HB5429 EngrossedLRB103 39499 CES 69696 b HB5429 Engrossed LRB103 39499 CES 69696 b HB5429 Engrossed LRB103 39499 CES 69696 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 Assisted Living and Shared Housing Act is 5 amended by adding Section 21 as follows: 6 (210 ILCS 9/21 new) 7 Sec. 21. Establishment plan review; fees. 8 (a) Before commencing construction of new assisted living 9 or shared housing establishments or alterations or additions 10 to an existing assisted living or shared housing establishment 11 involving major construction, as defined by rule by the 12 Department, an applicant under this Section shall submit 13 architectural drawings and specifications to the Department 14 for review and approval. An applicant under this Section shall 15 submit architectural drawings and specifications for other 16 construction projects for Department review according to 17 subsection (b) that shall not be subject to fees under 18 subsection (d). Review of drawings and specifications shall be 19 conducted by an employee of the Department meeting the 20 qualifications established by the Department of Central 21 Management Services class specifications for the individual's 22 position. Final approval of the drawings and specifications 23 for compliance with design and construction standards shall be HB5429 Engrossed LRB103 39499 CES 69696 b HB5429 Engrossed- 2 -LRB103 39499 CES 69696 b HB5429 Engrossed - 2 - LRB103 39499 CES 69696 b HB5429 Engrossed - 2 - LRB103 39499 CES 69696 b 1 obtained from the Department before the proposed alteration, 2 addition, or new construction begins. The Department shall 3 adopt rules for determining whether a construction, 4 alteration, or addition is subject to the submission 5 requirements of this Section. The Department shall not review 6 a submission under this Section until the required fee, if 7 any, has been paid. 8 (b) The Department shall inform an applicant in writing 9 within 10 working days after receiving drawings, 10 specifications, and the required fee, if any, from the 11 applicant whether the applicant's submission is complete or 12 incomplete. Failure to provide the applicant with this notice 13 within 10 working days shall result in the submission being 14 deemed complete for purposes of initiating the 45 calendar day 15 review period under this Section. If the submission is 16 incomplete, the Department shall inform the applicant of the 17 deficiencies with the submission in writing. If the submission 18 is complete and the required fee, if any, has been paid, the 19 Department shall approve or disapprove drawings and 20 specifications submitted to the Department no later than 45 21 calendar days following receipt by the Department. The 22 drawings and specifications shall be of sufficient detail, as 23 provided by Department rule, to enable the Department to 24 render a determination of compliance with design and 25 construction standards under this Act. If the Department finds 26 that the drawings are not of sufficient detail for it to render HB5429 Engrossed - 2 - LRB103 39499 CES 69696 b HB5429 Engrossed- 3 -LRB103 39499 CES 69696 b HB5429 Engrossed - 3 - LRB103 39499 CES 69696 b HB5429 Engrossed - 3 - LRB103 39499 CES 69696 b 1 a determination of compliance, the plans shall be determined 2 to be incomplete and shall not be considered for purposes of 3 initiating the 45 calendar day review period. If a submission 4 of drawings and specifications is incomplete, the applicant 5 may submit additional information. The 45 calendar day review 6 period shall not commence until the Department determines that 7 a submission of drawings and specifications is complete or the 8 submission is deemed complete. If the Department has not 9 approved or disapproved the drawings and specifications within 10 45 calendar days, the construction, major alteration, or 11 addition shall be deemed approved. If the drawings and 12 specifications are disapproved, the Department shall state in 13 writing, with specificity, the reasons for the disapproval. 14 The entity submitting the drawings and specifications may 15 submit additional information in response to the written 16 comments from the Department or request a reconsideration of 17 the disapproval. A final decision of approval or disapproval 18 shall be made within 30 calendar days of the receipt of the 19 additional information or reconsideration request. If denied, 20 the Department shall state the specific reasons for the 21 denial. 22 (c) The Department shall provide written approval for 23 occupancy pursuant to subsection (g). 