Full Text of SB0181 96th General Assembly
SB0181enr 96TH GENERAL ASSEMBLY
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| AN ACT concerning regulation.
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| Be it enacted by the People of the State of Illinois,
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| represented in the General Assembly:
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| Section 5. The Alternative Health Care Delivery Act is | 5 |
| amended by changing Section 30 as follows:
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| (210 ILCS 3/30)
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| Sec. 30. Demonstration program requirements. The | 8 |
| requirements set forth in
this Section shall apply to | 9 |
| demonstration programs.
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| (a) There shall be no more than:
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| (i) 3 subacute care hospital alternative health care | 12 |
| models in the City of
Chicago (one of which shall be | 13 |
| located on a designated site and shall have been
licensed | 14 |
| as a hospital under the Illinois Hospital Licensing Act | 15 |
| within the 10
years immediately before the application for | 16 |
| a license);
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| (ii) 2 subacute care hospital alternative health care | 18 |
| models in the
demonstration program for each of the | 19 |
| following areas:
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| (1) Cook County outside the City of Chicago.
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| (2) DuPage, Kane, Lake, McHenry, and Will | 22 |
| Counties.
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| (3) Municipalities with a population greater than |
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| 50,000 not
located in the areas described in item (i) | 2 |
| of subsection (a) and paragraphs
(1) and (2) of item | 3 |
| (ii) of subsection (a); and
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| (iii) 4 subacute care hospital alternative health care
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| models in the demonstration program for rural areas.
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| In selecting among applicants for these
licenses in rural | 7 |
| areas, the Health Facilities Planning Board and the
Department | 8 |
| shall give preference to hospitals that may be unable for | 9 |
| economic
reasons to provide continued service to the community | 10 |
| in which they are located
unless the hospital were to receive | 11 |
| an alternative health care model license.
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| (a-5) There shall be no more than a total of 12 | 13 |
| postsurgical
recovery care
center alternative health care | 14 |
| models in the demonstration program, located as
follows:
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| (1) Two in the City of Chicago.
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| (2) Two in Cook County outside the City of Chicago. At | 17 |
| least
one of these shall be owned or operated by a hospital | 18 |
| devoted exclusively to
caring for children.
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| (3) Two in Kane, Lake, and McHenry Counties.
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| (4) Four in municipalities with a population of 50,000 | 21 |
| or more
not located
in the areas described in paragraphs | 22 |
| (1), (2), and (3), 3 of which
shall be
owned or operated by | 23 |
| hospitals, at least 2 of which shall be located in
counties | 24 |
| with a population of less than 175,000, according to the | 25 |
| most recent
decennial census for which data are available, | 26 |
| and one of
which shall be owned or operated by
an |
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| ambulatory surgical treatment center.
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| (5) Two in rural areas,
both of which shall be owned or | 3 |
| operated by
hospitals.
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| There shall be no postsurgical recovery care center | 5 |
| alternative health care
models located in counties with | 6 |
| populations greater than 600,000 but less
than 1,000,000. A | 7 |
| proposed postsurgical recovery care center must be owned or
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| operated by a hospital if it is to be located within, or will | 9 |
| primarily serve
the residents of, a health service area in | 10 |
| which more than 60% of the gross
patient revenue of the | 11 |
| hospitals within that health service area are derived
from | 12 |
| Medicaid and Medicare, according to the most recently available | 13 |
| calendar
year data from the Illinois Health Care Cost | 14 |
| Containment Council. Nothing in
this paragraph shall preclude a | 15 |
| hospital and an ambulatory surgical treatment
center from | 16 |
| forming a joint venture or developing a collaborative agreement | 17 |
| to
own or operate a postsurgical recovery care center.
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| (a-10) There shall be no more than a total of 9 8 | 19 |
| children's respite care
center alternative health care models | 20 |
| in the demonstration program, which shall
be located as | 21 |
| follows:
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| (1) Two One in the City of Chicago.
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| (2) One in Cook County outside the City of Chicago.
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| (3) A total of 2 in the area comprised of DuPage, Kane, | 25 |
| Lake, McHenry, and
Will counties.
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| (4) A total of 2 in municipalities with a population of |
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| 50,000 or more and
not
located in the areas described in | 2 |
| paragraphs (1), (2), or (3).
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| (5) A total of 2 in rural areas, as defined by the | 4 |
| Health Facilities
Planning Board.
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| No more than one children's respite care model owned and | 6 |
| operated by a
licensed skilled pediatric facility shall be | 7 |
| located in each of the areas
designated in this subsection | 8 |
| (a-10).
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| (a-15) There shall be an authorized community-based | 10 |
| residential
rehabilitation center alternative health care | 11 |
| model in the demonstration
program. The community-based | 12 |
| residential rehabilitation center shall be
located in the area | 13 |
| of Illinois south of Interstate Highway 70.
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| (a-20) There shall be an authorized
Alzheimer's disease | 15 |
| management center alternative health care model in the
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| demonstration program. The Alzheimer's disease management | 17 |
| center shall be
located in Will
County, owned by a
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| not-for-profit entity, and endorsed by a resolution approved by | 19 |
| the county
board before the effective date of this amendatory | 20 |
| Act of the 91st General
Assembly.
