State of Illinois
90th General Assembly
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[ Introduced ]

90_HB1389ham001

                                           LRB9004372DPmbam01
 1                    AMENDMENT TO HOUSE BILL 1389
 2        AMENDMENT NO.     .  Amend House Bill 1389  by  replacing
 3    the title with the following:
 4        "AN  ACT to create the Assisted Living Establishment Act,
 5    amending named Acts."; and
 6    by replacing everything after the enacting  clause  with  the
 7    following:
 8        "Section  1.  Short  title.  This Act may be cited as the
 9    Assisted Living Establishment Act.
10        Section 3.  Legislative purpose.  The purpose of this Act
11    is to promote the availability of  appropriate  services  for
12    elderly  persons  in  the least restrictive and most homelike
13    environment; to encourage the development of assisted  living
14    that   promotes  the  dignity,  individuality,  privacy,  and
15    decision-making ability of those persons; to provide for  the
16    health,  safety,  and welfare of residents receiving assisted
17    living services in this State; to promote continuous  quality
18    improvement   of   assisted  living;  and  to  encourage  the
19    development of  innovative  and  affordable  assisted  living
20    establishments.
21        It  is  the  public  policy  of  this State that assisted
                            -2-            LRB9004372DPmbam01
 1    living is an important part of  the  continuum  of  long-term
 2    care in this State. In support of the goal of aging in place,
 3    assisted   living   should   be   operated   as   residential
 4    environments with supportive services. The services available
 5    to   residents,  either  directly  or  through  contracts  or
 6    agreements,  are  intended  to  help  residents   remain   as
 7    independent   as   possible.  Oversight  of  assisted  living
 8    establishments  must  be  sufficiently  flexible   to   allow
 9    residents to age in place.
10        Section 5. Definitions. For purposes of this Act:
11        (a)  "Assisted  living  establishment" or "establishment"
12    means a home, building, residence, or any other  place  where
13    the services described below are provided:
14             (1)  community-based   residential  care,  including
15        housing and  personal  and  health-related  services,  to
16        persons who need help with activities of daily living;
17             (2)  supportive   and   intermittent  health-related
18        services that are available 24 hours per day, if  needed,
19        to meet scheduled and unscheduled needs of a tenant, in a
20        way  that  promotes  self-direction  and participation in
21        decisions that   emphasize  independence,  individuality,
22        privacy, and dignity in a residential surrounding;
23             (3)  sleeping accommodations for 3 or more unrelated
24        adult  tenants, at least 80 percent of which are 55 years
25        of age or older; and
26             (4)  all Group 1 services and one or  more  Group  2
27        services,  whether provided directly by the establishment
28        or by another entity arranged for  by  the  establishment
29        with    the   consent   of   the   tenant   or   tenant's
30        representative.
31    An "assisted living establishment"  or  "establishment"  also
32    means  a  home,  building, residence, or any other place that
33    provides the services  of  items  (1)  through  (4)  of  this
                            -3-            LRB9004372DPmbam01
 1    paragraph, and, in addition, any Group 3 services.
 2        "Assisted  living  establishment" or "establishment" does
 3    not mean:
 4             (1)  a home, institution, or similar place  operated
 5        by the federal government or the State of Illinois;
 6             (2)  a  "long term care facility" licensed under the
 7        Nursing Home Care Act. However, a long term care facility
 8        may apply under this  Act  to  convert  sections  of  the
 9        facility  to  assisted  living.  If  the  long  term care
10        facility elects  to  do  so,  the  facility  retains  the
11        Certificate  of  Need  for  its  nursing  beds  that were
12        converted;
13             (3)  a hospital, sanitarium, or  other  institution,
14        the  principal  activity  or  business  of  which  is the
15        diagnosis, care, and treatment of human illness and  that
16        is  required  to be licensed under the Hospital Licensing
17        Act;
18             (4)  a "facility for child care" as defined  in  the
19        Child Care Act of 1969;
20             (5)  a "community living facility" as defined in the
21        Community Living Facilities Licensing Act;
22             (6)  a   "community   residential   alternative"  as
23        defined  in  the   Community   Residential   Alternatives
24        Licensing Act;
25             (7)  a nursing home or sanitarium operated solely by
26        and  for  persons  who rely exclusively upon treatment by
27        spiritual means through prayer, in  accordance  with  the
28        creed or tenants of a well-recognized church or religious
29        denomination;
30             (8)  a  facility licensed by the Department of Human
31        Services as a "community-integrated  living  arrangement"
32        as    defined    in   the   Community-Integrated   Living
33        Arrangements Licensure and Certification Act;
34             (9)  a "supportive  residence"  licensed  under  the
                            -4-            LRB9004372DPmbam01
 1        Supportive Residences Licensing Act;
 2             (10)  a  "life care facility" as defined in the Life
 3        Care Facilities Act; and
 4             (11)  a freestanding hospice facility.
