State of Illinois
91st General Assembly
Legislation

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[ Introduced ][ House Amendment 001 ]

91_HB2627eng

 
HB2627 Engrossed                               LRB9102945ACtm

 1        AN ACT to amend the Nursing Home  Care  Act  by  changing
 2    Section 2-204.

 3        Be  it  enacted  by  the People of the State of Illinois,
 4    represented in the General Assembly:

 5        Section 5.  The Nursing  Home  Care  Act  is  amended  by
 6    changing Section 2-204 as follows:

 7        (210 ILCS 45/2-204) (from Ch. 111 1/2, par. 4152-204)
 8        Sec.  2-204.  Long-Term  Quality  Care  Facility Advisory
 9    Board.
10        (a) There is hereby  created  a  Long-Term  Quality  Care
11    Facility  Advisory  Board  whose members are appointed by the
12    Governor and that shall consist of:
13             (1)  two members who  shall  be  selected  from  the
14        recommendations   of   organizations   whose   membership
15        consists of facilities;
16             (2)  one member who shall be a physician licensed to
17        practice medicine in all its branches and does not have a
18        fiduciary  or  other  affiliation  with  a long-term care
19        facility;
20             (3)  one member who  shall  be  a  registered  nurse
21        selected  from  the  recommendations  of  a  professional
22        nursing  association  and  does  not  have a fiduciary or
23        other affiliation with a long-term care facility;
24             (4)  four members who shall  represent  the  general
25        public  who  are  not  members  of  a residents' advisory
26        council established under Section 2-203 and do not have a
27        fiduciary or other  affiliation  with  a  long-term  care
28        facility;
29             (5)  four  members who shall consist of residents or
30        residents' representatives from  the  recommendations  of
31        consumer  organizations  that engage in advocacy or legal
 
HB2627 Engrossed            -2-                LRB9102945ACtm
 1        representation on behalf of residents and their immediate
 2        families and do not have a fiduciary or other affiliation
 3        with a long-term care facility;
 4             (6)  four members of consumer advocacy organizations
 5        who  shall  be  selected  from  the  recommendations   of
 6        consumer  organizations  that engage in advocacy or legal
 7        representation on behalf of residents and their immediate
 8        families and do not have a fiduciary or other affiliation
 9        with a long-term care facility;
10             (7)  one member employed as  a  professional  by  an
11        Illinois    university   or   college   advanced   degree
12        gerontology program from the recommendations of  consumer
13        or  advocacy  organizations  and  who  does  not  have  a
14        fiduciary  or  other  affiliation  with  a long-term care
15        facility; and
16             (8)  one representative each from the Department  of
17        Public   Aid,   the  Department  of  Public  Health,  the
18        Department of Human Services, the  Department  on  Aging,
19        the  Office of the State Fire Marshal, and the Department
20        of Professional Regulation, all nonvoting members.
21        (b) The terms of the members shall be for 3 years with  a
22    maximum of 2 consecutive terms.
23        (c)  The  duties  of  the Long-Term Quality Care Facility
24    Advisory Board include the following:
25             (1)  to advise the Department  of  Public  Aid,  the
26        Department  of  Public  Health,  the  Department of Human
27        Services, the Department  on  Aging,  the  Department  of
28        Professional  Regulation,  the  Governor, and the General
29        Assembly;
30             (2)  to assist the Department  of  Public  Aid,  the
31        Department  of  Public  Health,  the  Department of Human
32        Services, the Department  on  Aging,  the  Department  of
33        Professional  Regulation,  and  the Governor in reporting
34        and developing data and evaluations  in  identifying  and
 
