TITLE 77: PUBLIC HEALTH CHAPTER I: DEPARTMENT OF PUBLIC HEALTH SUBCHAPTER c: LONG-TERM CARE FACILITIES PART 300 SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE The General Assembly's Illinois Administrative Code database includes only those rulemakings that have been permanently adopted. This menu will point out the Sections on which an emergency rule (valid for a maximum of 150 days, usually until replaced by a permanent rulemaking) exists. The emergency rulemaking is linked through the notation that follows the Section heading in the menu. View Entire Part SUBPART A: GENERAL PROVISIONS Section 300.110 General Requirements Section 300.120 Application for License Section 300.130 Licensee Section 300.140 Issuance of an Initial License for a New Facility Section 300.150 Issuance of an Initial License Due to a Change of Ownership Section 300.160 Issuance of a Renewal License Section 300.163 Alzheimer's Special Care Disclosure Section 300.165 Criteria for Adverse Licensure Actions Section 300.170 Denial of Initial License Section 300.175 Denial of Renewal of License Section 300.180 Revocation of License Section 300.190 Experimental Program Conflicting With Requirements Section 300.200 Inspections, Surveys, Evaluations and Consultation Section 300.210 Filing an Annual Attested Financial Statement Section 300.220 Information to Be Made Available to the Public By the Department Section 300.230 Information to Be Made Available to the Public by the Licensee Section 300.240 Municipal Licensing Section 300.250 Ownership Disclosure Section 300.260 Issuance of Conditional Licenses Section 300.270 Monitor and Receivership Section 300.271 Presentation of Findings Section 300.272 Determination to Issue a Notice of Violation or Administrative Warning Section 300.274 Determination of the Level of a Violation Section 300.276 Notice of Violation Section 300.277 Administrative Warning Section 300.278 Plans of Correction Section 300.280 Reports of Correction Section 300.282 Conditions for Assessment of Penalties Section 300.284 Calculation of Penalties (Repealed) Section 300.286 Notice of Penalty Assessment; Response by Facility Section 300.287 Consideration of Factors for Assessing Penalties Section 300.288 Reduction or Waiver of Penalties Section 300.290 Quarterly List of Violators (Repealed) Section 300.300 Alcoholism Treatment Programs In Long-Term Care Facilities Section 300.310 Department may Survey Facilities Formerly Licensed Section 300.315 Supported Congregate Living Arrangement Demonstration (Repealed) Section 300.320 Waivers Section 300.330 Definitions Section 300.340 Incorporated and Referenced Materials SUBPART B: ADMINISTRATION Section 300.510 Administrator SUBPART C: POLICIES Section 300.610 Resident Care Policies Section 300.615 Determination of Need Screening and Request for Resident Criminal History Record Information Section 300.620 Admission, Retention and Discharge Policies Section 300.624 Criminal History Background Checks for Persons Who Were Residents on May 10, 2006 (Repealed) Section 300.625 Identified Offenders Section 300.626 Discharge Planning for Identified Offenders Section 300.627 Transfer of an Identified Offender Section 300.630 Contract Between Resident and Facility Section 300.640 Residents' Advisory Council Section 300.650 Personnel Policies Section 300.651 Whistleblower Protection Section 300.655 Initial Health Evaluation for Employees Section 300.660 Nursing Assistants Section 300.661 Health Care Worker Background Check Section 300.662 Resident Attendants Section 300.663 Registry of Certified Nursing Assistants Section 300.664 Certified Nursing Assistant Interns Section 300.665 Student Interns Section 300.670 Disaster Preparedness Section 300.680 Restraints Section 300.682 Nonemergency Use of Physical Restraints Section 300.684 Emergency Use of Physical Restraints Section 300.686 Unnecessary, Psychotropic, and Antipsychotic Medications Section 300.690 Incidents and Accidents Section 300.695 Contacting Local Law Enforcement Section 300.696 Infection Prevention and Control Section 300.697 Infection Preventionists Section 300.699 Electronic Monitoring Section 300.700 Testing for