illinois...january 22, 2021 volume 45, issue 4 proposed rules financial and professional regulation,...
TRANSCRIPT
ILLINOIS REGISTER RULES
OF GOVERNMENTAL AGENCIES
PUBLISHED BY JESSE WHITE • SECRETARY OF STATE
Index DepartmentAdministrative Code Division111 E. Monroe St.Springfield, IL 62756217-782-7017www.cyberdriveillinois.com
Printed on recycled paper
i
TABLE OF CONTENTS
January 22, 2021 Volume 45, Issue 4
PROPOSED RULES FINANCIAL AND PROFESSIONAL REGULATION, DEPARTMENT OF
Illinois Credit Union Act
38 Ill. Adm. Code 190...........................................................................1093
HEALTHCARE AND FAMILY SERVICES, DEPARTMENT OF
Specialized Healthcare Delivery Systems
89 Ill. Adm. Code 146...........................................................................1096
Reimbursement for Nursing Costs for Geriatric Facilities
89 Ill. Adm. Code 147...........................................................................1103
Long Term Care Reimbursement Changes
89 Ill. Adm. Code 153...........................................................................1112
SECRETARY OF STATE, OFFICE OF THE
Business Corporation Act
14 Ill. Adm. Code 150...........................................................................1114
Issuance of Licenses
92 Ill. Adm. Code 1030.........................................................................1117
School Bus Driver Permit
92 Ill. Adm. Code 1035.........................................................................1132
ADOPTED RULES PUBLIC HEALTH, DEPARTMENT OF
Skilled Nursing and Intermediate Care Facilities Code
77 Ill. Adm. Code 300...........................................................................1134
EMERGENCY RULES FINANCIAL AND PROFESSIONAL REGULATION, DEPARTMENT OF
Illinois Credit Union Act
38 Ill. Adm. Code 190...........................................................................1186
HEALTHCARE AND FAMILY SERVICES, DEPARTMENT OF
Long Term Care Reimbursement Changes
89 Ill. Adm. Code 153...........................................................................1191
PUBLIC HEALTH, DEPARTMENT OF
Hospital Licensing Requirements
77 Ill. Adm. Code 250...........................................................................1202
SECRETARY OF STATE, OFFICE OF THE
Business Corporation Act
14 Ill. Adm. Code 150...........................................................................1215
School Bus Driver Permit
92 Ill. Adm. Code 1035.........................................................................1222
SECOND NOTICES RECEIVED JOINT COMMITTEE ON ADMINISTRATIVE RULES
Second Notices Received..............................................................................1226
ii
OTHER INFORMATION REQUIRED BY LAW TO BE PUBLISHED IN THE
ILLINOIS REGISTER EDUCATIONAL LABOR RELATIONS BOARD, ILLINOIS
General Procedures (Agency Response to JCAR Objection)
80 Ill. Adm. Code 1100.........................................................................1228
EXECUTIVE ORDERS AND PROCLAMATIONS EXECUTIVE ORDERS
Executive Order 2021-1 (COVID-19 Executive Order No. 71)
2021-1....................................................................................................1232
PROCLAMATIONS
National Problem Gambling Awareness Month
2020-76..................................................................................................1241
Gerald M. Brookhart Arts in Education Spring Celebration Months
2020-77..................................................................................................1241
Prevent Child Abuse Illinois Day
2020-78..................................................................................................1242
AmeriCorps Week
2020-79..................................................................................................1243
Peripartum Cardiomyopathy Awareness Week
2020-80..................................................................................................1244
Vive tu Vida! Get Up! Get Moving! Wellness Day
2020-81..................................................................................................1245
Apraxia Awareness Day
2020-82..................................................................................................1246
Blount's Disease Day
2020-83..................................................................................................1247
Fabry Disease Awareness Month
2020-84..................................................................................................1248
National School Breakfast Week
2020-85..................................................................................................1248
Public Health Week
2020-86..................................................................................................1249
Women Veterans Recognition Month
2020-87..................................................................................................1250
Day of Prayer
2020-88..................................................................................................1251
Foster Parent Appreciation Month
2020-89..................................................................................................1251
National Nurses Week and National Nurses Day
2020-90..................................................................................................1252
Peace Officers Memorial Day
2020-91..................................................................................................1253
Congenital Diaphragmatic Hernia Awareness Month
2020-92..................................................................................................1254
iii
Parkinson's Disease Awareness Month in Illinois
2020-93..................................................................................................1255
Illinois Community College Month
2020-94..................................................................................................1256
Illinois Pollinator Week
2020-95..................................................................................................1257
American Eagle Day
2020-96..................................................................................................1257
Pollution Control Board Day
2020-97..................................................................................................1258
Bob Molaro Day
2020-98..................................................................................................1259
Honorary Poet Laureate
2020-99..................................................................................................1261
Chronic Disease Awareness Day
2020-100................................................................................................1262
ISEPS 50 Years of Service Day
2020-101................................................................................................1263
Wind Week in Illinois
2020-102................................................................................................1263
Gastroparesis Awareness Month
2020-103................................................................................................1264
Immunization Awareness Week in Illinois
2020-104................................................................................................1265
IARF Membership Appreciation Week
2020-105................................................................................................1266
Illinois Rail Safety Week
2020-106................................................................................................1266
Chiropractic Health Care Month
2020-107................................................................................................1267
Direct Support Professionals Week
2020-108................................................................................................1268
Gold Star Mother's Day
2020-109................................................................................................1269
Principals Week and Principals Day
2020-110................................................................................................1270
Family Meals Month
2020-111................................................................................................1271
Manufacturing Month in Illinois
2020-112................................................................................................1271
Suicide Prevention Month
2020-113................................................................................................1272
Cybersecurity Awareness Month
2020-114................................................................................................1274
iv
Domestic Violence Awareness Month
2020-115................................................................................................1275
Fire Prevention Week
2020-116................................................................................................1275
Malnutrition Awareness Week
2020-117................................................................................................1277
Filipino American History Awareness Month
2020-118................................................................................................1278
St. Augustine College 40th Anniversary
2020-119................................................................................................1279
Infant Safe Sleep Awareness Month
2020-120................................................................................................1280
Adoption Awareness Month
2020-121................................................................................................1281
Breast Cancer Awareness Month and Mammography Day
2020-122................................................................................................1281
Women's Small Business Month in Illinois
2020-123................................................................................................1282
National Samosa Day
2020-124................................................................................................1283
TAR Syndrome Awareness Month
2020-125................................................................................................1284
Election Hero Day
2020-126................................................................................................1285
Disability Employment Awareness Month
2020-127................................................................................................1285
American Pharmacists Month
2020-128................................................................................................1286
Illinois Rural Health Day
2020-129................................................................................................1288
Congenital Heart Defect Awareness Week
2020-130................................................................................................1288
NET Cancer Awareness Day
2020-131................................................................................................1289
Volunteers of America Day
2020-132................................................................................................1290
Antibiotics Awareness Week
2020-133................................................................................................1291
Manuel Barbosa Conference Room
2020-134................................................................................................1291
National Apprenticeship Week
2020-135................................................................................................1292
First Generation Students' Day
2020-136................................................................................................1293
v
National Adoption Day
2020-137................................................................................................1294
Wilton D. Gregory Day
2020-138................................................................................................1295
Pearl Harbor Remembrance Day
2020-139................................................................................................1296
National Native American Heritage Month
2020-140................................................................................................1297
Lois M. Moorman Day
2020-141................................................................................................1298
Move Over Day
2020-142................................................................................................1300
Flag Lowering - CPD Titus Theopsy Moore
2020-143................................................................................................1300
Gubernatorial Disaster Proclamation
2021-1....................................................................................................1301
vi
INTRODUCTION
The Illinois Register is the official state document for publishing public notice of rulemaking
activity initiated by State governmental agencies. The table of contents is arranged categorically
by rulemaking activity and alphabetically by agency within each category.
Rulemaking activity consists of proposed or adopted new rules; amendments to or repealers of
existing rules; and rules promulgated by emergency or peremptory action. Executive Orders and
Proclamations issued by the Governor; notices of public information required by State Statute;
and activities (meeting agendas; Statements of Objection or Recommendation, etc.) of the Joint
Committee on Administrative Rules (JCAR), a legislative oversight committee which monitors
the rulemaking activities of State Agencies; is also published in the Register.
The Register is a weekly update of the Illinois Administrative Code (a compilation of the rules
adopted by State agencies). The most recent edition of the Code, along with the Register,
comprise the most current accounting of State agencies’ rulemakings.
The Illinois Register is the property of the State of Illinois, granted by the authority of the Illinois
Administrative Procedure Act [5 ILCS 100/1-1, et seq.].
ILLINOIS REGISTER PUBLICATION SCHEDULE FOR 2021
Issue# Rules Due Date Date of Issue
1 December 21, 2020 January 4, 2021
2 December 28, 2020 January 8, 2021
3 January 4, 2021 January 15, 2021
4 January 11, 2021 January 22, 2021
5 January 19, 2021 January 29, 2021
6 January 25, 2021 February 5, 2021
7 February 1, 2021 February 16, 2021
8 February 8, 2021 February 19, 2021
9 February 16, 2021 February 26, 2021
10 February 22, 2021 March 5, 2021
11 March 1, 2021 March 12, 2021
12 March 8, 2021 March 19, 2021
13 March 15, 2021 March 26, 2021
14 March 22, 2021 April 2, 2021
15 March 29, 2021 April 9, 2021
16 April 5, 2021 April 16, 2021
17 April 12, 2021 April 23, 2021
18 April 19, 2021 April 30, 2021
19 April 26, 2021 May 7, 2021
20 May 3, 2021 May 14, 2021
21 May 10, 2021 May 21, 2021
vii
22 May 17, 2021 May 28, 2021
23 May 24, 2021 June 4, 2021
24 June 1, 2021 June 11, 2021
25 June 7, 2021 June 18, 2021
26 June 14, 2021 June 25, 2021
27 June 21, 2021 July 2, 2021
28 June 28, 2021 July 9, 2021
29 July 6, 2021 July 16, 2021
30 July 12, 2021 July 23, 2021
31 July 19, 2021 July 30, 2021
32 July 26, 2021 August 6, 2021
33 August 2, 2021 August 13, 2021
34 August 9, 2021 August 20, 2021
35 August 16, 2021 August 27, 2021
36 August 23, 2021 September 3, 2021
37 August 30, 2021 September 10, 2021
38 September 7, 2021 September 17, 2021
39 September 13, 2021 September 24, 2021
40 September 20, 2021 October 1, 2021
41 September 27, 2021 October 8, 2021
42 October 4, 2021 October 15, 2021
43 October 12, 2021 October 22, 2021
44 October 18, 2021 October 29, 2021
45 October 25, 2021 November 5, 2021
46 November 1, 2021 November 12, 2021
47 November 8, 2021 November 19, 2021
48 November 15, 2021 November 29, 2021
49 November 22, 2021 December 3, 2021
50 November 29, 2021 December 10, 2021
51 December 6, 2021 December 17, 2021
52 December 13, 2021 December 27, 2021
53 December 20, 2021 December 31, 2021
ILLINOIS REGISTER 1093
21
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
NOTICE OF PROPOSED AMENDMENT
1) Heading of the Part: Illinois Credit Union Act
2) Code Citation: 38 Ill. Adm. Code 190
3) Section Number: Proposed Action:
190.230 New Section
4) Statutory Authority: Implementing and authorized by the Illinois Credit Union Act [205
ILCS 305].