HB2627 Engrossed            -3-                LRB9102945ACtm
 1        addressing   the  underlying  problems  of  residents  in
 2        long-term care facilities;
 3             (3)  to  advise  the  Department  of  Public  Health
 4        relative to qualifications for administrative judges  and
 5        the rules and procedures for hearings conducted;
 6             (4)  to  advise  the  Department of Public Health on
 7        promoting the rights of residents through procedures;
 8             (5)  to comment publicly on any  rules  proposed  by
 9        the State or Federal government regarding the concerns of
10        residents  and the underlying problems of quality of care
11        and dignity of life;
12             (6)  to advise State and  local  agencies  regarding
13        educational  materials and programs needed to improve the
14        quality of care within nursing homes to enable  residents
15        to  fully  exercise their constitutional and legal rights
16        and entitlements as citizens;
17             (7)  to advise the State agencies  on  research  for
18        policy decisions; and
19             (8)  to  publish  an annual Illinois Consumer Report
20        for long-term care that  includes  information  on  human
21        resources  indicators  critical  to  facility  care in an
22        easily understandable format.
23        (d)  The Board shall organize with a chairman selected by
24    the Board members and shall meet at the call of the  chairman
25    or  3 Board members upon 10 days written notice, but not less
26    than 6 times a year.
27        (e)  The Board shall establish subcommittees, as it deems
28    appropriate, to review special long-term care facility issues
29    including, but not limited  to,  State  reimbursement,  staff
30    training,  and  certification and licensure of long-term care
31    facilities.
32        (f)  The Board shall have the authority to hold hearings,
33    conduct studies, issue  press  releases,  and  perform  other
34    functions in carrying out its duties.
 
HB2627 Engrossed            -4-                LRB9102945ACtm
 1        (g)  The  Board shall consider any rule or plan submitted
 2    by a State  agency  affecting  the  rights  of  residents  or
 3    long-term  care  within  60  days  after  its  receipt by the
 4    chairman.
 5        (h)  The Advisory Board shall advise  the  Department  of
 6    Public  Health  on  all aspects of its responsibilities under
 7    this Act, including the  format  and  content  of  any  rules
 8    promulgated  by  the  Department  of  Public Health. Any such
 9    rules, except emergency rules promulgated pursuant to Section
10    5-45  of   the   Illinois   Administrative   Procedure   Act,
11    promulgated  without  obtaining  the  advice of the Board are
12    null and void.  In the event that  the  Department  fails  to
13    follow  the  advice of the Board, the Department shall, prior
14    to  the  promulgation  of  such  rules,  transmit  a  written
15    explanation of the reason thereof to the  Board.  During  its
16    review  of  rules,  the  Board shall analyze the economic and
17    regulatory impact of these  rules.  If  the  Advisory  Board,
18    having  been  asked  for  its  advice,  fails  to  advise the
19    Department within 90 days,  the  rules  shall  be  considered
20    acted upon.
21        (i)  The  Department  of Public Health shall designate an
22    employee to act as executive secretary of the Board and shall
23    furnish all professional and  clerical  assistance  necessary
24    for  the  performance  of  its  powers  and duties, including
25    public notices of the meetings.
26        (j)  A quorum shall consist of 6 members of the Board and
27    affirmative action shall require the vote of 6 members of the
28    Board.
29        (k)  A member of the Board can designate a replacement to
30    serve at the Board meeting and vote in place of the member by
31    submitting a letter of designation to the chairman  prior  to
32    or  at  the  Board  meeting.  The  replacement  cannot have a
33    fiduciary  or  other  affiliation  with  any  long-term  care
34    facility that would cause a potential  conflict  of  interest
 
