103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2251 Introduced , by Rep. Bob Morgan SYNOPSIS AS INTRODUCED: 210 ILCS 55/4 from Ch. 111 1/2, par. 2804 210 ILCS 55/5 from Ch. 111 1/2, par. 2805 210 ILCS 55/7 from Ch. 111 1/2, par. 2807 210 ILCS 55/9.02 from Ch. 111 1/2, par. 2809.02 Amends the Home Health, Home Services, and Home Nursing Agency Licensing Act. Provides that (i) a professional license shall be valid for a period of 240 days (rather than 120 days) unless sooner suspended or revoked, (ii) the Director of Public Health may renew a provisional license once for a period not to exceed 90 days (rather than 120 days) from the expiration date of the initial provisional license, and (iii) the fee for each single home health agency license or any renewal shall be $1,000 (rather than $25). Removes language requiring the Department of Public Health to develop and implement one application to be used even if a combination of licenses authorized under the Act is sought. Provides that the Home Health and Home Services Advisory Committee shall be composed of 15 voting members and one nonvoting member (rather than just 15 members). Provides that 2 (rather than one) of the voting members shall be individuals who represent an organization that advocates for consumers, and the nonvoting member shall be a home services worker. Provides that if the Department finds that a violation does not pose a substantial risk to the health or safety of an agency's clients or patients, the Department may choose to request a plan of correction for the Department's approval prior to issuing a notice of violation to the agency. Provides that if the agency fails to submit an acceptable plan of correction or fails to implement a Department-approved plan of correction within the time provided by the Department, the Department shall then issue the notice of violation. Makes other changes. LRB103 27099 CPF 57033 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2251 Introduced , by Rep. Bob Morgan SYNOPSIS AS INTRODUCED: 210 ILCS 55/4 from Ch. 111 1/2, par. 2804 210 ILCS 55/5 from Ch. 111 1/2, par. 2805 210 ILCS 55/7 from Ch. 111 1/2, par. 2807 210 ILCS 55/9.02 from Ch. 111 1/2, par. 2809.02 210 ILCS 55/4 from Ch. 111 1/2, par. 2804 210 ILCS 55/5 from Ch. 111 1/2, par. 2805 210 ILCS 55/7 from Ch. 111 1/2, par. 2807 210 ILCS 55/9.02 from Ch. 111 1/2, par. 2809.02 Amends the Home Health, Home Services, and Home Nursing Agency Licensing Act. Provides that (i) a professional license shall be valid for a period of 240 days (rather than 120 days) unless sooner suspended or revoked, (ii) the Director of Public Health may renew a provisional license once for a period not to exceed 90 days (rather than 120 days) from the expiration date of the initial provisional license, and (iii) the fee for each single home health agency license or any renewal shall be $1,000 (rather than $25). Removes language requiring the Department of Public Health to develop and implement one application to be used even if a combination of licenses authorized under the Act is sought. Provides that the Home Health and Home Services Advisory Committee shall be composed of 15 voting members and one nonvoting member (rather than just 15 members). Provides that 2 (rather than one) of the voting members shall be individuals who represent an organization that advocates for consumers, and the nonvoting member shall be a home services worker. Provides that if the Department finds that a violation does not pose a substantial risk to the health or safety of an agency's clients or patients, the Department may choose to request a plan of correction for the Department's approval prior to issuing a notice of violation to the agency. Provides that if the agency fails to submit an acceptable plan of correction or fails to implement a Department-approved plan of correction within the time provided by the Department, the Department shall then issue the notice of violation. Makes other changes. LRB103 27099 CPF 57033 b LRB103 27099 CPF 57033 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2251 Introduced , by Rep. Bob Morgan SYNOPSIS AS INTRODUCED: 210 ILCS 55/4 from Ch. 111 1/2, par. 2804 210 ILCS 55/5 from Ch. 111 1/2, par. 2805 210 ILCS 55/7 from Ch. 111 1/2, par. 2807 210 ILCS 55/9.02 from Ch. 111 1/2, par. 2809.02 210 ILCS 55/4 from Ch. 111 1/2, par. 2804 210 ILCS 55/5 from Ch. 111 1/2, par. 2805 210 ILCS 55/7 from Ch. 111 1/2, par. 2807 210 ILCS 55/9.02 from Ch. 111 1/2, par. 2809.02 210 ILCS 55/4 from Ch. 111 1/2, par. 2804 210 ILCS 55/5 from Ch. 111 1/2, par. 2805 210 ILCS 55/7 from Ch. 111 1/2, par. 2807 210 ILCS 55/9.02 from Ch. 111 1/2, par. 2809.02 Amends the Home Health, Home Services, and Home Nursing Agency Licensing Act. Provides that (i) a professional