There is a newer version of the Illinois Compiled Statutes
2005 Illinois Code - Chapter 20 Executive Branch 20 ILCS 3960/ Illinois Health Facilities Planning Act.
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2. An institution, place, building, or agency | ||
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3. Skilled and intermediate long term care | ||
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3. Skilled and intermediate long term care | ||
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4. Hospitals, nursing homes, ambulatory surgical | ||
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5. Kidney disease treatment centers, including a | ||
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6. An institution, place, building, or room used for | ||
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No federally owned facility shall be subject to the provisions of this
Act, nor facilities used solely for healing by prayer or spiritual means.
No facility licensed under the Supportive Residences Licensing Act or the
Assisted Living and Shared Housing Act
shall be subject to the provisions of this Act.
A facility designated as a supportive living facility that is in good
standing with the program
established under Section 5‑5.01a of
the Illinois Public Aid Code shall not be subject to the provisions of this
Act.
This Act does not apply to facilities granted waivers under Section 3‑102.2
of the Nursing Home Care Act. However, if a demonstration project under that
Act applies for a certificate
of need to convert to a nursing facility, it shall meet the licensure and
certificate of need requirements in effect as of the date of application. This Act does not apply to a dialysis facility that provides only dialysis training, support, and related services to individuals with end stage renal disease who have elected to receive home dialysis. This Act does not apply to a dialysis unit located in a licensed nursing home that offers or provides dialysis‑related services to residents with end stage renal disease who have elected to receive home dialysis within the nursing home. The Board, however, may require these dialysis facilities and licensed nursing homes to report statistical information on a quarterly basis to the Board to be used by the Board to conduct analyses on the need for proposed kidney disease treatment centers.
This Act shall not apply to the closure of an entity or a portion of an
entity licensed under the Nursing Home Care Act that elects to convert, in
whole or in part, to an assisted living or shared housing establishment
licensed under the Assisted Living and Shared Housing Act.
With the exception of those health care facilities specifically
included in this Section, nothing in this Act shall be intended to
include facilities operated as a part of the practice of a physician or
other licensed health care professional, whether practicing in his
individual capacity or within the legal structure of any partnership,
medical or professional corporation, or unincorporated medical or
professional group. Further, this Act shall not apply to physicians or
other licensed health care professional's practices where such practices
are carried out in a portion of a health care facility under contract
with such health care facility by a physician or by other licensed
health care professionals, whether practicing in his individual capacity
or within the legal structure of any partnership, medical or
professional corporation, or unincorporated medical or professional
groups. This Act shall apply to construction or
modification and to establishment by such health care facility of such
contracted portion which is subject to facility licensing requirements,
irrespective of the party responsible for such action or attendant
financial obligation.
"Person" means any one or more natural persons, legal entities,
governmental bodies other than federal, or any combination thereof.
"Consumer" means any person other than a person (a) whose major
occupation currently involves or whose official capacity within the last
12 months has involved the providing, administering or financing of any
type of health care facility, (b) who is engaged in health research or
the teaching of health, (c) who has a material financial interest in any
activity which involves the providing, administering or financing of any
type of health care facility, or (d) who is or ever has been a member of
the immediate family of the person defined by (a), (b), or (c).
"State Board" means the Health Facilities Planning Board.
"Construction or modification" means the establishment, erection,
building, alteration, reconstruction, modernization, improvement,
extension, discontinuation, change of ownership, of or by a health care
facility, or the purchase or acquisition by or through a health care facility
of
equipment or service for diagnostic or therapeutic purposes or for
facility administration or operation, or any capital expenditure made by
or on behalf of a health care facility which
exceeds the capital expenditure minimum; however, any capital expenditure
made by or on behalf of a health care facility for (i) the construction or
modification of a facility licensed under the Assisted Living and Shared
Housing Act or (ii) a conversion project undertaken in accordance with Section 30 of the Older Adult Services Act shall be excluded from any obligations under this Act.
