State of Illinois
90th General Assembly
Legislation

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90_SB1473enr

      210 ILCS 5/8              from Ch. 111 1/2, par. 157-8.8
      210 ILCS 45/3-202.5
      210 ILCS 85/8             from Ch. 111 1/2, par. 149
          Amends the Ambulatory Surgical Treatment Center Act,  the
      Nursing  Home  Care  Act,  and  the  Hospital  Licensing Act.
      Provides  that  architectural  drawings  and   specifications
      therefor  shall  be  submitted  to  the  Department of Public
      Health  for  review  and  approval  before  commencing  major
      construction, as defined by the Department, with an estimated
      cost greater than $25,000 (currently  $5,000).   Removes  fee
      provisions  for  construction costing $5,000 or more but less
      than $25,000.
                                                     LRB9011352LDdv
SB1473 Enrolled                                LRB9011352LDdv
 1        AN ACT concerning health care facilities, amending  named
 2    Acts.
 3        Be  it  enacted  by  the People of the State of Illinois,
 4    represented in the General Assembly:
 5        Section 3.  The Alternative Health Care Delivery  Act  is
 6    amended by changing Section 25 as follows:
 7        (210 ILCS 3/25)
 8        Sec.  25.  Department  responsibilities.   The Department
 9    shall have the responsibilities set forth in this Section.
10        (a)  The  Department   shall   adopt   rules   for   each
11    alternative  health care model authorized under this Act that
12    shall include but not be limited to the following:
13             (1)  Further definition of  the  alternative  health
14        care models.
15             (2)  The  definition  and scope of the demonstration
16        program, including the implementation date and period  of
17        operation, not to exceed 5 years.
18             (3)  License application information required by the
19        Department.
20             (4)  The  care of patients in the alternative health
21        care models.
22             (5)  Rights afforded to patients of the  alternative
23        health care models.
24             (6)  Physical plant requirements.
25             (7)  License application and renewal fees, which may
26        cover   the   cost  of  administering  the  demonstration
27        program.
28             (8)  Information that may be necessary for the Board
29        and  the  Department  to   monitor   and   evaluate   the
30        alternative health care model demonstration program.
31             (9)  Administrative  fines  that  may be assessed by
SB1473 Enrolled            -2-                 LRB9011352LDdv
 1        the Department for violations of this Act  or  the  rules
 2        adopted under this Act.
 3        (b)  The Department shall issue, renew, deny, suspend, or
 4    revoke licenses for alternative health care models.
 5        (c)  The  Department  shall perform licensure inspections
 6    of alternative health care models as deemed necessary by  the
 7    Department to ensure compliance with this Act or rules.
 8        (d)  The   Department  shall  deposit  application  fees,
 9    renewal fees, and fines into the  Regulatory  Evaluation  and
10    Basic Enforcement Fund.
11        (e)   (d)  The  Department  shall  assist  the  Board  in
12    performing the Board's responsibilities under this Act.
13        (f)  The Department shall conduct a  study  to  determine
14    the   feasibility,   the  potential  risks  and  benefits  to
15    patients,  and  the  potential  effect  on  the  health  care
16    delivery system of authorizing recovery care  of  nonsurgical
17    patients   in   postsurgical  recovery  center  demonstration
18    models.  The Department shall  report  the  findings  of  the
19    study to the General Assembly no later than November 1, 1998.
20    The   Director  shall  appoint  an  advisory  committee  with
21    representation from the Illinois Hospital and Health  Systems
22    Association,  the  Illinois  State  Medical  Society, and the
23    Illinois Freestanding Surgery Center Association, a physician
24    who is board certified in internal medicine, a consumer,  and
25    other  representatives  deemed  appropriate  by the Director.
26    The advisory committee shall  advise  the  Department  as  it
27    carries out the study.
28        (g)  Before   November   1,  1998  the  Department  shall
29    initiate  a  process  to  request  public  comments  on   how
30    postsurgical  recovery centers admitting nonsurgical patients
31    should be regulated.
32    (Source: P.A. 87-1188; revised 12-18-97.)
