1 | 1 | | 104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 HB2429 Introduced , by Rep. Nabeela Syed SYNOPSIS AS INTRODUCED: 210 ILCS 9/85210 ILCS 45/2-202 from Ch. 111 1/2, par. 4152-202210 ILCS 46/2-202210 ILCS 47/2-202 Amends the Assisted Living and Shared Housing Act, the Nursing Home Care Act, the MC/DD Act, and the ID/DD Community Care Act. Provides that a service delivery contract or other contract between a facility and a resident shall not permit rate increases for a resident's room and board before the expiration of the residency period specified in the contract. Provides that, if there is a rate increase for a resident's room and board provided in a subsequent contract that is greater than the percentage increase in the consumer price index-u during the preceding residency period, the facility must provide justification for the increase. LRB104 08265 BAB 18315 b A BILL FOR 104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 HB2429 Introduced , by Rep. Nabeela Syed SYNOPSIS AS INTRODUCED: 210 ILCS 9/85210 ILCS 45/2-202 from Ch. 111 1/2, par. 4152-202210 ILCS 46/2-202210 ILCS 47/2-202 210 ILCS 9/85 210 ILCS 45/2-202 from Ch. 111 1/2, par. 4152-202 210 ILCS 46/2-202 210 ILCS 47/2-202 Amends the Assisted Living and Shared Housing Act, the Nursing Home Care Act, the MC/DD Act, and the ID/DD Community Care Act. Provides that a service delivery contract or other contract between a facility and a resident shall not permit rate increases for a resident's room and board before the expiration of the residency period specified in the contract. Provides that, if there is a rate increase for a resident's room and board provided in a subsequent contract that is greater than the percentage increase in the consumer price index-u during the preceding residency period, the facility must provide justification for the increase. LRB104 08265 BAB 18315 b LRB104 08265 BAB 18315 b A BILL FOR |
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2 | 2 | | 104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 HB2429 Introduced , by Rep. Nabeela Syed SYNOPSIS AS INTRODUCED: |
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3 | 3 | | 210 ILCS 9/85210 ILCS 45/2-202 from Ch. 111 1/2, par. 4152-202210 ILCS 46/2-202210 ILCS 47/2-202 210 ILCS 9/85 210 ILCS 45/2-202 from Ch. 111 1/2, par. 4152-202 210 ILCS 46/2-202 210 ILCS 47/2-202 |
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4 | 4 | | 210 ILCS 9/85 |
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5 | 5 | | 210 ILCS 45/2-202 from Ch. 111 1/2, par. 4152-202 |
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6 | 6 | | 210 ILCS 46/2-202 |
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7 | 7 | | 210 ILCS 47/2-202 |
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8 | 8 | | Amends the Assisted Living and Shared Housing Act, the Nursing Home Care Act, the MC/DD Act, and the ID/DD Community Care Act. Provides that a service delivery contract or other contract between a facility and a resident shall not permit rate increases for a resident's room and board before the expiration of the residency period specified in the contract. Provides that, if there is a rate increase for a resident's room and board provided in a subsequent contract that is greater than the percentage increase in the consumer price index-u during the preceding residency period, the facility must provide justification for the increase. |
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9 | 9 | | LRB104 08265 BAB 18315 b LRB104 08265 BAB 18315 b |
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10 | 10 | | LRB104 08265 BAB 18315 b |
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11 | 11 | | A BILL FOR |
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12 | 12 | | HB2429LRB104 08265 BAB 18315 b HB2429 LRB104 08265 BAB 18315 b |
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13 | 13 | | HB2429 LRB104 08265 BAB 18315 b |
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14 | 14 | | 1 AN ACT concerning regulation. |
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15 | 15 | | 2 Be it enacted by the People of the State of Illinois, |
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16 | 16 | | 3 represented in the General Assembly: |
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17 | 17 | | 4 Section 5. The Assisted Living and Shared Housing Act is |
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18 | 18 | | 5 amended by changing Section 85 as follows: |
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19 | 19 | | 6 (210 ILCS 9/85) |
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20 | 20 | | 7 Sec. 85. Contract requirements. |
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21 | 21 | | 8 (a) No entity may establish, operate, conduct, or maintain |
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22 | 22 | | 9 an establishment in this State unless a written service |
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23 | 23 | | 10 delivery contract is executed between the establishment and |
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24 | 24 | | 11 each resident or resident's representative in accordance with |
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25 | 25 | | 12 Section 90 and unless the establishment operates in accordance |
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26 | 26 | | 13 with the terms of the contract. The resident or the resident's |
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27 | 27 | | 14 representative shall be given a complete copy of the contract |
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28 | 28 | | 15 and all supporting documents and attachments and any changes |
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29 | 29 | | 16 whenever changes are made. If the resident does not understand |
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30 | 30 | | 17 English and if translated documents are not available, the |
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31 | 31 | | 18 establishment must explain its policies to a responsible |
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32 | 32 | | 19 relative or friend or another individual who has agreed to |
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33 | 33 | | 20 communicate the information to the resident. |
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34 | 34 | | 21 (b) A service delivery contract shall not permit rate |
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35 | 35 | | 22 increases for a resident's room and board before the |
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36 | 36 | | 23 expiration of the residency period specified in the contract. |
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37 | 37 | | |
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38 | 38 | | |
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39 | 39 | | |
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40 | 40 | | 104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026 HB2429 Introduced , by Rep. Nabeela Syed SYNOPSIS AS INTRODUCED: |
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41 | 41 | | 210 ILCS 9/85210 ILCS 45/2-202 from Ch. 111 1/2, par. 4152-202210 ILCS 46/2-202210 ILCS 47/2-202 210 ILCS 9/85 210 ILCS 45/2-202 from Ch. 111 1/2, par. 4152-202 210 ILCS 46/2-202 210 ILCS 47/2-202 |
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42 | 42 | | 210 ILCS 9/85 |
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43 | 43 | | 210 ILCS 45/2-202 from Ch. 111 1/2, par. 4152-202 |
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44 | 44 | | 210 ILCS 46/2-202 |
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45 | 45 | | 210 ILCS 47/2-202 |
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46 | 46 | | Amends the Assisted Living and Shared Housing Act, the Nursing Home Care Act, the MC/DD Act, and the ID/DD Community Care Act. Provides that a service delivery contract or other contract between a facility and a resident shall not permit rate increases for a resident's room and board before the expiration of the residency period specified in the contract. Provides that, if there is a rate increase for a resident's room and board provided in a subsequent contract that is greater than the percentage increase in the consumer price index-u during the preceding residency period, the facility must provide justification for the increase. |
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47 | 47 | | LRB104 08265 BAB 18315 b LRB104 08265 BAB 18315 b |
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48 | 48 | | LRB104 08265 BAB 18315 b |
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49 | 49 | | A BILL FOR |
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50 | 50 | | |
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51 | 51 | | |
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52 | 52 | | |
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53 | 53 | | |
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54 | 54 | | |
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55 | 55 | | 210 ILCS 9/85 |
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56 | 56 | | 210 ILCS 45/2-202 from Ch. 111 1/2, par. 4152-202 |
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57 | 57 | | 210 ILCS 46/2-202 |
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58 | 58 | | 210 ILCS 47/2-202 |
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59 | 59 | | |
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60 | 60 | | |
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61 | 61 | | |
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62 | 62 | | LRB104 08265 BAB 18315 b |
