Public Act 098-1086
 
HB5968 EnrolledLRB098 18449 OMW 55659 b

    AN ACT concerning State government.
 
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
 
    Section 5. The Illinois Health Facilities Planning Act is
amended by changing Sections 3, 5.3, 5.4, 6.2, 8.5, 10, 11, 12,
12.2, 12.5, 13, and 15 as follows:
 
    (20 ILCS 3960/3)  (from Ch. 111 1/2, par. 1153)
    (Section scheduled to be repealed on December 31, 2019)
    Sec. 3. Definitions. As used in this Act:
    "Health care facilities" means and includes the following
facilities, organizations, and related persons:
        (1) 1. An ambulatory surgical treatment center
    required to be licensed pursuant to the Ambulatory Surgical
    Treatment Center Act. ;
        (2) 2. An institution, place, building, or agency
    required to be licensed pursuant to the Hospital Licensing
    Act. ;
        (3) 3. Skilled and intermediate long term care
    facilities licensed under the Nursing Home Care Act.
            (A) If a demonstration project under the Nursing
        Home Care Act applies for a certificate of need to
        convert to a nursing facility, it shall meet the
        licensure and certificate of need requirements in
        effect as of the date of application.
            (B) Except as provided in item (A) of this
        subsection, this Act does not apply to facilities
        granted waivers under Section 3-102.2 of the Nursing
        Home Care Act. ;
        (3.5) 3.5. Skilled and intermediate care facilities
    licensed under the ID/DD Community Care Act. ;
            (A) No permit or exemption is required for a
        facility licensed under the ID/DD Community Care Act
        prior to the reduction of the number of beds at a
        facility. If there is a total reduction of beds at a
        facility licensed under the ID/DD Community Care Act,
        this is a discontinuation or closure of the facility.
        If a facility licensed under the ID/DD Community Care
        Act reduces the number of beds or discontinues the
        facility, that facility must notify the Board as
        provided in Section 14.1 of this Act.
        (3.7) 3.7. Facilities licensed under the Specialized
    Mental Health Rehabilitation Act. ;
        (4) 4. Hospitals, nursing homes, ambulatory surgical
    treatment centers, or kidney disease treatment centers
    maintained by the State or any department or agency
    thereof. ;
        (5) 5. Kidney disease treatment centers, including a
    free-standing hemodialysis unit required to be licensed
    under the End Stage Renal Disease Facility Act. ;
            (A) This Act does not apply to a dialysis facility
        that provides only dialysis training, support, and
        related services to individuals with end stage renal
        disease who have elected to receive home dialysis.
            (B) This Act does not apply to a dialysis unit
        located in a licensed nursing home that offers or
        provides dialysis-related services to residents with
        end stage renal disease who have elected to receive
        home dialysis within the nursing home.
            (C) The Board, however, may require dialysis
        facilities and licensed nursing homes under items (A)
        and (B) of this subsection to report statistical
        information on a quarterly basis to the Board to be
        used by the Board to conduct analyses on the need for
        proposed kidney disease treatment centers.
        (6) 6. An institution, place, building, or room used
    for the performance of outpatient surgical procedures that
    is leased, owned, or operated by or on behalf of an
    out-of-state facility. ;
        (7) 7. An institution, place, building, or room used
    for provision of a health care category of service,
    including, but not limited to, cardiac catheterization and
    open heart surgery. ; and
        (8) 8. An institution, place, building, or room housing
    used for provision of major medical equipment used in the
    direct clinical diagnosis or treatment of patients, and
    whose project cost is in excess of the capital expenditure
    minimum.
    "Health care facilities" does not include the following
entities or facility transactions:
        (1) Federally-owned facilities.
        (2) Facilities used solely for healing by prayer or
    spiritual means.
        (3) An existing facility located on any campus facility
    as defined in Section 5-5.8b of the Illinois Public Aid
    Code, provided that the campus facility encompasses 30 or
    more contiguous acres and that the new or renovated
    facility is intended for use by a licensed residential
    facility.
        (4) Facilities licensed under the Supportive
    Residences Licensing Act or the Assisted Living and Shared
    Housing Act.
        (5) Facilities designated as supportive living
    facilities that are in good standing with the program
    established under Section 5-5.01a of the Illinois Public
    Aid Code.
        (6) Facilities established and operating under the
    Alternative Health Care Delivery Act as a children's
    respite care center alternative health care model
    demonstration program or as an Alzheimer's Disease
    Management Center alternative health care model
    demonstration program.
        (7) The closure of an entity or a portion of an entity
    licensed under the Nursing Home Care Act, the Specialized
    Mental Health Rehabilitation Act, or the ID/DD Community
    Care Act, with the exception of facilities operated by a
    county or Illinois Veterans Homes, that elect to convert,
    in whole or in part, to an assisted living or shared
    housing establishment licensed under the Assisted Living
    and Shared Housing Act.
        (8) Any change of ownership of a healthcare facility
    that is licensed under the Nursing Home Care Act, the
    Specialized Mental Health Rehabilitation Act, or the ID/DD
    Community Care Act, with the exception of facilities
    operated by a county or Illinois Veterans Homes. Changes of
    ownership of facilities licensed under the Nursing Home
    Care Act must meet the requirements set forth in Sections
    3-101 through 3-119 of the Nursing Home Care Act.
    This Act shall not apply to the construction of any new
facility or the renovation of any existing facility located on
any campus facility as defined in Section 5-5.8b of the
Illinois Public Aid Code, provided that the campus facility
encompasses 30 or more contiguous acres and that the new or
renovated facility is intended for use by a licensed
residential facility.
    No federally owned facility shall be subject to the
provisions of this Act, nor facilities used solely for healing
by prayer or spiritual means.
    No facility licensed under the Supportive Residences
Licensing Act or the Assisted Living and Shared Housing Act
shall be subject to the provisions of this Act.
    No facility established and operating under the
Alternative Health Care Delivery Act as a children's respite
