Public Act 90-0353 of the 90th General Assembly

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Public Act 90-0353

SB946 Enrolled                                 LRB9000382SMdv

    AN ACT to amend the Nursing Home  Care  Act  by  changing
Section 3-805.

    Be  it  enacted  by  the People of the State of Illinois,
represented in the General Assembly:

    Section 5.  The Nursing  Home  Care  Act  is  amended  by
changing Section 3-805 as follows:

    (210 ILCS 45/3-805) (from Ch. 111 1/2, par. 4153-805)
    Sec.  3-805.  (a)  The  Department  shall conduct a pilot
project to examine, study and contrast the  Joint  Commission
on   the   Accreditation   of   Health   Care   Organizations
("Commission")  accreditation review process with the current
regulations and licensure surveys process  conducted  by  the
Department for long-term care facilities.  This pilot project
will  enable  qualified facilities to apply for participation
in the project, in which surveys completed by the  Commission
are  accepted  by  the  Department  in  lieu  of  inspections
required  by  this Act, as provided in subsection (b) of this
Section.  It  is  intended  that  this  pilot  project  shall
commence  on  January 1, 1990, and shall conclude on December
31, 2000 1997, with a final report to  be  submitted  to  the
Governor and the General Assembly by June 30, 2001 1998.
    (b) (1)  In  lieu of conducting an inspection for license
renewal under this Act, the  Department  may  accept  from  a
facility  that  is  accredited  by  the  Commission under the
Commission's long-term care  standards  the  facility's  most
recent  annual  accreditation  review  by the Commission.  In
addition to such review, the facility shall submit any fee or
other license renewal report or information required by  law.
The  Department  may  accept  such  review for so long as the
Commission maintains an annual inspection or review  program.
If   the  Commission  does  not  conduct  an  on-site  annual
inspection  or  review,  the  Department  shall  conduct   an
inspection  as  otherwise  required  by  this  Act.   If  the
Department  determines  that  an annual on-site inspection or
review conducted by the  Commission  does  not  meet  minimum
standards  set  by  the  Department, the Department shall not
accept  the  Commission's  accreditation  review  and   shall
conduct an inspection as otherwise required by this Act.
    The  Department  shall establish procedures applicable to
the pilot project conducted pursuant to  this  Section.   The
procedures  shall  provide  for  a review of the Commission's
survey findings that may be Type "A" or Type  "B"  violations
under  this Act requiring immediate correction, the taking of
necessary and appropriate action to  determine  whether  such
violations  exist,  and  steps to effect corrective action in
cooperation with the Commission, or otherwise under this Act,
as may be necessary.  The  Department  shall  also  establish
procedures to require the Commission to immediately report to
the   Department   any  survey  finding  that  constitutes  a
condition  or  occurrence  relating  to  the  operation   and
maintenance  of  a  facility  which  presents  a  substantial
probability  that death or serious mental or physical harm to
a resident  will  result  therefrom,  so  as  to  enable  the
Department  to  take  necessary  and appropriate action under
this Act.
    (2)  This subsection (b) does not limit the Department in
performing any inspections or other duties authorized by this
Act, or under any contract relating to the medical assistance
program administered by the  Illinois  Department  of  Public
Aid, or under Title XVIII or Title XIX of the Social Security
Act.
    (3)  No    facility   shall   be   required   to   obtain
accreditation from the Commission.
    (c)  Participation in the pilot project shall be  limited
to  facilities  selected  at random by the Director, provided
that:
         (1)  facilities shall  apply  to  the  Director  for
    selection to participate;
         (2)  facilities  which  are  currently accredited by
    the Commission may apply to participate;
         (3)  any facility not accredited by  the  Commission
    at  the  time  of application to participate in the pilot
    project shall apply for such accreditation;
         (4)  the number of facilities so selected  shall  be
    no greater than 15% of the total number of long-term care
    facilities licensed under this Act;
         (5)  the  number  of facilities so selected shall be
    divided equally between facilities having fewer than  100
    beds and facilities having 100 or more beds;
         (6)  facilities so selected shall have been licensed
    for  more  than  2 years and shall not have been issued a
    conditional license within 2 years  before  applying  for
    participation in the pilot project; and
         (7)  no  facilities  so  selected  shall  have  been
    issued  a  notice of a Type "A" violation within one year
    before applying for participation in the pilot project.
    (d)  Inspections and surveys conducted by the  Commission
under   the   pilot   project   for   initial   or  continued
accreditation shall  not  be  announced  in  advance  to  the
facility  being  inspected or surveyed, and shall provide for
participation  in  the  inspection  or  survey   process   by
residents of the facility and the public.
    (e)  With  respect  to  any  facility  accredited  by the
Commission, the Commission shall  submit  to  the  Department
copies of:
         (1)  the accreditation award letter;
         (2)  the     accreditation     report,     including
    recommendations and comments by the Commission; and
         (3)  any  correspondence  directly  related  to  the
    accreditation.
    (f)  No  facility  which  is  denied initial or continued
accreditation by the  Commission  shall  participate  in  the
pilot project.
    (g)  The Director shall meet at least once every 6 months
with the director of the Commission's long-term care facility
accreditation  program  to  review,  coordinate and modify as
necessary the services performed by the Commission under  the
pilot  project.   On  or  before  June 30, 1993, the Director
shall submit to the Governor and to the  General  Assembly  a
report   evaluating   the   pilot   project  and  making  any
recommendations deemed necessary.
    (h)  This  Section  does  not  limit  the  Department  in
performing any inspections or other duties authorized by this
Act, or under any contract relating to the medical assistance
program administered by the  Illinois  Department  of  Public
Aid, or under Title XVIII or Title XIX of the Social Security
Act.
(Source: P.A.  88-45;  89-171,  eff.  7-19-95;  89-381,  eff.
8-18-95; 89-626, eff. 8-9-96.)

    Section  99.  Effective date.  This Act takes effect upon
becoming law.

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