 5        (b)  "Department" means the Department on Aging.
 6        (c)  "Director" means the Director of the  Department  on
 7    Aging.
 8        (d)  "Group 1 services" include the  following:
 9             (1)  meals  provided  in  a  dining    room  or  the
10        tenant's  own  room and prepared  by the establishment or
11        an outside contractor;
12             (2)  housekeeping  services,   including   but   not
13        limited  to  vacuuming, dusting, and cleaning the kitchen
14        and bathrooms of the  tenant's unit;
15             (3)  security provided 24 hours each day,  including
16        but  not  limited  to  locked  entrances   or building or
17        contract security personnel.
18             (4)  an  emergency  communication  response  system,
19        which is a procedure in place 24 hours each day by  which
20        a  tenant  can  notify  building management, an emergency
21        response vendor, or others able to respond to his or  her
22        need for assistance.
23        (e)  "Group 2 services" include the following:
24             (1)  personal  care,  including  one  or more of the
25        following:  assistance with bathing, dressing,  grooming,
26        ambulating,  toileting,  transferring, meal planning, and
27        personal laundry;
28             (2)  medication management, including one or more of
29        the following:  reminders to take medication,  monitoring
30        of   tenant  medications,  storage  of  medications,  and
31        assisting tenants with medications set  up  by  a  family
32        member or nurse;
33             (3)  intermittent  health services, including one or
34        more  of  the  following:    medication   administration,
                            -5-            LRB9004372DPmbam01
 1        dressing  changes,  catheter  care,  therapies, and other
 2        medical, nursing,  or  rehabilitative  care  provided  by
 3        personnel licensed under the Home Health Agency Licensing
 4        Act and by the Department of Professional Regulation.
 5        (f)  "Group 3 services" include the following:
 6             (1)  transportation,  including  but  not limited to
 7        car or van service for shopping and medical appointments;
 8             (2)  a health assessment, which is a health history,
 9        physical  examination,  risk  profile,  or  screening  by
10        licensed health care personnel;
11             (3)  counseling for  health,  social  services,  and
12        nutrition  by licensed personnel;
13             (4)  social or educational activities, including but
14        not  limited  to trips, classes, lectures, and parties in
15        or outside the establishment.
16        (g)  "Tenant" means a  person  residing  in  an  assisted
17    living establishment.
18        Section  10.  Registration  requirement.  No  entity  may
19    establish,  operate,  conduct, or maintain an assisted living
20    establishment  in  this  State  without  a   certificate   of
21    registration  issued  by  the  Department  under this Act. An
22    entity that violates the  registration  requirement  of  this
23    Section  shall be subject to corrective action as established
24    by rule of the Department.
25        Section 15. Registration procedures.
26        (a)  The Department shall establish forms and  procedures
27    for    the    annual    registration   of   assisted   living
28    establishments.  The  Department  shall   set   nonrefundable
29    registration  fees  in  consultation with the Assisted Living
30    Advisory Commission. A registered establishment shall  notify
31    the  Department  within 30 days of any change in the business
32    name or address of the establishment,  the  name  or  mailing
                            -6-            LRB9004372DPmbam01
 1    address  of  the  owner  or  owners,  or  the name or mailing
 2    address of the managing agent.  There shall be no fee for the
 3    submission of any such notification.
