96TH GENERAL ASSEMBLY
State of Illinois
2009 and 2010
HB3607

 

Introduced 2/24/2009, by Rep. Greg Harris

 

SYNOPSIS AS INTRODUCED:
 
210 ILCS 9/20
210 ILCS 9/35
210 ILCS 9/55
210 ILCS 9/65
210 ILCS 9/75

    Amends the Assisted Living and Shared Housing Act. Provides that the minimum standards for establishments shall include compliance with requirements of the federal Fair Housing Act and the Illinois Human Rights Act. Requires a finding of substantial compliance with the federal Fair Housing Act and the Illinois Human Rights Act for issuance of a license. Provides for denial of an application for a license and for suspension, revocation, or refusal to renew a license if an establishment is found by the United States Department of Housing and Urban Development, by a court of competent jurisdiction, or by the Illinois Human Rights Commission to be in violation of the federal Fair Housing Act or certain provisions of the Illinois Human Rights Act. Provides that an establishment may not refuse to permit a disabled person to make reasonable modifications to the dwelling unit occupied or to be occupied by the disabled person at the establishment if the disabled person makes those modifications at his or her own expense. Provides that an establishment may not refuse to make reasonable accommodations in its rules, policies, practices, or services when those accommodations may be necessary to afford a person equal opportunity to use and enjoy a dwelling unit at the establishment. Effective immediately.


LRB096 08867 DRJ 21542 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

HB3607LRB096 08867 DRJ 21542 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Assisted Living and Shared Housing Act is
5amended by changing Sections 20, 35, 55, 65, and 75 as follows:
 
6    (210 ILCS 9/20)
7    Sec. 20. Construction and operating standards. The
8Department, in consultation with the Advisory Board, shall
9prescribe minimum standards for establishments. These
10standards shall include:
11        (1) the location and construction of the
12    establishment, including plumbing, heating, lighting,
13    ventilation, and other physical conditions which shall
14    ensure the health, safety, and comfort of residents and
15    their protection from fire hazards; these standards shall
16    include, at a minimum, compliance with the residential
17    board and care occupancies chapter of the National Fire
18    Protection Association's Life Safety Code, local and State
19    building codes for the building type, and accessibility
20    standards of the Americans with Disabilities Act, the
21    requirements of the federal Fair Housing Act set forth at
22    42 U.S.C. 3604(f)(3), and the requirements of subdivision
23    (C)(3) of Section 3-102.1 of the Illinois Human Rights Act;

 

 

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1        (2) the number and qualifications of all personnel
2    having responsibility for any part of the services provided
3    for residents;
4        (3) all sanitary conditions within the establishment
5    and its surroundings, including water supply, sewage
6    disposal, food handling, infection control, and general
7    hygiene, which shall ensure the health and comfort of
8    residents;
9        (4) a program for adequate maintenance of physical
10    plant and equipment;
11        (5) adequate accommodations, staff, and services for
12    the number and types of residents for whom the
13    establishment is licensed;
14        (6) the development of evacuation and other
15    appropriate safety plans for use during weather, health,
16    fire, physical plant, environmental, and national defense
17    emergencies; and
18        (7) the maintenance of minimum financial and other
19    resources necessary to meet the standards established
20    under this Section and to operate the establishment in
21    accordance with this Act.
22(Source: P.A. 91-656, eff. 1-1-01.)
 
23    (210 ILCS 9/35)
24    Sec. 35. Issuance of license.
25    (a) Upon receipt and review of an application for a license

 

 

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1and review of the applicant establishment, the Director may
2issue a license if he or she finds:
3        (1) that the individual applicant, or the corporation,
4    partnership, or other entity if the applicant is not an
5    individual, is a person responsible and suitable to operate
6    or to direct or participate in the operation of an
7    establishment by virtue of financial capacity, appropriate
8    business or professional experience, a record of lawful
9    compliance with lawful orders of the Department and lack of
10    revocation of a license issued under this Act or the
11    Nursing Home Care Act during the previous 5 years;
12        (2) that the establishment is under the supervision of
13    a full-time director who is at least 21 years of age and
14    has a high school diploma or equivalent plus either:
15            (A) 2 years of management experience or 2 years of
16        experience in positions of progressive responsibility
17        in health care, housing with services, or adult day
18        care or providing similar services to the elderly; or
19            (B) 2 years of management experience or 2 years of
20        experience in positions of progressive responsibility
21        in hospitality and training in health care and housing
22        with services management as defined by rule;
23        (3) that the establishment has staff sufficient in
24    number with qualifications, adequate skills, education,
25    and experience to meet the 24 hour scheduled and
26    unscheduled needs of residents and who participate in

