State of Illinois
90th General Assembly
Legislation

   [ Search ]   [ Legislation ]   [ Bill Summary ]
[ Home ]   [ Back ]   [ Bottom ]


[ Engrossed ][ Enrolled ][ House Amendment 001 ]
[ House Amendment 002 ][ Senate Amendment 001 ]

90_HB0522

      New Act
      5 ILCS 80/4.18 new
          Creates the Home Medical Equipment and Services  Provider
      License  Act  to  regulate  the  provision  of  home  medical
      equipment  and  services through licensure requirements. Sets
      forth criminal and civil  penalties.  Amends  the  Regulatory
      Agency  Sunset  Act  to repeal the Home Medical Equipment and
      Services Provider License Act on January 1,  2008.  Effective
      immediately.
                                                    LRB9000457DPccA
                                              LRB9000457DPccA
 1        AN  ACT  creating the Home Medical Equipment and Services
 2    Provider License Act and amending a named Act.
 3        Be it enacted by the People of  the  State  of  Illinois,
 4    represented in the General Assembly:
 5        Section  1.  Short  title.   This Act may be cited as the
 6    Home Medical Equipment and Services Provider License Act.
 7        Section  5.  Declaration  of  legislative  findings.  The
 8    General  Assembly  finds  that  home  medical  equipment  and
 9    services  providers in  the  State  of  Illinois  affect  the
10    public  health,  welfare, and safety, and therefore finds the
11    regulation and control  of  those  providers  to  be  in  the
12    public  interest. It is further declared that, as a matter of
13    public policy, home medical equipment and services  providers
14    should  merit  the confidence of the public and, to this end,
15    that only qualified entities be permitted to hold  themselves
16    out to the public as  home  medical  equipment  and  services
17    providers.  This  Act  shall  be  liberally construed to best
18    carry out these findings.
19        Section 10. Definitions.  As used in this Act:
20             (1)  "Department"   means    the    Department    of
21        Professional  Regulation.
22             (2)  "Director"  means  the Director of Professional
23        Regulation.
24             (3)  "Board" means the Home  Medical  Equipment  and
25        Services Board.
26             (4)  "Home  medical equipment and services provider"
27        or "provider" means a legal  entity, as defined by  State
28        law,  engaged  in the business of  providing home medical
29        equipment and services, whether directly   or  through  a
30        contractual   arrangement,   to   an  unrelated  sick  or
                            -2-               LRB9000457DPccA
 1        disabled individual where that individual resides.
 2             (5)  "Home medical equipment and services" means the
 3        delivery,  installation,  maintenance,  replacement,   or
 4        instruction  in  the  use  of medical equipment used by a
 5        sick or disabled individual to allow the individual to be
 6        maintained in his or her residence.
 7             (6)  "Home medical equipment" means  technologically
 8        sophisticated    medical  devices  usable  in a home care
 9        setting, including but not  limited to:
10                  (A)  a device,  apparatus,  machine,  or  other
11             similar   article   bearing  a  label  that  states:
12             "Caution: federal law requires dispensing by  or  on
13             the order of a physician.";
14                  (B)  oxygen and oxygen delivery systems;
15                  (C)  ventilators;
16                  (D)  respiratory  disease  management  devices,
17             excluding compressor driven nebulizers;
18                  (E)  electronic       and       computer-driven
19             wheelchairs;
20                  (F)  wheelchair seating systems;
21                  (G)  apnea monitors;
22                  (H)  transcutaneous electrical nerve stimulator
23             (TENS) units;
24                  (I)  low air-loss cutaneous pressure management
25             devices;
26                  (J)  sequential compression devices;
27                  (K)  neonatal home phototherapy devices;
28                  (L)  enteral feeding pumps;
29                  (M)  hospital beds; and
30                  (N)  other  similar equipment as defined by the
31             Board.
32             "Home  medical  equipment"  does  not   mean   items
33        typically sold on a non-prescription basis, including but
34        not limited to upper and lower extremity  prosthetics and
                            -3-               LRB9000457DPccA
 1        related  orthotics,  canes,  crutches,  walkers,  bathtub
 2        safety aids, bandages, wraps, and other disposable items.
 3        Section 15.  Licensure requirement; exempt activities.
 4        (a)  Beginning  January  1, 1998, no entity shall provide
 5    home medical equipment and services, or use the  title  "home
 6    medical  equipment  and services provider" in connection with
 7    his or her profession or business, without a  license  issued
 8    by the Department under this Act.
