Bill Text: IL HB3398 | 2015-2016 | 99th General Assembly | Introduced
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Amends the Nursing Home Care Act. In a provision that requires a certain amount of nursing and personal care time to be provided by registered nurses, provides that the Department of Public Health may waive the requirement for a facility if the facility demonstrates to the satisfaction of the Department, as established by rule, that it is unable to meet the requirement. Effective immediately.
Spectrum: Bipartisan Bill
Status: (Vetoed) 2015-09-09 - Bill Dead - No Positive Action Taken - Amendatory Veto [HB3398 Detail]
Download: Illinois-2015-HB3398-Introduced.html
Bill Title: Amends the Nursing Home Care Act. In a provision that requires a certain amount of nursing and personal care time to be provided by registered nurses, provides that the Department of Public Health may waive the requirement for a facility if the facility demonstrates to the satisfaction of the Department, as established by rule, that it is unable to meet the requirement. Effective immediately.
Spectrum: Bipartisan Bill
Status: (Vetoed) 2015-09-09 - Bill Dead - No Positive Action Taken - Amendatory Veto [HB3398 Detail]
Download: Illinois-2015-HB3398-Introduced.html
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1 | AN ACT concerning regulation.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Nursing Home Care Act is amended by changing | ||||||||||||||||||||||||
5 | Section 3-202.05 as follows:
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6 | (210 ILCS 45/3-202.05) | ||||||||||||||||||||||||
7 | Sec. 3-202.05. Staffing ratios effective July 1, 2010 and | ||||||||||||||||||||||||
8 | thereafter. | ||||||||||||||||||||||||
9 | (a) For the purpose of computing staff to resident ratios, | ||||||||||||||||||||||||
10 | direct care staff shall include: | ||||||||||||||||||||||||
11 | (1) registered nurses; | ||||||||||||||||||||||||
12 | (2) licensed practical nurses; | ||||||||||||||||||||||||
13 | (3) certified nurse assistants; | ||||||||||||||||||||||||
14 | (4) psychiatric services rehabilitation aides; | ||||||||||||||||||||||||
15 | (5) rehabilitation and therapy aides; | ||||||||||||||||||||||||
16 | (6) psychiatric services rehabilitation coordinators; | ||||||||||||||||||||||||
17 | (7) assistant directors of nursing; | ||||||||||||||||||||||||
18 | (8) 50% of the Director of Nurses' time; and | ||||||||||||||||||||||||
19 | (9) 30% of the Social Services Directors' time. | ||||||||||||||||||||||||
20 | The Department shall, by rule, allow certain facilities | ||||||||||||||||||||||||
21 | subject to 77 Ill. Admin. Code 300.4000 and following (Subpart | ||||||||||||||||||||||||
22 | S) to utilize specialized clinical staff, as defined in rules, | ||||||||||||||||||||||||
23 | to count towards the staffing ratios. |
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1 | Within 120 days of the effective date of this amendatory | ||||||
2 | Act of the 97th General Assembly, the Department shall | ||||||
3 | promulgate rules specific to the staffing requirements for | ||||||
4 | facilities federally defined as Institutions for Mental | ||||||
5 | Disease. These rules shall recognize the unique nature of | ||||||
6 | individuals with chronic mental health conditions, shall | ||||||
7 | include minimum requirements for specialized clinical staff, | ||||||
8 | including clinical social workers, psychiatrists, | ||||||
9 | psychologists, and direct care staff set forth in paragraphs | ||||||
10 | (4) through (6) and any other specialized staff which may be | ||||||
11 | utilized and deemed necessary to count toward staffing ratios. | ||||||
12 | Within 120 days of the effective date of this amendatory | ||||||
13 | Act of the 97th General Assembly, the Department shall | ||||||
14 | promulgate rules specific to the staffing requirements for | ||||||
15 | facilities licensed under the Specialized Mental Health | ||||||
16 | Rehabilitation Act of 2013. These rules shall recognize the | ||||||
17 | unique nature of individuals with chronic mental health | ||||||
18 | conditions, shall include minimum requirements for specialized | ||||||
19 | clinical staff, including clinical social workers, | ||||||
20 | psychiatrists, psychologists, and direct care staff set forth | ||||||
