Full Text of HB1584 98th General Assembly
HB1584sam001 98TH GENERAL ASSEMBLY | Sen. Christine Radogno Filed: 10/22/2013
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| 1 | | AMENDMENT TO HOUSE BILL 1584
| 2 | | AMENDMENT NO. ______. Amend House Bill 1584 by replacing | 3 | | everything after the enacting clause with the following:
| 4 | | "Section 5. The Illinois Health Facilities Planning Act is | 5 | | amended by changing Section 3 as follows:
| 6 | | (20 ILCS 3960/3) (from Ch. 111 1/2, par. 1153)
| 7 | | (Section scheduled to be repealed on December 31, 2019) | 8 | | Sec. 3. Definitions. As used in this Act:
| 9 | | "Health care facilities" means and includes
the following | 10 | | facilities, organizations, and related persons:
| 11 | | 1. An ambulatory surgical treatment center required to | 12 | | be licensed
pursuant to the Ambulatory Surgical Treatment | 13 | | Center Act;
| 14 | | 2. An institution, place, building, or agency required | 15 | | to be licensed
pursuant to the Hospital Licensing Act;
| 16 | | 3. Skilled and intermediate long term care facilities |
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| 1 | | licensed under the
Nursing
Home Care Act;
| 2 | | 3.5. Skilled and intermediate care facilities licensed | 3 | | under the ID/DD Community Care Act; | 4 | | 3.7. Facilities licensed under the Specialized Mental | 5 | | Health Rehabilitation Act;
| 6 | | 4. Hospitals, nursing homes, ambulatory surgical | 7 | | treatment centers, or
kidney disease treatment centers
| 8 | | maintained by the State or any department or agency | 9 | | thereof;
| 10 | | 5. Kidney disease treatment centers, including a | 11 | | free-standing
hemodialysis unit required to be licensed | 12 | | under the End Stage Renal Disease Facility Act;
| 13 | | 6. An institution, place, building, or room used for | 14 | | the performance of
outpatient surgical procedures that is | 15 | | leased, owned, or operated by or on
behalf of an | 16 | | out-of-state facility;
| 17 | | 7. An institution, place, building, or room used for | 18 | | provision of a health care category of service, including, | 19 | | but not limited to, cardiac catheterization and open heart | 20 | | surgery; and | 21 | | 8. An institution, place, building, or room used for | 22 | | provision of major medical equipment used in the direct | 23 | | clinical diagnosis or treatment of patients, and whose | 24 | | project cost is in excess of the capital expenditure | 25 | | minimum. | 26 | | This Act shall not apply to the construction of any new |
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| 1 | | facility or the renovation of any existing facility located on | 2 | | any campus facility as defined in Section 5-5.8b of the | 3 | | Illinois Public Aid Code, provided that the campus facility | 4 | | encompasses 30 or more contiguous acres and that the new or | 5 | | renovated facility is intended for use by a licensed | 6 | | residential facility. | 7 | | No federally owned facility shall be subject to the | 8 | | provisions of this
Act, nor facilities used solely for healing | 9 | | by prayer or spiritual means.
| 10 | | No facility licensed under the Supportive Residences | 11 | | Licensing Act or the
Assisted Living and Shared Housing Act
| 12 | | shall be subject to the provisions of this Act.
| 13 | | No facility established and operating under the | 14 | | Alternative Health Care Delivery Act as a children's | 15 | | community-based health care center children's respite care | 16 | | center alternative health care model demonstration program or | 17 | | as an Alzheimer's Disease Management Center alternative health | 18 | | care model demonstration program shall be subject to the | 19 | | provisions of this Act. | 20 | | A facility designated as a supportive living facility that | 21 | | is in good
standing with the program
established under Section | 22 | | 5-5.01a of
the Illinois Public Aid Code shall not be subject to | 23 | | the provisions of this
Act.