care center alternative health care model demonstration
program or as an Alzheimer's Disease Management Center
alternative health care model demonstration program shall be
subject to the provisions of this Act.
    A facility designated as a supportive living facility that
is in good standing with the program established under Section
5-5.01a of the Illinois Public Aid Code shall not be subject to
the provisions of this Act.
    This Act does not apply to facilities granted waivers under
Section 3-102.2 of the Nursing Home Care Act. However, if a
demonstration project under that Act applies for a certificate
of need to convert to a nursing facility, it shall meet the
licensure and certificate of need requirements in effect as of
the date of application.
    This Act does not apply to a dialysis facility that
provides only dialysis training, support, and related services
to individuals with end stage renal disease who have elected to
receive home dialysis. This Act does not apply to a dialysis
unit located in a licensed nursing home that offers or provides
dialysis-related services to residents with end stage renal
disease who have elected to receive home dialysis within the
nursing home. The Board, however, may require these dialysis
facilities and licensed nursing homes to report statistical
information on a quarterly basis to the Board to be used by the
Board to conduct analyses on the need for proposed kidney
disease treatment centers.
    This Act shall not apply to the closure of an entity or a
portion of an entity licensed under the Nursing Home Care Act,
the Specialized Mental Health Rehabilitation Act, or the ID/DD
Community Care Act, with the exceptions of facilities operated
by a county or Illinois Veterans Homes, that elects to convert,
in whole or in part, to an assisted living or shared housing
establishment licensed under the Assisted Living and Shared
Housing Act.
    This Act does not apply to any change of ownership of a
healthcare facility that is licensed under the Nursing Home
Care Act, the Specialized Mental Health Rehabilitation Act, or
the ID/DD Community Care Act, with the exceptions of facilities
operated by a county or Illinois Veterans Homes. Changes of
ownership of facilities licensed under the Nursing Home Care
Act must meet the requirements set forth in Sections 3-101
through 3-119 of the Nursing Home Care Act.
    With the exception of those health care facilities
specifically included in this Section, nothing in this Act
shall be intended to include facilities operated as a part of
the practice of a physician or other licensed health care
professional, whether practicing in his individual capacity or
within the legal structure of any partnership, medical or
professional corporation, or unincorporated medical or
professional group. Further, this Act shall not apply to
physicians or other licensed health care professional's
practices where such practices are carried out in a portion of
a health care facility under contract with such health care
facility by a physician or by other licensed health care
professionals, whether practicing in his individual capacity
or within the legal structure of any partnership, medical or
professional corporation, or unincorporated medical or
professional groups, unless the entity constructs, modifies,
or establishes a health care facility as specifically defined
in this Section. This Act shall apply to construction or
modification and to establishment by such health care facility
of such contracted portion which is subject to facility
licensing requirements, irrespective of the party responsible
for such action or attendant financial obligation.
    No permit or exemption is required for a facility licensed
under the ID/DD Community Care Act prior to the reduction of
the number of beds at a facility. If there is a total reduction
of beds at a facility licensed under the ID/DD Community Care
Act, this is a discontinuation or closure of the facility.
However, if a facility licensed under the ID/DD Community Care
Act reduces the number of beds or discontinues the facility,
that facility must notify the Board as provided in Section 14.1
of this Act.
    "Person" means any one or more natural persons, legal
entities, governmental bodies other than federal, or any
combination thereof.
    "Consumer" means any person other than a person (a) whose
major occupation currently involves or whose official capacity
within the last 12 months has involved the providing,
administering or financing of any type of health care facility,
(b) who is engaged in health research or the teaching of
health, (c) who has a material financial interest in any
activity which involves the providing, administering or
financing of any type of health care facility, or (d) who is or
ever has been a member of the immediate family of the person
defined by (a), (b), or (c).
    "State Board" or "Board" means the Health Facilities and
Services Review Board.
    "Construction or modification" means the establishment,
erection, building, alteration, reconstruction, modernization,
improvement, extension, discontinuation, change of ownership,
of or by a health care facility, or the purchase or acquisition
by or through a health care facility of equipment or service
for diagnostic or therapeutic purposes or for facility
administration or operation, or any capital expenditure made by
or on behalf of a health care facility which exceeds the
capital expenditure minimum; however, any capital expenditure
made by or on behalf of a health care facility for (i) the
construction or modification of a facility licensed under the
Assisted Living and Shared Housing Act or (ii) a conversion
project undertaken in accordance with Section 30 of the Older
Adult Services Act shall be excluded from any obligations under
this Act.
    "Establish" means the construction of a health care
facility or the replacement of an existing facility on another
site or the initiation of a category of service.
    "Major medical equipment" means medical equipment which is
used for the provision of medical and other health services and
which costs in excess of the capital expenditure minimum,
except that such term does not include medical equipment
acquired by or on behalf of a clinical laboratory to provide
clinical laboratory services if the clinical laboratory is
independent of a physician's office and a hospital and it has
been determined under Title XVIII of the Social Security Act to
meet the requirements of paragraphs (10) and (11) of Section
1861(s) of such Act. In determining whether medical equipment
has a value in excess of the capital expenditure minimum, the
value of studies, surveys, designs, plans, working drawings,
specifications, and other activities essential to the
acquisition of such equipment shall be included.
    "Capital Expenditure" means an expenditure: (A) made by or
on behalf of a health care facility (as such a facility is
defined in this Act); and (B) which under generally accepted
