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| | 99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016 HB4518 Introduced , by Rep. William Davis SYNOPSIS AS INTRODUCED: |
| 20 ILCS 3960/3 | from Ch. 111 1/2, par. 1153 | 20 ILCS 3960/4 | from Ch. 111 1/2, par. 1154 | 20 ILCS 3960/8.5 | | 20 ILCS 3960/10 | from Ch. 111 1/2, par. 1160 | 20 ILCS 3960/14.1 | |
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Amends the Illinois Health Facilities Planning Act. Clarifies that health care facilities include hospitals, nursing homes, ambulatory surgical treatment centers, or kidney disease treatment centers maintained by the State or any department or agency thereof, whether or not they are licensed by the Department of Public Health. Provides that the Department of Public Health shall provide operational support to the Health Facilities and Services Review Board as agreed to in the Intergovernmental Agreement between the Department and the State Board. Provides that no later than 90 days after a discontinuation of a health facility or a discontinuation of a category of service, the applicant for a certificate of exemption must submit a statement to the State Board certifying that the discontinuation is complete. Provides that if a public hearing concerning change of ownership or discontinuation of a health facility or a category of service is held, all interested persons attending the hearing shall be given a reasonable opportunity to present their positions in writing or orally. Removes language concerning certificates of recognition. Removes language concerning the Specialized Mental Health Rehabilitation Act. Makes conforming changes.
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| | A BILL FOR |
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1 | | AN ACT concerning State government.
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2 | | Be it enacted by the People of the State of Illinois,
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3 | | represented in the General Assembly:
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4 | | Section 5. The Illinois Health Facilities Planning Act is |
5 | | amended by changing Sections 3, 4, 8.5, 10, and 14.1 as |
6 | | follows:
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7 | | (20 ILCS 3960/3) (from Ch. 111 1/2, par. 1153)
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8 | | (Section scheduled to be repealed on December 31, 2019) |
9 | | Sec. 3. Definitions. As used in this Act:
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10 | | "Health care facilities" means and includes
the following |
11 | | facilities, organizations, and related persons:
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12 | | (1) An ambulatory surgical treatment center required |
13 | | to be licensed
pursuant to the Ambulatory Surgical |
14 | | Treatment Center Act.
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15 | | (2) An institution, place, building, or agency |
16 | | required to be licensed
pursuant to the Hospital Licensing |
17 | | Act.
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18 | | (3) Skilled and intermediate long term care facilities |
19 | | licensed under the
Nursing
Home Care Act. |
20 | | (A) If a demonstration project under the Nursing |
21 | | Home Care Act applies for a certificate of need to |
22 | | convert to a nursing facility, it shall meet the |
23 | | licensure and certificate of need requirements in |
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1 | | effect as of the date of application. |
2 | | (B) Except as provided in item (A) of this |
3 | | subsection, this Act does not apply to facilities |
4 | | granted waivers under Section 3-102.2 of the Nursing |
5 | | Home Care Act.
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6 | | (3.5) Skilled and intermediate care facilities |
7 | | licensed under the ID/DD Community Care Act or the MC/DD |
8 | | Act. No permit or exemption is required for a facility |
9 | | licensed under the ID/DD Community Care Act or the MC/DD |
10 | | Act prior to the reduction of the number of beds at a |
11 | | facility. If there is a total reduction of beds at a |
12 | | facility licensed under the ID/DD Community Care Act or the |
13 | | MC/DD Act, this is a discontinuation or closure of the |
14 | | facility. If a facility licensed under the ID/DD Community |
15 | | Care Act or the MC/DD Act reduces the number of beds or |
16 | | discontinues the facility, that facility must notify the |
17 | | Board as provided in Section 14.1 of this Act. |
18 | | (3.7) Facilities licensed under the Specialized Mental |
19 | | Health Rehabilitation Act of 2013. |
20 | | (4) Hospitals, nursing homes, ambulatory surgical |
21 | | treatment centers, or
kidney disease treatment centers
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22 | | maintained by the State or any department or agency |
23 | | thereof , whether or not licensed by the Department of |
24 | | Public Health .
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25 | | (5) Kidney disease treatment centers, including a |
26 | | free-standing
hemodialysis unit required to be licensed |
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1 | | under the End Stage Renal Disease Facility Act.
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2 | | (A) This Act does not apply to a dialysis facility |
3 | | that provides only dialysis training, support, and |
4 | | related services to individuals with end stage renal |
5 | | disease who have elected to receive home dialysis. |
6 | | (B) This Act does not apply to a dialysis unit |
7 | | located in a licensed nursing home that offers or |
8 | | provides dialysis-related services to residents with |
9 | | end stage renal disease who have elected to receive |
10 | | home dialysis within the nursing home. |
11 | | (C) The Board, however, may require dialysis |
12 | | facilities and licensed nursing homes under items (A) |
13 | | and (B) of this subsection to report statistical |
14 | | information on a quarterly basis to the Board to be |
15 | | used by the Board to conduct analyses on the need for |
16 | | proposed kidney disease treatment centers. |
17 | | (6) An institution, place, building, or room used for |
18 | | the performance of
outpatient surgical procedures that is |
19 | | leased, owned, or operated by or on
behalf of an |
20 | | out-of-state facility.