| 24 | | This Act does not apply to facilities granted waivers under | 25 | | Section 3-102.2
of the Nursing Home Care Act. However, if a | 26 | | demonstration project under that
Act applies for a certificate
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| 1 | | of need to convert to a nursing facility, it shall meet the | 2 | | licensure and
certificate of need requirements in effect as of | 3 | | the date of application. | 4 | | This Act does not apply to a dialysis facility that | 5 | | provides only dialysis training, support, and related services | 6 | | to individuals with end stage renal disease who have elected to | 7 | | receive home dialysis. This Act does not apply to a dialysis | 8 | | unit located in a licensed nursing home that offers or provides | 9 | | dialysis-related services to residents with end stage renal | 10 | | disease who have elected to receive home dialysis within the | 11 | | nursing home. The Board, however, may require these dialysis | 12 | | facilities and licensed nursing homes to report statistical | 13 | | information on a quarterly basis to the Board to be used by the | 14 | | Board to conduct analyses on the need for proposed kidney | 15 | | disease treatment centers.
| 16 | | This Act shall not apply to the closure of an entity or a | 17 | | portion of an
entity licensed under the Nursing Home Care Act, | 18 | | the Specialized Mental Health Rehabilitation Act, or the ID/DD | 19 | | Community Care Act, with the exceptions of facilities operated | 20 | | by a county or Illinois Veterans Homes, that elects to convert, | 21 | | in
whole or in part, to an assisted living or shared housing | 22 | | establishment
licensed under the Assisted Living and Shared | 23 | | Housing Act.
| 24 | | This Act does not apply to any change of ownership of a | 25 | | healthcare facility that is licensed under the Nursing Home | 26 | | Care Act, the Specialized Mental Health Rehabilitation Act, or |
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| 1 | | the ID/DD Community Care Act, with the exceptions of facilities | 2 | | operated by a county or Illinois Veterans Homes. Changes of | 3 | | ownership of facilities licensed under the Nursing Home Care | 4 | | Act must meet the requirements set forth in Sections 3-101 | 5 | | through 3-119 of the Nursing Home Care Act.
| 6 | | With the exception of those health care facilities | 7 | | specifically
included in this Section, nothing in this Act | 8 | | shall be intended to
include facilities operated as a part of | 9 | | the practice of a physician or
other licensed health care | 10 | | professional, whether practicing in his
individual capacity or | 11 | | within the legal structure of any partnership,
medical or | 12 | | professional corporation, or unincorporated medical or
| 13 | | professional group. Further, this Act shall not apply to | 14 | | physicians or
other licensed health care professional's | 15 | | practices where such practices
are carried out in a portion of | 16 | | a health care facility under contract
with such health care | 17 | | facility by a physician or by other licensed
health care | 18 | | professionals, whether practicing in his individual capacity
| 19 | | or within the legal structure of any partnership, medical or
| 20 | | professional corporation, or unincorporated medical or | 21 | | professional
groups, unless the entity constructs, modifies, | 22 | | or establishes a health care facility as specifically defined | 23 | | in this Section. This Act shall apply to construction or
| 24 | | modification and to establishment by such health care facility | 25 | | of such
contracted portion which is subject to facility | 26 | | licensing requirements,
irrespective of the party responsible |
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| 1 | | for such action or attendant
financial obligation. | 2 | | No permit or exemption is required for a facility licensed | 3 | | under the ID/DD Community Care Act prior to the reduction of | 4 | | the number of beds at a facility. If there is a total reduction | 5 | | of beds at a facility licensed under the ID/DD Community Care | 6 | | Act, this is a discontinuation or closure of the facility. | 7 | | However, if a facility licensed under the ID/DD Community Care | 8 | | Act reduces the number of beds or discontinues the facility, | 9 | | that facility must notify the Board as provided in Section 14.1 | 10 | | of this Act.
| 11 | | "Person" means any one or more natural persons, legal | 12 | | entities,
governmental bodies other than federal, or any | 13 | | combination thereof.