accounting principles is not properly chargeable as an expense
of operation and maintenance, or is made to obtain by lease or
comparable arrangement any facility or part thereof or any
equipment for a facility or part; and which exceeds the capital
expenditure minimum.
    For the purpose of this paragraph, the cost of any studies,
surveys, designs, plans, working drawings, specifications, and
other activities essential to the acquisition, improvement,
expansion, or replacement of any plant or equipment with
respect to which an expenditure is made shall be included in
determining if such expenditure exceeds the capital
expenditures minimum. Unless otherwise interdependent, or
submitted as one project by the applicant, components of
construction or modification undertaken by means of a single
construction contract or financed through the issuance of a
single debt instrument shall not be grouped together as one
project. Donations of equipment or facilities to a health care
facility which if acquired directly by such facility would be
subject to review under this Act shall be considered capital
expenditures, and a transfer of equipment or facilities for
less than fair market value shall be considered a capital
expenditure for purposes of this Act if a transfer of the
equipment or facilities at fair market value would be subject
to review.
    "Capital expenditure minimum" means $11,500,000 for
projects by hospital applicants, $6,500,000 for applicants for
projects related to skilled and intermediate care long-term
care facilities licensed under the Nursing Home Care Act, and
$3,000,000 for projects by all other applicants, which shall be
annually adjusted to reflect the increase in construction costs
due to inflation, for major medical equipment and for all other
capital expenditures.
    "Non-clinical service area" means an area (i) for the
benefit of the patients, visitors, staff, or employees of a
health care facility and (ii) not directly related to the
diagnosis, treatment, or rehabilitation of persons receiving
services from the health care facility. "Non-clinical service
areas" include, but are not limited to, chapels; gift shops;
news stands; computer systems; tunnels, walkways, and
elevators; telephone systems; projects to comply with life
safety codes; educational facilities; student housing;
patient, employee, staff, and visitor dining areas;
administration and volunteer offices; modernization of
structural components (such as roof replacement and masonry
work); boiler repair or replacement; vehicle maintenance and
storage facilities; parking facilities; mechanical systems for
heating, ventilation, and air conditioning; loading docks; and
repair or replacement of carpeting, tile, wall coverings,
window coverings or treatments, or furniture. Solely for the
purpose of this definition, "non-clinical service area" does
not include health and fitness centers.
    "Areawide" means a major area of the State delineated on a
geographic, demographic, and functional basis for health
planning and for health service and having within it one or
more local areas for health planning and health service. The
term "region", as contrasted with the term "subregion", and the
word "area" may be used synonymously with the term "areawide".
    "Local" means a subarea of a delineated major area that on
a geographic, demographic, and functional basis may be
considered to be part of such major area. The term "subregion"
may be used synonymously with the term "local".
    "Physician" means a person licensed to practice in
accordance with the Medical Practice Act of 1987, as amended.
    "Licensed health care professional" means a person
licensed to practice a health profession under pertinent
licensing statutes of the State of Illinois.
    "Director" means the Director of the Illinois Department of
Public Health.
    "Agency" means the Illinois Department of Public Health.
    "Alternative health care model" means a facility or program
authorized under the Alternative Health Care Delivery Act.
    "Out-of-state facility" means a person that is both (i)
licensed as a hospital or as an ambulatory surgery center under
the laws of another state or that qualifies as a hospital or an
ambulatory surgery center under regulations adopted pursuant
to the Social Security Act and (ii) not licensed under the
Ambulatory Surgical Treatment Center Act, the Hospital
Licensing Act, or the Nursing Home Care Act. Affiliates of
out-of-state facilities shall be considered out-of-state
facilities. Affiliates of Illinois licensed health care
facilities 100% owned by an Illinois licensed health care
facility, its parent, or Illinois physicians licensed to
practice medicine in all its branches shall not be considered
out-of-state facilities. Nothing in this definition shall be
construed to include an office or any part of an office of a
physician licensed to practice medicine in all its branches in
Illinois that is not required to be licensed under the
Ambulatory Surgical Treatment Center Act.
    "Change of ownership of a health care facility" means a
change in the person who has ownership or control of a health
care facility's physical plant and capital assets. A change in
ownership is indicated by the following transactions: sale,
transfer, acquisition, lease, change of sponsorship, or other
means of transferring control.
    "Related person" means any person that: (i) is at least 50%
owned, directly or indirectly, by either the health care
facility or a person owning, directly or indirectly, at least
50% of the health care facility; or (ii) owns, directly or
indirectly, at least 50% of the health care facility.
    "Charity care" means care provided by a health care
facility for which the provider does not expect to receive
payment from the patient or a third-party payer.
    "Freestanding emergency center" means a facility subject
to licensure under Section 32.5 of the Emergency Medical
Services (EMS) Systems Act.
    "Category of service" means a grouping by generic class of
various types or levels of support functions, equipment, care,
or treatment provided to patients or residents, including, but
not limited to, classes such as medical-surgical, pediatrics,
or cardiac catheterization. A category of service may include
subcategories or levels of care that identify a particular
degree or type of care within the category of service. Nothing
in this definition shall be construed to include the practice
of a physician or other licensed health care professional while
functioning in an office providing for the care, diagnosis, or
treatment of patients. A category of service that is subject to
the Board's jurisdiction must be designated in rules adopted by
the Board.
    "State Board Staff Report" means the document that sets
forth the review and findings of the State Board staff, as
prescribed by the State Board, regarding applications subject
to Board jurisdiction.
(Source: P.A. 97-38, eff. 6-28-11; 97-277, eff. 1-1-12; 97-813,
eff. 7-13-12; 97-980, eff. 8-17-12; 98-414, eff. 1-1-14.)
 