Legionella Bacteria SUBPART D: PERSONNEL Section 300.810 General Section 300.820 Categories of Personnel Section 300.830 Consultation Services Section 300.840 Personnel Policies Section 300.850 Employee Assistance Program SUBPART E: MEDICAL AND DENTAL CARE OF RESIDENTS Section 300.1010 Medical Care Policies Section 300.1020 Communicable Disease Policies Section 300.1025 Tuberculin Skin Test Procedures Section 300.1030 Medical Emergencies Section 300.1035 Life-Sustaining Treatments Section 300.1040 Care and Treatment of Sexual Assault Survivors Section 300.1050 Dental Standards Section 300.1060 Vaccinations SUBPART F: NURSING AND PERSONAL CARE Section 300.1210 General Requirements for Nursing and Personal Care Section 300.1220 Supervision of Nursing Services Section 300.1230 Direct Care Staffing Section 300.1231 Calculation of Direct Care Staffing During Inspections, Surveys and Evaluations Section 300.1232 Waiver of Registered Professional Nurse Staffing Requirements Section 300.1233 Quarterly Administrative Staffing Compliance Review Section 300.1234 Penalties and Notice of Violation Section 300.1240 Additional Requirements SUBPART G: RESIDENT CARE SERVICES Section 300.1410 Activity Program Section 300.1420 Specialized Rehabilitation Services Section 300.1430 Work Programs Section 300.1440 Volunteer Program Section 300.1450 Language Assistance Services SUBPART H: MEDICATIONS Section 300.1610 Medication Policies and Procedures Section 300.1620 Compliance with Licensed Prescriber's Orders Section 300.1630 Administration of Medication Section 300.1640 Labeling and Storage of Medications Section 300.1650 Control of Medications SUBPART I: RESIDENT AND FACILITY RECORDS Section 300.1810 Resident Record Requirements Section 300.1820 Content of Medical Records Section 300.1830 Records Pertaining to Residents' Property Section 300.1840 Retention and Transfer of Resident Records Section 300.1850 Other Resident Record Requirements Section 300.1860 Staff Responsibility for Medical Records Section 300.1870 Retention of Facility Records Section 300.1880 Other Facility Record Requirements SUBPART J: FOOD SERVICE Section 300.2010 Director of Food Services Section 300.2020 Dietary Staff in Addition to Director of Food Services Section 300.2030 Hygiene of Dietary Staff Section 300.2040 Diet Orders Section 300.2050 Meal Planning Section 300.2060 Therapeutic Diets (Repealed) Section 300.2070 Scheduling Meals Section 300.2080 Menus and Food Records Section 300.2090 Food Preparation and Service Section 300.2100 Food Handling Sanitation Section 300.2110 Kitchen Equipment, Utensils, and Supplies SUBPART K: MAINTENANCE, HOUSEKEEPING, AND LAUNDRY Section 300.2210 Maintenance Section 300.2220 Housekeeping Section 300.2230 Laundry Services SUBPART L: FURNISHINGS, EQUIPMENT, AND SUPPLIES Section 300.2410 Furnishings Section 300.2420 Equipment and Supplies Section 300.2430 Sterilization of Equipment and Supplies SUBPART M: WATER SUPPLY AND SEWAGE DISPOSAL Section 300.2610 Codes Section 300.2620 Water Supply Section 300.2630 Sewage Disposal Section 300.2640 Plumbing SUBPART N: DESIGN AND CONSTRUCTION STANDARDS FOR NEW INTERMEDIATE CARE AND SKILLED NURSING FACILITIES Section 300.2810 Applicability of this Subpart N Section 300.2820 Compliance with Local Codes and Standards Section 300.2830 Preparation of Drawings and Specifications Section 300.2840 Site Section 300.2850 Administration and Public Areas Section 300.2860 Nursing Unit Section 300.2870 Dining, Living, Activities Rooms Section 300.2880 Therapy and Personal Care Section 300.2890 Service Departments Section 300.2900 General Building Requirements Section 300.2910 Structural Section 300.2920 Mechanical Systems Section 300.2930 Plumbing Systems Section 300.2940 Electrical Systems SUBPART O: DESIGN AND CONSTRUCTION STANDARDS FOR EXISTING INTERMEDIATE CARE AND SKILLED NURSING FACILITIES Section 300.3010 Applicability Section 300.3020 Compliance with Local Codes and Standards Section 300.3030 Preparation of Drawings and Specifications Section 300.3040 Site Section 300.3050 Administration and Public Areas Section 300.3060 Nursing Unit Section 300.3070 Living, Dining, Activities Rooms