Rep. Frank J. Mautino

Filed: 11/9/2015

 

 


 

 


 
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1
AMENDMENT TO SENATE BILL 1562

2    AMENDMENT NO. ______. Amend Senate Bill 1562, AS AMENDED,
3by replacing everything after the enacting clause with the
4following:
 
5    "Section 5. The Emergency Medical Services (EMS) Systems
6Act is amended by changing Section 32.5 as follows:
 
7    (210 ILCS 50/32.5)
8    Sec. 32.5. Freestanding Emergency Center.
9    (a) The Department shall issue an annual Freestanding
10Emergency Center (FEC) license to any facility that has
11received a permit from the Health Facilities and Services
12Review Board to establish a Freestanding Emergency Center by
13January 1, 2015, and:
14        (1) is located: (A) in a municipality with a population
15    of 50,000 or fewer inhabitants; (B) within 50 miles of the
16    hospital that owns or controls the FEC; and (C) within 50

 

 

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1    miles of the Resource Hospital affiliated with the FEC as
2    part of the EMS System;
3        (2) is wholly owned or controlled by an Associate or
4    Resource Hospital, but is not a part of the hospital's
5    physical plant;
6        (3) meets the standards for licensed FECs, adopted by
7    rule of the Department, including, but not limited to:
8            (A) facility design, specification, operation, and
9        maintenance standards;
10            (B) equipment standards; and
11            (C) the number and qualifications of emergency
12        medical personnel and other staff, which must include
13        at least one board certified emergency physician
14        present at the FEC 24 hours per day.
15        (4) limits its participation in the EMS System strictly
16    to receiving a limited number of BLS runs by emergency
17    medical vehicles according to protocols developed by the
18    Resource Hospital within the FEC's designated EMS System
19    and approved by the Project Medical Director and the
20    Department;
21        (5) provides comprehensive emergency treatment
22    services, as defined in the rules adopted by the Department
23    pursuant to the Hospital Licensing Act, 24 hours per day,
24    on an outpatient basis;
25        (6) provides an ambulance and maintains on site
26    ambulance services staffed with paramedics 24 hours per

 

 

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1    day;
2        (7) (blank);
3        (8) complies with all State and federal patient rights
4    provisions, including, but not limited to, the Emergency
5    Medical Treatment Act and the federal Emergency Medical
6    Treatment and Active Labor Act;
7        (9) maintains a communications system that is fully
8    integrated with its Resource Hospital within the FEC's
9    designated EMS System;
10        (10) reports to the Department any patient transfers
11    from the FEC to a hospital within 48 hours of the transfer
12    plus any other data determined to be relevant by the
13    Department;
14        (11) submits to the Department, on a quarterly basis,
15    the FEC's morbidity and mortality rates for patients
16    treated at the FEC and other data determined to be relevant
17    by the Department;
18        (12) does not describe itself or hold itself out to the
19    general public as a full service hospital or hospital
20    emergency department in its advertising or marketing
21    activities;
22        (13) complies with any other rules adopted by the
23    Department under this Act that relate to FECs;
24        (14) passes the Department's site inspection for
25    compliance with the FEC requirements of this Act;
26        (15) submits a copy of the permit issued by the Health

 

 

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1    Facilities and Services Review Board indicating that the
2    facility has complied with the Illinois Health Facilities
3    Planning Act with respect to the health services to be
4    provided at the facility;
5        (16) submits an application for designation as an FEC
6    in a manner and form prescribed by the Department by rule;
7    and
8        (17) pays the annual license fee as determined by the
9    Department by rule.
10    (a-5) Notwithstanding any other provision of this Section,
11the Department may issue an annual FEC license to a facility
12that is located in a county that does not have a licensed
13general acute care hospital if the facility's application for a
14permit from the Illinois Health Facilities Planning Board has
15been deemed complete by the Department of Public Health by
16January 1, 2014 and if the facility complies with the
17requirements set forth in paragraphs (1) through (17) of
18subsection (a).
19    (a-10) Notwithstanding any other provision of this
20Section, the Department may issue an annual FEC license to a
21facility if the facility has, by January 1, 2014, filed a
22letter of intent to establish an FEC and if the facility
23complies with the requirements set forth in paragraphs (1)
24through (17) of subsection (a).
25    (a-15) Notwithstanding any other provision of this
26Section, the Department shall issue an annual FEC license to a