 

 

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1    ongoing training to serve the resident population;
2        (4) that all employees who are subject to the Health
3    Care Worker Background Check Act meet the requirements of
4    that Act;
5        (5) that the applicant is in substantial compliance
6    with this Act, the federal Fair Housing Act (42 U.S.C. 3601
7    and following), Sections 3-101 through 3-106 and Section
8    6-101 of the Illinois Human Rights Act, and such other
9    requirements for a license as the Department by rule may
10    establish under this Act;
11        (6) that the applicant pays all required fees;
12        (7) that the applicant has provided to the Department
13    an accurate disclosure document in accordance with the
14    Alzheimer's Special Care Disclosure Act and in substantial
15    compliance with Section 150 of this Act.
16    In addition to any other requirements set forth in this
17Act, as a condition of licensure under this Act, the director
18of an establishment must participate in at least 20 hours of
19training every 2 years to assist him or her in better meeting
20the needs of the residents of the establishment and managing
21the operation of the establishment.
22    Any license issued by the Director shall state the physical
23location of the establishment, the date the license was issued,
24and the expiration date. All licenses shall be valid for one
25year, except as provided in Sections 40 and 45. Each license
26shall be issued only for the premises and persons named in the

 

 

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1application, and shall not be transferable or assignable.
2(Source: P.A. 95-79, eff. 8-13-07; 95-590, eff. 9-10-07;
395-628, eff. 9-25-07; 95-876, eff. 8-21-08.)
 
4    (210 ILCS 9/55)
5    Sec. 55. Grounds for denial of a license. An application
6for a license may be denied for any of the following reasons:
7        (1) failure to meet any of the standards set forth in
8    this Act or by rules adopted by the Department under this
9    Act;
10        (2) conviction of the applicant, or if the applicant is
11    a firm, partnership, or association, of any of its members,
12    or if a corporation, the conviction of the corporation or
13    any of its officers or stockholders, or of the person
14    designated to manage or supervise the establishment, of a
15    felony or of 2 or more misdemeanors involving moral
16    turpitude during the previous 5 years as shown by a
17    certified copy of the record of the court of conviction;
18        (3) personnel insufficient in number or unqualified by
19    training or experience to properly care for the residents;
20        (4) insufficient financial or other resources to
21    operate and conduct the establishment in accordance with
22    standards adopted by the Department under this Act;
23        (5) revocation of a license during the previous 5
24    years, if such prior license was issued to the individual
25    applicant, a controlling owner or controlling combination

 

 

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1    of owners of the applicant; or any affiliate of the
2    individual applicant or controlling owner of the applicant
3    and such individual applicant, controlling owner of the
4    applicant or affiliate of the applicant was a controlling
5    owner of the prior license; provided, however, that the
6    denial of an application for a license pursuant to this
7    Section must be supported by evidence that the prior
8    revocation renders the applicant unqualified or incapable
9    of meeting or maintaining an establishment in accordance
10    with the standards and rules adopted by the Department
11    under this Act; or
12        (6) the establishment is not under the direct
13    supervision of a full-time director, as defined by rule.
14    The Department shall deny an application for a license if
15an establishment is found by the United States Department of
16Housing and Urban Development, by a court of competent
17jurisdiction, or by the Illinois Human Rights Commission to be
18in violation of the federal Fair Housing Act (42 U.S.C. 3601
19and following) or Sections 3-101 through 3-106 and Section
206-101 of the Illinois Human Rights Act. The Department may not
21issue a license to such an establishment until the
22establishment has complied with all relief ordered by the
23United States Department of Housing and Urban Development, a
24court of competent jurisdiction, or the Illinois Human Rights
25Commission and has remedied the violation.
26    The Department shall deny an application for a license if 6

 

 

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1months after submitting its initial application the applicant
2has not provided the Department with all of the information
3required for review and approval or the applicant is not
4actively pursuing the processing of its application. In
5addition, the Department shall determine whether the applicant
6has violated any provision of the Nursing Home Care Act.
7(Source: P.A. 93-1003, eff. 8-23-04.)
 
