State of Illinois
90th General Assembly
Legislation

   [ Search ]   [ Legislation ]   [ Bill Summary ]
[ Home ]   [ Back ]   [ Bottom ]


[ Engrossed ][ Senate Amendment 002 ][ Senate Amendment 003 ]

90_SB0743

      New Act
      20 ILCS 3960/3            from Ch. 111 1/2, par. 1153
      210 ILCS 45/1-113         from Ch. 111 1/2, par. 4151-113
          Creates the Assisted Living Establishment Act to  require
      the  registration  of assisted living establishments with the
      Department  on  Aging.  Provides  that  an  assisted   living
      establishment  must  execute  a  written  contract  with each
      tenant  or  his  or  her   representative.   Authorizes   the
      Department to oversee and coordinate the enforcement of State
      consumer  protection  policies  affecting tenants of assisted
      living  establishments.  Provides  for  the  creation  of  an
      Assisted Living Advisory Commission to assist the  Department
      with   registration  and  disciplinary  actions.  Amends  the
      Illinois Health Facilities Planning Act and the Nursing  Home
      Care  Act  to  exempt assisted living establishments from the
      licensing requirements of those Acts.  Effective  January  1,
      1998.
                                                    LRB9000385DPccC
                                              LRB9000385DPccC
 1        AN  ACT  to create the Assisted Living Establishment Act,
 2    amending named Acts.
 3        Be it enacted by the People of  the  State  of  Illinois,
 4    represented in the General Assembly:
 5        Section  1.  Short  title.  This  Act may be cited as the
 6    Assisted Living Establishment Act.
 7        Section 3.  Legislative purpose.  The purpose of this Act
 8    is to promote the availability of  appropriate  services  for
 9    elderly  persons  in  the least restrictive and most homelike
10    environment; to encourage the development of assisted  living
11    that   promotes  the  dignity,  individuality,  privacy,  and
12    decision-making ability of those persons; to provide for  the
13    health,  safety,  and welfare of residents receiving assisted
14    living services in this State; to promote continuous  quality
15    improvement   of   assisted  living;  and  to  encourage  the
16    development of  innovative  and  affordable  assisted  living
17    establishments.
18        It  is  the  public  policy  of  this State that assisted
19    living is an important part of  the  continuum  of  long-term
20    care in this State. In support of the goal of aging in place,
21    assisted   living   should   be   operated   as   residential
22    environments with supportive services. The services available
23    to   residents,  either  directly  or  through  contracts  or
24    agreements,  are  intended  to  help  residents   remain   as
25    independent   as   possible.  Oversight  of  assisted  living
26    establishments  must  be  sufficiently  flexible   to   allow
27    residents to age in place.
28        Section 5. Definitions. For purposes of this Act:
29        (a)  "Assisted  living  establishment" or "establishment"
30    means a home, building, residence, or any other  place  where
                            -2-               LRB9000385DPccC
 1    the services described below are provided:
 2             (1)  community-based   residential  care,  including
 3        housing and  personal  and  health-related  services,  to
 4        persons who need help with activities of daily living;
 5             (2)  supportive   and   intermittent  health-related
 6        services that are available 24 hours per day, if  needed,
 7        to meet scheduled and unscheduled needs of a tenant, in a
 8        way  that  promotes  self-direction  and participation in
 9        decisions that   emphasize  independence,  individuality,
10        privacy, and dignity in a residential surrounding;
11             (3)  sleeping accommodations for 3 or more unrelated
12        adult  tenants, at least 80 percent of which are 55 years
13        of age or older; and
14             (4)  all Group 1 services and one or  more  Group  2
15        services,  whether provided directly by the establishment
16        or by another entity arranged for  by  the  establishment
17        with    the   consent   of   the   tenant   or   tenant's
18        representative.
19    An "assisted living establishment"  or  "establishment"  also
20    means  a  home,  building, residence, or any other place that
21    provides the services  of  items  (1)  through  (4)  of  this
22    paragraph, and, in addition, any Group 3 services.