 9        (b)  Nothing in this Act shall be construed as preventing
10    or  restricting the practices, services, or activities of the
11    following,  unless  those  practices, services, or activities
12    include providing home medical equipment and services through
13    a separate legal entity:
14             (1)  a person licensed or registered in  this  State
15        by any other law engaging in the profession or occupation
16        for which he or she is licensed or registered;
17             (2)  home  health agencies that do not have a Part B
18        Medicare supplier number or that do  not  engage  in  the
19        provision of home medical equipment and services;
20             (3)  hospitals,    excluding    hospital-owned   and
21        hospital-related providers  of home medical equipment and
22        services;
23             (4)  manufacturers  and  wholesale  distributors  of
24        home medical equipment who do  not  sell  directly  to  a
25        patient;
26             (5)  health    care   practitioners   who   lawfully
27        prescribe or order home medical equipment  and  services,
28        or  who  use home medical equipment and services to treat
29        their patients, including but not limited to  physicians,
30        nurses,   physical  therapists,  respiratory  therapists,
31        occupational  therapists,  speech-language  pathologists,
32        optometrists, chiropractors, and podiatrists;
33             (6)  pharmacists,  pharmacies,  and  home   infusion
                            -4-               LRB9000457DPccA
 1        pharmacies  that are not engaged in the sale or rental of
 2        home medical equipment and services;
 3             (7)  hospice programs that do not involve  the  sale
 4        or rental of home medical equipment and services;
 5             (8)  nursing homes;
 6             (9)  veterinarians;
 7             (10)  dentists; and
 8             (11)  emergency medical service providers.
 9        Section 20. Powers and duties of the Department.
10        (a)  The  Department shall exercise the powers and duties
11    prescribed by the Civil Administrative Code of  Illinois  for
12    the administration of licensure Acts and shall exercise other
13    powers  and duties necessary for effectuating the purposes of
14    this Act.
15        (b)  The Department may adopt  rules  to  administer  and
16    enforce  this  Act,  including  but  not  limited to fees for
17    original licensure and renewal and restoration  of  licenses,
18    and  may  prescribe forms to be issued to implement this Act.
19    At a minimum, the  rules  adopted  by  the  Department  shall
20    include   standards   and  criteria  for  licensure  and  for
21    professional conduct and  discipline.  The  Department  shall
22    consult  with the Board in adopting rules. Notice of proposed
23    rulemaking  shall  be  transmitted  to  the  Board,  and  the
24    Department  shall  review  the  Board's  response   and   any
25    recommendations  made  in  the response. The Department shall
26    notify the  Board  in  writing  with  proper  explanation  of
27    deviations from the Board's recommendations and response.
28        (c)  The  Department  may at any time seek the advice and
29    expert knowledge of the Board on any matter relating  to  the
30    administration of this Act.
31        (d)  The Department shall issue a quarterly report to the
32    Board  of  the  status  of  all  complaints  related  to  the
33    profession and filed with the Department.
                            -5-               LRB9000457DPccA
 1        Section  25.  Home  Medical Equipment and Services Board.
 2    The Director shall  appoint  a  Home  Medical  Equipment  and
 3    Services  Board,  in  consultation  with  a state association
 4    representing  the  home  medical   equipment   and   services
 5    industry,  to  serve in an advisory capacity to the Director.
 6    The Board shall consist of 7 members. Four members  shall  be
 7    home     medical     equipment    and    services    provider
 8    representatives, 2 of whom represent businesses grossing less
 9    than  $500,000 per year in  revenues,  2  of  whom  represent
10    businesses  grossing  $500,000  or more per year in revenues,
11    and at least one of  whom  shall  also  be  a  pharmacy-based
12    provider. The 3 remaining members shall include one home care
13    clinical  specialist,  one respiratory care practitioner, and
14    one consumer of home medical equipment and services.
15        Members  shall  serve  4  year  terms  and  until   their
16    successors  are  appointed  and qualified, except that of the
17    initial appointments, the consumer member shall be  appointed
18    to  serve for one year, 2 members shall be appointed to serve
19    for 2 years, 3 members shall be  appointed  to  serve  for  3
20    years,  and  one  member  who is a home medical equipment and
21    services provider representative shall be appointed to  serve
22    for  4    years, and until their successors are appointed and
23    qualified. No member shall be reappointed to the Board for  a
24    term  that  would  cause  continuous  service on the Board to
25    exceed 8 years. Appointments to fill vacancies shall be  made
26    in   the  same  manner  as  original  appointments,  for  the
27    unexpired portion of the vacated term.  Initial  terms  shall
28    begin on the effective date of this Act.
29        The   home   medical   equipment  and  services  provider
30    representatives appointed  to the Board shall have engaged in
31    the provision of  home  medical  equipment  and  services  or
32    related  home  care  services  for  at least 3 years prior to
33    their appointment, shall be currently  engaged  in  providing
34    home medical equipment and services in the State of Illinois,
                            -6-               LRB9000457DPccA
 1    and  must  have  no record of convictions related to fraud or
 2    abuse under either State or federal law.