24 (d) The Department shall charge the following fees in 25 connection with its reviews conducted after the effective date 26 of this amendatory Act of the 103rd General Assembly under HB5429 Engrossed - 3 - LRB103 39499 CES 69696 b HB5429 Engrossed- 4 -LRB103 39499 CES 69696 b HB5429 Engrossed - 4 - LRB103 39499 CES 69696 b HB5429 Engrossed - 4 - LRB103 39499 CES 69696 b 1 this Section: 2 (1) If the estimated dollar value of the alteration, 3 addition, or new construction is $99,999.99 or less, no 4 fee is required. 5 (2) If the estimated dollar value of the alteration, 6 addition, or new construction is $100,000 or more but less 7 than $500,000, the fee shall be the greater of $2,400 or 8 1.2% of the estimated dollar value of the alteration, 9 addition, or new construction. 10 (3) If the estimated dollar value of the alteration, 11 addition, or new construction is $500,000 or more but less 12 than $1,000,000, the fee shall be the greater of $6,0000 13 or 0.96% of that value. 14 (4) If the estimated dollar value of the alteration, 15 addition, or new construction is $1,000,000 or more but 16 less than $5,000,000, the fee shall be the greater of 17 $9,600 or 0.22% of the estimated dollar value of the 18 alteration, addition, or new construction. 19 (5) If the estimated dollar value of the alteration, 20 addition, or new construction is $5,000,000 or more, the 21 fee shall be the greater of $11,000 or 0.11% of the 22 estimated dollar value of the alteration, addition, or new 23 construction, but shall not exceed $30,000. 24 The fees provided in this subsection (d) shall not apply 25 to major construction projects involving establishment changes 26 that are required by an amendment to a Department rule. HB5429 Engrossed - 4 - LRB103 39499 CES 69696 b HB5429 Engrossed- 5 -LRB103 39499 CES 69696 b HB5429 Engrossed - 5 - LRB103 39499 CES 69696 b HB5429 Engrossed - 5 - LRB103 39499 CES 69696 b 1 The Department shall not commence the establishment plan 2 review process under this Section until the applicable fee has 3 been paid. 4 (e) All fees received by the Department under this Section 5 shall be deposited into the Health Facility Plan Review Fund, 6 a special fund created in the State Treasury. All fees paid by 7 establishments under this Section shall be used only to cover 8 the costs relating to the Department's review of projects 9 listed in this Section. Moneys shall be appropriated from that 10 Fund to the Department only to pay the costs of conducting 11 reviews under this Section, under Section 3-202.5 of the 12 Nursing Home Care Act, Section 3-202.5 of the MC/DD Act, or 13 Section 3-202.5 of the ID/DD Community Care Act. None of the 14 moneys in the Health Facility Plan Review Fund shall be used to 15 reduce the amount of General Revenue Fund moneys appropriated 16 to the Department for plan reviews conducted pursuant to this 17 Section. 18 (f) The Department shall review the fee structure 3 years 19 after the effective date of this amendatory Act of the 103rd 20 General Assembly and every 5 years thereafter, and fees shall 21 be increased or decreased to maintain the plan review program. 22 (g) The Department shall conduct an on-site inspection of 23 the completed project no later than 30 working days after 24 notification from the applicant under this Section that the 25 project has been completed and all certifications required by 26 the Department have been received and accepted by the HB5429 Engrossed - 5 - LRB103 39499 CES 69696 b HB5429 Engrossed- 6 -LRB103 39499 CES 69696 b HB5429 Engrossed - 6 - LRB103 39499 CES 69696 b HB5429 Engrossed - 6 - LRB103 39499 CES 69696 b 1 Department. The Department shall provide written approval for 2 occupancy to the applicant within 10 working days of the 3 Department's final inspection, provided the applicant has 4 demonstrated substantial compliance as defined by Department 5 rule. Occupancy of new major construction is prohibited until 6 Department approval is received, unless the Department has not 7 acted within the time frames provided in this subsection (g), 8 in which case the construction shall be deemed approved. 9 Occupancy shall be authorized after any required health 10 inspection by the Department has been conducted. 11 (h) The Department shall establish, by rule, a procedure 12 to conduct voluntary interim on-site review of large or 13 complex construction projects for a fee of $3,000 per interim 14 on-site review. 15 (i) The Department shall establish, by rule, an expedited 16 process for emergency repairs or replacement of like 17 equipment. 