    (20 ILCS 3960/5.3)
    (Section scheduled to be repealed on December 31, 2019)
    Sec. 5.3. Annual report of capital expenditures. In
addition to the State Board's authority to require reports, the
State Board shall require each health care facility to submit
an annual report of all capital expenditures in excess of
$200,000 (which shall be annually adjusted to reflect the
increase in construction costs due to inflation) made by the
health care facility during the most recent year. This annual
report shall consist of a brief description of the capital
expenditure, the amount and method of financing the capital
expenditure, the certificate of need project number if the
project was reviewed, and the total amount of capital
expenditures obligated for the year. Data collected from health
care facilities pursuant to this Section shall not duplicate or
overlap other data collected by the Department and must be
collected as part of the State Board's Department's Annual
Questionnaires or supplements for health care facilities that
report these data.
(Source: P.A. 93-41, eff. 6-27-03.)
 
    (20 ILCS 3960/5.4)
    (Section scheduled to be repealed on December 31, 2019)
    Sec. 5.4. Safety Net Impact Statement.
    (a) General review criteria shall include a requirement
that all health care facilities, with the exception of skilled
and intermediate long-term care facilities licensed under the
Nursing Home Care Act, provide a Safety Net Impact Statement,
which shall be filed with an application for a substantive
project or when the application proposes to discontinue a
category of service.
    (b) For the purposes of this Section, "safety net services"
are services provided by health care providers or organizations
that deliver health care services to persons with barriers to
mainstream health care due to lack of insurance, inability to
pay, special needs, ethnic or cultural characteristics, or
geographic isolation. Safety net service providers include,
but are not limited to, hospitals and private practice
physicians that provide charity care, school-based health
centers, migrant health clinics, rural health clinics,
federally qualified health centers, community health centers,
public health departments, and community mental health
centers.
    (c) As developed by the applicant, a Safety Net Impact
Statement shall describe all of the following:
        (1) The project's material impact, if any, on essential
    safety net services in the community, to the extent that it
    is feasible for an applicant to have such knowledge.
        (2) The project's impact on the ability of another
    provider or health care system to cross-subsidize safety
    net services, if reasonably known to the applicant.
        (3) How the discontinuation of a facility or service
    might impact the remaining safety net providers in a given
    community, if reasonably known by the applicant.
    (d) Safety Net Impact Statements shall also include all of
the following:
        (1) For the 3 fiscal years prior to the application, a
    certification describing the amount of charity care
    provided by the applicant. The amount calculated by
    hospital applicants shall be in accordance with the
    reporting requirements for charity care reporting in the
    Illinois Community Benefits Act. Non-hospital applicants
    shall report charity care, at cost, in accordance with an
    appropriate methodology specified by the Board.
        (2) For the 3 fiscal years prior to the application, a
    certification of the amount of care provided to Medicaid
    patients. Hospital and non-hospital applicants shall
    provide Medicaid information in a manner consistent with
    the information reported each year to the State Board
    Illinois Department of Public Health regarding "Inpatients
    and Outpatients Served by Payor Source" and "Inpatient and
    Outpatient Net Revenue by Payor Source" as required by the
    Board under Section 13 of this Act and published in the
    Annual Hospital Profile.
        (3) Any information the applicant believes is directly
    relevant to safety net services, including information
    regarding teaching, research, and any other service.
    (e) The Board staff shall publish a notice, that an
application accompanied by a Safety Net Impact Statement has
been filed, in a newspaper having general circulation within
the area affected by the application. If no newspaper has a
general circulation within the county, the Board shall post the
notice in 5 conspicuous places within the proposed area.
    (f) Any person, community organization, provider, or
health system or other entity wishing to comment upon or oppose
the application may file a Safety Net Impact Statement Response
with the Board, which shall provide additional information
concerning a project's impact on safety net services in the
community.
    (g) Applicants shall be provided an opportunity to submit a
reply to any Safety Net Impact Statement Response.
    (h) The Board staff report shall include a statement as to
whether a Safety Net Impact Statement was filed by the
applicant and whether it included information on charity care,
the amount of care provided to Medicaid patients, and
information on teaching, research, or any other service
provided by the applicant directly relevant to safety net
services. The report shall also indicate the names of the
parties submitting responses and the number of responses and
replies, if any, that were filed.
(Source: P.A. 96-31, eff. 6-30-09.)
 
    (20 ILCS 3960/6.2)
    (Section scheduled to be repealed on December 31, 2019)
    Sec. 6.2. Review of permits; State Board Staff Reports.
Upon receipt of an application for a permit to establish,
construct, or modify a health care facility, the State Board
staff shall notify the applicant in writing within 10 working
days either that the application is or is not complete. If the
application is complete, the State Board staff shall notify the
applicant of the beginning of the review process. If the
application is not complete, the Board staff shall explain
within the 10-day period why the application is incomplete.
    The State Board staff shall afford a reasonable amount of
time as established by the State Board, but not to exceed 120
days, for the review of the application. The 120-day period
begins on the day the application is found to be substantially
complete, as that term is defined by the State Board. During
the 120-day period, the applicant may request an extension. An
applicant may modify the application at any time before a final
administrative decision has been made on the application.
    The State Board shall prescribe and provide the forms upon
which the review and findings of the State Board Staff Report
staff shall be made. The State Board staff shall submit its
State Board Staff Report review and findings to the State Board
for its decision-making regarding approval or denial of the
permit.
    When an application for a permit is initially reviewed by
State Board staff, as provided in this Section, the State Board
shall, upon request by the applicant or an interested person,
afford an opportunity for a public hearing within a reasonable
amount of time after receipt of the complete application, but
not to exceed 90 days after receipt of the complete
application. Notice of the hearing shall be made promptly, not
less than 10 days before the hearing, by certified mail to the
applicant and, not less than 10 days before the hearing, by
publication in a newspaper of general circulation in the area
or community to be affected. The hearing shall be held in the
area or community in which the proposed project is to be
located and shall be for the purpose of allowing the applicant
and any interested person to present public testimony
concerning the approval, denial, renewal, or revocation of the
permit. All interested persons attending the hearing shall be
given a reasonable opportunity to present their views or
arguments in writing or orally, and a record of all of the
testimony shall accompany any findings of the State Board
staff. The State Board shall adopt reasonable rules and
regulations governing the procedure and conduct of the
hearings.
(Source: P.A. 97-1115, eff. 8-27-12.)
 