33        Section 5.  The Ambulatory Surgical Treatment Center  Act
SB1473 Enrolled            -3-                 LRB9011352LDdv
 1    is amended by changing Section 8 as follows:
 2        (210 ILCS 5/8) (from Ch. 111 1/2, par. 157-8.8)
 3        Sec. 8. Facility plan review; fees.
 4        (a)  Before  commencing construction of new facilities or
 5    specified types of alteration or  additions  to  an  existing
 6    ambulatory   surgical   treatment   center   involving  major
 7    construction, as defined by rule by the Department,  or  with
 8    an estimated cost greater than $100,000 $5,000, architectural
 9    drawings  and  specifications  therefor shall be submitted to
10    the Department for review and approval. A facility may submit
11    architectural   drawings   and   specifications   for   other
12    construction projects  for  Department  review  according  to
13    subsection  (b)  that  shall  not  be  subject  to fees under
14    subsection (d). Review of drawings and  specifications  shall
15    be  conducted  by  an  employee of the Department meeting the
16    qualifications  established  by  the  Department  of  Central
17    Management  Services  class  specifications   for   such   an
18    individual's  position  or  by  a person contracting with the
19    Department  who  meets  those  class  specifications.   Final
20    approval  of  the  drawings and specifications for compliance
21    with design and construction standards shall be obtained from
22    the  Department  before  the  alteration,  addition,  or  new
23    construction is begun.
24        (b)  The Department shall inform an applicant in  writing
25    within   10   working   days  after  receiving  drawings  and
26    specifications  and  the  required  fee,  if  any,  from  the
27    applicant  whether the applicant's submission is complete  or
28    incomplete.   Failure  to  provide  the  applicant  with this
29    notice within 10 working days shall result in the  submission
30    being  deemed  complete for purposes of initiating the 60-day
31    review period under  this  Section.   If  the  submission  is
32    incomplete,  the Department shall inform the applicant of the
33    deficiencies  with  the  submission  in  writing.    If   the
SB1473 Enrolled            -4-                 LRB9011352LDdv
 1    submission is complete and the required fee, if any, has been
 2    paid, the Department shall approve or disapprove drawings and
 3    specifications  submitted  to the Department no later than 60
 4    days following receipt by the Department.  The  drawings  and
 5    specifications  shall be of sufficient detail, as provided by
 6    Department  rule,  to  enable  the  Department  to  render  a
 7    determination of  compliance  with  design  and  construction
 8    standards  under  this Act.  If the Department finds that the
 9    drawings are not of sufficient detail  for  it  to  render  a
10    determination of compliance, the plans shall be determined to
11    be  incomplete  and  shall  not be considered for purposes of
12    initiating the 60 day  review  period.  If  a  submission  of
13    drawings  and specifications is incomplete, the applicant may
14    submit additional  information.   The  60-day  review  period
15    shall  not  commence  until  the Department determines that a
16    submission of drawings and specifications is complete or  the
17    submission  is  deemed  complete.  If  the Department has not
18    approved  or  disapproved  the  drawings  and  specifications
19    within  60  days,  the  construction,  major  alteration,  or
20    addition shall be  deemed  approved.   If  the  drawings  and
21    specifications are disapproved, the Department shall state in
22    writing,  with  specificity, the reasons for the disapproval.
23    The entity submitting the  drawings  and  specifications  may
24    submit  additional  information  in  response  to the written
25    comments from the Department or request a reconsideration  of
26    the disapproval.  A final decision of approval or disapproval
27    shall be made within 45 days of the receipt of the additional
28    information  or  reconsideration  request.   If  denied,  the
29    Department shall state the specific reasons for the denial.
30        (c)  The  Department  shall  provide written approval for
31    occupancy pursuant to subsection (g) and shall  not  issue  a
32    violation  to  a  facility  as  a  result  of  a licensure or
33    complaint survey based upon the facility's physical structure
34    if:
SB1473 Enrolled            -5-                 LRB9011352LDdv
 1             (1)  the Department reviewed and approved or  deemed
 2        approved  the  drawings and specifications for compliance
 3        with design and construction standards;
 4             (2)  the construction, major alteration, or addition
 5        was built as submitted;
 6             (3)  the law or rules have not  been  amended  since
 7        the original approval; and
 8             (4)  the  conditions  at  the facility indicate that
 9        there is a reasonable degree of safety provided  for  the
10        patients violation does not create a direct threat to the
11        health, safety, or welfare of a resident.