5) A Complete Description of the Subjects and Issues Involved: The proposed amendment
permits the Board of Directors of Credit Unions to provide by resolution that all members
may attend, participate in, act, and vote at the annual meeting or special meeting of the
members through audio or video conference or other communication technology that
enables meeting participants to communicate with each other. The rule provides that
attendance through such means shall constitute in person attendance. Permitting remote
meeting eliminates unnecessary travel and will likely lead to greater member
participation. The Board of Directors is in the best position to determine whether remote
meetings are appropriate for a specific credit union. Remote meetings are commonly
permitted in other contexts (e.g. shareholder meetings) under Illinois law. This
amendment also modernizes the Act by removing ambiguity regarding the permissibility
of remote meetings.
The proposed language is materially consistent with language in many other Illinois laws
including the General Not For Profit Corporation Act of 1986 and the Business
Incorporation Act of 1983.
6) Any published studies or reports, along with the sources of underlying data, that were
used when comprising this rulemaking, in accordance with 1 Ill. Adm. Code 100.355:
None
7) Will this rulemaking replace any emergency rule currently in effect? Yes
8) Does this rulemaking contain an automatic repeal date? No
9) Does this rulemaking contain incorporations by reference? No
10) Are there any other rulemakings pending on this Part? No
ILLINOIS REGISTER 1094
21
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
NOTICE OF PROPOSED AMENDMENT
11) Statement of Statewide Policy Objective: This rulemaking will not require a local
government to establish, expand or modify its activities in such a way as to necessitate
additional expenditures from local revenues.
12) Time, Place, and Manner in which interested persons may comment on this proposed
rulemaking: Persons who wish to comment on this proposed rulemaking may submit
written comments no later than 45 days after the publication of this Notice to:
Department of Financial and Professional Regulation
Attention: Craig Cellini
320 West Washington, 2nd Floor
Springfield IL 62786
217/785-0813
fax: 217/557-4451
All written comments received within 45 days after this issue of the Illinois Register will
be considered.
13) Initial Regulatory Flexibility Analysis:
A) Types of small businesses, small municipalities and not-for-profit corporations
affected: None
B) Reporting, bookkeeping or other procedures required for compliance: None
C) Types of professional skills necessary for compliance: None
14) Small Business Impact Analysis:
A) Types of businesses subject to the proposed rule:
54 professional, scientific and technical services
B) Categories that the Agency reasonably believes the rulemaking will impact,
including:
ii regulatory requirements
ILLINOIS REGISTER 1095
21
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
NOTICE OF PROPOSED AMENDMENT
15) Regulatory Agenda on which this rulemaking was summarized: This rule was not
included on either of the 2 most recent agendas because the need for it was unanticipated.
The full text of the Proposed Amendment is identical to that of the Emergency Amendment for
this Part, and begins in this issue of the Illinois Register on page 1186.
ILLINOIS REGISTER 1096
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF PROPOSED AMENDMENT
1) Heading of the Part: Specialized Health Care Delivery Systems
2) Code Citation: 89 Ill. Adm. Code 146
3) Section Number: Proposed Action:
146.910 Amendment
4) Statutory Authority: Section 12-13 of the Illinois Public Aid Code [305 ILCS 5/12-13]
5) Complete Description of the Subjects and Issues Involved: This proposed amendment
implements a change made to 210 ILCS 49/5-106 by PA 101-636 (the FY2021 Budget
Implementation Act), by clarifying the therapeutic visit reimbursement rate for facilities
licensed or provisionally licensed by June 1, 2018 under the Specialized Mental Health
Rehabilitation Act of 2013 is 75% of the facility's current paid rate instead of 75% of the
rate in effect on July 27, 2018.
6) Published studies or reports, and sources of underlying data, used to compose this
rulemaking: None
7) Will this rulemaking replace any emergency rule currently in effect? Yes
8) Does this rulemaking contain an automatic repeal date? No
9) Does this rulemaking contain incorporations by reference? No
10) Are there any other rulemakings pending on this Part? Yes
Section Number: Proposed Action: Illinois Register Citation:
146.550 Amendment 44 Ill. Reg. 13629; August 21, 2020
11) Statement of Statewide Policy Objective: This rulemaking does not affect units of local
government.
12) Time, Place, and Manner in which interested persons may comment on this rulemaking:
Any interested parties may submit comments, data, views, or arguments concerning this
proposed rulemaking. All comments must be in writing and should be addressed to:
Steffanie Garrett
General Counsel
ILLINOIS REGISTER 1097
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF PROPOSED AMENDMENT
Illinois Department of Healthcare and Family Services
201 South Grand Avenue East, 3rd Floor
Springfield IL 62763-0002
The Department requests the submission of written comments within 45 days after the
publication of this Notice. The Department will consider all written comments it receives
during the first notice period as required by Section 5-40 of the Illinois Administrative
Procedure Act [5 ILCS 100/5-40].
13) Initial Regulatory Flexibility Analysis:
A) Types of small businesses, small municipalities and not-for-profit corporations
affected: None
B) Reporting, bookkeeping or other procedures required for compliance: None
C) Types of professional skills necessary for compliance: None
14) Small Business Impact Analysis: None
15) Regulatory Agenda on which this rulemaking was summarized: July 2020
The full text of the Proposed Amendment begins on the next page:
ILLINOIS REGISTER 1098
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF PROPOSED AMENDMENT
TITLE 89: SOCIAL SERVICES
CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER d: MEDICAL PROGRAMS
PART 146
SPECIALIZED HEALTH CARE DELIVERY SYSTEMS
SUBPART A: AMBULATORY SURGICAL TREATMENT CENTERS
Section
146.100 General Description
146.105 Definitions
146.110 Participation Requirements
146.115 Records and Data Reporting Requirements
146.125 Covered Ambulatory Surgical Treatment Center Services
146.130 Reimbursement for Services
SUBPART B: SUPPORTIVE LIVING PROGRAM (SLP) SETTINGS
Section
146.200 General Description
146.205 Definitions
146.210 Structural Requirements
146.215 SLP Participation Requirements
146.220 Resident Participation Requirements
146.225 Reimbursement for Medicaid Residents
146.230 Services
146.235 Staffing
146.240 Resident Contract
146.245 Assessment and Service Plan and Quarterly Evaluation
146.250 Resident Rights
146.255 Discharge
146.260 Grievance Procedure
146.265 Records and Reporting Requirements
146.270 Quality Assurance Plan
146.275 Monitoring
146.280 Non-Compliance Action
146.285 Voluntary Surrender of Certification
146.290 Geographic Groups
ILLINOIS REGISTER 1099
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF PROPOSED AMENDMENT
146.295 Emergency Contingency Plan
146.300 Waivers
146.305 Reporting of Suspected Abuse, Neglect and Financial Exploitation
146.310 Facility Management of Resident Funds
SUBPART C: STATE HEMOPHILIA PROGRAM
Section
146.400 Definitions
146.410 Patient Eligibility
146.420 Hemophilia Treatment Centers
146.430 Comprehensive Care Evaluation
146.440 Home Transfusion Arrangements
146.450 Obligations of the Department
SUBPART D: CHILDREN'S COMMUNITY-BASED HEALTH CARE CENTERS
Section
146.500 General Description
146.510 Definitions
146.520 Participation Requirements
146.530 Records and Data Reporting Requirements
146.540 Covered Children's Community-Based Health Care Center Services
146.550 Reimbursement for Services
146.560 Individuals Eligible for Services Provided in a Children's Community-Based
Health Care Center
146.570 Prior and Post Approval of Services
SUBPART E: SUPPORTIVE LIVING PROGRAM (SLP) SETTINGS
WITH DEMENTIA CARE UNITS
Section
146.600 General Description
146.610 Structural Requirements
146.620 Participation Requirements
146.630 Resident Participation Requirements
146.640 Services
146.650 Reimbursement for Medicaid Residents
146.660 Staffing
ILLINOIS REGISTER 1100
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF PROPOSED AMENDMENT
146.670 Assessment and Service Plan and Quarterly Evaluation
146.680 Monitoring
146.690 Reporting Requirements
146.700 Resident Rights
146.710 Discharge
SUBPART F: BIRTH CENTERS
Section
146.800 General Description
146.810 Participation Requirements
146.820 Record Requirements
146.830 Covered Birth Center Services
146.840 Reimbursement of Birth Center Services
SUBPART G: SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES
Section
146.900 General Provisions
146.910 Reimbursement
AUTHORITY: Implementing and authorized by Articles III, IV, V, VI and Section 12-13 of the
Illinois Public Aid Code [305 ILCS 5].
SOURCE: Old Part repealed at 14 Ill. Reg. 13800, effective August 15, 1990; new Part adopted
at 20 Ill. Reg. 4419, effective February 29, 1996; emergency amendment at 21 Ill. Reg. 13875,
effective October 1, 1997, for a maximum of 150 days; amended at 22 Ill. Reg. 4430, effective
February 27, 1998; emergency amendment at 22 Ill. Reg. 13146, effective July 1, 1998, for a
maximum of 150 days; amended at 22 Ill. Reg. 19914, effective October 30, 1998; amended at
23 Ill. Reg. 5819, effective April 30, 1999; emergency amendment at 23 Ill. Reg. 8256, effective
July 1, 1999, for a maximum of 150 days; amended at 23 Ill. Reg. 13663, effective November 1,
1999; amended at 24 Ill. Reg. 8353, effective June 1, 2000; emergency amendment at 26 Ill. Reg.
14882, effective October 1, 2002, for a maximum of 150 days; amended at 27 Ill. Reg. 2176,
effective February 1, 2003; emergency amendment at 27 Ill. Reg. 10854, effective July 1, 2003,
for a maximum of 150 days; amended at 27 Ill. Reg. 18671, effective November 26, 2003;
emergency amendment at 28 Ill. Reg. 12218, effective August 11, 2004, for a maximum of 150
days; emergency amendment at 28 Ill. Reg. 14214, effective October 18, 2004, for a maximum
of 150 days; amended at 29 Ill. Reg. 852, effective January 1, 2005; emergency amendment at 29
Ill. Reg. 2014, effective January 21, 2005, for a maximum of 150 days; amended at 29 Ill. Reg.
ILLINOIS REGISTER 1101
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF PROPOSED AMENDMENT
4360, effective March 7, 2005; expedited correction at 29 Ill. Reg. 14127, effective March 7,
2005; amended at 29 Ill. Reg. 6967, effective May 1, 2005; amended at 29 Ill. Reg. 14987,
effective September 30, 2005; amended at 30 Ill. Reg. 8845, effective May 1, 2006; amended at
31 Ill. Reg. 5589, effective April 1, 2007; emergency amendment at 31 Ill. Reg. 5876, effective
April 1, 2007, for a maximum of 150 days; amended at 31 Ill. Reg. 11681, effective August 1,
2007; amended at 33 Ill. Reg. 11803, effective August 1, 2009; emergency amendment at 36 Ill.
