Public Act 094-1063
 		





SB2170 Enrolled
LRB094 13493 DRJ 50420 b






    AN ACT concerning business.

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

 
    Section 5. The Nursing Home Care Act is amended  by adding 
Section 2-217 as follows:
 
    (210 ILCS 45/2-217  new)
    Sec. 2-217. Order for transportation of resident by 
ambulance. If a facility orders transportation of a resident of 
the facility by ambulance, the facility must maintain a written 
record that shows (i) the name of the person who placed the 
order for that transportation and (ii) the medical reason for 
that transportation. The facility must maintain the record for 
a period of at least 3 years after the date of the order for 
transportation by ambulance.
 
    Section 10. The Hospital Licensing Act is amended  by adding 
Section 6.22 as follows:
 
    (210 ILCS 85/6.22  new)
    Sec. 6.22. Arrangement for transportation of patient by 
ambulance.

    (a) In this Section:
        "Ambulance service provider" means a Vehicle Service 
    Provider as defined in the Emergency Medical Services (EMS) 
    Systems Act who provides non-emergency transportation 
    services by ambulance.
        "Patient" means a person who is transported by an 
    ambulance service provider.

    (b) If a hospital arranges for transportation of a patient 
of the hospital by ambulance, the hospital must provide the 
ambulance service provider, prior to transport, a Physician 
Certification Statement formatted and completed in compliance 
with federal regulations or an equivalent form developed by the 
hospital. The Physician Certification Statement or equivalent 
form is not required prior to transport if a delay in transport 
can be expected to negatively affect the patient outcome.
    (c) If a hospital is unable to provide a Physician 
Certification Statement or equivalent form, then the hospital 
shall provide to the patient a written notice and a verbal 
explanation of the written notice, which notice must meet all 
of the following requirements:

        (1) The following caption must appear at the beginning 
    of the notice in at least 14-point type: Notice to Patient 
    Regarding Non-Emergency Ambulance Services.
        (2) The notice must contain each of the following 
    statements in at least 14-point type:
            (A) The purpose of this notice is to help you make 
        an informed choice about whether you want to be 
        transported by ambulance because your medical 
        condition does not meet medical necessity for 
        transportation by an ambulance.
            (B) Your insurance may not cover the charges for 
        ambulance transportation.
            (C) You may be responsible for the cost of 
        ambulance transportation.
            (D) The estimated cost of ambulance transportation 
        is $(amount).
        (3) The notice must be signed by the patient or by the 
    patient's authorized representative. A copy shall be given 
    to the patient and the hospital shall retain a copy.
    (d) The notice set forth in subsection (c) of this Section 
shall not be required if a delay in transport can be expected 
to negatively affect the patient outcome.
    (e) If a patient is physically or mentally unable to sign 
the notice described in subsection (c) of this Section and no 
authorized representative of the patient is available to sign 
the notice on the patient's behalf, the hospital must be able 
to provide documentation of the patient's inability to sign the 
notice and the unavailability of an authorized representative. 
In any case described in this subsection (e), the hospital 
shall be considered to have met the requirements of subsection 
(c) of this Section.


 
    Section 99. Effective date. This Act takes effect January 
31, 2007.



Effective Date:  1/31/2007