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21 | | (7) An institution, place, building, or room used for |
22 | | provision of a health care category of service, including, |
23 | | but not limited to, cardiac catheterization and open heart |
24 | | surgery. |
25 | | (8) An institution, place, building, or room housing |
26 | | major medical equipment used in the direct clinical |
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1 | | diagnosis or treatment of patients, and whose project cost |
2 | | is in excess of the capital expenditure minimum. |
3 | | "Health care facilities" does not include the following |
4 | | entities or facility transactions: |
5 | | (1) Federally-owned facilities. |
6 | | (2) Facilities used solely for healing by prayer or |
7 | | spiritual means. |
8 | | (3) An existing facility located on any campus facility |
9 | | as defined in Section 5-5.8b of the Illinois Public Aid |
10 | | Code, provided that the campus facility encompasses 30 or |
11 | | more contiguous acres and that the new or renovated |
12 | | facility is intended for use by a licensed residential |
13 | | facility. |
14 | | (4) Facilities licensed under the Supportive |
15 | | Residences Licensing Act or the Assisted Living and Shared |
16 | | Housing Act. |
17 | | (5) Facilities designated as supportive living |
18 | | facilities that are in good standing with the program |
19 | | established under Section 5-5.01a of the Illinois Public |
20 | | Aid Code. |
21 | | (6) Facilities established and operating under the |
22 | | Alternative Health Care Delivery Act as a children's |
23 | | community-based health care center alternative health care |
24 | | model demonstration program or as an Alzheimer's Disease |
25 | | Management Center alternative health care model |
26 | | demonstration program. |
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1 | | (7) The closure of an entity or a portion of an entity |
2 | | licensed under the Nursing Home Care Act, the Specialized |
3 | | Mental Health Rehabilitation Act of 2013, the ID/DD |
4 | | Community Care Act, or the MC/DD Act, with the exception of |
5 | | facilities operated by a county or Illinois Veterans Homes, |
6 | | that elect to convert, in whole or in part, to an assisted |
7 | | living or shared housing establishment licensed under the |
8 | | Assisted Living and Shared Housing Act and with the |
9 | | exception of a facility licensed under the Specialized |
10 | | Mental Health Rehabilitation Act of 2013 in connection with |
11 | | a proposal to close a facility and re-establish the |
12 | | facility in another location. |
13 | | (8) Any change of ownership of a health care facility |
14 | | that is licensed under the Nursing Home Care Act, the |
15 | | Specialized Mental Health Rehabilitation Act of 2013, the |
16 | | ID/DD Community Care Act, or the MC/DD Act, with the |
17 | | exception of facilities operated by a county or Illinois |
18 | | Veterans Homes. Changes of ownership of facilities |
19 | | licensed under the Nursing Home Care Act must meet the |
20 | | requirements set forth in Sections 3-101 through 3-119 of |
21 | | the Nursing Home Care Act.
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22 | | With the exception of those health care facilities |
23 | | specifically
included in this Section, nothing in this Act |
24 | | shall be intended to
include facilities operated as a part of |
25 | | the practice of a physician or
other licensed health care |
26 | | professional, whether practicing in his
individual capacity or |
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1 | | within the legal structure of any partnership,
medical or |
2 | | professional corporation, or unincorporated medical or
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3 | | professional group. Further, this Act shall not apply to |
4 | | physicians or
other licensed health care professional's |
5 | | practices where such practices
are carried out in a portion of |
6 | | a health care facility under contract
with such health care |
7 | | facility by a physician or by other licensed
health care |
8 | | professionals, whether practicing in his individual capacity
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9 | | or within the legal structure of any partnership, medical or
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10 | | professional corporation, or unincorporated medical or |
11 | | professional
groups, unless the entity constructs, modifies, |
12 | | or establishes a health care facility as specifically defined |
13 | | in this Section. This Act shall apply to construction or
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14 | | modification and to establishment by such health care facility |
15 | | of such
contracted portion which is subject to facility |
16 | | licensing requirements,
irrespective of the party responsible |
17 | | for such action or attendant
financial obligation.
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18 | | "Person" means any one or more natural persons, legal |
19 | | entities,
governmental bodies other than federal, or any |
20 | | combination thereof.
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21 | | "Consumer" means any person other than a person (a) whose |
22 | | major
occupation currently involves or whose official capacity |
23 | | within the last
12 months has involved the providing, |
24 | | administering or financing of any
type of health care facility, |
25 | | (b) who is engaged in health research or
the teaching of |
26 | | health, (c) who has a material financial interest in any
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1 | | activity which involves the providing, administering or |
2 | | financing of any
type of health care facility, or (d) who is or |
3 | | ever has been a member of
the immediate family of the person |
4 | | defined by (a), (b), or (c).
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5 | | "State Board" or "Board" means the Health Facilities and |
6 | | Services Review Board.
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7 | | "Construction or modification" means the establishment, |
8 | | erection,
building, alteration, reconstruction, modernization, |
9 | | improvement,
extension, discontinuation, change of ownership, |
10 | | of or by a health care
facility, or the purchase or acquisition |
11 | | by or through a health care facility
of
equipment or service |
12 | | for diagnostic or therapeutic purposes or for
facility |
13 | | administration or operation, or any capital expenditure made by
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14 | | or on behalf of a health care facility which
exceeds the |
15 | | capital expenditure minimum; however, any capital expenditure
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16 | | made by or on behalf of a health care facility for (i) the |
17 | | construction or
modification of a facility licensed under the |
18 | | Assisted Living and Shared
Housing Act or (ii) a conversion |
19 | | project undertaken in accordance with Section 30 of the Older |
20 | | Adult Services Act shall be excluded from any obligations under |
21 | | this Act.
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22 | | "Establish" means the construction of a health care |
23 | | facility or the
replacement of an existing facility on another |
24 | | site or the initiation of a category of service.
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25 | | "Major medical equipment" means medical equipment which is |
26 | | used for the
provision of medical and other health services and |
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1 | | which costs in excess
of the capital expenditure minimum, |
2 | | except that such term does not include
medical equipment |
3 | | acquired
by or on behalf of a clinical laboratory to provide |
4 | | clinical laboratory
services if the clinical laboratory is |
5 | | independent of a physician's office
and a hospital and it has |
6 | | been determined under Title XVIII of the Social
Security Act to |
7 | | meet the requirements of paragraphs (10) and (11) of Section
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8 | | 1861(s) of such Act. In determining whether medical equipment |
9 | | has a value
in excess of the capital expenditure minimum, the |
10 | | value of studies, surveys,
designs, plans, working drawings, |
11 | | specifications, and other activities
essential to the |
12 | | acquisition of such equipment shall be included.