23        "Assisted  living  establishment" or "establishment" does
24    not mean:
25             (1)  a home, institution, or similar place  operated
26        by the federal government or the State of Illinois;
27             (2)  a  "long term care facility" licensed under the
28        Nursing Home Care Act. However, a long term care facility
29        may apply under this  Act  to  convert  sections  of  the
30        facility  to  assisted  living.  If  the  long  term care
31        facility elects  to  do  so,  the  facility  retains  the
32        Certificate  of  Need  for  its  nursing  beds  that were
33        converted;
34             (3)  a hospital, sanitarium, or  other  institution,
                            -3-               LRB9000385DPccC
 1        the  principal  activity  or  business  of  which  is the
 2        diagnosis, care, and treatment of human illness and  that
 3        is  required  to be licensed under the Hospital Licensing
 4        Act;
 5             (4)  a "facility for child care" as defined  in  the
 6        Child Care Act of 1969;
 7             (5)  a "community living facility" as defined in the
 8        Community Living Facilities Licensing Act;
 9             (6)  a   "community   residential   alternative"  as
10        defined  in  the   Community   Residential   Alternatives
11        Licensing Act;
12             (7)  a nursing home or sanitarium operated solely by
13        and  for  persons  who rely exclusively upon treatment by
14        spiritual means through prayer, in  accordance  with  the
15        creed or tenants of a well-recognized church or religious
16        denomination;
17             (8)  a  facility licensed by the Department of Human
18        Services as a "community-integrated  living  arrangement"
19        as    defined    in   the   Community-Integrated   Living
20        Arrangements Licensure and Certification Act;
21             (9)  a "supportive  residence"  licensed  under  the
22        Supportive Residences Licensing Act;
23             (10)  a  "life care facility" as defined in the Life
24        Care Facilities Act; and
25             (11)  a freestanding hospice facility.
26        (b)  "Department" means the Department on Aging.
27        (c)  "Director" means the Director of the  Department  on
28    Aging.
29        (d)  "Group 1 services" include the  following:
30             (1)  meals  provided  in  a  dining    room  or  the
31        tenant's  own  room and prepared  by the establishment or
32        an outside contractor;
33             (2)  housekeeping  services,   including   but   not
34        limited  to  vacuuming, dusting, and cleaning the kitchen
                            -4-               LRB9000385DPccC
 1        and bathrooms of the  tenant's unit;
 2             (3)  security provided 24 hours each  day  including
 3        but  not  limited  to  locked  entrances   or building or
 4        contract security personnel.
 5             (4)  an  emergency  communication  response  system,
 6        which is a procedure in place 24 hours each day by  which
 7        a  tenant  can  notify  building management, an emergency
 8        response vendor, or others able to respond to his or  her
 9        need for assistance.
10        (e)  "Group 2 services" include the following:
11             (1)  personal  care,  including  one  or more of the
12        following:  assistance with bathing, dressing,  grooming,
13        ambulating,  toileting,  transferring, meal planning, and
14        personal laundry;
15             (2)  medication management, including one or more of
16        the following:  reminders to take medication,  monitoring
17        of   tenant  medications,  storage  of  medications,  and
18        assisting tenants with medications set  up  by  a  family
19        member or nurse;
20             (3)  intermittent  health services, including one or
21        more  of  the  following:    medication   administration,
22        dressing  changes,  catheter  care,  therapies, and other
23        medical, nursing,  or  rehabilitative  care  provided  by
24        personnel licensed under the Home Health Agency Licensing
25        Act and by the Department of Professional Regulation.
26        (f)  "Group 3 services" include the following:
27             (1)  transportation,  including  but  not limited to
28        car or van service for shopping and medical appointments;
29             (2)  a health assessment, which is a health history,
30        physical  examination,  risk  profile,  or  screening  by
31        licensed health care personnel;
32             (3)  counseling   for   health,   social   services,
33        nutrition  by licensed personnel;
34             (4)  social or educational activities, including but
                            -5-               LRB9000385DPccC
 1        not limited to trips, classes, lectures, and  parties  in
 2        or outside the establishment.
 3        (g)  "Tenant"  means  a  person  residing  in an assisted
 4    living establishment.
 5        Section  10.  Registration  requirement.  No  entity  may
 6    establish, operate, conduct, or maintain an  assisted  living
 7    establishment   in   this  State  without  a  certificate  of
 8    registration issued by the  Department  under  this  Act.  An
 9    entity  that  violates  the  registration requirement of this
10    Section shall be subject to corrective action as  established
11    by rule of the Department.
