2005 Illinois Code - Chapter 30 Finance 30 ILCS 775/ Excellence in Academic Medicine Act.
(30 ILCS 775/1)
Sec. 1.
Short title.
This Act may be cited as the Excellence in Academic Medicine Act.
(Source: P.A. 89‑506, eff. 7‑3‑96.)
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(30 ILCS 775/5)
Sec. 5.
Purpose.
This Act is intended to stimulate excellence in academic
medicine
in Illinois for this and future generations, to elevate Illinois as a national
center for academic medicine and for health care innovation in the United
States,
and to reverse the current health care trade imbalance so that Illinois
citizens may obtain highest quality post‑tertiary care at home in Illinois.
(Source: P.A. 89‑506, eff. 7‑3‑96.)
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(30 ILCS 775/10)
Sec. 10.
Findings.
Medical research and development is required for
placing
Illinois health care in the position of national leadership appropriate to
Illinois' location and institutional infrastructure. A reduction in the total
cost of care for Illinois citizens can be accomplished by an assertion of local
medical science leadership, which leads to greater provision of excellent care
within the State avoiding out‑migration.
Excellence in academic medicine must be regarded not as a cost drag on the
economy but
as a stimulant to economic growth because it reduces the cost of work
force replacement, further develops an academic medical center hospital network
in Illinois, and stimulates spin‑off technological
breakthroughs with positive economic consequences.
Research and development is an essential strategy for controlling current
costs of medical care. Such developments as biologic alternatives to skin for
trauma‑necessitated grafting, minimally invasive surgery, understanding,
managing, and avoiding excessive cerebral vascular events in minority
communities, and developments in pediatric eye trauma are fundamental to
avoidance of lengthy periods of hospitalization.
The General Assembly hereby finds that Title XIX of the Social Security Act
has fundamentally changed the structure of medical delivery in the State of
Illinois. The
failure of Congress to match its desire to broaden access to health care with
commensurate fiscal resources has led to a growing burden of Congressional
access mandates falling upon the State and its medical provider partners.
Development of medical services and research on medical technology is
increasingly captive to the Title XIX program and its strait‑jacketing fiscal
and programmatic limitations. Advanced medical technology is likely to be
a successful method of controlling Title XIX expenditures.
(Source: P.A. 89‑506, eff. 7‑3‑96.)
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(30 ILCS 775/15)
Sec. 15.
Definitions.
As used in this Act:
"Academic medical center hospital" means a hospital located in Illinois
which is either (i) under common ownership with the college of medicine of a
college or university or (ii) a free‑standing hospital in which the majority of
the clinical chiefs of service are department chairmen in an affiliated medical
school.
"Academic medical center children's hospital" means a children's hospital
which is separately incorporated and non‑integrated into the academic medical
center hospital but which is the pediatric partner for an academic medical
center hospital and which serves as the primary teaching hospital for
pediatrics for its affiliated medical school; children's hospitals which are
separately incorporated but integrated into the academic medical center
hospital are considered part of the academic medical center hospital.
"Chicago Medicare Metropolitan Statistical Area academic medical center
hospital" means an academic medical center hospital located in the Chicago
Medicare Metropolitan Statistical Area.
"Independent academic medical center hospital" means the primary
teaching hospital for the University of Illinois at Urbana.
"Non‑Chicago Medicare Metropolitan Statistical Area academic medical
center hospital" means an academic medical center hospital located outside
the Chicago Medicare Metropolitan Statistical Area.
"Qualified Chicago Medicare Metropolitan Statistical Area academic
medical center hospital" means any Chicago Medicare Metropolitan Statistical
Area academic medical center hospital that either directly or in connection
with its affiliated medical school receives in excess of $8,000,000 in grants
or contracts from the National Institutes of Health during the calendar year
preceding the beginning of the State fiscal year; except that for the purposes
of Section 25, the term also includes the entity specified in subsection (e) of
that Section.
"Qualified Non‑Chicago Medicare Metropolitan Statistical Area academic
medical center hospital" means the primary teaching hospital for the University
of Illinois School of Medicine at Peoria and the primary teaching hospital for
the University of Illinois School of Medicine at Rockford and the primary
teaching hospitals for Southern Illinois University School of Medicine in
Springfield.
"Qualified academic medical center hospital" means (i) a qualified Chicago
Medicare Metropolitan Statistical Area academic medical center hospital, (ii)
a qualified Non‑Chicago Medicare Metropolitan Statistical Area academic medical
center hospital, or (iii) an academic medical center children's hospital.
