State of Illinois
92nd General Assembly
Legislation

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92_SB0381

 
                                               LRB9205799LBmb

 1        AN ACT in relation to nursing home care.

 2        Be it enacted by the People of  the  State  of  Illinois,
 3    represented in the General Assembly:

 4        Section  5.   The  Nursing  Home  Care  Act is amended by
 5    changing Section 2-204 as follows:

 6        (210 ILCS 45/2-204) (from Ch. 111 1/2, par. 4152-204)
 7        Sec. 2-204.  Long-Term  Quality  Care  Facility  Advisory
 8    Board.
 9        (a)  There  is  hereby  created  a Long-Term Quality Care
10    Facility Advisory Board whose members are  appointed  by  the
11    Governor and that shall consist of:
12             (1)  two  members  who  shall  be  selected from the
13        recommendations   of   organizations   whose   membership
14        consists of facilities;
15             (2)  one member who shall be a physician licensed to
16        practice medicine in all its branches and does not have a
17        fiduciary or other  affiliation  with  a  long-term  care
18        facility;
19             (3)  one  member  who  shall  be  a registered nurse
20        selected from the recommendations of the Board of Nursing
21        and does not have a fiduciary or other affiliation with a
22        long-term care facility;
23             (4)  four members who shall  represent  the  general
24        public  who  are  not  members  of  a residents' advisory
25        council established under Section 2-203 and do not have a
26        fiduciary or other  affiliation  with  a  long-term  care
27        facility;
28             (5)  four  members who shall consist of residents or
29        residents' representatives from  the  recommendations  of
30        consumer  organizations  that engage in advocacy or legal
31        representation on behalf of residents and their immediate
 
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 1        families and do not have a fiduciary or other affiliation
 2        with a long-term care facility;
 3             (6)  four members of consumer advocacy organizations
 4        who  shall  be  selected  from  the  recommendations   of
 5        consumer  organizations  that engage in advocacy or legal
 6        representation on behalf of residents and their immediate
 7        families and do not have a fiduciary or other affiliation
 8        with a long-term care facility;
 9             (7)  one member employed as  a  professional  by  an
10        Illinois    university   or   college   advanced   degree
11        gerontology program from the recommendations of  consumer
12        or  advocacy  organizations  and  who  does  not  have  a
13        fiduciary  or  other  affiliation  with  a long-term care
14        facility; and
15             (8)  one representative each from the Department  of
16        Public   Aid,   the  Department  of  Public  Health,  the
17        Department of Human Services, the  Department  on  Aging,
18        the  Office of the State Fire Marshal, and the Department
19        of Professional Regulation, all nonvoting members.
20        (b)  The terms of the members shall be for 3 years with a
21    maximum of 2 consecutive terms.
22        (c)  The duties of the Long-Term  Quality  Care  Facility
23    Advisory Board include the following:
24             (1)  to  advise  the  Department  of Public Aid, the
25        Department of Public  Health,  the  Department  of  Human
26        Services,  the  Department  on  Aging,  the Department of
27        Professional Regulation, the Governor,  and  the  General
28        Assembly;
29             (2)  to  assist  the  Department  of Public Aid, the
30        Department of Public  Health,  the  Department  of  Human
31        Services,  the  Department  on  Aging,  the Department of
32        Professional Regulation, and the  Governor  in  reporting
33        and  developing  data  and evaluations in identifying and
34        addressing  the  underlying  problems  of  residents   in
 
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 1        long-term care facilities;
 2             (3)  to  advise  the  Department  of  Public  Health
 3        relative  to qualifications for administrative judges and
 4        the rules and procedures for hearings conducted;
 5             (4)  to advise the Department of  Public  Health  on
 6        promoting the rights of residents through procedures;
 7             (5)  to  comment  publicly  on any rules proposed by
 8        the State or Federal government regarding the concerns of
 9        residents and the underlying problems of quality of  care
10        and dignity of life;
11             (6)  to  advise  State  and local agencies regarding
12        educational materials and programs needed to improve  the
13        quality  of care within nursing homes to enable residents
14        to fully exercise their constitutional and  legal  rights
15        and entitlements as citizens;
16             (7)  to  advise  the  State agencies on research for
17        policy decisions; and
18             (8)  to publish an annual Illinois  Consumer  Report
19        for  long-term  care  that  includes information on human
20        resources indicators critical  to  facility  care  in  an
21        easily understandable format.
22        (d)  The Board shall organize with a chairman selected by
23    the  Board members and shall meet at the call of the chairman
24    or 3 Board members upon 10 days written notice, but not  less
25    than 6 times a year.
26        (e)  The Board shall establish subcommittees, as it deems
27    appropriate, to review special long-term care facility issues
28    including,  but  not  limited  to, State reimbursement, staff
29    training, and certification and licensure of  long-term  care
30    facilities.
31        (f)  The Board shall have the authority to hold hearings,
32    conduct  studies,  issue  press  releases,  and perform other
33    functions in carrying out its duties.
34        (g)  The Board shall consider any rule or plan  submitted
 