Reg. 6751, effective April 13, 2012, for a maximum of 150 days; amended at 36 Ill. Reg. 13885,
effective August 27, 2012; amended at 37 Ill. Reg. 17624, effective October 28, 2013; expedited
correction at 38 Ill. Reg. 4518, effective October 28, 2013; amended at 38 Ill. Reg. 13255,
effective June 11, 2014; amended at 38 Ill. Reg. 13893, effective June 23, 2014; amended at 38
Ill. Reg. 15152, effective July 2, 2014; emergency amendment at 38 Ill. Reg. 15713, effective
July 7, 2014, for a maximum of 150 days; amended at 38 Ill. Reg. 23768, effective December 2,
2014; emergency amendment at 39 Ill. Reg. 6945, effective May 1, 2015 through June 30, 2015;
emergency amendment at 42 Ill. Reg. 13733, effective July 2, 2018, for a maximum of 150 days;
emergency amendment to emergency rule at 42 Ill. Reg. 16311, effective August 13, 2018, for
the remainder of the 150 days; emergency expired November 28, 2018; amended at 42 Ill. Reg.
16731, effective August 28, 2018; emergency amendment at 42 Ill. Reg. 17935, effective
September 24, 2018, for a maximum of 150 days; emergency expired February 20, 2019;
amended at 43 Ill. Reg. 6803, effective May 28, 2019; Subpart B and Subpart E recodified at 43
Ill. Reg. 7014; amended at 44 Ill. Reg. 2331, effective January 15, 2020; emergency amendment
at 44 Ill. Reg. 12825, effective July 17, 2020, for a maximum of 150 days; amended at 44 Ill.
Reg. 19760, effective December 11, 2020; amended at 45 Ill. Reg. ______, effective
____________.
SUBPART G: SPECIALIZED MENTAL HEALTH REHABILITATION FACILITIES
Section 146.910 Reimbursement
a) Facilities licensed under Specialized Mental Health Rehabilitation Act of 2013
shall be reimbursed at:
1) the rate in effect on June 30, 2014, less $7.07 for each facility previously
licensed under the Nursing Home Care Act on June 30, 2013;
2) the rate in effect on June 30, 2013 for each facility licensed under the
Specialized Mental Health Rehabilitation Act on June 30, 2013;
3) effective for services provided on or after July 1, 2017, the rate in effect
on June 30, 2017 increased by 2.8%; or
ILLINOIS REGISTER 1102
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF PROPOSED AMENDMENT
4) effective for services provided on or after July 1, 2018, the rate in effect
on June 30, 2018 increased by 4%.
b) Any adjustment in the support component or the capital component for facilities
licensed by the Department of Public Health under the Nursing Home Care Act
shall apply equally to facilities licensed by the Department of Public Health under
the Specialized Mental Health Rehabilitation Act of 2013.
c) Notwithstanding the provisions set forth in 89 Ill. Adm. Code 153, facilities
licensed under the Specialized Mental Health Rehabilitation Act of 2013 shall
receive a payment in the amount of $29.43 per licensed bed, per day, for the
period beginning June 1, 2014 and ending June 30, 2014.
d) Facilities licensed or provisionally licensed under the Specialized Mental Health
Rehabilitation Act of 2013 on or before June 1, 2018 will be reimbursed for
therapeutic visits that have been indicated by an interdisciplinary team as
therapeutically beneficial at the following:
1) Effective for dates of service June 4, 2018 through July 26, 2018,
therapeutic visits are reimbursed at a rate of 75% of the facility's rate as of
June 4, 2018.
2) Effective for dates of service on or after July 27, 2018 through June 30,
2020, therapeutic visits are reimbursed at a rate of 75% of the facility's
rate as of July 27, 2018.
3) Effective for dates of service on or after July 1, 2020, therapeutic visits are
reimbursed at a rate of 75% of the facility's current rate.
43) Facilities may not be reimbursed for more than 10 consecutive days of
therapeutic visits and no more than 20 days of therapeutic visits per State
fiscal year.
(Source: Amended at 45 Ill. Reg. ______, effective ____________)
ILLINOIS REGISTER 1103
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF PROPOSED AMENDMENT
1) Heading of the Part: Reimbursement for Nursing Costs for Geriatric Facilities
2) Code Citation: 89 Ill. Adm. Code 147
3) Section Number: Proposed Action:
147.310 Amendment
4) Statutory Authority: Section 12-13 of the Illinois Public Aid Code [305 ILCS 5/12-13]
5) Complete Description of the Subjects and Issues Involved: This amendment proposes a
change to the long term care regional wage adjustor.
6) Published studies or reports, and sources of underlying data, used to compose this
rulemaking: None
7) Will this rulemaking replace any emergency rule currently in effect? No
8) Does this rulemaking contain an automatic repeal date? No
9) Does this rulemaking contain incorporations by reference? No
10) Are there any other rulemakings pending on this Part? No
11) Statement of Statewide Policy Objective: This rulemaking does not affect units of local
government.
12) Time, Place, and Manner in which interested persons may comment on this rulemaking:
Any interested parties may submit comments, data, views, or arguments concerning this
proposed rulemaking. All comments must be in writing and should be addressed to:
Steffanie Garrett
General Counsel
Illinois Department of Healthcare and Family Services
201 South Grand Avenue East, 3rd Floor
Springfield IL 62763-0002
ILLINOIS REGISTER 1104
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF PROPOSED AMENDMENT
The Department requests the submission of written comments within 45 days after the
publication of this Notice. The Department will consider all written comments it receives
during the first notice period as required by Section 5-40 of the Illinois Administrative
Procedure Act [5 ILCS 100/5-40].
13) Initial Regulatory Flexibility Analysis:
A) Types of small businesses, small municipalities and not-for-profit corporations
affected: None
B) Reporting, bookkeeping or other procedures required for compliance: None
C) Types of professional skills necessary for compliance: None
14) Small Business Impact Analysis: None
15) Regulatory Agenda on which this rulemaking was summarized: This rulemaking was not
anticipated by the Department when the most recent Regulatory Agendas were published.
The full text of the Proposed Amendment begins on the next page:
ILLINOIS REGISTER 1105
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF PROPOSED AMENDMENT
TITLE 89: SOCIAL SERVICES
CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER d: MEDICAL PROGRAMS
PART 147
REIMBURSEMENT FOR NURSING COSTS FOR GERIATRIC FACILITIES
Section
147.5 Minimum Data Set-Mental Health (MDS-MH) Based Reimbursement System
(Repealed)
147.15 Comprehensive Resident Assessment (Repealed)
147.25 Functional Needs and Restorative Care (Repealed)
147.50 Service Needs (Repealed)
147.75 Definitions (Repealed)
147.100 Reconsiderations (Repealed)
147.105 Midnight Census Report
147.125 Nursing Facility Resident Assessment Instrument (Repealed)
147.150 Minimum Data Set (MDS) Based Reimbursement System (Repealed)
147.175 Minimum Data Set (MDS) Integrity (Repealed)
147.200 Minimum Data Set (MDS) On-Site Review Documentation (Repealed)
147.205 Reimbursement for Ventilator Dependent Residents (Repealed)
147.250 Costs Associated with the Omnibus Budget Reconciliation Act of 1987 (P.L. 100-
203) (Repealed)
147.300 Payment to Nursing Facilities Serving Persons with Mental Illness
147.301 Sanctions for Noncompliance
147.305 Psychiatric Rehabilitation Service Requirements for Individuals With Mental
Illness in Residential Facilities (Repealed)
147.310 Implementation of a Case Mix System
147.315 Nursing Facility Resident Assessment Instrument
147.320 Definitions
147.325 Resident Reimbursement Classifications and Requirements
147.330 Resource Utilization Groups (RUGs) Case Mix Requirements
147.335 Enhanced Care Rates
147.340 Minimum DataDate Set On-Site Reviews
147.345 Quality Incentives
147.346 Appeals of Nursing Rate Determination
147.350 Reimbursement for Additional Program Costs Associated Withwith Providing
Specialized Services for Individuals with Developmental Disabilities in Nursing
Facilities
ILLINOIS REGISTER 1106
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF PROPOSED AMENDMENT
147.355 Reimbursement for Residents with Exceptional Needs (Repealed)
147.TABLE A Staff Time (in Minutes) and Allocation by Need Level (Repealed)
147.TABLE B MDS-MH Staff Time (in Minutes and Allocation by Need Level) (Repealed)
147.TABLE C Comprehensive Resident Assessment (Repealed)
147.TABLE D Functional Needs and Restorative Care (Repealed)
147.TABLE E Service (Repealed)
147.TABLE F Social Services (Repealed)
147.TABLE G Therapy Services (Repealed)
147.TABLE H Determinations (Repealed)
147.TABLE I Activities (Repealed)
147.TABLE J Signatures (Repealed)
147.TABLE K Rehabilitation Services (Repealed)
147.TABLE L Personal Information (Repealed)
AUTHORITY: Implementing and authorized by Articles III, IV, V, VI and Section 12-13 of the
Illinois Public Aid Code [305 ILCS 5/Arts. III, IV, V, VI and 12-13].
SOURCE: Recodified from 89 Ill. Adm. Code 140.900 thru 140.912 and 140.Table H and
140.Table I at 12 Ill. Reg. 6956; amended at 13 Ill. Reg. 559, effective January 1, 1989; amended
at 13 Ill. Reg. 7043, effective April 24, 1989; emergency amendment at 13 Ill. Reg. 10999,
effective July 1, 1989, for a maximum of 150 days; emergency expired November 28, 1989;
amended at 13 Ill. Reg. 16796, effective October 13, 1989; amended at 14 Ill. Reg. 210, effective
December 21, 1989; emergency amendment at 14 Ill. Reg. 6915, effective April 19, 1990, for a
maximum of 150 days; emergency amendment at 14 Ill. Reg. 9523, effective June 4, 1990, for a
maximum of 150 days; emergency expired November 1, 1990; emergency amendment at 14 Ill.
Reg. 14203, effective August 16, 1990, for a maximum of 150 days; emergency expired January
13, 1991; emergency amendment at 14 Ill. Reg. 15578, effective September 11, 1990, for a
maximum of 150 days; emergency expired February 8, 1991; amended at 14 Ill. Reg. 16669,
effective September 27, 1990; amended at 15 Ill. Reg. 2715, effective January 30, 1991;
amended at 15 Ill. Reg. 3058, effective February 5, 1991; amended at 15 Ill. Reg. 6238, effective
April 18, 1991; amended at 15 Ill. Reg. 7162, effective April 30, 1991; amended at 15 Ill. Reg.