"Qualified programs" include:
(i) Thoracic Transplantation: heart and lung, in |
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(ii) Cancer: particularly biologic modifiers of
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tumor response, and mechanisms of drug resistance in cancer therapy;
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(iii) Shock/Burn: development of biological
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alternatives to skin for grafting in burn injury, and research in mechanisms of shock and tissue injury in severe injury;
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(iv) Abdominal transplantation: kidney, liver,
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pancreas, and development of islet cell and small bowel transplantation technologies;
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(v) Minimally invasive surgery: particularly
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(vi) High performance medical computing:
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telemedicine and teleradiology;
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(vii) Transmyocardial laser revascularization: a
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laser creates holes in heart muscles to allow new blood flow;
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(viii) Pet scanning: viewing how organs function (CT
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and MRI only allow viewing of the structure of an organ);
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(ix) Strokes in the African‑American community:
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particularly risk factors for cerebral vascular accident (strokes) in the African‑American community at much higher risk than the general population;
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(x) Neurosurgery: particularly focusing on
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interventional neuroradiology;
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(xi) Comprehensive eye center: including further
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development in pediatric eye trauma;
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(xii) Cancers: particularly melanoma, head and neck;
(xiii) Pediatric cancer;
(xiv) Invasive pediatric cardiology;
(xv) Pediatric organ transplantation:
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transplantation of solid organs, marrow, and other stem cells; and
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(xvi) Such other programs as may be identified.
(Source: P.A. 92‑10, eff. 6‑11‑01.)
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(30 ILCS 775/20)
Sec. 20.
Establishment of Funds.
(a) The Medical Research and Development Fund is created in the State
Treasury to which the General Assembly may from time to time appropriate
funds and from which the Comptroller shall pay amounts as authorized by law.
(i) The following accounts are created in the |
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Medical Research and Development Fund: The National Institutes of Health Account; the Philanthropic Medical Research Account; and the Market Medical Research Account.
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(ii) Funds appropriated to the Medical Research and
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Development Fund shall be assigned in equal amounts to each account within the Fund, subject to transferability of funds under subsection (c) of Section 25.
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(b) The Post‑Tertiary Clinical Services Fund is created
in the State Treasury to which the General Assembly may from time to time
appropriate funds and from which the Comptroller shall pay amounts as
authorized by law.
(c) The Independent Academic Medical Center Fund is created as a special
fund in the State Treasury, to which the General Assembly shall from time to
time appropriate funds for the purposes of the Independent Academic Medical
Center Program. The amount appropriated for any fiscal year after 2002 shall
not be less than the amount appropriated for fiscal year 2002. The State
Comptroller shall pay amounts from the Fund as authorized by law.
(Source: P.A. 92‑10, eff. 6‑11‑01.)
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(30 ILCS 775/25)
Sec. 25.
Medical research and development challenge program.
(a) The State shall provide the following financial incentives to draw
private and federal funding for biomedical research, technology and
programmatic development:
(1) Each qualified Chicago Medicare Metropolitan |
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Statistical Area academic medical center hospital shall receive a percentage of the amount available for distribution from the National Institutes of Health Account, equal to that hospital's percentage of the total contracts and grants from the National Institutes of Health awarded to qualified Chicago Medicare Metropolitan Statistical Area academic medical center hospitals and their affiliated medical schools during the preceding calendar year. These amounts shall be paid from the National Institutes of Health Account.
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(2) Each qualified Chicago Medicare Metropolitan
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Statistical Area academic medical center hospital shall receive a payment from the State equal to 25% of all funded grants (other than grants funded by the State of Illinois or the National Institutes of Health) for biomedical research, technology, or programmatic development received by that qualified Chicago Medicare Metropolitan Statistical Area academic medical center hospital during the preceding calendar year. These amounts shall be paid from the Philanthropic Medical Research Account.
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(3) Each qualified Chicago Medicare Metropolitan
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Statistical Area academic medical center hospital that (i) contributes 40% of the funding for a biomedical research or technology project or a programmatic development project and (ii) obtains contributions from the private sector equal to 40% of the funding for the project shall receive from the State an amount equal to 20% of the funding for the project upon submission of documentation demonstrating those facts to the Comptroller; however, the State shall not be required to make the payment unless the contribution of the qualified Chicago Medicare Metropolitan Statistical Area academic medical center hospital exceeds $100,000. The documentation must be submitted within 180 days of the beginning of the fiscal year. These amounts shall be paid from the Market Medical Research Account.