12        Section 15. Registration procedures.
13        (a)  The  Department shall establish forms and procedures
14    for   the   annual   registration    of    assisted    living
15    establishments.   The   Department  shall  set  nonrefundable
16    registration fees in consultation with  the  Assisted  Living
17    Advisory  Commission. A registered establishment shall notify
18    the Department within 30 days of any change in  the  business
19    name  or  address  of  the establishment, the name or mailing
20    address of the owner  or  owners,  or  the  name  or  mailing
21    address of the managing agent.  There shall be no fee for the
22    submission of any such notification.
23        An  establishment shall provide the following information
24    to the Department to be registered:
25             (1)  the  business  name,  street  address,  mailing
26        address, and telephone number of the establishment;
27             (2)  the name and mailing address of  the  owner  or
28        owners  of  the  establishment and if the owner or owners
29        are not natural persons, identification of  the  type  of
30        business   entity  of  the  owners,  and  the  names  and
31        addresses of the officers and members  of  the  governing
32        body,  or  comparable  persons  for partnerships, limited
                            -6-               LRB9000385DPccC
 1        liability  corporations,  or  other  types  of   business
 2        organizations;
 3             (3)  the  name  and  mailing address of the managing
 4        agent  of  the  establishment,  whether  hired  under   a
 5        management  agreement  or  lease  agreement, if different
 6        from the owner or owners, and the  name  of  the  on-site
 7        manager, if any;
 8             (4)  verification that the establishment has entered
 9        into   an  assisted  living  establishment  contract,  as
10        required under this Act, with  each  tenant  or  tenant's
11        representative;
12             (5)  the  name  and  address of at least one natural
13        person who shall be  responsible  for  dealing  with  the
14        Department  on  all  matters provided for in this Act, on
15        whom personal service of all notices and orders shall  be
16        made,  and  who  shall be authorized to accept service on
17        behalf of the owner or owners  and  the  managing  agent.
18        Notwithstanding a contrary provision of the Code of Civil
19        Procedure,  personal  service  on  the persons identified
20        pursuant to this subsection shall be  considered  service
21        on  the  owner  or  owners and the managing agent, and it
22        shall not be  a  defense  to  any  action  that  personal
23        service was not made on each individual or entity;
24             (6)  the  signature of the authorized representative
25        of  the owner or owners;
26             (7)  proof of an ongoing quality  assurance  program
27        in  accordance  with  rules  adopted by the Department in
28        collaboration   with   the   Assisted   Living   Advisory
29        Commission;
30             (8)  information  about  the  number  and  types  of
31        units,  the  maximum  census,  and  the  services  to  be
32        provided at the establishment  and  proof  of  compliance
33        with applicable State service standards, documentation of
34        compliance  with  applicable  State and local residential
                            -7-               LRB9000385DPccC
 1        standards, and a copy of the standard contract offered to
 2        tenants; and
 3             (9)  documentation of adequate liability insurance.
 4        Section 20.  Issuance  of  certificate  of  registration.
 5    The  Department  shall issue a certificate of registration to
 6    an applicant who has met the requirements of Section  15  and
 7    has paid the required application fee.
 8        Section   25.   Contract   requirement.   No  entity  may
 9    establish, operate, conduct, or maintain an  assisted  living
10    establishment in this State unless a written assisted  living
11    contract  is  executed  between  the  establishment  and each
12    tenant or tenant's representative in accordance with  Section
13    30,  and unless the establishment operates in accordance with
14    the  terms  of  the  contract.  A  tenant  or  the   tenant's
15    representative shall be given a complete copy of the contract
16    and  all supporting documents and attachments and any changes
17    whenever changes are made.