 4        An establishment shall provide the following  information
 5    to the Department to be registered:
 6             (1)  the  business  name,  street  address,  mailing
 7        address, and telephone number of the establishment;
 8             (2)  the  name  and  mailing address of the owner or
 9        owners of the establishment and if the  owner  or  owners
10        are  not  natural  persons, identification of the type of
11        business  entity  of  the  owners,  and  the  names   and
12        addresses  of  the  officers and members of the governing
13        body, or comparable  persons  for  partnerships,  limited
14        liability   corporations,  or  other  types  of  business
15        organizations;
16             (3)  the name and mailing address  of  the  managing
17        agent   of  the  establishment,  whether  hired  under  a
18        management agreement or  lease  agreement,  if  different
19        from  the  owner  or  owners, and the name of the on-site
20        manager, if any;
21             (4)  verification that the establishment has entered
22        into  an  assisted  living  establishment  contract,   as
23        required  under  this  Act,  with each tenant or tenant's
24        representative;
25             (5)  the name and address of at  least  one  natural
26        person  who  shall  be  responsible  for dealing with the
27        Department on all matters provided for in  this  Act,  on
28        whom  personal service of all notices and orders shall be
29        made, and who shall be authorized to  accept  service  on
30        behalf  of  the  owner  or owners and the managing agent.
31        Notwithstanding a contrary provision of the Code of Civil
32        Procedure, personal service  on  the  persons  identified
33        pursuant  to  this subsection shall be considered service
34        on the owner or owners and the  managing  agent,  and  it
                            -7-            LRB9004372DPmbam01
 1        shall  not  be  a  defense  to  any  action that personal
 2        service was not made on each individual or entity;
 3             (6)  the signature of the authorized  representative
 4        of  the owner or owners;
 5             (7)  proof  of  an ongoing quality assurance program
 6        in accordance with rules adopted  by  the  Department  in
 7        collaboration   with   the   Assisted   Living   Advisory
 8        Commission;
 9             (8)  information  about  the  number  and  types  of
10        units,  the  maximum  census,  and  the  services  to  be
11        provided  at  the  establishment  and proof of compliance
12        with applicable State service standards, documentation of
13        compliance with applicable State  and  local  residential
14        standards, and a copy of the standard contract offered to
15        tenants; and
16             (9)  documentation of adequate liability insurance.
17        Section  20.  Issuance  of  certificate  of registration.
18    The Department shall issue a certificate of  registration  to
19    an  applicant  who has met the requirements of Section 15 and
20    has paid the required application fee.
21        Section  25.  Contract   requirement.   No   entity   may
22    establish,  operate,  conduct, or maintain an assisted living
23    establishment in this State unless a written assisted  living
24    contract is  executed  between  the  establishment  and  each
25    tenant  or tenant's representative in accordance with Section
26    30, and unless the establishment operates in accordance  with
27    the   terms  of  the  contract.  A  tenant  or  the  tenant's
28    representative shall be given a complete copy of the contract
29    and all supporting documents and attachments and any  changes
30    whenever changes are made.
31        Section  30.  Contents  of  contract.  An assisted living
                            -8-            LRB9004372DPmbam01
 1    contract shall include at least the following elements in the
 2    body or through  supporting documents or attachments:
 3             (1)  the name, street address, and  mailing  address
 4        of the establishment;
 5             (2)  the  name  and  mailing address of the owner or
 6        owners of the establishment and, if the owner  or  owners
 7        are  not  natural persons, the type of business entity of
 8        the owner or owners;
 9             (3)  the name and mailing address  of  the  managing
10        agent   of  the  establishment,  whether  hired  under  a
11        management agreement or lease agreement, if the  managing
12        agent is different from the owner or owners;
13             (4)  the  name  and  address of at least one natural
14        person who is authorized to accept service on  behalf  of
15        the owners and managing agent;
16             (5)  a  statement describing the registration status
17        of the  establishment  and  the  licensure  status  of  a
18        provider  of  health-related  or supportive services to a
19        tenant under an arrangement with the establishment;
20             (6)  the duration of the contract;
21             (7)  the base rate to be paid by the tenant and    a
22        description  of  the  services  to be provided as part of
23        this rate;
24             (8)  a description of any additional services to  be
25        provided  for  an  additional  fee from the establishment
26        directly  or  by  a  third  party   provider   under   an
27        arrangement with the establishment;
28             (9)  fee   schedules   outlining  the  cost  of  any
29        additional services;
30             (10)  a description of the process through which the
31        contract may be modified, amended, or terminated;
32             (11)  a description of the establishment's complaint
33        resolution process available to tenants and notice of the
34        availability of  the  Department's  Senior  Helpline  for
                            -9-            LRB9004372DPmbam01
 1        complaints;
 2             (12)  the  tenant's  designated  representative,  if
 3        any;
 4             (13)  the  tenant's obligations in order to maintain
 5        residency and to receive services;
 6             (14)  billing    and    payment    procedures    and
 7        requirements;
 8             (15)  a statement affirming the tenant's freedom  to
 9        receive  services  from  service  providers with whom the
10        establishment does not have  a  contractual  arrangement.
