Public Act 098-0448
 
HB2760 EnrolledLRB098 09342 DRJ 39483 b


  
    AN ACT concerning health facilities.
  
 
    Be it enacted by the People of the State of Illinois,
 
represented in the General Assembly:
  
 
 
    Section 5. The Home Health, Home Services, and Home Nursing 
Agency Licensing Act is amended  by adding Section 6.4 as 
follows:
 
    (210 ILCS 55/6.4 new)
    Sec. 6.4. Oversight and direction of skilled home care 
services.  A physician licensed in another state may oversee or 
direct the delivery of skilled home care services provided by 
home health and home nursing agencies licensed in Illinois 
following care or treatment originally provided to the patient 
in the state in which the physician is licensed to practice 
medicine until care is transitioned to a physician licensed to 
practice medicine in all its branches in Illinois under the 
following conditions:
        (1) The out-of-state physician shall ask the patient 
    whether the patient has a primary care physician in 
    Illinois. If the patient has a primary care physician in 
    Illinois, the out-of-state physician shall contact the 
    primary care physician and obtain the concurrence of that 
    individual for ordering home health care services. The 
    out-of-state physician shall make a notation of that 
    contact in the patient's medical record.
        (2)  The transition period may not exceed 90 days of 
    skilled home care services except as provided by paragraph 
    (3) of this Section.
        (3) The transition period may be up to 180 days of 
    skilled home care services for patients where home health 
    services are needed to care for 2 or more medical 
    conditions requiring intensive management by 2 or more 
    physicians, with documentation supporting unsuccessful 
    efforts in identifying an appropriate physician in 
    Illinois within the initial 90-day time period.
        (4)  Any significant change in the patient's condition 
    shall be communicated by the Illinois licensed agency to 
    the out-of-state physician and the patient's Illinois 
    licensed physician.
        (5)  A copy of the license or evidence of licensure by 
    another state of the out-of-state physician must be 
    retained in the patient's chart.