18        Section 30. Contents of  contract.   An  assisted  living
19    contract shall include at least the following elements in the
20    body or through  supporting documents or attachments:
21             (1)  the  name,  street address, and mailing address
22        of the establishment;
23             (2)  the name and mailing address of  the  owner  or
24        owners  of  the establishment and, if the owner or owners
25        are not natural persons, the type of business  entity  of
26        the owner or owners;
27             (3)  the  name  and  mailing address of the managing
28        agent  of  the  establishment,  whether  hired  under   a
29        management  agreement or lease agreement, if the managing
30        agent is different from the owner or owners;
31             (4)  the name and address of at  least  one  natural
                            -8-               LRB9000385DPccC
 1        person  who  is authorized to accept service on behalf of
 2        the owners and managing agent;
 3             (5)  a statement describing the registration  status
 4        of  the  establishment  and  the  licensure  status  of a
 5        provider of health-related or supportive  services  to  a
 6        tenant under an arrangement with the establishment;
 7             (6)  the duration of the contract;
 8             (7)  the  base  rate to be paid by the tenant and  a
 9        description of the services to be  provided  as  part  of
10        this rate;
11             (8)  a  description of any additional services to be
12        provided for an additional  fee  from  the  establishment
13        directly   or   by   a  third  party  provider  under  an
14        arrangement with the establishment;
15             (9)  fee  schedules  outlining  the  cost   of   any
16        additional services;
17             (10)  a description of the process through which the
18        contract may be modified, amended, or terminated;
19             (11)  a description of the establishment's complaint
20        resolution process available to tenants and notice of the
21        availability  of  the  Department's  Senior  Helpline for
22        complaints;
23             (12)  the  tenant's  designated  representative,  if
24        any;
25             (13)  the tenant's obligations in order to  maintain
26        residency and to receive services;
27             (14)  billing    and    payment    procedures    and
28        requirements;
29             (15)  a  statement affirming the tenant's freedom to
30        receive services from service  providers  with  whom  the
31        establishment  does  not  have a contractual arrangement.
32        The statement may also disclaim liability on the part  of
33        the assisted living establishment for such services;
34             (16)  a  statement  regarding  the  availability  of
                            -9-               LRB9000385DPccC
 1        public  funds  for payment for services rendered under an
 2        assisted living contract; and
 3             (17)  a statement acknowledging that, by contracting
 4        with the assisted living establishment, the  tenant  does
 5        not forfeit the following rights:
 6                  (a)  federal and State constitutional rights;
 7                  (b)  the  right  to  retain  and  use  personal
 8             property and a place to store personal items that is
 9             locked and secure;
10                  (c)  the  right  to  refuse  services and to be
11             advised of the consequences of that refusal;
12                  (d)  the right to respect  for  bodily  privacy
13             and dignity at all times, especially during care and
14             treatment;
15                  (e)  the  right to privacy with regard to mail,
16             phone calls, and visitors;
17                  (f)  the right to be free  of  retaliation  for
18             criticizing   the   establishment   or   for  making
19             complaints to appropriate agencies;
20                  (g)  the right to be free of restraints;
21                  (h)  the right to be free of abuse or neglect;
22                  (i)  the  right  to  confidentiality   of   the
23             tenant's    personal   files   maintained   by   the
24             establishment;
25                  (j)  the right of access and the right to  copy
26             the   tenant's  personal  files  maintained  by  the
27             establishment; and
28                  (k)  the  right  to  24-hour  access   to   the
29             establishment.
30        Section  35.  Record retention. Assisted living contracts
31    and related documents executed by  each  tenant  or  tenant's
32    representative  shall  be  maintained by the establishment in
33    files from the date of execution  until  3  years  after  the
                            -10-              LRB9000385DPccC
 1    contract   is   terminated.   The  establishment  shall  also
 2    maintain and retain records to tenants to support  compliance
 3    with  individual  contracts  and  with  applicable  State and
 4    federal laws and regulations.
 5        Section 40. Powers and duties of the Director.
 6        (a)  Upon receipt of information that  may  indicate  the
 7    failure  of  the  assisted  living establishment, a tenant, a
 8    tenant's representative, or a service provider to comply with
 9    a provision of this Act, the Department may  investigate  the
10    matter  and  must  obtain the signed consent of an individual
11    tenant before his or her individual  tenant  records  may  be
12    inspected,  and  shall  make  appropriate  referrals to other
13    government agencies and entities having jurisdiction over the
14    subject matter of the possible violation. The Department  may
15    also  make referrals to any public or private agency that the
16    Department considers available for appropriate assistance  to
17    persons  involved.  The Department may oversee and coordinate
18    the  enforcement  of  State  consumer   protection   policies
19    affecting tenants of assisted living establishments.
