HB 614 — ALT HLTH CARE DELIV-LTC HOSPTL

*LRB09509381DRJ29577b* HB0614 95THEngrossed GENERALLRB095 ASSEMBLY09381 StateDRJ of29577 Illinoisb andAN 2008ACT HB0614concerning Introducedregulation. 2/5/2007, by Rep.

Thomas Holbrook SYNOPSIS AS INTRODUCED:

ILCS 3/35 Amends the Alternative Health Care Delivery Act.

Requires the Department of Public Health to adopt rules for an alternative health care model to allow for the creation of no more 3 Long Term Care Hospitals (LTCH) in the State of Illinois, one of which shall be located in the area of Illinois within the St.

Louis Metropolitan Statistical Area.

Provides that these model long term care hospitals must be created by converting facilities previously licensed as long-term care facilities under the Nursing Home Care Act.

Provides that these converted facilities shall provide services to patients whose medical condition requires long-term medical care but not at the level provided by a hospital licensed under the Hospital Licensing Act, a sub-acute care hospital licensed under this Act, or a long-term care facility licensed under the Nursing Home Care Act and certified as a Skilled Nursing Facility.

LRB095 09381 DRJ 29577 b FISCAL NOTE ACT MAY APPLY A BILL FOR HB0614 LRB095 09381 DRJ 29577 b AN ACT concerning regulation.

Subacute care includes physician HB0614 Engrossed - 2 - LRB095 09381 DRJ 29577 b supervision, registered nursing, and physiological monitoring on a continual basis.

A postsurgical recovery HB0614 Engrossed - 3 - LRB095 09381 DRJ 29577 b care center is a designated site which provides postsurgical recovery care for generally healthy patients undergoing surgical procedures that require overnight nursing care, pain control, or observation that would otherwise be provided in an inpatient setting.

The reports HB0614 Engrossed - 4 - LRB095 09381 DRJ 29577 b shall, before submission to the Department, have removed from them all patient and physician identifiers.

A children’s community-based health care center model is a designated site that provides nursing care, clinical support services, and therapies for a period of one to 14 days for short-term stays and 120 days to facilitate transitions to HB0614 Engrossed - 5 - LRB095 09381 DRJ 29577 b home or other appropriate settings for medically fragile children, technology dependent children, and children with special health care needs who are deemed clinically stable by a physician and are younger than 22 years of age.

Coverage for the services provided by the Illinois Department of Healthcare and Family Services Public Aid under this paragraph (3) is contingent upon federal waiver approval and is provided only to Medicaid eligible clients HB0614 Engrossed - 6 - LRB095 09381 DRJ 29577 b participating in the home and community based services waiver designated in Section 1915(c) of the Social Security Act for medically frail and technologically dependent children or children in Department of Children and Family Services foster care who receive home health benefits.

Services shall include, but are not limited to, case management, training and assistance with activities of HB0614 Engrossed - 7 - LRB095 09381 DRJ 29577 b daily living, nursing consultation, traditional therapies (physical, occupational, speech), functional interventions in the residence and community (job placement, shopping, banking, recreation), counseling, self-management strategies, productive activities, and multiple opportunities for skill acquisition and practice throughout the day.

An Alzheimer’s disease management center shall develop and HB0614 Engrossed - 8 - LRB095 09381 DRJ 29577 b implement an ongoing treatment plan for each resident.

long term acute care hospital.hospital conversion.

TheA Departmentlong ofterm Publicacute Healthcare shallhospital adopt rules HB0614 Engrossed - 9 - LRB095 09381 DRJ 29577 b forconversion anis alternativea healthLong careTerm modelAcute toCare allowHospital for(LTACH) thecreated creationby ofconverting noa morefacility 3or Longa Termportion Careof Hospitalsa (LTCH)facility inpreviously thelicensed Stateas ofa Illinois,long-term onecare offacility whichunder shall be located in the areaNursing ofHome IllinoisCare withinAct. the St.

This model shall allow for a maximum of 4 such LTACH conversions, one of which shall be located in the area of Illinois within the St.

TheseThe modelLTACH longconversions termshall careeach hospitalshave mustno bemore createdthan by60 convertingbeds facilitiesand previouslyprovide licensedservices asto patients whose medical condition requires long-term medical care facilitiesas underdescribed in Section 1886(d)(i)(B)(n) of the NursingSocial HomeSecurity CareAct Act.as hospitals that have an average Medicare inpatient length of stay greater than 25 days.

TheseThe convertedLTACH facilitiesconversion shall provide servicesextended to patients whose medical conditionand requiresrehabilitative long-termcare, medicalsuch careas but not atlimited theto levelcomprehensive providedrehabilitation, byrespiratory atherapy, hospitalcancer licensedtreatment, underhead thetrauma Hospitaltreatment, Licensingand Act,pain amanagement, sub-acutefor carepatients hospitalwho licensedare underclinically thiscomplex Act,and ormay asuffer long-termfrom caremultiple facilityacute licensedor underchronic theconditions. Nursing Home Care Act and certified as a Skilled Nursing Facility.

WithinFacilities 6licensed monthsunder after the effective date of this amendatorymodel Actshall ofbe theexempt 95thfrom General Assembly, the Departmentrequirements of Public Health shall adopt criteria, standards, and procedures for the establishment,Illinois licensure,Health andFacilities operationPlanning of LTCHs as authorized under this Act.

The criteria,Department standards, and procedures shall beadopt separaterules andspecifying distinctcriteria, fromstandards, those applicable to other facilities subject to regulation by the Department and shallprocedures include adjustment for the factestablishment, thatlicensure, theand facilityoperation toof beLTACH licensedconversions as authorized under this ActAct. is converted from a long-term care facility to a specialized LTCH facility.

These facilitiesrules shall becreate establisheda asnew longcategory termof carelicensure, hospitalswhich asshall definedbe byconsistent with the federalLTACH Socialrequirements under the applicable provisions of the HB0614 Engrossed - 10 - LRB095 09381 DRJ 29577 b Social Security Act andto relatedensure regulations.that the LTACH conversions can be certified under Medicare to provide such services.

The Department shall also adopt rules that identify the applicable building codes for licensure of LTACH conversions.

The rules shall allow existing licensed and certified buildings to be reviewed under "existing construction" standards in the applicable codes.

For purposes of this Act, the facility must maintain a 2-hour separation in accordance with the applicable construction codes, for purposes of fire safety.

This separation may be vertical, horizontal, or a combination of both.

For the purpose of defining a horizontal building separation, a barrier of 2.5 inches or more of concrete, or any other tested assembly that has a rating of 2 hours or more, will be acceptable.

The Department shall adopt the rules implementing this model within 6 months after the effective date of this amendatory Act of the 95th General Assembly.

If the Department fails to adopt rules by the required date, the Department shall proceed with licensure utilizing the applicable Medicare conditions of participation.

revised 12-15-05.) Section 99.

Effective date.

This Act takes effect upon becoming law.