12        (d)  The  Department  shall  charge the following fees in
13    connection with its reviews conducted before  June  30,  2000
14    under this Section:
15             (1)  (Blank).  If  the estimated dollar value of the
16        alteration, addition, or new construction  is  $5,000  or
17        more  but less than $25,000, the fee shall be the greater
18        of $300 or 6% of that value.
19             (2)  (Blank). If the estimated dollar value  of  the
20        alteration,  addition,  or new construction is $25,000 or
21        more but less than $100,000, the fee shall be the greater
22        of $1,500 or 2.4% of that value.
23             (3)  If  the   estimated   dollar   value   of   the
24        alteration,  addition, or new construction is $100,000 or
25        more but less than $500,000, the fee shall be the greater
26        of $2,400 or 1.2% of that value.
27             (4)  If  the   estimated   dollar   value   of   the
28        alteration,  addition, or new construction is $500,000 or
29        more but less than  $1,000,000,  the  fee  shall  be  the
30        greater of $6,000 or 0.96% of that value.
31             (5)  If   the   estimated   dollar   value   of  the
32        alteration, addition, or new construction  is  $1,000,000
33        or  more  but  less than $5,000,000, the fee shall be the
34        greater of $9,600 or 0.22% of that value.
SB1473 Enrolled            -6-                 LRB9011352LDdv
 1             (6)  If  the   estimated   dollar   value   of   the
 2        alteration,  addition,  or new construction is $5,000,000
 3        or more, the fee shall be the greater of $11,000 or 0.11%
 4        of that value, but shall not exceed $40,000.
 5        The fees provided in this subsection (d) shall not  apply
 6    to  major  construction  projects  involving facility changes
 7    that are required by Department rule amendments.
 8        The fees provided in this subsection (d) shall  also  not
 9    apply  to  major  construction projects if 51% or more of the
10    estimated cost  of  the  project  is  attributed  to  capital
11    equipment.  For major construction projects where 51% or more
12    of the estimated cost of the project is attributed to capital
13    equipment,  the Department shall by rule establish a fee that
14    is reasonably related to the cost of reviewing the project.
15        The Department  shall  not  commence  the  facility  plan
16    review  process  under  this Section until the applicable fee
17    has been paid.
18        (e)  All fees  received  by  the  Department  under  this
19    Section  shall  be  deposited  into  the Health Facility Plan
20    Review Fund, a special fund created in  the  State  Treasury.
21    Moneys shall be appropriated from that Fund to the Department
22    only  to  pay  the  costs  of  conducting  reviews under this
23    Section. All  fees  paid  by  ambulatory  surgical  treatment
24    centers  under subsection (d) shall be used only to cover the
25    costs relating  to  the  Department's  review  of  ambulatory
26    surgical  treatment  center projects under this Section. None
27    of the moneys in the Health Facility Plan Review  Fund  shall
28    be  used  to reduce the amount of General Revenue Fund moneys
29    appropriated to the  Department  for  facility  plan  reviews
30    conducted pursuant to this Section.
31        (f) (1)  The  provisions  of  this amendatory Act of 1997
32        concerning drawings and specifications shall  apply  only
33        to   drawings   and   specifications   submitted  to  the
34        Department on or after October 1, 1997.
SB1473 Enrolled            -7-                 LRB9011352LDdv
 1             (2)  On  and  after  the  effective  date  of   this
 2        amendatory  Act  of  1997  and before October 1, 1997, an
 3        applicant   may   submit   or   resubmit   drawings   and
 4        specifications  to  the  Department  and  pay  the   fees
 5        provided  in  subsection  (d).   If an applicant pays the
 6        fees provided in subsection (d) under this paragraph (2),
 7        the provisions of subsection (b) shall apply with  regard
 8        to those drawings and specifications.
 9        (g)  The  Department  shall conduct an on-site inspection
10    of  the  completed  project  no  later  than  30  days  after
11    notification from the applicant that  the  project  has  been
12    completed  and  all certifications required by the Department
13    have been received  and  accepted  by  the  Department.   The
14    Department  shall  provide  written approval for occupancy to
15    the applicant within 5 working days of the Department's final
16    inspection,   provided   the   applicant   has   demonstrated
17    substantial  compliance  as  defined  by   Department   rule.