11        The  statement may also disclaim liability on the part of
12        the assisted living establishment for such services;
13             (16)  a  statement  regarding  the  availability  of
14        public funds for payment for services rendered  under  an
15        assisted living contract; and
16             (17)  a statement acknowledging that, by contracting
17        with  the  assisted living establishment, the tenant does
18        not forfeit the following rights:
19                  (a)  federal and State constitutional rights;
20                  (b)  the  right  to  retain  and  use  personal
21             property and a place to store personal items that is
22             locked and secure;
23                  (c)  the right to refuse  services  and  to  be
24             advised of the consequences of that refusal;
25                  (d)  the  right  to  respect for bodily privacy
26             and dignity at all times, especially during care and
27             treatment;
28                  (e)  the right to privacy with regard to  mail,
29             phone calls, and visitors;
30                  (f)  the  right  to  be free of retaliation for
31             criticizing  the   establishment   or   for   making
32             complaints to appropriate agencies;
33                  (g)  the right to be free of restraints;
34                  (h)  the right to be free of abuse or neglect;
                            -10-           LRB9004372DPmbam01
 1                  (i)  the   right   to  confidentiality  of  the
 2             tenant's   personal   files   maintained   by    the
 3             establishment;
 4                  (j)  the  right of access and the right to copy
 5             the  tenant's  personal  files  maintained  by   the
 6             establishment; and
 7                  (k)  the   right   to  24-hour  access  to  the
 8             establishment.
 9        Section 35. Record retention. Assisted  living  contracts
10    and  related  documents  executed  by each tenant or tenant's
11    representative shall be maintained by  the  establishment  in
12    files  from  the  date  of  execution until 3 years after the
13    contract  is  terminated.   The  establishment   shall   also
14    maintain  and retain records to tenants to support compliance
15    with individual  contracts  and  with  applicable  State  and
16    federal laws and regulations.
17        Section 40. Powers and duties of the Director.
18        (a)  Upon  receipt  of  information that may indicate the
19    failure of the assisted living  establishment,  a  tenant,  a
20    tenant's representative, or a service provider to comply with
21    a  provision  of this Act, the Department may investigate the
22    matter and must obtain the signed consent  of  an  individual
23    tenant  before  his  or  her individual tenant records may be
24    inspected, and shall  make  appropriate  referrals  to  other
25    government agencies and entities having jurisdiction over the
26    subject  matter of the possible violation. The Department may
27    also make referrals to any public or private agency that  the
28    Department  considers available for appropriate assistance to
29    persons involved. The Department may oversee  and  coordinate
30    the   enforcement   of  State  consumer  protection  policies
31    affecting tenants of assisted living establishments.
32        (b)  The Director shall have standing to bring an  action
                            -11-           LRB9004372DPmbam01
 1    for   injunctive   relief  in  the  circuit  court  where  an
 2    establishment  is  located  to  compel  the  assisted  living
 3    establishment to meet the requirements of this Act  or  other
 4    applicable  State, county, or local requirements. Proceedings
 5    for securing an injunction may be  brought  by  the  Director
 6    through  the Attorney General of the State of Illinois or the
 7    State's Attorney of the county in which the alleged violation
 8    occurred.  The sanctions in this Section do not restrict  the
 9    availability of other sanctions.