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63 | 63 | | |
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64 | 64 | | |
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65 | 65 | | |
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66 | 66 | | |
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67 | 67 | | |
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68 | 68 | | |
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69 | 69 | | |
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70 | 70 | | |
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71 | 71 | | |
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72 | 72 | | HB2429 LRB104 08265 BAB 18315 b |
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73 | 73 | | |
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74 | 74 | | |
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75 | 75 | | HB2429- 2 -LRB104 08265 BAB 18315 b HB2429 - 2 - LRB104 08265 BAB 18315 b |
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76 | 76 | | HB2429 - 2 - LRB104 08265 BAB 18315 b |
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77 | 77 | | 1 If there is a rate increase for a resident's room and board |
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78 | 78 | | 2 provided in a subsequent contract that is greater than the |
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79 | 79 | | 3 percentage increase in the consumer price index-u during the |
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80 | 80 | | 4 preceding residency period, the establishment must provide |
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81 | 81 | | 5 justification for the increase. |
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82 | 82 | | 6 For the purposes of this subsection, "consumer price |
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83 | 83 | | 7 index-u" means the index published by the Bureau of Labor |
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84 | 84 | | 8 Statistics of the United States Department of Labor that |
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85 | 85 | | 9 measures the average change in prices of goods and services |
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86 | 86 | | 10 purchased by all urban consumers, United States city average, |
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87 | 87 | | 11 all items, 1982-84 = 100. |
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88 | 88 | | 12 (Source: P.A. 91-656, eff. 1-1-01.) |
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89 | 89 | | 13 Section 15. The Nursing Home Care Act is amended by |
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90 | 90 | | 14 changing Section 2-202 as follows: |
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91 | 91 | | 15 (210 ILCS 45/2-202) (from Ch. 111 1/2, par. 4152-202) |
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92 | 92 | | 16 Sec. 2-202. (a) Before a person is admitted to a facility, |
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93 | 93 | | 17 or at the expiration of the period of previous contract, or |
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94 | 94 | | 18 when the source of payment for the resident's care changes |
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95 | 95 | | 19 from private to public funds or from public to private funds, a |
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96 | 96 | | 20 written contract shall be executed between a licensee and the |
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97 | 97 | | 21 following in order of priority: |
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98 | 98 | | 22 (1) the person, or if the person is a minor, his parent |
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99 | 99 | | 23 or guardian; or |
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100 | 100 | | 24 (2) the person's guardian, if any, or agent, if any, |
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101 | 101 | | |
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102 | 102 | | |
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103 | 103 | | |
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104 | 104 | | |
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105 | 105 | | |
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106 | 106 | | HB2429 - 2 - LRB104 08265 BAB 18315 b |
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107 | 107 | | |
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108 | 108 | | |
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109 | 109 | | HB2429- 3 -LRB104 08265 BAB 18315 b HB2429 - 3 - LRB104 08265 BAB 18315 b |
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110 | 110 | | HB2429 - 3 - LRB104 08265 BAB 18315 b |
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111 | 111 | | 1 as defined in Section 2-3 of the Illinois Power of |
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112 | 112 | | 2 Attorney Act; or |
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113 | 113 | | 3 (3) a member of the person's immediate family. |
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114 | 114 | | 4 An adult person shall be presumed to have the capacity to |
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115 | 115 | | 5 contract for admission to a long term care facility unless he |
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116 | 116 | | 6 has been adjudicated a "person with a disability" within the |
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117 | 117 | | 7 meaning of Section 11a-2 of the Probate Act of 1975, or unless |
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118 | 118 | | 8 a petition for such an adjudication is pending in a circuit |
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119 | 119 | | 9 court of Illinois. |
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120 | 120 | | 10 If there is no guardian, agent or member of the person's |
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121 | 121 | | 11 immediate family available, able or willing to execute the |
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122 | 122 | | 12 contract required by this Section and a physician determines |
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123 | 123 | | 13 that a person is so disabled as to be unable to consent to |
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124 | 124 | | 14 placement in a facility, or if a person has already been found |
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125 | 125 | | 15 to be a "person with a disability", but no order has been |
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126 | 126 | | 16 entered allowing residential placement of the person, that |
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127 | 127 | | 17 person may be admitted to a facility before the execution of a |
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128 | 128 | | 18 contract required by this Section; provided that a petition |
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129 | 129 | | 19 for guardianship or for modification of guardianship is filed |
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130 | 130 | | 20 within 15 days of the person's admission to a facility, and |
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131 | 131 | | 21 provided further that such a contract is executed within 10 |
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132 | 132 | | 22 days of the disposition of the petition. |
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133 | 133 | | 23 No adult shall be admitted to a facility if he objects, |
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134 | 134 | | 24 orally or in writing, to such admission, except as otherwise |
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135 | 135 | | 25 provided in Chapters III and IV of the Mental Health and |
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136 | 136 | | 26 Developmental Disabilities Code or Section 11a-14.1 of the |
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137 | 137 | | |
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138 | 138 | | |
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139 | 139 | | |
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140 | 140 | | |
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141 | 141 | | |
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142 | 142 | | HB2429 - 3 - LRB104 08265 BAB 18315 b |
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143 | 143 | | |
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144 | 144 | | |
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145 | 145 | | HB2429- 4 -LRB104 08265 BAB 18315 b HB2429 - 4 - LRB104 08265 BAB 18315 b |
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146 | 146 | | HB2429 - 4 - LRB104 08265 BAB 18315 b |
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147 | 147 | | 1 Probate Act of 1975. |
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148 | 148 | | 2 If a person has not executed a contract as required by this |
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149 | 149 | | 3 Section, then such a contract shall be executed on or before |
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150 | 150 | | 4 July 1, 1981, or within 10 days after the disposition of a |
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151 | 151 | | 5 petition for guardianship or modification of guardianship that |
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152 | 152 | | 6 was filed prior to July 1, 1981, whichever is later. |
