Bill Text: IL SB1510 | 2019-2020 | 101st General Assembly | Engrossed

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Bill Title: Amends the Illinois Public Aid Code. Reenacts provisions regarding assessments on inpatient and outpatient services imposed on hospitals. Provides for the continuity of effect of the reenacted provisions between July 1, 2020 and the effective date of the amendatory Act. Validates actions taken in reliance on or pursuant to the reenacted provisions. In a Section concerning the Department of Children and Family Services' per diem rate for an inpatient psychiatric stay beyond medical necessity, provides that the Section is inoperative on and after July 1, 2021 (instead of July 1, 2020). Provides that notwithstanding the provision of Public Act 101-209 stating that the Section is inoperative on and after July 1, 2020, the Section is operative from July 1, 2020 through June 30, 2021. Provides that beginning July 1, 2012 and ending on December 31, 2022, a hospital that would have qualified for the rate year beginning October 1, 2012 shall be a Safety-Net Hospital. Requires the Department of Healthcare and Family Services to establish a health care transformation program which shall be supported by the transformation funding pool. Provides that it is the intention of the General Assembly that innovative partnerships funded by the pool must be designed to establish or improve integrated health care delivery systems that will provide significant access to the Medicaid and uninsured populations in their communities, as well as improve health care equity. Provides that during State fiscal years 2021 through 2027, the hospital and health care transformation program shall be supported by an annual transformation funding pool of up to $150,000,000, pending federal matching funds, to be allocated during the specified fiscal years for the purpose of facilitating hospital and health care transformation. Provides that funding agreements made in accordance with the transformation program shall be considered purchases of care under the Illinois Procurement Code and funds shall be expended by the Department in a manner that maximizes federal funding to expend the entire allocated amount. Contains provisions concerning the criteria for transformation proposals; entities eligible for funding under the transformation program; the process for submitting transformation projects; the Department's process for evaluating and approving transformation proposals; and other matters. In a provision concerning Prospective Payment System rates for federally qualified health centers (FQHCs), provides that one method to increase such rates is to use an alternative payment method acceptable to the Centers for Medicare and Medicaid Services and the FQHCs, including an across the board percentage increase to existing rates. Creates the COVID-19 Medically Necessary Diagnostic Testing Act. Provides that a health plan shall not impose utilization management requirements on COVID-19 diagnostic tests for nursing home employees. Provides that medically necessary COVID-19 testing is urgent care, and health plans shall not extend the applicable wait time for a COVID-19 testing appointment, even if such an extension would otherwise be permitted. Requires a health plan to reimburse the testing provider for medically necessary COVID-19 testing at the contracted rate if the health plan has a contract with the testing provider. Amends the Medical Assistance Article of the Illinois Public Aid Code. Amends the Nursing Home Care Act. Requires the Department of Public Health to accept on-the-job experience in lieu of clinical training from any individual who participated in the temporary nursing assistant program during the COVID-19 pandemic before the end date of the temporary nursing assistant program and left the program in good standing. Requires the Department of Public Health to notify all approved certified nurse assistant training programs in the State of this requirement. Defines "temporary nursing assistant program". Provides that an individual employed during the COVID-19 pandemic as a nursing assistant in accordance with any Executive Orders, emergency rules, or policy memoranda related to COVID-19 shall be assumed to meet competency standards and may continue to be employed as a certified nurse assistant when the pandemic ends and the Executive Orders or emergency rules lapse. Amends the Hospital Licensing Act. Provides that whenever a public health emergency has resulted in pre-admission screenings to be waived in lieu of screenings post admission to a nursing home and the case coordination unit, upon being timely notified of the need to complete the post-admission screen, fails to complete the screen within the allotted time, the nursing facility shall not be penalized and shall be reimbursed for care from the date of admission. Effective immediately.