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13 | | "Capital Expenditure" means an expenditure: (A) made by or |
14 | | on behalf of
a health care facility (as such a facility is |
15 | | defined in this Act); and
(B) which under generally accepted |
16 | | accounting principles is not properly
chargeable as an expense |
17 | | of operation and maintenance, or is made to obtain
by lease or |
18 | | comparable arrangement any facility or part thereof or any
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19 | | equipment for a facility or part; and which exceeds the capital |
20 | | expenditure
minimum.
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21 | | For the purpose of this paragraph, the cost of any studies, |
22 | | surveys, designs,
plans, working drawings, specifications, and |
23 | | other activities essential
to the acquisition, improvement, |
24 | | expansion, or replacement of any plant
or equipment with |
25 | | respect to which an expenditure is made shall be included
in |
26 | | determining if such expenditure exceeds the capital |
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1 | | expenditures minimum.
Unless otherwise interdependent, or |
2 | | submitted as one project by the applicant, components of |
3 | | construction or modification undertaken by means of a single |
4 | | construction contract or financed through the issuance of a |
5 | | single debt instrument shall not be grouped together as one |
6 | | project. Donations of equipment
or facilities to a health care |
7 | | facility which if acquired directly by such
facility would be |
8 | | subject to review under this Act shall be considered capital
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9 | | expenditures, and a transfer of equipment or facilities for |
10 | | less than fair
market value shall be considered a capital |
11 | | expenditure for purposes of this
Act if a transfer of the |
12 | | equipment or facilities at fair market value would
be subject |
13 | | to review.
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14 | | "Capital expenditure minimum" means $11,500,000 for |
15 | | projects by hospital applicants, $6,500,000 for applicants for |
16 | | projects related to skilled and intermediate care long-term |
17 | | care facilities licensed under the Nursing Home Care Act, and |
18 | | $3,000,000 for projects by all other applicants, which shall be |
19 | | annually
adjusted to reflect the increase in construction costs |
20 | | due to inflation, for major medical equipment and for all other
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21 | | capital expenditures.
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22 | | "Non-clinical service area" means an area (i) for the |
23 | | benefit of the
patients, visitors, staff, or employees of a |
24 | | health care facility and (ii) not
directly related to the |
25 | | diagnosis, treatment, or rehabilitation of persons
receiving |
26 | | services from the health care facility. "Non-clinical service |
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1 | | areas"
include, but are not limited to, chapels; gift shops; |
2 | | news stands; computer
systems; tunnels, walkways, and |
3 | | elevators; telephone systems; projects to
comply with life |
4 | | safety codes; educational facilities; student housing;
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5 | | patient, employee, staff, and visitor dining areas; |
6 | | administration and
volunteer offices; modernization of |
7 | | structural components (such as roof
replacement and masonry |
8 | | work); boiler repair or replacement; vehicle
maintenance and |
9 | | storage facilities; parking facilities; mechanical systems for
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10 | | heating, ventilation, and air conditioning; loading docks; and |
11 | | repair or
replacement of carpeting, tile, wall coverings, |
12 | | window coverings or treatments,
or furniture. Solely for the |
13 | | purpose of this definition, "non-clinical service
area" does |
14 | | not include health and fitness centers.
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15 | | "Areawide" means a major area of the State delineated on a
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16 | | geographic, demographic, and functional basis for health |
17 | | planning and
for health service and having within it one or |
18 | | more local areas for
health planning and health service. The |
19 | | term "region", as contrasted
with the term "subregion", and the |
20 | | word "area" may be used synonymously
with the term "areawide".
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21 | | "Local" means a subarea of a delineated major area that on |
22 | | a
geographic, demographic, and functional basis may be |
23 | | considered to be
part of such major area. The term "subregion" |
24 | | may be used synonymously
with the term "local".
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25 | | "Physician" means a person licensed to practice in |
26 | | accordance with
the Medical Practice Act of 1987, as amended.
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1 | | "Licensed health care professional" means a person |
2 | | licensed to
practice a health profession under pertinent |
3 | | licensing statutes of the
State of Illinois.
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4 | | "Director" means the Director of the Illinois Department of |
5 | | Public Health.
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6 | | "Agency" or "Department" means the Illinois Department of |
7 | | Public Health.
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8 | | "Alternative health care model" means a facility or program |
9 | | authorized
under the Alternative Health Care Delivery Act.
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10 | | "Out-of-state facility" means a person that is both (i) |
11 | | licensed as a
hospital or as an ambulatory surgery center under |
12 | | the laws of another state
or that
qualifies as a hospital or an |
13 | | ambulatory surgery center under regulations
adopted pursuant |
14 | | to the Social Security Act and (ii) not licensed under the
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15 | | Ambulatory Surgical Treatment Center Act, the Hospital |
16 | | Licensing Act, or the
Nursing Home Care Act. Affiliates of |
17 | | out-of-state facilities shall be
considered out-of-state |
18 | | facilities. Affiliates of Illinois licensed health
care |
19 | | facilities 100% owned by an Illinois licensed health care |
20 | | facility, its
parent, or Illinois physicians licensed to |
21 | | practice medicine in all its
branches shall not be considered |
22 | | out-of-state facilities. Nothing in
this definition shall be
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23 | | construed to include an office or any part of an office of a |
24 | | physician licensed
to practice medicine in all its branches in |
25 | | Illinois that is not required to be
licensed under the |
26 | | Ambulatory Surgical Treatment Center Act.
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1 | | "Change of ownership of a health care facility" means a |
2 | | change in the
person
who has ownership or
control of a health |
3 | | care facility's physical plant and capital assets. A change
in |
4 | | ownership is indicated by
the following transactions: sale, |
5 | | transfer, acquisition, lease, change of
sponsorship, or other |
6 | | means of
transferring control.