 3        The membership of the  Board  should  reasonably  reflect
 4    representation from the geographic areas in this State.
 5        The  Board  shall  annually  elect  one of its members as
 6    chairperson.
 7        Members of the Board  shall  receive  as  compensation  a
 8    reasonable  sum  as  determined  by the Director for each day
 9    actually engaged in the duties of the office,  and  shall  be
10    reimbursed for reasonable expenses incurred in performing the
11    duties of the office.
12        The Board shall present an annual report to the Director,
13    the  content  of  which  shall  be  set  forth by rule of the
14    Department.
15        The Director may terminate the appointment of any  member
16    for  cause  which  in  the opinion of the Director reasonably
17    justifies the termination.
18        Through consultation with members of a state  association
19    for  the  home  medical  equipment and services industry, the
20    Board may recommend to the Department rules that specify  the
21    medical  equipment  to  be  included under this Act, that set
22    standards  for  the  licensure,  professional  conduct,   and
23    discipline   of  entities that provide home medical equipment
24    and services, and that govern the safety and quality of  home
25    medical  equipment  and services. The Director shall consider
26    the recommendations of the Board.
27        Section   30.   Application   for   original   licensure.
28    Applications  for original licensure shall  be  made  to  the
29    Department  in  writing  and signed by the applicant on forms
30    prescribed by the Department and shall be accompanied by    a
31    nonrefundable   fee  set  by  rule  of  the  Department.  The
32    Department may require from an applicant information that, in
33    its judgment, will enable  the  Department  to  pass  on  the
                            -7-               LRB9000457DPccA
 1    qualifications of the applicant for licensure.
 2        An  applicant has 3 years from the date of application to
 3    complete the application process.  If  the  process  has  not
 4    been  completed  in 3 years, the application shall be denied,
 5    the fee shall be forfeited, and the  applicant  must  reapply
 6    and   meet   the  requirements  in  effect  at  the  time  of
 7    reapplication.
 8        Section 35. Qualifications for licensure.
 9        (a)  An entity is qualified to  receive a  license  as  a
10    home  medical  equipment and services  provider if the entity
11    meets each of the following requirements:
12             (1)  complies with all applicable federal and  State
13        licensure and regulatory requirements;
14             (2)  maintains   a  physical  facility  and  medical
15        equipment  inventory.  There shall only  be  one  license
16        permitted at each  address;
17             (3)  establishes   proof   of   commercial   general
18        liability  insurance,    including  but  not  limited  to
19        coverage   for   products   liability   and  professional
20        liability;
21             (4)  establishes  and  provides  records  of  annual
22        continuing  education  for  personnel  engaged   in   the
23        delivery,   maintenance,   repair,   cleaning,  inventory
24        control,  and  financial  management  of   home   medical
25        equipment and services;
26             (5)  maintains  records  on  all patients to whom it
27        provides home medical equipment and services;
28             (6)  establishes equipment management and  personnel
29        policies;
30             (7)  makes  life  sustaining  home medical equipment
31        and services available 24 hours per day and  7  days  per
32        week;
33             (8)  complies with any additional qualifications for
                            -8-               LRB9000457DPccA
 1        licensure as determined by rule of the Department.
 2        (b)  Notwithstanding  the requirements of subsection (a),
 3    an  applicant  may  qualify  for  licensure   by   submitting
 4    documents   evidencing  accreditation  through  a  recognized
 5    national accrediting body based on home care standards.   The
 6    Board shall issue a license upon receipt of a copy of a valid
 7    accreditation  letter  from a recognized national accrediting
 8    body.
 9        (c)  The Department may request a personal  interview  of
10    an  applicant    before  the  Board  to  further evaluate the
11    entity's  qualifications for licensure.
12        Section 40. Issuance of  license.  The  Department  shall
13    issue  a license to an applicant who has met the requirements
14    of Section 35 and has paid the required application fee.
15        Section 45. Display of license; advertising; penalties.
16        (a)  An entity that advertises home medical equipment and
17    services shall, at its place of business, display the license
18    of the entity. The number of the license so  displayed  shall
19    also be included with the entity's identification on vehicles
20    used for licensed activities.
21        (b)  No  entity  that  provides  home  medical  equipment
22    services may advertise the equipment and services unless that
23    entity  includes in the advertisement the license number that
24    is required to be displayed  under  subsection  (a).  Nothing
25    contained  in  this  subsection  requires  the  publisher  of
26    advertising  for  home  medical  equipment  and  services  to
27    investigate  or  verify  the  accuracy  of the license number
28    provided by the advertiser.