 

 

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1facility located within a municipality with a population in
2excess of 1,000,000 inhabitants if the facility: (i) has,
3within 60 days after the effective date of this amendatory Act
4of the 99th General Assembly, filed a letter of intent to
5establish an FEC; (ii) has received a certificate of need from
6the Health Facilities and Services Review Board; and (iii)
7complies with all requirements set forth in paragraphs (3)
8through (17) of subsection (a) of this Section and all
9applicable administrative rules. Any FEC located in a
10municipality with a population in excess of 1,000,000
11inhabitants shall not be required to be wholly owned or
12controlled by an Associate Hospital or Resource Hospital;
13however, all patients needing emergent or urgent evaluation or
14treatment beyond the FEC's ability shall be expeditiously
15transferred to the closest appropriate health care facility
16based on the patient's acuity and needs. The FEC shall have a
17transfer agreement in place with at least one acute care
18hospital in the FEC's service area within 30 minutes travel
19time of the FEC. The medical director of the FEC shall have
20full admitting privileges at a hospital with which the FEC has
21a transfer agreement and shall agree in writing to assume
22responsibility for all FEC patients requiring follow-up care in
23accordance with the transfer agreement. For an FEC established
24under this subsection (a-15), the facility shall have the
25authority to create up to 10 observation beds as further
26defined by rule. The Department shall issue no more than one

 

 

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1such license in a municipality with a population in excess of
21,000,000 inhabitants and shall give consideration to
3underserved areas, particularly those that have recently lost
4access to emergency care through the loss of an emergency care
5provider. An FEC qualifying under this subsection (a-15) shall
6fully participate with and function within a Department
7approved local EMS System.
8    (a-20) Notwithstanding any other provision of this
9Section, the Department shall issue an annual FEC license to a
10facility if the facility: (i) is located in a municipality that
11had a hospital that discontinued operation as a hospital within
12180 days of the effective date of this amendatory Act of the
1399th General Assembly; (ii) has an application for a permit to
14establish an FEC from the Health Facilities and Services Review
15Board that is deemed complete by January 1, 2017; and (iii)
16complies with the requirements set forth in paragraphs (1)
17through (17) of subsection (a).
18    (b) The Department shall:
19        (1) annually inspect facilities of initial FEC
20    applicants and licensed FECs, and issue annual licenses to
21    or annually relicense FECs that satisfy the Department's
22    licensure requirements as set forth in subsection (a);
23        (2) suspend, revoke, refuse to issue, or refuse to
24    renew the license of any FEC, after notice and an
25    opportunity for a hearing, when the Department finds that
26    the FEC has failed to comply with the standards and

 

 

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1    requirements of the Act or rules adopted by the Department
2    under the Act;
3        (3) issue an Emergency Suspension Order for any FEC
4    when the Director or his or her designee has determined
5    that the continued operation of the FEC poses an immediate
6    and serious danger to the public health, safety, and
7    welfare. An opportunity for a hearing shall be promptly
8    initiated after an Emergency Suspension Order has been
9    issued; and
10        (4) adopt rules as needed to implement this Section.
11(Source: P.A. 96-23, eff. 6-30-09; 96-31, eff. 6-30-09; 96-883,
12eff. 3-1-10; 96-1000, eff. 7-2-10; 97-333, eff. 8-12-11;
1397-1112, eff. 8-27-12.)
 
14    Section 99. Effective date. This Act takes effect upon
15becoming law.".