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(b) No hospital under the Medical Research and Development Challenge Program
shall receive more than 20% of the total amount appropriated to the Medical
Research and Development Fund.
The amounts received under the Medical Research and Development Challenge
Program by the Southern Illinois University School of Medicine in Springfield
and its affiliated primary teaching hospitals, considered as a single entity,
shall not exceed an amount equal to one‑sixth of the total amount available for
distribution from the Medical Research and Development Fund, multiplied by a
fraction, the numerator of which is the amount awarded the Southern Illinois
University School of Medicine and its affiliated teaching hospitals in grants
or contracts by the National Institutes of Health and the denominator of which
is $8,000,000.
(c) On or after the 180th day of the fiscal year the Comptroller may
transfer unexpended funds in any account of the Medical Research and
Development Fund to pay appropriate claims against another account.
(d) The amounts due each qualified Chicago Medicare Metropolitan Statistical
Area academic medical center hospital under the Medical Research and
Development Fund from the National Institutes of Health Account, the
Philanthropic Medical Research Account, and the Market Medical Research Account
shall be combined and one quarter of the amount payable to each qualified
Chicago Medicare Metropolitan Statistical Area academic medical center hospital
shall be paid on the fifteenth working day after July 1, October 1, January 1,
and March 1.
(e) The Southern Illinois University School of Medicine in Springfield and
its affiliated primary teaching hospitals, considered as a single entity, shall
be deemed to be a qualified Chicago Medicare Metropolitan Statistical Area
academic medical center hospital for the purposes of this Section.
(Source: P.A. 89‑506, eff. 7‑3‑96.)
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(30 ILCS 775/30)
Sec. 30.
Post‑Tertiary Clinical Services Program.
The State shall
provide incentives to develop and enhance post‑tertiary clinical
services. Qualified academic medical center hospitals as defined in Section
15 may receive funding under the Post‑Tertiary Clinical Services Program
for up to 3 qualified programs as defined in Section 15 in any given
year; however, qualified academic medical center hospitals may
receive continued funding for previously funded qualified programs rather than
receive funding for a new program so long as the number of qualified programs
receiving funding does not exceed 3. Each qualified academic medical center
hospital as defined in Section 15 shall receive an equal percentage of the
Post‑Tertiary
Clinical Services Fund to be used in the funding of qualified programs. One
quarter of the amount payable to each qualified academic medical center
hospital shall be paid on the fifteenth working day after July 1, October 1,
January 1, and March 1.
(Source: P.A. 89‑506, eff. 7‑3‑96.)
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(30 ILCS 775/35)
Sec. 35.
Independent Academic Medical Center Program.
There is created
an Independent Academic Medical Center Program to provide incentives to develop
and enhance the independent academic medical center hospital. In each State
fiscal year, beginning in fiscal year 2002, the independent academic medical
center hospital shall receive funding under the Program, equal to the full
amount appropriated for that purpose for that fiscal year. In each fiscal
year, one quarter of the amount payable to the independent academic medical
center hospital shall be paid on the fifteenth working day after July 1,
October 1, January 1, and March 1.
(Source: P.A. 92‑10, eff. 6‑11‑01.)
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(30 ILCS 775/55)
Sec. 55.
Payment of funds.
The Comptroller shall pay funds appropriated
to the Post‑Tertiary
Clinical Services Fund and the Medical Research and Development Fund to the
appropriate qualified academic medical center hospitals as the funds are
appropriated by the General Assembly and come due under this Act. The payment
of all funds under this Act by the State shall be made directly to the academic
medical center hospital due the funds, except any funds due to any institution
of the University of Illinois as defined in Section 15 shall be paid to the
University of Illinois at Chicago Medical Center, which shall be bound to
expend the funds on the institution due the funds.
(Source: P.A. 89‑506, eff. 7‑3‑96.)
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(30 ILCS 775/60)
Sec. 60.
Restriction on funds.
No academic medical center hospital shall
be eligible for payments from the Medical Research and Development Fund unless
the academic medical center hospital qualifies under Section 15 as a qualified
Chicago Medicare Metropolitan Statistical Area academic medical center hospital
which in connection with its affiliated medical school received at least
$8,000,000 in the preceding calendar year in grants or contracts from the
National Institutes of Health; except that this restriction does not apply
to the entity specified in subsection (e) of Section 25.
