Rep. Elaine Nekritz
Filed: 4/5/2006
 
 

 




 

 		












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AMENDMENT TO SENATE BILL 2170




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    AMENDMENT NO. ______. Amend Senate Bill 2170 by replacing 
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everything after the enacting clause with the following:

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

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    (a) In this Section:
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        "Ambulance service provider" means a Vehicle Service 
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    Provider as defined in the Emergency Medical Services (EMS) 
 


 






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    Systems Act who provides non-emergency transportation 
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    services by ambulance.
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        "Patient" means a person who is transported by an 
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    ambulance service provider.

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

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        (1) The following caption must appear at the beginning 
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    of the notice in at least 14-point type: Notice to Patient 
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    Regarding Non-Emergency Ambulance Services.
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        (2) The notice must contain each of the following 
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    statements in at least 14-point type:
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            (A) The purpose of this notice is to help you make 
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        an informed choice about whether you want to be 
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        transported by ambulance because your medical 
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        condition does not meet medical necessity for 
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        transportation by an ambulance.
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            (B) Your insurance may not cover the charges for 
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        ambulance transportation.
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            (C) You may be responsible for the cost of 
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        ambulance transportation.
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            (D) The estimated cost of ambulance transportation 
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        is $(amount).
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        (3) The notice must be signed by the patient or by the 
 


 






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    patient's authorized representative. A copy shall be given 
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    to the patient and the hospital shall retain a copy.
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    (d) The notice set forth in subsection (c) of this Section 
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shall not be required if a delay in transport can be expected 
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to negatively affect the patient outcome.
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    (e) If a patient is physically or mentally unable to sign 
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the notice described in subsection (c) of this Section and no 
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authorized representative of the patient is available to sign 
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the notice on the patient's behalf, the hospital must be able 
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to provide documentation of the patient's inability to sign the 
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notice and the unavailability of an authorized representative. 
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In any case described in this subsection (e), the hospital 
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shall be considered to have met the requirements of subsection 
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(c) of this Section.


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