9001, effective June 17, 1991; amended at 15 Ill. Reg. 13390, effective August 28, 1991;
emergency amendment at 15 Ill. Reg. 16435, effective October 22, 1991, for a maximum of 150
days; amended at 16 Ill. Reg. 4035, effective March 4, 1992; amended at 16 Ill. Reg. 6479,
effective March 20, 1992; emergency amendment at 16 Ill. Reg. 13361, effective August 14,
1992, for a maximum of 150 days; amended at 16 Ill. Reg. 14233, effective August 31, 1992;
amended at 16 Ill. Reg. 17332, effective November 6, 1992; amended at 17 Ill. Reg. 1128,
effective January 12, 1993; amended at 17 Ill. Reg. 8486, effective June 1, 1993; amended at 17
ILLINOIS REGISTER 1107
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF PROPOSED AMENDMENT
Ill. Reg. 13498, effective August 6, 1993; emergency amendment at 17 Ill. Reg. 15189, effective
September 2, 1993, for a maximum of 150 days; amended at 18 Ill. Reg. 2405, effective January
25, 1994; amended at 18 Ill. Reg. 4271, effective March 4, 1994; amended at 19 Ill. Reg. 7944,
effective June 5, 1995; amended at 20 Ill. Reg. 6953, effective May 6, 1996; amended at 21 Ill.
Reg. 12203, effective August 22, 1997; amended at 26 Ill. Reg. 3093, effective February 15,
2002; emergency amendment at 27 Ill. Reg. 10863, effective July 1, 2003, for a maximum of 150
days; amended at 27 Ill. Reg. 18680, effective November 26, 2003; expedited correction at 28 Ill.
Reg. 4992, effective November 26, 2003; emergency amendment at 29 Ill. Reg. 10266, effective
July 1, 2005, for a maximum of 150 days; amended at 29 Ill. Reg. 18913, effective November 4,
2005; amended at 30 Ill. Reg. 15141, effective September 11, 2006; expedited correction at 31
Ill. Reg. 7409, effective September 11, 2006; amended at 31 Ill. Reg. 8654, effective June 11,
2007; emergency amendment at 32 Ill. Reg. 415, effective January 1, 2008, for a maximum of
150 days; emergency amendment suspended at 32 Ill. Reg. 3114, effective February 13, 2008;
emergency suspension withdrawn in part at 32 Ill. Reg. 4399, effective February 26, 2008 and 32
Ill. Reg. 4402, effective March 11, 2008 and 32 Ill. Reg. 9765, effective June 17, 2008; amended
at 32 Ill. Reg. 8614, effective May 29, 2008; amended at 33 Ill. Reg. 9337, effective July 1,
2009; emergency amendment at 33 Ill. Reg. 14350, effective October 1, 2009, for a maximum of
150 days; emergency amendment modified in response to the objection of the Joint Committee
on Administrative Rules at 34 Ill. Reg. 1421, effective January 5, 2010, for the remainder of the
150 days; emergency expired February 27, 2010; amended at 34 Ill. Reg. 3786, effective March
14, 2010; amended at 35 Ill. Reg. 19514, effective December 1, 2011; amended at 36 Ill. Reg.
7077, effective April 27, 2012; emergency amendment at 38 Ill. Reg. 1205, effective January 1,
2014, for a maximum of 150 days; Sections 147.335(a)(7)(B) and 147.355(b) of the emergency
amendment suspended by the Joint Committee on Administrative Rules at 38 Ill. Reg. 3385,
effective January 14, 2014; suspension withdrawn at 38 Ill. Reg. 5898, effective March 7, 2014;
emergency amendment modified in response to JCAR Objection at 38 Ill. Reg. 6707, effective
March 7, 2014, for the remainder of the 150 days; amended at 38 Ill. Reg. 12173, effective May
30, 2014; emergency amendment at 38 Ill. Reg. 15723, effective July 7, 2014, for a maximum of
150 days; amended at 38 Ill. Reg. 23778, effective December 2, 2014; amended at 45 Ill. Reg.
______, effective ____________.
Section 147.310 Implementation of a Case Mix System
a) P.A. 98-0104 requires the Department to implement, effective January 1, 2014, an
evidence-based payment methodology for the reimbursement of nursing services.
The methodology shall take into consideration the needs of individual residents,
as assessed and reported by the most current version of the nursing facility
Minimum Data Set (MDS), adopted and in use by the federal government.
ILLINOIS REGISTER 1108
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF PROPOSED AMENDMENT
b) This Section establishes the method and criteria used to determine the resident
reimbursement classification based upon the assessments of residents in nursing
facilities. Resident reimbursement classification shall be established utilizing the
48-group, Resource Utilization Groups IV (RUG-IV) classification scheme and
weights as published by the United States Department of Health and Human
Services, Centers for Medicare and Medicaid Services (federal CMS). An Illinois
specific default group is established in subsection (f)(3) and identified as AA1
with an assigned weight equal to the weight assigned to group PA1.
c) The pool of funds available for distribution by case mix shall be determined using
the formula contained below. Base rate spending pool shall be:
1) The base year resident days, which are calculated by multiplying the
number of Medicaid residents in each nursing facility based on MDS
comprehensive assessments for Medicaid residents on March 31, 2012,
multiplied by 365 days.
2) Each facility's nursing component per diem in effect on July 1, 2012 shall
be multiplied by the number determined in subsection (c)(1).
3) Thirteen million is added to the result of subsection (c)(2) of this Section,
to adjust for the exclusion of nursing facilities defined as Class I IMDs.
d) For each nursing facility with Medicaid residents as indicated by the MDS data
defined in subsection (c)(1) of this Section, weighted days adjusted for case mix
and regional wage adjustment shall be calculated. For each nursing facility this
calculation is the product of:
1) Base year resident days as calculated in subsection (c)(1).
2) The nursing facility's regional wage adjustor based on the Health Service
Areas (HSA) groupings and adjustors in effect on April 30, 2012.
3) Facility weighted case mix, which is the number of Medicaid residents as
indicated by the MDS data defined in subsection (c)(1) multiplied by the
associated case weight for the RUG-IV 48-group model using standard
RUG-IV procedures for index maximization.
ILLINOIS REGISTER 1109
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF PROPOSED AMENDMENT
4) The sum of the products calculated for each nursing facility in subsections
(d)(1) through (d)(3) shall be the base year case mix, rate adjusted
weighted days.
e) The statewide RUG-IV nursing base per diem rate effective on:
1) January 1, 2014 shall be the quotient of subsection (c) divided by the sum
calculated under subsection (d)(4) and is $83.49.
2) July 1, 2014 shall be the rate calculated in subsection (e)(1) increased by
$1.76.
f) Nursing Component Per DiemFor services provided on or after:
1) For services provided on or after January 1, 2014, the Department shall
compute and pay a facility-specific nursing component of the per diem
rate as the arithmetic mean of the resident-specific nursing components, as
determined in subsection (d), assigned to Medicaid-enrolled residents on
record, as of 30 days prior to the beginning of the rate period, in the
Department's Medicaid Management Information System (MMIS), or any
successor system, as present in the facility on the last day of the second
quarter preceding the rate period. The RUG-IV nursing component per
diem for a nursing facility shall be the product of the statewide RUG-IV
nursing base per diem rate, the facility average case mix index to be
calculated quarterly, and the regional wage adjustor. Transition rates for
services provided between January 1, 2014 and December 31, 2014 shall
be as follows:
A) The transition RUG-IV per diem nursing rate for nursing facilities
whose rate calculated in this subsection (f) is greater than the
nursing component rate in effect July 1, 2012 shall be paid the sum
of:
i) The nursing component rate in effect July 1, 2012; plus
ii) The difference of the RUG-IV nursing component per diem
calculated for the current quarter minus the nursing
component rate in effect July 1, 2012, multiplied by 0.88.
ILLINOIS REGISTER 1110
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF PROPOSED AMENDMENT
B) The transition RUG-IV per diem nursing rate for nursing facilities
whose rate calculated in this subsection (f) is less than the nursing
component rate in effect July 1, 2012 shall be paid the sum of:
i) The nursing component rate in effect July 1, 2012; plus
ii) The difference of the RUG-IV nursing component per diem
calculated for the current quarter minus the nursing
component rate in effect July 1, 2012, multiplied by 0.13.
C) Effective January 1, 2020, the regional wage adjustor referenced in
this subsection (f)(1) cannot be lower than 0.95.
D) Effective July 1, 2020, the regional wage adjustor referenced in
this subsection (f)(1) cannot be lower than 1.0.
2) Effective for dates of service on or after July 1, 2014, a per diem add-on to
the RUGS methodology will be included as follows:
A) $0.63 for each resident who scores I4200 Alzheimer's Disease or
I4800 non-Alzheimer's Dementia.
B) $2.67 for each resident who scores "1" or "2" in any items S1200A
through S1200I and also scores in the RUG groups PA1, PA2,
BA1 and BA2.
3) The Department shall determine the group to which a resident is assigned
using the 48-group RUG-IV classification scheme with an index
maximization approach. A resident for whom RUGs resident
identification information is missing, or inaccurate, or for whom there is
no current MDS record for that quarter, shall be assigned to default group
AA1. A resident for whom an MDS assessment does not meet the federal
CMS edit requirements as described in the Long Term Care Resident
Assessment Instrument (RAI) Users Manual or for whom an MDS
assessment has not been submitted within 14 calendar days after the time
requirements in Section 147.315 shall be assigned to default group AA1.
ILLINOIS REGISTER 1111
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF PROPOSED AMENDMENT
4) The assessment used for the purpose of rate calculation shall be identified
as an Omnibus Budget Reconciliation Act (OBRA) assessment on the
MDS following the guidance in the RAI Manual.
5) The MDS used for the purpose of rate calculation shall be determined by
the Assessment Reference Date (ARD) identified on the MDS assessment.
g) The Department shall provide each nursing facility with information that
identifies the group to which each resident has been assigned.
(Source: Amended at 45 Ill. Reg. ______, effective ____________)
ILLINOIS REGISTER 1112
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF PROPOSED AMENDMENT
1) Heading of the Part: Long Term Care Reimbursement Changes
2) Code Citation: 89 Ill. Adm. Code 153
3) Section Number: Proposed Action:
153.125 Amendment
4) Statutory Authority: Section 12-13 of the Illinois Public Aid Code [305 ILCS 5/12-13]
5) Complete Description of the Subjects and Issues Involved: This proposed amendment
implements medical assistance program reimbursement rate increases for facilities
licensed under ID/DD Community Care Act and the MC/DD Act as required by PA 101-
636.
6) Published studies or reports, and sources of underlying data, used to compose this
rulemaking: None
7) Will this rulemaking replace any emergency rule currently in effect? Yes
8) Does this rulemaking contain an automatic repeal date? No
9) Does this rulemaking contain incorporations by reference? No
10) Are there any other rulemakings pending on this Part? Yes
Section Number: Proposed Action: Illinois Register Citation:
140.80 Amendment 44 Ill. Reg 12721; July 31, 2020
11) Statement of Statewide Policy Objective: This rulemaking does not affect units of local
government.
12) Time, Place, and Manner in which interested persons may comment on this proposed
rulemaking: Any interested parties may submit comments, data, views, or arguments
concerning this proposed rulemaking. All comments must be in writing and should be
addressed to:
Steffanie Garrett
General Counsel
Illinois Department of Healthcare and Family Services
ILLINOIS REGISTER 1113
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF PROPOSED AMENDMENT
201 South Grand Avenue East, 3rd Floor
Springfield IL 62763-0002
The Department requests the submission of written comments within 45 days after the
publication of this Notice. The Department will consider all written comments it receives
during the first notice period as required by Section 5-40 of the Illinois Administrative
Procedure Act [5 ILCS 100/5-40].