8    (210 ILCS 9/65)
9    Sec. 65. Revocation, suspension, or refusal to renew
10license.
11    (a) The Department, after notice to the applicant or
12licensee, may suspend, revoke, or refuse to renew a license in
13any case in which the Department finds any of the following:
14        (1) that there has been a substantial failure to comply
15    with this Act or the rules promulgated by the Department
16    under this Act or with the federal Fair Housing Act (42
17    U.S.C. 3601 and following) or Sections 3-101 through 3-106
18    and Section 6-101 of the Illinois Human Rights Act;
19        (2) that there has been a conviction of the licensee,
20    or of the person designated to manage or supervise the
21    establishment, of a felony or of 2 or more misdemeanors
22    involving moral turpitude during the previous 5 years as
23    shown by a certified copy of the record of the court of
24    conviction;
25        (3) that the personnel is insufficient in number or

 

 

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1    unqualified by training or experience to properly care for
2    the number and type of residents served by the
3    establishment;
4        (4) that the financial or other resources are
5    insufficient to conduct and operate the establishment in
6    accordance with standards promulgated by the Department
7    under this Act; or
8        (5) that the establishment is not under the direct
9    supervision of a full-time director, as defined by rule.
10    The Department shall suspend, revoke, or refuse to renew a
11license if an establishment is found by the United States
12Department of Housing and Urban Development, by a court of
13competent jurisdiction, or by the Illinois Human Rights
14Commission to be in violation of the federal Fair Housing Act
15(42 U.S.C. 3601 and following) or Sections 3-101 through 3-106
16and Section 6-101 of the Illinois Human Rights Act. The
17Department may not restore or renew a license to such an
18establishment until the establishment has complied with all
19relief ordered by the United States Department of Housing and
20Urban Development, a court of competent jurisdiction, or the
21Illinois Human Rights Commission and has remedied the
22violation.
23    (b) Notice under this Section shall include a clear and
24concise statement of the violations on which the nonrenewal or
25revocation is based, the statute or rule violated, and notice
26of the opportunity for a hearing under Section 60.

 

 

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1    (c) If an establishment desires to contest the nonrenewal
2or revocation of a license, the establishment shall, within 10
3days after receipt of notice under subsection (b) of this
4Section, notify the Department in writing of its request for a
5hearing under Section 60. Upon receipt of the request the
6Department shall send notice to the establishment and hold a
7hearing as provided under Section 60.
8    (d) The effective date of nonrenewal or revocation of a
9license by the Department shall be any of the following:
10        (1) until otherwise ordered by the circuit court,
11    revocation is effective on the date set by the Department
12    in the notice of revocation, or upon final action after
13    hearing under Section 60, whichever is later;
14        (2) until otherwise ordered by the circuit court,
15    nonrenewal is effective on the date of expiration of any
16    existing license, or upon final action after hearing under
17    Section 60, whichever is later; however, a license shall
18    not be deemed to have expired if the Department fails to
19    timely respond to a timely request for renewal under this
20    Act or for a hearing to contest nonrenewal; or
21        (3) the Department may extend the effective date of
22    license revocation or expiration in any case in order to
23    permit orderly removal and relocation of residents.
24    (e) The Department may refuse to issue or may suspend the
25license of any person who fails to file a return, or to pay the
26tax, penalty or interest shown in a filed return, or to pay any

 

 

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1final assessment of tax, penalty or interest, as required by
2any tax Act administered by the Illinois Department of Revenue,
3until such time as the requirements of any such tax Act are
4satisfied.
5(Source: P.A. 91-656, eff. 1-1-01.)
 
6    (210 ILCS 9/75)
7    Sec. 75. Residency Requirements.
8    (a) No individual shall be accepted for residency or remain
9in residence if the establishment cannot provide or secure
10appropriate services, if the individual requires a level of
11service or type of service for which the establishment is not
12licensed or which the establishment does not provide, or if the
13establishment does not have the staff appropriate in numbers
14and with appropriate skill to provide such services.
15    (b) Only adults may be accepted for residency.
16    (c) A person shall not be accepted for residency if:
17        (1) the person poses a serious threat to himself or
18    herself or to others;
19        (2) the person is not able to communicate his or her
20    needs and no resident representative residing in the
21    establishment, and with a prior relationship to the person,
22    has been appointed to direct the provision of services;
23        (3) the person requires total assistance with 2 or more
24    activities of daily living;
25        (4) the person requires the assistance of more than one

 

 

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1    paid caregiver at any given time with an activity of daily
2    living;
3        (5) the person requires more than minimal assistance in
4    moving to a safe area in an emergency;
5        (6) the person has a severe mental illness, which for
6    the purposes of this Section means a condition that is
7    characterized by the presence of a major mental disorder as
8    classified in the Diagnostic and Statistical Manual of
9    Mental Disorders, Fourth Edition (DSM-IV) (American
10    Psychiatric Association, 1994), where the individual is
11    substantially disabled due to mental illness in the areas
12    of self-maintenance, social functioning, activities of
13    community living and work skills, and the disability
14    specified is expected to be present for a period of not
15    less than one year, but does not mean Alzheimer's disease
16    and other forms of dementia based on organic or physical
17    disorders;
18        (7) the person requires intravenous therapy or
19    intravenous feedings unless self-administered or
20    administered by a qualified, licensed health care
21    professional;
22        (8) the person requires gastrostomy feedings unless
23    self-administered or administered by a licensed health
24    care professional;
25        (9) the person requires insertion, sterile irrigation,
26    and replacement of catheter, except for routine