18    Occupancy  of  new  major  construction  is  prohibited until
19    Department approval is received, unless  the  Department  has
20    not  acted within the time frames provided in this subsection
21    (g), in which case the construction shall be deemed approved.
22    Occupancy shall be authorized If the plans and  drawings  are
23    approved  pursuant  to  subsection  (b),  occupancy  shall be
24    allowed  after  any  required  health   inspection   by   the
25    Department has been conducted.
26        (h)  The Department shall establish, by rule, a procedure
27    to  conduct  interim  on-site  review  of  large  or  complex
28    construction projects.
29        (i)  The   Department   shall   establish,  by  rule,  an
30    expedited process for emergency  repairs  or  replacement  of
31    like equipment.
32        (j)  Nothing  in this Section shall be construed to apply
33    to maintenance, upkeep, or renovation that  does  not  affect
34    the  structural  integrity of the building, does not add beds
SB1473 Enrolled            -8-                 LRB9011352LDdv
 1    or services  over  the  number  for  which  the  facility  is
 2    licensed,  and provides a reasonable degree of safety for the
 3    patients.
 4    (Source: P.A. 90-327, eff. 8-8-97.)
 5        Section 10.  The Nursing Home  Care  Act  is  amended  by
 6    changing Section 3-202.5 as follows:
 7        (210 ILCS 45/3-202.5)
 8        Sec. 3-202.5. Facility plan review; fees.
 9        (a)  Before  commencing construction of a new facility or
10    specified types of alteration or  additions  to  an  existing
11    long  term  care  facility  involving  major construction, as
12    defined by rule by the Department, or with an estimated  cost
13    greater  than  $100,000  $5,000,  architectural  drawings and
14    specifications for the facility shall  be  submitted  to  the
15    Department  for  review  and  approval. A facility may submit
16    architectural   drawings   and   specifications   for   other
17    construction projects  for  Department  review  according  to
18    subsection  (b)  that  shall  not  be  subject  to fees under
19    subsection (d). Review of drawings and  specifications  shall
20    be  conducted  by  an  employee of the Department meeting the
21    qualifications  established  by  the  Department  of  Central
22    Management  Services  class  specifications   for   such   an
23    individual's  position  or  by  a person contracting with the
24    Department  who  meets  those  class  specifications.   Final
25    approval of the drawings and  specifications  for  compliance
26    with design and construction standards shall be obtained from
27    the  Department  before  the  alteration,  addition,  or  new
28    construction is begun.
29        (b)  The  Department shall inform an applicant in writing
30    within  10  working  days  after   receiving   drawings   and
31    specifications  and  the  required  fee,  if  any,  from  the
32    applicant  whether  the applicant's submission is complete or
SB1473 Enrolled            -9-                 LRB9011352LDdv
 1    incomplete.  Failure  to  provide  the  applicant  with  this
 2    notice  within 10 working days shall result in the submission
 3    being deemed complete for purposes of initiating  the  60-day
 4    review  period  under  this  Section.   If  the submission is
 5    incomplete, the Department shall inform the applicant of  the
 6    deficiencies   with   the  submission  in  writing.   If  the
 7    submission is complete the required fee,  if  any,  has  been
 8    paid, the Department shall approve or disapprove drawings and
 9    specifications  submitted  to the Department no later than 60
10    days following receipt by the Department.  The  drawings  and
11    specifications  shall be of sufficient detail, as provided by
12    Department  rule,  to  enable  the  Department  to  render  a
13    determination of  compliance  with  design  and  construction
14    standards  under  this Act.  If the Department finds that the
15    drawings are not of sufficient detail  for  it  to  render  a
16    determination of compliance, the plans shall be determined to
17    be  incomplete  and  shall  not be considered for purposes of
18    initiating the 60 day  review  period.  If  a  submission  of
19    drawings  and specifications is incomplete, the applicant may
20    submit additional  information.   The  60-day  review  period
21    shall  not  commence  until  the Department determines that a
22    submission of drawings and specifications is complete or  the
23    submission  is  deemed  complete.  If  the Department has not
24    approved  or  disapproved  the  drawings  and  specifications
25    within  60  days,  the  construction,  major  alteration,  or
26    addition shall be  deemed  approved.   If  the  drawings  and
27    specifications are disapproved, the Department shall state in
28    writing,  with  specificity, the reasons for the disapproval.