Section 300.3080 Treatment and Personal Care Section 300.3090 Service Departments Section 300.3100 General Building Requirements Section 300.3110 Structural Section 300.3120 Mechanical Systems Section 300.3130 Plumbing Systems Section 300.3140 Electrical Requirements SUBPART P: RESIDENT'S RIGHTS Section 300.3210 General Section 300.3220 Medical Care Section 300.3230 Restraints (Repealed) Section 300.3240 Abuse and Neglect Section 300.3250 Communication and Visitation Section 300.3260 Resident's Funds Section 300.3270 Residents' Advisory Council Section 300.3280 Contract With Facility Section 300.3290 Private Right of Action Section 300.3300 Transfer or Discharge Section 300.3310 Complaint Procedures Section 300.3320 Confidentiality Section 300.3330 Facility Implementation Section 300.3340 Social Isolation SUBPART Q: SPECIALIZED LIVING FACILITIES FOR THE MENTALLY ILL Section 300.3410 Application of Other Sections of These Minimum Standards (Repealed) Section 300.3420 Administrator (Repealed) Section 300.3430 Policies (Repealed) Section 300.3440 Personnel (Repealed) Section 300.3450 Resident Living Services Medical and Dental Care (Repealed) Section 300.3460 Resident Services Program (Repealed) Section 300.3470 Psychological Services (Repealed) Section 300.3480 Social Services (Repealed) Section 300.3490 Recreational and Activities Services (Repealed) Section 300.3500 Individual Treatment Plan (Repealed) Section 300.3510 Health Services (Repealed) Section 300.3520 Medical Services (Repealed) Section 300.3530 Dental Services (Repealed) Section 300.3540 Optometric Services (Repealed) Section 300.3550 Audiometric Services (Repealed) Section 300.3560 Podiatric Services (Repealed) Section 300.3570 Occupational Therapy Services (Repealed) Section 300.3580 Nursing and Personal Care (Repealed) Section 300.3590 Resident Care Services (Repealed) Section 300.3600 Record Keeping (Repealed) Section 300.3610 Food Service (Repealed) Section 300.3620 Furnishings, Equipment and Supplies (New and Existing Facilities) (Repealed) Section 300.3630 Design and Construction Standards (New and Existing Facilities) (Repealed) SUBPART R: DAY CARE PROGRAMS Section 300.3710 Day Care in Long-Term Care Facilities SUBPART S: PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS Section 300.4000 Applicability of Subpart S Section 300.4010 Comprehensive Assessments for Residents with Serious Mental Illness Residing in Facilities Subject to Subpart S Section 300.4020 Reassessments for Residents with Serious Mental Illness Residing in Facilities Subject to Subpart S Section 300.4030 Individualized Treatment Plan for Residents with Serious Mental Illness Residing in Facilities Subject to Subpart S Section 300.4040 General Requirements for Facilities Subject to Subpart S Section 300.4050 Psychiatric Rehabilitation Services for Facilities Subject to Subpart S Section 300.4060 Discharge Plans for Residents with Serious Mental Illness Residing in Facilities Subject to Subpart S Section 300.4070 Work Programs for Residents with Serious Mental Illness Residing in Facilities Subject to Subpart S Section 300.4080 Community Based Rehabilitation Programs for Residents with Serious Mental Illness Residing in Facilities Subject to Subpart S Section 300.4090 Personnel for Providing Services to Persons with Serious Mental Illness for Facilities Subject to Subpart S SUBPART T: FACILITIES PARTICIPATING IN ILLINOIS DEPARTMENT OF PUBLIC AID'S DEMONSTRATION PROGRAM FOR PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS Section 300.6000 Applicability of Subpart T (Repealed) Section 300.6005 Quality Assessment and Improvement for Facilities Subject to Subpart T (Repealed) Section 300.6010 Comprehensive Assessments for Residents of Facilities Subject to Subpart T (Repealed) Section 300.6020 Reassessments for Residents of Facilities Subject to Subpart T (Repealed) Section 300.6030 Individualized Treatment Plan for Residents of Facilities Subject to Subpart T (Repealed) Section 300.6040 General Requirements for Facilities Subject to Subpart T (Repealed) Section 300.6045 Serious Incidents and Accidents in Facilities Subject to Subpart T (Repealed) Section 300.6047 