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7 | | "Related person" means any person that: (i) is at least 50% |
8 | | owned, directly
or indirectly, by
either the health care |
9 | | facility or a person owning, directly or indirectly, at
least |
10 | | 50% of the health
care facility; or (ii) owns, directly or |
11 | | indirectly, at least 50% of the
health care facility.
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12 | | "Charity care" means care provided by a health care |
13 | | facility for which the provider does not expect to receive |
14 | | payment from the patient or a third-party payer. |
15 | | "Freestanding emergency center" means a facility subject |
16 | | to licensure under Section 32.5 of the Emergency Medical |
17 | | Services (EMS) Systems Act. |
18 | | "Category of service" means a grouping by generic class of |
19 | | various types or levels of support functions, equipment, care, |
20 | | or treatment provided to patients or residents, including, but |
21 | | not limited to, classes such as medical-surgical, pediatrics, |
22 | | or cardiac catheterization. A category of service may include |
23 | | subcategories or levels of care that identify a particular |
24 | | degree or type of care within the category of service. Nothing |
25 | | in this definition shall be construed to include the practice |
26 | | of a physician or other licensed health care professional while |
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1 | | functioning in an office providing for the care, diagnosis, or |
2 | | treatment of patients. A category of service that is subject to |
3 | | the Board's jurisdiction must be designated in rules adopted by |
4 | | the Board. |
5 | | "State Board Staff Report" means the document that sets |
6 | | forth the review and findings of the State Board staff, as |
7 | | prescribed by the State Board, regarding applications subject |
8 | | to Board jurisdiction. |
9 | | (Source: P.A. 98-414, eff. 1-1-14; 98-629, eff. 1-1-15; 98-651, |
10 | | eff. 6-16-14; 98-1086, eff. 8-26-14; 99-78, eff. 7-20-15; |
11 | | 99-180, eff. 7-29-15.)
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12 | | (20 ILCS 3960/4) (from Ch. 111 1/2, par. 1154)
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13 | | (Section scheduled to be repealed on December 31, 2019)
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14 | | Sec. 4. Health Facilities and Services Review Board; |
15 | | membership; appointment; term;
compensation; quorum. |
16 | | Notwithstanding any other provision in this Section, members of |
17 | | the State Board holding office on the day before the effective |
18 | | date of this amendatory Act of the 96th General Assembly shall |
19 | | retain their authority. |
20 | | (a) There is created the Health
Facilities and Services |
21 | | Review Board, which
shall perform the functions described in |
22 | | this
Act. The Department shall provide operational support to |
23 | | the Board, including the provision of office space, supplies, |
24 | | and clerical, financial, and accounting services , as agreed to |
25 | | in the Intergovernmental Agreement between the Department and |
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1 | | the State Board . The Board may contract with experts related to |
2 | | specific health services or facilities and create technical |
3 | | advisory panels to assist in the development of criteria, |
4 | | standards, and procedures used in the evaluation of |
5 | | applications for permit and exemption.
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6 | | (b) Beginning March 1, 2010, the State Board shall consist |
7 | | of 9 voting members. All members shall be residents of Illinois |
8 | | and at least 4 shall reside outside the Chicago Metropolitan |
9 | | Statistical Area. Consideration shall be given to potential |
10 | | appointees who reflect the ethnic and cultural diversity of the |
11 | | State. Neither Board members nor Board staff shall be convicted |
12 | | felons or have pled guilty to a felony. |
13 | | Each member shall have a reasonable knowledge of the |
14 | | practice, procedures and principles of the health care delivery |
15 | | system in Illinois, including at least 5 members who shall be |
16 | | knowledgeable about health care delivery systems, health |
17 | | systems planning, finance, or the management of health care |
18 | | facilities currently regulated under the Act. One member shall |
19 | | be a representative of a non-profit health care consumer |
20 | | advocacy organization. A spouse, parent, sibling, or child of a |
21 | | Board member cannot be an employee, agent, or under contract |
22 | | with services or facilities subject to the Act. Prior to |
23 | | appointment and in the course of service on the Board, members |
24 | | of the Board shall disclose the employment or other financial |
25 | | interest of any other relative of the member, if known, in |
26 | | service or facilities subject to the Act. Members of the Board |
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1 | | shall declare any conflict of interest that may exist with |
2 | | respect to the status of those relatives and recuse themselves |
3 | | from voting on any issue for which a conflict of interest is |
4 | | declared. No person shall be appointed or continue to serve as |
5 | | a member of the State Board who is, or whose spouse, parent, |
6 | | sibling, or child is, a member of the Board of Directors of, |
7 | | has a financial interest in, or has a business relationship |
8 | | with a health care facility. |
9 | | Notwithstanding any provision of this Section to the |
10 | | contrary, the term of
office of each member of the State Board |
11 | | serving on the day before the effective date of this amendatory |
12 | | Act of the 96th General Assembly is abolished on the date upon |
13 | | which members of the 9-member Board, as established by this |
14 | | amendatory Act of the 96th General Assembly, have been |
15 | | appointed and can begin to take action as a Board. Members of |
16 | | the State Board serving on the day before the effective date of |
17 | | this amendatory Act of the 96th General Assembly may be |
18 | | reappointed to the 9-member Board. Prior to March 1, 2010, the |
19 | | Health Facilities Planning Board shall establish a plan to |
20 | | transition its powers and duties to the Health Facilities and |
21 | | Services Review Board.
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22 | | (c) The State Board shall be appointed by the Governor, |
23 | | with the advice
and consent of the Senate. Not more than 5 of |
24 | | the
appointments shall be of the same political party at the |
25 | | time of the appointment.
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26 | | The Secretary of Human Services, the Director of Healthcare |
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1 | | and Family Services, and
the Director of Public Health, or |
2 | | their designated representatives,
shall serve as ex-officio, |
3 | | non-voting members of the State Board.
