Sen. William Delgado

Filed: 3/1/2012

 

 


 

 


 
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1
AMENDMENT TO SENATE BILL 3269

2    AMENDMENT NO. ______. Amend Senate Bill 3269 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Illinois Health Facilities Planning Act is
5amended by changing Sections 4 and 12 as follows:
 
6    (20 ILCS 3960/4)  (from Ch. 111 1/2, par. 1154)
7    (Section scheduled to be repealed on December 31, 2019)
8    Sec. 4. Health Facilities and Services Review Board;
9membership; appointment; term; compensation; quorum.
10Notwithstanding any other provision in this Section, members of
11the State Board holding office on the day before the effective
12date of this amendatory Act of the 96th General Assembly shall
13retain their authority.
14    (a) There is created the Health Facilities and Services
15Review Board, which shall perform the functions described in
16this Act. The Department shall provide operational support to

 

 

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1the Board, including the provision of office space, supplies,
2and clerical, financial, and accounting services. The Board may
3contract with experts related to specific health services or
4facilities and create technical advisory panels to assist in
5the development of criteria, standards, and procedures used in
6the evaluation of applications for permit and exemption.
7    (b) Beginning September 1, 2012 March 1, 2010, the State
8Board shall consist of 11 9 voting members. All members shall
9be residents of Illinois and at least 5 4 shall reside outside
10the Chicago Metropolitan Statistical Area. Consideration shall
11be given to potential appointees who reflect the ethnic and
12cultural diversity of the State. Neither Board members nor
13Board staff shall be convicted felons or have pled guilty to a
14felony.
15    Each member shall have a reasonable knowledge of the
16practice, procedures and principles of the health care delivery
17system in Illinois, including at least 6 5 members who shall be
18knowledgeable about health care delivery systems, health
19systems planning, finance, or the management of health care
20facilities currently regulated under the Act. One member shall
21be a representative of a non-profit health care consumer
22advocacy organization. Spouses or other members of the
23immediate family of the Board cannot be an employee, agent, or
24under contract with services or facilities subject to the Act.
25Prior to appointment and in the course of service on the Board,
26members of the Board shall disclose the employment or other

 

 

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1financial interest of any other relative of the member, if
2known, in service or facilities subject to the Act. Members of
3the Board shall declare any conflict of interest that may exist
4with respect to the status of those relatives and recuse
5themselves from voting on any issue for which a conflict of
6interest is declared. No person shall be appointed or continue
7to serve as a member of the State Board who is, or whose
8spouse, parent, or child is, a member of the Board of Directors
9of, has a financial interest in, or has a business relationship
10with a health care facility.
11    Notwithstanding any provision of this Section to the
12contrary, the term of office of each member of the State Board
13serving on the day before the effective date of this amendatory
14Act of the 96th General Assembly is abolished on the date upon
15which members of the 9-member Board, as established by this
16amendatory Act of the 96th General Assembly, have been
17appointed and can begin to take action as a Board. Members of
18the State Board serving on the day before the effective date of
19this amendatory Act of the 96th General Assembly may be
20reappointed to the 9-member Board. Prior to March 1, 2010, the
21Health Facilities Planning Board shall establish a plan to
22transition its powers and duties to the Health Facilities and
23Services Review Board.
24    (c) The State Board shall be appointed by the Governor,
25with the advice and consent of the Senate. Not more than 6 5 of
26the appointments shall be of the same political party at the

 

 