20        (b)  The  Director shall have standing to bring an action
21    for  injunctive  relief  in  the  circuit  court   where   an
22    establishment  is  located  to  compel  the  assisted  living
23    establishment  to  meet the requirements of this Act or other
24    applicable State, county, or local requirements.  Proceedings
25    for  securing  an  injunction  may be brought by the Director
26    through the Attorney General of the State of Illinois or  the
27    State's Attorney of the county in which the alleged violation
28    occurred.   The sanctions in this Section do not restrict the
29    availability of other sanctions.
30        (c)  The Department shall  establish  by  rule  complaint
31    receipt, resolution, and appeal procedures.
32        (d)  The  Director  shall  establish  an  Assisted Living
33    Advisory   Commission   that   shall   be   responsible   for
                            -11-              LRB9000385DPccC
 1    establishing   registration   fees    and    sanctions    for
 2    noncompliance  with this Act. Members of the Commission shall
 3    include users of assisted living services.
 4        Section  45.  Application  of  Act.  An  assisted  living
 5    establishment shall obtain and maintain all  other  licenses,
 6    permits, certificates of registration, and other governmental
 7    approvals  required  of  it in addition to registration under
 8    this Act, except that an  assisted  living  establishment  is
 9    exempt  from the provisions of the Illinois Health Facilities
10    Planning Act and the  Nursing  Home  Care  Act.  An  assisted
11    living  establishment  shall  comply with the requirements of
12    all  local,  State,  federal,  and  other  applicable   laws,
13    statutes, regulations, and ordinances.
14        Section  80.  The Illinois Health Facilities Planning Act
15    is amended by changing Section 3 as follows:
16        (20 ILCS 3960/3) (from Ch. 111 1/2, par. 1153)
17        Sec. 3.  As used in this Act:
18        "Health care facilities" means and includes the following
19    facilities and organizations:
20             1.  An ambulatory surgical treatment center required
21        to  be  licensed  pursuant  to  the  Ambulatory  Surgical
22        Treatment Center Act;
23             2.  An  institution,  place,  building,  or   agency
24        required   to   be  licensed  pursuant  to  the  Hospital
25        Licensing Act;
26             3.  Any institution required to be licensed pursuant
27        to the Nursing Home Care Act;
28             4.  Hospitals, nursing  homes,  ambulatory  surgical
29        treatment  centers,  or  kidney disease treatment centers
30        maintained by the  State  or  any  department  or  agency
31        thereof; and
                            -12-              LRB9000385DPccC
 1             5.  Kidney  disease  treatment  centers, including a
 2        free-standing hemodialysis unit.
 3        No federally owned  facility  shall  be  subject  to  the
 4    provisions  of  this  Act,  nor  facilities  used  solely for
 5    healing by prayer or spiritual means.
 6        No facility  licensed  under  the  Supportive  Residences
 7    Licensing   Act  or  registered  under  the  Assisted  Living
 8    Establishment Act shall be subject to the provisions of  this
 9    Act.
10        A  facility  designated  as  a supportive living facility
11    that is in  good  standing  with  the  demonstration  project
12    established  under Section 5-5.01a of the Illinois Public Aid
13    Code shall not be subject to the provisions of this Act.
14        This Act does not apply  to  facilities  granted  waivers
15    under Section 3-102.2 of the Nursing Home Care Act.  However,
16    if  a  demonstration  project  under  that  Act applies for a
17    certificate of need to convert  to  a  nursing  facility,  it
18    shall meet the licensure and certificate of need requirements
19    in effect as of the date of application.
20        With  the  exception  of  those  health  care  facilities
21    specifically  included  in  this Section, nothing in this Act
22    shall be intended to include facilities operated as a part of
23    the practice of a physician or  other  licensed  health  care
24    professional,  whether  practicing in his individual capacity
25    or within the legal structure of any partnership, medical  or
26    professional   corporation,   or  unincorporated  medical  or
27    professional group. Further, this  Act  shall  not  apply  to
28    physicians  or  other  licensed  health  care  professional's
29    practices  where  such practices are carried out in a portion
30    of a health care facility under  contract  with  such  health
31    care facility by a physician or by other licensed health care
32    professionals,  whether practicing in his individual capacity
33    or within the legal structure of any partnership, medical  or
34    professional   corporation,   or  unincorporated  medical  or
                            -13-              LRB9000385DPccC
 1    professional groups.  This Act shall apply to construction or
 2    modification  and  to  establishment  by  such  health   care
 3    facility  of  such  contracted  portion  which  is subject to
 4    facility licensing requirements, irrespective  of  the  party
 5    responsible   for   such   action   or   attendant  financial
 6    obligation.