18 The establishment shall not be occupied until the 19 Department provides written approval for occupancy to the 20 owner or operator within 10 business days after the 21 Department's final inspection, provided that the owner or 22 operator has substantially complied with this Section as 23 determined by the Department by rule. 24 (j) Nothing in this Section shall be construed to apply to 25 maintenance, upkeep, or renovation that does not affect the 26 structural integrity of the building, does not add units or HB5429 Engrossed - 6 - LRB103 39499 CES 69696 b HB5429 Engrossed- 7 -LRB103 39499 CES 69696 b HB5429 Engrossed - 7 - LRB103 39499 CES 69696 b HB5429 Engrossed - 7 - LRB103 39499 CES 69696 b 1 services over the number for which the establishment is 2 licensed, and provides a reasonable degree of safety for the 3 residents. 4 Section 10. The Nursing Home Care Act is amended by 5 changing Section 3-202.5 as follows: 6 (210 ILCS 45/3-202.5) 7 Sec. 3-202.5. Facility plan review; fees. 8 (a) Before commencing construction of a new facility or 9 specified types of alteration or additions to an existing long 10 term care facility involving major construction, as defined by 11 rule by the Department, with an estimated cost greater than 12 $100,000, architectural drawings and specifications for the 13 facility shall be submitted to the Department for review and 14 approval. A facility may submit architectural drawings and 15 specifications for other construction projects for Department 16 review according to subsection (b) that shall not be subject 17 to fees under subsection (d). Review of drawings and 18 specifications shall be conducted by an employee of the 19 Department meeting the qualifications established by the 20 Department of Central Management Services class specifications 21 for such an individual's position or by a person contracting 22 with the Department who meets those class specifications. 23 Final approval of the drawings and specifications for 24 compliance with design and construction standards shall be HB5429 Engrossed - 7 - LRB103 39499 CES 69696 b HB5429 Engrossed- 8 -LRB103 39499 CES 69696 b HB5429 Engrossed - 8 - LRB103 39499 CES 69696 b HB5429 Engrossed - 8 - LRB103 39499 CES 69696 b 1 obtained from the Department before the alteration, addition, 2 or new construction is begun. 3 (b) The Department shall inform an applicant in writing 4 within 10 working days after receiving drawings and 5 specifications and the required fee, if any, from the 6 applicant whether the applicant's submission is complete or 7 incomplete. Failure to provide the applicant with this notice 8 within 10 working days shall result in the submission being 9 deemed complete for purposes of initiating the 60-day review 10 period under this Section. If the submission is incomplete, 11 the Department shall inform the applicant of the deficiencies 12 with the submission in writing. If the submission is complete 13 the required fee, if any, has been paid, the Department shall 14 approve or disapprove drawings and specifications submitted to 15 the Department no later than 60 days following receipt by the 16 Department. The drawings and specifications shall be of 17 sufficient detail, as provided by Department rule, to enable 18 the Department to render a determination of compliance with 19 design and construction standards under this Act. If the 20 Department finds that the drawings are not of sufficient 21 detail for it to render a determination of compliance, the 22 plans shall be determined to be incomplete and shall not be 23 considered for purposes of initiating the 60-day review 24 period. If a submission of drawings and specifications is 25 incomplete, the applicant may submit additional information. 26 The 60-day review period shall not commence until the HB5429 Engrossed - 8 - LRB103 39499 CES 69696 b HB5429 Engrossed- 9 -LRB103 39499 CES 69696 b HB5429 Engrossed - 9 - LRB103 39499 CES 69696 b HB5429 Engrossed - 9 - LRB103 39499 CES 69696 b 1 Department determines that a submission of drawings and 2 specifications is complete or the submission is deemed 3 complete. If the Department has not approved or disapproved 4 the drawings and specifications within 60 days, the 5 construction, major alteration, or addition shall be deemed 6 approved. If the drawings and specifications are disapproved, 7 the Department shall state in writing, with specificity, the 8 reasons for the disapproval. The entity submitting the 9 drawings and specifications may submit additional information 10 in response to the written comments from the Department or 11 request a reconsideration of the disapproval. A final decision 12 of approval or disapproval shall be made within 45 days of the 13 receipt of the additional information or reconsideration 14 request. If denied, the Department shall state the specific 15 reasons for the denial. 