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1time of the appointment.
2    The Secretary of Human Services, the Director of Healthcare
3and Family Services, and the Director of Public Health, or
4their designated representatives, shall serve as ex-officio,
5non-voting members of the State Board.
6    (d) Of those 9 members initially appointed by the Governor
7following the effective date of this amendatory Act of the 96th
8General Assembly, 3 shall serve for terms expiring July 1,
92011, 3 shall serve for terms expiring July 1, 2012, and 3
10shall serve for terms expiring July 1, 2013. The 2 members
11initially appointed by the Governor pursuant to this amendatory
12Act of the 97th General Assembly shall serve for terms expiring
13July 1, 2015. Thereafter, each appointed member shall hold
14office for a term of 3 years, provided that any member
15appointed to fill a vacancy occurring prior to the expiration
16of the term for which his or her predecessor was appointed
17shall be appointed for the remainder of such term and the term
18of office of each successor shall commence on July 1 of the
19year in which his predecessor's term expires. Each member
20appointed after the effective date of this amendatory Act of
21the 96th General Assembly shall hold office until his or her
22successor is appointed and qualified. The Governor may
23reappoint a member for additional terms, but no member shall
24serve more than 3 terms, subject to review and re-approval
25every 3 years.
26    (e) State Board members, while serving on business of the

 

 

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1State Board, shall receive actual and necessary travel and
2subsistence expenses while so serving away from their places of
3residence. Until March 1, 2010, a member of the State Board who
4experiences a significant financial hardship due to the loss of
5income on days of attendance at meetings or while otherwise
6engaged in the business of the State Board may be paid a
7hardship allowance, as determined by and subject to the
8approval of the Governor's Travel Control Board.
9    (f) The Governor shall designate one of the members to
10serve as the Chairman of the Board, who shall be a person with
11expertise in health care delivery system planning, finance or
12management of health care facilities that are regulated under
13the Act. The Chairman shall annually review Board member
14performance and shall report the attendance record of each
15Board member to the General Assembly.
16    (g) The State Board, through the Chairman, shall prepare a
17separate and distinct budget approved by the General Assembly
18and shall hire and supervise its own professional staff
19responsible for carrying out the responsibilities of the Board.
20    (h) The State Board shall meet at least every 45 days, or
21as often as the Chairman of the State Board deems necessary, or
22upon the request of a majority of the members.
23    (i) Six Five members of the State Board shall constitute a
24quorum. The affirmative vote of 6 5 of the members of the State
25Board shall be necessary for any action requiring a vote to be
26taken by the State Board. A vacancy in the membership of the

 

 

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1State Board shall not impair the right of a quorum to exercise
2all the rights and perform all the duties of the State Board as
3provided by this Act.
4    (j) A State Board member shall disqualify himself or
5herself from the consideration of any application for a permit
6or exemption in which the State Board member or the State Board
7member's spouse, parent, or child: (i) has an economic interest
8in the matter; or (ii) is employed by, serves as a consultant
9for, or is a member of the governing board of the applicant or
10a party opposing the application.
11    (k) The Chairman, Board members, and Board staff must
12comply with the Illinois Governmental Ethics Act.
13(Source: P.A. 95-331, eff. 8-21-07; 96-31, eff. 6-30-09.)
 
14    (20 ILCS 3960/12)  (from Ch. 111 1/2, par. 1162)
15    (Section scheduled to be repealed on December 31, 2019)
16    Sec. 12. Powers and duties of State Board. For purposes of
17this Act, the State Board shall exercise the following powers
18and duties:
19    (1) Prescribe rules, regulations, standards, criteria,
20procedures or reviews which may vary according to the purpose
21for which a particular review is being conducted or the type of
22project reviewed and which are required to carry out the
23provisions and purposes of this Act. Policies and procedures of
24the State Board shall take into consideration the priorities
25and needs of medically underserved areas and other health care

 

 

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1services identified through the comprehensive health planning
2process, giving special consideration to the impact of projects
3on access to safety net services. Each rule, regulation,
4standard, criteria, procedure, or review for the need of
5facilities, services, or equipment shall be based on current
6and reliable epidemiological evidence and shall not restrict
7the availability of care from such facilities, services, or
8equipment to less than the epidemiologically projected need for
9each racial and ethnic group.
10    (2) Adopt procedures for public notice and hearing on all
11proposed rules, regulations, standards, criteria, and plans
12required to carry out the provisions of this Act.
13    (3) (Blank).
14    (4) Develop criteria and standards for health care
15facilities planning, conduct statewide inventories of health
16care facilities, maintain an updated inventory on the Board's
17web site reflecting the most recent bed and service changes and
18updated need determinations when new census data become
19available or new need formulae are adopted, and develop health
20care facility plans which shall be utilized in the review of
21applications for permit under this Act. Such health facility
22plans shall be coordinated by the Board with pertinent State
23Plans. Inventories pursuant to this Section of skilled or
24intermediate care facilities licensed under the Nursing Home
25Care Act, skilled or intermediate care facilities licensed
26under the ID/DD Community Care Act, facilities licensed under

