Section 1130.790  Penalties, Fines and Sanctions for Non-compliance with the Act and HFSRB Rules

a)         Any person establishing, constructing, or modifying a health care facility or portion thereof without obtaining a required permit, or in violation of the terms of the required permit, shall not be eligible to apply for any necessary operating licenses or be eligible for payment by any State agency for services rendered in that facility or portion thereof until the required permit is obtained. (Section 13.1 of the Act)

b)         Any person acquiring major medical equipment or establishing, constructing or modifying a health care facility without a permit issued under this Act or in violation of the terms of such a permit is guilty of a business offense and may be fined up to $25,000. (Section 14 of the Act)

c)         HFSRB may deny an application for a permit or may revoke or take other action as permitted by this Act with regard to a permit as HFSRB deems appropriate, including the imposition of fines. (Section 14.1(a) of the Act)

d)         HFSRB may impose fines as specified below for the enumerated violations:

1)         A permit holder who fails to comply with the requirements for maintaining a valid permit shall be fined an amount not to exceed 1% of the approved permit amount plus an additional 1% of the approved permit amount for each 30-day period, or fraction thereof, that the violation continues. (Section 14.1(b)(1) of the Act)

2)         A permit holder who alters the scope of an approved project or whose project costs exceed the allowable permit amount without first obtaining HFSRB approval shall be fined an amount not to exceed the sum of:

A)        the lesser of $25,000 or 2% of the approved permit amount; and

B)        in those cases where the approved permit amount is exceeded by more than $1,000,000, an additional $20,000 for each $1,000,000, or fraction thereof, in excess of the approved permit amount. (Section 14.1(b)(2) of the Act)

3)         A permit or exemption holder who fails to comply with the post-permit and post-exemption reporting requirements set forth in Sections 5 and 8.5 of the Act shall be fined an amount not to exceed $10,000 plus an additional $10,000 for each 30-day period, or fraction thereof, that the violation continues. The accrued fine is not waived by the permit or exemption holder submitting the required information and reports. Prior to any fine beginning to accrue, the Board shall notify, in writing, a permit or exemption holder of the due date for the post-permit and reporting requirements no later than 30 days before the due date for the requirements.  (Section 14.1(b)(2.5) of the Act)

4)         A person who acquires major medical equipment or who establishes a category of service without first obtaining a permit or exemption, as the case might be, shall be fined an amount not to exceed $10,000 for each such acquisition or category of service established plus an additional $10,000 for each 30-day period, or fraction thereof, that the violation continues. (Section 14.1(b)(3) of the Act)

5)         A person who constructs, modifies, establishes, or changes ownership of a health care facility without first obtaining a permit or exemption shall be fined an amount not to exceed $25,000 plus an additional $25,000 for each 30-day period, or fraction thereof, that the violation continues. (Section 14.1(b)(4) of the Act)

6)         A person who discontinues a health care facility or category of service without first obtaining a permit or exemption or who temporarily discontinues a healthcare facility or category of service longer than 30 days without providing the necessary notice required under Section 1130.240(d) shall be fined an amount not to exceed $10,000 plus an additional $10,000 for each 30-day period, or fraction thereof, that the violation continues.  Facilities licensed under the Nursing Home Care Act, the ID/DD Community Care Act, or the MC/DD Act, with the exceptions facilities operated by a county or Illinois Veterans Homes, are exempt from this permit requirement.  However, facilities licensed under the Nursing Home Care Act, the ID/DD Community Care Act, or the MC/DD Act must comply with Section 3-423 of the Nursing Home Care Act or Section 3-423 of the ID/DD Community Care Act, or Section 3-423 of the MC/DD Act and must provide the Board and the Department of Human Services with 30-days' written notice of its intent to reduce the number of beds for a facility. (Section 14.1(b)(5) of the Act)

7)         A person subject to the Act who fails to provide information requested by HFSRB, its staff, or Agency within 30 days of a formal written request shall be fined an amount not to exceed $1,000, plus an additional $1,000 for each 30-day period, or fraction thereof, that the information is not received by HFSRB, its staff or Agency. (Section 14.1(b)(6) of the Act)  For purposes of this subsection, examples of noncompliance include, without limitation, failure to provide additional information under Sections 1130.550(b) or 1130.635 and failure to provide annual questionnaires on or before the designated due date.  

e)         If an individual or entity has failed to comply with the Act or HFSRB rules and has been notified by HFSRB about an allegation of noncompliance, this may provide a basis for HFSRB to defer consideration of all applications, rulings, or advisory opinions filed before HFSRB until the noncompliant matter is resolved.

f)         Failure to pay any fine imposed under this Section within 30 days after its imposition, or by a specified date if the default of payment extends past 30 days, shall subject the person to other sanctions permitted by the Act as HFSRB deems appropriate.

g)         If an individual or entity who has failed to comply with the Act or HFSRB rules, waives their right to an administrative hearing regarding the noncompliance and waives an opportunity to appear before HFSRB to respond to the noncompliance matters, HFSRB is authorized to use in-kind services to reduce the fines in the negotiation of settlements.

(Source:  Amended at 49 Ill. Reg. 8366, effective July 1, 2025)