Public Act 099-0710
 
HB4388 EnrolledLRB099 15468 RPS 39754 b

    AN ACT concerning regulation.
 
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
 
    Section 5. The Emergency Medical Services (EMS) Systems Act
is amended by changing Section 32.5 as follows:
 
    (210 ILCS 50/32.5)
    Sec. 32.5. Freestanding Emergency Center.
    (a) The Department shall issue an annual Freestanding
Emergency Center (FEC) license to any facility that has
received a permit from the Health Facilities and Services
Review Board to establish a Freestanding Emergency Center by
January 1, 2015, and:
        (1) is located: (A) in a municipality with a population
    of 50,000 or fewer inhabitants; (B) within 50 miles of the
    hospital that owns or controls the FEC; and (C) within 50
    miles of the Resource Hospital affiliated with the FEC as
    part of the EMS System;
        (2) is wholly owned or controlled by an Associate or
    Resource Hospital, but is not a part of the hospital's
    physical plant;
        (3) meets the standards for licensed FECs, adopted by
    rule of the Department, including, but not limited to:
            (A) facility design, specification, operation, and
        maintenance standards;
            (B) equipment standards; and
            (C) the number and qualifications of emergency
        medical personnel and other staff, which must include
        at least one board certified emergency physician
        present at the FEC 24 hours per day.
        (4) limits its participation in the EMS System strictly
    to receiving a limited number of patients by ambulance: (A)
    BLS runs by emergency medical vehicles according to the
    FEC's 24-hour capabilities; (B) according to protocols
    developed by the Resource Hospital within the FEC's
    designated EMS System; and (C) as pre-approved by both the
    EMS Medical Director and the Department and approved by the
    Project Medical Director and the Department;
        (5) provides comprehensive emergency treatment
    services, as defined in the rules adopted by the Department
    pursuant to the Hospital Licensing Act, 24 hours per day,
    on an outpatient basis;
        (6) provides an ambulance and maintains on site
    ambulance services staffed with paramedics 24 hours per
    day;
        (7) (blank);
        (8) complies with all State and federal patient rights
    provisions, including, but not limited to, the Emergency
    Medical Treatment Act and the federal Emergency Medical
    Treatment and Active Labor Act;
        (9) maintains a communications system that is fully
    integrated with its Resource Hospital within the FEC's
    designated EMS System;
        (10) reports to the Department any patient transfers
    from the FEC to a hospital within 48 hours of the transfer
    plus any other data determined to be relevant by the
    Department;
        (11) submits to the Department, on a quarterly basis,
    the FEC's morbidity and mortality rates for patients
    treated at the FEC and other data determined to be relevant
    by the Department;
        (12) does not describe itself or hold itself out to the
    general public as a full service hospital or hospital
    emergency department in its advertising or marketing
    activities;
        (13) complies with any other rules adopted by the
    Department under this Act that relate to FECs;
        (14) passes the Department's site inspection for
    compliance with the FEC requirements of this Act;
        (15) submits a copy of the permit issued by the Health
    Facilities and Services Review Board indicating that the
    facility has complied with the Illinois Health Facilities
    Planning Act with respect to the health services to be
    provided at the facility;
        (16) submits an application for designation as an FEC
    in a manner and form prescribed by the Department by rule;
    and
        (17) pays the annual license fee as determined by the
    Department by rule.
    (a-5) Notwithstanding any other provision of this Section,
the Department may issue an annual FEC license to a facility
that is located in a county that does not have a licensed
general acute care hospital if the facility's application for a
permit from the Illinois Health Facilities Planning Board has
been deemed complete by the Department of Public Health by
January 1, 2014 and if the facility complies with the
requirements set forth in paragraphs (1) through (17) of
subsection (a).
    (a-10) Notwithstanding any other provision of this
Section, the Department may issue an annual FEC license to a
facility if the facility has, by January 1, 2014, filed a
letter of intent to establish an FEC and if the facility
complies with the requirements set forth in paragraphs (1)
through (17) of subsection (a).
    (a-15) Notwithstanding any other provision of this
Section, the Department shall issue an annual FEC license to a
facility if the facility: (i) discontinues operation as a
hospital within 180 days after the effective date of this
amendatory Act of the 99th General Assembly with a Health
Facilities and Services Review Board project number of
E-017-15; (ii) has an application for a permit to establish an
FEC from the Health Facilities and Services Review Board that
is deemed complete by January 1, 2017; and (iii) complies with
the requirements set forth in paragraphs (1) through (17) of
subsection (a) of this Section.
    (b) The Department shall:
        (1) annually inspect facilities of initial FEC
    applicants and licensed FECs, and issue annual licenses to
    or annually relicense FECs that satisfy the Department's
    licensure requirements as set forth in subsection (a);
        (2) suspend, revoke, refuse to issue, or refuse to
    renew the license of any FEC, after notice and an
    opportunity for a hearing, when the Department finds that
    the FEC has failed to comply with the standards and
    requirements of the Act or rules adopted by the Department
    under the Act;
        (3) issue an Emergency Suspension Order for any FEC
    when the Director or his or her designee has determined
    that the continued operation of the FEC poses an immediate
    and serious danger to the public health, safety, and
    welfare. An opportunity for a hearing shall be promptly
    initiated after an Emergency Suspension Order has been
    issued; and
        (4) adopt rules as needed to implement this Section.
(Source: P.A. 99-490, eff. 12-4-15.)
 
    Section 99. Effective date. This Act takes effect upon
becoming law.

Effective Date: 8/5/2016