Illinois General Assembly - Full Text of HB4370
Illinois General Assembly

Previous General Assemblies

Full Text of HB4370  99th General Assembly

HB4370ham001 99TH GENERAL ASSEMBLY

Rep. William Davis

Filed: 2/26/2016

 

 


 

 


 
09900HB4370ham001LRB099 15652 RPS 45212 a

1
AMENDMENT TO HOUSE BILL 4370

2    AMENDMENT NO. ______. Amend House Bill 4370 by replacing
3everything after the enacting clause with the following:
 
4    "Section 5. The Illinois Health Facilities Planning Act is
5amended by changing Section 12 as follows:
 
6    (20 ILCS 3960/12)  (from Ch. 111 1/2, par. 1162)
7    (Section scheduled to be repealed on December 31, 2019)
8    Sec. 12. Powers and duties of State Board. For purposes of
9this Act, the State Board shall exercise the following powers
10and duties:
11    (1) Prescribe rules, regulations, standards, criteria,
12procedures or reviews which may vary according to the purpose
13for which a particular review is being conducted or the type of
14project reviewed and which are required to carry out the
15provisions and purposes of this Act. Policies and procedures of
16the State Board shall take into consideration the priorities

 

 

09900HB4370ham001- 2 -LRB099 15652 RPS 45212 a

1and needs of medically underserved areas and other health care
2services identified through the comprehensive health planning
3process, giving special consideration to the impact of projects
4on access to safety net services.
5    (2) Adopt procedures for public notice and hearing on all
6proposed rules, regulations, standards, criteria, and plans
7required to carry out the provisions of this Act.
8    (3) (Blank).
9    (4) Develop criteria and standards for health care
10facilities planning, conduct statewide inventories of health
11care facilities, maintain an updated inventory on the Board's
12web site reflecting the most recent bed and service changes and
13updated need determinations when new census data become
14available or new need formulae are adopted, and develop health
15care facility plans which shall be utilized in the review of
16applications for permit under this Act. Such health facility
17plans shall be coordinated by the Board with pertinent State
18Plans. Inventories pursuant to this Section of skilled or
19intermediate care facilities licensed under the Nursing Home
20Care Act, skilled or intermediate care facilities licensed
21under the ID/DD Community Care Act, skilled or intermediate
22care facilities licensed under the MC/DD Act, facilities
23licensed under the Specialized Mental Health Rehabilitation
24Act of 2013, or nursing homes licensed under the Hospital
25Licensing Act shall be conducted on an annual basis no later
26than July 1 of each year and shall include among the

 

 

09900HB4370ham001- 3 -LRB099 15652 RPS 45212 a

1information requested a list of all services provided by a
2facility to its residents and to the community at large and
3differentiate between active and inactive beds.
4    In developing health care facility plans, the State Board
5shall consider, but shall not be limited to, the following:
6        (a) The size, composition and growth of the population
7    of the area to be served;
8        (b) The number of existing and planned facilities
9    offering similar programs;
10        (c) The extent of utilization of existing facilities;
11        (d) The availability of facilities which may serve as
12    alternatives or substitutes;
13        (e) The availability of personnel necessary to the
14    operation of the facility;
15        (f) Multi-institutional planning and the establishment
16    of multi-institutional systems where feasible;
17        (g) The financial and economic feasibility of proposed
18    construction or modification; and
19        (h) In the case of health care facilities established
20    by a religious body or denomination, the needs of the
21    members of such religious body or denomination may be
22    considered to be public need.
23    The health care facility plans which are developed and
24adopted in accordance with this Section shall form the basis
25for the plan of the State to deal most effectively with
26statewide health needs in regard to health care facilities.