Medical Care Policies for Facilities Subject to Subpart T (Repealed) Section 300.6049 Emergency Use of Restraints for Facilities Subject to Subpart T (Repealed) Section 300.6050 Psychiatric Rehabilitation Services for Facilities Subject to Subpart T (Repealed) Section 300.6060 Discharge Plans for Residents of Facilities Subject to Subpart T (Repealed) Section 300.6070 Work Programs for Residents of Facilities Subject to Subpart T (Repealed) Section 300.6080 Community-Based Rehabilitation Programs for Residents of Facilities Subject to Subpart T (Repealed) Section 300.6090 Personnel for Providing Services to Residents of Facilities Subject to Subpart T (Repealed) Section 300.6095 Training and Continuing Education for Facilities Subject to Subpart T (Repealed) SUBPART U: ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA Section 300.7000 Applicability Section 300.7010 Admission Criteria Section 300.7020 Assessment and Care Planning Section 300.7030 Ability-Centered Care Section 300.7040 Activities Section 300.7050 Staffing Section 300.7060 Environment Section 300.7070 Quality Assessment and Improvement Section 300.7080 Variances to Enhance Residents' Quality of Life Section 300.APPENDIX A Example of Staffing Calculations from Section 300.1230 Section 300.APPENDIX B Crosswalk of Nursing Home Care Act Job Descriptions and Payroll Based Journal Job Titles Section 300.APPENDIX C Federal Requirements Regarding Patients'/Residents' Rights (Repealed) Section 300.APPENDIX D Forms for Day Care in Long-Term Care Facilities Section 300.APPENDIX E Criteria for Activity Directors Who Need Only Minimal Consultation (Repealed) Section 300.APPENDIX F Guidelines for the Use of Various Drugs Section 300.APPENDIX G Facility Report Section 300.TABLE A Sound Transmission Limitations in New Skilled Nursing and Intermediate Care Facilities Section 300.TABLE B Pressure Relationships and Ventilation Rates of Certain Areas for New Intermediate Care Facilities and Skilled Nursing Facilities Section 300.TABLE C Construction Types and Sprinkler Requirements for Existing Skilled Nursing Facilities/Intermediate Care Facilities (Repealed) Section 300.TABLE D Heat Index Table/Apparent Temperature

AUTHORITY: Implementing and authorized by the Nursing Home Care Act [210 ILCS 45].

SOURCE: Emergency rules adopted at 4 Ill. Reg. 10, p. 1066, effective March 1, 1980, for a maximum of 150 days; adopted at 4 Ill. Reg. 30, p. 311, effective July 28, 1980; emergency amendment at 6 Ill. Reg. 3229, effective March 8, 1982, for a maximum of 150 days; amended at 6 Ill. Reg. 5981, effective May 3, 1982; amended at 6 Ill. Reg. 6454, effective May 14, 1982; amended at 6 Ill. Reg. 8198, effective June 29, 1982; amended at 6 Ill. Reg. 11631, effective September 14, 1982; amended at 6 Ill. Reg. 14550 and 14554, effective November 8, 1982; amended at 6 Ill. Reg. 14684, effective November 15, 1982; amended at 7 Ill. Reg. 285, effective December 22, 1982; amended at 7 Ill. Reg. 1972, effective January 28, 1983; amended at 7 Ill. Reg. 8579, effective July 11, 1983; amended at 7 Ill. Reg. 15831, effective November 10, 1983; amended at 7 Ill. Reg. 15864, effective November 15, 1983; amended at 7 Ill. Reg. 16992, effective December 14, 1983; amended at 8 Ill. Reg. 15599, 15603, and 15606, effective August 15, 1984; amended at 8 Ill. Reg. 15947, effective August 17, 1984; amended at 8 Ill. Reg. 16999, effective September 5, 1984; codified at 8 Ill. Reg. 19766; amended at 8 Ill. Reg. 24186, effective November 29, 1984; amended at 8 Ill. Reg. 24668, effective December 7, 1984; amended at 8 Ill. Reg. 25102, effective December 14, 1984; amended at 9 Ill. Reg. 132, effective December 26, 1984; amended at 9 Ill. Reg. 4087, effective March 15, 1985; amended at 9 Ill. Reg. 11049, effective July 1, 1985; amended at 11 Ill. Reg. 16927, effective October 1, 1987; amended at 12 Ill. Reg. 1052, effective December 24, 1987; amended at 12 Ill. Reg. 16811, effective October 1, 1988; emergency amendment at 12 Ill. Reg. 18477, effective October 24, 1988, for a maximum of 150 days; emergency expired March 23, 1989; amended at 13 Ill. Reg. 4684, effective March 24, 1989; amended