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 1    by  a  State  agency  affecting  the  rights  of residents or
 2    long-term care within  60  days  after  its  receipt  by  the
 3    chairman.
 4        (h)  The  Advisory  Board  shall advise the Department of
 5    Public Health on all aspects of  its  responsibilities  under
 6    this  Act,  including  the  format  and  content of any rules
 7    promulgated by the Department  of  Public  Health.  Any  such
 8    rules, except emergency rules promulgated pursuant to Section
 9    5-45   of   the   Illinois   Administrative   Procedure  Act,
10    promulgated without obtaining the advice  of  the  Board  are
11    null  and  void.   In  the event that the Department fails to
12    follow the advice of the Board, the Department  shall,  prior
13    to  the  promulgation  of  such  rules,  transmit  a  written
14    explanation  of  the  reason thereof to the Board. During its
15    review of rules, the Board shall  analyze  the  economic  and
16    regulatory  impact  of  these  rules.  If the Advisory Board,
17    having been  asked  for  its  advice,  fails  to  advise  the
18    Department  within  90  days,  the  rules shall be considered
19    acted upon.
20        (i)  The Department of Public Health shall  designate  an
21    employee to act as executive secretary of the Board and shall
22    furnish  all  professional  and clerical assistance necessary
23    for the performance  of  its  powers  and  duties,  including
24    public notices of the meetings.
25        (j)  A quorum shall consist of 6 members of the Board and
26    affirmative action shall require the vote of 6 members of the
27    Board.
28        (k)  A member of the Board can designate a replacement to
29    serve at the Board meeting and vote in place of the member by
30    submitting  a  letter of designation to the chairman prior to
31    or at the  Board  meeting.  The  replacement  cannot  have  a
32    fiduciary  or  other  affiliation  with  any  long-term  care
33    facility  that  would  cause a potential conflict of interest
34    unless the member represents a facility organization.
 
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 1        (l)  Members   of   the   Board   shall   serve   without
 2    compensation, but shall be entitled to reasonable amounts for
 3    expenses necessarily incurred in  the  performance  of  their
 4    duties.
 5        (m)  The   Board   shall   develop   by-laws,   including
 6    procedures  for  public  participation  for  efficient  board
 7    operation.
 8        The  Director  shall  appoint  a  Long-Term Care Facility
 9    Advisory  Board  to  consult  with  the  Department  and  the
10    residents' advisory councils created under Section 2-203.
11        (a)  The  Board  shall  be  comprised  of  the  following
12    persons:
13             (1)  The Director who shall serve  as  chairman,  ex
14        officio and nonvoting; and
15             (2)  One  representative  each  of the Department of
16        Public  Aid,  the  Department  of  Human  Services,   the
17        Department  on  Aging,  and  the Office of the State Fire
18        Marshal, all nonvoting members;
19             (3)  One member who shall be a physician licensed to
20        practice medicine in all its branches;
21             (4)  One member who  shall  be  a  registered  nurse
22        selected from the recommendations of professional nursing
23        associations;
24             (5)  Four  members  who  shall  be selected from the
25        recommendations   by   organizations   whose   membership
26        consists of facilities;
27             (6)  Two members who  shall  represent  the  general
28        public  who  are  not  members  of  a residents' advisory
29        council established under Section 2-203 and who  have  no
30        responsibility  for  management or formation of policy or
31        financial interest in a facility;
32             (7)  One member who is  a  member  of  a  residents'
33        advisory  council  established under Section 2-203 and is
34        capable of actively participating on the Board; and
 
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 1             (8)  One member  who  shall  be  selected  from  the
 2        recommendations  of  consumer  organizations which engage
 3        solely in advocacy or legal representation on  behalf  of
 4        residents and their immediate families.
 5        (b)  The  terms  of  those members of the Board appointed
 6    prior to the effective date of this amendatory  Act  of  1988
 7    shall  expire  on  December  31,  1988.  Members of the Board
 8    created by this amendatory Act of 1988 shall be appointed  to
 9    serve  for terms as follows: 3 for 2 years, 3 for 3 years and
10    3 for 4 years.   The  member  of  the  Board  added  by  this
11    amendatory Act of 1989 shall be appointed to serve for a term
12    of  4  years.  Each successor member shall be appointed for a
13    term of 4 years.  Any member  appointed  to  fill  a  vacancy
14    occurring  prior  to the expiration of the term for which his
15    predecessor  was  appointed  shall  be  appointed   for   the
16    remainder  of  such term.  The Board shall meet as frequently
17    as the chairman deems necessary, but not less  than  4  times
18    each  year.   Upon  request by 4 or more members the chairman
19    shall call a meeting of the Board.  The affirmative vote of 6
20    members of the Board shall be necessary for Board action.   A
21    member  of  the Board can designate a replacement to serve at
22    the Board  meeting  and  vote  in  place  of  the  member  by
23    submitting  a  letter of designation to the chairman prior to
24    or  at  the  Board  meeting.  The  Board  members  shall   be
25    reimbursed   for   their  actual  expenses  incurred  in  the
26    performance of their duties.
27        (c)  The Advisory Board shall advise  the  Department  of
28    Public  Health  on  all aspects of its responsibilities under
29    this Act, including the  format  and  content  of  any  rules
30    promulgated  by  the  Department  of Public Health.  Any such
31    rules, except emergency rules promulgated pursuant to Section
32    5-45  of   the   Illinois   Administrative   Procedure   Act,
33    promulgated  without  obtaining  the  advice  of the Advisory
34    Board are null and void.  In the event  that  the  Department
 
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 1    fails  to  follow  the  advice  of  the Board, the Department
 2    shall, prior to the promulgation of such  rules,  transmit  a
 3    written  explanation  of  the  reason  thereof  to the Board.
 4    During its review of  rules,  the  Board  shall  analyze  the
 5    economic  and  regulatory  impact  of  those  rules.   If the
 6    Advisory Board, having been asked for its  advice,  fails  to
 7    advise  the  Department  within  90  days, the rules shall be
 8    considered acted upon.
 9    (Source: P.A. 88-45; 89-507, eff. 7-1-97.)

10        Section 99.  Effective date.  This Act takes effect  upon
11    becoming law.

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