Spectrum: Broadly Bipartisan Bill

Status: (Enrolled - Dead) 2021-01-13 - Passed Both Houses [SB1510 Detail]

Download: Illinois-2019-SB1510-Engrossed.html

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AN ACT concerning regulation.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Nursing Home Care Act is amended by changing
Sections 2-106.1, 2-204, 3-202.05, and 3-209 and by adding
Section 3-305.8 as follows:
(210 ILCS 45/2-106.1)
Sec. 2-106.1. Drug treatment.
(a) A resident shall not be given unnecessary drugs. An
unnecessary drug is any drug used in an excessive dose,
including in duplicative therapy; for excessive duration;
without adequate monitoring; without adequate indications for
its use; or in the presence of adverse consequences that
indicate the drugs should be reduced or discontinued. The
Department shall adopt, by rule, the standards for unnecessary
drugs contained in interpretive guidelines issued by the United
States Department of Health and Human Services for the purposes
of administering Titles XVIII and XIX of the Social Security
Act.
(b) Psychotropic medication shall not be administered
prescribed without the informed consent of the resident or , the
resident's surrogate decision maker guardian, or other
authorized representative. "Psychotropic medication" means

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medication that is used for or listed as used for psychotropic
antipsychotic, antidepressant, antimanic, or antianxiety
behavior modification or behavior management purposes in the
latest editions of the AMA Drug Evaluations or the Physician's
Desk Reference. No later than January 1, 2021, the The
Department shall adopt, by rule, a protocol specifying how
informed consent for psychotropic medication may be obtained or
refused. The protocol shall require, at a minimum, a discussion
between (i) the resident or the resident's surrogate decision
maker authorized representative and (ii) the resident's
physician, a registered pharmacist (who is not a dispensing
pharmacist for the facility where the resident lives), or a
licensed nurse about the possible risks and benefits of a
recommended medication and the use of standardized consent
forms designated by the Department. The protocol shall include
informing the resident, surrogate decision maker, or both of
the existence of a copy of: the resident's care plan; the
facility policies and procedures adopted in compliance with
subsection (b-15) of this Section; and that all of the
resident's care plans and the facility's policies are available
to the resident or surrogate decision maker upon request. Each
form developed by the Department (i) shall be written in plain
language, (ii) shall be able to be downloaded from the
Department's official website, (iii) shall include information
specific to the psychotropic medication for which consent is
being sought, and (iv) shall be used for every resident for

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whom psychotropic drugs are prescribed. The Department shall
utilize the rules, protocols, and forms previously developed
and implemented under the Specialized Mental Health
Rehabilitation Act of 2013, except to the extent that this Act
requires a different procedure, and except that the maximum
possible period for informed consent shall be until: (1) a
change in the prescription occurs, either as to type of
psychotropic medication or dosage; or (2) a resident's care
plan changes. The Department shall not be liable for the
implementation of these rules, protocols, or forms. In addition
to creating those forms, the Department shall approve the use
of any other informed consent forms that meet criteria
developed by the Department. At the discretion of the
Department, informed consent forms may include side effects
that the Department reasonably believes are more common, with a
direction that more complete information can be found via a
link on the Department's website to third-party websites with
more complete information, such as the United States Food and
Drug Administration's website. The Department or a facility
shall incur no liability for information provided on a consent
form so long as the consent form is substantially accurate
based upon generally accepted medical principles and, in the
case of the Department's liability, if the Department
references the website links.
Informed consent shall be sought by the facility from the
resident unless the resident's attending physician determines

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that the resident lacks decisional capacity, as determined
under the Health Care Surrogate Act. If the resident lacks
decisional capacity, the facility shall seek informed consent
from the resident's surrogate decision maker.
For the purpose of this Section, "surrogate decision maker"
means the following persons to be given priority in the order
presented: (1) the guardian of the resident appointed under the
Uniform Adult Guardianship and Protection Proceedings
Jurisdiction Act; (2) the resident's attorney-in-fact who has
been designated under the Mental Health Treatment Preference
Declaration Act; (3) the resident's health care agent who has
the authority to give consent under the Illinois Power of
Attorney Act; (4) the resident's surrogate decision maker under
the Health Care Surrogate Act; and (5) the resident's resident
representative, as that term is defined under Section 483.5 of
Title 42 of the Code of Federal Regulations.
In addition to any other penalty prescribed by law, a
facility that is found to have violated this subsection, or the
federal certification requirement that informed consent be
obtained before administering a psychotropic medication, shall
thereafter be required to obtain the signatures of 2 licensed
health care professionals on every form purporting to give
informed consent for the administration of a psychotropic
medication, certifying the personal knowledge of each health
care professional that the consent was obtained in compliance
with the requirements of this subsection.