| 14 | | "Consumer" means any person other than a person (a) whose | 15 | | major
occupation currently involves or whose official capacity | 16 | | within the last
12 months has involved the providing, | 17 | | administering or financing of any
type of health care facility, | 18 | | (b) who is engaged in health research or
the teaching of | 19 | | health, (c) who has a material financial interest in any
| 20 | | activity which involves the providing, administering or | 21 | | financing of any
type of health care facility, or (d) who is or | 22 | | ever has been a member of
the immediate family of the person | 23 | | defined by (a), (b), or (c).
| 24 | | "State Board" or "Board" means the Health Facilities and | 25 | | Services Review Board.
| 26 | | "Construction or modification" means the establishment, |
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| 1 | | erection,
building, alteration, reconstruction, modernization, | 2 | | improvement,
extension, discontinuation, change of ownership, | 3 | | of or by a health care
facility, or the purchase or acquisition | 4 | | by or through a health care facility
of
equipment or service | 5 | | for diagnostic or therapeutic purposes or for
facility | 6 | | administration or operation, or any capital expenditure made by
| 7 | | or on behalf of a health care facility which
exceeds the | 8 | | capital expenditure minimum; however, any capital expenditure
| 9 | | made by or on behalf of a health care facility for (i) the | 10 | | construction or
modification of a facility licensed under the | 11 | | Assisted Living and Shared
Housing Act or (ii) a conversion | 12 | | project undertaken in accordance with Section 30 of the Older | 13 | | Adult Services Act shall be excluded from any obligations under | 14 | | this Act.
| 15 | | "Establish" means the construction of a health care | 16 | | facility or the
replacement of an existing facility on another | 17 | | site or the initiation of a category of service.
| 18 | | "Major medical equipment" means medical equipment which is | 19 | | used for the
provision of medical and other health services and | 20 | | which costs in excess
of the capital expenditure minimum, | 21 | | except that such term does not include
medical equipment | 22 | | acquired
by or on behalf of a clinical laboratory to provide | 23 | | clinical laboratory
services if the clinical laboratory is | 24 | | independent of a physician's office
and a hospital and it has | 25 | | been determined under Title XVIII of the Social
Security Act to | 26 | | meet the requirements of paragraphs (10) and (11) of Section
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| 1 | | 1861(s) of such Act. In determining whether medical equipment | 2 | | has a value
in excess of the capital expenditure minimum, the | 3 | | value of studies, surveys,
designs, plans, working drawings, | 4 | | specifications, and other activities
essential to the | 5 | | acquisition of such equipment shall be included.
| 6 | | "Capital Expenditure" means an expenditure: (A) made by or | 7 | | on behalf of
a health care facility (as such a facility is | 8 | | defined in this Act); and
(B) which under generally accepted | 9 | | accounting principles is not properly
chargeable as an expense | 10 | | of operation and maintenance, or is made to obtain
by lease or | 11 | | comparable arrangement any facility or part thereof or any
| 12 | | equipment for a facility or part; and which exceeds the capital | 13 | | expenditure
minimum.
| 14 | | For the purpose of this paragraph, the cost of any studies, | 15 | | surveys, designs,
plans, working drawings, specifications, and | 16 | | other activities essential
to the acquisition, improvement, | 17 | | expansion, or replacement of any plant
or equipment with | 18 | | respect to which an expenditure is made shall be included
in | 19 | | determining if such expenditure exceeds the capital | 20 | | expenditures minimum.