 

 

09900HB4370ham001- 4 -LRB099 15652 RPS 45212 a

1    (5) Coordinate with the Center for Comprehensive Health
2Planning and other state agencies having responsibilities
3affecting health care facilities, including those of licensure
4and cost reporting. Beginning no later than January 1, 2013,
5the Department of Public Health shall produce a written annual
6report to the Governor and the General Assembly regarding the
7development of the Center for Comprehensive Health Planning.
8The Chairman of the State Board and the State Board
9Administrator shall also receive a copy of the annual report.
10    (6) Solicit, accept, hold and administer on behalf of the
11State any grants or bequests of money, securities or property
12for use by the State Board or Center for Comprehensive Health
13Planning in the administration of this Act; and enter into
14contracts consistent with the appropriations for purposes
15enumerated in this Act.
16    (7) The State Board shall prescribe procedures for review,
17standards, and criteria which shall be utilized to make
18periodic reviews and determinations of the appropriateness of
19any existing health services being rendered by health care
20facilities subject to the Act. The State Board shall consider
21recommendations of the Board in making its determinations.
22    (8) Prescribe, in consultation with the Center for
23Comprehensive Health Planning, rules, regulations, standards,
24and criteria for the conduct of an expeditious review of
25applications for permits for projects of construction or
26modification of a health care facility, which projects are

 

 

09900HB4370ham001- 5 -LRB099 15652 RPS 45212 a

1classified as emergency, substantive, or non-substantive in
2nature.
3    Six months after June 30, 2009 (the effective date of
4Public Act 96-31), substantive projects shall include no more
5than the following:
6        (a) Projects to construct (1) a new or replacement
7    facility located on a new site or (2) a replacement
8    facility located on the same site as the original facility
9    and the cost of the replacement facility exceeds the
10    capital expenditure minimum, which shall be reviewed by the
11    Board within 120 days;
12        (b) Projects proposing a (1) new service within an
13    existing healthcare facility or (2) discontinuation of a
14    service within an existing healthcare facility, which
15    shall be reviewed by the Board within 60 days; or
16        (c) Projects proposing a change in the bed capacity of
17    a health care facility by an increase in the total number
18    of beds or by a redistribution of beds among various
19    categories of service or by a relocation of beds from one
20    physical facility or site to another by more than 20 beds
21    or more than 10% of total bed capacity, as defined by the
22    State Board, whichever is less, over a 2-year period.
23    The Chairman may approve applications for exemption that
24meet the criteria set forth in rules or refer them to the full
25Board. The Chairman may approve any unopposed application that
26meets all of the review criteria or refer them to the full

 

 

09900HB4370ham001- 6 -LRB099 15652 RPS 45212 a

1Board.
2    Such rules shall not abridge the right of the Center for
3Comprehensive Health Planning to make recommendations on the
4classification and approval of projects, nor shall such rules
5prevent the conduct of a public hearing upon the timely request
6of an interested party. Such reviews shall not exceed 60 days
7from the date the application is declared to be complete.
8    (9) Prescribe rules, regulations, standards, and criteria
9pertaining to the granting of permits for construction and
10modifications which are emergent in nature and must be
11undertaken immediately to prevent or correct structural
12deficiencies or hazardous conditions that may harm or injure
13persons using the facility, as defined in the rules and
14regulations of the State Board. This procedure is exempt from
15public hearing requirements of this Act.
16    (10) Prescribe rules, regulations, standards and criteria
17for the conduct of an expeditious review, not exceeding 60
18days, of applications for permits for projects to construct or
19modify health care facilities which are needed for the care and
20treatment of persons who have acquired immunodeficiency
21syndrome (AIDS) or related conditions.
22    (10.5) Provide its rationale when voting on an item before
23it at a State Board meeting in order to comply with subsection
24(b) of Section 3-108 of the Code of Civil Procedure.
25    (11) Issue written decisions upon request of the applicant
26or an adversely affected party to the Board. Requests for a

 

 