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(b-5) A facility must obtain voluntary informed consent, in
writing, from a resident or the resident's surrogate decision
maker before administering or dispensing a psychotropic
medication to that resident.
(b-10) No facility shall deny admission or continued
residency to a person on the basis of the person's or
resident's, or the person's or resident's surrogate decision
maker's, refusal of the administration of psychotropic
medication, unless the facility can demonstrate that the
resident's refusal would place the health and safety of the
resident, the facility staff, other residents, or visitors at
risk.
A facility that alleges that the resident's refusal to
consent to the administration of psychotropic medication will
place the health and safety of the resident, the facility
staff, other residents, or visitors at risk must: (1) document
the alleged risk in detail; (2) present this documentation to
the resident or the resident's surrogate decision maker, to the
Department, and to the Office of the State Long Term Care
Ombudsman; and (3) inform the resident or his or her surrogate
decision maker of his or her right to appeal to the Department.
The documentation of the alleged risk shall include a
description of all nonpharmacological or alternative care
options attempted and why they were unsuccessful.
(b-15) Within 100 days after the effective date of this
amendatory Act of the 101st General Assembly, all facilities

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shall implement written policies and procedures for compliance
with this Section. The Department shall thereafter have the
discretion to review these written policies and procedures and
either:
(1) give written notice to the facility that the
policies or procedures are sufficient to demonstrate the
facility's intent to comply with this Section; or
(2) provide written notice to the facility that the
proposed policies and procedures are deficient, identify
the areas that are deficient, and provide 30 days for the
facility to submit amended policies and procedures that
demonstrate its intent to comply with this Section.
A facility's failure to submit the documentation required
under this subsection is sufficient to demonstrate its intent
to not comply with this Section and shall be grounds for review
by the Department.
All facilities must provide training and education, as
required under this Section, to all personnel involved in
providing care to residents and train and educate such
personnel on the methods and procedures to effectively
implement the facility's policies. Training and education
provided under this Section must be documented in each
personnel file.
(b-20) Any violation of this Section may be reported to the
Department for review. At its discretion, the Department may
proceed with disciplinary action against the licensee of the

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facility and facility administrative personnel. In any
administrative disciplinary action under this subsection, the
Department shall have the discretion to determine the gravity
of the violation and, taking into account mitigating and
aggravating circumstances and facts, may adjust the
disciplinary action accordingly.
(b-25) A violation of informed consent that, for an
individual resident, lasts for 7 days or more under this
Section is, at a minimum, a Type "A" violation. A second
violation of informed consent within a year from a previous
violation in the same facility regardless of the duration of
the second violation is, at a minimum, a Type "A" violation.
(b-30) Any violation of this Section by a facility may be
prosecuted by an action brought by the Attorney General of
Illinois for injunctive relief, civil penalties, or both
injunctive relief and civil penalties in the name of the People
of Illinois. The Attorney General may initiate such action upon
his or her own complaint or the complaint of any other
interested party.
(b-35) Any resident who has been administered a
psychotropic medication in violation of this Section may bring
an action for injunctive relief, civil damages, and costs and
attorney's fees against any person and facility responsible for
the violation.
(b-40) An action under this Section must be filed within 2
years of either the date of discovery of the violation that

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gave rise to the claim or the last date of an instance of a
noncompliant administration of psychotropic medication to the
resident, whichever is later.
(b-45) A facility subject to action under this Section
shall be liable for damages of up to $500 for each day that the
facility or person violates the requirements of this Section.
(b-55) The rights provided for in this Section are
cumulative to existing resident rights. No part of this Section
shall be interpreted as abridging, abrogating, or otherwise
diminishing existing resident rights or causes of action at law
or equity.
(c) The requirements of this Section are intended to
control in a conflict with the requirements of Sections 2-102
and 2-107.2 of the Mental Health and Developmental Disabilities
Code with respect to the administration of psychotropic
medication.
(Source: P.A. 95-331, eff. 8-21-07; 96-1372, eff. 7-29-10.)
(210 ILCS 45/2-204) (from Ch. 111 1/2, par. 4152-204)
Sec. 2-204. The Director shall appoint a Long-Term Care
Facility Advisory Board to consult with the Department and the
residents' advisory councils created under Section 2-203.
(a) The Board shall be comprised of the following persons:
(1) The Director who shall serve as chairman, ex
officio and nonvoting; and
(2) One representative each of the Department of