license shall be valid for a period of 240 days (rather than 120 days) unless sooner suspended or revoked, (ii) the Director of Public Health may renew a provisional license once for a period not to exceed 90 days (rather than 120 days) from the expiration date of the initial provisional license, and (iii) the fee for each single home health agency license or any renewal shall be $1,000 (rather than $25). Removes language requiring the Department of Public Health to develop and implement one application to be used even if a combination of licenses authorized under the Act is sought. Provides that the Home Health and Home Services Advisory Committee shall be composed of 15 voting members and one nonvoting member (rather than just 15 members). Provides that 2 (rather than one) of the voting members shall be individuals who represent an organization that advocates for consumers, and the nonvoting member shall be a home services worker. Provides that if the Department finds that a violation does not pose a substantial risk to the health or safety of an agency's clients or patients, the Department may choose to request a plan of correction for the Department's approval prior to issuing a notice of violation to the agency. Provides that if the agency fails to submit an acceptable plan of correction or fails to implement a Department-approved plan of correction within the time provided by the Department, the Department shall then issue the notice of violation. Makes other changes. LRB103 27099 CPF 57033 b LRB103 27099 CPF 57033 b LRB103 27099 CPF 57033 b A BILL FOR HB2251LRB103 27099 CPF 57033 b HB2251 LRB103 27099 CPF 57033 b HB2251 LRB103 27099 CPF 57033 b 1 AN ACT concerning regulation. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Home Health, Home Services, and Home 5 Nursing Agency Licensing Act is amended by changing Sections 6 4, 5, 7, and 9.02 as follows: 7 (210 ILCS 55/4) (from Ch. 111 1/2, par. 2804) 8 Sec. 4. Types of licenses. 9 (a) If an applicant for licensure has not been previously 10 licensed, or if the home health agency, home services agency, 11 or home nursing agency is not in operation at the time 12 application is made, the Department may issue a provisional 13 license. A provisional license shall be valid for a period of 14 240 120 days unless sooner suspended or revoked pursuant to 15 Section 9 of this Act. Within 30 days prior to the termination 16 of a provisional license, the Department shall inspect the 17 agency and, if the applicant substantially meets the 18 requirements for licensure, it shall issue a license under 19 this Section. If the Department finds that a holder of a 20 provisional license does not substantially meet the 21 requirements for licensure, but has made significant progress 22 toward meeting those requirements, the Director may renew the 23 provisional license once for a period not to exceed 90 120 days 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB2251 Introduced , by Rep. Bob Morgan SYNOPSIS AS INTRODUCED: 210 ILCS 55/4 from Ch. 111 1/2, par. 2804 210 ILCS 55/5 from Ch. 111 1/2, par. 2805 210 ILCS 55/7 from Ch. 111 1/2, par. 2807 210 ILCS 55/9.02 from Ch. 111 1/2, par. 2809.02 210 ILCS 55/4 from Ch. 111 1/2, par. 2804 210 ILCS 55/5 from Ch. 111 1/2, par. 2805 210 ILCS 55/7 from Ch. 111 1/2, par. 2807 210 ILCS 55/9.02 from Ch. 111 1/2, par. 2809.02 210 ILCS 55/4 from Ch. 111 1/2, par. 2804 210 ILCS 55/5 from Ch. 111 1/2, par. 2805 210 ILCS 55/7 from Ch. 111 1/2, par. 2807 210 ILCS 55/9.02 from Ch. 111 1/2, par. 2809.02 Amends the Home Health, Home Services, and Home Nursing Agency Licensing Act. Provides that (i) a professional license shall be valid for a period of 240 days (rather than 120 days) unless sooner suspended or revoked, (ii) the Director of Public Health may renew a provisional license once for a period not to exceed 90 days (rather than 120 days) from the expiration date of the initial provisional license, and (iii) the fee for each single home health agency license or any renewal shall be $1,000 (rather than $25). Removes language requiring the Department of Public Health to develop and implement one application to be used even if a combination of licenses authorized under the Act is sought. Provides that the Home Health and Home Services Advisory Committee shall be composed of 15 voting members and one nonvoting member (rather than just 15 members). Provides that 2 (rather than one) of the voting members shall be individuals who represent an organization that advocates for consumers, and the nonvoting member shall be a home services worker. Provides that if the Department finds that a violation does not pose a substantial risk to the health or safety of an agency's clients or patients, the Department may choose to request a plan