09900HB4370ham001- 7 -LRB099 15652 RPS 45212 a

1written decision shall be made within 15 days after the Board
2meeting in which a final decision has been made. A "final
3decision" for purposes of this Act is the decision to approve
4or deny an application, or take other actions permitted under
5this Act, at the time and date of the meeting that such action
6is scheduled by the Board. The transcript of the State Board
7meeting shall be incorporated into the Board's final decision.
8The staff of the Board shall prepare a written copy of the
9final decision and the Board shall approve a final copy for
10inclusion in the formal record. The Board shall consider, for
11approval, the written draft of the final decision no later than
12the next scheduled Board meeting. The written decision shall
13identify the applicable criteria and factors listed in this Act
14and the Board's regulations that were taken into consideration
15by the Board when coming to a final decision. If the Board
16denies or fails to approve an application for permit or
17exemption, the Board shall include in the final decision a
18detailed explanation as to why the application was denied and
19identify what specific criteria or standards the applicant did
20not fulfill.
21    (12) Require at least one of its members to participate in
22any public hearing, after the appointment of a majority of the
23members to the Board.
24    (13) Provide a mechanism for the public to comment on, and
25request changes to, draft rules and standards.
26    (14) Implement public information campaigns to regularly

 

 

09900HB4370ham001- 8 -LRB099 15652 RPS 45212 a

1inform the general public about the opportunity for public
2hearings and public hearing procedures.
3    (15) Establish a separate set of rules and guidelines for
4long-term care that recognizes that nursing homes are a
5different business line and service model from other regulated
6facilities. An open and transparent process shall be developed
7that considers the following: how skilled nursing fits in the
8continuum of care with other care providers, modernization of
9nursing homes, establishment of more private rooms,
10development of alternative services, and current trends in
11long-term care services. The Chairman of the Board shall
12appoint a permanent Health Services Review Board Long-term Care
13Facility Advisory Subcommittee that shall develop and
14recommend to the Board the rules to be established by the Board
15under this paragraph (15). The Subcommittee shall also provide
16continuous review and commentary on policies and procedures
17relative to long-term care and the review of related projects.
18The Subcommittee shall make recommendations to the Board no
19later than January 1, 2016 and every January thereafter
20pursuant to the Subcommittee's responsibility for the
21continuous review and commentary on policies and procedures
22relative to long-term care. In consultation with other experts
23from the health field of long-term care, the Board and the
24Subcommittee shall study new approaches to the current bed need
25formula and Health Service Area boundaries to encourage
26flexibility and innovation in design models reflective of the

 

 

09900HB4370ham001- 9 -LRB099 15652 RPS 45212 a

1changing long-term care marketplace and consumer preferences
2and submit its recommendations to the Chairman of the Board no
3later than January 1, 2017. The Subcommittee shall evaluate,
4and make recommendations to the State Board regarding, the
5buying, selling, and exchange of beds between long-term care
6facilities within a specified geographic area or drive time.
7The Board shall file the proposed related administrative rules
8for the separate rules and guidelines for long-term care
9required by this paragraph (15) by no later than September 30,
102011. The Subcommittee shall be provided a reasonable and
11timely opportunity to review and comment on any review,
12revision, or updating of the criteria, standards, procedures,
13and rules used to evaluate project applications as provided
14under Section 12.3 of this Act.
15    The Chairman of the Board shall appoint voting members of
16the Subcommittee, who shall serve for a period of 3 years, with
17one-third of the terms expiring each January, to be determined
18by lot. Appointees shall include, but not be limited to,
19recommendations from each of the 3 statewide long-term care
20associations, with an equal number to be appointed from each.
21Compliance with this provision shall be through the appointment
22and reappointment process. All appointees serving as of April
231, 2015 shall serve to the end of their term as determined by
24lot or until the appointee voluntarily resigns, whichever is
25earlier.
26    One representative from the Department of Public Health,

 

 

09900HB4370ham001- 10 -LRB099 15652 RPS 45212 a

1the Department of Healthcare and Family Services, the
2Department on Aging, and the Department of Human Services may
3each serve as an ex-officio non-voting member of the
4Subcommittee. The Chairman of the Board shall select a
5Subcommittee Chair, who shall serve for a period of 3 years.
6    (16) Prescribe the format of the State Board Staff Report.
7A State Board Staff Report shall pertain to applications that
8include, but are not limited to, applications for permit or
9exemption, applications for permit renewal, applications for
10extension of the obligation period, applications requesting a
11declaratory ruling, or applications under the Health Care
12Worker Self-Referral Act. State Board Staff Reports shall
13compare applications to the relevant review criteria under the
14Board's rules.
15    (17) Establish a separate set of rules and guidelines for
16facilities licensed under the Specialized Mental Health
17Rehabilitation Act of 2013. An application for the
18re-establishment of a facility in connection with the
19relocation of the facility shall not be granted unless the
20applicant has a contractual relationship with at least one
21hospital to provide emergency and inpatient mental health
22services required by facility consumers, and at least one
23community mental health agency to provide oversight and
24assistance to facility consumers while living in the facility,
25and appropriate services, including case management, to assist
26them to prepare for discharge and reside stably in the