 7        "Person" means any one or  more  natural  persons,  legal
 8    entities,  governmental  bodies  other  than  federal, or any
 9    combination thereof.
10        "Consumer" means any person other than a person (a) whose
11    major  occupation  currently  involves  or   whose   official
12    capacity   within   the  last  12  months  has  involved  the
13    providing, administering or financing of any type  of  health
14    care  facility,  (b) who is engaged in health research or the
15    teaching of health, (c) who has a material financial interest
16    in any activity which involves the  providing,  administering
17    or  financing of any type of health care facility, or (d) who
18    is or ever has been a member of the immediate family  of  the
19    person defined by (a), (b), or (c).
20        "State Board" means the Health Facilities Planning Board.
21        "Construction  or  modification" means the establishment,
22    erection,     building,      alteration,      reconstruction,
23    modernization,   improvement,   extension,   discontinuation,
24    change  of ownership, of or by a health care facility, or the
25    purchase or acquisition by or through a health care  facility
26    of   equipment  or  service  for  diagnostic  or  therapeutic
27    purposes or for facility administration or operation, or  any
28    capital  expenditure  made  by  or on behalf of a health care
29    facility which exceeds the capital expenditure minimum.
30        "Establish" means  the  construction  of  a  health  care
31    facility  or  the  replacement  of  an  existing  facility on
32    another site.
33        "Major medical equipment" means medical  equipment  which
34    is  used  for  the  provision  of  medical  and  other health
                            -14-              LRB9000385DPccC
 1    services and which costs in excess of the capital expenditure
 2    minimum, except that  such  term  does  not  include  medical
 3    equipment  acquired  by or on behalf of a clinical laboratory
 4    to provide  clinical  laboratory  services  if  the  clinical
 5    laboratory  is  independent  of  a  physician's  office and a
 6    hospital and it has been determined under Title XVIII of  the
 7    Social  Security  Act  to meet the requirements of paragraphs
 8    (10) and (11) of Section 1861(s) of such Act.  In determining
 9    whether medical equipment  has  a  value  in  excess  of  the
10    capital  expenditure  minimum, the value of studies, surveys,
11    designs, plans, working drawings, specifications,  and  other
12    activities  essential  to  the  acquisition of such equipment
13    shall be included.
14        "Capital Expenditure" means an expenditure:  (A) made  by
15    or on behalf of a health care facility (as such a facility is
16    defined  in this Act); and (B) which under generally accepted
17    accounting  principles  is  not  properly  chargeable  as  an
18    expense of operation and maintenance, or is made to obtain by
19    lease or comparable arrangement any facility or part  thereof
20    or  any  equipment  for a facility or part; and which exceeds
21    the capital expenditure minimum.
22        For the purpose  of  this  paragraph,  the  cost  of  any
23    studies,   surveys,   designs,   plans,   working   drawings,
24    specifications,   and   other  activities  essential  to  the
25    acquisition, improvement, expansion, or  replacement  of  any
26    plant  or  equipment  with respect to which an expenditure is
27    made shall be included in  determining  if  such  expenditure
28    exceeds   the  capital  expenditures  minimum.  Donations  of
29    equipment or facilities to a health care  facility  which  if
30    acquired directly by such facility would be subject to review
31    under  this Act shall be considered capital expenditures, and
32    a transfer of equipment or  facilities  for  less  than  fair
33    market  value  shall  be considered a capital expenditure for
34    purposes of this Act  if  a  transfer  of  the  equipment  or
                            -15-              LRB9000385DPccC
 1    facilities at fair market value would be subject to review.