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153 | 153 | | 7 Before a licensee enters a contract under this Section, it |
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154 | 154 | | 8 shall provide the prospective resident and his or her |
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155 | 155 | | 9 guardian, if any, with written notice of the licensee's policy |
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156 | 156 | | 10 regarding discharge of a resident whose private funds for |
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157 | 157 | | 11 payment of care are exhausted. |
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158 | 158 | | 12 Before a licensee enters into a contract under this |
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159 | 159 | | 13 Section, it shall provide the resident or prospective resident |
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160 | 160 | | 14 and his or her guardian, if any, with a copy of the licensee's |
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161 | 161 | | 15 policy regarding the assignment of Social Security |
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162 | 162 | | 16 representative payee status as a condition of the contract |
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163 | 163 | | 17 when the resident's or prospective resident's care is being |
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164 | 164 | | 18 funded under Title XIX of the Social Security Act and Article V |
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165 | 165 | | 19 of the Illinois Public Aid Code. |
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166 | 166 | | 20 (b) A resident shall not be discharged or transferred at |
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167 | 167 | | 21 the expiration of the term of a contract, except as provided in |
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168 | 168 | | 22 Sections 3-401 through 3-423. |
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169 | 169 | | 23 (c) At the time of the resident's admission to the |
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170 | 170 | | 24 facility, a copy of the contract shall be given to the |
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171 | 171 | | 25 resident, his guardian, if any, and any other person who |
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172 | 172 | | 26 executed the contract. |
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173 | 173 | | |
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174 | 174 | | |
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175 | 175 | | |
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176 | 176 | | |
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177 | 177 | | |
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178 | 178 | | HB2429 - 4 - LRB104 08265 BAB 18315 b |
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179 | 179 | | |
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180 | 180 | | |
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181 | 181 | | HB2429- 5 -LRB104 08265 BAB 18315 b HB2429 - 5 - LRB104 08265 BAB 18315 b |
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182 | 182 | | HB2429 - 5 - LRB104 08265 BAB 18315 b |
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183 | 183 | | 1 (d) A copy of the contract for a resident who is supported |
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184 | 184 | | 2 by nonpublic funds other than the resident's own funds shall |
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185 | 185 | | 3 be made available to the person providing the funds for the |
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186 | 186 | | 4 resident's support. |
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187 | 187 | | 5 (e) The original or a copy of the contract shall be |
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188 | 188 | | 6 maintained in the facility and be made available upon request |
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189 | 189 | | 7 to representatives of the Department and the Department of |
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190 | 190 | | 8 Healthcare and Family Services. |
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191 | 191 | | 9 (f) The contract shall be written in clear and unambiguous |
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192 | 192 | | 10 language and shall be printed in not less than 12-point type. |
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193 | 193 | | 11 The general form of the contract shall be prescribed by the |
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194 | 194 | | 12 Department. |
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195 | 195 | | 13 (g) The contract shall specify: |
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196 | 196 | | 14 (1) the term of the contract; |
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197 | 197 | | 15 (2) the services to be provided under the contract and |
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198 | 198 | | 16 the charges for the services; |
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199 | 199 | | 17 (3) the services that may be provided to supplement |
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200 | 200 | | 18 the contract and the charges for the services; |
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201 | 201 | | 19 (4) the sources liable for payments due under the |
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202 | 202 | | 20 contract; |
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203 | 203 | | 21 (5) the amount of deposit paid; and |
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204 | 204 | | 22 (6) the rights, duties and obligations of the |
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205 | 205 | | 23 resident, except that the specification of a resident's |
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206 | 206 | | 24 rights may be furnished on a separate document which |
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207 | 207 | | 25 complies with the requirements of Section 2-211. |
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208 | 208 | | 26 (h) The contract shall designate the name of the |
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209 | 209 | | |
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210 | 210 | | |
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211 | 211 | | |
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212 | 212 | | |
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213 | 213 | | |
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214 | 214 | | HB2429 - 5 - LRB104 08265 BAB 18315 b |
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215 | 215 | | |
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216 | 216 | | |
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217 | 217 | | HB2429- 6 -LRB104 08265 BAB 18315 b HB2429 - 6 - LRB104 08265 BAB 18315 b |
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218 | 218 | | HB2429 - 6 - LRB104 08265 BAB 18315 b |
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219 | 219 | | 1 resident's representative, if any. The resident shall provide |
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220 | 220 | | 2 the facility with a copy of the written agreement between the |
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221 | 221 | | 3 resident and the resident's representative which authorizes |
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222 | 222 | | 4 the resident's representative to inspect and copy the |
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223 | 223 | | 5 resident's records and authorizes the resident's |
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224 | 224 | | 6 representative to execute the contract on behalf of the |
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225 | 225 | | 7 resident required by this Section. |
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226 | 226 | | 8 (i) The contract shall provide that if the resident is |
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227 | 227 | | 9 compelled by a change in physical or mental health to leave the |
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228 | 228 | | 10 facility, the contract and all obligations under it shall |
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229 | 229 | | 11 terminate on 7 days notice. No prior notice of termination of |
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230 | 230 | | 12 the contract shall be required, however, in the case of a |
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231 | 231 | | 13 resident's death. The contract shall also provide that in all |
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232 | 232 | | 14 other situations, a resident may terminate the contract and |
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233 | 233 | | 15 all obligations under it with 30 days notice. All charges |
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234 | 234 | | 16 shall be prorated as of the date on which the contract |
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235 | 235 | | 17 terminates, and, if any payments have been made in advance, |
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236 | 236 | | 18 the excess shall be refunded to the resident. This provision |
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237 | 237 | | 19 shall not apply to life-care contracts through which a |
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238 | 238 | | 20 facility agrees to provide maintenance and care for a resident |