29        (c)  An entity that advertises home medical equipment and
30    services and that (i) fails to display the license number  as
31    required by subsection (a), (ii) fails to provide a publisher
32    with  the  correct  license  number  under subsection (b), or
                            -9-               LRB9000457DPccA
 1    (iii) provides a publisher with a false license number  or  a
 2    license  number of an entity other than the entity designated
 3    under subsection (a), or any entity that allows  its  license
 4    number  to  be  displayed  or  used in order to allow another
 5    entity to circumvent  any  provisions  of  this  Section,  is
 6    guilty  of  a Class A misdemeanor with a fine of $1,000. Each
 7    day that an entity fails  to  display  the  required  license
 8    under subsection (a), each day that an advertisement runs, or
 9    each day that an entity allows its license to be displayed or
10    used  in  violation  of  this  Section constitutes a separate
11    offense. In addition to, and not in lieu  of,  the  penalties
12    and remedies provided for in this Section, an entity licensed
13    under this Act who violates a provision of this Section shall
14    be  subject  to  the administrative enforcement provisions of
15    this Act.
16        Section 50. License expiration; renewal.  The  expiration
17    date,  renewal  period,  renewal  fees,  and  procedures  for
18    renewal  of  licenses  issued  under this Act shall be set by
19    rule of the Department. An entity may renew  its  license  by
20    paying   the   required   fee  and  by  meeting  the  renewal
21    requirements adopted by the Department under this Section.
22        Section 55. Restoration of expired or inactive license. A
23    home  medical  equipment  and  services  provider  that   has
24    permitted  its  license to expire or that has had the license
25    on inactive status may have the license restored at any  time
26    within  5  years  of  its expiration or placement on inactive
27    status by paying the required restoration fee.
28        A home medical  equipment  and  services  provider  whose
29    license has been expired for more than 5 years or has been on
30    inactive  status  for  more than 5 years may have the license
31    restored by making application to the Department  and  filing
32    proof  acceptable  to  the  Department of fitness to have the
                            -10-              LRB9000457DPccA
 1    license  restored, including  sworn  evidence  certifying  to
 2    active  practice  in another jurisdiction satisfactory to the
 3    Department and by  paying the required restoration fee.    If
 4    the  home  medical  equipment  and  services provider has not
 5    maintained  an  active  practice  in   another   jurisdiction
 6    satisfactory   to   the   Department,  the  Department  shall
 7    determine  the  entity's  fitness  to  resume  active  status
 8    through an evaluation program  established  by  rule  of  the
 9    Department with the advice of the Board.
10        Section  60.  Endorsement.   The  Department  may, at its
11    discretion, license as a home medical equipment and  services
12    provider, on payment of the required fee, an applicant who is
13    a  home medical equipment and services provider registered or
14    licensed under the  laws  of  another  state,  territory,  or
15    country  if  the  requirements  pertaining  to  home  medical
16    equipment and services providers in that state, territory, or
17    country  were,  on the date of the registration or licensure,
18    substantially equal to the requirements in force in  Illinois
19    on that date.
20        Applicants  have  3 years from the date of application to
21    complete the application process. If the process has not been
22    completed in 3 years, the application shall  be  denied,  the
23    fee  shall  be  forfeited, and the applicant must reapply and
24    meet the requirements in effect at the time of reapplication.
25        Section 65. Fees; returned checks. An entity who delivers
26    a check or other payment to the Department that  is  returned
27    to  the  Department  unpaid by the financial institution upon
28    which it is drawn shall pay to the Department, in addition to
29    the amount already owed to the Department, a fine of $50.  If
30    the check or other payment was for a renewal or issuance  fee
31    and  that  entity  operates  without  paying  the  renewal or
32    issuance fee and the fine due, an  additional  fine  of  $100
                            -11-              LRB9000457DPccA
 1    shall  be  imposed.  The fines imposed by this Section are in
 2    addition to any other discipline provided under this Act  for
 3    unlicensed practice or practice on a nonrenewed license.  The
 4    Department  shall notify the entity that fees and fines shall
 5    be paid to the Department by certified check or  money  order
 6    within  30  calendar days of the notification.  If, after the
 7    expiration of 30 days from the date of the notification,  the
 8    entity  has  failed  to  submit the necessary remittance, the
 9    Department shall automatically terminate the license or  deny
10    the  application  without  a  hearing.  If the entity seeks a
11    license after termination or denial, the entity  shall  apply
12    to  the Department for restoration or issuance of the license
13    and pay all fees and  fines  owed  to  the  Department.   The
14    Department  may  establish  a  fee  for  the processing of an
15    application for restoration of a license to pay all  expenses
16    of  processing  that  application. The Director may waive the
17    fines due under this Section in individual  cases  where  the
18    Director  finds  that  the  fines  would  be  unreasonable or
19    unnecessarily burdensome.