 

 

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1    maintenance of urinary catheters, unless the catheter care
2    is self-administered or administered by a licensed health
3    care professional;
4        (10) the person requires sterile wound care unless care
5    is self-administered or administered by a licensed health
6    care professional;
7        (11) the person requires sliding scale insulin
8    administration unless self-performed or administered by a
9    licensed health care professional;
10        (12) the person is a diabetic requiring routine insulin
11    injections unless the injections are self-administered or
12    administered by a licensed health care professional;
13        (13) the person requires treatment of stage 3 or stage
14    4 decubitus ulcers or exfoliative dermatitis;
15        (14) the person requires 5 or more skilled nursing
16    visits per week for conditions other than those listed in
17    items (13) and (15) of this subsection for a period of 3
18    consecutive weeks or more except when the course of
19    treatment is expected to extend beyond a 3 week period for
20    rehabilitative purposes and is certified as temporary by a
21    physician; or
22        (15) other reasons prescribed by the Department by
23    rule.
24    (d) A resident with a condition listed in items (1) through
25(15) of subsection (c) shall have his or her residency
26terminated, except as provided in subsection (j).

 

 

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1    (e) Residency shall be terminated when services available
2to the resident in the establishment are no longer adequate to
3meet the needs of the resident. This provision shall not be
4interpreted as limiting the authority of the Department to
5require the residency termination of individuals.
6    (f) Subsection (d) of this Section shall not apply to
7terminally ill residents who receive or would qualify for
8hospice care and such care is coordinated by a hospice program
9licensed under the Hospice Program Licensing Act or other
10licensed health care professional employed by a licensed home
11health agency and the establishment and all parties agree to
12the continued residency.
13    (g) Items (3), (4), (5), and (9) of subsection (c) shall
14not apply to a quadriplegic, paraplegic, or individual with
15neuro-muscular diseases, such as muscular dystrophy and
16multiple sclerosis, or other chronic diseases and conditions as
17defined by rule if the individual is able to communicate his or
18her needs and does not require assistance with complex medical
19problems, and the establishment is able to accommodate the
20individual's needs. The Department shall prescribe rules
21pursuant to this Section that address special safety and
22service needs of these individuals.
23    (h) For the purposes of items (7) through (10) of
24subsection (c), a licensed health care professional may not be
25employed by the owner or operator of the establishment, its
26parent entity, or any other entity with ownership common to

 

 

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1either the owner or operator of the establishment or parent
2entity, including but not limited to an affiliate of the owner
3or operator of the establishment. Nothing in this Section is
4meant to limit a resident's right to choose his or her health
5care provider.
6    (i) Subsection (h) is not applicable to residents admitted
7to an assisted living establishment under a life care contract
8as defined in the Life Care Facilities Act if the life care
9facility has both an assisted living establishment and a
10skilled nursing facility. A licensed health care professional
11providing health-related or supportive services at a life care
12assisted living or shared housing establishment must be
13employed by an entity licensed by the Department under the
14Nursing Home Care Act or the Home Health, Home Services, and
15Home Nursing Agency Licensing Act.
16    (j) Notwithstanding any other provision of this Section, an
17establishment may not refuse to permit a disabled person to
18make reasonable modifications to the dwelling unit occupied or
19to be occupied by the disabled person at the establishment, as
20required by the federal Fair Housing Act as set forth at 42
21U.S.C. 3604(f)(3)(A) or by subdivision (C)(1) of Section
223-102.1 of the Illinois Human Rights Act, if the disabled
23person makes those modifications at his or her own expense. An
24establishment may not refuse to make reasonable accommodations
25in its rules, policies, practices, or services when those
26accommodations may be necessary to afford a person equal

 

 

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1opportunity to use and enjoy a dwelling unit at the
2establishment, as required by the federal Fair Housing Act as
3set forth at 42 U.S.C. 3604(f)(3)(B) or by subdivision (C)(2)
4of Section 3-102.1 of the Illinois Human Rights Act.
5(Source: P.A. 94-256, eff. 7-19-05; 94-570, eff. 8-12-05;
695-216, eff. 8-16-07; 95-331, eff. 8-21-07.)
 
7    Section 99. Effective date. This Act takes effect upon
8becoming law.