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239 | 239 | | 21 throughout the remainder of his life nor to continuing-care |
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240 | 240 | | 22 contracts through which a facility agrees to supplement all |
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241 | 241 | | 23 available forms of financial support in providing maintenance |
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242 | 242 | | 24 and care for a resident throughout the remainder of his life. |
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243 | 243 | | 25 (j) In addition to all other contract specifications |
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244 | 244 | | 26 contained in this Section admission contracts shall also |
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245 | 245 | | |
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246 | 246 | | |
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247 | 247 | | |
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248 | 248 | | |
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249 | 249 | | |
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250 | 250 | | HB2429 - 6 - LRB104 08265 BAB 18315 b |
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251 | 251 | | |
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252 | 252 | | |
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253 | 253 | | HB2429- 7 -LRB104 08265 BAB 18315 b HB2429 - 7 - LRB104 08265 BAB 18315 b |
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254 | 254 | | HB2429 - 7 - LRB104 08265 BAB 18315 b |
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255 | 255 | | 1 specify: |
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256 | 256 | | 2 (1) whether the facility accepts Medicaid clients; |
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257 | 257 | | 3 (2) whether the facility requires a deposit of the |
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258 | 258 | | 4 resident or his family prior to the establishment of |
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259 | 259 | | 5 Medicaid eligibility; |
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260 | 260 | | 6 (3) in the event that a deposit is required, a clear |
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261 | 261 | | 7 and concise statement of the procedure to be followed for |
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262 | 262 | | 8 the return of such deposit to the resident or the |
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263 | 263 | | 9 appropriate family member or guardian of the person; |
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264 | 264 | | 10 (4) that all deposits made to a facility by a |
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265 | 265 | | 11 resident, or on behalf of a resident, shall be returned by |
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266 | 266 | | 12 the facility within 30 days of the establishment of |
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267 | 267 | | 13 Medicaid eligibility, unless such deposits must be drawn |
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268 | 268 | | 14 upon or encumbered in accordance with Medicaid eligibility |
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269 | 269 | | 15 requirements established by the Department of Healthcare |
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270 | 270 | | 16 and Family Services. |
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271 | 271 | | 17 (k) It shall be a business offense for a facility to |
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272 | 272 | | 18 knowingly and intentionally both retain a resident's deposit |
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273 | 273 | | 19 and accept Medicaid payments on behalf of that resident. |
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274 | 274 | | 20 (l) A contract under this Section shall not permit rate |
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275 | 275 | | 21 increases for a resident's room and board before the |
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276 | 276 | | 22 expiration of the residency period specified in the contract. |
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277 | 277 | | 23 If there is a rate increase for a resident's room and board |
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278 | 278 | | 24 provided in a subsequent contract that is greater than the |
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279 | 279 | | 25 percentage increase in the consumer price index-u during the |
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280 | 280 | | 26 preceding residency period, the facility must provide |
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281 | 281 | | |
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282 | 282 | | |
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283 | 283 | | |
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284 | 284 | | |
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285 | 285 | | |
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286 | 286 | | HB2429 - 7 - LRB104 08265 BAB 18315 b |
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287 | 287 | | |
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288 | 288 | | |
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289 | 289 | | HB2429- 8 -LRB104 08265 BAB 18315 b HB2429 - 8 - LRB104 08265 BAB 18315 b |
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290 | 290 | | HB2429 - 8 - LRB104 08265 BAB 18315 b |
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291 | 291 | | 1 justification for the increase. |
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292 | 292 | | 2 For the purposes of this subsection, "consumer price |
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293 | 293 | | 3 index-u" means the index published by the Bureau of Labor |
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294 | 294 | | 4 Statistics of the United States Department of Labor that |
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295 | 295 | | 5 measures the average change in prices of goods and services |
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296 | 296 | | 6 purchased by all urban consumers, United States city average, |
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297 | 297 | | 7 all items, 1982-84 = 100. |
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298 | 298 | | 8 (Source: P.A. 98-104, eff. 7-22-13; 99-143, eff. 7-27-15.) |
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299 | 299 | | 9 Section 20. The MC/DD Act is amended by changing Section |
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300 | 300 | | 10 2-202 as follows: |
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301 | 301 | | 11 (210 ILCS 46/2-202) |
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302 | 302 | | 12 Sec. 2-202. Contract required. |
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303 | 303 | | 13 (a) Before a person is admitted to a facility, or at the |
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304 | 304 | | 14 expiration of the period of previous contract, or when the |
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305 | 305 | | 15 source of payment for the resident's care changes from private |
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306 | 306 | | 16 to public funds or from public to private funds, a written |
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307 | 307 | | 17 contract shall be executed between a licensee and the |
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308 | 308 | | 18 following in order of priority: |
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309 | 309 | | 19 (1) the person, or if the person is a minor, his parent |
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310 | 310 | | 20 or guardian; or |
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311 | 311 | | 21 (2) the person's guardian, if any, or agent, if any, |
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312 | 312 | | 22 as defined in Section 2-3 of the Illinois Power of |
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313 | 313 | | 23 Attorney Act; or |
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314 | 314 | | 24 (3) a member of the person's immediate family. |
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315 | 315 | | |
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316 | 316 | | |
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317 | 317 | | |
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318 | 318 | | |
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319 | 319 | | |
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320 | 320 | | HB2429 - 8 - LRB104 08265 BAB 18315 b |
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321 | 321 | | |
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322 | 322 | | |
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323 | 323 | | HB2429- 9 -LRB104 08265 BAB 18315 b HB2429 - 9 - LRB104 08265 BAB 18315 b |
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324 | 324 | | HB2429 - 9 - LRB104 08265 BAB 18315 b |
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325 | 325 | | 1 An adult person shall be presumed to have the capacity to |
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326 | 326 | | 2 contract for admission to a facility unless he or she has been |
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327 | 327 | | 3 adjudicated a "disabled person" within the meaning of Section |
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328 | 328 | | 4 11a-2 of the Probate Act of 1975, or unless a petition for such |