29    The entity submitting the  drawings  and  specifications  may
30    submit  additional  information  in  response  to the written
31    comments from the Department or request a reconsideration  of
32    the disapproval.  A final decision of approval or disapproval
33    shall be made within 45 days of the receipt of the additional
34    information  or  reconsideration  request.   If  denied,  the
SB1473 Enrolled            -10-                LRB9011352LDdv
 1    Department shall state the specific reasons for the denial.
 2        (c)  The  Department  shall  provide written approval for
 3    occupancy pursuant to subsection (g) and shall  not  issue  a
 4    violation  to  a  facility  as  a  result  of  a licensure or
 5    complaint survey based upon the facility's physical structure
 6    if:
 7             (1)  the Department reviewed and approved or  deemed
 8        approved  the  drawings and specifications for compliance
 9        with design and construction standards;
10             (2)  the construction, major alteration, or addition
11        was built as submitted;
12             (3)  the law or rules have not  been  amended  since
13        the original approval; and
14             (4)  the  conditions  at  the facility indicate that
15        there is a reasonable degree of safety provided  for  the
16        residents  violation  does  not create a direct threat to
17        the health, safety, or welfare of a resident.
18        (d)  The Department shall charge the  following  fees  in
19    connection  with  its  reviews conducted before June 30, 2000
20    under this Section:
21             (1)  (Blank).  If the estimated dollar value of  the
22        alteration,  addition,  or  new construction is $5,000 or
23        more but less than $25,000, the fee shall be the  greater
24        of $300 or 6% of the value.
25             (2)  (Blank).   If the estimated dollar value of the
26        alteration, addition, or new construction is  $25,000  or
27        more but less than $100,000, the fee shall be the greater
28        of $1,500 or 2.4% of that value.
29             (3)  If   the   estimated   dollar   value   of  the
30        alteration, addition, or new construction is $100,000  or
31        more but less than $500,000, the fee shall be the greater
32        of $2,400 or 1.2% of that value.
33             (4)  If   the   estimated   dollar   value   of  the
34        alteration, addition, or new construction is $500,000  or
SB1473 Enrolled            -11-                LRB9011352LDdv
 1        more  but  less  than  $1,000,000,  the  fee shall be the
 2        greater of $6,000 or 0.96% of that value.
 3             (5)  If  the   estimated   dollar   value   of   the
 4        alteration,  addition,  or new construction is $1,000,000
 5        or more but less than $5,000,000, the fee  shall  be  the
 6        greater of $9,600 or 0.22% of that value.
 7             (6)  If   the   estimated   dollar   value   of  the
 8        alteration, addition, or new construction  is  $5,000,000
 9        or more, the fee shall be the greater of $11,000 or 0.11%
10        of that value, but shall not exceed $40,000.
11        The  fees provided in this subsection (d) shall not apply
12    to major construction  projects  involving  facility  changes
13    that are required by Department rule amendments.
14        The  fees  provided in this subsection (d) shall also not
15    apply to major construction projects if 51% or  more  of  the
16    estimated  cost  of  the  project  is  attributed  to capital
17    equipment.  For major construction projects where 51% or more
18    of the estimated cost of the project is attributed to capital
19    equipment, the Department shall by rule establish a fee  that
20    is reasonably related to the cost of reviewing the project.
21        The  Department  shall  not  commence  the  facility plan
22    review process under this Section until  the  applicable  fee
23    has been paid.
24        (e)  All  fees  received  by  the  Department  under this
25    Section shall be deposited  into  the  Health  Facility  Plan
26    Review  Fund,  a  special fund created in the State Treasury.
27    All fees paid by long-term care facilities  under  subsection
28    (d)  shall  be  used  only to cover the costs relating to the
29    Department's review of long-term care facility projects under
30    this Section. Moneys shall be appropriated from that Fund  to
31    the  Department  only  to pay the costs of conducting reviews
32    under this Section. None of the moneys in the Health Facility
33    Plan Review Fund shall  be  used  to  reduce  the  amount  of
34    General  Revenue  Fund  moneys appropriated to the Department
SB1473 Enrolled            -12-                LRB9011352LDdv
 1    for facility plan reviews conducted pursuant to this Section.
