Illinois 2025-2026 Regular Session

Illinois House Bill HB1287 Compare Versions

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1-HB1287 EngrossedLRB104 06085 BAB 16118 b HB1287 Engrossed LRB104 06085 BAB 16118 b
2- HB1287 Engrossed LRB104 06085 BAB 16118 b
1+104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB1287 Introduced , by Rep. Natalie A. Manley SYNOPSIS AS INTRODUCED: 210 ILCS 9/151 new210 ILCS 45/2-213.5 new210 ILCS 46/2-219 new210 ILCS 47/2-219 new305 ILCS 5/5-5.01a Amends the Assisted Living and Shared Housing Act, the Nursing Home Care Act, the MC/DD Act, the ID/DD Community Care Act, and the Illinois Public Aid Code. Provides that the administrator of a facility or establishment under any of those Acts shall ensure that the facility or establishment has an automated external defibrillator and policies and procedures for the rendering of automated external defibrillation in the facility or establishment. Provides course requirements for persons certified to provide automated external defibrillation. Provides that a facility or establishment shall contract with or employ a physician who shall be the automated external defibrillation medical director for the facility or establishment and who shall oversee and coordinate specified requirements. LRB104 06085 BAB 16118 b A BILL FOR 104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB1287 Introduced , by Rep. Natalie A. Manley SYNOPSIS AS INTRODUCED: 210 ILCS 9/151 new210 ILCS 45/2-213.5 new210 ILCS 46/2-219 new210 ILCS 47/2-219 new305 ILCS 5/5-5.01a 210 ILCS 9/151 new 210 ILCS 45/2-213.5 new 210 ILCS 46/2-219 new 210 ILCS 47/2-219 new 305 ILCS 5/5-5.01a Amends the Assisted Living and Shared Housing Act, the Nursing Home Care Act, the MC/DD Act, the ID/DD Community Care Act, and the Illinois Public Aid Code. Provides that the administrator of a facility or establishment under any of those Acts shall ensure that the facility or establishment has an automated external defibrillator and policies and procedures for the rendering of automated external defibrillation in the facility or establishment. Provides course requirements for persons certified to provide automated external defibrillation. Provides that a facility or establishment shall contract with or employ a physician who shall be the automated external defibrillation medical director for the facility or establishment and who shall oversee and coordinate specified requirements. LRB104 06085 BAB 16118 b LRB104 06085 BAB 16118 b A BILL FOR
2+104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB1287 Introduced , by Rep. Natalie A. Manley SYNOPSIS AS INTRODUCED:
3+210 ILCS 9/151 new210 ILCS 45/2-213.5 new210 ILCS 46/2-219 new210 ILCS 47/2-219 new305 ILCS 5/5-5.01a 210 ILCS 9/151 new 210 ILCS 45/2-213.5 new 210 ILCS 46/2-219 new 210 ILCS 47/2-219 new 305 ILCS 5/5-5.01a
4+210 ILCS 9/151 new
5+210 ILCS 45/2-213.5 new
6+210 ILCS 46/2-219 new
7+210 ILCS 47/2-219 new
8+305 ILCS 5/5-5.01a
9+Amends the Assisted Living and Shared Housing Act, the Nursing Home Care Act, the MC/DD Act, the ID/DD Community Care Act, and the Illinois Public Aid Code. Provides that the administrator of a facility or establishment under any of those Acts shall ensure that the facility or establishment has an automated external defibrillator and policies and procedures for the rendering of automated external defibrillation in the facility or establishment. Provides course requirements for persons certified to provide automated external defibrillation. Provides that a facility or establishment shall contract with or employ a physician who shall be the automated external defibrillation medical director for the facility or establishment and who shall oversee and coordinate specified requirements.
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12+A BILL FOR
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315 1 AN ACT concerning long-term care.
416 2 Be it enacted by the People of the State of Illinois,
517 3 represented in the General Assembly:
6-4 Section 5. The Nursing Home Care Act is amended by adding
7-5 Section 2-213.5 as follows:
8-6 (210 ILCS 45/2-213.5 new)
9-7 Sec. 2-213.5. Automated external defibrillators.
10-8 (a) The administrator of a facility shall ensure the
11-9 facility has an automated external defibrillator and policies
12-10 and procedures for the rendering of automated external
13-11 defibrillation in the facility.