13) Initial Regulatory Flexibility Analysis:
A) Types of small businesses, small municipalities and not-for-profit corporations
affected: Long Term Care facilities
B) Reporting, bookkeeping or other procedures required for compliance: None
C) Types of professional skills necessary for compliance: None
14) Small Business Impact Analysis: None
15) Regulatory Agenda on which this rulemaking was summarized: July 2020
The full text of the Proposed Amendment is identical to the Emergency Amendment that begins
on page 1191.
ILLINOIS REGISTER 1114
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENT
1) Heading of the Part: Business Corporation Act
2) Code Citation: 14 Ill. Adm. Code 150
3) Section Number: Proposed Action:
150.740 Amendment
4) Statutory Authority: Implementing and authorized by the Business Corporation Act of
1983 [805 ILCS 5].
5) A Complete Description of the Subjects and Issues Involved: This amendment authorizes
the Secretary of State to collect fees for late filings of materials required to be filed with
the Secretary of State. New language is added stating that the statutory fees for the late
filing of certain documents, including franchise tax, penalties, interest and filing fees are
in full force and effect.
6) Published studies or reports, and sources of underlying data, used to compose this
rulemaking: None
7) Will this rulemaking replace an emergency rule currently in effect? Yes
8) Does this rulemaking contain an automatic repeal date? No
9) Does this rulemaking contain incorporations by reference? No
10) Are there any other rulemakings pending on this Part? No
11) Statement of Statewide Policy Objective: This rulemaking does not create or enlarge a
mandate as described in Section 3(b) of the State Mandates Act.
12) Time, Place, and Manner in which interested persons may comment on this proposed
rulemaking:
Pamela Wright
Office of the General Counsel
298 Howlett Building
Springfield IL 62756
ILLINOIS REGISTER 1115
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENT
13) Initial Regulatory Flexibility Analysis:
A) Types of small businesses, small municipalities and not-for-profit corporations
affected: All corporations with past due deadlines for the filing of documents.
B) Reporting, bookkeeping or other procedures required for compliance: None
C) Types of professional skills necessary for compliance: None
14) Small Business Impact Analysis: All corporations with past due deadlines for filing of
documents.
A) Types of businesses subject to the proposed rule:
11 Agriculture, Forestry, Fishing and Hunting
21 Mining
22 Utilities
23 Construction
31-33 Manufacturing
42 Wholesale Trade
44-45 Retail Trade
48-49 Transportation and Warehousing
51 Information
52 Finance and Insurance
53 Real Estate Rental and Leasing
54 Professional, Scientific, and Technical Services
55 Management of Companies and Enterprises
56 Administrative and Support and Waste Management
and Remediation Services
61 Educational Services
62 Health Care and Social Assistance
71 Arts, Entertainment, and Recreation
72 Accommodation and Food Services
81 Other Services (except Public Administration)
B) Categories that the Agency reasonably believes the rulemaking will impact,
including:
ILLINOIS REGISTER 1116
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENT
ii. regulatory requirements;
vii. record keeping;
15) Regulatory Agenda on which this rulemaking was summarized: This rulemaking was not
included on either of the 2 most recent agendas because the Department did not anticipate
this rulemaking at the time the agendas were filed.
The full text of the Proposed Amendment is identical to that of the text of the Emergency
Amendment for this Part, and begins in this issue of the Illinois Register on page 1215.
ILLINOIS REGISTER 1117
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENTS
1) Heading of the Part: Issuance of Licenses
2) Code Citation: 92 Ill. Adm. Code 1030
3) Section Numbers: Proposed Actions:
1030.80 Amendment
1030.85 Amendment
4) Statutory Authority: Implementing Article I of the Illinois Driver Licensing Law of the
Illinois Vehicle Code [625 ILCS 5] and authorized by Section 2-104(b) of the Illinois
Vehicle Title and Registration Law of the Illinois Vehicle Code [625 ILCS 5].
5) A Complete Description of the Subjects and Issues Involved: This rulemaking makes no
substantive changes, but moves the provision exempting certain veterans from CDL
knowledge tests to the appropriate section of Part 1030.
6) Published studies or reports, and sources of underlying data, used to compose this
rulemaking: None
7) Will this rulemaking replace any emergency rule currently in effect? No
8) Does this rulemaking contain an automatic repeal date? No
9) Does this rulemaking contain incorporations by reference? No
10) Are there any other rulemakings pending on this Part? No
11) Statement of Statewide Policy Objective: No expenditures by units of local government.
12) Time, Place, and Manner in which interested persons may comment on this rulemaking:
Persons who wish to comment on this proposed rulemaking may submit written
comments no later than 45 days after the publication of this Notice to:
Pamela Wright
Office of the General Counsel
298 Howlett Building
Springfield IL 62756
ILLINOIS REGISTER 1118
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENTS
13) Initial Regulatory Flexibility Analysis:
A) Types of small businesses, small municipalities and not-for-profit corporations
affected: None
B) Reporting, bookkeeping or other procedures required for compliance: None
C) Types of professional skills necessary for compliance: None
14) Small Business Impact Analysis:
A) Types of businesses subject to the proposed rule: Any business which requires a
CDL be held by an employee may be affected.
B) Categories that the Agency reasonably believes the rulemaking will impact,
including:
i. hiring and additional staffing
ii. regulatory requirements;
iv. insurance charges;
vii. training requirements;
viii. record keeping
ix. compensation and benefits; or
x. other potential impacted categories
15) Regulatory Agenda on which this rulemaking was summarized: This rulemaking was not
included on either of the 2 most recent agendas because the Department did not anticipate
this rulemaking at the time the agendas were filed.
The full text of the Proposed Amendments begins on the next page:
ILLINOIS REGISTER 1119
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENTS
TITLE 92: TRANSPORTATION
CHAPTER II: SECRETARY OF STATE
PART 1030
ISSUANCE OF LICENSES
Section
1030.1 Definitions
1030.5 Procedure for Obtaining a Standard Driver's License or Identification Card
1030.6 Procedure for Obtaining a Visa Status Temporary Visitor's Driver's License
Pursuant to IVC Section 6-105.1(a)
1030.7 Procedure for Obtaining a Non-Visa Status Temporary Visitor's Driver's License
Pursuant to IVC Section 6-105.1(a-5)
1030.8 Procedure for Obtaining a Real ID Compliant Driver's License or Identification
Card
1030.10 What Persons Shall Not Be Licensed or Granted Permits
1030.11 Procedure for Obtaining a Driver's License/Temporary Visitor's Driver's License
(Renumbered)
1030.12 Identification Cards for the Homeless
1030.13 Denial of License or Permit
1030.14 Emergency Contact Database
1030.15 Cite for Re-testing
1030.16 Physical and Mental Evaluation
1030.17 Errors in Issuance of Driver's License/Cancellation
1030.18 Medical Criteria Affecting Driver Performance
1030.20 Classification of Drivers – References (Repealed)
1030.22 Medical Examiner's Certificate − CLP or CDL Holders
1030.25 Safe Driver License Renewals
1030.26 Identification Cards for IDOC/IDJJ Applicants
1030.27 Identification Cards for Youth in Care
1030.30 Classification Standards
1030.40 Fifth Wheel Equipped Trucks
1030.50 Bus Driver's Authority, Religious Organization and Senior Citizen Transportation
1030.55 Commuter Van Driver Operating a For-Profit Ridesharing Arrangement
1030.60 Third-Party Certification Program
1030.63 Religious Exemption for Social Security Numbers (Repealed)
1030.65 Instruction Permits
1030.66 Adult Driver Education
1030.70 Driver's License Testing/Vision Screening
ILLINOIS REGISTER 1120
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENTS
1030.75 Driver's License Testing/Vision Screening With Vision Aid Arrangements Other
Than Standard Eye Glasses or Contact Lenses
1030.80 Driver's License Testing/Written Test
1030.81 Endorsements
1030.82 Charter Bus Driver Endorsement Requirements
1030.83 Hazardous Material Endorsement
1030.84 Vehicle Inspection
1030.85 Driver's License Testing/Road Test
1030.86 Multiple Attempts − Written and/or Road Tests
1030.88 Exemption of Facility Administered Road Test
1030.89 Temporary Driver's Licenses and Temporary Instruction Permits
1030.90 Requirement for Photograph and Signature of Licensee on Driver's License
1030.91 Person with a Disability Identification Card
1030.92 Restrictions
1030.93 Restricted Local Licenses
1030.94 Duplicate or Corrected Driver's License or Instruction Permit
1030.95 Consular Licenses (Repealed)
1030.96 Seasonal Restricted Commercial Driver's License
1030.97 Invalidation of a Driver's License, Permit and/or Driving Privilege
1030.98 School Bus Endorsement or Learner's Permit
1030.100 Anatomical Gift Donor (Repealed)
1030.110 Emergency Medical Information Card
1030.115 Change-of-Address
1030.120 Issuance of a Probationary License
1030.130 Grounds for Cancellation of a Probationary License
1030.140 Use of Captured Images
1030.150 Veteran Designation on Driver's License or Identification Card
1030.160 Extension of Expiration Dates
1030.APPENDIX A Questions Asked of a Driver's License Applicant
1030.APPENDIX B Acceptable Identification Documents – Applicants for a Standard
Identification Card, Driver's License, Instruction Permit, Visa Status
Temporary Visitor's Driver's License Pursuant to IVC Section 6-
105.1(a) or Visa Status Temporary Visitor's Instruction Permit (Non-
Real ID)
1030.APPENDIX C Acceptable Identification Documents – Applicants for a Non-Visa
Status Temporary Visitor's Driver's License or Non-Visa Status
Temporary Visitor's Instruction Permit Pursuant to IVC Section 6-
105.1(a-5)
ILLINOIS REGISTER 1121
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENTS
1030.APPENDIX D Acceptable Identification Documents – Applicants for a Real ID
Compliant Driver's License or Identification Card
AUTHORITY: Implementing Article I of the Illinois Driver Licensing Law of the Illinois
Vehicle Code [625 ILCS 5] and authorized by Section 2-104(b) of the Illinois Vehicle Title and
Registration Law of the Illinois Vehicle Code [625 ILCS 5].
SOURCE: Filed March 30, 1971; amended at 3 Ill. Reg. 7, p. 13, effective April 2, 1979;
amended at 4 Ill. Reg. 27, p. 422, effective June 23, 1980; amended at 6 Ill. Reg. 2400, effective
February 10, 1982; codified at 6 Ill. Reg. 12674; amended at 9 Ill. Reg. 2716, effective February
20, 1985; amended at 10 Ill. Reg. 303, effective December 24, 1985; amended at 10 Ill. Reg.
15130, effective September 2, 1986; amended at 10 Ill. Reg. 18182, effective October 14, 1986;
amended at 11 Ill. Reg. 9331, effective April 28, 1987; amended at 11 Ill. Reg. 18292, effective
October 23, 1987; amended at 12 Ill. Reg. 3027, effective January 14, 1988; amended at 12 Ill.
Reg. 13221, effective August 1, 1988; amended at 12 Ill. Reg. 16915, effective October 1, 1988;
amended at 12 Ill. Reg. 19777, effective November 15, 1988; amended at 13 Ill. Reg. 5192,
effective April 1, 1989; amended at 13 Ill. Reg. 7808, effective June 1, 1989; amended at 13 Ill.