"Establish" means the construction of a health care facility or the
replacement of an existing facility on another site.
"Major medical equipment" means medical equipment which is used for the
provision of medical and other health services and which costs in excess
of the capital expenditure minimum, except that such term does not include
medical equipment acquired
by or on behalf of a clinical laboratory to provide clinical laboratory
services if the clinical laboratory is independent of a physician's office
and a hospital and it has been determined under Title XVIII of the Social
Security Act to meet the requirements of paragraphs (10) and (11) of Section
1861(s) of such Act. In determining whether medical equipment has a value
in excess of the capital expenditure minimum, the value of studies, surveys,
designs, plans, working drawings, specifications, and other activities
essential to the acquisition of such equipment shall be included.
"Capital Expenditure" means an expenditure: (A) made by or on behalf of
a health care facility (as such a facility is defined in this Act); and
(B) which under generally accepted accounting principles is not properly
chargeable as an expense of operation and maintenance, or is made to obtain
by lease or comparable arrangement any facility or part thereof or any
equipment for a facility or part; and which exceeds the capital expenditure
minimum.
For the purpose of this paragraph, the cost of any studies, surveys, designs,
plans, working drawings, specifications, and other activities essential
to the acquisition, improvement, expansion, or replacement of any plant
or equipment with respect to which an expenditure is made shall be included
in determining if such expenditure exceeds the capital expenditures minimum.
Donations of equipment
or facilities to a health care facility which if acquired directly by such
facility would be subject to review under this Act shall be considered capital
expenditures, and a transfer of equipment or facilities for less than fair
market value shall be considered a capital expenditure for purposes of this
Act if a transfer of the equipment or facilities at fair market value would
be subject to review.
"Capital expenditure minimum" means $6,000,000, which shall be annually
adjusted to reflect the increase in construction costs due to inflation, for major medical equipment and for all other
capital expenditures; provided, however, that when a capital expenditure is
for the construction or modification of a health and fitness center, "capital
expenditure minimum" means the capital expenditure minimum for all other
capital expenditures in effect on March 1, 2000, which shall be annually
adjusted to reflect the increase in construction costs due to inflation.
"Non‑clinical service area" means an area (i) for the benefit of the
patients, visitors, staff, or employees of a health care facility and (ii) not
directly related to the diagnosis, treatment, or rehabilitation of persons
receiving services from the health care facility. "Non‑clinical service areas"
include, but are not limited to, chapels; gift shops; news stands; computer
systems; tunnels, walkways, and elevators; telephone systems; projects to
comply with life safety codes; educational facilities; student housing;
patient, employee, staff, and visitor dining areas; administration and
volunteer offices; modernization of structural components (such as roof
replacement and masonry work); boiler repair or replacement; vehicle
maintenance and storage facilities; parking facilities; mechanical systems for
heating, ventilation, and air conditioning; loading docks; and repair or
replacement of carpeting, tile, wall coverings, window coverings or treatments,
or furniture. Solely for the purpose of this definition, "non‑clinical service
area" does not include health and fitness centers.
"Areawide" means a major area of the State delineated on a
geographic, demographic, and functional basis for health planning and
for health service and having within it one or more local areas for
health planning and health service. The term "region", as contrasted
with the term "subregion", and the word "area" may be used synonymously
with the term "areawide".
"Local" means a subarea of a delineated major area that on a
geographic, demographic, and functional basis may be considered to be
part of such major area. The term "subregion" may be used synonymously
with the term "local".
"Areawide health planning organization" or "Comprehensive health
planning organization" means the health systems agency designated by the
Secretary, Department of Health and Human Services or any successor agency.
"Local health planning organization" means those local health
planning organizations that are designated as such by the areawide
health planning organization of the appropriate area.
"Physician" means a person licensed to practice in accordance with
the Medical Practice Act of 1987, as amended.
"Licensed health care professional" means a person licensed to
practice a health profession under pertinent licensing statutes of the
State of Illinois.