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329 | 329 | | 5 an adjudication is pending in a circuit court of Illinois. |
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330 | 330 | | 6 If there is no guardian, agent or member of the person's |
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331 | 331 | | 7 immediate family available, able or willing to execute the |
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332 | 332 | | 8 contract required by this Section and a physician determines |
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333 | 333 | | 9 that a person is so disabled as to be unable to consent to |
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334 | 334 | | 10 placement in a facility, or if a person has already been found |
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335 | 335 | | 11 to be a "disabled person", but no order has been entered |
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336 | 336 | | 12 allowing residential placement of the person, that person may |
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337 | 337 | | 13 be admitted to a facility before the execution of a contract |
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338 | 338 | | 14 required by this Section; provided that a petition for |
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339 | 339 | | 15 guardianship or for modification of guardianship is filed |
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340 | 340 | | 16 within 15 days of the person's admission to a facility, and |
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341 | 341 | | 17 provided further that such a contract is executed within 10 |
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342 | 342 | | 18 days of the disposition of the petition. |
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343 | 343 | | 19 No adult shall be admitted to a facility if he or she |
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344 | 344 | | 20 objects, orally or in writing, to such admission, except as |
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345 | 345 | | 21 otherwise provided in Chapters III and IV of the Mental Health |
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346 | 346 | | 22 and Developmental Disabilities Code or Section 11a-14.1 of the |
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347 | 347 | | 23 Probate Act of 1975. |
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348 | 348 | | 24 Before a licensee enters a contract under this Section, it |
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349 | 349 | | 25 shall provide the prospective resident and his or her |
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350 | 350 | | 26 guardian, if any, with written notice of the licensee's policy |
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351 | 351 | | |
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352 | 352 | | |
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353 | 353 | | |
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354 | 354 | | |
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355 | 355 | | |
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356 | 356 | | HB2429 - 9 - LRB104 08265 BAB 18315 b |
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357 | 357 | | |
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358 | 358 | | |
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359 | 359 | | HB2429- 10 -LRB104 08265 BAB 18315 b HB2429 - 10 - LRB104 08265 BAB 18315 b |
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360 | 360 | | HB2429 - 10 - LRB104 08265 BAB 18315 b |
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361 | 361 | | 1 regarding discharge of a resident whose private funds for |
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362 | 362 | | 2 payment of care are exhausted. |
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363 | 363 | | 3 (b) A resident shall not be discharged or transferred at |
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364 | 364 | | 4 the expiration of the term of a contract, except as provided in |
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365 | 365 | | 5 Sections 3-401 through 3-423. |
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366 | 366 | | 6 (c) At the time of the resident's admission to the |
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367 | 367 | | 7 facility, a copy of the contract shall be given to the |
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368 | 368 | | 8 resident, his or her guardian, if any, and any other person who |
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369 | 369 | | 9 executed the contract. |
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370 | 370 | | 10 (d) A copy of the contract for a resident who is supported |
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371 | 371 | | 11 by nonpublic funds other than the resident's own funds shall |
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372 | 372 | | 12 be made available to the person providing the funds for the |
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373 | 373 | | 13 resident's support. |
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374 | 374 | | 14 (e) The original or a copy of the contract shall be |
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375 | 375 | | 15 maintained in the facility and be made available upon request |
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376 | 376 | | 16 to representatives of the Department and the Department of |
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377 | 377 | | 17 Healthcare and Family Services. |
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378 | 378 | | 18 (f) The contract shall be written in clear and unambiguous |
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379 | 379 | | 19 language and shall be printed in not less than 12-point type. |
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380 | 380 | | 20 The general form of the contract shall be prescribed by the |
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381 | 381 | | 21 Department. |
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382 | 382 | | 22 (g) The contract shall specify: |
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383 | 383 | | 23 (1) the term of the contract; |
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384 | 384 | | 24 (2) the services to be provided under the contract and |
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385 | 385 | | 25 the charges for the services; |
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386 | 386 | | 26 (3) the services that may be provided to supplement |
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387 | 387 | | |
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388 | 388 | | |
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389 | 389 | | |
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390 | 390 | | |
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391 | 391 | | |
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392 | 392 | | HB2429 - 10 - LRB104 08265 BAB 18315 b |
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393 | 393 | | |
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394 | 394 | | |
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395 | 395 | | HB2429- 11 -LRB104 08265 BAB 18315 b HB2429 - 11 - LRB104 08265 BAB 18315 b |
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396 | 396 | | HB2429 - 11 - LRB104 08265 BAB 18315 b |
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397 | 397 | | 1 the contract and the charges for the services; |
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398 | 398 | | 2 (4) the sources liable for payments due under the |
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399 | 399 | | 3 contract; |
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400 | 400 | | 4 (5) the amount of deposit paid; and |
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401 | 401 | | 5 (6) the rights, duties and obligations of the |
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402 | 402 | | 6 resident, except that the specification of a resident's |
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403 | 403 | | 7 rights may be furnished on a separate document which |
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404 | 404 | | 8 complies with the requirements of Section 2-211. |
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405 | 405 | | 9 (h) The contract shall designate the name of the |
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406 | 406 | | 10 resident's representative, if any. The resident shall provide |
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407 | 407 | | 11 the facility with a copy of the written agreement between the |
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408 | 408 | | 12 resident and the resident's representative which authorizes |
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409 | 409 | | 13 the resident's representative to inspect and copy the |
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410 | 410 | | 14 resident's records and authorizes the resident's |
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411 | 411 | | 15 representative to execute the contract on behalf of the |
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412 | 412 | | 16 resident required by this Section. |
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413 | 413 | | 17 (i) The contract shall provide that if the resident is |
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414 | 414 | | 18 compelled by a change in physical or mental health to leave the |