Reg. 12880, effective July 19, 1989; amended at 13 Ill. Reg. 12978, effective July 19, 1989;
amended at 13 Ill. Reg. 13898, effective August 22, 1989; amended at 13 Ill. Reg. 15112,
effective September 8, 1989; amended at 13 Ill. Reg. 17095, effective October 18, 1989;
amended at 14 Ill. Reg. 4570, effective March 8, 1990; amended at 14 Ill. Reg. 4908, effective
March 9, 1990; amended at 14 Ill. Reg. 5183, effective March 21, 1990; amended at 14 Ill. Reg.
8707, effective May 16, 1990; amended at 14 Ill. Reg. 9246, effective May 16, 1990; amended at
14 Ill. Reg. 9498, effective May 17, 1990; amended at 14 Ill. Reg. 10111, effective June 11,
1990; amended at 14 Ill. Reg. 10510, effective June 18, 1990; amended at 14 Ill. Reg. 12077,
effective July 5, 1990; amended at 14 Ill. Reg. 15487, effective September 10, 1990; amended at
15 Ill. Reg. 15783, effective October 18, 1991; amended at 16 Ill. Reg. 2182, effective January
24, 1992; emergency amendment at 16 Ill. Reg. 12228, effective July 16, 1992, for a maximum
of 150 days; emergency expired on December 13, 1992; amended at 16 Ill. Reg. 18087, effective
November 17, 1992; emergency amendment at 17 Ill. Reg. 1219, effective January 13, 1993, for
a maximum of 150 days; amended at 17 Ill. Reg. 2025, effective February 1, 1993; amended at
17 Ill. Reg. 7065, effective May 3, 1993; amended at 17 Ill. Reg. 8275, effective May 24, 1993;
amended at 17 Ill. Reg. 8522, effective May 27, 1993; amended at 17 Ill. Reg. 19315, effective
October 22, 1993; amended at 18 Ill. Reg. 1591, effective January 14, 1994; amended at 18 Ill.
Reg. 7478, effective May 2, 1994; amended at 18 Ill. Reg. 16457, effective October 24, 1994;
amended at 19 Ill. Reg. 10159, effective June 29, 1995; amended at 20 Ill. Reg. 3891, effective
February 14, 1996; emergency amendment at 20 Ill. Reg. 8358, effective June 4, 1996, for a
maximum of 150 days; emergency amendment repealed in response to an objection of the Joint
Committee on Administrative Rules at 20 Ill. Reg. 14279; amended at 21 Ill. Reg. 6588,
ILLINOIS REGISTER 1122
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENTS
effective May 19, 1997; amended at 21 Ill. Reg. 10992, effective July 29, 1997; amended at 22
Ill. Reg. 1466, effective January 1, 1998; emergency amendment at 23 Ill. Reg. 9552, effective
August 1, 1999, for a maximum of 150 days; amended at 23 Ill. Reg. 13947, effective November
8, 1999; amended at 24 Ill. Reg. 1259, effective January 7, 2000; emergency amendment at 24
Ill. Reg. 1686, effective January 13, 2000, for a maximum of 150 days; amended at 24 Ill. Reg.
6955, effective April 24, 2000; emergency amendment at 24 Ill. Reg. 13044, effective August
10, 2000, for a maximum of 150 days; amended at 24 Ill. Reg. 18400, effective December 4,
2000; amended at 25 Ill. Reg. 959, effective January 5, 2001; amended at 25 Ill. Reg. 7742,
effective June 5, 2001; amended at 25 Ill. Reg. 12646, effective September 24, 2001; emergency
amendment at 25 Ill. Reg. 12658, effective September 24, 2001, for a maximum of 150 days;
emergency expired February 20, 2002; amended at 26 Ill. Reg. 9961, effective June 24, 2002;
amended at 27 Ill. Reg. 855, effective January 3, 2003; emergency amendment at 27 Ill. Reg.
7340, effective April 14, 2003, for a maximum of 150 days; emergency expired September 10,
2003; emergency amendment at 27 Ill. Reg. 16968, effective October 17, 2003, for a maximum
of 150 days; emergency expired March 14, 2004; emergency amendment at 28 Ill. Reg. 384,
effective January 1, 2004, for a maximum of 150 days; emergency expired May 29, 2004;
amended at 28 Ill. Reg. 8895, effective June 14, 2004; amended at 28 Ill. Reg. 10776, effective
July 13, 2004; amended at 29 Ill. Reg. 920, effective January 1, 2005; emergency amendment at
29 Ill. Reg. 2469, effective January 31, 2005, for a maximum of 150 days; emergency expired
June 29, 2005; amended at 29 Ill. Reg. 9488, effective June 17, 2005; amended at 29 Ill. Reg.
12519, effective July 28, 2005; amended at 29 Ill. Reg. 13237, effective August 11, 2005;
amended at 29 Ill. Reg. 13580, effective August 16, 2005; amended at 30 Ill. Reg. 910, effective
January 6, 2006; amended at 30 Ill. Reg. 5621, effective March 7, 2006; amended at 30 Ill. Reg.
11365, effective June 15, 2006; emergency amendment at 30 Ill. Reg. 11409, effective June 19,
2006, for a maximum of 150 days; emergency expired November 15, 2006; amended at 31 Ill.
Reg. 4782, effective March 12, 2007; amended at 31 Ill. Reg. 5096, effective March 15, 2007;
amended at 31 Ill. Reg. 5864, effective March 29, 2007; amended at 31 Ill. Reg. 6370, effective
April 12, 2007; amended at 31 Ill. Reg. 7643, effective May 16, 2007; amended at 31 Ill. Reg.
11342, effective July 18, 2007; amended at 31 Ill. Reg. 14547, effective October 9, 2007;
amended at 31 Ill. Reg. 14849, effective October 22, 2007; amended at 31 Ill. Reg. 16543,
effective November 27, 2007; amended at 31 Ill. Reg. 16843, effective January 1, 2008;
emergency amendment at 32 Ill. Reg. 208, effective January 2, 2008, for a maximum of 150
days; amended at 32 Ill. Reg. 6544, effective April 4, 2008; amended at 33 Ill. Reg. 2391,
effective January 21, 2009; amended at 33 Ill. Reg. 8489, effective June 5, 2009; amended at 33
Ill. Reg. 9794, effective June 29, 2009; amended at 33 Ill. Reg. 11620, effective July 22, 2009;
amended at 33 Ill. Reg. 14185, effective September 28, 2009; amended at 34 Ill. Reg. 563,
effective December 22, 2009; amended at 34 Ill. Reg. 9457, effective June 23, 2010; amended at
34 Ill. Reg. 15418, effective September 22, 2010; amended at 34 Ill. Reg. 19071, effective
November 22, 2010; amended at 35 Ill. Reg. 2197, effective January 21, 2011; amended at 35 Ill.
ILLINOIS REGISTER 1123
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENTS
Reg. 4692, effective March 3, 2011; amended at 35 Ill. Reg. 19664, effective November 23,
2011; amended at 36 Ill. Reg. 3924, effective February 27, 2012; amended at 36 Ill. Reg. 7255,
effective April 26, 2012; amended at 36 Ill. Reg. 14755, effective September 18, 2012; amended
at 37 Ill. Reg. 7776, effective May 22, 2013; amended at 37 Ill. Reg. 14176, effective September
1, 2013; amended at 37 Ill. Reg. 19342, effective November 28, 2013; amended at 38 Ill. Reg.
7946, effective March 28, 2014; emergency amendment at 38 Ill. Reg. 8429, effective April 4,
2014, for a maximum of 150 days; amended at 38 Ill. Reg. 12515, effective July 1, 2014;
amended at 38 Ill. Reg. 16366, effective July 21, 2014; amended at 38 Ill. Reg. 20039, effective
October 1, 2014; amended at 39 Ill. Reg. 1182, effective January 5, 2015; amended at 39 Ill.
Reg. 5083, effective March 23, 2015; amended at 39 Ill. Reg. 8028, effective May 21, 2015;
amended at 39 Ill. Reg. 11531, effective July 28, 2015; amended at 39 Ill. Reg. 14930, effective
October 29, 2015; amended at 40 Ill. Reg. 1882, effective January 12, 2016; amended at 40 Ill.
Reg. 7330, effective May 2, 2016; amended at 40 Ill. Reg. 13637, effective September 19, 2016;
amended at 40 Ill. Reg. 15397, effective October 26, 2016; amended at 41 Ill. Reg. 438,
December 29, 2016; amended at 41 Ill. Reg. 3009, effective February 24, 2017; amended at 41
Ill. Reg. 13665, effective October 30, 2017; amended at 42 Ill. Reg. 1886, effective January 3,
2018; amended at 42 Ill. Reg. 2891, effective January 29, 2018; amended at 42 Ill. Reg. 4969,
effective March 5, 2018; amended at 42 Ill. Reg. 11499, effective June 8, 2018; amended at 42
Ill. Reg. 20548, effective October 30, 2018; amended at 43 Ill. Reg. 3724, effective March 4,
2019; amended at 43 Ill. Reg. 5322, effective April 24, 2019; amended at 44 Ill. Reg. 2041,
effective December 31, 2019; emergency amendment at 44 Ill. Reg. 5477, effective March 16,
2020, for a maximum of 150 days; emergency amendment at 44 Ill. Reg. 5839, effective March
17, 2020, for a maximum of 150 days; emergency amendment to emergency rule at 44 Ill. Reg.
6650, effective April 9, 2020, for the remainder of the 150 days; emergency amendment at 44 Ill.
Reg. 10011, effective May 21, 2020, for a maximum of 150 days; amended at 44 Ill. Reg. 16818,
effective September 29, 2020; emergency amendment effective March 17, 2020, as amended
April 9, 2020, repealed at 44 Ill. Reg. 11603, effective June 30, 2020; emergency amendment at
44 Ill. Reg. 11898, effective June 30, 2020, for a maximum of 150 days; emergency amendment
to emergency rule at 44 Ill. Reg. 13823, effective August 7, 2020, for the remainder of the 150
days; emergency amendment to emergency rule at 44 Ill. Reg 16534, effective September 22,
2020, for the remainder of the 150 days; amended at 44 Ill. Reg. 12607, effective July 7, 2020;
amended at 44 Ill. Reg. 16818, effective September 29, 2020; amended at 44 Ill. Reg. 18951,
effective November 19, 2020; amended at 45 Ill. Reg. 732, effective December 23, 2020;
amended at 45 Ill. Reg. ______, effective ____________.
