees. 14 (a) Before commencing construction of new facilities or 15 specified types of alteration or additions to an existing 16 hospital involving major construction, as defined by rule by 17 the Department,orwith an estimated cost greater than 18 $100,000$5,000, architectural plans and specifications 19 therefor shall be submitted by the licensee to the Department 20 for review and approval. A hospital may submit architectural 21 drawings and specifications for other construction projects 22 for Department review according to subsection (b) that shall 23 not be subject to fees under subsection (d).In the case of24the establishment of a new hospital, the person to whom the25Director has issued a permit shall submit architectural plans26and specifications to the Department for review and approval.27 Review of drawings and specifications shall be conducted by 28 an employee of the Department meeting the qualifications 29 established by the Department of Central Management Services 30 class specifications for such an individual's position or by 31 a person contracting with the Department who meets those 32 class specifications. Final approval of the plans and SB1473 Enrolled -14- LRB9011352LDdv 1 specifications for compliance with design and construction 2 standards shall be obtained from the Department before the 3 alteration, addition, or new construction is begun. 4 (b) The Department shall inform an applicant in writing 5 within 10 working days after receiving drawings and 6 specifications and the required fee, if any, from the 7 applicant whether the applicant's submission is complete or 8 incomplete. Failure to provide the applicant with this 9 notice within 10 working days shall result in the submission 10 being deemed complete for purposes of initiating the 60-day 11 review period under this Section. If the submission is 12 incomplete, the Department shall inform the applicant of the 13 deficiencies with the submission in writing. If the 14 submission is complete and the required fee, if any, has been 15 paid, the Department shall approve or disapprove drawings and 16 specifications submitted to the Department no later than 60 17 days following receipt by the Department. The drawings and 18 specifications shall be of sufficient detail, as provided by 19 Department rule, to enable the Department to render a 20 determination of compliance with design and construction 21 standards under this Act. If the Department finds that the 22 drawings are not of sufficient detail for it to render a 23 determination of compliance, the plans shall be determined to 24 be incomplete and shall not be considered for purposes of 25 initiating the 60 day review period. If a submission of 26 drawings and specifications is incomplete, the applicant may 27 submit additional information. The 60-day review period 28 shall not commence until the Department determines that a 29 submission of drawings and specifications is complete or the 30 submission is deemed complete. If the Department has not 31 approved or disapproved the drawings and specifications 32 within 60 days, the construction, major alteration, or 33 addition shall be deemed approved. If the drawings and 34 specifications are disapproved, the Department shall state in SB1473 Enrolled -15- LRB9011352LDdv 1 writing, with specificity, the reasons for the disapproval. 2 The entity submitting the drawings and specifications may 3 submit additional information in response to the written 4 comments from the Department or request a reconsideration of 5 the disapproval. A final decision of approval or disapproval 6 shall be made within 45 days of the receipt of the additional 7 information or reconsideration request. If denied, the 8 Department shall state the specific reasons for the denial. 9 (c) The Department shall provide written approval for 10 occupancy pursuant to subsection (g) and shall not issue a 11 violation to a facility as a result of a licensure or 12 complaint survey based upon the facility's physical structure 13 if: 14 (1) the Department reviewed and approved or deemed 15 approved the drawing and specifications for compliance 16 with design and construction standards; 17 (2) the construction, major alteration, or addition 18 was built as submitted; 19 (3) the law or rules have not been amended since 20 the original approval; and 21 (4) the conditions at the facility indicate that 22 there is a reasonable degree of safety provided for the 23 patientsviolation does not create a direct threat to the24health, safety, or welfare of a resident. 