 2        (f) (1)  The provisions of this amendatory  Act  of  1997
 3        concerning  drawings  and specifications shall apply only
 4        to  drawings  and   specifications   submitted   to   the
 5        Department on or after October 1, 1997.
 6             (2)  On   and  after  the  effective  date  of  this
 7        amendatory Act of 1997 and before  October  1,  1997,  an
 8        applicant   may   submit   or   resubmit   drawings   and
 9        specifications   to  the  Department  and  pay  the  fees
10        provided in subsection (d).  If  an  applicant  pays  the
11        fees provided in subsection (d) under this paragraph (2),
12        the  provisions of subsection (b) shall apply with regard
13        to those drawings and specifications.
14        (g)  The Department shall conduct an  on-site  inspection
15    of  the  completed  project  no  later  than  30  days  after
16    notification  from  the  applicant  that the project has been
17    completed and all certifications required by  the  Department
18    have  been  received  and  accepted  by  the Department.  The
19    Department shall provide written approval  for  occupancy  to
20    the applicant within 5 working days of the Department's final
21    inspection,   provided   the   applicant   has   demonstrated
22    substantial   compliance   as  defined  by  Department  rule.
23    Occupancy of  new  major  construction  is  prohibited  until
24    Department  approval  is  received, unless the Department has
25    not acted within the time frames provided in this  subsection
26    (g), in which case the construction shall be deemed approved.
27    Occupancy  shall  be authorized If the plans and drawings are
28    approved pursuant  to  subsection  (b),  occupancy  shall  be
29    allowed   after   any   required  health  inspection  by  the
30    Department has been conducted.
31        (h)  The Department shall establish, by rule, a procedure
32    to  conduct  interim  on-site  review  of  large  or  complex
33    construction projects.
34        (i)  The  Department  shall  establish,   by   rule,   an
SB1473 Enrolled            -13-                LRB9011352LDdv
 1    expedited  process  for  emergency  repairs or replacement of
 2    like equipment.
 3        (j)  Nothing in this Section shall be construed to  apply
 4    to  maintenance,  upkeep,  or renovation that does not affect
 5    the structural integrity of the building, does not  add  beds
 6    or  services  over  the  number  for which the long-term care
 7    facility is licensed, and provides  a  reasonable  degree  of
 8    safety for the residents.
 9    (Source: P.A. 90-327, eff. 8-8-97.)
10        Section  15.   The  Hospital  Licensing Act is amended by
11    changing Section 8 as follows:
12        (210 ILCS 85/8) (from Ch. 111 1/2, par. 149)
13        Sec. 8. Facility plan review; fees.
14        (a)  Before commencing construction of new facilities  or
15    specified  types  of  alteration  or additions to an existing
16    hospital involving major construction, as defined by rule  by
17    the  Department,  or  with  an  estimated  cost  greater than
18    $100,000  $5,000,  architectural  plans  and   specifications
19    therefor shall be submitted by the licensee to the Department
20    for  review and approval. A hospital may submit architectural
21    drawings and specifications for other  construction  projects
22    for  Department review according to subsection (b) that shall
23    not be subject to fees under subsection (d). In the  case  of
24    the  establishment  of a new hospital, the person to whom the
25    Director has issued a permit shall submit architectural plans
26    and specifications to the Department for review and approval.
27    Review of drawings and specifications shall be  conducted  by
28    an  employee  of  the  Department  meeting the qualifications
29    established by the Department of Central Management  Services
30    class  specifications for such an individual's position or by
31    a person contracting with  the  Department  who  meets  those
32    class   specifications.  Final  approval  of  the  plans  and
SB1473 Enrolled            -14-                LRB9011352LDdv
 1    specifications for compliance with  design  and  construction
 2    standards  shall  be  obtained from the Department before the
 3    alteration, addition, or new construction is begun.