    (20 ILCS 3960/8.5)
    (Section scheduled to be repealed on December 31, 2019)
    Sec. 8.5. Certificate of exemption for change of ownership
of a health care facility; public notice and public hearing.
    (a) Upon a finding by the Department of Public Health that
an application for a change of ownership is complete, the State
Board Department of Public Health shall publish a legal notice
on 3 consecutive days in a newspaper of general circulation in
the area or community to be affected and afford the public an
opportunity to request a hearing. If the application is for a
facility located in a Metropolitan Statistical Area, an
additional legal notice shall be published in a newspaper of
limited circulation, if one exists, in the area in which the
facility is located. If the newspaper of limited circulation is
published on a daily basis, the additional legal notice shall
be published on 3 consecutive days. The legal notice shall also
be posted on the Health Facilities and Services Review Board's
web site and sent to the State Representative and State Senator
of the district in which the health care facility is located.
An The Department of Public Health shall not find that an
application for change of ownership of a hospital shall not be
deemed is complete without a signed certification that for a
period of 2 years after the change of ownership transaction is
effective, the hospital will not adopt a charity care policy
that is more restrictive than the policy in effect during the
year prior to the transaction.
    For the purposes of this subsection, "newspaper of limited
circulation" means a newspaper intended to serve a particular
or defined population of a specific geographic area within a
Metropolitan Statistical Area such as a municipality, town,
village, township, or community area, but does not include
publications of professional and trade associations.
    (b) If a public hearing is requested, it shall be held at
least 15 days but no more than 30 days after the date of
publication of the legal notice in the community in which the
facility is located. The hearing shall be held in a place of
reasonable size and accessibility and a full and complete
written transcript of the proceedings shall be made. The
applicant shall provide a summary of the proposed change of
ownership for distribution at the public hearing.
(Source: P.A. 96-31, eff. 6-30-09.)
 
    (20 ILCS 3960/10)  (from Ch. 111 1/2, par. 1160)
    (Section scheduled to be repealed on December 31, 2019)
    Sec. 10. Presenting information relevant to the approval of
a permit or certificate or in opposition to the denial of the
application; notice of outcome and review proceedings. When a
motion by the State Board, to approve an application for a
permit or a certificate of recognition, fails to pass, or when
a motion to deny an application for a permit or a certificate
of recognition is passed, the applicant or the holder of the
permit, as the case may be, and such other parties as the State
Board permits, will be given an opportunity to appear before
the State Board and present such information as may be relevant
to the approval of a permit or certificate or in opposition to
the denial of the application.
    Subsequent to an appearance by the applicant before the
State Board or default of such opportunity to appear, a motion
by the State Board to approve an application for a permit or a
certificate of recognition which fails to pass or a motion to
deny an application for a permit or a certificate of
recognition which passes shall be considered denial of the
application for a permit or certificate of recognition, as the
case may be. Such action of denial or an action by the State
Board to revoke a permit or a certificate of recognition shall
be communicated to the applicant or holder of the permit or
certificate of recognition. Such person or organization shall
be afforded an opportunity for a hearing before an
administrative law judge, who is appointed by the Chairman of
the State Board. A written notice of a request for such hearing
shall be served upon the Chairman of the State Board within 30
days following notification of the decision of the State Board.
The administrative law judge shall take actions necessary to
ensure that the hearing is completed within a reasonable period
of time, but not to exceed 120 days, except for delays or
continuances agreed to by the person requesting the hearing.
Following its consideration of the report of the hearing, or
upon default of the party to the hearing, the State Board shall
make its final determination, specifying its findings and
conclusions within 90 days of receiving the written report of
the hearing. A copy of such determination shall be sent by
certified mail or served personally upon the party.
    A full and complete record shall be kept of all
proceedings, including the notice of hearing, complaint, and
all other documents in the nature of pleadings, written motions
filed in the proceedings, and the report and orders of the
State Board or hearing officer. All testimony shall be reported
but need not be transcribed unless the decision is appealed in
accordance with the Administrative Review Law, as now or
hereafter amended. A copy or copies of the transcript may be
obtained by any interested party on payment of the cost of
preparing such copy or copies.
    The State Board or hearing officer shall upon its own or
his motion, or on the written request of any party to the
proceeding who has, in the State Board's or hearing officer's
opinion, demonstrated the relevancy of such request to the
outcome of the proceedings, issue subpoenas requiring the
attendance and the giving of testimony by witnesses, and
subpoenas duces tecum requiring the production of books,
papers, records, or memoranda. The fees of witnesses for
attendance and travel shall be the same as the fees of
witnesses before the circuit court of this State.
    When the witness is subpoenaed at the instance of the State
Board, or its hearing officer, such fees shall be paid in the
same manner as other expenses of the Board Agency, and when the
witness is subpoenaed at the instance of any other party to any
such proceeding the State Board may, in accordance with its the
rules of the Agency, require that the cost of service of the
subpoena or subpoena duces tecum and the fee of the witness be
borne by the party at whose instance the witness is summoned.
In such case, the State Board in its discretion, may require a
deposit to cover the cost of such service and witness fees. A
subpoena or subpoena duces tecum so issued shall be served in
the same manner as a subpoena issued out of a court.
    Any circuit court of this State upon the application of the
State Board or upon the application of any other party to the
proceeding, may, in its discretion, compel the attendance of
witnesses, the production of books, papers, records, or
memoranda and the giving of testimony before it or its hearing
officer conducting an investigation or holding a hearing
authorized by this Act, by an attachment for contempt, or
otherwise, in the same manner as production of evidence may be
compelled before the court.
(Source: P.A. 97-1115, eff. 8-27-12.)
 