14-12 (b) All persons certified to provide automated external
15-13 defibrillation shall:
16-14 (1) successfully complete a course in cardiopulmonary
17-15 resuscitation and in the use of an automated external
18-16 defibrillator that meets or exceeds the standards
19-17 established by the American Heart Association or the
20-18 American National Red Cross; and
21-19 (2) have evidence that course completion is current
22-20 and not expired.
23-21 (c) The facility shall provide maintenance and oversight
24-22 of the automated external defibrillator in accordance with the
25-23 Automated External Defibrillator Act and develop policies and
18+4 Section 5. The Assisted Living and Shared Housing Act is
19+5 amended by adding Section 151 as follows:
20+6 (210 ILCS 9/151 new)
21+7 Sec. 151. Automated external defibrillators. The
22+8 administrator of an assisted living or shared housing
23+9 establishment shall ensure the establishment has an automated
24+10 external defibrillator and policies and procedures for the
25+11 rendering of automated external defibrillation in the
26+12 establishment.
27+13 (1) All persons certified to provide automated
28+14 external defibrillation shall:
29+15 (A) successfully complete a course in
30+16 cardiopulmonary resuscitation and in the use of an
31+17 automated external defibrillator that meets or exceeds
32+18 the standards established by the American Heart
33+19 Association or the American National Red Cross; and
34+20 (B) have evidence that course completion is
35+21 current and not expired.
36+22 (2) The establishment shall contract with or employ a
37+23 physician who shall be the automated external
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34-1 procedures consistent with current medical practice regarding
35-2 the use of automated external defibrillators.
36-3 (d) A facility must comply with this Section by January 1,
37-4 2030.
41+104TH GENERAL ASSEMBLY State of Illinois 2025 and 2026 HB1287 Introduced , by Rep. Natalie A. Manley SYNOPSIS AS INTRODUCED:
42+210 ILCS 9/151 new210 ILCS 45/2-213.5 new210 ILCS 46/2-219 new210 ILCS 47/2-219 new305 ILCS 5/5-5.01a 210 ILCS 9/151 new 210 ILCS 45/2-213.5 new 210 ILCS 46/2-219 new 210 ILCS 47/2-219 new 305 ILCS 5/5-5.01a
43+210 ILCS 9/151 new
44+210 ILCS 45/2-213.5 new
45+210 ILCS 46/2-219 new
46+210 ILCS 47/2-219 new
47+305 ILCS 5/5-5.01a
48+Amends the Assisted Living and Shared Housing Act, the Nursing Home Care Act, the MC/DD Act, the ID/DD Community Care Act, and the Illinois Public Aid Code. Provides that the administrator of a facility or establishment under any of those Acts shall ensure that the facility or establishment has an automated external defibrillator and policies and procedures for the rendering of automated external defibrillation in the facility or establishment. Provides course requirements for persons certified to provide automated external defibrillation. Provides that a facility or establishment shall contract with or employ a physician who shall be the automated external defibrillation medical director for the facility or establishment and who shall oversee and coordinate specified requirements.
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51+A BILL FOR
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57+210 ILCS 9/151 new
58+210 ILCS 45/2-213.5 new
59+210 ILCS 46/2-219 new
60+210 ILCS 47/2-219 new
61+305 ILCS 5/5-5.01a
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80+1 defibrillation medical director for the establishment and
81+2 who shall oversee and coordinate the following:
82+3 (A) maintenance and testing of equipment in
83+4 accordance with the manufacturer's guidelines;
84+5 (B) certification and training of the
85+6 establishment's personnel;
86+7 (C) periodic performance review of the
87+8 establishment's automated external defibrillation
88+9 activity; and
89+10 (D) development of policies and procedures
90+11 consistent with current medical practice regarding the
91+12 use of automated external defibrillators.
92+13 Section 10. The Nursing Home Care Act is amended by adding
93+14 Section 2-213.5 as follows:
94+15 (210 ILCS 45/2-213.5 new)
95+16 Sec. 2-213.5. Automated external defibrillators. The
96+17 administrator of a nursing facility shall ensure the facility
97+18 has an automated external defibrillator and policies and
98+19 procedures for the rendering of automated external
99+20 defibrillation in the facility.