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Healthcare and Family Services, the Department of Human
Services, the Department on Aging, and the Office of the
State Fire Marshal, all nonvoting members;
(3) One member who shall be a physician licensed to
practice medicine in all its branches;
(4) One member who shall be a registered nurse selected
from the recommendations of professional nursing
associations;
(5) Four members who shall be selected from the
recommendations by organizations whose membership consists
of facilities;
(6) Two members who shall represent the general public
who are not members of a residents' advisory council
established under Section 2-203 and who have no
responsibility for management or formation of policy or
financial interest in a facility;
(7) One member who is a member of a residents' advisory
council established under Section 2-203 and is capable of
actively participating on the Board, or, if the Department
is unable to identify a member meeting these requirements,
one member who shall be a certified sub-state ombudsman
experienced in working with resident councils; and
(8) One member who shall be selected from the
recommendations of consumer organizations which engage
solely in advocacy or legal representation on behalf of
residents and their immediate families; .

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(9) One member who is from a nongovernmental statewide
organization that advocates for seniors and Illinois
residents over the age of 50;
(10) One member who is from a statewide association
dedicated to Alzheimer's disease care, support, and
research;
(11) One member who is a member of a trade or labor
union representing persons who provide care services in
facilities; and
(12) One member who advocates for the welfare, rights,
and care of long-term care residents and represents family
caregivers of residents in facilities.
(b) The terms of those members of the Board appointed prior
to the effective date of this amendatory Act of 1988 shall
expire on December 31, 1988. Members of the Board created by
this amendatory Act of 1988 shall be appointed to serve for
terms as follows: 3 for 2 years, 3 for 3 years and 3 for 4
years. The member of the Board added by this amendatory Act of
1989 shall be appointed to serve for a term of 4 years. Each
successor member shall be appointed for a term of 4 years. Any
member appointed to fill a vacancy occurring prior to the
expiration of the term for which his predecessor was appointed
shall be appointed for the remainder of such term. The Board
shall meet as frequently as the chairman deems necessary, but
not less than 4 times each year. Upon request by 4 or more
members the chairman shall call a meeting of the Board. The

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affirmative vote of 7 6 members of the Board shall be necessary
for Board action. A member of the Board can designate a
replacement to serve at the Board meeting and vote in place of
the member by submitting a letter of designation to the
chairman prior to or at the Board meeting. The Board members
shall be reimbursed for their actual expenses incurred in the
performance of their duties.
(c) The Advisory Board shall advise the Department of
Public Health on all aspects of its responsibilities under this
Act and the Specialized Mental Health Rehabilitation Act of
2013, including the format and content of any rules promulgated
by the Department of Public Health. Any such rules, except
emergency rules promulgated pursuant to Section 5-45 of the
Illinois Administrative Procedure Act, promulgated without
obtaining the advice of the Advisory Board are null and void.
In the event that the Department fails to follow the advice of
the Board, the Department shall, prior to the promulgation of
such rules, transmit a written explanation of the reason
thereof to the Board. During its review of rules, the Board
shall analyze the economic and regulatory impact of those
rules. If the Advisory Board, having been asked for its advice,
fails to advise the Department within 90 days, the rules shall
be considered acted upon.
(Source: P.A. 97-38, eff. 6-28-11; 98-104, eff. 7-22-13;
98-463, eff. 8-16-13.)

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(210 ILCS 45/3-202.05)
Sec. 3-202.05. Staffing ratios effective July 1, 2010 and
thereafter.
(a) For the purpose of computing staff to resident ratios,
direct care staff shall include:
(1) registered nurses;
(2) licensed practical nurses;
(3) certified nurse assistants;
(4) psychiatric services rehabilitation aides;
(5) rehabilitation and therapy aides;
(6) psychiatric services rehabilitation coordinators;
(7) assistant directors of nursing;
(8) 50% of the Director of Nurses' time; and
(9) 30% of the Social Services Directors' time.
The Department shall, by rule, allow certain facilities
subject to 77 Ill. Admin. Code 300.4000 and following (Subpart
S) to utilize specialized clinical staff, as defined in rules,
to count towards the staffing ratios.
Within 120 days of the effective date of this amendatory
Act of the 97th General Assembly, the Department shall
promulgate rules specific to the staffing requirements for
facilities federally defined as Institutions for Mental
Disease. These rules shall recognize the unique nature of
individuals with chronic mental health conditions, shall
include minimum requirements for specialized clinical staff,
including clinical social workers, psychiatrists,

