TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER b: HOSPITAL AND AMBULATORY CARE FACILITIES
PART 205 AMBULATORY SURGICAL TREATMENT CENTER LICENSING REQUIREMENTS
SECTION 205.115 INCORPORATED AND REFERENCED MATERIALS


 

Section 205.115  Incorporated and Referenced Materials

 

a)         The following regulations and standards are incorporated in this Part:

 

1)         Private and Professional Association Standards:

 

A)        American Society of Testing and Materials (ASTM), E 84 (2010), Standard Test Method for Surface Burning Characteristics of Building Materials, which may be obtained from the American Society for Testing and Materials, 100 Barr Harbor Drive, West Conshohocken, PA  19428-2959

 

B)        The following standard of the National Fire Protection Association (NFPA), which may be obtained from the National Fire Protection Association, 1 Batterymarch Park, Quincy, MA  02169:  NFPA 101 (2012), Life Safety Code and all applicable references under Chapter 2, Referenced Publications.

 

C)        The following standards of the American Society of Heating, Refrigerating, and Air Conditioning Engineers (ASHRAE), which may be obtained from the American Society of Heating, Refrigerating, and Air Conditioning Engineers, Inc., 180 Technology Parkway NW, Peachtree, GA  30092:

 

i)          Standard 52.2: Method of Testing General Ventilation Air Cleaning Devices for Removal Efficiency by Particle Size (2017) (see Section 205.1540(i)).

 

ii)         Standard 55: Thermal Environmental Conditions for Human Occupancy and Addendum (2023) (see Section 205.1540(i)).

 

iii)        Standard 58: Method of Testing for Rating Room Air Conditioner and Packaged Terminal Air Conditioner Heating Capacity (2014) (see Section 205.1540(i)).

 

iv)        Standard 62.1: Ventilation and Acceptable Indoor Air Quality (2022) (see Section 205.1540(i)).

 

v)         Standard 63.1: Method of Testing Liquid Line Refrigerant Driers (1995) (see Section 205.1540(i)).

 

vi)        Standard 63.2: Method of Testing Liquid-Line Filter Drier Filtration Capacity (2017) (see Section 205.1540(i)).

 

vii)       Standard 64: Methods of Testing Remote Mechanical-Draft Evaporative Refrigerant Condensers (2020) (see Section 205.1540(i)).

 

viii)      Standard 68: Laboratory Method of Testing to Determine the Sound Power in a Duct (1997) (see Section 205.1540(i)).

 

ix)        ASHRAE Handbook of Fundamentals (2009) (see Section 205.1540(p)).

 

D)        Underwriters Laboratories, Inc. (UL), Publication No. 181 (2013):  Factory-Made Air Ducts and Air Connectors, which may be obtained from Underwriters Laboratories, Inc., 333 Pfingsten Road, Northbrook, IL  60062.  (See Section 205.1710.)

 

E)        American College of Cardiology/Society for Cardiac Angiography and Interventions, Clinical Expert Consensus Document on Cardiac Catheterization Laboratory Standards, published in the Journal of the American College of Cardiology, September, 2012; 37:2170-2214, which may be obtained from the American College of Cardiology, Heart House, 2400 N. St. NW, Washington, DC  20037, or by calling 202-375-6000, or toll free at 800-253-4636.

 

F)         Association of periOperative Registered Nurses, Guidelines for Perioperative Practice (2024), available at: https://www.aorn.org/guidelines-resources/guidelines-for-perioperative-practice or from the Association of periOperative Registered Nurses, 2170 South Parker Road, Suite 400, Denver, CO  80231.

 

2)         Federal Regulations: 

 

A)        Rules of the Centers for Medicare & Medicaid Services governing Medicare program coverage of Ambulatory Surgical Services (42 CFR 416, October 1, 2023) under the Social Security Act (42 U.S.C. 1395).  (See definition of "Ambulatory Surgical Treatment Center" in Section 205.110 and Section 205.130(d).)

 

B)        Rules of the Centers for Medicare & Medicaid Services governing federal certification of laboratory requirements (42 CFR 493, October 1, 2023). (See Section 205.350, Laboratory Services.)

 

3)         Federal Government Publications:

 

A)        Department of Health and Human Services, United States Public Health Service, Centers for Disease Control and Prevention, "2007 Guideline for Isolation Precautions:  Preventing Transmission of Infectious Agents in Healthcare Settings" (July 2023), available at: https://www.cdc.gov/infection-control/media/pdfs/guideline-isolation-h.pdf?CDC_AAref_Val=https://www.cdc.gov/infectioncontrol/pdf/guidelines/isolation-guidelines-H.pdf National Technical Information Service (NTIS), U.S. Department of Commerce, 5285 Port Royal Road, Springfield, VA  22161.