10        (c)  The  Department  shall  establish  by rule complaint
11    receipt, resolution, and appeal procedures.
12        (d)  The Director  shall  establish  an  Assisted  Living
13    Advisory   Commission   that   shall   be   responsible   for
14    establishing    registration    fees    and   sanctions   for
15    noncompliance with this Act. Members of the Commission  shall
16    include users of assisted living services.
17        Section  45.  Application  of  Act.  An  assisted  living
18    establishment  shall  obtain and maintain all other licenses,
19    permits, certificates of registration, and other governmental
20    approvals required of it in addition  to  registration  under
21    this  Act,  except  that  an assisted living establishment is
22    exempt from the provisions of the Illinois Health  Facilities
23    Planning  Act  and  the  Nursing  Home  Care Act. An assisted
24    living establishment shall comply with  the  requirements  of
25    all   local,  State,  federal,  and  other  applicable  laws,
26    statutes, regulations, and ordinances.
27        Section 80. The Illinois Health Facilities  Planning  Act
28    is amended by changing Section 3 as follows:
29        (20 ILCS 3960/3) (from Ch. 111 1/2, par. 1153)
30        Sec. 3.  As used in this Act:
31        "Health care facilities" means and includes the following
                            -12-           LRB9004372DPmbam01
 1    facilities and organizations:
 2             1.  An ambulatory surgical treatment center required
 3        to  be  licensed  pursuant  to  the  Ambulatory  Surgical
 4        Treatment Center Act;
 5             2.  An   institution,  place,  building,  or  agency
 6        required  to  be  licensed  pursuant  to   the   Hospital
 7        Licensing Act;
 8             3.  Any institution required to be licensed pursuant
 9        to the Nursing Home Care Act;
10             4.  Hospitals,  nursing  homes,  ambulatory surgical
11        treatment centers, or kidney  disease  treatment  centers
12        maintained  by  the  State  or  any  department or agency
13        thereof; and
14             5.  Kidney disease treatment  centers,  including  a
15        free-standing hemodialysis unit.
16        No  federally  owned  facility  shall  be  subject to the
17    provisions of  this  Act,  nor  facilities  used  solely  for
18    healing by prayer or spiritual means.
19        No  facility  licensed  under  the  Supportive Residences
20    Licensing  Act  or  registered  under  the  Assisted   Living
21    Establishment  Act shall be subject to the provisions of this
22    Act.
23        A facility designated as  a  supportive  living  facility
24    that  is  in  good  standing  with  the demonstration project
25    established under Section 5-5.01a of the Illinois Public  Aid
26    Code shall not be subject to the provisions of this Act.
27        This  Act  does  not  apply to facilities granted waivers
28    under Section 3-102.2 of the Nursing Home Care Act.  However,
29    if a demonstration project  under  that  Act  applies  for  a
30    certificate  of  need  to  convert  to a nursing facility, it
31    shall meet the licensure and certificate of need requirements
32    in effect as of the date of application.
33        With  the  exception  of  those  health  care  facilities
34    specifically included in this Section, nothing  in  this  Act
                            -13-           LRB9004372DPmbam01
 1    shall be intended to include facilities operated as a part of
 2    the  practice  of  a  physician or other licensed health care
 3    professional, whether practicing in his  individual  capacity
 4    or  within the legal structure of any partnership, medical or
 5    professional  corporation,  or  unincorporated   medical   or
 6    professional  group.  Further,  this  Act  shall not apply to
 7    physicians  or  other  licensed  health  care  professional's
 8    practices where such practices are carried out in  a  portion
 9    of  a  health  care  facility under contract with such health
10    care facility by a physician or by other licensed health care
11    professionals, whether practicing in his individual  capacity
12    or  within the legal structure of any partnership, medical or
13    professional  corporation,  or  unincorporated   medical   or
14    professional groups.  This Act shall apply to construction or
15    modification   and  to  establishment  by  such  health  care
16    facility of such  contracted  portion  which  is  subject  to
17    facility  licensing  requirements,  irrespective of the party
18    responsible  for   such   action   or   attendant   financial
19    obligation.