16 (c) The Department shall provide written approval for 17 occupancy pursuant to subsection (g) and shall not issue a 18 violation to a facility as a result of a licensure or complaint 19 survey based 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 the 26 original approval; and HB5429 Engrossed - 9 - LRB103 39499 CES 69696 b HB5429 Engrossed- 10 -LRB103 39499 CES 69696 b HB5429 Engrossed - 10 - LRB103 39499 CES 69696 b HB5429 Engrossed - 10 - LRB103 39499 CES 69696 b 1 (4) the conditions at the facility indicate that there 2 is a reasonable degree of safety provided for the 3 residents. 4 (d) The Department shall charge the following fees in 5 connection with its reviews conducted before June 30, 2004 6 under this Section: 7 (1) (Blank). 8 (2) (Blank). 9 (3) If the estimated dollar value of the alteration, 10 addition, or new construction is $100,000 or more but less 11 than $500,000, the fee shall be the greater of $2,400 or 12 1.2% of that value. 13 (4) If the estimated dollar value of the alteration, 14 addition, or new construction is $500,000 or more but less 15 than $1,000,000, the fee shall be the greater of $6,000 or 16 0.96% of that value. 17 (5) If the estimated dollar value of the alteration, 18 addition, or new construction is $1,000,000 or more but 19 less than $5,000,000, the fee shall be the greater of 20 $9,600 or 0.22% of that value. 21 (6) If the estimated dollar value of the alteration, 22 addition, or new construction is $5,000,000 or more, the 23 fee shall be the greater of $11,000 or 0.11% of that value, 24 but shall not exceed $40,000. 25 The fees provided in this subsection (d) shall not apply 26 to major construction projects involving facility changes that HB5429 Engrossed - 10 - LRB103 39499 CES 69696 b HB5429 Engrossed- 11 -LRB103 39499 CES 69696 b HB5429 Engrossed - 11 - LRB103 39499 CES 69696 b HB5429 Engrossed - 11 - LRB103 39499 CES 69696 b 1 are required by Department rule amendments. 2 The fees provided in this subsection (d) shall also not 3 apply to major construction projects if 51% or more of the 4 estimated cost of the project is attributed to capital 5 equipment. For major construction projects where 51% or more 6 of the estimated cost of the project is attributed to capital 7 equipment, the Department shall by rule establish a fee that 8 is reasonably related to the cost of reviewing the project. 9 The Department shall not commence the facility plan review 10 process under this Section until the applicable fee has been 11 paid. 12 (e) All fees received by the Department under this Section 13 shall be deposited into the Health Facility Plan Review Fund, 14 a special fund created in the State Treasury. All fees paid by 15 long-term care facilities under subsection (d) shall be used 16 only to cover the costs relating to the Department's review of 17 long-term care facility projects under this Section. Moneys 18 shall be appropriated from that Fund to the Department only to 19 pay the costs of conducting reviews under this Section, or 20 under Section 3-202.5 of the ID/DD Community Care Act, or 21 Section 3-202.5 of the MC/DD Act, or Section 21 of the Assisted 22 Living and Shared Housing Act. None of the moneys in the Health 23 Facility Plan Review Fund shall be used to reduce the amount of 24 General Revenue Fund moneys appropriated to the Department for 25 facility plan reviews conducted pursuant to this Section. 26 (f)(1) The provisions of this amendatory Act of 1997 HB5429 Engrossed - 11 - LRB103 39499 CES 69696 b HB5429 Engrossed- 12 -LRB103 39499 CES 69696 b HB5429 Engrossed - 12 - LRB103 39499 CES 69696 b HB5429 Engrossed - 12 - LRB103 39499 CES 69696 b 1 concerning drawings and specifications shall apply only to 2 drawings and specifications submitted to the Department on or 3 after October 1, 1997. 4 (2) On and after the effective date of this amendatory Act 5 of 1997 and before October 1, 1997, an applicant may submit or 6 resubmit drawings and specifications to the Department and pay 7 the fees provided in subsection (d). If an applicant pays the 8 fees provided in subsection (d) under this paragraph (2), the 9 provisions of subsection (b) shall apply with regard to those 10 drawings and specifications. 