20        Section 70. Roster of licensees.   The  Department  shall
21    maintain a roster of the names and addresses of all licensees
22    and  of  all  entities  whose  license  has been suspended or
23    revoked within the  previous  year.   This  roster  shall  be
24    available  upon  written  request and payment of the required
25    fee.
26        Section 75. Refused issuance, suspension,  or  revocation
27    of  license.  The  Department  may refuse to issue, renew, or
28    restore  a  license,  or  may  revoke,    suspend,  place  on
29    probation, reprimand, impose a fine not to  exceed  $500  for
30    each  violation,  or  take  other  disciplinary action as the
31    Department may deem proper with regard to a licensee for  any
32    one or combination of the following reasons:
                            -12-              LRB9000457DPccA
 1             (1)  Making  a  material  misstatement in furnishing
 2        information to the Department.
 3             (2)  Negligent or intentional disregard of this  Act
 4        or its rules.
 5             (3)  Conviction  of  a  crime  under the laws of the
 6        United States or any state or territory thereof that is a
 7        felony or a misdemeanor, an essential element of which is
 8        dishonesty, or conviction of a  crime  that  is  directly
 9        related  to  the provision of home  medical equipment and
10        services.
11             (4)  Making a misrepresentation to obtain  licensure
12        or to violate a provision of this Act.
13             (5)  Professional incompetence.
14             (6)  Malpractice.
15             (7)  Aiding,   assisting,  or  willingly  permitting
16        another person in violating any provision  of this Act or
17        its rules.
18             (8)  Failing, within 60 days, to provide information
19        in response to a written request made by the Department.
20             (9)  Engaging   in   dishonorable,   unethical,   or
21        unprofessional conduct of a character likely to  deceive,
22        defraud, or harm the public.
23             (10)  Discipline   by  another  state,  District  of
24        Columbia, territory, or foreign nation, if at  least  one
25        of  the  grounds  for  the  discipline  is  the  same  or
26        substantially equivalent to one set forth in this Act.
27             (11)  Directly  or indirectly giving to or receiving
28        from  any  person,  firm,  corporation,  partnership,  or
29        association any fee, commission, rebate, or other form of
30        compensation for any services not actually or  personally
31        rendered.
32             (12)  A  finding that the licensee, after having its
33        license placed on probationary status, has  violated  the
34        terms of probation.
                            -13-              LRB9000457DPccA
 1             (13)  Willfully  making  or  filing false records or
 2        reports in the course of providing home medical equipment
 3        and services, including but not limited to false  records
 4        or reports filed with  State agencies or departments.
 5             (14)  Solicitation  of business services, other than
 6        according to permitted advertising.
 7             (15)  The use of any words, abbreviations,  figures,
 8        or letters with the intention of indicating practice as a
 9        home  medical  equipment  and services provider without a
10        license issued under this Act.
11             (16)  Failure to file a return, or to pay  the  tax,
12        penalty,  or  interest shown in a filed return, or to pay
13        any final assessment  of tax, penalty,  or  interest,  as
14        required  by  any tax Act  administered by the Department
15        of Revenue, until such  time as the requirements  of  any
16        such tax Act are satisfied.
17        Section 80. Cease and desist order.
18        (a)  If  any entity violates a provision of this Act, the
19    Director may, in the name of  the  People  of  the  State  of
20    Illinois,  through  the  Attorney  General  of  the  State of
21    Illinois, petition for an order enjoining  the  violation  or
22    for  an  order  enforcing compliance with this Act.  Upon the
23    filing of a verified petition in court, the court may issue a
24    temporary restraining order, without notice or bond, and  may
25    preliminarily and permanently enjoin the violation, and if it
26    is  established  that the entity has violated or is violating
27    the  injunction,  the  court  may  punish  the  offender  for
28    contempt of court.  Proceedings under this Section  shall  be
29    in  addition  to,  and not in lieu of, all other remedies and
30    penalties provided by this Act.
31        (b)  If an entity holds itself out as a provider of  home
32    medical equipment and services without a license issued under
33    this  Act, an interested party or any person injured thereby,
                            -14-              LRB9000457DPccA
 1    in addition to the  Director,  may  petition  for  relief  as
 2    provided in  subsection (a) of this Section.
 3        (c)  Whenever  in the opinion of the Department an entity
 4    violates a provision of this Act, the Department may issue  a
 5    rule  to  show  cause why an order to cease and desist should
 6    not be entered against the entity.  The  rule  shall  clearly
 7    set forth the grounds relied upon by the Department and shall
 8    provide  a period of 7 days from the date of the rule to file
 9    an answer to the satisfaction of the Department.  Failure  to
10    answer  to  the satisfaction of the Department shall cause an
11    order to cease and desist to be issued immediately.