 

 

09900HB4370ham001- 11 -LRB099 15652 RPS 45212 a

1community thereafter. No new facilities licensed under the
2Specialized Mental Health Rehabilitation Act of 2013 shall be
3established after June 16, 2014 (the effective date of Public
4Act 98-651) except in connection with the relocation of an
5existing facility to a new location. An application for a new
6location shall not be approved unless there are adequate
7community services accessible to the consumers within a
8reasonable distance, or by use of public transportation, so as
9to facilitate the goal of achieving maximum individual
10self-care and independence. At no time shall the total number
11of authorized beds under this Act in facilities licensed under
12the Specialized Mental Health Rehabilitation Act of 2013 exceed
13the number of authorized beds on June 16, 2014 (the effective
14date of Public Act 98-651).
15    (18) Adopt rules to implement the requirements of Section
168b of the University of Illinois Hospital Act and Section 6.14h
17of the Hospital Licensing Act.
18(Source: P.A. 98-414, eff. 1-1-14; 98-463, eff. 8-16-13;
1998-651, eff. 6-16-14; 98-1086, eff. 8-26-14; 99-78, eff.
207-20-15; 99-114, eff. 7-23-15; 99-180, eff. 7-29-15; 99-277,
21eff. 8-5-15; revised 10-15-15.)
 
22    Section 10. The University of Illinois Hospital Act is
23amended by adding Section 8b as follows:
 
24    (110 ILCS 330/8b new)

 

 

09900HB4370ham001- 12 -LRB099 15652 RPS 45212 a

1    Sec. 8b. Supplier diversity goals.
2    (a) The public policy of this State is to collaboratively
3work with hospitals that serve Illinois residents to improve
4their supplier diversity in a non-antagonistic manner.
5    (b) The Health Facilities and Services Review Board shall
6require the University of Illinois Hospital to submit an annual
7report by April 15, 2017 and every April 15 thereafter, in a
8searchable Adobe PDF format, on all procurement goals and, for
9all capital expenditures required to be reported under Section
105.3 of the Illinois Health Facilities Planning Act, the actual
11spending for female-owned, minority-owned, veteran-owned, and
12small business enterprises in the previous calendar year. These
13goals shall be expressed as a percentage of the total work
14performed by the entity submitting the report and, for all
15capital expenditures required to be reported under Section 5.3
16of the Illinois Health Facilities Planning Act, the actual
17spending for all female-owned, minority-owned, veteran-owned,
18and small business enterprises shall be expressed as a
19percentage of the total work performed for those capital
20expenditures by the entity submitting the report.
21    (c) The University of Illinois Hospital in its annual
22report shall include the following information:
23        (1) an explanation of the plan for the next year to
24    increase participation;
25        (2) an explanation of the plan to increase the goals;
26        (3) the areas of procurement that the University of

 

 

09900HB4370ham001- 13 -LRB099 15652 RPS 45212 a

1    Illinois Hospital shall be actively seeking more
2    participation in in the next year;
3        (4) an outline of the plan to alert and encourage
4    potential vendors in that area to seek business from the
5    University of Illinois Hospital;
6        (5) an explanation of the challenges faced in finding
7    quality vendors and offer any suggestions for what the
8    Health Facilities and Services Review Board could do to be
9    helpful to identify those vendors;
10        (6) a list of the certifications the University of
11    Illinois Hospital recognizes;
12        (7) the point of contact for any potential vendor who
13    wishes to do business with the University of Illinois
14    Hospital and explain the process for a vendor to enroll
15    with the University of Illinois Hospital as a
16    minority-owned, women-owned, or veteran-owned company; and
17        (8) any particular success stories to encourage other
18    hospitals to emulate best practices.
19    (d) Each annual report shall include the rules,
20regulations, and definitions used for the procurement goals in
21the University of Illinois Hospital's annual report.
22    (e) The University of Illinois Hospital shall participate
23in the annual workshop described in subsection (e) of Section
246.14h of the Hospital Licensing Act. The Health Facilities and
25Services Review Board shall publish a database on its website
26of the point of contact for the University of Illinois Hospital