11 (g) The Department shall conduct an on-site inspection of 12 the completed project no later than 30 days after notification 13 from the applicant that the project has been completed and all 14 certifications required by the Department have been received 15 and accepted by the Department, except that, during a 16 statewide public health emergency, as defined in the Illinois 17 Emergency Management Agency Act, the Department shall conduct 18 an on-site inspection of the completed project to the extent 19 feasible. The Department shall provide written approval for 20 occupancy to the applicant within 5 working days of the 21 Department's final inspection, provided the applicant has 22 demonstrated substantial compliance as defined by Department 23 rule. Occupancy of new major construction is prohibited until 24 Department approval is received, unless the Department has not 25 acted within the time frames provided in this subsection (g), 26 in which case the construction shall be deemed approved. HB5429 Engrossed - 12 - LRB103 39499 CES 69696 b HB5429 Engrossed- 13 -LRB103 39499 CES 69696 b HB5429 Engrossed - 13 - LRB103 39499 CES 69696 b HB5429 Engrossed - 13 - LRB103 39499 CES 69696 b 1 Occupancy shall be authorized after any required health 2 inspection by the Department has been conducted. 3 (h) The Department shall establish, by rule, a procedure 4 to conduct interim on-site review of large or complex 5 construction projects. 6 (i) The Department shall establish, by rule, an expedited 7 process for emergency repairs or replacement of like 8 equipment. 9 (j) Nothing in this Section shall be construed to apply to 10 maintenance, upkeep, or renovation that does not affect the 11 structural integrity of the building, does not add beds or 12 services over the number for which the long-term care facility 13 is licensed, and provides a reasonable degree of safety for 14 the residents. 15 (Source: P.A. 103-1, eff. 4-27-23.) 16 Section 15. The MC/DD Act is amended by changing Section 17 3-202.5 as follows: 18 (210 ILCS 46/3-202.5) 19 Sec. 3-202.5. Facility plan review; fees. 20 (a) Before commencing construction of a new facility or 21 specified types of alteration or additions to an existing 22 facility involving major construction, as defined by rule by 23 the Department, with an estimated cost greater than $100,000, 24 architectural drawings and specifications for the facility HB5429 Engrossed - 13 - LRB103 39499 CES 69696 b HB5429 Engrossed- 14 -LRB103 39499 CES 69696 b HB5429 Engrossed - 14 - LRB103 39499 CES 69696 b HB5429 Engrossed - 14 - LRB103 39499 CES 69696 b 1 shall be submitted to the Department for review and approval. 2 A facility may submit architectural drawings and 3 specifications for other construction projects for Department 4 review according to subsection (b) that shall not be subject 5 to fees under subsection (d). Review of drawings and 6 specifications shall be conducted by an employee of the 7 Department meeting the qualifications established by the 8 Department of Central Management Services class specifications 9 for such an individual's position or by a person contracting 10 with the Department who meets those class specifications. 11 Final approval of the drawings and specifications for 12 compliance with design and construction standards shall be 13 obtained from the Department before the alteration, addition, 14 or new construction is begun. 15 (b) The Department shall inform an applicant in writing 16 within 10 working days after receiving drawings and 17 specifications and the required fee, if any, from the 18 applicant whether the applicant's submission is complete or 19 incomplete. Failure to provide the applicant with this notice 20 within 10 working days shall result in the submission being 21 deemed complete for purposes of initiating the 60-day review 22 period under this Section. If the submission is incomplete, 23 the Department shall inform the applicant of the deficiencies 24 with the submission in writing. If the submission is complete 25 the required fee, if any, has been paid, the Department shall 26 approve or disapprove drawings and specifications submitted to HB5429 Engrossed - 14 - LRB103 39499 CES 69696 b HB5429 Engrossed- 15 -LRB103 39499 CES 69696 b HB5429 Engrossed - 15 - LRB103 39499 CES 69696 b HB5429 Engrossed - 15 - LRB103 39499 CES 69696 b 1 the Department no later than 60 days following receipt by the 2 Department. The drawings and specifications shall be of 3 sufficient detail, as provided by Department rule, to enable 4 the Department to render a determination of compliance with 5 design and construction standards under this Act. If the 6 Department finds that the drawings are not of sufficient 7 detail for it to render a determination of compliance, the 8 plans shall be determined to be incomplete and shall not be 9 considered for purposes of initiating the 60 day review 10 period. If a submission of drawings and specifications is 11 incomplete, the applicant may submit additional information. 