State of Illinois
90th General Assembly
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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 the
33        alteration, addition, or new construction  is  $5,000  or
34        more  but less than $25,000, the fee shall be the greater
                            -3-                LRB9009926LDbd
 1        of $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 the
26        alteration, addition, or new construction  is  $5,000  or
27        more  but less than $25,000, the fee shall be the greater
28        of $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 the
27        alteration, addition, or new construction  is  $5,000  or
28        more  but less than $25,000, the fee shall be the greater
29        of $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.)

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