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415 | 415 | | 19 facility, the contract and all obligations under it shall |
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416 | 416 | | 20 terminate on 7 days' notice. No prior notice of termination of |
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417 | 417 | | 21 the contract shall be required, however, in the case of a |
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418 | 418 | | 22 resident's death. The contract shall also provide that in all |
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419 | 419 | | 23 other situations, a resident may terminate the contract and |
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420 | 420 | | 24 all obligations under it with 30 days' notice. All charges |
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421 | 421 | | 25 shall be prorated as of the date on which the contract |
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422 | 422 | | 26 terminates, and, if any payments have been made in advance, |
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423 | 423 | | |
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424 | 424 | | |
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425 | 425 | | |
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426 | 426 | | |
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427 | 427 | | |
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428 | 428 | | HB2429 - 11 - LRB104 08265 BAB 18315 b |
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429 | 429 | | |
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430 | 430 | | |
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431 | 431 | | HB2429- 12 -LRB104 08265 BAB 18315 b HB2429 - 12 - LRB104 08265 BAB 18315 b |
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432 | 432 | | HB2429 - 12 - LRB104 08265 BAB 18315 b |
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433 | 433 | | 1 the excess shall be refunded to the resident. This provision |
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434 | 434 | | 2 shall not apply to life care contracts through which a |
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435 | 435 | | 3 facility agrees to provide maintenance and care for a resident |
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436 | 436 | | 4 throughout the remainder of his life nor to continuing care |
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437 | 437 | | 5 contracts through which a facility agrees to supplement all |
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438 | 438 | | 6 available forms of financial support in providing maintenance |
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439 | 439 | | 7 and care for a resident throughout the remainder of his or her |
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440 | 440 | | 8 life. |
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441 | 441 | | 9 (j) In addition to all other contract specifications |
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442 | 442 | | 10 contained in this Section admission contracts shall also |
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443 | 443 | | 11 specify: |
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444 | 444 | | 12 (1) whether the facility accepts Medicaid clients; |
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445 | 445 | | 13 (2) whether the facility requires a deposit of the |
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446 | 446 | | 14 resident or his or her family prior to the establishment |
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447 | 447 | | 15 of Medicaid eligibility; |
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448 | 448 | | 16 (3) in the event that a deposit is required, a clear |
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449 | 449 | | 17 and concise statement of the procedure to be followed for |
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450 | 450 | | 18 the return of such deposit to the resident or the |
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451 | 451 | | 19 appropriate family member or guardian of the person; and |
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452 | 452 | | 20 (4) that all deposits made to a facility by a |
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453 | 453 | | 21 resident, or on behalf of a resident, shall be returned by |
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454 | 454 | | 22 the facility within 30 days of the establishment of |
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455 | 455 | | 23 Medicaid eligibility, unless such deposits must be drawn |
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456 | 456 | | 24 upon or encumbered in accordance with Medicaid eligibility |
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457 | 457 | | 25 requirements established by the Department of Healthcare |
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458 | 458 | | 26 and Family Services. |
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459 | 459 | | |
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460 | 460 | | |
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461 | 461 | | |
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462 | 462 | | |
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463 | 463 | | |
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464 | 464 | | HB2429 - 12 - LRB104 08265 BAB 18315 b |
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465 | 465 | | |
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466 | 466 | | |
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467 | 467 | | HB2429- 13 -LRB104 08265 BAB 18315 b HB2429 - 13 - LRB104 08265 BAB 18315 b |
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468 | 468 | | HB2429 - 13 - LRB104 08265 BAB 18315 b |
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469 | 469 | | 1 (k) It shall be a business offense for a facility to |
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470 | 470 | | 2 knowingly and intentionally both retain a resident's deposit |
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471 | 471 | | 3 and accept Medicaid payments on behalf of that resident. |
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472 | 472 | | 4 (l) A contract under this Section shall not permit rate |
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473 | 473 | | 5 increases for a resident's room and board before the |
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474 | 474 | | 6 expiration of the residency period specified in the contract. |
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475 | 475 | | 7 If there is a rate increase for a resident's room and board |
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476 | 476 | | 8 provided in a subsequent contract that is greater than the |
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477 | 477 | | 9 percentage increase in the consumer price index-u during the |
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478 | 478 | | 10 preceding residency period, the facility must provide |
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479 | 479 | | 11 justification for the increase. |
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480 | 480 | | 12 For the purposes of this subsection, "consumer price |
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481 | 481 | | 13 index-u" means the index published by the Bureau of Labor |
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482 | 482 | | 14 Statistics of the United States Department of Labor that |
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483 | 483 | | 15 measures the average change in prices of goods and services |
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484 | 484 | | 16 purchased by all urban consumers, United States city average, |
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485 | 485 | | 17 all items, 1982-84 = 100. |
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486 | 486 | | 18 (Source: P.A. 99-180, eff. 7-29-15.) |
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487 | 487 | | 19 Section 25. The ID/DD Community Care Act is amended by |
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488 | 488 | | 20 changing Section 2-202 as follows: |
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489 | 489 | | 21 (210 ILCS 47/2-202) |
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490 | 490 | | 22 Sec. 2-202. Contract required. |
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491 | 491 | | 23 (a) Before a person is admitted to a facility, or at the |
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492 | 492 | | 24 expiration of the period of previous contract, or when the |
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493 | 493 | | |
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494 | 494 | | |
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495 | 495 | | |
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496 | 496 | | |
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497 | 497 | | |
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498 | 498 | | HB2429 - 13 - LRB104 08265 BAB 18315 b |
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499 | 499 | | |
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500 | 500 | | |
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501 | 501 | | HB2429- 14 -LRB104 08265 BAB 18315 b HB2429 - 14 - LRB104 08265 BAB 18315 b |
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502 | 502 | | HB2429 - 14 - LRB104 08265 BAB 18315 b |