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4 | | (d) Of those 9 members initially appointed by the Governor |
5 | | following the effective date of this
amendatory Act of the 96th |
6 | | General Assembly, 3 shall serve for terms expiring
July 1, |
7 | | 2011, 3 shall serve for terms expiring July 1, 2012, and 3 |
8 | | shall serve
for terms expiring July 1, 2013. Thereafter, each
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9 | | appointed member shall
hold office for a term of 3 years, |
10 | | provided that any member
appointed to fill a vacancy
occurring |
11 | | prior to the expiration of the
term for which his or her |
12 | | predecessor was appointed shall be appointed for the
remainder |
13 | | of such term and the term of office of each successor shall
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14 | | commence on July 1 of the year in which his predecessor's term |
15 | | expires. Each
member appointed after the effective date of this |
16 | | amendatory Act of the 96th General Assembly shall hold office |
17 | | until his or her successor is appointed and qualified. The |
18 | | Governor may reappoint a member for additional terms, but no |
19 | | member shall serve more than 3 terms, subject to review and |
20 | | re-approval every 3 years.
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21 | | (e) State Board members, while serving on business of the |
22 | | State Board,
shall receive actual and necessary travel and |
23 | | subsistence expenses while
so serving away from their places
of |
24 | | residence. Until March 1, 2010, a
member of the State Board who |
25 | | experiences a significant financial hardship
due to the loss of |
26 | | income on days of attendance at meetings or while otherwise
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1 | | engaged in the business of the State Board may be paid a |
2 | | hardship allowance, as
determined by and subject to the |
3 | | approval of the Governor's Travel Control
Board.
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4 | | (f) The Governor shall designate one of the members to |
5 | | serve as the Chairman of the Board, who shall be a person with |
6 | | expertise in health care delivery system planning, finance or |
7 | | management of health care facilities that are regulated under |
8 | | the Act. The Chairman shall annually review Board member |
9 | | performance and shall report the attendance record of each |
10 | | Board member to the General Assembly. |
11 | | (g) The State Board, through the Chairman, shall prepare a |
12 | | separate and distinct budget approved by the General Assembly |
13 | | and shall hire and supervise its own professional staff |
14 | | responsible for carrying out the responsibilities of the Board.
|
15 | | (h) The State Board shall meet at least every 45 days, or |
16 | | as often as
the Chairman of the State Board deems necessary, or |
17 | | upon the request of
a majority of the members.
|
18 | | (i)
Five members of the State Board shall constitute a |
19 | | quorum.
The affirmative vote of 5 of the members of the State |
20 | | Board shall be
necessary for
any action requiring a vote to be |
21 | | taken by the State
Board. A vacancy in the membership of the |
22 | | State Board shall not impair the
right of a quorum to exercise |
23 | | all the rights and perform all the duties of the
State Board as |
24 | | provided by this Act.
|
25 | | (j) A State Board member shall disqualify himself or |
26 | | herself from the
consideration of any application for a permit |
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1 | | or
exemption in which the State Board member or the State Board |
2 | | member's spouse,
parent, sibling, or child: (i) has
an economic |
3 | | interest in the matter; or (ii) is employed by, serves as a
|
4 | | consultant for, or is a member of the
governing board of the |
5 | | applicant or a party opposing the application.
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6 | | (k) The Chairman, Board members, and Board staff must |
7 | | comply with the Illinois Governmental Ethics Act. |
8 | | (Source: P.A. 96-31, eff. 6-30-09; 97-1115, eff. 8-27-12.)
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9 | | (20 ILCS 3960/8.5) |
10 | | (Section scheduled to be repealed on December 31, 2019) |
11 | | Sec. 8.5. Certificate of exemption for change of ownership |
12 | | of a health care facility; discontinuation of a health care |
13 | | facility or category of service; public notice and public |
14 | | hearing. |
15 | | (a) Upon a finding that an application for a change of |
16 | | ownership is complete, the State Board shall publish a legal |
17 | | notice on one day in a newspaper of general circulation in the |
18 | | area or community to be affected and afford the public an |
19 | | opportunity to request a hearing. If the application is for a |
20 | | facility located in a Metropolitan Statistical Area, an |
21 | | additional legal notice shall be published in a newspaper of |
22 | | limited circulation, if one exists, in the area in which the |
23 | | facility is located. If the newspaper of limited circulation is |
24 | | published on a daily basis, the additional legal notice shall |
25 | | be published on one day. The applicant shall pay the cost |
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1 | | incurred by the Board in publishing the change of ownership |
2 | | notice in newspapers as required under this subsection. The |
3 | | legal notice shall also be posted on the Health Facilities and |
4 | | Services Review Board's web site and sent to the State |
5 | | Representative and State Senator of the district in which the |
6 | | health care facility is located. An application for change of |
7 | | ownership of a hospital shall not be deemed complete without a |
8 | | signed certification that for a period of 2 years after the |
9 | | change of ownership transaction is effective, the hospital will |
10 | | not adopt a charity care policy that is
more restrictive than |
11 | | the policy in effect during the year prior to the transaction. |
12 | | An application for a change of ownership need not contain |
13 | | signed transaction documents so long as it includes the |
14 | | following key terms of the transaction: names and background of |
15 | | the parties; structure of the transaction; the person who will |
16 | | be the licensed or certified entity after the transaction; the |
17 | | ownership or membership interests in such licensed or certified |
18 | | entity both prior to and after the transaction; fair market |
19 | | value of assets to be transferred; and the purchase price or |
20 | | other form of consideration to be provided for those assets. |
21 | | The issuance of the certificate of exemption shall be |
22 | | contingent upon the applicant submitting a statement to the |
23 | | Board within 90 days after the closing date of the transaction, |
24 | | or such longer period as provided by the Board, certifying that |
25 | | the change of ownership has been completed in accordance with |
26 | | the key terms contained in the application. If such key terms |
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1 | | of the transaction change, a new application shall be required. |
2 | | Where a change of ownership is among related persons, and |
3 | | there are no other changes being proposed at the health care |