 

 

09900HB4370ham001- 14 -LRB099 15652 RPS 45212 a

1for supplier diversity, along with a list of certifications the
2University of Illinois Hospital recognizes from the
3information submitted in each annual report. The Health
4Facilities and Services Review Board shall publish each annual
5report on its website and shall maintain each annual report for
6at least 5 years.
 
7    Section 15. The Hospital Licensing Act is amended by adding
8Section 6.14h as follows:
 
9    (210 ILCS 85/6.14h new)
10    Sec. 6.14h. Supplier diversity goals.
11    (a) The public policy of this State is to collaboratively
12work with hospitals that serve Illinois residents to improve
13their supplier diversity in a non-antagonistic manner.
14    (b) The Health Facilities and Services Review Board shall
15require all participating hospitals under the Health
16Facilities and Services Review Board's authority to submit an
17annual report by April 15, 2017 and every April 15 thereafter,
18in a searchable Adobe PDF format, on all procurement goals and,
19for all capital expenditures required to be reported under
20Section 5.3 of the Illinois Health Facilities Planning Act, the
21actual spending for female-owned, minority-owned,
22veteran-owned, and small business enterprises in the previous
23calendar year. These goals shall be expressed as a percentage
24of the total work performed by the entity submitting the report

 

 

09900HB4370ham001- 15 -LRB099 15652 RPS 45212 a

1and, for all capital expenditures required to be reported under
2Section 5.3 of the Illinois Health Facilities Planning Act, the
3actual spending for all female-owned, minority-owned,
4veteran-owned, and small business enterprises shall be
5expressed as a percentage of the total work performed for those
6capital expenditures by the entity submitting the report.
7    (c) Each participating hospital in its annual report shall
8include the following information:
9        (1) an explanation of the plan for the next year to
10    increase participation;
11        (2) an explanation of the plan to increase the goals;
12        (3) the areas of procurement that the participating
13    hospital shall be actively seeking more participation in in
14    the next year;
15        (4) an outline of the plan to alert and encourage
16    potential vendors in that area to seek business from the
17    participating hospital;
18        (5) an explanation of the challenges faced in finding
19    quality vendors and offer any suggestions for what the
20    Health Facilities and Services Review Board could do to be
21    helpful to identify those vendors;
22        (6) a list of the certifications the participating
23    hospital recognizes;
24        (7) the point of contact for any potential vendor who
25    wishes to do business with the participating hospital and
26    explain the process for a vendor to enroll with the

 

 

09900HB4370ham001- 16 -LRB099 15652 RPS 45212 a

1    participating hospital as a minority-owned, women-owned,
2    or veteran-owned company; and
3        (8) any particular success stories to encourage other
4    hospitals to emulate best practices.
5    (d) Each annual report shall include the rules,
6regulations, and definitions used for the procurement goals in
7the participating hospital's annual report.
8    (e) Subject to appropriation, the Department of Central
9Management Services, in conjunction with the University of
10Illinois Hospital and all participating hospitals, shall hold
11an annual workshop open to the public in 2017 and every year
12thereafter on the state of supplier diversity to
13collaboratively seek solutions to structural impediments to
14achieving stated goals, including testimony from each
15participating hospital as well as subject matter experts and
16advocates. The Health Facilities and Services Review Board
17shall publish a database on its website of the point of contact
18for each participating hospital for supplier diversity, along
19with a list of certifications each participating hospital
20recognizes from the information submitted in each annual
21report. The Health Facilities and Services Review Board shall
22publish each annual report on its website and shall maintain
23each annual report for at least 5 years.
24    (f) For the purposes of this Section, "participating
25hospital" means a hospital that has more than 50 beds.".