12 The 60 day review period shall not commence until the 13 Department determines that a submission of drawings and 14 specifications is complete or the submission is deemed 15 complete. If the Department has not approved or disapproved 16 the drawings and specifications within 60 days, the 17 construction, major alteration, or addition shall be deemed 18 approved. If the drawings and specifications are disapproved, 19 the Department shall state in writing, with specificity, the 20 reasons for the disapproval. The entity submitting the 21 drawings and specifications may submit additional information 22 in response to the written comments from the Department or 23 request a reconsideration of the disapproval. A final decision 24 of approval or disapproval shall be made within 45 days of the 25 receipt of the additional information or reconsideration 26 request. If denied, the Department shall state the specific HB5429 Engrossed - 15 - LRB103 39499 CES 69696 b HB5429 Engrossed- 16 -LRB103 39499 CES 69696 b HB5429 Engrossed - 16 - LRB103 39499 CES 69696 b HB5429 Engrossed - 16 - LRB103 39499 CES 69696 b 1 reasons for the denial. 2 (c) The Department shall provide written approval for 3 occupancy pursuant to subsection (g) and shall not issue a 4 violation to a facility as a result of a licensure or complaint 5 survey based upon the facility's physical structure if: 6 (1) the Department reviewed and approved or deemed 7 approved the drawings 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 the 12 original approval; and 13 (4) the conditions at the facility indicate that there 14 is a reasonable degree of safety provided for the 15 residents. 16 (d) (Blank). 17 (e) All fees received by the Department under this Section 18 shall be deposited into the Health Facility Plan Review Fund, 19 a special fund created in the State Treasury. All fees paid by 20 facilities under this Section shall be used to cover the costs 21 relating to the Department's review of facility projects under 22 this Section only. Moneys shall be appropriated from that Fund 23 to the Department only to pay the costs of conducting reviews 24 under this Section, under Section 3-202.5 of the Nursing Home 25 Care Act, under Section 21 of the Assisted Living and Shared 26 Housing Act, or under Section 3-202.5 of the ID/DD Community HB5429 Engrossed - 16 - LRB103 39499 CES 69696 b HB5429 Engrossed- 17 -LRB103 39499 CES 69696 b HB5429 Engrossed - 17 - LRB103 39499 CES 69696 b HB5429 Engrossed - 17 - LRB103 39499 CES 69696 b 1 Care Act. None of the moneys in the Health Facility Plan Review 2 Fund shall be used to reduce the amount of General Revenue Fund 3 moneys appropriated to the Department for facility plan 4 reviews conducted pursuant to this Section. 5 (f) (Blank). 6 (g) The Department shall conduct an on site inspection of 7 the completed project no later than 30 days after notification 8 from the applicant that the project has been completed and all 9 certifications required by the Department have been received 10 and accepted by the Department, except that, during a 11 statewide public health emergency, as defined in the Illinois 12 Emergency Management Agency Act, the Department shall conduct 13 an on-site inspection to the extent feasible. The Department 14 shall provide written approval for occupancy to the applicant 15 within 5 working days of the Department's final inspection, 16 provided the applicant has demonstrated substantial compliance 17 as defined by Department rule. Occupancy of new major 18 construction is prohibited until Department approval is 19 received, unless the Department has not acted within the time 20 frames provided in this subsection (g), in which case the 21 construction shall be deemed approved. Occupancy shall be 22 authorized after any required health inspection by the 23 Department has been conducted. 24 (h) The Department shall establish, by rule, a procedure 25 to conduct interim on site review of large or complex 26 construction projects. HB5429 Engrossed - 17 - LRB103 39499 CES 69696 b HB5429 Engrossed- 18 -LRB103 39499 CES 69696 b HB5429 Engrossed - 18 - LRB103 39499 CES 69696 b HB5429 Engrossed - 18 - LRB103 39499 CES 69696 b 1 (i) The Department shall establish, by rule, an expedited 2 process for emergency repairs or replacement of like 3 equipment. 4 (j) Nothing in this Section shall be construed to apply to 5 maintenance, upkeep, or renovation that does not affect the 6 structural integrity of the building, does not add beds or 7 services over the number for which the facility is licensed, 8 and provides a reasonable degree of safety for the residents. 9 (Source: P.A. 103-1, eff. 4-27-23.) 