 4        (b)  The Department shall inform an applicant in  writing
 5    within   10   working   days  after  receiving  drawings  and
 6    specifications  and  the  required  fee,  if  any,  from  the
 7    applicant whether the applicant's submission is  complete  or
 8    incomplete.   Failure  to  provide  the  applicant  with this
 9    notice within 10 working days shall result in the  submission
10    being  deemed  complete for purposes of initiating the 60-day
11    review period under  this  Section.   If  the  submission  is
12    incomplete,  the Department shall inform the applicant of the
13    deficiencies  with  the  submission  in  writing.    If   the
14    submission is complete and the required fee, if any, has been
15    paid, the Department shall approve or disapprove drawings and
16    specifications  submitted  to the Department no later than 60
17    days following receipt by the Department.  The  drawings  and
18    specifications  shall be of sufficient detail, as provided by
19    Department  rule,  to  enable  the  Department  to  render  a
20    determination of  compliance  with  design  and  construction
21    standards  under  this Act.  If the Department finds that the
22    drawings are not of sufficient detail  for  it  to  render  a
23    determination of compliance, the plans shall be determined to
24    be  incomplete  and  shall  not be considered for purposes of
25    initiating the 60 day  review  period.  If  a  submission  of
26    drawings  and specifications is incomplete, the applicant may
27    submit additional  information.   The  60-day  review  period
28    shall  not  commence  until  the Department determines that a
29    submission of drawings and specifications is complete or  the
30    submission  is  deemed  complete.  If  the Department has not
31    approved  or  disapproved  the  drawings  and  specifications
32    within  60  days,  the  construction,  major  alteration,  or
33    addition shall be  deemed  approved.   If  the  drawings  and
34    specifications are disapproved, the Department shall state in
SB1473 Enrolled            -15-                LRB9011352LDdv
 1    writing,  with  specificity, the reasons for the disapproval.
 2    The entity submitting the  drawings  and  specifications  may
 3    submit  additional  information  in  response  to the written
 4    comments from the Department or request a reconsideration  of
 5    the disapproval.  A final decision of approval or disapproval
 6    shall be made within 45 days of the receipt of the additional
 7    information  or  reconsideration  request.   If  denied,  the
 8    Department shall state the specific reasons for the denial.
 9        (c)  The  Department  shall  provide written approval for
10    occupancy pursuant to subsection (g) and shall  not  issue  a
11    violation  to  a  facility  as  a  result  of  a licensure or
12    complaint survey based upon the facility's physical structure
13    if:
14             (1)  the Department reviewed and approved or  deemed
15        approved  the  drawing  and specifications for compliance
16        with design and construction standards;
17             (2)  the construction, major alteration, or addition
18        was built as submitted;
19             (3)  the law or rules have not  been  amended  since
20        the original approval; and
21             (4)  the  conditions  at  the facility indicate that
22        there is a reasonable degree of safety provided  for  the
23        patients violation does not create a direct threat to the
24        health, safety, or welfare of a resident.
25        (d)  The  Department  shall  charge the following fees in
26    connection with its reviews conducted before  June  30,  2000
27    under this Section:
28             (1)  (Blank).  If  the estimated dollar value of the
29        alteration, addition, or new construction  is  $5,000  or
30        more  but less than $25,000, the fee shall be the greater
31        of $300 or 6% of that value.
32             (2)  (Blank). If the estimated dollar value  of  the
33        alteration,  addition,  or new construction is $25,000 or
34        more but less than $100,000, the fee shall be the greater
SB1473 Enrolled            -16-                LRB9011352LDdv
 1        of $1,500 or 2.4% of that value.
 2             (3)  If  the   estimated   dollar   value   of   the
 3        alteration,  addition, or new construction is $100,000 or
 4        more but less than $500,000, the fee shall be the greater
 5        of $2,400 or 1.2% of that value.
 6             (4)  If  the   estimated   dollar   value   of   the
 7        alteration,  addition, or new construction is $500,000 or
 8        more but less than  $1,000,000,  the  fee  shall  be  the
 9        greater of $6,000 or 0.96% of that value.
10             (5)  If   the   estimated   dollar   value   of  the
11        alteration, addition, or new construction  is  $1,000,000
12        or  more  but  less than $5,000,000, the fee shall be the
13        greater of $9,600 or 0.22% of that value.