of correction for the Department's approval prior to issuing a notice of violation to the agency. Provides that if the agency fails to submit an acceptable plan of correction or fails to implement a Department-approved plan of correction within the time provided by the Department, the Department shall then issue the notice of violation. Makes other changes. LRB103 27099 CPF 57033 b LRB103 27099 CPF 57033 b LRB103 27099 CPF 57033 b A BILL FOR 210 ILCS 55/4 from Ch. 111 1/2, par. 2804 210 ILCS 55/5 from Ch. 111 1/2, par. 2805 210 ILCS 55/7 from Ch. 111 1/2, par. 2807 210 ILCS 55/9.02 from Ch. 111 1/2, par. 2809.02 LRB103 27099 CPF 57033 b HB2251 LRB103 27099 CPF 57033 b HB2251- 2 -LRB103 27099 CPF 57033 b HB2251 - 2 - LRB103 27099 CPF 57033 b HB2251 - 2 - LRB103 27099 CPF 57033 b 1 from the expiration date of the initial provisional license. 2 (b)(1) The Director may also issue a provisional license 3 to any licensed agency which does not substantially comply 4 with the provisions of this Act and the rules promulgated 5 hereunder, provided he finds that the health, safety, and 6 well-being of the clients of the agency will be protected 7 during the period for which such provisional license is 8 issued. The term of such provisional license shall not exceed 9 120 days. 10 (2) The Director shall advise the licensee of the 11 conditions under which such provisional license is issued, 12 including the manner in which the licensee fails to comply 13 with the provisions of the Act or rules, and the time within 14 which the corrections necessary for the agency to 15 substantially comply with the Act and rules shall be 16 completed. 17 (3) The Director, at his discretion, may extend the term 18 of such provisional license for an additional 120 days, if he 19 finds that the agency has made substantial progress toward 20 correcting the violations and bringing the agency into full 21 compliance with this Act and the rules promulgated hereunder. 22 (c) An annual license shall be issued to any person 23 conducting or maintaining a home health agency upon receipt of 24 an application and payment of the licensure fee, and when the 25 other requirements of this Act, and the standards, rules and 26 regulations promulgated hereunder, are met. The fee for each HB2251 - 2 - LRB103 27099 CPF 57033 b HB2251- 3 -LRB103 27099 CPF 57033 b HB2251 - 3 - LRB103 27099 CPF 57033 b HB2251 - 3 - LRB103 27099 CPF 57033 b 1 single home health agency license or any renewal shall be 2 $1,000 $25. 3 (d) The Department shall establish, by rule, a system 4 whereby an entity that meets the requirements for licensure 5 may obtain licensure singly or in any combination for the 6 categories authorized under this Act. The Department shall 7 develop and implement one application to be used even if a 8 combination of licenses authorized under the Act is sought. 9 Applicants for multiple licenses under this system shall pay 10 the higher of the licensure fees applicable license fees for 11 each license. Fees collected under this system shall be 12 deposited into the Home Care Services Agency Licensure Fund. 13 (Source: P.A. 94-379, eff. 1-1-06.) 14 (210 ILCS 55/5) (from Ch. 111 1/2, par. 2805) 15 Sec. 5. (a) Each application for a provisional license for 16 a home health agency, home services agency, home nursing 17 agency, home services placement agency, or home nursing 18 placement agency provisional license as provided in Section 4 19 shall contain the following information: (1) name, address and 20 location of the agency; (2) organization and governing 21 structure of agency; (3) number and qualification of staff; 22 (4) sources of financing of services and agency; (5) service 23 area; (6) patient load; (7) agency utilization; (8) service 24 charges; (9) affiliation agreements with other health care 25 providers; and (10) such other information as the Department HB2251 - 3 - LRB103 27099 CPF 57033 b HB2251- 4 -LRB103 27099 CPF 57033 b HB2251 - 4 - LRB103 27099 CPF 57033 b HB2251 - 4 - LRB103 27099 CPF 57033 b 1 may require. 2 (b) Applications for licenses to be effective on and after 3 March 1, 1978, shall be in accordance with departmental 4 regulations. 5 (Source: P.A. 80-804.) 