Section 1030.80 Driver's License Testing/Written Test
Any applicant for an initial or renewal driver's license who is required to take a written test
pursuant to IVC Section 6-109 shall comply with the following provisions:
ILLINOIS REGISTER 1124
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENTS
a) Classification of licenses is established in Sections 1030.30 through 1030.40.
b) An applicant for a Class D license shall be required to take a written test
consisting of a minimum of 35 questions, of which 80% percent must be
answered correctly in order to be eligible for a Class D license.
c) An applicant for a Class C, B, A or L-M license shall be required to take the
written test as set forth in subsection (b). The applicant shall also take a written
test established by the Secretary of State for the classifications and/or
endorsements applied for. The number of questions required to be answered is
dependent upon the classifications and/or endorsements applied for. Each written
classification and/or endorsement test shall consist of a minimum of 35 questions,
of which 80% percent must be answered correctly in order for the applicant to be
eligible for the classifications and/or endorsements applied for.
d) The written tests set forth in subsections (b) and (c) shall be in the English
language, and may be in any other languages deemed necessary by the Secretary
of State, based upon an identifiable demand.
e) An applicant who is illiterate may be given the written test orally.
f) An applicant who cannot read or write in the English language, or other available
foreign language, shall be eligible to take the written test. The Driver Services
Facility supervisor or designee may provide or recommend use of an interpreter
for the applicant's language if an interpreter is readily available. If an interpreter
is not readily available, it will be the responsibility of the applicant to obtain the
services of an interpreter. The CDL knowledge test shall be administered only in
the English language. An interpreter shall not be used when the applicant is
attempting to complete the CDL knowledge tests.
g) An applicant shall demonstrate the ability to read and understand official traffic
control devices.
h) Any licensee who wants to change a classification and/or endorsements prior to
renewal of a license shall be required to take the written test for the classification
or classifications and/or endorsements the applicant wants to obtain.
i) Prior to obtaining a Commercial Learner's Permit, an applicant must successfully
ILLINOIS REGISTER 1125
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENTS
complete the appropriate CDL knowledge tests specific to the learner's permit
classification.
j) An applicant for a permit to operate a school bus must have in his/her possession
an application for Illinois School Bus Driver's Permit Letter of Intent or its
superseding form. The applicant shall be given a special test consisting of not
more than 24 questions, of which 22 or 90% must be answered correctly in order
to be eligible for a permit.
k) Any person found cheating on any portion of a written test will be deemed to have
failed that portion of the test. In addition, that person will be prohibited from
retaking the written test for a period of 30 days. For purposes of this subsection,
"cheating" shall be defined as receiving or using unauthorized assistance in the
taking of any portion of a test. This includes, but is not limited to, the use of any
notes, books or written information.
l) All persons with a valid out-of-state CDL applying for an Illinois CDL shall be
required to successfully complete the written tests set forth in subsections (b) and
(c), pursuant to IVC Section 6-508(a)(1).
m) Qualified and eligible military service members with certain MOS/Ratings (U.S.
armed forces specialist designations) are exempt from the CDL administered
general knowledge written exam (excluding school bus endorsement) if the
applicant:
1) Is a current resident of this State;
2) Is a current or former member of the military services, including a
member of any reserve component or National Guard unit;
3) Within one year prior to the date of application, was regularly employed in
a military position that requires the operation of large trucks;
4) Received formal military training in the operation of a vehicle similar to
the commercial motor vehicle the applicant expects to operate; and
5) Provides the Secretary of State with a State of Illinois Application for
Exchange of US Military Commercial Driving Experience for Commercial
Driver's License (CDL) signed by the applicant and his or her
ILLINOIS REGISTER 1126
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENTS
commanding officer certifying that the applicant qualifies for the general
knowledge written exam waiver.
(Source: Amended at 45 Ill. Reg. ______, effective ____________)
Section 1030.85 Driver's License Testing/Road Test
a) Classification of licenses is established in Section 1030.30.
b) Persons applying for a Class C or Class D (CDL or Non-CDL) driver's license, a
religious organization restriction, for-profit ridesharing arrangement restriction, or
senior citizen transportation restriction in a First Division vehicle who are
required by IVC Section 6-109 to complete a road test shall be evaluated on the
following driving skills: start, posture, use of mirrors, steering, lane observance,
right-of-way, left and right turns (signal, speed, lane, turn), attention (distraction
level), following (too closely), speed (too fast/too slow), parking (up and/or down
hill), starting (up and/or down hill), final park, signal (pulling into and away from
curb, changing lanes), stop signs, other signs (yield, school, railroad, regulatory,
warning, special), traffic lights, backing, turn about, and use of clutch or
automatic transmission.
c) In addition to those maneuvers listed in subsection (b), persons applying for a
Class A or B driver's license (CDL) shall also be evaluated on the following:
1) Pre-Trip Inspection − the applicant shall demonstrate skills necessary to
conduct a pre-trip inspection, which include the ability to:
A) locate and verbally identify air brake operating controls and
monitoring devices;
B) determine the motor vehicle's brake system condition for proper
adjustments and that the air system connections between vehicles
have been properly made and secured;
C) inspect low pressure warning devices to ensure they will activate in
emergency situations;
D) ascertain, with the engine running, that the system contains an
adequate supply of compressed air;
ILLINOIS REGISTER 1127
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENTS
E) determine that the required minimum air pressure build up at the
time is within acceptable limits and that required alarms and
emergency devices automatically deactivate at the proper pressure
level; and
F) operationally check the brake system for proper performance.
2) Vehicle skills test that shall include dock parking, straight line backing,
stop at marked line, and predetermined right turn.
3) Additional road test driving skills of use of gears, railroad crossing,
expressway, bridge and underpass.
d) In addition to those maneuvers listed in subsection (b), persons applying for a
Class A or B driver's license (non-CDL) shall also be evaluated on straight line
backing.
e) In addition to those maneuvers listed in subsection (c), persons applying for a
school bus driver permit must complete a road test in a representative vehicle,
which shall consist of the following: use of gears, railroad crossing (stop and
observation), curb bus (simulate loading/unloading passengers), use of stop arm,
and use of flasher lights.
f) Applicants for a Class L or Class M driver's license who are required to complete
a road test shall be evaluated by using of the following drive tests: ALMOST –
Alternate Motorcycle Operator Skill Test; 5 dot test; and Offstreet Illinois
Department of Transportation Motorcycle Operator Skill Test.
1) Test exercises for the ALMOST and Offstreet Illinois Department of
Transportation Motorcycle Operation Skill Test, for both Class L and
Class M, shall consist of the following: stalling (improper shift, failure to
shift), sharp turn (path, foot down), normal stop (skid, position), cone
weave (skips, hits, foot down), U-Turn (path, foot down), quick stop
(distance), obstacle turn (path), slow drive (time, path, foot down).
2) Test exercises for the 5 dot test, for both Class L and Class M, shall
consist of the following: knowledge of controls, figure U Walk (walk
vehicle without engine running), start from rest, slow drive, gear shifting
ILLINOIS REGISTER 1128
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENTS
skill, figure 8 ride, serpentine ride (balanced cone weave), posture,
mounting/dismounting.
g) Test exercises and skills are evaluated on a point system. When the applicant
commits an error, a point or points are assessed based upon the severity of the
error. Applicants for a CDL or Non-CDL Class A, B, C or D license or a
religious organization vehicle restriction, for-profit ridesharing arrangement
restriction or senior citizen transportation restriction are allowed 36 points.
Applicants for a Second Division school bus permit are allowed 40 points.
Applicants for a First Division school bus permit are allowed 36 points.
Applicants for a Class L or M license taking the ALMOST or Offstreet Illinois
Department of Transportation Motorcycle Operation Skill Test evaluation shall be
allowed 11 points. Applicants for an L or M license taking the 5 dot test shall be
allowed seven points.
h) The following acts will result in immediate disqualification: violation in which an
applicant receives a ticket; dangerous action; lack of cooperation or refusal to
perform; or letting the cycle fall or falling off a cycle.
i) A road test will be considered incomplete for the following reasons: the applicant
becomes ill or disabled and is unable to continue the road test; the vehicle
develops mechanical problems after the road test has begun; weather conditions
make the continuation of the road test hazardous; or an accident occurs for which
the applicant does not receive a ticket.
j) No persons are allowed to accompany the applicant and examiner on the road test.
When necessary, exceptions may be made for any applicants who may require a
translator and for the training and evaluation of facility personnel.
k) Any applicant who is suspected by a Driver Services Facility employee of having
consumed alcohol and/or drugs must seek the approval of a Driver Services
Facility manager prior to being administered the road test. If a Driver Services
Facility manager has reasonable cause to believe that an applicant has consumed
alcohol and/or drugs, the applicant shall not be administered the road test.
Evidence of alcohol and/or drug consumption shall include, but not be limited to,
one or more of the following conditions:
1) the applicant admits he/she has consumed alcohol and/or drugs;
ILLINOIS REGISTER 1129
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENTS
2) the applicant has a strong odor of alcohol on his/her breath;
3) the applicant's eyes are red and the pupils are dilated;
4) the applicant's speech is slurred; or
5) the applicant is unsteady when walking.
l) All persons applying for a CDL, with the exception of those persons renewing
their Illinois CDL, or those persons holding an Illinois CLP who successfully
completed federally approved CDL training and testing in another CDL certified
state, shall be required to successfully complete the examinations set forth in
subsections (c) and (d) pursuant to IVC Section 6-508(a)(1).
m) Military personnel are exempt from the CDL administered pre-trip, skills and road
test (excluding school bus and passenger endorsements) if:
1) In the two-year period immediately prior to application for a CDL the
applicant has not:
A) had more than one license, except for a military-issued driver's
license;
B) had any driver's license suspended, revoked or cancelled;
C) had any convictions in any type of motor vehicle for the
disqualifying offenses contained in 49 CFR 383.51(b) (October 1,
2012);
D) had more than one conviction in any type of motor vehicle for a
serious traffic violation contained in 49 CFR 383.51(c) (October 1,
2012); and
E) had any conviction for a violation of military, State or local law
relating to motor vehicle traffic control (other than a parking
violation) arising in connection with any traffic accident and has
no record of an accident in which the applicant was at fault.
2) The applicant certifies that:
ILLINOIS REGISTER 1130
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENTS
A) he/she is regularly employed or was regularly employed within the
last 12 months in a military position requiring operation of a
commercial motor vehicle;
B) he/she was exempted from the CDL requirements of 49 CFR
383.3(c) (October 1, 2012); and
C) he/she was operating a vehicle representative of the commercial
motor vehicle the applicant operates or expects to operate for at
least the two years immediately preceding discharge from the
military.
3) The applicant submits a completed Secretary of State CDL-ST WVR
form, including signature of the applicant's commanding officer.
n) The use of any recording device, including but not limited to cell phones,
cameras, tape recorders or video recorders, is prohibited during the administration
of a road test. If an examiner discovers a recording device is in use during the
road test, the examiner shall request the applicant to stop the recording device and
delete any recordings of the road test. If the applicant refuses to do so, the
examiner shall immediately terminate the road test and the applicant will be
deemed to have failed the road test.
o) Qualified and eligible military service members with certain MOS/Ratings (U.S.
armed forces specialist designations) are exempt from the CDL administered
general knowledge written exam (excluding school bus endorsement) if the
applicant:
1) Is a current resident of this State;
2) Is a current or former member of the military services, including a
member of any reserve component or National Guard unit;
3) Within one year prior to the date of application, was regularly employed in
a military position that requires the operation of large trucks;
4) Received formal military training in the operation of a vehicle similar to
the commercial motor vehicle the applicant expects to operate; and
ILLINOIS REGISTER 1131
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENTS
5) Provides the Secretary of State with a State of Illinois Application for
Exchange of US Military Commercial Driving Experience for Commercial
Driver's License (CDL) signed by the applicant and his or her
commanding officer certifying that the applicant qualifies for the general
knowledge written exam waiver.