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| (a-25) There shall be no more than 10 birth center | 22 |
| alternative health care
models in the demonstration program, | 23 |
| located as follows:
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| (1) Four in the area comprising Cook, DuPage, Kane, | 25 |
| Lake, McHenry, and
Will counties, one of
which shall be | 26 |
| owned or operated by a hospital and one of which shall be |
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| owned
or operated by a federally qualified health center.
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| (2) Three in municipalities with a population of 50,000 | 3 |
| or more not
located in the area described in paragraph (1) | 4 |
| of this subsection, one of
which shall be owned or operated | 5 |
| by a hospital and one of which shall be owned
or operated | 6 |
| by a federally qualified health center.
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| (3) Three in rural areas, one of which shall be owned | 8 |
| or operated by a
hospital and one of which shall be owned | 9 |
| or operated by a federally qualified
health center.
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| The first 3 birth centers authorized to operate by the | 11 |
| Department shall be
located in or predominantly serve the | 12 |
| residents of a health professional
shortage area as determined | 13 |
| by the United States Department of Health and Human
Services. | 14 |
| There shall be no more than 2 birth centers authorized to | 15 |
| operate in
any single health planning area for obstetric | 16 |
| services as determined under the
Illinois Health Facilities | 17 |
| Planning Act. If a birth center is located outside
of a
health | 18 |
| professional shortage area, (i) the birth center shall be | 19 |
| located in a
health planning
area with a demonstrated need for | 20 |
| obstetrical service beds, as determined by
the Illinois Health | 21 |
| Facilities Planning Board or (ii) there must be a
reduction in
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| the existing number of obstetrical service beds in the planning | 23 |
| area so that
the establishment of the birth center does not | 24 |
| result in an increase in the
total number of obstetrical | 25 |
| service beds in the health planning area.
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| (b) Alternative health care models, other than a model |
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| authorized under subsection (a-10) or
subsection (a-20), shall | 2 |
| obtain a certificate of
need from the Illinois Health | 3 |
| Facilities Planning Board under the Illinois
Health Facilities | 4 |
| Planning Act before receiving a license by the
Department.
If, | 5 |
| after obtaining its initial certificate of need, an alternative | 6 |
| health
care delivery model that is a community based | 7 |
| residential rehabilitation center
seeks to
increase the bed | 8 |
| capacity of that center, it must obtain a certificate of need
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| from the Illinois Health Facilities Planning Board before | 10 |
| increasing the bed
capacity. Alternative
health care models in | 11 |
| medically underserved areas
shall receive priority in | 12 |
| obtaining a certificate of need.
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| (c) An alternative health care model license shall be | 14 |
| issued for a
period of one year and shall be annually renewed | 15 |
| if the facility or
program is in substantial compliance with | 16 |
| the Department's rules
adopted under this Act. A licensed | 17 |
| alternative health care model that continues
to be in | 18 |
| substantial compliance after the conclusion of the | 19 |
| demonstration
program shall be eligible for annual renewals | 20 |
| unless and until a different
licensure program for that type of | 21 |
| health care model is established by
legislation. The Department | 22 |
| may issue a provisional license to any
alternative health care | 23 |
| model that does not substantially comply with the
provisions of | 24 |
| this Act and the rules adopted under this Act if (i)
the | 25 |
| Department finds that the alternative health care model has | 26 |
| undertaken
changes and corrections which upon completion will |
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| render the alternative
health care model in substantial | 2 |
| compliance with this Act and rules and
(ii) the health and | 3 |
| safety of the patients of the alternative
health care model | 4 |
| will be protected during the period for which the provisional
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| license is issued. The Department shall advise the licensee of
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| the conditions under which the provisional license is issued, | 7 |
| including
the manner in which the alternative health care model | 8 |
| fails to comply with
the provisions of this Act and rules, and | 9 |
| the time within which the changes
and corrections necessary for | 10 |
| the alternative health care model to
substantially comply with | 11 |
| this Act and rules shall be completed.
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| (d) Alternative health care models shall seek | 13 |
| certification under Titles
XVIII and XIX of the federal Social | 14 |
| Security Act. In addition, alternative
health care models shall | 15 |
| provide charitable care consistent with that provided
by | 16 |
| comparable health care providers in the geographic area.
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| (d-5) The Department of Healthcare and Family Services | 18 |
| (formerly Illinois Department of Public Aid), in cooperation | 19 |
| with the
Illinois Department of
Public Health, shall develop | 20 |
| and implement a reimbursement methodology for all
facilities | 21 |
| participating in the demonstration program. The Department of | 22 |
| Healthcare and Family Services shall keep a record of services | 23 |
| provided under the demonstration
program to recipients of | 24 |
| medical assistance under the Illinois Public Aid Code
and shall | 25 |
| submit an annual report of that information to the Illinois
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| Department of Public Health.
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| (e) Alternative health care models shall, to the extent | 2 |
| possible,
link and integrate their services with nearby health | 3 |
| care facilities.
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| (f) Each alternative health care model shall implement a | 5 |
| quality
assurance program with measurable benefits and at | 6 |
| reasonable cost.
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| (Source: P.A. 95-331, eff. 8-21-07; 95-445, eff. 1-1-08.)
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| Section 99. Effective date. This Act takes effect upon | 9 |
| becoming law.
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