Unless otherwise interdependent, or | 21 | | submitted as one project by the applicant, components of | 22 | | construction or modification undertaken by means of a single | 23 | | construction contract or financed through the issuance of a | 24 | | single debt instrument shall not be grouped together as one | 25 | | project. Donations of equipment
or facilities to a health care | 26 | | facility which if acquired directly by such
facility would be |
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| 1 | | subject to review under this Act shall be considered capital
| 2 | | expenditures, and a transfer of equipment or facilities for | 3 | | less than fair
market value shall be considered a capital | 4 | | expenditure for purposes of this
Act if a transfer of the | 5 | | equipment or facilities at fair market value would
be subject | 6 | | to review.
| 7 | | "Capital expenditure minimum" means $11,500,000 for | 8 | | projects by hospital applicants, $6,500,000 for applicants for | 9 | | projects related to skilled and intermediate care long-term | 10 | | care facilities licensed under the Nursing Home Care Act, and | 11 | | $3,000,000 for projects by all other applicants, which shall be | 12 | | annually
adjusted to reflect the increase in construction costs | 13 | | due to inflation, for major medical equipment and for all other
| 14 | | capital expenditures.
| 15 | | "Non-clinical service area" means an area (i) for the | 16 | | benefit of the
patients, visitors, staff, or employees of a | 17 | | health care facility and (ii) not
directly related to the | 18 | | diagnosis, treatment, or rehabilitation of persons
receiving | 19 | | services from the health care facility. "Non-clinical service | 20 | | areas"
include, but are not limited to, chapels; gift shops; | 21 | | news stands; computer
systems; tunnels, walkways, and | 22 | | elevators; telephone systems; projects to
comply with life | 23 | | safety codes; educational facilities; student housing;
| 24 | | patient, employee, staff, and visitor dining areas; | 25 | | administration and
volunteer offices; modernization of | 26 | | structural components (such as roof
replacement and masonry |
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| 1 | | work); boiler repair or replacement; vehicle
maintenance and | 2 | | storage facilities; parking facilities; mechanical systems for
| 3 | | heating, ventilation, and air conditioning; loading docks; and | 4 | | repair or
replacement of carpeting, tile, wall coverings, | 5 | | window coverings or treatments,
or furniture. Solely for the | 6 | | purpose of this definition, "non-clinical service
area" does | 7 | | not include health and fitness centers.
| 8 | | "Areawide" means a major area of the State delineated on a
| 9 | | geographic, demographic, and functional basis for health | 10 | | planning and
for health service and having within it one or | 11 | | more local areas for
health planning and health service. The | 12 | | term "region", as contrasted
with the term "subregion", and the | 13 | | word "area" may be used synonymously
with the term "areawide".
| 14 | | "Local" means a subarea of a delineated major area that on | 15 | | a
geographic, demographic, and functional basis may be | 16 | | considered to be
part of such major area. The term "subregion" | 17 | | may be used synonymously
with the term "local".
| 18 | | "Physician" means a person licensed to practice in | 19 | | accordance with
the Medical Practice Act of 1987, as amended.
| 20 | | "Licensed health care professional" means a person | 21 | | licensed to
practice a health profession under pertinent | 22 | | licensing statutes of the
State of Illinois.
| 23 | | "Director" means the Director of the Illinois Department of | 24 | | Public Health.
| 25 | | "Agency" means the Illinois Department of Public Health.
| 26 | | "Alternative health care model" means a facility or program |
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| 1 | | authorized
under the Alternative Health Care Delivery Act.
| 2 | | "Out-of-state facility" means a person that is both (i) | 3 | | licensed as a
hospital or as an ambulatory surgery center under | 4 | | the laws of another state
or that
qualifies as a hospital or an | 5 | | ambulatory surgery center under regulations
adopted pursuant | 6 | | to the Social Security Act and (ii) not licensed under the
| 7 | | Ambulatory Surgical Treatment Center Act, the Hospital | 8 | | Licensing Act, or the
Nursing Home Care Act. Affiliates of | 9 | | out-of-state facilities shall be
considered out-of-state | 10 | | facilities. Affiliates of Illinois licensed health
care | 11 | | facilities 100% owned by an Illinois licensed health care | 12 | | facility, its
parent, or Illinois physicians licensed to | 13 | | practice medicine in all its
branches shall not be considered | 14 | | out-of-state facilities. Nothing in
this definition shall be
| 15 | | construed to include an office or any part of an office of a | 16 | | physician licensed
to practice medicine in all its branches in | 17 | | Illinois that is not required to be
licensed under the | 18 | | Ambulatory Surgical Treatment Center Act.