"Director" means the Director of the Illinois Department of Public Health.
"Agency" means the Illinois Department of Public Health.
"Comprehensive health planning" means health planning concerned with
the total population and all health and associated problems that affect
the well‑being of people and that encompasses health services, health
manpower, and health facilities; and the coordination among these and
with those social, economic, and environmental factors that affect health.
"Alternative health care model" means a facility or program authorized
under the Alternative Health Care Delivery Act.
"Out‑of‑state facility" means a person that is both (i) licensed as a
hospital or as an ambulatory surgery center under the laws of another state
or that
qualifies as a hospital or an ambulatory surgery center under regulations
adopted pursuant to the Social Security Act and (ii) not licensed under the
Ambulatory Surgical Treatment Center Act, the Hospital Licensing Act, or the
Nursing Home Care Act. Affiliates of out‑of‑state facilities shall be
considered out‑of‑state facilities. Affiliates of Illinois licensed health
care facilities 100% owned by an Illinois licensed health care facility, its
parent, or Illinois physicians licensed to practice medicine in all its
branches shall not be considered out‑of‑state facilities. Nothing in
this definition shall be
construed to include an office or any part of an office of a physician licensed
to practice medicine in all its branches in Illinois that is not required to be
licensed under the Ambulatory Surgical Treatment Center Act.
"Change of ownership of a health care facility" means a change in the
person
who has ownership or
control of a health care facility's physical plant and capital assets. A change
in ownership is indicated by
the following transactions: sale, transfer, acquisition, lease, change of
sponsorship, or other means of
transferring control.
"Related person" means any person that: (i) is at least 50% owned, directly
or indirectly, by
either the health care facility or a person owning, directly or indirectly, at
least 50% of the health
care facility; or (ii) owns, directly or indirectly, at least 50% of the
health care facility.
"Charity care" means care provided by a health care facility for which the provider does not expect to receive payment from the patient or a third‑party payer. (Source: P.A. 93‑41, eff. 6‑27‑03; 93‑766, eff. 7‑20‑04; 93‑935, eff. 1‑1‑05; 93‑1031, eff. 8‑27‑04; 94‑342, eff. 7‑26‑05.)
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(20 ILCS 3960/3.1)
Sec. 3.1.
(Repealed).
(Source: Repealed by P.A. 88‑18.)
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(20 ILCS 3960/4) (from Ch. 111 1/2, par. 1154)
(Section scheduled to be repealed on July 1, 2006)
Sec. 4. Health Facilities Planning Board; membership; appointment; term;
compensation; quorum. There is created the Health
Facilities Planning Board, which
shall perform the functions described in this
Act.
The State Board shall consist of 5 voting members. Each member shall have a reasonable knowledge of health planning, health finance, or health care at the time of his or her appointment. No person shall be appointed or continue to serve as a member of the State Board who is, or whose spouse, parent, or child is, a member of the Board of Directors of, has a financial interest in, or has a business relationship with a health care facility. Notwithstanding any provision of this Section to the contrary, the term of
office of each member of the State Board is abolished on the effective date of
this
amendatory Act of the 93rd General Assembly and those members no longer hold office.
The State Board shall be appointed by the Governor, with the advice
and consent of the Senate. Not more than 3 of the
appointments shall be of the same political party at the time of the appointment.
No person shall be appointed as a State Board member if that person has
served, after the effective date of Public Act 93‑41, 2 3‑year terms as a State Board member, except for
ex officio non‑voting members.
The Secretary of Human Services, the Director of Public Aid, and
the Director of Public Health, or their designated representatives,
shall serve as ex‑officio, non‑voting members of the State Board.
