HB2760 EngrossedLRB098 09342 DRJ 39483 b


  
1    AN ACT concerning health facilities.
  
 
2    Be it enacted by the People of the State of Illinois,
 
3represented in the General Assembly:
  
 
 
4    Section 5. The Home Health, Home Services, and Home Nursing 
5Agency Licensing Act is amended  by adding Section 6.4 as 
6follows:
 
7    (210 ILCS 55/6.4 new)
8    Sec. 6.4. Oversight and direction of skilled home care 
9services.  A physician licensed in another state may oversee or 
10direct the delivery of skilled home care services provided by 
11home health and home nursing agencies licensed in Illinois 
12following care or treatment originally provided to the patient 
13in the state in which the physician is licensed to practice 
14medicine until care is transitioned to a physician licensed to 
15practice medicine in all its branches in Illinois under the 
16following conditions:
17        (1) The out-of-state physician shall ask the patient 
18    whether the patient has a primary care physician in 
19    Illinois. If the patient has a primary care physician in 
20    Illinois, the out-of-state physician shall contact the 
21    primary care physician and obtain the concurrence of that 
22    individual for ordering home health care services. The 
23    out-of-state physician shall make a notation of that 
 
 
HB2760 Engrossed- 2 -LRB098 09342 DRJ 39483 b

1    contact in the patient's medical record.
2        (2)  The transition period may not exceed 90 days of 
3    skilled home care services except as provided by paragraph 
4    (3) of this Section.
5        (3) The transition period may be up to 180 days of 
6    skilled home care services for patients where home health 
7    services are needed to care for 2 or more medical 
8    conditions requiring intensive management by 2 or more 
9    physicians, with documentation supporting unsuccessful 
10    efforts in identifying an appropriate physician in 
11    Illinois within the initial 90-day time period.
12        (4)  Any significant change in the patient's condition 
13    shall be communicated by the Illinois licensed agency to 
14    the out-of-state physician and the patient's Illinois 
15    licensed physician.
16        (5)  A copy of the license or evidence of licensure by 
17    another state of the out-of-state physician must be 
18    retained in the patient's chart.