| 19 | | "Change of ownership of a health care facility" means a | 20 | | change in the
person
who has ownership or
control of a health | 21 | | care facility's physical plant and capital assets. A change
in | 22 | | ownership is indicated by
the following transactions: sale, | 23 | | transfer, acquisition, lease, change of
sponsorship, or other | 24 | | means of
transferring control.
| 25 | | "Related person" means any person that: (i) is at least 50% | 26 | | owned, directly
or indirectly, by
either the health care |
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| 1 | | facility or a person owning, directly or indirectly, at
least | 2 | | 50% of the health
care facility; or (ii) owns, directly or | 3 | | indirectly, at least 50% of the
health care facility.
| 4 | | "Charity care" means care provided by a health care | 5 | | facility for which the provider does not expect to receive | 6 | | payment from the patient or a third-party payer. | 7 | | "Freestanding emergency center" means a facility subject | 8 | | to licensure under Section 32.5 of the Emergency Medical | 9 | | Services (EMS) Systems Act. | 10 | | "Category of service" means a grouping by generic class of | 11 | | various types or levels of support functions, equipment, care, | 12 | | or treatment provided to patients or residents, including, but | 13 | | not limited to, classes such as medical-surgical, pediatrics, | 14 | | or cardiac catheterization. A category of service may include | 15 | | subcategories or levels of care that identify a particular | 16 | | degree or type of care within the category of service. Nothing | 17 | | in this definition shall be construed to include the practice | 18 | | of a physician or other licensed health care professional while | 19 | | functioning in an office providing for the care, diagnosis, or | 20 | | treatment of patients. A category of service that is subject to | 21 | | the Board's jurisdiction must be designated in rules adopted by | 22 | | the Board. | 23 | | (Source: P.A. 97-38, eff. 6-28-11; 97-277, eff. 1-1-12; 97-813, | 24 | | eff. 7-13-12; 97-980, eff. 8-17-12; 98-414, eff. 1-1-14.) | 25 | | Section 10. The Alternative Health Care Delivery Act is |
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| 1 | | amended by changing Sections 15, 30, and 35 as follows:
| 2 | | (210 ILCS 3/15)
| 3 | | Sec. 15. License required. No health care facility or | 4 | | program that
meets the definition and scope of an alternative | 5 | | health care model shall
operate as such unless it is a | 6 | | participant in a demonstration program under
this Act and | 7 | | licensed by the Department as an alternative health care model.
| 8 | | The provisions of this Act concerning children's | 9 | | community-based health care centers children's respite care | 10 | | centers
shall not apply to any facility licensed under the | 11 | | Hospital Licensing Act, the
Nursing Home Care Act, the | 12 | | Specialized Mental Health Rehabilitation Act, the ID/DD | 13 | | Community Care Act, or the University of Illinois Hospital Act | 14 | | that provides
respite care services to children.
| 15 | | (Source: P.A. 96-339, eff. 7-1-10; 97-38, eff. 6-28-11; 97-135, | 16 | | eff. 7-14-11; 97-227, eff. 1-1-12; 97-813, eff. 7-13-12.)
| 17 | | (210 ILCS 3/30)
| 18 | | Sec. 30. Demonstration program requirements. The | 19 | | requirements set forth in
this Section shall apply to | 20 | | demonstration programs.
| 21 | | (a) (Blank).
| 22 | | (a-5) There shall be no more than the total number of | 23 | | postsurgical
recovery care centers with a certificate of need | 24 | | for beds as of January 1, 2008.
