[ Search ] [ Legislation ] [ Bill Summary ]
[ Home ] [ Back ] [ Bottom ]
90_HB3131 210 ILCS 5/8 from Ch. 111 1/2, par. 157-8.8 210 ILCS 45/3-202.5 210 ILCS 85/8 from Ch. 111 1/2, par. 149 Amends the Ambulatory Surgical Treatment Center Act, the Nursing Home Care Act, and the Hospital Licensing Act. Provides that architectural drawings and specifications therefor shall be submitted to the Department of Public Health for review and approval before commencing major construction as defined by the Department or commencing construction with an estimated cost greater than $25,000 (currently $5,000). Removes fee provisions for construction costing $5,000 or more but less than $25,000. LRB9009926LDbd LRB9009926LDbd 1 AN ACT concerning health care facilities, amending named 2 Acts. 3 Be it enacted by the People of the State of Illinois, 4 represented in the General Assembly: 5 Section 5. The Ambulatory Surgical Treatment Center Act 6 is amended by changing Section 8 as follows: 7 (210 ILCS 5/8) (from Ch. 111 1/2, par. 157-8.8) 8 Sec. 8. Facility plan review; fees. 9 (a) Before commencing construction of new facilities or 10 specified types of alteration or additions to an existing 11 ambulatory surgical treatment center involving major 12 construction, as defined by rule by the Department, or with 13 an estimated cost greater than $25,000$5,000, architectural 14 drawings and specifications therefor shall be submitted to 15 the Department for review and approval. Review of drawings 16 and specifications shall be conducted by an employee of the 17 Department meeting the qualifications established by the 18 Department of Central Management Services class 19 specifications for such an individual's position or by a 20 person contracting with the Department who meets those class 21 specifications. Final approval of the drawings and 22 specifications for compliance with design and construction 23 standards shall be obtained from the Department before the 24 alteration, addition, or new construction is begun. 25 (b) The Department shall approve or disapprove drawings 26 and specifications submitted to the Department no later than 27 60 days following receipt by the Department. The drawings 28 and specifications shall be of sufficient detail, as provided 29 by Department rule, to enable the Department to render a 30 determination of compliance with design and construction 31 standards. If the Department finds that the drawings are not -2- LRB9009926LDbd 1 of sufficient detail for it to render a determination of 2 compliance, the plans shall be determined to be incomplete 3 and shall not be considered for purposes of initiating the 60 4 day review period. If the Department has not approved or 5 disapproved the drawings and specifications within 60 days, 6 the construction, major alteration, or addition shall be 7 deemed approved. If the drawings and specifications are 8 disapproved, the Department shall state in writing, with 9 specificity, the reasons for the disapproval. The entity 10 submitting the drawings and specifications may submit 11 additional information in response to the written comments 12 from the Department or request a reconsideration of the 13 disapproval. A final decision of approval or disapproval 14 shall be made within 45 days of the receipt of the additional 15 information or reconsideration request. If denied, the 16 Department shall state the specific reasons for the denial. 17 (c) The Department shall not issue a violation to a 18 facility as a result of a licensure or complaint survey based 19 upon the facility's physical structure if: 20 (1) the Department reviewed and approved or deemed 21 approved the drawings and specifications for compliance 22 with design and construction standards; 23 (2) the construction, major alteration, or addition 24 was built as submitted; 25 (3) the law or rules have not been amended since 26 the original approval; and 27 (4) the violation does not create a direct threat 28 to the health, safety, or welfare of a resident. 29 (d) The Department shall charge the following fees in 30 connection with its reviews conducted before June 30, 2000 31 under this Section: 32 (1) (Blank).If the estimated dollar value of the33alteration, addition, or new construction is $5,000 or34more but less than $25,000, the fee shall be the greater-3- LRB9009926LDbd 1of $300 or 6% of that value.2 (2) If the estimated dollar value of the 3 alteration, addition, or new construction is $25,000 or 4 more but less than $100,000, the fee shall be the greater 5 of $1,500 or 2.4% of that value. 6 (3) If the estimated dollar value of the 7 alteration, addition, or new construction is $100,000 or 8 more but less than $500,000, the fee shall be the greater 9 of $2,400 or 1.2% of that value. 10 (4) If the estimated dollar value of the 11 alteration, addition, or new construction is $500,000 or 12 more but less than $1,000,000, the fee shall be the 13 greater of $6,000 or 0.96% of that value. 14 (5) If the estimated dollar value of the 15 alteration, addition, or new construction is $1,000,000 16 or more but less than $5,000,000, the fee shall be the 17 greater of $9,600 or 0.22% of that value. 18 (6) If the estimated dollar value of the 19 alteration, addition, or new construction is $5,000,000 20 or more, the fee shall be the greater of $11,000 or 0.11% 21 of that value, but shall not exceed $40,000. 22 The fees provided in this subsection (d) shall not apply 23 to major construction projects involving facility changes 24 that are required by Department rule amendments. 