at 13 Ill. Reg. 5134, effective April 1, 1989; amended at 13 Ill. Reg. 20089, effective December 1, 1989; amended at 14 Ill. Reg. 14950, effective October 1, 1990; amended at 15 Ill. Reg. 554, effective January 1, 1991; amended at 16 Ill. Reg. 681, effective January 1, 1992; amended at 16 Ill. Reg. 5977, effective March 27, 1992; amended at 16 Ill. Reg. 17089, effective November 3, 1992; emergency amendment at 17 Ill. Reg. 2420, effective February 3, 1993, for a maximum of 150 days; emergency expired on July 3, 1993; emergency amendment at 17 Ill. Reg. 8026, effective May 6, 1993, for a maximum of 150 days; emergency expired on October 3, 1993; amended at 17 Ill. Reg. 15106, effective September 3, 1993; amended at 17 Ill. Reg. 16194, effective January 1, 1994; amended at 17 Ill. Reg. 19279, effective October 26, 1993; amended at 17 Ill. Reg. 19604, effective November 4, 1993; amended at 17 Ill. Reg. 21058, effective November 20, 1993; amended at 18 Ill. Reg. 1491, effective January 14, 1994; amended at 18 Ill. Reg. 15868, effective October 15, 1994; amended at 19 Ill. Reg. 11600, effective July 29, 1995; emergency amendment at 20 Ill. Reg. 567, effective January 1, 1996, for a maximum of 150 days; emergency expired May 29, 1996; amended at 20 Ill. Reg. 10142, effective July 15, 1996; amended at 20 Ill. Reg. 12208, effective September 10, 1996; amended at 21 Ill. Reg. 15000, effective November 15, 1997; amended at 22 Ill. Reg. 4094, effective February 13, 1998; amended at 22 Ill. Reg. 7218, effective April 15, 1998; amended at 22 Ill. Reg. 16609, effective September 18, 1998; amended at 23 Ill. Reg. 1103, effective January 15, 1999; amended at 23 Ill. Reg. 8106, effective July 15, 1999; amended at 24 Ill. Reg. 17330, effective November 1, 2000; amended at 25 Ill. Reg. 4911, effective April 1, 2001; amended at 26 Ill. Reg. 3113, effective February 15, 2002; amended at 26 Ill. Reg. 4846, effective April 1, 2002; amended at 26 Ill. Reg. 10523, effective July 1, 2002; emergency amendment at 27 Ill. Reg. 2181, effective February 1, 2003, for a maximum of 150 days; emergency expired June 30, 2003; emergency amendment at 27 Ill. Reg. 5452, effective March 25, 2003, for a maximum of 150 days; emergency expired August 21, 2003; amended at 27 Ill. Reg. 5862, effective April 1, 2003; emergency amendment at 27 Ill. Reg. 14204, effective August 15, 2003, for a maximum of 150 days; emergency expired January 11, 2004; amended at 27 Ill. Reg. 15855, effective September 25, 2003; amended at 27 Ill. Reg. 18105, effective November 15, 2003; expedited correction at 28 Ill. Reg. 3528, effective November 15, 2003; amended at 28 Ill. Reg. 11180, effective July 22, 2004; amended at 28 Ill. Reg. 14623, effective October 20, 2004; amended at 29 Ill. Reg. 876, effective December 22, 2004; emergency amendment at 29 Ill. Reg. 11824, effective July 12, 2005, for a maximum of 150 days; emergency rule modified in response to JCAR Recommendation at 29 Ill. Reg. 15101, effective September 23, 2005, for the remainder of the maximum 150 days; emergency amendment expired December 8, 2005; amended at 29 Ill. Reg. 12852, effective August 2, 2005; amended at 30 Ill. Reg. 1425, effective January 23, 2006; amended at 30 Ill. Reg. 5213, effective March 2, 2006; amended at 31 Ill. Reg. 6044, effective April 3, 2007; amended at 31 Ill. Reg. 8813, effective June 6, 2007; amended at 33 Ill. Reg. 9356, effective June 17, 2009; amended at 34 Ill. Reg. 19182, effective November 23, 2010; amended at 35 Ill. Reg. 3378, effective February 14, 2011; amended at 35 Ill. Reg. 11419, effective June 29, 2011; expedited correction at 35 Ill. Reg. 17468, effective June 29, 2011; amended at 36 Ill. Reg. 14090, effective August 30, 2012; amended at 37 Ill. Reg. 2298, effective February 4, 2013; amended at 37 Ill. Reg. 4954, effective March 29, 2013; amended at 38 Ill. Reg. 22851, effective November 21, 2014; amended at 39 Ill. Reg. 5456, effective March 25, 2015; amended at 41 Ill. Reg. 14811, effective November 15, 2017; amended at 43 Ill. Reg. 3536, effective February 28, 2019; emergency amendment at 44 Ill. Reg. 8521, effective May 5, 2020, for a maximum of 150 