14             (6)  If  the   estimated   dollar   value   of   the
15        alteration,  addition,  or new construction is $5,000,000
16        or more, the fee shall be the greater of $11,000 or 0.11%
17        of that value, but shall not exceed $40,000.
18        The fees provided in this subsection (d) shall not  apply
19    to  major  construction  projects  involving facility changes
20    that are required by Department rule amendments.
21        The fees provided in this subsection (d) shall  also  not
22    apply  to  major  construction projects if 51% or more of the
23    estimated cost  of  the  project  is  attributed  to  capital
24    equipment.  For major construction projects where 51% or more
25    of the estimated cost of the project is attributed to capital
26    equipment,  the Department shall by rule establish a fee that
27    is reasonably related to the cost of reviewing the project.
28        The Department  shall  not  commence  the  facility  plan
29    review  process  under  this Section until the applicable fee
30    has been paid.
31        (e)  All fees  received  by  the  Department  under  this
32    Section  shall  be  deposited  into  the Health Facility Plan
33    Review Fund, a special fund created in  the  State  treasury.
34    All fees paid by hospitals under subsection (d) shall be used
SB1473 Enrolled            -17-                LRB9011352LDdv
 1    only  to  cover the costs relating to the Department's review
 2    of hospital projects under  this  Section.  Moneys  shall  be
 3    appropriated from that Fund to the Department only to pay the
 4    costs  of  conducting reviews under this Section. None of the
 5    moneys in the Health Facility Plan Review Fund shall be  used
 6    to   reduce   the  amount  of  General  Revenue  Fund  moneys
 7    appropriated to the  Department  for  facility  plan  reviews
 8    conducted pursuant to this Section.
 9        (f) (1)  The  provisions  of  this amendatory Act of 1997
10        concerning drawings and specifications shall  apply  only
11        to   drawings   and   specifications   submitted  to  the
12        Department on or after October 1, 1997.
13             (2)  On  and  after  the  effective  date  of   this
14        amendatory  Act  of  1997  and before October 1, 1997, an
15        applicant   may   submit   or   resubmit   drawings   and
16        specifications  to  the  Department  and  pay  the   fees
17        provided  in  subsection  (d).   If an applicant pays the
18        fees provided in subsection (d) under this paragraph (2),
19        the provisions of subsection (b) shall apply with  regard
20        to those drawings and specifications.
21        (g)  The  Department  shall conduct an on-site inspection
22    of  the  completed  project  no  later  than  30  days  after
23    notification from the applicant that  the  project  has  been
24    completed  and  all certifications required by the Department
25    have been received  and  accepted  by  the  Department.   The
26    Department  shall  provide  written approval for occupancy to
27    the applicant within 5 working days of the Department's final
28    inspection,   provided   the   applicant   has   demonstrated
29    substantial  compliance  as  defined  by   Department   rule.
30    Occupancy  of  new  major  construction  is  prohibited until
31    Department approval is received, unless  the  Department  has
32    not  acted within the time frames provided in this subsection
33    (g), in which case the construction shall be deemed approved.
34    Occupancy shall be authorized If the plans and  drawings  are
SB1473 Enrolled            -18-                LRB9011352LDdv
 1    approved  pursuant  to  subsection  (b),  occupancy  shall be
 2    allowed  after  any  required  health   inspection   by   the
 3    Department has been conducted.
 4        (h)  The Department shall establish, by rule, a procedure
 5    to  conduct  interim  on-site  review  of  large  or  complex
 6    construction projects.
 7        (i)  The   Department   shall   establish,  by  rule,  an
 8    expedited process for emergency  repairs  or  replacement  of
 9    like equipment.
10        (j)  Nothing  in this Section shall be construed to apply
11    to maintenance, upkeep, or renovation that  does  not  affect
12    the  structural  integrity of the building, does not add beds
13    or services  over  the  number  for  which  the  facility  is
14    licensed,  and provides a reasonable degree of safety for the
15    patients.
16    (Source: P.A. 90-327, eff. 8-8-97.)
17        Section 99.  Effective date.  This Act takes effect  upon
18    becoming law.

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