20        "Person"  means  any  one  or more natural persons, legal
21    entities, governmental bodies  other  than  federal,  or  any
22    combination thereof.
23        "Consumer" means any person other than a person (a) whose
24    major   occupation   currently  involves  or  whose  official
25    capacity  within  the  last  12  months  has   involved   the
26    providing,  administering  or financing of any type of health
27    care facility, (b) who is engaged in health research  or  the
28    teaching of health, (c) who has a material financial interest
29    in  any  activity which involves the providing, administering
30    or financing of any type of health care facility, or (d)  who
31    is  or  ever has been a member of the immediate family of the
32    person defined by (a), (b), or (c).
33        "State Board" means the Health Facilities Planning Board.
34        "Construction or modification" means  the  establishment,
                            -14-           LRB9004372DPmbam01
 1    erection,      building,      alteration,     reconstruction,
 2    modernization,   improvement,   extension,   discontinuation,
 3    change of ownership, of or by a health care facility, or  the
 4    purchase  or acquisition by or through a health care facility
 5    of  equipment  or  service  for  diagnostic  or   therapeutic
 6    purposes  or for facility administration or operation, or any
 7    capital expenditure made by or on behalf  of  a  health  care
 8    facility which exceeds the capital expenditure minimum.
 9        "Establish"  means  the  construction  of  a  health care
10    facility or  the  replacement  of  an  existing  facility  on
11    another site.
12        "Major  medical  equipment" means medical equipment which
13    is used  for  the  provision  of  medical  and  other  health
14    services and which costs in excess of the capital expenditure
15    minimum,  except  that  such  term  does  not include medical
16    equipment acquired by or on behalf of a  clinical  laboratory
17    to  provide  clinical  laboratory  services  if  the clinical
18    laboratory is independent  of  a  physician's  office  and  a
19    hospital  and it has been determined under Title XVIII of the
20    Social Security Act to meet the  requirements  of  paragraphs
21    (10) and (11) of Section 1861(s) of such Act.  In determining
22    whether  medical  equipment  has  a  value  in  excess of the
23    capital expenditure minimum, the value of  studies,  surveys,
24    designs,  plans,  working drawings, specifications, and other
25    activities essential to the  acquisition  of  such  equipment
26    shall be included.
27        "Capital  Expenditure" means an expenditure:  (A) made by
28    or on behalf of a health care facility (as such a facility is
29    defined in this Act); and (B) which under generally  accepted
30    accounting  principles  is  not  properly  chargeable  as  an
31    expense of operation and maintenance, or is made to obtain by
32    lease  or comparable arrangement any facility or part thereof
33    or any equipment for a facility or part;  and  which  exceeds
34    the capital expenditure minimum.
                            -15-           LRB9004372DPmbam01
 1        For  the  purpose  of  this  paragraph,  the  cost of any
 2    studies,   surveys,   designs,   plans,   working   drawings,
 3    specifications,  and  other  activities  essential   to   the
 4    acquisition,  improvement,  expansion,  or replacement of any
 5    plant or equipment with respect to which  an  expenditure  is
 6    made  shall  be  included  in determining if such expenditure
 7    exceeds  the  capital  expenditures  minimum.  Donations   of
 8    equipment  or  facilities  to a health care facility which if
 9    acquired directly by such facility would be subject to review
10    under this Act shall be considered capital expenditures,  and
11    a  transfer  of  equipment  or  facilities for less than fair
12    market value shall be considered a  capital  expenditure  for
13    purposes  of  this  Act  if  a  transfer  of the equipment or
14    facilities at fair market value would be subject to review.
15        "Capital expenditure minimum" means $1,000,000 for  major
16    medical  equipment  and  $2,000,000  for  all  other  capital
17    expenditures,  both  of  which  shall be annually adjusted to
18    reflect the increase in construction costs due to inflation.
