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92_SB2241
LRB9216107Accd
1 AN ACT concerning hospitals.
2 Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
4 Section 5. The Hospital Licensing Act is amended by
5 changing Section 8 as follows:
6 (210 ILCS 85/8) (from Ch. 111 1/2, par. 149)
7 Sec. 8. Facility plan review; fees.
8 (a) Before commencing construction of new facilities or
9 specified types of alteration or additions to an existing
10 hospital involving major construction, as defined by rule by
11 the Department, with an estimated cost greater than $100,000,
12 architectural plans and specifications therefor shall be
13 submitted by the licensee to the Department of Public Health
14 for review and approval. A hospital may submit architectural
15 drawings and specifications for other construction projects
16 for Department review according to subsection (b) that shall
17 not be subject to fees under subsection (d). Review of
18 drawings and specifications shall be conducted by an employee
19 of the Department meeting the qualifications established by
20 the Department of Central Management Services class
21 specifications for such an individual's position or by a
22 person contracting with the Department who meets those class
23 specifications. Final approval of the plans and
24 specifications for compliance with design and construction
25 standards shall be obtained from the Department before the
26 alteration, addition, or new construction is begun.
27 (b) The Department shall inform an applicant in writing
28 within 10 working days after receiving drawings and
29 specifications and the required fee, if any, from the
30 applicant whether the applicant's submission is complete or
31 incomplete. Failure to provide the applicant with this
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1 notice within 10 working days shall result in the submission
2 being deemed complete for purposes of initiating the 60-day
3 review period under this Section. If the submission is
4 incomplete, the Department shall inform the applicant of the
5 deficiencies with the submission in writing. If the
6 submission is complete and the required fee, if any, has been
7 paid, the Department shall approve or disapprove drawings and
8 specifications submitted to the Department no later than 60
9 days following receipt by the Department. The drawings and
10 specifications shall be of sufficient detail, as provided by
11 Department rule, to enable the Department to render a
12 determination of compliance with design and construction
13 standards under this Act. If the Department finds that the
14 drawings are not of sufficient detail for it to render a
15 determination of compliance, the plans shall be determined to
16 be incomplete and shall not be considered for purposes of
17 initiating the 60 day review period. If a submission of
18 drawings and specifications is incomplete, the applicant may
19 submit additional information. The 60-day review period
20 shall not commence until the Department determines that a
21 submission of drawings and specifications is complete or the
22 submission is deemed complete. If the Department has not
23 approved or disapproved the drawings and specifications
24 within 60 days, the construction, major alteration, or
25 addition shall be deemed approved. If the drawings and
26 specifications are disapproved, the Department shall state in
27 writing, with specificity, the reasons for the disapproval.
28 The entity submitting the drawings and specifications may
29 submit additional information in response to the written
30 comments from the Department or request a reconsideration of
31 the disapproval. A final decision of approval or disapproval
32 shall be made within 45 days of the receipt of the additional
33 information or reconsideration request. If denied, the
34 Department shall state the specific reasons for the denial.
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1 (c) The Department shall provide written approval for
2 occupancy pursuant to subsection (g) and shall not issue a
3 violation to a facility as a result of a licensure or
4 complaint survey based upon the facility's physical structure
5 if:
6 (1) the Department reviewed and approved or deemed
7 approved the drawing and specifications for compliance
8 with design and construction standards;
9 (2) the construction, major alteration, or addition
10 was built as submitted;
11 (3) the law or rules have not been amended since
12 the original approval; and
13 (4) the conditions at the facility indicate that
14 there is a reasonable degree of safety provided for the
15 patients.
16 (d) The Department shall charge the following fees in
17 connection with its reviews conducted before June 30, 2004
18 under this Section:
19 (1) (Blank).
20 (2) (Blank).
21 (3) If the estimated dollar value of the
22 alteration, addition, or new construction is $100,000 or
23 more but less than $500,000, the fee shall be the greater
24 of $2,400 or 1.2% of that value.
25 (4) If the estimated dollar value of the
26 alteration, addition, or new construction is $500,000 or
27 more but less than $1,000,000, the fee shall be the
28 greater of $6,000 or 0.96% of that value.
29 (5) If the estimated dollar value of the
30 alteration, addition, or new construction is $1,000,000
31 or more but less than $5,000,000, the fee shall be the
32 greater of $9,600 or 0.22% of that value.
33 (6) If the estimated dollar value of the
34 alteration, addition, or new construction is $5,000,000
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1 or more, the fee shall be the greater of $11,000 or 0.11%
2 of that value, but shall not exceed $40,000.
3 The fees provided in this subsection (d) shall not apply
4 to major construction projects involving facility changes
5 that are required by Department rule amendments.
6 The fees provided in this subsection (d) shall also not
7 apply to major construction projects if 51% or more of the
8 estimated cost of the project is attributed to capital
9 equipment. For major construction projects where 51% or more
10 of the estimated cost of the project is attributed to capital
11 equipment, the Department shall by rule establish a fee that
12 is reasonably related to the cost of reviewing the project.
13 The Department shall not commence the facility plan
14 review process under this Section until the applicable fee
15 has been paid.
16 (e) All fees received by the Department under this
17 Section shall be deposited into the Health Facility Plan
18 Review Fund, a special fund created in the State treasury.
19 All fees paid by hospitals under subsection (d) shall be used
20 only to cover the costs relating to the Department's review
21 of hospital projects under this Section. Moneys shall be
22 appropriated from that Fund to the Department only to pay the
23 costs of conducting reviews under this Section. None of the
24 moneys in the Health Facility Plan Review Fund shall be used
25 to reduce the amount of General Revenue Fund moneys
26 appropriated to the Department for facility plan reviews
27 conducted pursuant to this Section.
28 (f) (1) The provisions of this amendatory Act of 1997
29 concerning drawings and specifications shall apply only
30 to drawings and specifications submitted to the
31 Department on or after October 1, 1997.
32 (2) On and after the effective date of this
33 amendatory Act of 1997 and before October 1, 1997, an
34 applicant may submit or resubmit drawings and
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1 specifications to the Department and pay the fees
2 provided in subsection (d). If an applicant pays the
3 fees provided in subsection (d) under this paragraph (2),
4 the provisions of subsection (b) shall apply with regard
5 to those drawings and specifications.
6 (g) The Department shall conduct an on-site inspection
7 of the completed project no later than 30 days after
8 notification from the applicant that the project has been
9 completed and all certifications required by the Department
10 have been received and accepted by the Department. The
11 Department shall provide written approval for occupancy to
12 the applicant within 5 working days of the Department's final
13 inspection, provided the applicant has demonstrated
14 substantial compliance as defined by Department rule.
15 Occupancy of new major construction is prohibited until
16 Department approval is received, unless the Department has
17 not acted within the time frames provided in this subsection
18 (g), in which case the construction shall be deemed approved.
19 Occupancy shall be authorized after any required health
20 inspection by the Department has been conducted.
21 (h) The Department shall establish, by rule, a procedure
22 to conduct interim on-site review of large or complex
23 construction projects.
24 (i) The Department shall establish, by rule, an
25 expedited process for emergency repairs or replacement of
26 like equipment.
27 (j) Nothing in this Section shall be construed to apply
28 to maintenance, upkeep, or renovation that does not affect
29 the structural integrity of the building, does not add beds
30 or services over the number for which the facility is
31 licensed, and provides a reasonable degree of safety for the
32 patients.
33 (Source: P.A. 90-327, eff. 8-8-97; 90-600, eff. 6-25-98;
34 91-712, eff. 7-1-00.)