days; emergency amendment to emergency rule at 44 Ill. Reg. 16264, effective September 15, 2020, for the remainder of the 150 days; emergency rule as amended expired October 1, 2020; emergency amendment at 44 Ill. Reg. 10217, effective May 28, 2020, for a maximum of 150 days; amended by emergency amendment to emergency rule at 44 Ill. Reg. 12931, effective July 14, 2020, for the remainder of the 150 days; emergency rule as amended repealed at 44 Ill. Reg. 17790, effective October 23, 2020; emergency amendment at 44 Ill. Reg. 16894, effective October 2, 2020, for a maximum of 150 days; emergency rule expired February 28, 2021; emergency amendment at 44 Ill. Reg. 18462, effective October 23, 2020, for a maximum of 150 days; emergency rule expired March 21, 2021; emergency amendment at 44 Ill. Reg. 19551, effective December 2, 2020, for a maximum of 150 days; emergency amendment to emergency rule at 45 Ill. Reg. 393, effective December 18, 2020, for the remainder of the 150 days; emergency rule as amended expired April 30, 2021; amended at 45 Ill. Reg. 1134, effective January 8, 2021; emergency amendment at 45 Ill. Reg. 3046, effective March 1, 2021, for a maximum of 150 days; emergency amendment repealed by emergency rulemaking at 45 Ill. Reg. 10087, effective July 25, 2021; emergency amendment at 45 Ill. Reg. 4285, effective March 22, 2021, for a maximum of 150 days; emergency expired August 18, 2021; emergency amendment at 45 Ill. Reg. 6354, effective May 1, 2021, for a maximum of 150 days; emergency expired September 27, 2021; emergency amendment at 45 Ill. Reg. 9498, effective July 8, 2021, for a maximum of 150 days; emergency amendment at 45 Ill. Reg. 10847, effective August 19, 2021, for a maximum of 150 days; emergency amendment to emergency rule at 45 Ill. Reg. 12889, effective September 21, 2021, for the remainder of the 150 days; emergency amendment to emergency rule at 45 Ill. Reg. 15127, effective November 9, 2021, for the remainder of the 150 days; emergency rule as amended expired January 15, 2022; amended at 45 Ill. Reg. 11096, effective August 27, 2021; emergency amendment at 45 Ill. Reg. 11941, effective September 17, 2021, for a maximum of 150 days; emergency amendment to emergency rule at 45 Ill. Reg. 14550, effective November 5, 2021, for the remainder of the 150 days; emergency expired February 13, 2022; emergency amendment at 45 Ill. Reg. 13108, effective September 28, 2021, for a maximum of 150 days; emergency expired February 24, 2022; emergency amendment at 45 Ill. Reg. 14003, effective October 22, 2021, for a maximum of 150 days; emergency expired March 20, 2022; amended at 45 Ill. Reg. 13953, effective October 25, 2021; expedited correction at 46 Ill. Reg. 4157, effective October 25, 2021; emergency amendment at 46 Ill. Reg. 1928, effective January 16, 2022, for a maximum of 150 days; emergency amendment at 46 Ill. Reg. 3243, effective February 14, 2022, for a maximum of 150 days; emergency expired July 13, 2022; emergency amendment at 46 Ill. Reg. 4136, effective February 25, 2022, for a maximum of 150 days; emergency expired July 24, 2022; emergency amendment at 46 Ill. Reg. 5554, effective March 21, 2022, for a maximum of 150 days; amended at 46 Ill. Reg. 6033, effective April 1, 2022; amended at 46 Ill. Reg. 10460, effective May 31, 2022; emergency amendment at 46 Ill. Reg. 13378, effective July 14, 2022, for a maximum of 150 days; emergency amendment to emergency rule at 46 Ill. Reg. 16428, effective September 19, 2022, for the remainder of the 150 days; emergency amendment to emergency rule at 46 Ill. Reg. 18219, effective October 31, 2022, for the remainder of the 150 days; emergency expired December 10, 2022; amended at 46 Ill. Reg. 14237, effective July 27, 2022; amended at 46 Ill. Reg. 16829, effective September 26, 2022; emergency amendment at 46 Ill. Reg. 20243, effective December 11, 2022, for a maximum of 150 days; emergency expired May 9, 2023; amended at 47 Ill. Reg. 7717, effective May 17, 2023; amended at 48 Ill. Reg. 3317, effective February 16, 2024; amended at 48 Ill. Reg. 9947, effective June 21, 2024; amended at 48 Ill. Reg. 13796, effective August 28, 2024.