HB2627 Engrossed            -5-                LRB9102945ACtm
 1    unless the member represents a facility organization.
 2        (l)  Members   of   the   Board   shall   serve   without
 3    compensation, but shall be entitled to reasonable amounts for
 4    expenses  necessarily  incurred  in  the performance of their
 5    duties.
 6        (m)  The   Board   shall   develop   by-laws,   including
 7    procedures  for  public  participation  for  efficient  board
 8    operation.
 9        The Director shall  appoint  a  Long-Term  Care  Facility
10    Advisory  Board  to  consult  with  the  Department  and  the
11    residents' advisory councils created under Section 2-203.
12        (a)  The  Board  shall  be  comprised  of  the  following
13    persons:
14             (1)  The  Director  who  shall serve as chairman, ex
15        officio and nonvoting; and
16             (2)  One representative each of  the  Department  of
17        Public   Aid,  the  Department  of  Human  Services,  the
18        Department on Aging, and the Office  of  the  State  Fire
19        Marshal, all nonvoting members;
20             (3)  One member who shall be a physician licensed to
21        practice medicine in all its branches;
22             (4)  One  member  who  shall  be  a registered nurse
23        selected from the recommendations of professional nursing
24        associations;
25             (5)  Four members who shall  be  selected  from  the
26        recommendations   by   organizations   whose   membership
27        consists of facilities;
28             (6)  Two  members  who  shall  represent the general
29        public who are  not  members  of  a  residents'  advisory
30        council  established  under Section 2-203 and who have no
31        responsibility for management or formation of  policy  or
32        financial interest in a facility;
33             (7)  One  member  who  is  a  member of a residents'
34        advisory council established under Section 2-203  and  is
 
HB2627 Engrossed            -6-                LRB9102945ACtm
 1        capable of actively participating on the Board; and
 2             (8)  One  member  who  shall  be  selected  from the
 3        recommendations of consumer  organizations  which  engage
 4        solely  in  advocacy or legal representation on behalf of
 5        residents and their immediate families.
 6        (b)  The terms of those members of  the  Board  appointed
 7    prior  to  the  effective date of this amendatory Act of 1988
 8    shall expire on December 31,  1988.   Members  of  the  Board
 9    created  by this amendatory Act of 1988 shall be appointed to
10    serve for terms as follows: 3 for 2 years, 3 for 3 years  and
11    3  for  4  years.   The  member  of  the  Board added by this
12    amendatory Act of 1989 shall be appointed to serve for a term
13    of 4 years.  Each successor member shall be appointed  for  a
14    term  of  4  years.   Any  member appointed to fill a vacancy
15    occurring prior to the expiration of the term for  which  his
16    predecessor   was   appointed  shall  be  appointed  for  the
17    remainder of such term.  The Board shall meet  as  frequently
18    as  the  chairman  deems necessary, but not less than 4 times
19    each year.  Upon request by 4 or more  members  the  chairman
20    shall call a meeting of the Board.  The affirmative vote of 6
21    members  of the Board shall be necessary for Board action.  A
22    member of the Board can designate a replacement to  serve  at
23    the  Board  meeting  and  vote  in  place  of  the  member by
24    submitting a letter of designation to the chairman  prior  to
25    or   at  the  Board  meeting.  The  Board  members  shall  be
26    reimbursed  for  their  actual  expenses  incurred   in   the
27    performance of their duties.
28        (c)  The  Advisory  Board  shall advise the Department of
29    Public Health on all aspects of  its  responsibilities  under
30    this  Act,  including  the  format  and  content of any rules
31    promulgated by the Department of Public  Health.    Any  such
32    rules, except emergency rules promulgated pursuant to Section
33    5-45   of   the   Illinois   Administrative   Procedure  Act,
34    promulgated without obtaining  the  advice  of  the  Advisory
 
HB2627 Engrossed            -7-                LRB9102945ACtm
 1    Board  are  null  and void.  In the event that the Department
 2    fails to follow the  advice  of  the  Board,  the  Department
 3    shall,  prior  to  the promulgation of such rules, transmit a
 4    written explanation of  the  reason  thereof  to  the  Board.
 5    During  its  review  of  rules,  the  Board shall analyze the
 6    economic and  regulatory  impact  of  those  rules.   If  the
 7    Advisory  Board,  having  been asked for its advice, fails to
 8    advise the Department within 90  days,  the  rules  shall  be
 9    considered acted upon.
10    (Source: P.A. 88-45; 89-507, eff. 7-1-97.)

11        Section  99.  Effective date.  This Act takes effect July
12    1, 1999.

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