21 | in paragraphs (4) through (6) and any other specialized staff | ||||||
22 | which may be utilized and deemed necessary to count toward | ||||||
23 | staffing ratios. | ||||||
24 | (b) Beginning January 1, 2011, and thereafter, light | ||||||
25 | intermediate care shall be staffed at the same staffing ratio | ||||||
26 | as intermediate care. |
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1 | (c) Facilities shall notify the Department within 60 days | ||||||
2 | after the effective date of this amendatory Act of the 96th | ||||||
3 | General Assembly, in a form and manner prescribed by the | ||||||
4 | Department, of the staffing ratios in effect on the effective | ||||||
5 | date of this amendatory Act of the 96th General Assembly for | ||||||
6 | both intermediate and skilled care and the number of residents | ||||||
7 | receiving each level of care. | ||||||
8 | (d)(1) Effective July 1, 2010, for each resident needing | ||||||
9 | skilled care, a minimum staffing ratio of 2.5 hours of nursing | ||||||
10 | and personal care each day must be provided; for each resident | ||||||
11 | needing intermediate care, 1.7 hours of nursing and personal | ||||||
12 | care each day must be provided. | ||||||
13 | (2) Effective January 1, 2011, the minimum staffing ratios | ||||||
14 | shall be increased to 2.7 hours of nursing and personal care | ||||||
15 | each day for a resident needing skilled care and 1.9 hours of | ||||||
16 | nursing and personal care each day for a resident needing | ||||||
17 | intermediate care. | ||||||
18 | (3) Effective January 1, 2012, the minimum staffing ratios | ||||||
19 | shall be increased to 3.0 hours of nursing and personal care | ||||||
20 | each day for a resident needing skilled care and 2.1 hours of | ||||||
21 | nursing and personal care each day for a resident needing | ||||||
22 | intermediate care. | ||||||
23 | (4) Effective January 1, 2013, the minimum staffing ratios | ||||||
24 | shall be increased to 3.4 hours of nursing and personal care | ||||||
25 | each day for a resident needing skilled care and 2.3 hours of | ||||||
26 | nursing and personal care each day for a resident needing |
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1 | intermediate care. | ||||||
2 | (5) Effective January 1, 2014, the minimum staffing ratios | ||||||
3 | shall be increased to 3.8 hours of nursing and personal care | ||||||
4 | each day for a resident needing skilled care and 2.5 hours of | ||||||
5 | nursing and personal care each day for a resident needing | ||||||
6 | intermediate care.
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7 | (e) Ninety days after the effective date of this amendatory | ||||||
8 | Act of the 97th General Assembly, a minimum of 25% of nursing | ||||||
9 | and personal care time shall be provided by licensed nurses, | ||||||
10 | with at least 10% of nursing and personal care time provided by | ||||||
11 | registered nurses. These minimum requirements shall remain in | ||||||
12 | effect until an acuity based registered nurse requirement is | ||||||
13 | promulgated by rule concurrent with the adoption of the | ||||||
14 | Resource Utilization Group classification-based payment | ||||||
15 | methodology, as provided in Section 5-5.2 of the Illinois | ||||||
16 | Public Aid Code. However, the Department may waive the | ||||||
17 | registered nurse requirement for a facility if the facility | ||||||
18 | demonstrates to the satisfaction of the Department, as | ||||||
19 | established by rule, that it is unable to meet the registered | ||||||
20 | nurse requirement. Registered nurses and licensed practical | ||||||
21 | nurses employed by a facility in excess of these requirements | ||||||
22 | may be used to satisfy the remaining 75% of the nursing and | ||||||
23 | personal care time requirements. Notwithstanding this | ||||||
24 | subsection, no staffing requirement in statute in effect on the | ||||||
25 | effective date of this amendatory Act of the 97th General | ||||||
26 | Assembly shall be reduced on account of this subsection. |
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1 | (Source: P.A. 97-689, eff. 6-14-12; 98-104, eff. 7-22-13.)
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2 | Section 99. Effective date. This Act takes effect upon | ||||||
3 | becoming law.
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