100+21 (1) All persons certified to provide automated
101+22 external defibrillation shall:
102+23 (A) successfully complete a course in
103+24 cardiopulmonary resuscitation and in the use of an
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114+1 automated external defibrillator that meets or exceeds
115+2 the standards established by the American Heart
116+3 Association or the American National Red Cross; and
117+4 (B) have evidence that course completion is
118+5 current and not expired.
119+6 (2) The facility shall contract with or employ a
120+7 physician who shall be the automated external
121+8 defibrillation medical director for the facility and who
122+9 shall oversee and coordinate the following:
123+10 (A) maintenance and testing of equipment in
124+11 accordance with the manufacturer's guidelines;
125+12 (B) certification and training of the facility's
126+13 personnel;
127+14 (C) periodic performance review of the facility's
128+15 automated external defibrillation activity; and
129+16 (D) development of policies and procedures
130+17 consistent with current medical practice regarding the
131+18 use of automated external defibrillators.
132+19 Section 15. The MC/DD Act is amended by adding Section
133+20 2-219 as follows:
134+21 (210 ILCS 46/2-219 new)
135+22 Sec. 2-219. Automated external defibrillators. The
136+23 administrator of a facility shall ensure the facility has an
137+24 automated external defibrillator and policies and procedures
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148+1 for the rendering of automated external defibrillation in the
149+2 facility.
150+3 (1) All persons certified to provide automated
151+4 external defibrillation shall:
152+5 (A) successfully complete a course in
153+6 cardiopulmonary resuscitation and in the use of an
154+7 automated external defibrillator that meets or exceeds
155+8 the standards established by the American Heart
156+9 Association or the American National Red Cross; and
157+10 (B) have evidence that course completion is
158+11 current and not expired.
159+12 (2) The facility shall contract with or employ a
160+13 physician who shall be the automated external
161+14 defibrillation medical director for the facility and who
162+15 shall oversee and coordinate the following:
163+16 (A) maintenance and testing of equipment in
164+17 accordance with the manufacturer's guidelines;
165+18 (B) certification and training of the facility's
166+19 personnel;
167+20 (C) periodic performance review of the facility's
168+21 automated external defibrillation activity; and
169+22 (D) development of policies and procedures
170+23 consistent with current medical practice regarding the
171+24 use of automated external defibrillators.
172+25 Section 20. The ID/DD Community Care Act is amended by
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183+1 adding Section 2-219 as follows:
184+2 (210 ILCS 47/2-219 new)
185+3 Sec. 2-219. Automated external defibrillators. The
186+4 administrator of a facility shall ensure the facility has an
187+5 automated external defibrillator and policies and procedures
188+6 for the rendering of automated external defibrillation in the
189+7 facility.
190+8 (1) All persons certified to provide automated
191+9 external defibrillation shall:
192+10 (A) successfully complete a course in
193+11 cardiopulmonary resuscitation and in the use of an
194+12 automated external defibrillator that meets or exceeds
195+13 the standards established by the American Heart
196+14 Association or the American National Red Cross; and
197+15 (B) have evidence that course completion is
198+16 current and not expired.
199+17 (2) The facility shall contract with or employ a
200+18 physician who shall be the automated external
201+19 defibrillation medical director for the facility and who
202+20 shall oversee and coordinate the following:
203+21 (A) maintenance and testing of equipment in
204+22 accordance with the manufacturer's guidelines;
205+23 (B) certification and training of the facility's
206+24 personnel;
207+25 (C) periodic performance review of the facility's
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218+1 automated external defibrillation activity; and
219+2 (D) development of policies and procedures
220+3 consistent with current medical practice regarding the
221+4 use of automated external defibrillators.
222+5 Section 25. The Illinois Public Aid Code is amended by
223+6 changing Section 5-5.01a as follows:
224+7 (305 ILCS 5/5-5.01a)
225+8 Sec. 5-5.01a. Supportive living facilities program.
226+9 (a) The Department shall establish and provide oversight
227+10 for a program of supportive living facilities that seek to
228+11 promote resident independence, dignity, respect, and
229+12 well-being in the most cost-effective manner.
230+13 A supportive living facility is (i) a free-standing
231+14 facility or (ii) a distinct physical and operational entity
232+15 within a mixed-use building that meets the criteria
233+16 established in subsection (d). A supportive living facility
234+17 integrates housing with health, personal care, and supportive
235+18 services and is a designated setting that offers residents
236+19 their own separate, private, and distinct living units.