 

 

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1the Specialized Mental Health Rehabilitation Act, or nursing
2homes licensed under the Hospital Licensing Act shall be
3conducted on an annual basis no later than July 1 of each year
4and shall include among the information requested a list of all
5services provided by a facility to its residents and to the
6community at large and differentiate between active and
7inactive beds.
8    In developing health care facility plans, the State Board
9shall consider, but shall not be limited to, the following:
10        (a) The size, composition and growth of the population
11    of the area to be served;
12        (b) The number of existing and planned facilities
13    offering similar programs;
14        (c) The extent of utilization of existing facilities;
15        (d) The availability of facilities which may serve as
16    alternatives or substitutes;
17        (e) The availability of personnel necessary to the
18    operation of the facility;
19        (f) Multi-institutional planning and the establishment
20    of multi-institutional systems where feasible;
21        (g) The financial and economic feasibility of proposed
22    construction or modification; and
23        (h) In the case of health care facilities established
24    by a religious body or denomination, the needs of the
25    members of such religious body or denomination may be
26    considered to be public need.

 

 

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1    The health care facility plans which are developed and
2adopted in accordance with this Section shall form the basis
3for the plan of the State to deal most effectively with
4statewide health needs in regard to health care facilities.
5    (5) Coordinate with the Center for Comprehensive Health
6Planning and other state agencies having responsibilities
7affecting health care facilities, including those of licensure
8and cost reporting.
9    (6) Solicit, accept, hold and administer on behalf of the
10State any grants or bequests of money, securities or property
11for use by the State Board or Center for Comprehensive Health
12Planning in the administration of this Act; and enter into
13contracts consistent with the appropriations for purposes
14enumerated in this Act.
15    (7) The State Board shall prescribe procedures for review,
16standards, and criteria which shall be utilized to make
17periodic reviews and determinations of the appropriateness of
18any existing health services being rendered by health care
19facilities subject to the Act. The State Board shall consider
20recommendations of the Board in making its determinations.
21    (8) Prescribe, in consultation with the Center for
22Comprehensive Health Planning, rules, regulations, standards,
23and criteria for the conduct of an expeditious review of
24applications for permits for projects of construction or
25modification of a health care facility, which projects are
26classified as emergency, substantive, or non-substantive in

 

 

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1nature.
2    Six months after June 30, 2009 (the effective date of
3Public Act 96-31), substantive projects shall include no more
4than the following:
5        (a) Projects to construct (1) a new or replacement
6    facility located on a new site or (2) a replacement
7    facility located on the same site as the original facility
8    and the cost of the replacement facility exceeds the
9    capital expenditure minimum;
10        (b) Projects proposing a (1) new service or (2)
11    discontinuation of a service, which shall be reviewed by
12    the Board within 60 days; or
13        (c) Projects proposing a change in the bed capacity of
14    a health care facility by an increase in the total number
15    of beds or by a redistribution of beds among various
16    categories of service or by a relocation of beds from one
17    physical facility or site to another by more than 20 beds
18    or more than 10% of total bed capacity, as defined by the
19    State Board, whichever is less, over a 2-year period.
20    The Chairman may approve applications for exemption that
21meet the criteria set forth in rules or refer them to the full
22Board. The Chairman may approve any unopposed application that
23meets all of the review criteria or refer them to the full
24Board.
25    Such rules shall not abridge the right of the Center for
26Comprehensive Health Planning to make recommendations on the

 

 

