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90_SB0946eng 210 ILCS 45/3-805 from Ch. 111 1/2, par. 4153-805 Amends the Nursing Home Care Act. Provides that the pilot project to contrast the accreditation review process of the Joint Commission on the Accreditation of Health Care Organizations with the current regulations and licensure survey process shall conclude on December 31, 2000 (rather than December 31, 1997) and that a final report shall be submitted by June 30, 2001 (rather than June 30, 1998). Effective immediately. LRB9000382SMdv SB946 Engrossed LRB9000382SMdv 1 AN ACT to amend the Nursing Home Care Act by changing 2 Section 3-805. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 5. The Nursing Home Care Act is amended by 6 changing Section 3-805 as follows: 7 (210 ILCS 45/3-805) (from Ch. 111 1/2, par. 4153-805) 8 Sec. 3-805. (a) The Department shall conduct a pilot 9 project to examine, study and contrast the Joint Commission 10 on the Accreditation of Health Care Organizations 11 ("Commission") accreditation review process with the current 12 regulations and licensure surveys process conducted by the 13 Department for long-term care facilities. This pilot project 14 will enable qualified facilities to apply for participation 15 in the project, in which surveys completed by the Commission 16 are accepted by the Department in lieu of inspections 17 required by this Act, as provided in subsection (b) of this 18 Section. It is intended that this pilot project shall 19 commence on January 1, 1990, and shall conclude on December 20 31, 20001997, with a final report to be submitted to the 21 Governor and the General Assembly by June 30, 20011998. 22 (b) (1) In lieu of conducting an inspection for license 23 renewal under this Act, the Department may accept from a 24 facility that is accredited by the Commission under the 25 Commission's long-term care standards the facility's most 26 recent annual accreditation review by the Commission. In 27 addition to such review, the facility shall submit any fee or 28 other license renewal report or information required by law. 29 The Department may accept such review for so long as the 30 Commission maintains an annual inspection or review program. 31 If the Commission does not conduct an on-site annual SB946 Engrossed -2- LRB9000382SMdv 1 inspection or review, the Department shall conduct an 2 inspection as otherwise required by this Act. If the 3 Department determines that an annual on-site inspection or 4 review conducted by the Commission does not meet minimum 5 standards set by the Department, the Department shall not 6 accept the Commission's accreditation review and shall 7 conduct an inspection as otherwise required by this Act. 8 The Department shall establish procedures applicable to 9 the pilot project conducted pursuant to this Section. The 10 procedures shall provide for a review of the Commission's 11 survey findings that may be Type "A" or Type "B" violations 12 under this Act requiring immediate correction, the taking of 13 necessary and appropriate action to determine whether such 14 violations exist, and steps to effect corrective action in 15 cooperation with the Commission, or otherwise under this Act, 16 as may be necessary. The Department shall also establish 17 procedures to require the Commission to immediately report to 18 the Department any survey finding that constitutes a 19 condition or occurrence relating to the operation and 20 maintenance of a facility which presents a substantial 21 probability that death or serious mental or physical harm to 22 a resident will result therefrom, so as to enable the 23 Department to take necessary and appropriate action under 24 this Act. 25 (2) This subsection (b) does not limit the Department in 26 performing any inspections or other duties authorized by this 27 Act, or under any contract relating to the medical assistance 28 program administered by the Illinois Department of Public 29 Aid, or under Title XVIII or Title XIX of the Social Security 30 Act. 31 (3) No facility shall be required to obtain 32 accreditation from the Commission. 33 (c) Participation in the pilot project shall be limited 34 to facilities selected at random by the Director, provided SB946 Engrossed -3- LRB9000382SMdv 1 that: 2 (1) facilities shall apply to the Director for 3 selection to participate; 4 (2) facilities which are currently accredited by 5 the Commission may apply to participate; 6 (3) any facility not accredited by the Commission 7 at the time of application to participate in the pilot 8 project shall apply for such accreditation; 9 (4) the number of facilities so selected shall be 10 no greater than 15% of the total number of long-term care 11 facilities licensed under this Act; 12 (5) the number of facilities so selected shall be 13 divided equally between facilities having fewer than 100 14 beds and facilities having 100 or more beds; 15 (6) facilities so selected shall have been licensed 16 for more than 2 years and shall not have been issued a 17 conditional license within 2 years before applying for 18 participation in the pilot project; and 19 (7) no facilities so selected shall have been 20 issued a notice of a Type "A" violation within one year 21 before applying for participation in the pilot project. 22 (d) Inspections and surveys conducted by the Commission 23 under the pilot project for initial or continued 24 accreditation shall not be announced in advance to the 25 facility being inspected or surveyed, and shall provide for 26 participation in the inspection or survey process by 27 residents of the facility and the public. 28 (e) With respect to any facility accredited by the 29 Commission, the Commission shall submit to the Department 30 copies of: 31 (1) the accreditation award letter; 32 (2) the accreditation report, including 33 recommendations and comments by the Commission; and 34 (3) any correspondence directly related to the SB946 Engrossed -4- LRB9000382SMdv 1 accreditation. 2 (f) No facility which is denied initial or continued 3 accreditation by the Commission shall participate in the 4 pilot project. 5 (g) The Director shall meet at least once every 6 months 6 with the director of the Commission's long-term care facility 7 accreditation program to review, coordinate and modify as 8 necessary the services performed by the Commission under the 9 pilot project. On or before June 30, 1993, the Director 10 shall submit to the Governor and to the General Assembly a 11 report evaluating the pilot project and making any 12 recommendations deemed necessary. 13 (h) This Section does not limit the Department in 14 performing any inspections or other duties authorized by this 15 Act, or under any contract relating to the medical assistance 16 program administered by the Illinois Department of Public 17 Aid, or under Title XVIII or Title XIX of the Social Security 18 Act. 19 (Source: P.A. 88-45; 89-171, eff. 7-19-95; 89-381, eff. 20 8-18-95; 89-626, eff. 8-9-96.) 21 Section 99. Effective date. This Act takes effect upon 22 becoming law.