12        Section 85. Unlicensed practice; civil penalty.
13        (a) An entity who practices, offers to practice, attempts
14    to practice, or holds  itself  out  to  practice  as  a  home
15    medical   equipment   and  services  provider  without  being
16    licensed under this Act  shall,  in  addition  to  any  other
17    penalty   provided  by  law,  pay  a  civil  penalty  to  the
18    Department in an amount not to exceed $5,000 for each offense
19    as determined by the Department.  The civil penalty shall  be
20    assessed  by  the  Department  after  a  hearing  is  held in
21    accordance  with  the  provisions  set  forth  in  this   Act
22    regarding  the provision of a hearing for the discipline of a
23    licensee. The civil penalty shall  be  paid  within  60  days
24    after  the  effective  date  of  the order imposing the civil
25    penalty. The order shall constitute a  judgment  and  may  be
26    filed  and  executed  in the same manner as any judgment from
27    any court of record.
28        (b)  The  Department  may  investigate   any   unlicensed
29    activity.
30        Section  90. Mandatory inspections.  The Department shall
31    inspect licensees at least once every 3 years for  compliance
32    with  the  requirements  of  this Act unless the licensee can
                            -15-              LRB9000457DPccA
 1    demonstrate  proof  of  renewal  of  accreditation   with   a
 2    recognized  national  accrediting  body. The Department shall
 3    conduct random inspections upon renewal  of  a  license,  for
 4    cause   or   as   necessary   to  assure  the  integrity  and
 5    effectiveness of the licensing process.  Upon failure to pass
 6    inspection, a provider's license shall be suspended or denied
 7    as applicable, pending review by the  Board.  The  Department
 8    may  authorize qualified individuals to conduct  inspections.
 9    The Department shall set by rule, and pay to an inspector,  a
10    fee  for  each  inspection.  An  entity that fails to pass an
11    inspection is subject to penalties  under  Section  80.  Upon
12    notice  of  failure  to  pass an inspection, a provider shall
13    have 30 days to appeal the inspection results. On  appeal,  a
14    provider shall have the right to an inspection review or to a
15    new  inspection  in accordance with procedures adopted by the
16    Department.
17        Section 95. Investigations; notice and hearing.
18        (a)  The Department may investigate  the  actions  of  an
19    applicant  or  of  an  entity  holding  or claiming to hold a
20    license.
21        (b)  The Department shall, before refusing  to  issue  or
22    renew  a license or disciplining a licensee, at least 30 days
23    prior to the date set for the hearing, notify in writing  the
24    applicant or licensee of the nature of the charges and that a
25    hearing  will be held on the date designated.  The Department
26    shall direct the applicant or  licensee  to  file  a  written
27    answer  to  the  Board  under  oath  within 20 days after the
28    service of the notice and inform the  applicant  or  licensee
29    that  failure  to file an answer will result in default being
30    taken against the applicant or licensee and that the  license
31    may  be suspended, revoked, placed on probationary status, or
32    other disciplinary action may be  taken,  including  limiting
33    the scope, nature, or extent of business, as the Director may
                            -16-              LRB9000457DPccA
 1    deem  proper.   Written  notice  may  be  served  by personal
 2    delivery or certified or registered mail to the respondent at
 3    the  address  of  the  entity's  last  notification  to   the
 4    Department.  If  the  entity  fails  to  file an answer after
 5    receiving notice, the entity's license may, in the discretion
 6    of the  Department,  be  suspended,  revoked,  or  placed  on
 7    probationary  status,  or  the  Department  may take whatever
 8    disciplinary action it deems proper, including  limiting  the
 9    scope,  nature,  or  extent  of  the  entity's  business,  or
10    imposing  a  fine,  without  a  hearing,  if  the act or acts
11    charged constitute sufficient grounds for such  action  under
12    this  Act.  At  the  time  and place fixed in the notice, the
13    Board shall proceed to hear the charges, and the  parties  or
14    their  counsel shall be accorded ample opportunity to present
15    such statements, testimony, evidence, and argument as may  be
16    pertinent to the charges or to  their defense.  The Board may
17    continue a hearing from time to time.
18        Section 100. Stenographer; transcript.  The Department at
19    its  expense,  shall  preserve a record of all proceedings at
20    the formal hearing of any case involving the refusal to issue
21    or renew a license or the  discipline  of  a  licensee.   The
22    notice  of hearing, complaint, and all other documents in the
23    nature  of  pleadings,   written   motions   filed   in   the
24    proceedings,  the  transcript of testimony, the report of the
25    Board, and the order of the Department shall be the record of
26    the proceeding.