 2        "Capital  expenditure minimum" means $1,000,000 for major
 3    medical  equipment  and  $2,000,000  for  all  other  capital
 4    expenditures, both of which shall  be  annually  adjusted  to
 5    reflect the increase in construction costs due to inflation.
 6        "Areawide"  means a major area of the State delineated on
 7    a geographic, demographic, and functional  basis  for  health
 8    planning  and  for health service and having within it one or
 9    more local areas for health planning and health service.  The
10    term "region", as contrasted with the term  "subregion",  and
11    the  word  "area"  may  be  used  synonymously  with the term
12    "areawide".
13        "Local" means a subarea of a delineated major  area  that
14    on  a  geographic,  demographic,  and functional basis may be
15    considered  to  be  part  of  such  major  area.   The   term
16    "subregion" may be used synonymously with the term "local".
17        "Areawide health planning organization" or "Comprehensive
18    health planning organization" means the health systems agency
19    designated  by  the Secretary, Department of Health and Human
20    Services or any successor agency.
21        "Local health planning organization"  means  those  local
22    health  planning organizations that are designated as such by
23    the areawide health planning organization of the  appropriate
24    area.
25        "Physician"  means  a  person  licensed  to  practice  in
26    accordance with the Medical Practice Act of 1987, as amended.
27        "Licensed   health  care  professional"  means  a  person
28    licensed to practice  a  health  profession  under  pertinent
29    licensing statutes of the State of Illinois.
30        "Director" means the  Director of the Illinois Department
31    of Public Health.
32        "Agency" means the Illinois Department of Public Health.
33        "Comprehensive  health  planning"  means  health planning
34    concerned with  the  total  population  and  all  health  and
                            -16-              LRB9000385DPccC
 1    associated  problems that affect the well-being of people and
 2    that encompasses health services, health manpower, and health
 3    facilities; and the coordination among these and  with  those
 4    social,  economic,  and  environmental  factors  that  affect
 5    health.
 6        "Alternative  health  care  model"  means  a  facility or
 7    program authorized under the Alternative Health Care Delivery
 8    Act.
 9    (Source: P.A.  88-18;  89-499,  eff.  6-28-96;  89-530,  eff.
10    7-19-96; revised 8-15-96.)
11        Section 85.  The Nursing Home  Care  Act  is  amended  by
12    changing Section 1-113 as follows:
13        (210 ILCS 45/1-113) (from Ch. 111 1/2, par. 4151-113)
14        (Text of Section before amendment by P.A. 89-507)
15        Sec.  1-113.   "Facility"  or  "long-term  care facility"
16    means a private home, institution,  building,  residence,  or
17    any  other  place,  whether  operated for profit or not, or a
18    county home for  the  infirm  and  chronically  ill  operated
19    pursuant  to  Division  5-21 or 5-22 of the Counties Code, or
20    any similar institution operated by a  political  subdivision
21    of  the  State  of  Illinois,  which  provides,  through  its
22    ownership  or  management,  personal  care, sheltered care or
23    nursing for 3 or more persons, not related to  the  applicant
24    or  owner  by blood or marriage.  It includes skilled nursing
25    facilities and intermediate care facilities  as  those  terms
26    are  defined  in  Title  XVIII  and  Title XIX of the Federal
27    Social Security Act.
28        "Facility" does not include the following:
29        (1)  A home, institution, or other place operated by  the
30    federal  government  or  agency  thereof,  or by the State of
31    Illinois;
32        (2)  A hospital, sanitarium, or other  institution  whose
                            -17-              LRB9000385DPccC
 1    principal  activity  or  business is the diagnosis, care, and
 2    treatment  of  human  illness  through  the  maintenance  and
 3    operation as organized facilities therefor, which is required
 4    to be licensed under the Hospital Licensing Act;
 5        (3)  Any "facility for child  care"  as  defined  in  the
 6    Child Care Act of 1969;
 7        (4)  Any  "Community  Living  Facility" as defined in the
 8    Community Living Facilities Licensing Act;
 9        (5)  Any "community residential alternative"  as  defined
10    in the Community Residential Alternatives Licensing Act;
11        (6)  Any  nursing  home  or sanatorium operated solely by
12    and for  persons  who  rely  exclusively  upon  treatment  by
13    spiritual  means through prayer, in accordance with the creed
14    or  tenets  of  any  well-recognized  church   or   religious
15    denomination.  However, such nursing home or sanatorium shall
16    comply with all local laws and rules relating  to  sanitation
17    and safety;
18        (7)  Any  facility  licensed  by the Department of Mental
19    Health    and     Developmental     Disabilities     as     a
20    community-integrated  living  arrangement  as  defined in the
21    Community-Integrated  Living   Arrangements   Licensure   and
22    Certification Act;
23        (8)  Any   "Supportive   Residence"  licensed  under  the
24    Supportive Residences Licensing Act; or
25        (9)  Any "supportive living facility"  in  good  standing
26    with  the  demonstration  project  established  under Section
27    5-5.01a of the Illinois Public Aid Code; and .