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1classification and approval of projects, nor shall such rules
2prevent the conduct of a public hearing upon the timely request
3of an interested party. Such reviews shall not exceed 60 days
4from the date the application is declared to be complete.
5    (9) Prescribe rules, regulations, standards, and criteria
6pertaining to the granting of permits for construction and
7modifications which are emergent in nature and must be
8undertaken immediately to prevent or correct structural
9deficiencies or hazardous conditions that may harm or injure
10persons using the facility, as defined in the rules and
11regulations of the State Board. This procedure is exempt from
12public hearing requirements of this Act.
13    (10) Prescribe rules, regulations, standards and criteria
14for the conduct of an expeditious review, not exceeding 60
15days, of applications for permits for projects to construct or
16modify health care facilities which are needed for the care and
17treatment of persons who have acquired immunodeficiency
18syndrome (AIDS) or related conditions.
19    (11) Issue written decisions upon request of the applicant
20or an adversely affected party to the Board within 30 days of
21the meeting in which a final decision has been made. A "final
22decision" for purposes of this Act is the decision to approve
23or deny an application, or take other actions permitted under
24this Act, at the time and date of the meeting that such action
25is scheduled by the Board. The staff of the State Board shall
26prepare a written copy of the final decision and the State

 

 

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1Board shall approve a final copy for inclusion in the formal
2record. A written decision denying an application because of a
3lack of need for the facility, service, or equipment but that
4allegedly fails to be based upon the epidemiological evidence
5required under paragraph (1) of this Section shall be decided
6pursuant to the Code of Civil Procedure and shall be a final
7decision for purposes of this Act. For such cases, a review of
8a final decision of this Board under the Administrative Review
9Law shall be a hearing de novo by the Circuit Court, at which
10new evidence may be introduced.
11    (12) Require at least one of its members to participate in
12any public hearing, after the appointment of the 9 members to
13the Board.
14    (13) Provide a mechanism for the public to comment on, and
15request changes to, draft rules and standards.
16    (14) Implement public information campaigns to regularly
17inform the general public about the opportunity for public
18hearings and public hearing procedures.
19    (15) Establish a separate set of rules and guidelines for
20long-term care that recognizes that nursing homes are a
21different business line and service model from other regulated
22facilities. An open and transparent process shall be developed
23that considers the following: how skilled nursing fits in the
24continuum of care with other care providers, modernization of
25nursing homes, establishment of more private rooms,
26development of alternative services, and current trends in

 

 

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1long-term care services. The Chairman of the Board shall
2appoint a permanent Health Services Review Board Long-term Care
3Facility Advisory Subcommittee that shall develop and
4recommend to the Board the rules to be established by the Board
5under this paragraph (15). The Subcommittee shall also provide
6continuous review and commentary on policies and procedures
7relative to long-term care and the review of related projects.
8In consultation with other experts from the health field of
9long-term care, the Board and the Subcommittee shall study new
10approaches to the current bed need formula and Health Service
11Area boundaries to encourage flexibility and innovation in
12design models reflective of the changing long-term care
13marketplace and consumer preferences. The Board shall file the
14proposed related administrative rules for the separate rules
15and guidelines for long-term care required by this paragraph
16(15) by September 1, 2010. The Subcommittee shall be provided a
17reasonable and timely opportunity to review and comment on any
18review, revision, or updating of the criteria, standards,
19procedures, and rules used to evaluate project applications as
20provided under Section 12.3 of this Act prior to approval by
21the Board and promulgation of related rules.
22(Source: P.A. 96-31, eff. 6-30-09; 96-339, eff. 7-1-10;
2396-1000, eff. 7-2-10; 97-38, eff. 6-28-11; 97-227, eff. 1-1-12;
24revised 9-7-11.)
 
25    Section 99. Effective date. This Act takes effect upon

 

 

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1becoming law, except that the changes made to Section 4 of the
2Illinois Health Facilities Planning Act take effect on
3September 1, 2012 or upon becoming law, whichever is later.".