27        Section 105. Compelling testimony.  A circuit court  may,
28    upon  application of the Department or its designee or of the
29    applicant or licensee against whom proceedings under  Section
30    95  are  pending,  enter an order requiring the attendance of
31    witnesses  and  their  testimony  and   the   production   of
32    documents,  papers,  files,  books, and records in connection
                            -17-              LRB9000457DPccA
 1    with any hearing  or  investigation.  The  court  may  compel
 2    obedience to its order by proceedings for contempt.
 3        Section   110.  Findings  and  recommendations.   At  the
 4    conclusion of the hearing the  Board  shall  present  to  the
 5    Director    a    written   report   of   its   findings   and
 6    recommendations.  The  report  shall  contain  a  finding  of
 7    whether or not the accused entity violated this Act or failed
 8    to  comply  with  the  conditions  required in this Act.  The
 9    Board shall specify the nature of the violation or failure to
10    comply, and shall make its recommendations to the Director.
11        The report of findings and recommendations of  the  Board
12    shall  be  the basis for the Department's order of refusal or
13    for the granting  of  licensure  unless  the  Director  shall
14    determine that the Board's report is contrary to the manifest
15    weight  of the evidence, in which case the Director may issue
16    an order in contravention of the Board's report.  The finding
17    is not  admissible  in  evidence  against  the  entity  in  a
18    criminal  prosecution  brought for the violation of this Act,
19    but the hearing and finding are  not  a  bar  to  a  criminal
20    prosecution brought for the violation of this Act.
21        Section 115. Rehearing on motion. In a case involving the
22    refusal  to  issue  or renew a license or the discipline of a
23    licensee, a copy of the Board's report shall be  served  upon
24    the  respondent  by  the  Department, either personally or as
25    provided in this  Act  for  the  service  of  the  notice  of
26    hearing.   Within  20 days after such service, the respondent
27    may present to the Department  a  motion  in  writing  for  a
28    rehearing, which shall specify the particular grounds for the
29    rehearing. If no motion for rehearing is filed, then upon the
30    expiration of the time specified for filing the motion, or if
31    a  motion  for rehearing is denied, then upon such denial the
32    Director   may   enter   an   order   in   accordance    with
                            -18-              LRB9000457DPccA
 1    recommendations  of  the  Board except as provided in Section
 2    120 of this Act.  If the  respondent  shall  order  from  the
 3    reporting service and pay for a transcript of the record with
 4    the time for filing a motion for rehearing, the 20 day period
 5    within  which  such a motion may be filed shall commence upon
 6    the delivery of the transcript to the respondent.
 7        Section 120. Rehearing on order of Director. Whenever the
 8    Director is satisfied that substantial justice has  not  been
 9    done  in the revocation or suspension of a license or refusal
10    to issue or  renew  a  license,  the  Director  may  order  a
11    rehearing by the same or another Board.
12        Section  125.  Hearing  officer.  The  Director  has  the
13    authority  to  appoint  an attorney duly licensed to practice
14    law in the State of Illinois to serve as the hearing  officer
15    in  an action for refusal to issue or renew a license, or for
16    the discipline of a licensee. The Director shall  notify  the
17    Board  of an appointment. The hearing officer shall have full
18    authority to conduct the hearing.  The hearing officer  shall
19    report  his or her  findings and recommendations to the Board
20    and the Director. The  Board shall have 60 days from  receipt
21    of the report to review the report of the hearing officer and
22    present   its  findings  of  fact,  conclusions  of  law  and
23    recommendation to  the  Director.   If  the  Board  fails  to
24    present  its  report  within  the 60 day period, the Director
25    shall issue an order based  on  the  report  of  the  hearing
26    officer.   If the Director determines that the Board's report
27    is contrary to the manifest weight of the evidence, he or she
28    may issue an order in contravention of the Board's report.
29        Section 130. Order or  certified  copy.  An  order  or  a
30    certified  copy  of an order, over the seal of the Department
31    and purporting to be signed by the Director, shall  be  prima
                            -19-              LRB9000457DPccA
 1    facie proof that:
 2             (1)  the  signature  is the genuine signature of the
 3        Director;
 4             (2)  the Director is duly appointed  and  qualified;
 5        and
 6             (3)  the Board and its members are qualified to act.
 7        This proof may be rebutted.
 8        Section  135.  Restoration  of license. At any time after
 9    the suspension or revocation of a license, the Department may
10    restore the license to the accused entity  upon  the  written
11    recommendation  of  the  Board unless, after an investigation
12    and a hearing, the Board determines that restoration  is  not
13    in the public interest.
14        Section  140.  Surrender of license.  Upon the revocation
15    or suspension of a license, the  licensee  shall  immediately
16    surrender  the  license  to the Department, and if the entity
17    fails to do so, the Department shall have the right to  seize
18    the license.