Of those members initially appointed by the Governor under this
amendatory Act of the 93rd General Assembly, 2 shall serve for terms expiring
July 1, 2005, 2 shall serve for terms expiring July 1, 2006, and 1 shall serve
for a term expiring July 1, 2007. Thereafter, each
appointed member shall
hold office for a term of 3 years, provided that any member
appointed to fill a vacancy
occurring prior to the expiration of the
term for which his or her predecessor was appointed shall be appointed for the
remainder of such term and the term of office of each successor shall
commence on July 1 of the year in which his predecessor's term expires. Each
member appointed after the effective date of this amendatory Act of the 93rd General Assembly shall hold office until his or her successor is appointed and qualified.
State Board members, while serving on business of the State Board,
shall receive actual and necessary travel and subsistence expenses while
so serving away from their places
of residence.
A member of the State Board who experiences a significant financial hardship
due to the loss of income on days of attendance at meetings or while otherwise
engaged in the business of the State Board may be paid a hardship allowance, as
determined by and subject to the approval of the Governor's Travel Control
Board.
The Governor shall designate one of the members to serve as Chairman
and shall name as full‑time
Executive Secretary of the State
Board, a person qualified in health care facility planning and in
administration. The Agency shall provide administrative and staff
support for the State Board. The State Board shall advise the Director
of its budgetary and staff needs and consult with the Director on annual
budget preparation.
The State Board shall meet at least once each quarter, or as often as
the Chairman of the State Board deems necessary, or upon the request of
a majority of the members.
Three members of the State Board shall constitute a quorum.
The affirmative vote of 3 of the members of the State Board shall be
necessary for
any action requiring a vote to be taken by the State
Board. A vacancy in the membership of the State Board shall not impair the
right of a quorum to exercise all the rights and perform all the duties of the
State Board as provided by this Act.
A State Board member shall disqualify himself or herself from the
consideration of any application for a permit or
exemption in which the State Board member or the State Board member's spouse,
parent, or child: (i) has
an economic interest in the matter; or (ii) is employed by, serves as a
consultant for, or is a member of the
governing board of the applicant or a party opposing the application.
(Source: P.A. 93‑41, eff. 6‑27‑03; 93‑889, eff. 8‑9‑04.)
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(20 ILCS 3960/4.2)
(Section scheduled to be repealed on July 1, 2006)
Sec. 4.2. Ex parte communications.
(a) Except in the disposition of matters that agencies are authorized by law
to entertain or dispose of on an ex parte basis including, but not limited to
rule making, the State Board, any State Board member, employee, or a hearing
officer shall not engage in ex parte communication
in connection with the substance of any pending or impending application for
a permit with any person or party or the representative of any party. This subsection (a) applies when the Board, member, employee, or hearing officer knows, or should know upon reasonable inquiry, that the application is pending or impending.
(b) A State Board member or employee may communicate with other
members or employees and any State Board member or hearing
officer may have the aid and advice of one or more personal assistants.
(c) An ex parte communication received by the State Board, any State
Board member, employee, or a hearing officer shall be made a part of the record
of the
matter, including all written communications, all written
responses to the communications, and a memorandum stating the substance of all
oral communications and all responses made and the identity of each person from
whom the ex parte communication was received.
(d) "Ex parte communication" means a communication between a person who is
not a State Board member or employee and a
State Board member or
employee
that reflects on the substance of a pending or impending State Board proceeding and that
takes
place outside the record of the proceeding. Communications regarding matters
of procedure and practice, such as the format of pleading, number of copies
required, manner of service, and status of proceedings, are not considered ex
parte communications. Technical assistance with respect to an application, not
intended to influence any decision on the application, may be provided by
employees to the applicant. Any assistance shall be documented in writing by
the applicant and employees within 10 business days after the assistance is
provided.
(e) For purposes of this Section, "employee" means
a person the State Board or the Agency employs on a full‑time, part‑time,
contract, or intern
basis.
(f) The State Board, State Board member, or hearing examiner presiding
over the proceeding, in the event of a violation of this Section, must take
whatever action is necessary to ensure that the violation does not prejudice
any party or adversely affect the fairness of the proceedings.