28        (10)  An assisted living establishment  registered  under
29    the Assisted Living Establishment Act.
30    (Source: P.A. 89-499, eff. 6-28-96; revised 8-26-96.)
31        (Text of Section after amendment by P.A. 89-507)
32        Sec.  1-113.   "Facility"  or  "long-term  care facility"
33    means a private home, institution,  building,  residence,  or
34    any  other  place,  whether  operated for profit or not, or a
                            -18-              LRB9000385DPccC
 1    county home for  the  infirm  and  chronically  ill  operated
 2    pursuant  to  Division  5-21 or 5-22 of the Counties Code, or
 3    any similar institution operated by a  political  subdivision
 4    of  the  State  of  Illinois,  which  provides,  through  its
 5    ownership  or  management,  personal  care, sheltered care or
 6    nursing for 3 or more persons, not related to  the  applicant
 7    or  owner  by blood or marriage.  It includes skilled nursing
 8    facilities and intermediate care facilities  as  those  terms
 9    are  defined  in  Title  XVIII  and  Title XIX of the Federal
10    Social Security Act.
11        "Facility" does not include the following:
12        (1)  A home, institution, or other place operated by  the
13    federal  government  or  agency  thereof,  or by the State of
14    Illinois;
15        (2)  A hospital, sanitarium, or other  institution  whose
16    principal  activity  or  business is the diagnosis, care, and
17    treatment  of  human  illness  through  the  maintenance  and
18    operation as organized facilities therefor, which is required
19    to be licensed under the Hospital Licensing Act;
20        (3)  Any "facility for child  care"  as  defined  in  the
21    Child Care Act of 1969;
22        (4)  Any  "Community  Living  Facility" as defined in the
23    Community Living Facilities Licensing Act;
24        (5)  Any "community residential alternative"  as  defined
25    in the Community Residential Alternatives Licensing Act;
26        (6)  Any  nursing  home  or sanatorium operated solely by
27    and for  persons  who  rely  exclusively  upon  treatment  by
28    spiritual  means through prayer, in accordance with the creed
29    or  tenets  of  any  well-recognized  church   or   religious
30    denomination.  However, such nursing home or sanatorium shall
31    comply with all local laws and rules relating  to  sanitation
32    and safety;
33        (7)  Any  facility  licensed  by  the Department of Human
34    Services as  a  community-integrated  living  arrangement  as
                            -19-              LRB9000385DPccC
 1    defined   in  the  Community-Integrated  Living  Arrangements
 2    Licensure and Certification Act;
 3        (8)  Any  "Supportive  Residence"  licensed   under   the
 4    Supportive Residences Licensing Act; or
 5        (9)  Any  "supportive  living  facility" in good standing
 6    with the  demonstration  project  established  under  Section
 7    5-5.01a of the Illinois Public Aid Code; and .
 8        (10)  An  assisted  living establishment registered under
 9    the Assisted Living Establishment Act.
10    (Source: P.A. 89-499,  eff.  6-28-96;  89-507,  eff.  7-1-97;
11    revised 8-26-96.)
12        Section  95.   No  acceleration or delay.  Where this Act
13    makes changes in a statute that is represented in this Act by
14    text that is not yet or no longer in effect (for  example,  a
15    Section  represented  by  multiple versions), the use of that
16    text does not accelerate or delay the taking  effect  of  (i)
17    the  changes made by this Act or (ii) provisions derived from
18    any other Public Act.
19        Section 99. Effective date. This Act takes effect January
20    1, 1998.

[ Top ]