 

B)        Department of Health and Human Services, United States Public Health Service, Centers for Disease Control and Prevention, "Guideline for Hand Hygiene in Health-Care Settings", October 25, 2002, available at:  https://www.cdc.gov/mmwr/PDF/rr/rr5116.pdf or from the National Technical Information Service (NTIS), U.S. Department of Commerce, 5285 Port Royal Road, Springfield, VA  22161.

 

C)        Department of Health and Human Services, United States Public Health Service, Centers for Disease Control and Prevention, "Guideline for Disinfection and Sterilization in Healthcare Facilities, 2008" (May 2019), available at: https://www.cdc.gov/infection-control/media/pdfs/guideline-disinfection-h.pdf?CDC_AAref_Val=https://www.cdc.gov/infectioncontrol/pdf/guidelines/disinfection-guidelines-H.pdf the Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333.

 

D)        Department of Health and Human Services, United State Public Health Service, Centers for Disease Control and Prevention, "Guide to Infection Prevention in Outpatient Settings:  Minimum Expectations for Safe Care", September 2016, available at: https://www.cdc.gov/infection-control/media/pdfs/outpatient-guide-508.pdf?CDC_AAref_Val=https://www.cdc.gov/infectioncontrol/pdf/outpatient/guide.pdf or from the Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA  30333.

 

b)         All incorporations by reference of federal regulations and guidelines and the standards of nationally recognized organizations refer to the regulations, guidelines and standards on the dates specified and do not include any amendments or editions subsequent to the date specified.

 

c)         The following statutes and State administrative rules are referenced in this Part:

 

1)         State of Illinois Statutes:

 

A)        Ambulatory Surgical Treatment Center Act [210 ILCS 5]

 

B)        Illinois Dental Practice Act [225 ILCS 25]

 

C)        Nurse Practice Act [225 ILCS 65]

 

D)        Podiatric Medical Practice Act of 1987 [225 ILCS 100]

 

E)        Safety Glazing Materials Act [430 ILCS 60]

 

F)         Hospital Licensing Act [210 ILCS 85]

 

G)        Nursing Home Care Act [210 ILCS 45]

 

H)        Illinois Health Facilities Planning Act [20 ILCS 3960]

 

I)         Illinois Administrative Procedure Act [5 ILCS 100]

 

J)         Laser System Act of 1997 [420 ILCS 56]

 

K)        Illinois Clinical Laboratory and Blood Bank Act [210 ILCS 25]

 

L)        Physician Assistant Practice Act of 1987 [225 ILCS 95]

 

M)       Administrative Review Law [735 ILCS 5/Art. III]

 

N)        Specialized Mental Health Rehabilitation Act of 2013 [210 ILCS 49]

 

O)        ID/DD Community Care Act [210 ILCS 47]

 

P)         MC/DD Act [210 ILCS 46]

 

Q)        Pharmacy Practice Act [225 ILCS 85]

 

R)        Latex Glove Ban Act [410 ILCS 180]

 

2)         State of Illinois Administrative Rules:

 

A)        Department of Public Health, Illinois Plumbing Code (77 Ill. Adm. Code 890)

 

B)        Illinois Emergency Management Agency, General Provisions for Radiation Protection (32 Ill. Adm. Code 310)

 

C)        Department of Public Health, Control of Sexually Transmissible Infections Code (77 Ill. Adm. Code 693)

 

D)        Department of Public Health, Control of Notifiable Diseases and Conditions Code (77 Ill. Adm. Code 690)

 

E)        Department of Public Health, Control of Tuberculosis Code (77 Ill. Adm. Code 696)

 

F)         Pollution Control Board, Standards for Owners and Operators of Hazardous Waste Treatment, Storage, and Disposal Facilities (35 Ill. Adm. Code 724)

 

G)        Pollution Control Board, Special Waste Hauling (35 Ill. Adm. Code 809)

 

H)        Department of Public Health, Practice and Procedure in Administrative Hearings (77 Ill. Adm. Code 100)

 

I)         Capital Development Board, Illinois Accessibility Code (71 Ill. Adm. Code 400)

 

J)         Illinois Emergency Management Agency, Standards for Protection Against Radiation (32 Ill. Adm. Code 340)

 

K)        Illinois Emergency Management Agency, Use of X-rays in the Healing Arts Including Medical, Dental, Podiatry, and Veterinary Medicine (32 Ill. Adm. Code 360)

 

L)        Department of Public Health, Health Care Professional Credentials Data Collection Code (77 Ill. Adm. Code 965)

 

M)       Department of Public Health, Pregnancy Termination Report Code (77 Ill. Adm. Code 505)

 

(Source:  Amended at 48 Ill. Reg. 15862, effective October 24, 2024)