10 Section 20. The ID/DD Community Care Act is amended by 11 changing Section 3-202.5 as follows: 12 (210 ILCS 47/3-202.5) 13 Sec. 3-202.5. Facility plan review; fees. 14 (a) Before commencing construction of a new facility or 15 specified types of alteration or additions to an existing long 16 term care facility involving major construction, as defined by 17 rule by the Department, with an estimated cost greater than 18 $100,000, architectural drawings and specifications for the 19 facility shall be submitted to the Department for review and 20 approval. A facility may submit architectural drawings and 21 specifications for other construction projects for Department 22 review according to subsection (b) that shall not be subject 23 to fees under subsection (d). Review of drawings and 24 specifications shall be conducted by an employee of the HB5429 Engrossed - 18 - LRB103 39499 CES 69696 b HB5429 Engrossed- 19 -LRB103 39499 CES 69696 b HB5429 Engrossed - 19 - LRB103 39499 CES 69696 b HB5429 Engrossed - 19 - LRB103 39499 CES 69696 b 1 Department meeting the qualifications established by the 2 Department of Central Management Services class specifications 3 for such an individual's position or by a person contracting 4 with the Department who meets those class specifications. 5 Final approval of the drawings and specifications for 6 compliance with design and construction standards shall be 7 obtained from the Department before the alteration, addition, 8 or new construction is begun. 9 (b) The Department shall inform an applicant in writing 10 within 10 working days after receiving drawings and 11 specifications and the required fee, if any, from the 12 applicant whether the applicant's submission is complete or 13 incomplete. Failure to provide the applicant with this notice 14 within 10 working days shall result in the submission being 15 deemed complete for purposes of initiating the 60 day review 16 period under this Section. If the submission is incomplete, 17 the Department shall inform the applicant of the deficiencies 18 with the submission in writing. If the submission is complete 19 the required fee, if any, has been paid, the Department shall 20 approve or disapprove drawings and specifications submitted to 21 the Department no later than 60 days following receipt by the 22 Department. The drawings and specifications shall be of 23 sufficient detail, as provided by Department rule, to enable 24 the Department to render a determination of compliance with 25 design and construction standards under this Act. If the 26 Department finds that the drawings are not of sufficient HB5429 Engrossed - 19 - LRB103 39499 CES 69696 b HB5429 Engrossed- 20 -LRB103 39499 CES 69696 b HB5429 Engrossed - 20 - LRB103 39499 CES 69696 b HB5429 Engrossed - 20 - LRB103 39499 CES 69696 b 1 detail for it to render a determination of compliance, the 2 plans shall be determined to be incomplete and shall not be 3 considered for purposes of initiating the 60 day review 4 period. If a submission of drawings and specifications is 5 incomplete, the applicant may submit additional information. 6 The 60 day review period shall not commence until the 7 Department determines that a submission of drawings and 8 specifications is complete or the submission is deemed 9 complete. If the Department has not approved or disapproved 10 the drawings and specifications within 60 days, the 11 construction, major alteration, or addition shall be deemed 12 approved. If the drawings and specifications are disapproved, 13 the Department shall state in writing, with specificity, the 14 reasons for the disapproval. The entity submitting the 15 drawings and specifications may submit additional information 16 in response to the written comments from the Department or 17 request a reconsideration of the disapproval. A final decision 18 of approval or disapproval shall be made within 45 days of the 19 receipt of the additional information or reconsideration 20 request. If denied, the Department shall state the specific 21 reasons for the denial. 22 (c) The Department shall provide written approval for 23 occupancy pursuant to subsection (g) and shall not issue a 24 violation to a facility as a result of a licensure or complaint 25 survey based upon the facility's physical structure if: 26 (1) the Department reviewed and approved or deemed HB5429 Engrossed - 20 - LRB103 39499 CES 69696 b HB5429 Engrossed- 21 -LRB103 39499 CES 69696 b HB5429 Engrossed - 21 - LRB103 39499 CES 69696 b HB5429 Engrossed - 21 - LRB103 39499 CES 69696 b 1 approved the drawings and specifications for compliance 2 with design and construction standards; 3 (2) the construction, major alteration, or addition 4 was built as submitted; 5 (3) the law or rules have not been amended since the 6 original approval; and 7 (4) the conditions at the facility indicate that there 8 is a reasonable degree of safety provided for the 9 residents. 