Human Services Committee
Filed: 3/21/2007
 
 

 




 

 		












09500HB0614ham001

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AMENDMENT TO HOUSE BILL 614




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    AMENDMENT NO. ______. Amend House Bill 614 by replacing 
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lines 25 and 26 on page 8, all of page 9, and line 1 on page 10 
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with the following:
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        "(6) Alternative health care model; long term acute 
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    care hospital conversion. A long term acute care hospital 
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    conversion is a Long Term Acute Care Hospital (LTACH) 
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    created by converting a facility or a portion of a facility 
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    previously licensed as a long-term care facility under the 
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    Nursing Home Care Act. This model shall allow for a maximum 
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    of 4 such LTACH conversions, one of which shall be located 
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    in the area of Illinois within the St. Louis Metropolitan 
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    Statistical Area. The LTACH conversions shall each have no 
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    more than 60 beds and provide services to patients whose 
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    medical condition requires long-term medical care as 
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    described in Section 1886(d)(i)(B)(n) of the Social 
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    Security Act as hospitals that have an average Medicare 
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    inpatient length of stay greater than 25 days. The LTACH 
 


 






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    conversion shall provide extended medical and 
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    rehabilitative care, such as but not limited to 
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    comprehensive rehabilitation, respiratory therapy, cancer 
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    treatment, head trauma treatment, and pain management, for 
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    patients who are clinically complex and may suffer from 
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    multiple acute or chronic conditions. Facilities licensed 
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    under this model shall be exempt from the requirements of 
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    the Illinois Health Facilities Planning Act. The 
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    Department shall adopt rules specifying criteria, 
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    standards, and procedures for the establishment, 
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    licensure, and operation of LTACH conversions as 
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    authorized under this Act. These rules shall create a new 
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    category of licensure, which shall be consistent with the 
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    LTACH requirements under the applicable provisions of the 
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    Social Security Act to ensure that the LTACH conversions 
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    can be certified under Medicare to provide such services. 
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    The Department shall also adopt rules that identify the 
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    applicable building codes for licensure of LTACH 
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    conversions. The rules shall allow existing licensed and 
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    certified buildings to be reviewed under "existing 
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    construction" standards in the applicable codes. For 
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    purposes of this Act, the facility must maintain a 2-hour 
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    separation in accordance with the applicable construction 
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    codes, for purposes of fire safety. This separation may be 
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    vertical, horizontal, or a combination of both. For the 
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    purpose of defining a horizontal building separation, a 
 


 






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    barrier of 2.5 inches or more of concrete, or any other 
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    tested assembly that has a rating of 2 hours or more, will 
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    be acceptable.
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        The Department shall adopt the rules implementing this 
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    model within 6 months after the effective date of this 
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    amendatory Act of the 95th General Assembly. If the 
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    Department fails to adopt rules by the required date, the 
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    Department shall proceed with licensure utilizing the 
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    applicable Medicare conditions of participation."; and

 
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on page 10, after line 2, by inserting the following:
 

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