25 (d) The Department shall charge the following fees in 26 connection with its reviews conducted before June 30, 2000 27 under this Section: 28 (1) (Blank).If the estimated dollar value of the29alteration, addition, or new construction is $5,000 or30more but less than $25,000, the fee shall be the greater31of $300 or 6% of that value.32 (2) (Blank).If the estimated dollar value of the33alteration, addition, or new construction is $25,000 or34more but less than $100,000, the fee shall be the greaterSB1473 Enrolled -16- LRB9011352LDdv 1of $1,500 or 2.4% of that value.2 (3) If the estimated dollar value of the 3 alteration, addition, or new construction is $100,000 or 4 more but less than $500,000, the fee shall be the greater 5 of $2,400 or 1.2% of that value. 6 (4) If the estimated dollar value of the 7 alteration, addition, or new construction is $500,000 or 8 more but less than $1,000,000, the fee shall be the 9 greater of $6,000 or 0.96% of that value. 10 (5) If the estimated dollar value of the 11 alteration, addition, or new construction is $1,000,000 12 or more but less than $5,000,000, the fee shall be the 13 greater of $9,600 or 0.22% of that value. 14 (6) If the estimated dollar value of the 15 alteration, addition, or new construction is $5,000,000 16 or more, the fee shall be the greater of $11,000 or 0.11% 17 of that value, but shall not exceed $40,000. 18 The fees provided in this subsection (d) shall not apply 19 to major construction projects involving facility changes 20 that are required by Department rule amendments. 21 The fees provided in this subsection (d) shall also not 22 apply to major construction projects if 51% or more of the 23 estimated cost of the project is attributed to capital 24 equipment. For major construction projects where 51% or more 25 of the estimated cost of the project is attributed to capital 26 equipment, the Department shall by rule establish a fee that 27 is reasonably related to the cost of reviewing the project. 28 The Department shall not commence the facility plan 29 review process under this Section until the applicable fee 30 has been paid. 31 (e) All fees received by the Department under this 32 Section shall be deposited into the Health Facility Plan 33 Review Fund, a special fund created in the State treasury. 34 All fees paid by hospitals under subsection (d) shall be used SB1473 Enrolled -17- LRB9011352LDdv 1 only to cover the costs relating to the Department's review 2 of hospital projects under this Section. Moneys shall be 3 appropriated from that Fund to the Department only to pay the 4 costs of conducting reviews under this Section. None of the 5 moneys in the Health Facility Plan Review Fund shall be used 6 to reduce the amount of General Revenue Fund moneys 7 appropriated to the Department for facility plan reviews 8 conducted pursuant to this Section. 9 (f) (1) The provisions of this amendatory Act of 1997 10 concerning drawings and specifications shall apply only 11 to drawings and specifications submitted to the 12 Department on or after October 1, 1997. 13 (2) On and after the effective date of this 14 amendatory Act of 1997 and before October 1, 1997, an 15 applicant may submit or resubmit drawings and 16 specifications to the Department and pay the fees 17 provided in subsection (d). If an applicant pays the 18 fees provided in subsection (d) under this paragraph (2), 19 the provisions of subsection (b) shall apply with regard 20 to those drawings and specifications. 21 (g) The Department shall conduct an on-site inspection 22 of the completed project no later than 30 days after 23 notification from the applicant that the project has been 24 completed and all certifications required by the Department 25 have been received and accepted by the Department. The 26 Department shall provide written approval for occupancy to 27 the applicant within 5 working days of the Department's final 28 inspection, provided the applicant has demonstrated 29 substantial compliance as defined by Department rule. 30 Occupancy of new major construction is prohibited until 31 Department approval is received, unless the Department has 32 not acted within the time frames provided in this subsection 33 (g), in which case the construction shall be deemed approved. 34 Occupancy shall be authorizedIf the plans and drawings areSB1473 Enrolled -18- LRB9011352LDdv 1approved pursuant to subsection (b), occupancy shall be2allowedafter any required health inspection by the 3 Department has been conducted. 4 (h) The Department shall establish, by rule, a procedure 5 to conduct interim on-site review of large or complex 6 construction projects. 7 (i) The Department shall establish, by rule, an 8 expedited process for emergency repairs or replacement of 9 like equipment. 10 (j) Nothing in this Section shall be construed to apply 11 to maintenance, upkeep, or renovation that does not affect 12 the structural integrity of the building, does not add beds 13 or services over the number for which the facility is 14 licensed, and provides a reasonable degree of safety for the 15 patients. 16 (Source: P.A. 90-327, eff. 8-8-97.) 17 Section 99. Effective date. This Act takes effect upon 18 becoming law.