237+20 Sites for the operation of the program shall be selected
238+21 by the Department based upon criteria that may include the
239+22 need for services in a geographic area, the availability of
240+23 funding, and the site's ability to meet the standards.
241+24 (b) Beginning July 1, 2014, subject to federal approval,
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252+1 the Medicaid rates for supportive living facilities shall be
253+2 equal to the supportive living facility Medicaid rate
254+3 effective on June 30, 2014 increased by 8.85%. Once the
255+4 assessment imposed at Article V-G of this Code is determined
256+5 to be a permissible tax under Title XIX of the Social Security
257+6 Act, the Department shall increase the Medicaid rates for
258+7 supportive living facilities effective on July 1, 2014 by
259+8 9.09%. The Department shall apply this increase retroactively
260+9 to coincide with the imposition of the assessment in Article
261+10 V-G of this Code in accordance with the approval for federal
262+11 financial participation by the Centers for Medicare and
263+12 Medicaid Services.
264+13 The Medicaid rates for supportive living facilities
265+14 effective on July 1, 2017 must be equal to the rates in effect
266+15 for supportive living facilities on June 30, 2017 increased by
267+16 2.8%.
268+17 The Medicaid rates for supportive living facilities
269+18 effective on July 1, 2018 must be equal to the rates in effect
270+19 for supportive living facilities on June 30, 2018.
271+20 Subject to federal approval, the Medicaid rates for
272+21 supportive living services on and after July 1, 2019 must be at
273+22 least 54.3% of the average total nursing facility services per
274+23 diem for the geographic areas defined by the Department while
275+24 maintaining the rate differential for dementia care and must
276+25 be updated whenever the total nursing facility service per
277+26 diems are updated. Beginning July 1, 2022, upon the
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288+1 implementation of the Patient Driven Payment Model, Medicaid
289+2 rates for supportive living services must be at least 54.3% of
290+3 the average total nursing services per diem rate for the
291+4 geographic areas. For purposes of this provision, the average
292+5 total nursing services per diem rate shall include all add-ons
293+6 for nursing facilities for the geographic area provided for in
294+7 Section 5-5.2. The rate differential for dementia care must be
295+8 maintained in these rates and the rates shall be updated
296+9 whenever nursing facility per diem rates are updated.
297+10 Subject to federal approval, beginning January 1, 2024,
298+11 the dementia care rate for supportive living services must be
299+12 no less than the non-dementia care supportive living services
300+13 rate multiplied by 1.5.
301+14 (b-5) Subject to federal approval, beginning January 1,
302+15 2025, Medicaid rates for supportive living services must be at
303+16 least 54.75% of the average total nursing services per diem
304+17 rate for the geographic areas defined by the Department and
305+18 shall include all add-ons for nursing facilities for the
306+19 geographic area provided for in Section 5-5.2.
307+20 (c) The Department may adopt rules to implement this
308+21 Section. Rules that establish or modify the services,
309+22 standards, and conditions for participation in the program
310+23 shall be adopted by the Department in consultation with the
311+24 Department on Aging, the Department of Rehabilitation
312+25 Services, and the Department of Mental Health and
313+26 Developmental Disabilities (or their successor agencies).
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324+1 (d) Subject to federal approval by the Centers for
325+2 Medicare and Medicaid Services, the Department shall accept
326+3 for consideration of certification under the program any
327+4 application for a site or building where distinct parts of the
328+5 site or building are designated for purposes other than the
329+6 provision of supportive living services, but only if:
330+7 (1) those distinct parts of the site or building are
331+8 not designated for the purpose of providing assisted
332+9 living services as required under the Assisted Living and
333+10 Shared Housing Act;
334+11 (2) those distinct parts of the site or building are
335+12 completely separate from the part of the building used for
336+13 the provision of supportive living program services,
337+14 including separate entrances;
338+15 (3) those distinct parts of the site or building do
339+16 not share any common spaces with the part of the building
340+17 used for the provision of supportive living program
341+18 services; and
342+19 (4) those distinct parts of the site or building do
343+20 not share staffing with the part of the building used for
344+21 the provision of supportive living program services.
345+22 (e) Facilities or distinct parts of facilities which are
346+23 selected as supportive living facilities and are in good
347+24 standing with the Department's rules are exempt from the
348+25 provisions of the Nursing Home Care Act and the Illinois
349+26 Health Facilities Planning Act.