    (20 ILCS 3960/11)  (from Ch. 111 1/2, par. 1161)
    (Section scheduled to be repealed on December 31, 2019)
    Sec. 11. Any person who is adversely affected by a final
decision of the State Board may have such decision judicially
reviewed. The provisions of the Administrative Review Law, as
now or hereafter amended, and the rules adopted pursuant
thereto shall apply to and govern all proceedings for the
judicial review of final administrative decisions of the State
Board. The term "administrative decisions" is as defined in
Section 3-101 of the Code of Civil Procedure. In order to
comply with subsection (b) of Section 3-108 of the
Administrative Review Law of the Code of Civil Procedure, the
State Board shall transcribe each State Board meeting using a
certified court reporter. The transcript shall contain the
record of the findings and decisions of the State Board.
(Source: P.A. 82-1057.)
 
    (20 ILCS 3960/12)  (from Ch. 111 1/2, par. 1162)
    (Section scheduled to be repealed on December 31, 2019)
    Sec. 12. Powers and duties of State Board. For purposes of
this Act, the State Board shall exercise the following powers
and duties:
    (1) Prescribe rules, regulations, standards, criteria,
procedures or reviews which may vary according to the purpose
for which a particular review is being conducted or the type of
project reviewed and which are required to carry out the
provisions and purposes of this Act. Policies and procedures of
the State Board shall take into consideration the priorities
and needs of medically underserved areas and other health care
services identified through the comprehensive health planning
process, giving special consideration to the impact of projects
on access to safety net services.
    (2) Adopt procedures for public notice and hearing on all
proposed rules, regulations, standards, criteria, and plans
required to carry out the provisions of this Act.
    (3) (Blank).
    (4) Develop criteria and standards for health care
facilities planning, conduct statewide inventories of health
care facilities, maintain an updated inventory on the Board's
web site reflecting the most recent bed and service changes and
updated need determinations when new census data become
available or new need formulae are adopted, and develop health
care facility plans which shall be utilized in the review of
applications for permit under this Act. Such health facility
plans shall be coordinated by the Board with pertinent State
Plans. Inventories pursuant to this Section of skilled or
intermediate care facilities licensed under the Nursing Home
Care Act, skilled or intermediate care facilities licensed
under the ID/DD Community Care Act, facilities licensed under
the Specialized Mental Health Rehabilitation Act, or nursing
homes licensed under the Hospital Licensing Act shall be
conducted on an annual basis no later than July 1 of each year
and shall include among the information requested a list of all
services provided by a facility to its residents and to the
community at large and differentiate between active and
inactive beds.
    In developing health care facility plans, the State Board
shall consider, but shall not be limited to, the following:
        (a) The size, composition and growth of the population
    of the area to be served;
        (b) The number of existing and planned facilities
    offering similar programs;
        (c) The extent of utilization of existing facilities;
        (d) The availability of facilities which may serve as
    alternatives or substitutes;
        (e) The availability of personnel necessary to the
    operation of the facility;
        (f) Multi-institutional planning and the establishment
    of multi-institutional systems where feasible;
        (g) The financial and economic feasibility of proposed
    construction or modification; and
        (h) In the case of health care facilities established
    by a religious body or denomination, the needs of the
    members of such religious body or denomination may be
    considered to be public need.
    The health care facility plans which are developed and
adopted in accordance with this Section shall form the basis
for the plan of the State to deal most effectively with
statewide health needs in regard to health care facilities.
    (5) Coordinate with the Center for Comprehensive Health
Planning and other state agencies having responsibilities
affecting health care facilities, including those of licensure
and cost reporting. Beginning no later than January 1, 2013,
the Department of Public Health shall produce a written annual
report to the Governor and the General Assembly regarding the
development of the Center for Comprehensive Health Planning.
The Chairman of the State Board and the State Board
Administrator shall also receive a copy of the annual report.
    (6) Solicit, accept, hold and administer on behalf of the
State any grants or bequests of money, securities or property
for use by the State Board or Center for Comprehensive Health
Planning in the administration of this Act; and enter into
contracts consistent with the appropriations for purposes
enumerated in this Act.
    (7) The State Board shall prescribe procedures for review,
standards, and criteria which shall be utilized to make
periodic reviews and determinations of the appropriateness of
any existing health services being rendered by health care
facilities subject to the Act. The State Board shall consider
recommendations of the Board in making its determinations.
    (8) Prescribe, in consultation with the Center for
Comprehensive Health Planning, rules, regulations, standards,
and criteria for the conduct of an expeditious review of
applications for permits for projects of construction or
modification of a health care facility, which projects are
classified as emergency, substantive, or non-substantive in
nature.
    Six months after June 30, 2009 (the effective date of
Public Act 96-31), substantive projects shall include no more
than the following:
        (a) Projects to construct (1) a new or replacement
    facility located on a new site or (2) a replacement
    facility located on the same site as the original facility
    and the cost of the replacement facility exceeds the
    capital expenditure minimum, which shall be reviewed by the
    Board within 120 days;
        (b) Projects proposing a (1) new service within an
    existing healthcare facility or (2) discontinuation of a
    service within an existing healthcare facility, which
    shall be reviewed by the Board within 60 days; or
        (c) Projects proposing a change in the bed capacity of
    a health care facility by an increase in the total number
    of beds or by a redistribution of beds among various
    categories of service or by a relocation of beds from one
    physical facility or site to another by more than 20 beds
    or more than 10% of total bed capacity, as defined by the
    State Board, whichever is less, over a 2-year period.
    The Chairman may approve applications for exemption that
meet the criteria set forth in rules or refer them to the full
Board. The Chairman may approve any unopposed application that
meets all of the review criteria or refer them to the full
Board.
    Such rules shall not abridge the right of the Center for
Comprehensive Health Planning to make recommendations on the
classification and approval of projects, nor shall such rules
prevent the conduct of a public hearing upon the timely request
of an interested party. Such reviews shall not exceed 60 days
from the date the application is declared to be complete.
    (9) Prescribe rules, regulations, standards, and criteria
pertaining to the granting of permits for construction and
modifications which are emergent in nature and must be
undertaken immediately to prevent or correct structural
deficiencies or hazardous conditions that may harm or injure
persons using the facility, as defined in the rules and
regulations of the State Board. This procedure is exempt from
public hearing requirements of this Act.
    (10) Prescribe rules, regulations, standards and criteria
for the conduct of an expeditious review, not exceeding 60
days, of applications for permits for projects to construct or
modify health care facilities which are needed for the care and
treatment of persons who have acquired immunodeficiency
syndrome (AIDS) or related conditions.
    (11) Issue written decisions upon request of the applicant
or an adversely affected party to the Board. Requests for a
written decision shall be made within 15 days after the Board
meeting in which a final decision has been made. A "final
decision" for purposes of this Act is the decision to approve
or deny an application, or take other actions permitted under
this Act, at the time and date of the meeting that such action
is scheduled by the Board. State Board members shall provide
their rationale when voting on an item before the State Board
at a State Board meeting in order to comply with subsection (b)
of Section 3-108 of the Administrative Review Law of the Code
of Civil Procedure. The transcript of the State Board meeting
shall be incorporated into the Board's final decision. The
staff of the Board shall prepare a written copy of the final
decision and the Board shall approve a final copy for inclusion
in the formal record. The Board shall consider, for approval,
the written draft of the final decision no later than the next
scheduled Board meeting. The written decision shall identify
the applicable criteria and factors listed in this Act and the
Board's regulations that were taken into consideration by the
Board when coming to a final decision. If the Board denies or
fails to approve an application for permit or exemption, the
Board shall include in the final decision a detailed
explanation as to why the application was denied and identify
what specific criteria or standards the applicant did not
fulfill.
    (12) Require at least one of its members to participate in
any public hearing, after the appointment of a majority of the
members to the Board.
    (13) Provide a mechanism for the public to comment on, and
request changes to, draft rules and standards.
    (14) Implement public information campaigns to regularly
inform the general public about the opportunity for public
hearings and public hearing procedures.
    (15) Establish a separate set of rules and guidelines for
long-term care that recognizes that nursing homes are a
different business line and service model from other regulated
facilities. An open and transparent process shall be developed
that considers the following: how skilled nursing fits in the
continuum of care with other care providers, modernization of
nursing homes, establishment of more private rooms,
development of alternative services, and current trends in
long-term care services. The Chairman of the Board shall
appoint a permanent Health Services Review Board Long-term Care
Facility Advisory Subcommittee that shall develop and
recommend to the Board the rules to be established by the Board
under this paragraph (15). The Subcommittee shall also provide
continuous review and commentary on policies and procedures
relative to long-term care and the review of related projects.
In consultation with other experts from the health field of
long-term care, the Board and the Subcommittee shall study new
approaches to the current bed need formula and Health Service
Area boundaries to encourage flexibility and innovation in
design models reflective of the changing long-term care
marketplace and consumer preferences. The Subcommittee shall
evaluate, and make recommendations to the State Board
regarding, the buying, selling, and exchange of beds between
long-term care facilities within a specified geographic area or
drive time. The Board shall file the proposed related
administrative rules for the separate rules and guidelines for
long-term care required by this paragraph (15) by no later than
September 30, 2011. The Subcommittee shall be provided a
reasonable and timely opportunity to review and comment on any
review, revision, or updating of the criteria, standards,
procedures, and rules used to evaluate project applications as
provided under Section 12.3 of this Act.
    (16) Prescribe and provide forms pertaining to the State
Board Staff Report. A State Board Staff Report shall pertain to
applications that include, but are not limited to, applications
for permit or exemption, applications for permit renewal,
applications for extension of the obligation period,
applications requesting a declaratory ruling, or applications
under the Health Care Worker Self Referral Act. State Board
Staff Reports shall compare applications to the relevant review
criteria under the Board's rules.
(Source: P.A. 97-38, eff. 6-28-11; 97-227, eff. 1-1-12; 97-813,
eff. 7-13-12; 97-1045, eff. 8-21-13; 97-1115, eff. 8-27-12;
98-414, eff. 1-1-14; 98-463, eff. 8-16-13.)
 