4 | | facility that would otherwise require a permit or exemption |
5 | | under this Act, the applicant shall submit an application |
6 | | consisting of a standard notice in a form set forth by the |
7 | | Board briefly explaining the reasons for the proposed change of |
8 | | ownership. Once such an application is submitted to the Board |
9 | | and reviewed by the Board staff, the Board Chair shall take |
10 | | action on an application for an exemption for a change of |
11 | | ownership among related persons within 45 days after the |
12 | | application has been deemed complete, provided the application |
13 | | meets the applicable standards under this Section. If the Board |
14 | | Chair has a conflict of interest or for other good cause, the |
15 | | Chair may request review by the Board. Notwithstanding any |
16 | | other provision of this Act, for purposes of this Section, a |
17 | | change of ownership among related persons means a transaction |
18 | | where the parties to the transaction are under common control |
19 | | or ownership before and after the transaction is completed. |
20 | | Nothing in this Act shall be construed as authorizing the |
21 | | Board to impose any conditions, obligations, or limitations, |
22 | | other than those required by this Section, with respect to the |
23 | | issuance of an exemption for a change of ownership, including, |
24 | | but not limited to, the time period before which a subsequent |
25 | | change of ownership of the health care facility could be |
26 | | sought, or the commitment to continue to offer for a specified |
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1 | | time period any services currently offered by the health care |
2 | | facility. |
3 | | (a-3) Upon a finding that an application to close a health |
4 | | care facility is complete, the State Board shall publish a |
5 | | legal notice on 3 consecutive days in a newspaper of general |
6 | | circulation in the area or community to be affected and afford |
7 | | the public an opportunity to request a hearing. If the |
8 | | application is for a facility located in a Metropolitan |
9 | | Statistical Area, an additional legal notice shall be published |
10 | | in a newspaper of limited circulation, if one exists, in the |
11 | | area in which the facility is located. If the newspaper of |
12 | | limited circulation is published on a daily basis, the |
13 | | additional legal notice shall be published on 3 consecutive |
14 | | days. The legal notice shall also be posted on the Health |
15 | | Facilities and Services Review Board's web site and sent to the |
16 | | State Representative and State Senator of the district in which |
17 | | the health care facility is located. No later than 90 days |
18 | | after a discontinuation of a health facility, the applicant |
19 | | must submit a statement to the State Board certifying that the |
20 | | discontinuation is complete. |
21 | | (a-5) Upon a finding that an application to discontinue a |
22 | | category of service is complete and provides the requested |
23 | | information, as specified by the State Board, an exemption |
24 | | shall be issued. No later than 30 days after the issuance of |
25 | | the exemption, the health care facility must give written |
26 | | notice of the discontinuation of the category of service to the |
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1 | | State Senator and State Representative serving the legislative |
2 | | district in which the health care facility is located. No later |
3 | | than 90 days after a discontinuation of a category of service, |
4 | | the applicant must submit a statement to the State Board |
5 | | certifying that the discontinuation is complete. |
6 | | (b) If a public hearing is requested, it shall be held at |
7 | | least 15 days but no more than 30 days after the date of |
8 | | publication of the legal notice in the community in which the |
9 | | facility is located. The hearing shall be held in a place of |
10 | | reasonable size and accessibility and a full and complete |
11 | | written transcript of the proceedings shall be made. All |
12 | | interested persons attending the hearing shall be given a |
13 | | reasonable opportunity to present their positions in writing or |
14 | | orally. The applicant shall provide a summary of the proposal |
15 | | for distribution at the public hearing.
|
16 | | (c) For the purposes of this Section "newspaper of limited |
17 | | circulation" means a newspaper intended to serve a particular |
18 | | or defined population of a specific geographic area within a |
19 | | Metropolitan Statistical Area such as a municipality, town, |
20 | | village, township, or community area, but does not include |
21 | | publications of professional and trade associations. |
22 | | (Source: P.A. 98-1086, eff. 8-26-14; 99-154, eff. 7-28-15.)
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23 | | (20 ILCS 3960/10) (from Ch. 111 1/2, par. 1160)
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24 | | (Section scheduled to be repealed on December 31, 2019)
|
25 | | Sec. 10. Presenting information relevant to the approval of |
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1 | | a permit or
certificate or in opposition to the denial of the |
2 | | application; notice of
outcome and review proceedings. When a |
3 | | motion by the State Board, to approve
an application for
a |
4 | | permit or a certificate of recognition , fails to pass,
or when |
5 | | a motion to deny an application for a permit
or
a certificate |
6 | | of recognition is passed, the applicant or the holder
of the
|
7 | | permit, as the case may be, and such other parties as the State |
8 | | Board permits,
will be given an opportunity to appear before |
9 | | the State Board and present
such information as may be relevant |
10 | | to the approval of a permit or certificate
or in opposition to |
11 | | the denial of the application.
|
12 | | Subsequent to an appearance by the applicant before the |
13 | | State Board or
default of such opportunity to appear, a motion |
14 | | by the State Board to approve
an application for a permit or a |
15 | | certificate of recognition which fails to pass
or a motion to |
16 | | deny an application for a permit or a certificate of |
17 | | recognition
which passes shall be considered denial of the |
18 | | application for a permit or
certificate of recognition , as the |
19 | | case may be. Such action of denial or an
action by the State |
20 | | Board to revoke a permit or a certificate of recognition
shall |
21 | | be communicated to the applicant or holder of the permit or |
22 | | certificate
of recognition . Such person or organization shall |
23 | | be afforded an opportunity
for a hearing before an |
24 | | administrative law judge, who is appointed by the Chairman of |
25 | | the State Board. A written notice of a request for such hearing |
26 | | shall be
served upon the Chairman of the State Board within 30 |
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1 | | days following
notification of the decision of the State Board. |
2 | | The administrative law judge shall take actions
necessary to |
3 | | ensure that the hearing is completed within a
reasonable period |
4 | | of time, but not to exceed 120 days, except for delays or
|
5 | | continuances agreed to by the
person requesting the hearing.