25 The Department shall not commence the facility plan 26 review process under this Section until the applicable fee 27 has been paid. 28 (e) All fees received by the Department under this 29 Section shall be deposited into the Health Facility Plan 30 Review Fund, a special fund created in the State Treasury. 31 Moneys shall be appropriated from that Fund to the Department 32 only to pay the costs of conducting reviews under this 33 Section. None of the moneys in the Health Facility Plan 34 Review Fund shall be used to reduce the amount of General -4- LRB9009926LDbd 1 Revenue Fund moneys appropriated to the Department for 2 facility plan reviews conducted pursuant to this Section. 3 (f) (1) The provisions of this amendatory Act of 1997 4 concerning drawings and specifications shall apply only 5 to drawings and specifications submitted to the 6 Department on or after October 1, 1997. 7 (2) On and after the effective date of this 8 amendatory Act of 1997 and before October 1, 1997, an 9 applicant may submit or resubmit drawings and 10 specifications to the Department and pay the fees 11 provided in subsection (d). If an applicant pays the 12 fees provided in subsection (d) under this paragraph (2), 13 the provisions of subsection (b) shall apply with regard 14 to those drawings and specifications. 15 (g) The Department shall conduct an on-site inspection 16 of the completed project no later than 30 days after 17 notification from the applicant that the project has been 18 completed and all certifications required by the Department 19 have been received and accepted by the Department. The 20 Department shall provide written approval for occupancy to 21 the applicant within 5 working days of the Department's final 22 inspection, provided the applicant has demonstrated 23 substantial compliance as defined by Department rule. 24 Occupancy of new major construction is prohibited until 25 Department approval is received. If the plans and drawings 26 are approved pursuant to subsection (b), occupancy shall be 27 allowed after any required health inspection by the 28 Department has been conducted. 29 (h) The Department shall establish, by rule, a procedure 30 to conduct interim on-site review of large or complex 31 construction projects. 32 (Source: P.A. 90-327, eff. 8-8-97.) 33 Section 15. The Nursing Home Care Act is amended by -5- LRB9009926LDbd 1 changing Section 3-202.5 as follows: 2 (210 ILCS 45/3-202.5) 3 Sec. 3-202.5. Facility plan review; fees. 4 (a) Before commencing construction of a new facility or 5 specified types of alteration or additions to an existing 6 long term care facility involving major construction, as 7 defined by rule by the Department, or with an estimated cost 8 greater than $25,000$5,000, architectural drawings and 9 specifications for the facility shall be submitted to the 10 Department for review and approval. Review of drawings and 11 specifications shall be conducted by an employee of the 12 Department meeting the qualifications established by the 13 Department of Central Management Services class 14 specifications for such an individual's position or by a 15 person contracting with the Department who meets those class 16 specifications. Final approval of the drawings and 17 specifications for compliance with design and construction 18 standards shall be obtained from the Department before the 19 alteration, addition, or new construction is begun. 20 (b) The Department shall approve or disapprove drawings 21 and specifications submitted to the Department no later than 22 60 days following receipt by the Department. The drawings 23 and specifications shall be of sufficient detail, as provided 24 by Department rule, to enable the Department to render a 25 determination of compliance with design and construction 26 standards. If the Department finds that the drawings are not 27 of sufficient detail for it to render a determination of 28 compliance, the plans shall be determined to be incomplete 29 and shall not be considered for purposes of initiating the 60 30 day review period. If the Department has not approved or 31 disapproved the drawings and specifications within 60 days, 32 the construction, major alteration, or addition shall be 33 deemed approved. If the drawings and specifications are -6- LRB9009926LDbd 1 disapproved, the Department shall state in writing, with 2 specificity, the reasons for the disapproval. The entity 3 submitting the drawings and specifications may submit 4 additional information in response to the written comments 5 from the Department or request a reconsideration of the 6 disapproval. A final decision of approval or disapproval 7 shall be made within 45 days of the receipt of the additional 8 information or reconsideration request. If denied, the 9 Department shall state the specific reasons for the denial. 10 (c) The Department shall not issue a violation to a 11 facility as a result of a licensure or complaint survey based 12 upon the facility's physical structure if: 13 (1) the Department reviewed and approved or deemed 14 approved the drawings and specifications for compliance 15 with design and construction standards; 16 (2) the construction, major alteration, or addition 17 was built as submitted; 18 (3) the law or rules have not been amended since 19 the original approval; and 20 (4) the violation does not create a direct threat 21 to the health, safety, or welfare of a resident. 