Sen. Sue Rezin

Filed: 2/16/2022





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2    AMENDMENT NO. ______. Amend Senate Bill 1435 by replacing
3everything after the enacting clause with the following:
4    "Section 5. The Hospital Licensing Act is amended by
5changing Section 4.5 as follows:
6    (210 ILCS 85/4.5)
7    Sec. 4.5. Hospital with multiple locations; single
9    (a) A hospital located in a county with fewer than
103,000,000 inhabitants may apply to the Department for approval
11to conduct its operations from more than one location within
12the county under a single license. At the time of the
13application to operate under a single license, a hospital
14located in a county with fewer than 125,000 inhabitants may
15apply to the Department for approval to conduct its operations
16from more than one location within contiguous counties in



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1which both facilities are located, provided that the second
2county has fewer than 35,000 inhabitants.
3    (b) The facilities or buildings at those locations must be
4owned or operated together by a single corporation or other
5legal entity serving as the licensee and must share:
6        (1) a single board of directors with responsibility
7    for governance, including financial oversight and the
8    authority to designate or remove the chief executive
9    officer;
10        (2) a single medical staff accountable to the board of
11    directors and governed by a single set of medical staff
12    bylaws, rules, and regulations with responsibility for the
13    quality of the medical services; and
14        (3) a single chief executive officer, accountable to
15    the board of directors, with management responsibility.
16    (c) Each hospital building or facility that is located on
17a site geographically separate from the campus or premises of
18another hospital building or facility operated by the licensee
19must, at a minimum, individually comply with the Department's
20hospital licensing requirements for emergency services.
21    (d) The hospital shall submit to the Department a
22comprehensive plan in relation to the waiver or waivers
23requested describing the services and operations of each
24facility or building and how common services or operations
25will be coordinated between the various locations. With the
26exception of items required by subsection (c), the Department



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1is authorized to waive compliance with the hospital licensing
2requirements for specific buildings or facilities, provided
3that the hospital has documented which other building or
4facility under its single license provides that service or
5operation, and that doing so would not endanger the public's
6health, safety, or welfare. Nothing in this Section relieves a
7hospital from the requirements of the Health Facilities
8Planning Act.
9(Source: P.A. 89-171, eff. 7-19-95.)
10    Section 99. Effective date. This Act takes effect upon
11becoming law.".