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6 | | Following its consideration
of the report of the hearing, or |
7 | | upon default of the party to the hearing,
the State Board shall |
8 | | make its final determination, specifying its findings and
|
9 | | conclusions
within 90 days of receiving the written report of |
10 | | the hearing.
A copy of such determination shall be sent by |
11 | | certified
mail or served personally upon the party.
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12 | | A full and complete record shall be kept of all |
13 | | proceedings,
including the notice of hearing, complaint, and |
14 | | all other documents in
the nature of pleadings, written motions |
15 | | filed in the proceedings, and
the report and orders of the |
16 | | State Board or hearing officer. All
testimony shall be reported |
17 | | but need not be transcribed unless the
decision is appealed in |
18 | | accordance with the Administrative Review Law,
as now or |
19 | | hereafter amended. A copy or copies of the transcript may be
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20 | | obtained by any interested party on payment of the cost of |
21 | | preparing
such copy or copies.
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22 | | The State Board or hearing officer shall upon its own or |
23 | | his motion,
or on the written request of any party to the |
24 | | proceeding who has, in the
State Board's or hearing officer's |
25 | | opinion, demonstrated the relevancy
of such request to the |
26 | | outcome of the proceedings, issue subpoenas
requiring the |
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1 | | attendance and the giving of testimony by witnesses, and
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2 | | subpoenas duces tecum requiring the production of books, |
3 | | papers,
records, or memoranda. The fees of witnesses for |
4 | | attendance and travel
shall be the same as the fees of |
5 | | witnesses before the circuit court of
this State.
|
6 | | When the witness is subpoenaed at the instance of the State |
7 | | Board, or
its hearing officer, such fees shall be paid in the |
8 | | same manner as other
expenses of the Board, and when the |
9 | | witness is subpoenaed at the
instance of any other party to any |
10 | | such proceeding the State Board may,
in accordance with its |
11 | | rules, require that the cost of
service of the subpoena or |
12 | | subpoena duces tecum and the fee of the
witness be borne by the |
13 | | party at whose instance the witness is summoned.
In such case, |
14 | | the State Board in its discretion, may require a deposit
to |
15 | | cover the cost of such service and witness fees. A subpoena or
|
16 | | subpoena duces tecum so issued shall be served in the same |
17 | | manner as a
subpoena issued out of a court.
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18 | | Any circuit court of this State upon the application of the |
19 | | State
Board or upon the application of any other party to the |
20 | | proceeding, may,
in its discretion, compel the attendance of |
21 | | witnesses, the production of
books, papers, records, or |
22 | | memoranda and the giving of testimony before
it or its hearing |
23 | | officer conducting an investigation or holding a
hearing |
24 | | authorized by this Act, by an attachment for contempt, or
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25 | | otherwise, in the same manner as production of evidence may be |
26 | | compelled
before the court.
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1 | | (Source: P.A. 97-1115, eff. 8-27-12; 98-1086, eff. 8-26-14.)
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2 | | (20 ILCS 3960/14.1)
|
3 | | Sec. 14.1. Denial of permit; other sanctions. |
4 | | (a) The State Board may deny an application for a permit or |
5 | | may revoke or
take other action as permitted by this Act with |
6 | | regard to a permit as the State
Board deems appropriate, |
7 | | including the imposition of fines as set forth in this
Section, |
8 | | for any one or a combination of the following: |
9 | | (1) The acquisition of major medical equipment without |
10 | | a permit or in
violation of the terms of a permit. |
11 | | (2) The establishment, construction, modification, or |
12 | | change of ownership of a health care
facility without a |
13 | | permit or exemption or in violation of the terms of a |
14 | | permit. |
15 | | (3) The violation of any provision of this Act or any |
16 | | rule adopted
under this Act. |
17 | | (4) The failure, by any person subject to this Act, to |
18 | | provide information
requested by the State Board or Agency |
19 | | within 30 days after a formal written
request for the |
20 | | information. |
21 | | (5) The failure to pay any fine imposed under this |
22 | | Section within 30 days
of its imposition. |
23 | | (a-5) For facilities licensed under the ID/DD Community |
24 | | Care Act, no permit shall be denied on the basis of prior |
25 | | operator history, other than for actions specified under item |
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1 | | (2), (4), or (5) of Section 3-117 of the ID/DD Community Care |
2 | | Act. For facilities licensed under the MC/DD Act, no permit |
3 | | shall be denied on the basis of prior operator history, other |
4 | | than for actions specified under item (2), (4), or (5) of |
5 | | Section 3-117 of the MC/DD Act. For facilities licensed under |
6 | | the Specialized Mental Health Rehabilitation Act of 2013, no |
7 | | permit shall be denied on the basis of prior operator history, |
8 | | other than for actions specified under item (2), (4), or (5) of |
9 | | Section 3-117 of the Specialized Mental Health Rehabilitation |
10 | | Act of 2013. For facilities licensed under the Nursing Home |
11 | | Care Act, no permit shall be denied on the basis of prior |
12 | | operator history, other than for: (i) actions specified under |
13 | | item (2), (3), (4), (5), or (6) of Section 3-117 of the Nursing |
14 | | Home Care Act; (ii) actions specified under item (a)(6) of |
15 | | Section 3-119 of the Nursing Home Care Act; or (iii) actions |
16 | | within the preceding 5 years constituting a substantial and |
17 | | repeated failure to comply with the Nursing Home Care Act or |
18 | | the rules and regulations adopted by the Department under that |
19 | | Act. The State Board shall not deny a permit on account of any |
20 | | action described in this subsection (a-5) without also |
21 | | considering all such actions in the light of all relevant |
22 | | information available to the State Board, including whether the |
23 | | permit is sought to substantially comply with a mandatory or |
24 | | voluntary plan of correction associated with any action |
25 | | described in this subsection (a-5).