22 (d) The Department shall charge the following fees in 23 connection with its reviews conducted before June 30, 2000 24 under this Section: 25 (1) (Blank).If the estimated dollar value of the26alteration, addition, or new construction is $5,000 or27more but less than $25,000, the fee shall be the greater28of $300 or 6% of that value.29 (2) If the estimated dollar value of the 30 alteration, addition, or new construction is $25,000 or 31 more but less than $100,000, the fee shall be the greater 32 of $1,500 or 2.4% of that value. 33 (3) If the estimated dollar value of the 34 alteration, addition, or new construction is $100,000 or -7- LRB9009926LDbd 1 more but less than $500,000, the fee shall be the greater 2 of $2,400 or 1.2% of that value. 3 (4) If the estimated dollar value of the 4 alteration, addition, or new construction is $500,000 or 5 more but less than $1,000,000, the fee shall be the 6 greater of $6,000 or 0.96% of that value. 7 (5) If the estimated dollar value of the 8 alteration, addition, or new construction is $1,000,000 9 or more but less than $5,000,000, the fee shall be the 10 greater of $9,600 or 0.22% of that value. 11 (6) If the estimated dollar value of the 12 alteration, addition, or new construction is $5,000,000 13 or more, the fee shall be the greater of $11,000 or 0.11% 14 of that value, but shall not exceed $40,000. 15 The fees provided in this subsection (d) shall not apply 16 to major construction projects involving facility changes 17 that are required by Department rule amendments. 18 The Department shall not commence the facility plan 19 review process under this Section until the applicable fee 20 has been paid. 21 (d-5) No fee shall be charged under this Section for the 22 review of architectural drawings and specifications for 23 alterations to an existing long-term care facility when the 24 alterations are the result of a change in State or federal 25 law or regulation. 26 (e) All fees received by the Department under this 27 Section shall be deposited into the Health Facility Plan 28 Review Fund, a special fund created in the State Treasury. 29 Moneys shall be appropriated from that Fund to the Department 30 only to pay the costs of conducting reviews under this 31 Section. None of the moneys in the Health Facility Plan 32 Review Fund shall be used to reduce the amount of General 33 Revenue Fund moneys appropriated to the Department for 34 facility plan reviews conducted pursuant to this Section. -8- LRB9009926LDbd 1 (f) (1) The provisions of this amendatory Act of 1997 2 concerning drawings and specifications shall apply only 3 to drawings and specifications submitted to the 4 Department on or after October 1, 1997. 5 (2) On and after the effective date of this 6 amendatory Act of 1997 and before October 1, 1997, an 7 applicant may submit or resubmit drawings and 8 specifications to the Department and pay the fees 9 provided in subsection (d). If an applicant pays the 10 fees provided in subsection (d) under this paragraph (2), 11 the provisions of subsection (b) shall apply with regard 12 to those drawings and specifications. 13 (g) The Department shall conduct an on-site inspection 14 of the completed project no later than 30 days after 15 notification from the applicant that the project has been 16 completed and all certifications required by the Department 17 have been received and accepted by the Department. The 18 Department shall provide written approval for occupancy to 19 the applicant within 5 working days of the Department's final 20 inspection, provided the applicant has demonstrated 21 substantial compliance as defined by Department rule. 22 Occupancy of new major construction is prohibited until 23 Department approval is received. If the plans and drawings 24 are approved pursuant to subsection (b), occupancy shall be 25 allowed after any required health inspection by the 26 Department has been conducted. 27 (h) The Department shall establish, by rule, a procedure 28 to conduct interim on-site review of large or complex 29 construction projects. 30 (Source: P.A. 90-327, eff. 8-8-97.) 31 Section 20. The Hospital Licensing Act is amended by 32 changing Section 8 as follows: -9- LRB9009926LDbd 1 (210 ILCS 85/8) (from Ch. 111 1/2, par. 149) 2 Sec. 8. Facility plan review; fees. 3 (a) Before commencing construction of new facilities or 4 specified types of alteration or additions to an existing 5 hospital involving major construction, as defined by rule by 6 the Department, or with an estimated cost greater than 7 $25,000$5,000, architectural plans and specifications 8 therefor shall be submitted by the licensee to the Department 9 for review and approval. In the case of the establishment of 10 a new hospital, the person to whom the Director has issued a 11 permit shall submit architectural plans and specifications to 12 the Department for review and approval. Review of drawings 13 and specifications shall be conducted by an employee of the 14 Department meeting the qualifications established by the 15 Department of Central Management Services class 16 specifications for such an individual's position or by a 17 person contracting with the Department who meets those class 18 specifications. Final approval of the plans and 19 specifications for compliance with design and construction 20 standards shall be obtained from the Department before the 21 alteration, addition, or new construction is begun. 