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| 1 | | (a-10) There shall be no more than a total of 9 children's | 2 | | community-based health care center children's respite care
| 3 | | center alternative health care models in the demonstration | 4 | | program, which shall
be located as follows:
| 5 | | (1) Two in the City of Chicago.
| 6 | | (2) One in Cook County outside the City of Chicago.
| 7 | | (3) A total of 2 in the area comprised of DuPage, Kane, | 8 | | Lake, McHenry, and
Will counties.
| 9 | | (4) A total of 2 in municipalities with a population of | 10 | | 50,000 or more and
not
located in the areas described in | 11 | | paragraphs (1), (2), or (3).
| 12 | | (5) A total of 2 in rural areas, as defined by the | 13 | | Health Facilities
and Services Review Board.
| 14 | | No more than one children's community-based health care | 15 | | center children's respite care model owned and operated by a
| 16 | | licensed skilled pediatric facility shall be located in each of | 17 | | the areas
designated in this subsection (a-10).
| 18 | | (a-15) There shall be 5 authorized community-based | 19 | | residential
rehabilitation center alternative health care | 20 | | models in the demonstration
program.
| 21 | | (a-20) There shall be an authorized
Alzheimer's disease | 22 | | management center alternative health care model in the
| 23 | | demonstration program. The Alzheimer's disease management | 24 | | center shall be
located in Will
County, owned by a
| 25 | | not-for-profit entity, and endorsed by a resolution approved by | 26 | | the county
board before the effective date of this amendatory |
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| 1 | | Act of the 91st General
Assembly.
| 2 | | (a-25) There shall be no more than 10 birth center | 3 | | alternative health care
models in the demonstration program, | 4 | | located as follows:
| 5 | | (1) Four in the area comprising Cook, DuPage, Kane, | 6 | | Lake, McHenry, and
Will counties, one of
which shall be | 7 | | owned or operated by a hospital and one of which shall be | 8 | | owned
or operated by a federally qualified health center.
| 9 | | (2) Three in municipalities with a population of 50,000 | 10 | | or more not
located in the area described in paragraph (1) | 11 | | of this subsection, one of
which shall be owned or operated | 12 | | by a hospital and one of which shall be owned
or operated | 13 | | by a federally qualified health center.
| 14 | | (3) Three in rural areas, one of which shall be owned | 15 | | or operated by a
hospital and one of which shall be owned | 16 | | or operated by a federally qualified
health center.
| 17 | | The first 3 birth centers authorized to operate by the | 18 | | Department shall be
located in or predominantly serve the | 19 | | residents of a health professional
shortage area as determined | 20 | | by the United States Department of Health and Human
Services. | 21 | | There shall be no more than 2 birth centers authorized to | 22 | | operate in
any single health planning area for obstetric | 23 | | services as determined under the
Illinois Health Facilities | 24 | | Planning Act. If a birth center is located outside
of a
health | 25 | | professional shortage area, (i) the birth center shall be | 26 | | located in a
health planning
area with a demonstrated need for |
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| 1 | | obstetrical service beds, as determined by
the Health | 2 | | Facilities and Services Review Board or (ii) there must be a
| 3 | | reduction in
the existing number of obstetrical service beds in | 4 | | the planning area so that
the establishment of the birth center | 5 | | does not result in an increase in the
total number of | 6 | | obstetrical service beds in the health planning area.
| 7 | | (b) Alternative health care models, other than a model | 8 | | authorized under subsection (a-10) or
(a-20), shall obtain a | 9 | | certificate of
need from the Health Facilities and Services | 10 | | Review Board under the Illinois
Health Facilities Planning Act | 11 | | before receiving a license by the
Department.