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26 | | (b) Persons shall be subject to fines as follows: |
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1 | | (1) A permit holder who fails to comply with the |
2 | | requirements of
maintaining a valid permit shall be fined |
3 | | an amount not to exceed 1% of the
approved permit amount |
4 | | plus an additional 1% of the approved permit amount for
|
5 | | each 30-day period, or fraction thereof, that the violation |
6 | | continues. |
7 | | (2) A permit holder who alters the scope of an approved |
8 | | project or whose
project costs exceed the allowable permit |
9 | | amount without first obtaining
approval from the State |
10 | | Board shall be fined an amount not to exceed the sum of
(i) |
11 | | the lesser of $25,000 or 2% of the approved permit amount |
12 | | and (ii) in those
cases where the approved permit amount is |
13 | | exceeded by more than $1,000,000, an
additional $20,000 for |
14 | | each $1,000,000, or fraction thereof, in excess of the
|
15 | | approved permit amount. |
16 | | (2.5) A permit holder who fails to comply with the |
17 | | post-permit and reporting requirements set forth in |
18 | | Sections Section 5 and 8.5 shall be fined an amount not to |
19 | | exceed $10,000 plus an additional $10,000 for each 30-day |
20 | | period, or fraction thereof, that the violation continues. |
21 | | This fine shall continue to accrue until the date that (i) |
22 | | the post-permit requirements are met and the post-permit or |
23 | | post-exemption reports are received by the State Board or |
24 | | (ii) the matter is referred by the State Board to the State |
25 | | Board's legal counsel. The accrued fine is not waived by |
26 | | the permit holder submitting the required information and |
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1 | | reports. Prior to any fine beginning to accrue, the Board |
2 | | shall
notify, in writing, a permit holder of the due date
|
3 | | for the post-permit and reporting requirements no later |
4 | | than 30 days
before the due date for the requirements. This |
5 | | paragraph (2.5) takes
effect 6 months after August 27, 2012 |
6 | | (the effective date of Public Act 97-1115). |
7 | | (3) A person who acquires major medical equipment or |
8 | | who establishes a
category of service without first |
9 | | obtaining a permit or exemption, as the case
may be, shall |
10 | | be fined an amount not to exceed $10,000 for each such
|
11 | | acquisition or category of service established plus an |
12 | | additional $10,000 for
each 30-day period, or fraction |
13 | | thereof, that the violation continues. |
14 | | (4) A person who constructs, modifies, establishes, or |
15 | | changes ownership of a health care
facility without first |
16 | | obtaining a permit or exemption shall be fined an amount |
17 | | not to
exceed $25,000 plus an additional $25,000 for each |
18 | | 30-day period, or fraction
thereof, that the violation |
19 | | continues. |
20 | | (5) A person who discontinues a health care facility or |
21 | | a category of
service without first obtaining a permit or |
22 | | exemption shall be fined an amount not to exceed
$10,000 |
23 | | plus an additional $10,000 for each 30-day period, or |
24 | | fraction thereof,
that the violation continues. For |
25 | | purposes of this subparagraph (5), facilities licensed |
26 | | under the Nursing Home Care Act, the ID/DD Community Care |
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1 | | Act, or the MC/DD Act, with the exceptions of facilities |
2 | | operated by a county or Illinois Veterans Homes, are exempt |
3 | | from this permit requirement. However, facilities licensed |
4 | | under the Nursing Home Care Act, the ID/DD Community Care |
5 | | Act, or the MC/DD Act must comply with Section 3-423 of the |
6 | | Nursing Home Care Act, Section 3-423 of the ID/DD Community |
7 | | Care Act, or Section 3-423 of the MC/DD Act and must |
8 | | provide the Board and the Department of Human Services with |
9 | | 30 days' written notice of their intent to close.
|
10 | | Facilities licensed under the ID/DD Community Care Act or |
11 | | the MC/DD Act also must provide the Board and the |
12 | | Department of Human Services with 30 days' written notice |
13 | | of their intent to reduce the number of beds for a |
14 | | facility. |
15 | | (6) A person subject to this Act who fails to provide |
16 | | information
requested by the State Board or Agency within |
17 | | 30 days of a formal written
request shall be fined an |
18 | | amount not to exceed $1,000 plus an additional $1,000
for |
19 | | each 30-day period, or fraction thereof, that the |
20 | | information is not
received by the State Board or Agency. |
21 | | (b-5) The State Board may accept in-kind services instead |
22 | | of or in combination with the imposition of a fine. This |
23 | | authorization is limited to cases where the non-compliant |
24 | | individual or entity has waived the right to an administrative |
25 | | hearing or opportunity to appear before the Board regarding the |
26 | | non-compliant matter. |
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1 | | (c) Before imposing any fine authorized under this Section, |
2 | | the State Board
shall afford the person or permit holder, as |
3 | | the case may be, an appearance
before the State Board and an |
4 | | opportunity for a hearing before a hearing
officer appointed by |
5 | | the State Board. The hearing shall be conducted in
accordance |
6 | | with Section 10. Requests for an appearance before the State |
7 | | Board must be made within 30 days after receiving notice that a |
8 | | fine will be imposed. |
9 | | (d) All fines collected under this Act shall be transmitted |
10 | | to the State
Treasurer, who shall deposit them into the |
11 | | Illinois Health Facilities Planning
Fund. |
12 | | (e) Fines imposed under this Section shall continue to |
13 | | accrue until: (i) the date that the matter is referred by the |
14 | | State Board to the Board's legal counsel; or (ii) the date that |
15 | | the health care facility becomes compliant with the Act, |
16 | | whichever is earlier. |
17 | | (Source: P.A. 98-463, eff. 8-16-13; 99-114, eff. 7-23-15; |
18 | | 99-180, eff. 7-29-15; revised 10-14-15.)
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