6 (210 ILCS 55/7) (from Ch. 111 1/2, par. 2807) 7 Sec. 7. (a) The Director shall appoint a Home Health and 8 Home Services Advisory Committee composed of 15 voting members 9 and one nonvoting member persons to advise and consult with 10 the Director in the administration of this Act. Five of the 11 appointed voting members shall represent the home health 12 agency profession. Of these 5, one shall represent voluntary 13 home health agencies, one shall represent for-profit home 14 health agencies, one shall represent private not-for-profit 15 home health agencies, one shall represent institution-based 16 home health agencies, and one shall represent home health 17 agencies operated by local health departments. Four of the 18 appointed voting members shall represent the home services 19 agency profession. Four of the appointed voting members shall 20 represent the general public in the following categories: one 21 individual who is a consumer of home health services or a 22 family member of a consumer of home health services; one 23 individual who is a consumer of home services or a family 24 member of a consumer of home services; and two individuals who 25 represent an one individual who is a home services worker; and HB2251 - 4 - LRB103 27099 CPF 57033 b HB2251- 5 -LRB103 27099 CPF 57033 b HB2251 - 5 - LRB103 27099 CPF 57033 b HB2251 - 5 - LRB103 27099 CPF 57033 b 1 one individual who is a representative of an organization that 2 advocates for consumers. One voting member shall be a 3 practicing Illinois licensed physician; and one voting member 4 shall be an Illinois registered professional nurse with home 5 health agency experience. The nonvoting member shall be a home 6 services worker. The recommendations of professional, home 7 health industry, and home services industry organizations may 8 be considered in selecting individuals for appointment to the 9 Home Health and Home Services Advisory Committee. 10 (b) Each member shall hold office for a term of 3 years, 11 except that any member appointed to fill a vacancy occurring 12 prior to the expiration of the term for which his predecessor 13 was appointed shall be appointed for the remainder of such 14 term and the terms of office of the members first taking office 15 shall expire, as designated at the time of appointment, one at 16 the end of the first year, one at the end of the second year, 17 and 3 at the end of the third year. The term of office of each 18 of the original appointees shall commence on January 1, 1978. 19 (c) The term of office of each of the 6 members appointed 20 to the Committee as a result of this amendatory Act of 1989 21 shall commence on January 1, 1990. The terms of office of the 6 22 members appointed as a result of this amendatory Act of 1989 23 shall expire, as designated at the time of appointment, 2 at 24 the end of the first year, 2 at the end of the second year, and 25 two at the end of the third year. 26 (d) The Committee shall meet as frequently as the Director HB2251 - 5 - LRB103 27099 CPF 57033 b HB2251- 6 -LRB103 27099 CPF 57033 b HB2251 - 6 - LRB103 27099 CPF 57033 b HB2251 - 6 - LRB103 27099 CPF 57033 b 1 deems necessary. Committee members, while serving on business 2 of the Committee, shall receive actual and necessary travel 3 and subsistence expenses while so serving away from their 4 places of residence. 5 (e) The Committee shall provide input and recommendations 6 to the Department on the development of rules for the 7 licensure of home services agencies and home nursing agencies 8 operating in this State. On or before July 1, 2007, the 9 Committee shall issue an interim report to the General 10 Assembly on the status of development and implementation of 11 the rules for home services agency and home nursing agency 12 licensure. 13 (Source: P.A. 94-379, eff. 1-1-06.) 14 (210 ILCS 55/9.02) (from Ch. 111 1/2, par. 2809.02) 15 Sec. 9.02. When the Department determines that an agency 16 is in violation of this Act or any rule promulgated hereunder, 17 a notice of violation shall be served upon the licensee. 18 However, if the Department finds that the violation does not 19 pose a substantial risk to the health or safety of the agency's 20 clients or patients, the Department may choose to request a 21 plan of correction for the Department's approval prior to 22 issuing the notice of violation. If the agency fails to submit 23 an acceptable plan of correction or fails to implement a 24 Department-approved plan of correction within the time 25 provided by the Department, the Department shall then issue HB2251 - 6 - LRB103 27099 CPF 57033 b HB2251- 7 -LRB103 27099 CPF 57033 b HB2251 - 7 - LRB103 27099 CPF 57033 b HB2251 - 7 - LRB103 27099 CPF 57033 b 1 the notice of violation. Each notice of violation shall be 2 prepared in writing and shall specify the nature of the 3 violation and the statutory provision or rule alleged to have 4 been violated. The notice shall inform the licensee of any 5 action the Department may take under this Act, including the 6 requirement of an agency plan of correction under Section 7 9.03, assessment of a penalty under Section 9.04, or licensure 8 action under Section 9. The Director or his designee shall 9 also inform the licensee of rights to a hearing under Section 10 10. 11 (Source: P.A. 94-379, eff. 1-1-06.) HB2251 - 7 - LRB103 27099 CPF 57033 b