10 (d) The Department shall charge the following fees in 11 connection with its reviews conducted before June 30, 2004 12 under this Section: 13 (1) (Blank). 14 (2) (Blank). 15 (3) If the estimated dollar value of the alteration, 16 addition, or new construction is $100,000 or more but less 17 than $500,000, the fee shall be the greater of $2,400 or 18 1.2% of that value. 19 (4) If the estimated dollar value of the alteration, 20 addition, or new construction is $500,000 or more but less 21 than $1,000,000, the fee shall be the greater of $6,000 or 22 0.96% of that value. 23 (5) If the estimated dollar value of the alteration, 24 addition, or new construction is $1,000,000 or more but 25 less than $5,000,000, the fee shall be the greater of 26 $9,600 or 0.22% of that value. HB5429 Engrossed - 21 - LRB103 39499 CES 69696 b HB5429 Engrossed- 22 -LRB103 39499 CES 69696 b HB5429 Engrossed - 22 - LRB103 39499 CES 69696 b HB5429 Engrossed - 22 - LRB103 39499 CES 69696 b 1 (6) If the estimated dollar value of the alteration, 2 addition, or new construction is $5,000,000 or more, the 3 fee shall be the greater of $11,000 or 0.11% of that value, 4 but shall not exceed $40,000. The fees provided in this 5 subsection (d) shall not apply to major construction 6 projects involving facility changes that are required by 7 Department rule amendments. The fees provided in this 8 subsection (d) shall also not apply to major construction 9 projects if 51% or more of the estimated cost of the 10 project is attributed to capital equipment. For major 11 construction projects where 51% or more of the estimated 12 cost of the project is attributed to capital equipment, 13 the Department shall by rule establish a fee that is 14 reasonably related to the cost of reviewing the project. 15 The Department shall not commence the facility plan review 16 process under this Section until the applicable fee has 17 been paid. 18 (e) All fees received by the Department under this Section 19 shall be deposited into the Health Facility Plan Review Fund, 20 a special fund created in the State Treasury. All fees paid by 21 long term care facilities under subsection (d) shall be used 22 only to cover the costs relating to the Department's review of 23 long term care facility projects under this Section. Moneys 24 shall be appropriated from that Fund to the Department only to 25 pay the costs of conducting reviews under this Section, 26 Section 3-202.5 of the MC/DD Act, Section 21 of the Assisted HB5429 Engrossed - 22 - LRB103 39499 CES 69696 b HB5429 Engrossed- 23 -LRB103 39499 CES 69696 b HB5429 Engrossed - 23 - LRB103 39499 CES 69696 b HB5429 Engrossed - 23 - LRB103 39499 CES 69696 b 1 Living and Shared Housing Act, or under Section 3-202.5 of the 2 Nursing Home Care Act. None of the moneys in the Health 3 Facility Plan Review Fund shall be used to reduce the amount of 4 General Revenue Fund moneys appropriated to the Department for 5 facility plan reviews conducted pursuant to this Section. 6 (f) (Blank). 7 (g) The Department shall conduct an on site inspection of 8 the completed project no later than 30 days after notification 9 from the applicant that the project has been completed and all 10 certifications required by the Department have been received 11 and accepted by the Department. The Department shall provide 12 written approval for occupancy to the applicant within 5 13 working days of the Department's final inspection, provided 14 the applicant has demonstrated substantial compliance as 15 defined by Department rule. Occupancy of new major 16 construction is prohibited until Department approval is 17 received, unless the Department has not acted within the time 18 frames provided in this subsection (g), in which case the 19 construction shall be deemed approved. Occupancy shall be 20 authorized after any required health inspection by the 21 Department has been conducted. 22 (h) The Department shall establish, by rule, a procedure 23 to conduct interim on site review of large or complex 24 construction projects. 25 (i) The Department shall establish, by rule, an expedited 26 process for emergency repairs or replacement of like HB5429 Engrossed - 23 - LRB103 39499 CES 69696 b HB5429 Engrossed- 24 -LRB103 39499 CES 69696 b HB5429 Engrossed - 24 - LRB103 39499 CES 69696 b HB5429 Engrossed - 24 - LRB103 39499 CES 69696 b HB5429 Engrossed - 24 - LRB103 39499 CES 69696 b