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360+1 (f) Section 9817 of the American Rescue Plan Act of 2021
361+2 (Public Law 117-2) authorizes a 10% enhanced federal medical
362+3 assistance percentage for supportive living services for a
363+4 12-month period from April 1, 2021 through March 31, 2022.
364+5 Subject to federal approval, including the approval of any
365+6 necessary waiver amendments or other federally required
366+7 documents or assurances, for a 12-month period the Department
367+8 must pay a supplemental $26 per diem rate to all supportive
368+9 living facilities with the additional federal financial
369+10 participation funds that result from the enhanced federal
370+11 medical assistance percentage from April 1, 2021 through March
371+12 31, 2022. The Department may issue parameters around how the
372+13 supplemental payment should be spent, including quality
373+14 improvement activities. The Department may alter the form,
374+15 methods, or timeframes concerning the supplemental per diem
375+16 rate to comply with any subsequent changes to federal law,
376+17 changes made by guidance issued by the federal Centers for
377+18 Medicare and Medicaid Services, or other changes necessary to
378+19 receive the enhanced federal medical assistance percentage.
379+20 (g) All applications for the expansion of supportive
380+21 living dementia care settings involving sites not approved by
381+22 the Department by January 1, 2024 (Public Act 103-102) may
382+23 allow new elderly non-dementia units in addition to new
383+24 dementia care units. The Department may approve such
384+25 applications only if the application has: (1) no more than one
385+26 non-dementia care unit for each dementia care unit and (2) the
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396+1 site is not located within 4 miles of an existing supportive
397+2 living program site in Cook County (including the City of
398+3 Chicago), not located within 12 miles of an existing
399+4 supportive living program site in Alexander, Bond, Boone,
400+5 Calhoun, Champaign, Clinton, DeKalb, DuPage, Fulton, Grundy,
401+6 Henry, Jackson, Jersey, Johnson, Kane, Kankakee, Kendall,
402+7 Lake, Macon, Macoupin, Madison, Marshall, McHenry, McLean,
403+8 Menard, Mercer, Monroe, Peoria, Piatt, Rock Island, Sangamon,
404+9 Stark, St. Clair, Tazewell, Vermilion, Will, Williamson,
405+10 Winnebago, or Woodford counties, or not located within 25
406+11 miles of an existing supportive living program site in any
407+12 other county.
408+13 (h) Beginning January 1, 2025, subject to federal
409+14 approval, for a person who is a resident of a supportive living
410+15 facility under this Section, the monthly personal needs
411+16 allowance shall be $120 per month.
412+17 (i) (h) As stated in the supportive living program home
413+18 and community-based service waiver approved by the federal
414+19 Centers for Medicare and Medicaid Services, and beginning July
415+20 1, 2025, the Department must maintain the rate add-on
416+21 implemented on January 1, 2023 for the provision of 2 meals per
417+22 day at no less than $6.15 per day.
418+23 (j) (f) Subject to federal approval, the Department shall
419+24 allow a certified medication aide to administer medication in
420+25 a supportive living facility. For purposes of this subsection,
421+26 "certified medication aide" means a person who has met the
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432+1 qualifications for certification under Section 79 of the
433+2 Assisted Living and Shared Housing Act and assists with
434+3 medication administration while under the supervision of a
435+4 registered professional nurse as authorized by Section 50-75
436+5 of the Nurse Practice Act. The Department may adopt rules to
437+6 implement this subsection.
438+7 (k) The administrator of a supportive living facility
439+8 shall ensure the facility has an automated external
440+9 defibrillator and policies and procedures for the rendering of
441+10 automated external defibrillation in the facility.
442+11 (1) All persons certified to provide automated
443+12 external defibrillation shall:
444+13 (A) successfully complete a course in
445+14 cardiopulmonary resuscitation and in the use of an
446+15 automated external defibrillator that meets or exceeds
447+16 the standards established by the American Heart
448+17 Association or the American National Red Cross; and
449+18 (B) have evidence that course completion is
450+19 current and not expired.
451+20 (2) The facility shall contract with or employ a
452+21 physician who shall be the automated external
453+22 defibrillation medical director for the facility and who
454+23 shall oversee and coordinate the following:
455+24 (A) maintenance and testing of equipment in
456+25 accordance with the manufacturer's guidelines;
457+26 (B) certification and training of the facility's
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