If a hospital is eligible for funds from the Independent Academic Medical
Center Fund, that hospital shall not receive funds from the Medical Research
and Development Fund or the Post‑Tertiary Clinical Services Fund. If a
hospital receives funds from the Medical Research and Development Fund or the
Post‑Tertiary Clinical Services Fund, that hospital is ineligible to receive
funds from the Independent Academic Medical Center Fund.
(Source: P.A. 92‑10, eff. 6‑11‑01.)
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(30 ILCS 775/65)
Sec. 65.
Reporting requirements.
On or before May 1 of each year, the
chief executive officer of each Qualified Academic Medical Center Hospital
shall submit a report to the Comptroller regarding the effects of the programs
authorized by this Act. The report shall also report the total amount of
grants from and contracts with the National Institutes of Health in the
preceding calendar year. It shall assess whether the programs funded are
likely to be successful, require further study, or no longer appear to be
promising avenues of research. It shall discuss the probable use of the
developmental program in mainstream medicine including both cost impact and
medical effect. The report shall address the effects the programs may have
on containing Title XIX and Title XXI costs in Illinois. The Comptroller
shall immediately forward the report to the Director of Public Aid and the
Director of Public Health who shall evaluate the contents in a letter submitted
to the President of the Senate and the Speaker of the House of Representatives.
(Source: P.A. 92‑10, eff. 6‑11‑01.)
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(30 ILCS 775/70)
Sec. 70.
Restriction on advertising as a State designated center of
excellence in health care. A hospital receiving funds under this Act
shall not advertise itself to the public or to government or private funding
sources as a State designated center of excellence in health care.
Hospitals that qualify for funding under this Act are permitted to inform the
public and government or private funding sources that they are eligible for
State matching funds. If sufficient evidence is found that hospitals are
violating this prohibition, the Comptroller may summarily remove them from the
program.
(Source: P.A. 89‑506, eff. 7‑3‑96.)
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(30 ILCS 775/74)
Sec. 74.
Reimbursement methodology.
The Department of Public Aid may
develop a reimbursement methodology consistent with this Act for distribution
of moneys from the funds in a manner that would allow distributions from these
funds to be matchable under Title XIX of the Social Security Act. The
Department may promulgate rules necessary to make these distributions
matchable.
(Source: P.A. 89‑506, eff. 7‑3‑96.)
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(30 ILCS 775/75)
Sec. 75.
Reimbursements or payments by the State.
Nothing in this Act
may be used to reduce reimbursements or payments by the State to a hospital
under any other Act.
(Source: P.A. 89‑506, eff. 7‑3‑96.)
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(30 ILCS 775/80)
Sec. 80.
Contravention of law.
Funds received under this Act shall not
be used in contravention of any law of this State.
(Source: P.A. 89‑506, eff. 7‑3‑96.)
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(30 ILCS 775/95)
Sec. 95.
Legislative intent.
In the event that both this Act and Senate
Bill 690 of the 89th General Assembly become law, it is the intent of the
General Assembly that this Act shall control over and supersede the version of
the Excellence in Academic Medicine Act contained in Senate Bill 690.
(Source: P.A. 89‑506, eff. 7‑3‑96.)
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(30 ILCS 775/100)
Sec. 100.
(Amendatory provisions; text omitted).
(Source: P.A. 89‑506, eff. 7‑3‑96; text omitted.)
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(30 ILCS 775/160)
Sec. 160.
(Amendatory provisions; text omitted).
(Source: P.A. 89‑506, eff. 7‑3‑96; text omitted.)
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(30 ILCS 775/165)
Sec. 165.
If and only if House Bill 2632 of the 89th General Assembly
becomes law, the Department of Human Services Act is amended by repealing
Section 80‑40.
(Source: P.A. 89‑506, eff. 7‑3‑96.)
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(30 ILCS 775/170)
Sec. 170.
Severability.
This Act is severable under Section 1.31 of the
Statute on Statutes.
(Source: P.A. 89‑506, eff. 7‑3‑96.)
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(30 ILCS 775/199)
Sec. 199.
Effective date.
This Act takes effect upon becoming law except
that the provisions of Sections 160 and 165 of this Act take effect upon
becoming law or on
the effective date of House Bill 2632 of the 89th General Assembly, whichever
occurs later.
(Source: P.A. 89‑507, eff. 7‑3‑96.)
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