    (20 ILCS 3960/12.2)
    (Section scheduled to be repealed on December 31, 2019)
    Sec. 12.2. Powers of the State Board staff. For purposes of
this Act, the staff shall exercise the following powers and
duties:
    (1) Review applications for permits and exemptions in
accordance with the standards, criteria, and plans of need
established by the State Board under this Act and certify its
finding to the State Board.
    (1.5) Post the following on the Board's web site: relevant
(i) rules, (ii) standards, (iii) criteria, (iv) State norms,
(v) references used by Board Agency staff in making
determinations about whether application criteria are met, and
(vi) notices of project-related filings, including notice of
public comments related to the application.
    (2) Charge and collect an amount determined by the State
Board and the staff to be reasonable fees for the processing of
applications by the State Board. The State Board shall set the
amounts by rule. Application fees for continuing care
retirement communities, and other health care models that
include regulated and unregulated components, shall apply only
to those components subject to regulation under this Act. All
fees and fines collected under the provisions of this Act shall
be deposited into the Illinois Health Facilities Planning Fund
to be used for the expenses of administering this Act.
    (2.1) Publish the following reports on the State Board
website:
        (A) An annual accounting, aggregated by category and
    with names of parties redacted, of fees, fines, and other
    revenue collected as well as expenses incurred, in the
    administration of this Act.
        (B) An annual report, with names of the parties
    redacted, that summarizes all settlement agreements
    entered into with the State Board that resolve an alleged
    instance of noncompliance with State Board requirements
    under this Act.
        (C) A monthly report that includes the status of
    applications and recommendations regarding updates to the
    standard, criteria, or the health plan as appropriate.
        (D) Board reports showing the degree to which an
    application conforms to the review standards, a summation
    of relevant public testimony, and any additional
    information that staff wants to communicate.
    (3) Coordinate with other State agencies having
responsibilities affecting health care facilities, including
the Center for Comprehensive Health Planning and those of
licensure and cost reporting.
(Source: P.A. 96-31, eff. 6-30-09.)
 