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psychologists, and direct care staff set forth in paragraphs
(4) through (6) and any other specialized staff which may be
utilized and deemed necessary to count toward staffing ratios.
Within 120 days of the effective date of this amendatory
Act of the 97th General Assembly, the Department shall
promulgate rules specific to the staffing requirements for
facilities licensed under the Specialized Mental Health
Rehabilitation Act of 2013. These rules shall recognize the
unique nature of individuals with chronic mental health
conditions, shall include minimum requirements for specialized
clinical staff, including clinical social workers,
psychiatrists, psychologists, and direct care staff set forth
in paragraphs (4) through (6) and any other specialized staff
which may be utilized and deemed necessary to count toward
staffing ratios.
(b) (Blank). Beginning January 1, 2011, and thereafter,
light intermediate care shall be staffed at the same staffing
ratio as intermediate care.
(b-5) For purposes of the minimum staffing ratios in this
Section, all residents shall be classified as requiring either
skilled care or intermediate care.
As used in this subsection:
"Intermediate care" means basic nursing care and other
restorative services under periodic medical direction.
"Skilled care" means skilled nursing care, continuous
skilled nursing observations, restorative nursing, and other

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services under professional direction with frequent medical
supervision.
(c) Facilities shall notify the Department within 60 days
after the effective date of this amendatory Act of the 96th
General Assembly, in a form and manner prescribed by the
Department, of the staffing ratios in effect on the effective
date of this amendatory Act of the 96th General Assembly for
both intermediate and skilled care and the number of residents
receiving each level of care.
(d)(1) (Blank). Effective July 1, 2010, for each resident
needing skilled care, a minimum staffing ratio of 2.5 hours of
nursing and personal care each day must be provided; for each
resident needing intermediate care, 1.7 hours of nursing and
personal care each day must be provided.
(2) (Blank). Effective January 1, 2011, the minimum
staffing ratios shall be increased to 2.7 hours of nursing and
personal care each day for a resident needing skilled care and
1.9 hours of nursing and personal care each day for a resident
needing intermediate care.
(3) (Blank). Effective January 1, 2012, the minimum
staffing ratios shall be increased to 3.0 hours of nursing and
personal care each day for a resident needing skilled care and
2.1 hours of nursing and personal care each day for a resident
needing intermediate care.
(4) (Blank). Effective January 1, 2013, the minimum
staffing ratios shall be increased to 3.4 hours of nursing and

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personal care each day for a resident needing skilled care and
2.3 hours of nursing and personal care each day for a resident
needing intermediate care.
(5) Effective January 1, 2014, the minimum staffing ratios
shall be increased to 3.8 hours of nursing and personal care
each day for a resident needing skilled care and 2.5 hours of
nursing and personal care each day for a resident needing
intermediate care.
(e) Ninety days after the effective date of this amendatory
Act of the 97th General Assembly, a minimum of 25% of nursing
and personal care time shall be provided by licensed nurses,
with at least 10% of nursing and personal care time provided by
registered nurses. These minimum requirements shall remain in
effect until an acuity based registered nurse requirement is
promulgated by rule concurrent with the adoption of the
Resource Utilization Group classification-based payment
methodology, as provided in Section 5-5.2 of the Illinois
Public Aid Code. Registered nurses and licensed practical
nurses employed by a facility in excess of these requirements
may be used to satisfy the remaining 75% of the nursing and
personal care time requirements. Notwithstanding this
subsection, no staffing requirement in statute in effect on the
effective date of this amendatory Act of the 97th General
Assembly shall be reduced on account of this subsection.
(f) The Department shall adopt rules on or before January
1, 2020 establishing a system for determining compliance with

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minimum direct care staffing standards and the requirements of
77 Ill. Adm. Code 300.1230. Compliance shall be determined at
least quarterly using the Centers for Medicare and Medicaid
Services' payroll-based journal and the facility's census and
payroll data, which shall be obtained quarterly by the
Department. The Department shall, at minimum, use the quarterly
payroll-based journal and census and payroll data to calculate
the number of hours provided per resident per day and compare
this ratio to the minimums required by this Section as impacted
by a waiver of the percentage requirement under Section
3-303.1. The Department shall publish the data quarterly on its
website.
In enforcing the minimum staffing ratios, the Department
shall take into account that transitions between intermediate
care and skilled care occur regularly.
(g) The Department shall adopt rules by January 1, 2020
establishing monetary penalties for facilities not in
compliance with minimum staffing standards under this Section.
No monetary penalty may be issued during the implementation
period, which shall be July 1, 2020 through September 30, 2020.
If a facility is found to be noncompliant during the
implementation period, the Department shall provide a written
notice identifying the staffing deficiency and require the
facility to provide a sufficiently detailed correction plan to
meet the statutory minimum staffing levels. Monetary penalties
shall be imposed beginning no later than October 1, 2020 and