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503 | 503 | | 1 source of payment for the resident's care changes from private |
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504 | 504 | | 2 to public funds or from public to private funds, a written |
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505 | 505 | | 3 contract shall be executed between a licensee and the |
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506 | 506 | | 4 following in order of priority: |
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507 | 507 | | 5 (1) the person, or if the person is a minor, his parent |
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508 | 508 | | 6 or guardian; or |
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509 | 509 | | 7 (2) the person's guardian, if any, or agent, if any, |
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510 | 510 | | 8 as defined in Section 2-3 of the Illinois Power of |
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511 | 511 | | 9 Attorney Act; or |
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512 | 512 | | 10 (3) a member of the person's immediate family. |
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513 | 513 | | 11 An adult person shall be presumed to have the capacity to |
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514 | 514 | | 12 contract for admission to a long term care facility unless he |
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515 | 515 | | 13 or she has been adjudicated a "person with a disability" |
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516 | 516 | | 14 within the meaning of Section 11a-2 of the Probate Act of 1975, |
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517 | 517 | | 15 or unless a petition for such an adjudication is pending in a |
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518 | 518 | | 16 circuit court of Illinois. |
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519 | 519 | | 17 If there is no guardian, agent or member of the person's |
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520 | 520 | | 18 immediate family available, able or willing to execute the |
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521 | 521 | | 19 contract required by this Section and a physician determines |
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522 | 522 | | 20 that a person is so disabled as to be unable to consent to |
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523 | 523 | | 21 placement in a facility, or if a person has already been found |
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524 | 524 | | 22 to be a "person with a disability", but no order has been |
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525 | 525 | | 23 entered allowing residential placement of the person, that |
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526 | 526 | | 24 person may be admitted to a facility before the execution of a |
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527 | 527 | | 25 contract required by this Section; provided that a petition |
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528 | 528 | | 26 for guardianship or for modification of guardianship is filed |
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529 | 529 | | |
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530 | 530 | | |
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531 | 531 | | |
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532 | 532 | | |
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533 | 533 | | |
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534 | 534 | | HB2429 - 14 - LRB104 08265 BAB 18315 b |
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535 | 535 | | |
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536 | 536 | | |
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537 | 537 | | HB2429- 15 -LRB104 08265 BAB 18315 b HB2429 - 15 - LRB104 08265 BAB 18315 b |
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538 | 538 | | HB2429 - 15 - LRB104 08265 BAB 18315 b |
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539 | 539 | | 1 within 15 days of the person's admission to a facility, and |
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540 | 540 | | 2 provided further that such a contract is executed within 10 |
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541 | 541 | | 3 days of the disposition of the petition. |
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542 | 542 | | 4 No adult shall be admitted to a facility if he or she |
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543 | 543 | | 5 objects, orally or in writing, to such admission, except as |
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544 | 544 | | 6 otherwise provided in Chapters III and IV of the Mental Health |
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545 | 545 | | 7 and Developmental Disabilities Code or Section 11a-14.1 of the |
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546 | 546 | | 8 Probate Act of 1975. |
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547 | 547 | | 9 Before a licensee enters a contract under this Section, it |
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548 | 548 | | 10 shall provide the prospective resident and his or her |
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549 | 549 | | 11 guardian, if any, with written notice of the licensee's policy |
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550 | 550 | | 12 regarding discharge of a resident whose private funds for |
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551 | 551 | | 13 payment of care are exhausted. |
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552 | 552 | | 14 (b) A resident shall not be discharged or transferred at |
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553 | 553 | | 15 the expiration of the term of a contract, except as provided in |
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554 | 554 | | 16 Sections 3-401 through 3-423. |
---|
555 | 555 | | 17 (c) At the time of the resident's admission to the |
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556 | 556 | | 18 facility, a copy of the contract shall be given to the |
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557 | 557 | | 19 resident, his or her guardian, if any, and any other person who |
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558 | 558 | | 20 executed the contract. |
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559 | 559 | | 21 (d) A copy of the contract for a resident who is supported |
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560 | 560 | | 22 by nonpublic funds other than the resident's own funds shall |
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561 | 561 | | 23 be made available to the person providing the funds for the |
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562 | 562 | | 24 resident's support. |
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563 | 563 | | 25 (e) The original or a copy of the contract shall be |
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564 | 564 | | 26 maintained in the facility and be made available upon request |
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565 | 565 | | |
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566 | 566 | | |
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567 | 567 | | |
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568 | 568 | | |
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569 | 569 | | |
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570 | 570 | | HB2429 - 15 - LRB104 08265 BAB 18315 b |
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571 | 571 | | |
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572 | 572 | | |
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573 | 573 | | HB2429- 16 -LRB104 08265 BAB 18315 b HB2429 - 16 - LRB104 08265 BAB 18315 b |
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574 | 574 | | HB2429 - 16 - LRB104 08265 BAB 18315 b |
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575 | 575 | | 1 to representatives of the Department and the Department of |
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576 | 576 | | 2 Healthcare and Family Services. |
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577 | 577 | | 3 (f) The contract shall be written in clear and unambiguous |
---|
578 | 578 | | 4 language and shall be printed in not less than 12-point type. |
---|
579 | 579 | | 5 The general form of the contract shall be prescribed by the |
---|
580 | 580 | | 6 Department. |
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581 | 581 | | 7 (g) The contract shall specify: |
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582 | 582 | | 8 (1) the term of the contract; |
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583 | 583 | | 9 (2) the services to be provided under the contract and |
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584 | 584 | | 10 the charges for the services; |
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585 | 585 | | 11 (3) the services that may be provided to supplement |
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586 | 586 | | 12 the contract and the charges for the services; |
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587 | 587 | | 13 (4) the sources liable for payments due under the |
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588 | 588 | | 14 contract; |
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589 | 589 | | 15 (5) the amount of deposit paid; and |
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590 | 590 | | 16 (6) the rights, duties and obligations of the |