    (20 ILCS 3960/12.5)
    (Section scheduled to be repealed on December 31, 2019)
    Sec. 12.5. Update existing bed inventory and associated bed
need projections. While the Task Force on Health Planning
Reform will make long-term recommendations related to the
method and formula for calculating the bed inventory and
associated bed need projections, there is a current need for
the bed inventory to be updated prior to the issuance of the
recommendations of the Task Force. Therefore, the State Board
Agency shall immediately update the existing bed inventory and
associated bed need projections required by Sections 12 and
12.3 of this Act, using the most recently published historical
utilization data, 5-year population projections, and an
appropriate migration factor for the medical-surgical and
pediatric category of service which shall be no less than 50%.
The State Board Agency shall provide written documentation
providing the methodology and rationale used to determine the
appropriate migration factor.
(Source: P.A. 97-1115, eff. 8-27-12.)
 
    (20 ILCS 3960/13)  (from Ch. 111 1/2, par. 1163)
    (Section scheduled to be repealed on December 31, 2019)
    Sec. 13. Investigation of applications for permits and
certificates of recognition. The Agency or the State Board
shall make or cause to be made such investigations as it or the
State Board deems necessary in connection with an application
for a permit or an application for a certificate of
recognition, or in connection with a determination of whether
or not construction or modification which has been commenced is
in accord with the permit issued by the State Board or whether
construction or modification has been commenced without a
permit having been obtained. The State Board may issue
subpoenas duces tecum requiring the production of records and
may administer oaths to such witnesses.
    Any circuit court of this State, upon the application of
the State Board or upon the application of any party to such
proceedings, may, in its discretion, compel the attendance of
witnesses, the production of books, papers, records, or
memoranda and the giving of testimony before the State Board,
by a proceeding as for contempt, or otherwise, in the same
manner as production of evidence may be compelled before the
court.
    The State Board shall require all health facilities
operating in this State to provide such reasonable reports at
such times and containing such information as is needed by it
to carry out the purposes and provisions of this Act. Prior to
collecting information from health facilities, the State Board
shall make reasonable efforts through a public process to
consult with health facilities and associations that represent
them to determine whether data and information requests will
result in useful information for health planning, whether
sufficient information is available from other sources, and
whether data requested is routinely collected by health
facilities and is available without retrospective record
review. Data and information requests shall not impose undue
paperwork burdens on health care facilities and personnel.
Health facilities not complying with this requirement shall be
reported to licensing, accrediting, certifying, or payment
agencies as being in violation of State law. Health care
facilities and other parties at interest shall have reasonable
access, under rules established by the State Board, to all
planning information submitted in accord with this Act
pertaining to their area.
    Among the reports to be required by the State Board are
facility questionnaires for health care facilities licensed
under the Ambulatory Surgical Treatment Center Act, the
Hospital Licensing Act, the Nursing Home Care Act, the ID/DD
Community Care Act, the Specialized Mental Health
Rehabilitation Act, or the End Stage Renal Disease Facility
Act. These questionnaires shall be conducted on an annual basis
and compiled by the State Board Agency. For health care
facilities licensed under the Nursing Home Care Act or the
Specialized Mental Health Rehabilitation Act, these reports
shall include, but not be limited to, the identification of
specialty services provided by the facility to patients,
residents, and the community at large. Annual reports for
facilities licensed under the ID/DD Community Care Act shall be
different from the annual reports required of other health care
facilities and shall be specific to those facilities licensed
under the ID/DD Community Care Act. The Health Facilities and
Services Review Board shall consult with associations
representing facilities licensed under the ID/DD Community
Care Act when developing the information requested in these
annual reports. For health care facilities that contain long
term care beds, the reports shall also include the number of
staffed long term care beds, physical capacity for long term
care beds at the facility, and long term care beds available
for immediate occupancy. For purposes of this paragraph, "long
term care beds" means beds (i) licensed under the Nursing Home
Care Act, (ii) licensed under the ID/DD Community Care Act,
(iii) licensed under the Hospital Licensing Act, or (iv)
licensed under the Specialized Mental Health Rehabilitation
Act and certified as skilled nursing or nursing facility beds
under Medicaid or Medicare.
(Source: P.A. 96-339, eff. 7-1-10; 97-38, eff. 6-28-11; 97-227,
eff. 1-1-12; 97-813, eff. 7-13-12; 97-980, eff. 8-17-12.)
 
    (20 ILCS 3960/15)  (from Ch. 111 1/2, par. 1165)
    (Section scheduled to be repealed on December 31, 2019)
    Sec. 15. Notwithstanding the existence or pursuit of any
other remedy, the State Board or the Agency may, in the manner
provided by law, upon the advice of the Attorney General who
shall represent the State Board or the Agency in the
proceedings, maintain an action in the name of the State for
injunction or other process against any person or governmental
unit to restrain or prevent the acquisition of major medical
equipment, or the establishment, construction or modification
of a health care facility without the required permit, or to
restrain or prevent the occupancy or utilization of the
equipment acquired or facility which was constructed or
modified without the required permit.
(Source: P.A. 89-276, eff. 8-10-95.)
 
    Section 99. Effective date. This Act takes effect upon
becoming law.
INDEX
Statutes amended in order of appearance
    20 ILCS 3960/3from Ch. 111 1/2, par. 1153
    20 ILCS 3960/5.3
    20 ILCS 3960/5.4
    20 ILCS 3960/6.2
    20 ILCS 3960/8.5
    20 ILCS 3960/10from Ch. 111 1/2, par. 1160
    20 ILCS 3960/11from Ch. 111 1/2, par. 1161
    20 ILCS 3960/12from Ch. 111 1/2, par. 1162
    20 ILCS 3960/12.2
    20 ILCS 3960/12.5
    20 ILCS 3960/13from Ch. 111 1/2, par. 1163
    20 ILCS 3960/15from Ch. 111 1/2, par. 1165