(g) Nothing in this Section shall be construed to prevent the State Board or
any member of the State Board from consulting with the attorney for the State
Board.
(Source: P.A. 93‑889, eff. 8‑9‑04.)
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(b) substantially changes the scope or changes the | ||
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(c) changes the bed capacity of a health care | ||
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A permit shall be valid only for the defined construction or modifications,
site, amount and person named in the application for such permit and
shall not be transferable or assignable. A permit shall be valid until such
time as the project has been completed,
provided that (a) obligation of the project occurs within 12 months following
issuance of the permit except for major construction projects such obligation
must
occur within 18 months following issuance of the permit; and (b) the project
commences and proceeds to completion with due diligence. Major construction
projects, for the purposes of this Act, shall include but are not limited
to: projects for the construction of new buildings; additions to existing
facilities; modernization projects
whose cost is in excess of $1,000,000 or 10% of the facilities' operating
revenue, whichever is less; and such other projects as the State Board shall
define and prescribe pursuant to this Act. The State Board may extend the
obligation period upon a showing of good cause by the permit holder. Permits
for projects that have not been obligated within the prescribed obligation
period shall expire on the last day of that period.
Persons who otherwise would be required to obtain a permit shall be exempt
from such requirement if the State Board finds that with respect to
establishing
a new facility or construction of new buildings or additions or modifications
to an existing facility, final plans and specifications for such work have
prior to October 1, 1974, been submitted to and approved by the Department
of Public Health in accordance with the requirements of applicable laws.
Such exemptions shall be null and void after December 31, 1979 unless binding
construction contracts were signed prior to December 1, 1979 and unless
construction has commenced prior to December 31, 1979. Such exemptions
shall be valid until such time as the project has been completed
provided that the project proceeds to completion with due diligence.
The acquisition by any person of major medical equipment that will not
be owned by or located in a health care facility and that will not be used
to provide services to inpatients of a health care facility shall be exempt
from review provided that a notice is filed in accordance with exemption
requirements.
Notwithstanding any other provision of this Act, no permit or exemption is
required for the construction or modification of a non‑clinical service area
of a health care facility.
(Source: P.A. 91‑782, eff. 6‑9‑00 .)
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(20 ILCS 3960/6.01) (from Ch. 111 1/2, par. 1156.01)
Sec. 6.01.
(Repealed).
(Source: P.A. 89‑507, eff. 7‑1‑97. Repealed by P.A. 89‑516, eff. 7‑18‑96.)
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(20 ILCS 3960/6.1)
Sec. 6.1.
(Repealed).
(Source: Repealed by P.A. 88‑18.)
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(b) The number of existing and planned facilities | ||
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(c) The extent of utilization of existing facilities;
(d) The availability of facilities which may serve | ||
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(e) The availability of personnel necessary to the | ||
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(f) Multi‑institutional planning and the | ||
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(g) The financial and economic feasibility of | ||
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(h) In the case of health care facilities | ||
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The health care facility plans which are developed and adopted in
accordance with this Section shall form the basis for the plan of the State
to deal most effectively with statewide health needs in regard to health
care facilities.
(5) Coordinate with other state agencies having responsibilities
affecting health care facilities, including those of licensure and cost
reporting.
(6) Solicit, accept, hold and administer on behalf of the State
any grants or bequests of money, securities or property for
use by the State Board or recognized areawide health planning
organizations in the administration of this Act; and enter into contracts
consistent with the appropriations for purposes enumerated in this Act.
(7) The State Board shall prescribe, in
consultation with the recognized
areawide health planning organizations, procedures for review, standards,
and criteria which shall be utilized
to make periodic areawide reviews and determinations of the appropriateness
of any existing health services being rendered by health care facilities
subject to the Act. The State Board shall consider recommendations of the
areawide health planning organization and the Agency in making its
determinations.
