Public Act 102-0887
SB1435 EnrolledLRB102 11312 SPS 16645 b

    AN ACT concerning regulation.
    Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
    Section 5. The Hospital Licensing Act is amended by
changing Section 4.5 as follows:
    (210 ILCS 85/4.5)
    Sec. 4.5. Hospital with multiple locations; single
    (a) A hospital located in a county with fewer than
3,000,000 inhabitants may apply to the Department for approval
to conduct its operations from more than one location within
the county under a single license. At the time of the
application to operate under a single license, a hospital
located in a county with fewer than 125,000 inhabitants may
apply to the Department for approval to conduct its operations
from more than one location within contiguous counties in
which both facilities are located, provided that the second
county has fewer than 35,000 inhabitants.
    (b) The facilities or buildings at those locations must be
owned or operated together by a single corporation or other
legal entity serving as the licensee and must share:
        (1) a single board of directors with responsibility
    for governance, including financial oversight and the
    authority to designate or remove the chief executive
        (2) a single medical staff accountable to the board of
    directors and governed by a single set of medical staff
    bylaws, rules, and regulations with responsibility for the
    quality of the medical services; and
        (3) a single chief executive officer, accountable to
    the board of directors, with management responsibility.
    (c) Each hospital building or facility that is located on
a site geographically separate from the campus or premises of
another hospital building or facility operated by the licensee
must, at a minimum, individually comply with the Department's
hospital licensing requirements for emergency services.
    (d) The hospital shall submit to the Department a
comprehensive plan in relation to the waiver or waivers
requested describing the services and operations of each
facility or building and how common services or operations
will be coordinated between the various locations. With the
exception of items required by subsection (c), the Department
is authorized to waive compliance with the hospital licensing
requirements for specific buildings or facilities, provided
that the hospital has documented which other building or
facility under its single license provides that service or
operation, and that doing so would not endanger the public's
health, safety, or welfare. Nothing in this Section relieves a
hospital from the requirements of the Health Facilities
Planning Act.
(Source: P.A. 89-171, eff. 7-19-95.)
    Section 99. Effective date. This Act takes effect upon
becoming law.

Effective Date: 05/17/2022