If, after | 12 | | obtaining its initial certificate of need, an alternative | 13 | | health
care delivery model that is a community based | 14 | | residential rehabilitation center
seeks to
increase the bed | 15 | | capacity of that center, it must obtain a certificate of need
| 16 | | from the Health Facilities and Services Review Board before | 17 | | increasing the bed
capacity. Alternative
health care models in | 18 | | medically underserved areas
shall receive priority in | 19 | | obtaining a certificate of need.
| 20 | | (c) An alternative health care model license shall be | 21 | | issued for a
period of one year and shall be annually renewed | 22 | | if the facility or
program is in substantial compliance with | 23 | | the Department's rules
adopted under this Act. A licensed | 24 | | alternative health care model that continues
to be in | 25 | | substantial compliance after the conclusion of the | 26 | | demonstration
program shall be eligible for annual renewals |
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| 1 | | unless and until a different
licensure program for that type of | 2 | | health care model is established by
legislation, except that a | 3 | | postsurgical recovery care center meeting the following | 4 | | requirements may apply within 3 years after August 25, 2009 | 5 | | (the effective date of Public Act 96-669) for a Certificate of | 6 | | Need permit to operate as a hospital: | 7 | | (1) The postsurgical recovery care center shall apply | 8 | | to the Health Facilities and Services Review Board for a | 9 | | Certificate of Need permit to discontinue the postsurgical | 10 | | recovery care center and to establish a hospital. | 11 | | (2) If the postsurgical recovery care center obtains a | 12 | | Certificate of Need permit to operate as a hospital, it | 13 | | shall apply for licensure as a hospital under the Hospital | 14 | | Licensing Act and shall meet all statutory and regulatory | 15 | | requirements of a hospital. | 16 | | (3) After obtaining licensure as a hospital, any | 17 | | license as an ambulatory surgical treatment center and any | 18 | | license as a post-surgical recovery care center shall be | 19 | | null and void. | 20 | | (4) The former postsurgical recovery care center that | 21 | | receives a hospital license must seek and use its best | 22 | | efforts to maintain certification under Titles XVIII and | 23 | | XIX of the federal Social Security Act. | 24 | | The Department may issue a provisional license to any
| 25 | | alternative health care model that does not substantially | 26 | | comply with the
provisions of this Act and the rules adopted |
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| 1 | | under this Act if (i)
the Department finds that the alternative | 2 | | health care model has undertaken
changes and corrections which | 3 | | upon completion will render the alternative
health care model | 4 | | in substantial compliance with this Act and rules and
(ii) the | 5 | | health and safety of the patients of the alternative
health | 6 | | care model will be protected during the period for which the | 7 | | provisional
license is issued. The Department shall advise the | 8 | | licensee of
the conditions under which the provisional license | 9 | | is issued, including
the manner in which the alternative health | 10 | | care model fails to comply with
the provisions of this Act and | 11 | | rules, and the time within which the changes
and corrections | 12 | | necessary for the alternative health care model to
| 13 | | substantially comply with this Act and rules shall be | 14 | | completed.
| 15 | | (d) Alternative health care models shall seek | 16 | | certification under Titles
XVIII and XIX of the federal Social | 17 | | Security Act. In addition, alternative
health care models shall | 18 | | provide charitable care consistent with that provided
by | 19 | | comparable health care providers in the geographic area.
| 20 | | (d-5) (Blank).
| 21 | | (e) Alternative health care models shall, to the extent | 22 | | possible,
link and integrate their services with nearby health | 23 | | care facilities.
| 24 | | (f) Each alternative health care model shall implement a | 25 | | quality
assurance program with measurable benefits and at | 26 | | reasonable cost.
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| 1 | | (Source: P.A. 96-31, eff. 6-30-09; 96-129, eff. 8-4-09; 96-669, | 2 | | eff. 8-25-09; 96-812, eff. 1-1-10; 96-1000, eff. 7-2-10; | 3 | | 96-1071, eff. 7-16-10; 96-1123, eff. 1-1-11; 97-135, eff. | 4 | | 7-14-11; 97-333, eff. 8-12-11; 97-813, eff. 7-13-12.)".
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