19        "Areawide" means a major area of the State delineated  on
20    a  geographic,  demographic,  and functional basis for health
21    planning and for health service and having within it  one  or
22    more local areas for health planning and health service.  The
23    term  "region",  as contrasted with the term "subregion", and
24    the word "area"  may  be  used  synonymously  with  the  term
25    "areawide".
26        "Local"  means  a subarea of a delineated major area that
27    on a geographic, demographic, and  functional  basis  may  be
28    considered   to  be  part  of  such  major  area.   The  term
29    "subregion" may be used synonymously with the term "local".
30        "Areawide health planning organization" or "Comprehensive
31    health planning organization" means the health systems agency
32    designated by the Secretary, Department of Health  and  Human
33    Services or any successor agency.
34        "Local  health  planning  organization" means those local
                            -16-           LRB9004372DPmbam01
 1    health planning organizations that are designated as such  by
 2    the  areawide health planning organization of the appropriate
 3    area.
 4        "Physician"  means  a  person  licensed  to  practice  in
 5    accordance with the Medical Practice Act of 1987, as amended.
 6        "Licensed  health  care  professional"  means  a   person
 7    licensed  to  practice  a  health  profession under pertinent
 8    licensing statutes of the State of Illinois.
 9        "Director" means the  Director of the Illinois Department
10    of Public Health.
11        "Agency" means the Illinois Department of Public Health.
12        "Comprehensive health  planning"  means  health  planning
13    concerned  with  the  total  population  and  all  health and
14    associated problems that affect the well-being of people  and
15    that encompasses health services, health manpower, and health
16    facilities;  and  the coordination among these and with those
17    social,  economic,  and  environmental  factors  that  affect
18    health.
19        "Alternative health  care  model"  means  a  facility  or
20    program authorized under the Alternative Health Care Delivery
21    Act.
22    (Source: P.A.  88-18;  89-499,  eff.  6-28-96;  89-530,  eff.
23    7-19-96; revised 8-15-96.)
24        Section  85.   The  Nursing  Home  Care Act is amended by
25    changing Section 1-113 as follows:
26        (210 ILCS 45/1-113) (from Ch. 111 1/2, par. 4151-113)
27        (Text of Section before amendment by P.A. 89-507)
28        Sec. 1-113.   "Facility"  or  "long-term  care  facility"
29    means  a  private  home, institution, building, residence, or
30    any other place, whether operated for profit  or  not,  or  a
31    county  home  for  the  infirm  and  chronically ill operated
32    pursuant to Division 5-21 or 5-22 of the  Counties  Code,  or
                            -17-           LRB9004372DPmbam01
 1    any  similar  institution operated by a political subdivision
 2    of  the  State  of  Illinois,  which  provides,  through  its
 3    ownership or management, personal  care,  sheltered  care  or
 4    nursing  for  3 or more persons, not related to the applicant
 5    or owner by blood or marriage.  It includes  skilled  nursing
 6    facilities  and  intermediate  care facilities as those terms
 7    are defined in Title XVIII  and  Title  XIX  of  the  Federal
 8    Social Security Act.
 9        "Facility" does not include the following:
10        (1)  A  home, institution, or other place operated by the
11    federal government or agency thereof,  or  by  the  State  of
12    Illinois;
13        (2)  A  hospital,  sanitarium, or other institution whose
14    principal activity or business is the  diagnosis,  care,  and
15    treatment  of  human  illness  through  the  maintenance  and
16    operation as organized facilities therefor, which is required
17    to be licensed under the Hospital Licensing Act;
18        (3)  Any  "facility  for  child  care"  as defined in the
19    Child Care Act of 1969;
20        (4)  Any "Community Living Facility" as  defined  in  the
21    Community Living Facilities Licensing Act;
22        (5)  Any  "community  residential alternative" as defined
23    in the Community Residential Alternatives Licensing Act;
24        (6)  Any nursing home or sanatorium  operated  solely  by
25    and  for  persons  who  rely  exclusively  upon  treatment by
26    spiritual means through prayer, in accordance with the  creed
27    or   tenets   of  any  well-recognized  church  or  religious
28    denomination. However, such nursing home or sanatorium  shall
29    comply  with  all local laws and rules relating to sanitation
30    and safety;
31        (7)  Any facility licensed by the  Department  of  Mental
32    Health     and     Developmental     Disabilities     as    a
33    community-integrated living arrangement  as  defined  in  the
34    Community-Integrated   Living   Arrangements   Licensure  and
                            -18-           LRB9004372DPmbam01
 1    Certification Act;
 2        (8)  Any  "Supportive  Residence"  licensed   under   the
 3    Supportive Residences Licensing Act; or
 4        (9)  Any  "supportive  living  facility" in good standing
 5    with the  demonstration  project  established  under  Section
 6    5-5.01a of the Illinois Public Aid Code; and .