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591 | 591 | | 17 resident, except that the specification of a resident's |
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592 | 592 | | 18 rights may be furnished on a separate document which |
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593 | 593 | | 19 complies with the requirements of Section 2-211. |
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594 | 594 | | 20 (h) The contract shall designate the name of the |
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595 | 595 | | 21 resident's representative, if any. The resident shall provide |
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596 | 596 | | 22 the facility with a copy of the written agreement between the |
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597 | 597 | | 23 resident and the resident's representative which authorizes |
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598 | 598 | | 24 the resident's representative to inspect and copy the |
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599 | 599 | | 25 resident's records and authorizes the resident's |
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600 | 600 | | 26 representative to execute the contract on behalf of the |
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601 | 601 | | |
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602 | 602 | | |
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603 | 603 | | |
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604 | 604 | | |
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605 | 605 | | |
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606 | 606 | | HB2429 - 16 - LRB104 08265 BAB 18315 b |
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607 | 607 | | |
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608 | 608 | | |
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609 | 609 | | HB2429- 17 -LRB104 08265 BAB 18315 b HB2429 - 17 - LRB104 08265 BAB 18315 b |
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610 | 610 | | HB2429 - 17 - LRB104 08265 BAB 18315 b |
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611 | 611 | | 1 resident required by this Section. |
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612 | 612 | | 2 (i) The contract shall provide that if the resident is |
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613 | 613 | | 3 compelled by a change in physical or mental health to leave the |
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614 | 614 | | 4 facility, the contract and all obligations under it shall |
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615 | 615 | | 5 terminate on 7 days' notice. No prior notice of termination of |
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616 | 616 | | 6 the contract shall be required, however, in the case of a |
---|
617 | 617 | | 7 resident's death. The contract shall also provide that in all |
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618 | 618 | | 8 other situations, a resident may terminate the contract and |
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619 | 619 | | 9 all obligations under it with 30 days' notice. All charges |
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620 | 620 | | 10 shall be prorated as of the date on which the contract |
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621 | 621 | | 11 terminates, and, if any payments have been made in advance, |
---|
622 | 622 | | 12 the excess shall be refunded to the resident. This provision |
---|
623 | 623 | | 13 shall not apply to life care contracts through which a |
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624 | 624 | | 14 facility agrees to provide maintenance and care for a resident |
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625 | 625 | | 15 throughout the remainder of his life nor to continuing care |
---|
626 | 626 | | 16 contracts through which a facility agrees to supplement all |
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627 | 627 | | 17 available forms of financial support in providing maintenance |
---|
628 | 628 | | 18 and care for a resident throughout the remainder of his or her |
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629 | 629 | | 19 life. |
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630 | 630 | | 20 (j) In addition to all other contract specifications |
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631 | 631 | | 21 contained in this Section admission contracts shall also |
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632 | 632 | | 22 specify: |
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633 | 633 | | 23 (1) whether the facility accepts Medicaid clients; |
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634 | 634 | | 24 (2) whether the facility requires a deposit of the |
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635 | 635 | | 25 resident or his or her family prior to the establishment |
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636 | 636 | | 26 of Medicaid eligibility; |
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637 | 637 | | |
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638 | 638 | | |
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639 | 639 | | |
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640 | 640 | | |
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641 | 641 | | |
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642 | 642 | | HB2429 - 17 - LRB104 08265 BAB 18315 b |
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643 | 643 | | |
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644 | 644 | | |
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645 | 645 | | HB2429- 18 -LRB104 08265 BAB 18315 b HB2429 - 18 - LRB104 08265 BAB 18315 b |
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646 | 646 | | HB2429 - 18 - LRB104 08265 BAB 18315 b |
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647 | 647 | | 1 (3) in the event that a deposit is required, a clear |
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648 | 648 | | 2 and concise statement of the procedure to be followed for |
---|
649 | 649 | | 3 the return of such deposit to the resident or the |
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650 | 650 | | 4 appropriate family member or guardian of the person; |
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651 | 651 | | 5 (4) that all deposits made to a facility by a |
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652 | 652 | | 6 resident, or on behalf of a resident, shall be returned by |
---|
653 | 653 | | 7 the facility within 30 days of the establishment of |
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654 | 654 | | 8 Medicaid eligibility, unless such deposits must be drawn |
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655 | 655 | | 9 upon or encumbered in accordance with Medicaid eligibility |
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656 | 656 | | 10 requirements established by the Department of Healthcare |
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657 | 657 | | 11 and Family Services. |
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658 | 658 | | 12 (k) It shall be a business offense for a facility to |
---|
659 | 659 | | 13 knowingly and intentionally both retain a resident's deposit |
---|
660 | 660 | | 14 and accept Medicaid payments on behalf of that resident. |
---|
661 | 661 | | 15 (l) A contract under this Section shall not permit rate |
---|
662 | 662 | | 16 increases for a resident's room and board before the |
---|
663 | 663 | | 17 expiration of the residency period specified in the contract. |
---|
664 | 664 | | 18 If there is a rate increase for a resident's room and board |
---|
665 | 665 | | 19 provided in a subsequent contract that is greater than the |
---|
666 | 666 | | 20 percentage increase in the consumer price index-u during the |
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667 | 667 | | 21 preceding residency period, the facility must provide |
---|
668 | 668 | | 22 justification for the increase. |
---|
669 | 669 | | 23 For the purposes of this subsection, "consumer price |
---|
670 | 670 | | 24 index-u" means the index published by the Bureau of Labor |
---|
671 | 671 | | 25 Statistics of the United States Department of Labor that |
---|
672 | 672 | | 26 measures the average change in prices of goods and services |
---|
673 | 673 | | |
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674 | 674 | | |
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675 | 675 | | |
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676 | 676 | | |
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677 | 677 | | |
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678 | 678 | | HB2429 - 18 - LRB104 08265 BAB 18315 b |
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679 | 679 | | |
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680 | 680 | | |
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681 | 681 | | HB2429- 19 -LRB104 08265 BAB 18315 b HB2429 - 19 - LRB104 08265 BAB 18315 b |
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682 | 682 | | HB2429 - 19 - LRB104 08265 BAB 18315 b |
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683 | 683 | | |
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684 | 684 | | |
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685 | 685 | | |
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686 | 686 | | |
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687 | 687 | | |
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688 | 688 | | HB2429 - 19 - LRB104 08265 BAB 18315 b |
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