(8) Prescribe, in consultation
with the recognized areawide health planning organizations, rules, regulations,
standards, and criteria for the conduct of an expeditious review of
applications
for permits for projects of construction or modification of a health care
facility, which projects are non‑substantive in nature. Such rules shall
not abridge the right of areawide health planning organizations to make
recommendations on the classification and approval of projects, nor shall
such rules prevent the conduct of a public hearing upon the timely request
of an interested party. Such reviews shall not exceed 60 days from the
date the application is declared to be complete by the Agency.
(9) Prescribe rules, regulations,
standards, and criteria pertaining to the granting of permits for
construction
and modifications which are emergent in nature and must be undertaken
immediately to prevent or correct structural deficiencies or hazardous
conditions that may harm or injure persons using the facility, as defined
in the rules and regulations of the State Board. This procedure is exempt
from public hearing requirements of this Act.
(10) Prescribe rules,
regulations, standards and criteria for the conduct of an expeditious
review, not exceeding 60 days, of applications for permits for projects to
construct or modify health care facilities which are needed for the care
and treatment of persons who have acquired immunodeficiency syndrome (AIDS)
or related conditions.
(Source: P.A. 93‑41, eff. 6‑27‑03 .)
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(2) Whether the criteria and standards can be | ||
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(3) Whether criteria and standards can be developed | ||
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(4) Whether the criteria and standards take into | ||
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(5) Whether facility‑defined service and planning | ||
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(Source: P.A. 93‑41, eff. 6‑27‑03 .)
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(20 ILCS 3960/12.4)
(Section scheduled to be repealed on July 1, 2006) Sec. 12.4. Hospital reduction in health care services; notice. If a hospital reduces any of the Categories of Service as outlined in Title 77, Chapter II, Part 1110 in the Illinois Administrative Code, or any other service as defined by rule by the State Board, by 50% or more according to rules adopted by the State Board, then within 30 days after reducing the service, the hospital must give written notice of the reduction in service to the State Board, the Department of Public Health, and the State Senator and 2 State Representatives serving the legislative district in which the hospital is located. The State Board shall adopt rules to implement this Section, including rules that specify (i) how each health care service is defined, if not already defined in the State Board's rules, and (ii) what constitutes a reduction in service of 50% or more.
(Source: P.A. 93‑940, eff. 1‑1‑05.)
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(2) The establishment, construction, or modification | ||
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(3) The violation of any provision of this Act or | ||
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(4) The failure, by any person subject to this Act, | ||
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(5) The failure to pay any fine imposed under this | ||
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(b) Persons shall be subject to fines as follows:
(1) A permit holder who fails to comply with the | ||
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(2) A permit holder who alters the scope of an | ||
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(3) A person who acquires major medical equipment or | ||
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(4) A person who constructs, modifies, or | ||
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(5) A person who discontinues a health care facility | ||
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(6) A person subject to this Act who fails to | ||
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(c) Before imposing any fine authorized under this Section, the State Board
shall afford the person or permit holder, as the case may be, an appearance
before the State Board and an opportunity for a hearing before a hearing
officer appointed by the State Board. The hearing shall be conducted in
accordance with Section 10.
(d) All fines collected under this Act shall be transmitted to the State
Treasurer, who shall deposit them into the Illinois Health Facilities Planning
Fund.
(Source: P.A. 88‑18 .)
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(2) whether the State Board is following its adopted | ||
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(3) whether the State Board is consistent in | ||
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(4) whether the State Board's annual reports reflect | ||
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The Auditor General must report on the results of the audit to the General
Assembly.
This Section is repealed when the Auditor General files his or her report
with the General Assembly.
(Source: P.A. 91‑782, eff. 6‑9‑00 .)
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(20 ILCS 3960/19.6)
(Section scheduled to be repealed on July 1, 2006)
Sec. 19.6. Repeal. This Act is repealed on July 1, 2006.
(Source: P.A. 93‑41, eff. 6‑27‑03; 93‑889, eff. 8‑9‑04.)
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