19        Section  145.  Temporary  suspension  of  a license.  The
20    Director may  temporarily  suspend  the  license  of  a  home
21    medical  equipment  and  services provider without a hearing,
22    simultaneously with the  institution  of  proceedings  for  a
23    hearing  provided  for  in  Section  95  of  this Act, if the
24    Director  finds  that  evidence  in  his  or  her  possession
25    indicates  that  the  home  medical  equipment  and  services
26    provider's  continuation  in  business  would  constitute  an
27    imminent danger to the public. If  the  Director  temporarily
28    suspends the license of a home medical equipment and services
29    provider  without  a  hearing, a hearing by the Board must be
30    held within 30 days of the suspension.
                            -20-              LRB9000457DPccA
 1        Section  150.  Administrative  Review  Law.   All   final
 2    administrative  decisions  of  the  Department are subject to
 3    judicial  review  pursuant   to   the   provisions   of   the
 4    Administrative  Review  Law, as now or hereafter amended, and
 5    all  rules  adopted  pursuant   to   that   Law.   The   term
 6    "administrative  decision"  is defined as in Section 3-101 of
 7    the Code of Civil Procedure.
 8        Proceedings for judicial review shall be commenced in the
 9    circuit court of the county in which the party  applying  for
10    relief  resides,  but  if the party is not a resident of this
11    State, the venue shall be in Sangamon County.
12        Section  155.  Certification  of  record;   costs.    The
13    Department  shall  not be required to certify any record to a
14    court or file any answer in court or otherwise  appear  in  a
15    court  in a judicial review proceeding, unless there is filed
16    in  the  court,  with  the  complaint,  a  receipt  from  the
17    Department acknowledging payment of the costs  of  furnishing
18    and  certifying  the  record.  Failure  on  the  part  of the
19    plaintiff to file a receipt in court  shall  be  grounds  for
20    dismissal of the action.
21        Section  160.  Criminal penalties. An entity who is found
22    to have violated a provision of this Act is guilty of a Class
23    A misdemeanor.  On  conviction  of  a  second  or  subsequent
24    offense, the violator shall be guilty of a Class 4 felony.
25        Section  165.  Administrative Procedure Act. The Illinois
26    Administrative Procedure Act is hereby expressly adopted  and
27    incorporated  in this Act as if all of the provisions of that
28    Act were included in this Act, except that the  provision  of
29    subsection   (d)   of   Section   10-65   of   the   Illinois
30    Administrative Procedure Act, which provides that at hearings
31    the  license holder has the right to show compliance with all
                            -21-              LRB9000457DPccA
 1    lawful requirements for retention, continuation,  or  renewal
 2    of  a license, is specifically excluded.  For the purposes of
 3    this Act, the notice required  under  Section  10-25  of  the
 4    Illinois  Administrative  Procedure  Act is deemed sufficient
 5    when mailed to the last known address of a party.
 6        Section 170. Exclusive State regulation. It  is  declared
 7    to  be the public policy of this State, pursuant to paragraph
 8    (h) of Section 6 of Article VII of the Illinois  Constitution
 9    of  1970, that any power or function set forth in this Act to
10    be exercised by the State is  an  exclusive  State  power  or
11    function.   Such  power  or  function  shall not be exercised
12    concurrently, whether directly or indirectly, by any unit  of
13    local  government,  including  home  rule  units,  except  as
14    otherwise provided in this Act.
15        Section   175.  Entities  currently  operating.  Entities
16    engaged in the business of providing home  medical  equipment
17    and services at least 3 months prior to the effective date of
18    this  Act  shall  be issued a license valid for 2 years, upon
19    application and payment of  the  required  fee,  without  the
20    necessity   for   a  determination  of  compliance  with  the
21    requirements of subsection (a)  of  Section  40.  During  the
22    first  year  of licensure, such providers shall be subject to
23    random inspections for compliance with applicable  standards,
24    unless  such  providers  have  a  valid  accreditation from a
25    recognized national accrediting body.
26        Section 180. Deposit of fees and  fines;  appropriations.
27    All  of  the fees and fines collected under this Act shall be
28    deposited into the General Professions  Dedicated  Fund,  and
29    shall  be  used  by  the Department, as appropriated, for the
30    ordinary and contingent expenses of the Department.
                            -22-              LRB9000457DPccA
 1        Section 300. The Regulatory Agency Sunset Act is  amended
 2    by adding Section 4.18 as follows:
 3        (5 ILCS 80/4.18 new)
 4        Sec.  4.18.  Act  repealed January 1, 2008. The following
 5    Act is repealed January 1, 2008:
 6        The Home Medical Equipment and Services Provider  License
 7    Act.
 8        Section 999.  Effective date.  This Act takes effect upon
 9    becoming law.

[ Top ]