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quarterly thereafter and shall be based on the latest quarter
for which the Department has data.
Monetary penalties shall be established based on a formula
that calculates the cost of wages and benefits for the missing
staff hours and shall be no less than twice the calculated cost
of wages and benefits for the missing staff hours during the
quarter. The penalty shall be imposed regardless of whether the
facility has committed other violations of this Act during the
same quarter. The penalty may not be waived; however, if the
violation is not more than a 5% deviation of the required
minimum staffing requirements, the Department shall have the
discretion to determine the gravity of the violation and,
taking into account mitigating and aggravating circumstances
and facts, may reduce the penalty amount. Nothing in this
Section precludes a facility from being given a high risk
designation for failing to comply with this Section that, when
cited with other violations of this Act, increases the
otherwise applicable penalty.
(h) A violation of the minimum staffing requirements under
this Section is, at minimum, a Type "B" violation. In the event
that the violation is not more than a 5% deviation of the
required minimum staffing requirements, the Department shall
have the discretion to determine the gravity of the violation
and, taking into account mitigating and aggravating
circumstances and facts, may assess a different type or class
of violation.

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(Source: P.A. 97-689, eff. 6-14-12; 98-104, eff. 7-22-13.)
(210 ILCS 45/3-209) (from Ch. 111 1/2, par. 4153-209)
Sec. 3-209. Required posting of information.
(a) Every facility shall conspicuously post for display in
an area of its offices accessible to residents, employees, and
visitors the following:
(1) Its current license;
(2) A description, provided by the Department, of
complaint procedures established under this Act and the
name, address, and telephone number of a person authorized
by the Department to receive complaints;
(3) A copy of any order pertaining to the facility
issued by the Department or a court; and
(4) A list of the material available for public
inspection under Section 3-210.
(b) A facility that has received a notice of violation for
a violation of the minimum staffing requirements under Section
3-202.05 shall display, for 6 months following the date that
the notice of violation was issued, a notice stating in Calibri
(body) font and 26-point type in black letters on an 8.5 by 11
inch white paper the following:
"Notice Dated: ...................
This facility did not have enough staff to meet the minimum
staffing ratios for facility residents during the period from

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........ to ....... Posted at the direction of the Illinois
Department of Public Health."
The notice must be posted, at a minimum, at all publicly used
exterior entryways into the facility, inside the main entrance
lobby, and next to any registration desk for easily accessible
viewing. The notice must also be posted on the main page of the
facility's website. The Department shall have the discretion to
determine the gravity of any violation and, taking into account
mitigating and aggravating circumstances and facts, may reduce
the requirement of, and amount of time for, posting the notice.
(Source: P.A. 81-1349.)
(210 ILCS 45/3-305.8 new)
Sec. 3-305.8. Database of nursing home quarterly reports
and citations.
(a) The Department shall publish the quarterly reports of
facilities in violation of this Act in an easily searchable,
comprehensive, and downloadable electronic database on the
Department's website in language that is easily understood. The
database shall include quarterly reports of all facilities that
have violated this Act starting from 2005 and shall continue
indefinitely. The database shall be in an electronic format
with active hyperlinks to individual facility citations. The
database shall be updated quarterly and shall be electronically
searchable using a facility's name and address and the facility

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owner's name and address.
(b) In lieu of the database under subsection (a), the
Department may publish the list mandated under Section 3-304 in
an easily searchable, comprehensive, and downloadable
electronic database on the Department's website in plain
language. The database shall include the information from all
such lists since 2005 and shall continue indefinitely. The
database shall be in an electronic format with active
hyperlinks to individual facility citations. The database
shall be updated quarterly and shall be electronically
searchable using a facility's name and address and the facility
owner's name and address.
Section 99. Effective date. This Act takes effect upon
becoming law.