22 (b) The Department shall approve or disapprove drawings 23 and specifications submitted to the Department no later than 24 60 days following receipt by the Department. The drawings 25 and specifications shall be of sufficient detail, as provided 26 by Department rule, to enable the Department to render a 27 determination of compliance with design and construction 28 standards. If the Department finds that the drawings are not 29 of sufficient detail for it to render a determination of 30 compliance, the plans shall be determined to be incomplete 31 and shall not be considered for purposes of initiating the 60 32 day review period. If the Department has not approved or 33 disapproved the drawings and specifications within 60 days, 34 the construction, major alteration, or addition shall be -10- LRB9009926LDbd 1 deemed approved. If the drawings and specifications are 2 disapproved, the Department shall state in writing, with 3 specificity, the reasons for the disapproval. The entity 4 submitting the drawings and specifications may submit 5 additional information in response to the written comments 6 from the Department or request a reconsideration of the 7 disapproval. A final decision of approval or disapproval 8 shall be made within 45 days of the receipt of the additional 9 information or reconsideration request. If denied, the 10 Department shall state the specific reasons for the denial. 11 (c) The Department shall not issue a violation to a 12 facility as a result of a licensure or complaint survey based 13 upon the facility's physical structure if: 14 (1) the Department reviewed and approved or deemed 15 approved the drawing and specifications for compliance 16 with design and construction standards; 17 (2) the construction, major alteration, or addition 18 was built as submitted; 19 (3) the law or rules have not been amended since 20 the original approval; and 21 (4) the violation does not create a direct threat 22 to the health, safety, or welfare of a resident. 23 (d) The Department shall charge the following fees in 24 connection with its reviews conducted before June 30, 2000 25 under this Section: 26 (1) (Blank).If the estimated dollar value of the27alteration, addition, or new construction is $5,000 or28more but less than $25,000, the fee shall be the greater29of $300 or 6% of that value.30 (2) If the estimated dollar value of the 31 alteration, addition, or new construction is $25,000 or 32 more but less than $100,000, the fee shall be the greater 33 of $1,500 or 2.4% of that value. 34 (3) If the estimated dollar value of the -11- LRB9009926LDbd 1 alteration, addition, or new construction is $100,000 or 2 more but less than $500,000, the fee shall be the greater 3 of $2,400 or 1.2% of that value. 4 (4) If the estimated dollar value of the 5 alteration, addition, or new construction is $500,000 or 6 more but less than $1,000,000, the fee shall be the 7 greater of $6,000 or 0.96% of that value. 8 (5) If the estimated dollar value of the 9 alteration, addition, or new construction is $1,000,000 10 or more but less than $5,000,000, the fee shall be the 11 greater of $9,600 or 0.22% of that value. 12 (6) If the estimated dollar value of the 13 alteration, addition, or new construction is $5,000,000 14 or more, the fee shall be the greater of $11,000 or 0.11% 15 of that value, but shall not exceed $40,000. 16 The fees provided in this subsection (d) shall not apply 17 to major construction projects involving facility changes 18 that are required by Department rule amendments. 19 The Department shall not commence the facility plan 20 review process under this Section until the applicable fee 21 has been paid. 22 (e) All fees received by the Department under this 23 Section shall be deposited into the Health Facility Plan 24 Review Fund, a special fund created in the State treasury. 25 Moneys shall be appropriated from that Fund to the Department 26 only to pay the costs of conducting reviews under this 27 Section. None of the moneys in the Health Facility Plan 28 Review Fund shall be used to reduce the amount of General 29 Revenue Fund moneys appropriated to the Department for 30 facility plan reviews conducted pursuant to this Section. 31 (f) (1) The provisions of this amendatory Act of 1997 32 concerning drawings and specifications shall apply only 33 to drawings and specifications submitted to the 34 Department on or after October 1, 1997. -12- LRB9009926LDbd 1 (2) On and after the effective date of this 2 amendatory Act of 1997 and before October 1, 1997, an 3 applicant may submit or resubmit drawings and 4 specifications to the Department and pay the fees 5 provided in subsection (d). If an applicant pays the 6 fees provided in subsection (d) under this paragraph (2), 7 the provisions of subsection (b) shall apply with regard 8 to those drawings and specifications. 9 (g) The Department shall conduct an on-site inspection 10 of the completed project no later than 30 days after 11 notification from the applicant that the project has been 12 completed and all certifications required by the Department 13 have been received and accepted by the Department. The 14 Department shall provide written approval for occupancy to 15 the applicant within 5 working days of the Department's final 16 inspection, provided the applicant has demonstrated 17 substantial compliance as defined by Department rule. 18 Occupancy of new major construction is prohibited until 19 Department approval is received. If the plans and drawings 20 are approved pursuant to subsection (b), occupancy shall be 21 allowed after any required health inspection by the 22 Department has been conducted. 23 (h) The Department shall establish, by rule, a procedure 24 to conduct interim on-site review of large or complex 25 construction projects. 26 (Source: P.A. 90-327, eff. 8-8-97.)