 7        (10)  An  assisted  living establishment registered under
 8    the Assisted Living Establishment Act.
 9    (Source: P.A. 89-499, eff. 6-28-96; revised 8-26-96.)
10        (Text of Section after amendment by P.A. 89-507)
11        Sec. 1-113.   "Facility"  or  "long-term  care  facility"
12    means  a  private  home, institution, building, residence, or
13    any other place, whether operated for profit  or  not,  or  a
14    county  home  for  the  infirm  and  chronically ill operated
15    pursuant to Division 5-21 or 5-22 of the  Counties  Code,  or
16    any  similar  institution operated by a political subdivision
17    of  the  State  of  Illinois,  which  provides,  through  its
18    ownership or management, personal  care,  sheltered  care  or
19    nursing  for  3 or more persons, not related to the applicant
20    or owner by blood or marriage.  It includes  skilled  nursing
21    facilities  and  intermediate  care facilities as those terms
22    are defined in Title XVIII  and  Title  XIX  of  the  Federal
23    Social Security Act.
24        "Facility" does not include the following:
25        (1)  A  home, institution, or other place operated by the
26    federal government or agency thereof,  or  by  the  State  of
27    Illinois;
28        (2)  A  hospital,  sanitarium, or other institution whose
29    principal activity or business is the  diagnosis,  care,  and
30    treatment  of  human  illness  through  the  maintenance  and
31    operation as organized facilities therefor, which is required
32    to be licensed under the Hospital Licensing Act;
33        (3)  Any  "facility  for  child  care"  as defined in the
34    Child Care Act of 1969;
                            -19-           LRB9004372DPmbam01
 1        (4)  Any "Community Living Facility" as  defined  in  the
 2    Community Living Facilities Licensing Act;
 3        (5)  Any  "community  residential alternative" as defined
 4    in the Community Residential Alternatives Licensing Act;
 5        (6)  Any nursing home or sanatorium  operated  solely  by
 6    and  for  persons  who  rely  exclusively  upon  treatment by
 7    spiritual means through prayer, in accordance with the  creed
 8    or   tenets   of  any  well-recognized  church  or  religious
 9    denomination. However, such nursing home or sanatorium  shall
10    comply  with  all local laws and rules relating to sanitation
11    and safety;
12        (7)  Any facility licensed by  the  Department  of  Human
13    Services  as  a  community-integrated  living  arrangement as
14    defined  in  the  Community-Integrated  Living   Arrangements
15    Licensure and Certification Act;
16        (8)  Any   "Supportive   Residence"  licensed  under  the
17    Supportive Residences Licensing Act; or
18        (9)  Any "supportive living facility"  in  good  standing
19    with  the  demonstration  project  established  under Section
20    5-5.01a of the Illinois Public Aid Code; and .
21        (10)  An assisted living establishment  registered  under
22    the Assisted Living Establishment Act.
23    (Source:  P.A.  89-499,  eff.  6-28-96;  89-507, eff. 7-1-97;
24    revised 8-26-96.)
25        Section 95.  No acceleration or delay.   Where  this  Act
26    makes changes in a statute that is represented in this Act by
27    text  that  is not yet or no longer in effect (for example, a
28    Section represented by multiple versions), the  use  of  that
29    text  does  not  accelerate or delay the taking effect of (i)
30    the changes made by this Act or (ii) provisions derived  from
31    any other Public Act.
32        Section 99. Effective date. This Act takes effect January
                            -20-           LRB9004372DPmbam01
 1    1, 1998.".

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