(Source: Amended at 45 Ill. Reg. ______, effective ____________)
ILLINOIS REGISTER 1132
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENT
1) Heading of the Part: School Bus Driver Permit
2) Code Citation: 92 Ill. Adm. Code 1035
3) Section Number: Proposed Action:
1035.30 Amendment
4) Statutory Authority: Implementing Section 6-106.1 and authorized by Section 6-521 of
the Illinois Vehicle Code [625 ILCS 5].
5) A Complete Description of the Subjects and Issues Involved: Due to COVID-19
mitigations, annual refresher training for school bus permit holders provided by Regional
Superintendents of Education have been postponed until Spring of 2021. This
rulemaking will provide an additional 90 days for school bus permit holders to complete
their annual refresher training. All other requirements for renewal of a school bus permit
remain in effect.
6) Published studies or reports, and sources of underlying data, used to compose this
rulemaking: None
7) Will this rulemaking replace an emergency rule currently in effect? Yes
8) Does this rulemaking contain an automatic repeal date? No
9) Does this rulemaking contain incorporations by reference? No
10) Are there any other rulemakings pending on this Part? No
11) Statement of Statewide Policy Objective: No expenditures by units of local government.
12) Time, Place, and Manner in which interested persons may comment on this proposed
rulemaking: Persons who wish to comment on this proposed rulemaking may submit
written comments no later than 45 days after the publication of this Notice to:
Pamela Wright
Office of the General Counsel
298 Howlett Building
Springfield IL 62756
ILLINOIS REGISTER 1133
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF PROPOSED AMENDMENT
13) Initial Regulatory Flexibility Analysis:
A) Types of small businesses, small municipalities and not-for-profit corporations
affected: School bus companies and school districts
B) Reporting, bookkeeping or other procedures required for compliance: None
C) Types of professional skills necessary for compliance: None
14) Small Business Impact Analysis:
A) Types of businesses subject to the proposed rule:
48-49 Transportation and Warehousing
61 Educational Services
92 Public Administration
B) Categories that the Agency reasonably believes the rulemaking will impact,
including:
vii. record keeping;
15) Regulatory Agenda on which this rulemaking was summarized: This rulemaking was not
included on either of the 2 most recent agendas because the Department did not anticipate
this rulemaking at the time the agendas were filed.
The full text of the Proposed Amendment is identical to the text of the Emergency Amendment
for this Part, and begins in this issue of the Illinois Register on page 1222.
ILLINOIS REGISTER 1134
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
1) Heading of the Part: Skilled Nursing and Intermediate Care Facilities Code
2) Code Citation: 77 Ill. Adm. Code 300
3) Section Numbers: Adopted Actions:
300.230 Amendment
300.650 Amendment
300.686 Amendment
300.1230 Amendment
300.1231 New Section
300.1232 New Section
300.1233 New Section
300.1234 New Section
300.Appendix A New Section
300.Appendix B New Section
4) Statutory Authority: Nursing Home Care Act [210 ILCS 45]
5) Effective Date of Rules: January 8, 2021
6) Does this rulemaking contain an automatic repeal date? No
7) Does this rulemaking contain incorporations by reference? No
8) A copy of the adopted rules, including any material incorporated by reference, is on file
in the Agency's principal office and is available for public inspection.
9) Notice of Proposal published in Illinois Register: 44 Ill. Reg. 435; January 10, 2020
10) Has JCAR issued a Statement of Objection to this rulemaking? No
11) Differences between Proposal and Final Version: In response to First Notice comments,
lists of what constitutes skilled care and intermediate care were removed from
subsections 300.1230(b) and (c), respectively. As a result of negotiations between the
Department and stakeholders, subsection 300.1230(b)(2) was redrafted for the sake of
clarity during Second Notice. In subsection 300.1230(l)(1), "duty or duties" was changed
to "job title or titles" in response to a question from JCAR during Second Notice.
ILLINOIS REGISTER 1135
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
In Section 300.1232, a requirement to tie staffing waivers to violations was deleted in
response to First Notice comments.
In subsection 300.1234(a)(7), "unforeseen circumstances" and "six times" were defined
in response to First Notice comments. A new subsection (d), defining wages and benefits
and describing the calculation of penalties for staffing violations, was added to Section
300.1234 in response to First Notice Comments. Subsection (d) was revised during
Second Notice as a result of negotiations between the Department and stakeholders. A
new subsection (e), describing sanctions the Department may take against facilities for
non-compliance with a written demand for payment of fines, was added to Section
300.1234 in response to First Notice comments.
In addition, various typographical, grammatical, and form changes were made in
response to comments from JCAR.
12) Have all the changes agreed upon by the Agency and JCAR been made as indicated in the
agreements issued by JCAR? Yes
13) Will this rulemaking replace an emergency rule currently in effect? No
14) Are there any rulemakings pending on this Part? No
15) Summary and Purpose of Rulemaking: These adopted amendments implement
amendments to the Nursing Home Care Act (the Act) contained in PA 101-10. The
amendments provide for increased Department oversight, including increased penalties,
for facilities licensed under the Act and 77 Ill. Adm. Code 300 in obtaining informed
consent from residents prior to administering psychotropic drugs. PA 101-10 and this
rulemaking also provide for increased oversight and fines for violations of the minimum
staffing ratios in the Act, and for signage in facilities found in violation of the staffing
requirements.
These adopted amendments also implement PA 100-217, which provides for facilities to
apply for a waiver from minimum registered nurse staffing ratios under certain
conditions.
16) Information and questions regarding these adopted rules shall be directed to:
Elizabeth Paton
Acting Rules Coordinator
ILLINOIS REGISTER 1136
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
Illinois Department of Public Health
Division of Legal Services
535 W. Jefferson St., 5th Floor
Springfield IL 62761
217/782-2043
The full text of the Adopted Amendments begins on the next page:
ILLINOIS REGISTER 1137
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER c: LONG-TERM CARE FACILITIES
PART 300
SKILLED NURSING AND INTERMEDIATE CARE FACILITIES CODE
SUBPART A: GENERAL PROVISIONS
Section
300.110 General Requirements
300.120 Application for License
300.130 Licensee
300.140 Issuance of an Initial License for a New Facility
300.150 Issuance of an Initial License Due to a Change of Ownership
300.160 Issuance of a Renewal License
300.163 Alzheimer's Special Care Disclosure
300.165 Criteria for Adverse Licensure Actions
300.170 Denial of Initial License
300.175 Denial of Renewal of License
300.180 Revocation of License
300.190 Experimental Program Conflicting With Requirements
300.200 Inspections, Surveys, Evaluations and Consultation
300.210 Filing an Annual Attested Financial Statement
300.220 Information to Be Made Available to the Public By the Department
300.230 Information to Be Made Available to the Public byBy the Licensee
300.240 Municipal Licensing
300.250 Ownership Disclosure
300.260 Issuance of Conditional Licenses
300.270 Monitor and Receivership
300.271 Presentation of Findings
300.272 Determination to Issue a Notice of Violation or Administrative Warning
300.274 Determination of the Level of a Violation
300.276 Notice of Violation
300.277 Administrative Warning
300.278 Plans of Correction
300.280 Reports of Correction
300.282 Conditions for Assessment of Penalties
300.284 Calculation of Penalties (Repealed)
ILLINOIS REGISTER 1138
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
300.286 Notice of Penalty Assessment; Response by Facility
300.287 Consideration of Factors for Assessing Penalties
300.288 Reduction or Waiver of Penalties
300.290 Quarterly List of Violators (Repealed)
300.300 Alcoholism Treatment Programs In Long-Term Care Facilities
300.310 Department May Survey Facilities Formerly Licensed
300.315 Supported Congregate Living Arrangement Demonstration
300.320 Waivers
300.330 Definitions
300.340 Incorporated and Referenced Materials
SUBPART B: ADMINISTRATION
Section
300.510 Administrator
SUBPART C: POLICIES
Section
300.610 Resident Care Policies
300.615 Determination of Need Screening and Request for Resident Criminal History
Record Information
300.620 Admission, Retention and Discharge Policies
300.624 Criminal History Background Checks for Persons Who Were Residents on May
10, 2006 (Repealed)
300.625 Identified Offenders
300.626 Discharge Planning for Identified Offenders
300.627 Transfer of an Identified Offender
300.630 Contract Between Resident and Facility
300.640 Residents' Advisory Council
300.650 Personnel Policies
300.651 Whistleblower Protection
300.655 Initial Health Evaluation for Employees
300.660 Nursing Assistants
300.661 Health Care Worker Background Check
300.662 Resident Attendants
300.663 Registry of Certified Nursing Assistants
300.665 Student Interns
300.670 Disaster Preparedness
ILLINOIS REGISTER 1139
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
300.680 Restraints
300.682 Nonemergency Use of Physical Restraints
300.684 Emergency Use of Physical Restraints
300.686 Unnecessary, Psychotropic, and Antipsychotic MedicationsDrugs
300.690 Incidents and Accidents
300.695 Contacting Local Law Enforcement
300.696 Infection Control
SUBPART D: PERSONNEL
Section
300.810 General
300.820 Categories of Personnel
300.830 Consultation Services
300.840 Personnel Policies
SUBPART E: MEDICAL AND DENTAL CARE OF RESIDENTS
Section
300.1010 Medical Care Policies
300.1020 Communicable Disease Policies
300.1025 Tuberculin Skin Test Procedures
300.1030 Medical Emergencies
300.1035 Life-Sustaining Treatments
300.1040 Care and Treatment of Sexual Assault Survivors
300.1050 Dental Standards
300.1060 Vaccinations
SUBPART F: NURSING AND PERSONAL CARE
Section
300.1210 General Requirements for Nursing and Personal Care
300.1220 Supervision of Nursing Services
300.1230 Direct Care Staffing
300.1231 Calculation of Direct Care Staffing During Inspections, Surveys and Evaluations
300.1232 Waiver of Registered Professional Nurse Staffing Requirements
300.1233 Quarterly Administrative Staffing Compliance Review
300.1234 Penalties and Notice of Violation
300.1240 Additional Requirements
ILLINOIS REGISTER 1140
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
SUBPART G: RESIDENT CARE SERVICES
Section
300.1410 Activity Program
300.1420 Specialized Rehabilitation Services
300.1430 Work Programs
300.1440 Volunteer Program
300.1450 Language Assistance Services
SUBPART H: MEDICATIONS
Section
300.1610 Medication Policies and Procedures
300.1620 Compliance with Licensed Prescriber's Orders
300.1630 Administration of Medication
300.1640 Labeling and Storage of Medications
300.1650 Control of Medications
SUBPART I: RESIDENT AND FACILITY RECORDS
Section
300.1810 Resident Record Requirements
300.1820 Content of Medical Records
300.1830 Records Pertaining to Residents' Property
300.1840 Retention and Transfer of Resident Records
300.1850 Other Resident Record Requirements
300.1860 Staff Responsibility for Medical Records
300.1870 Retention of Facility Records
300.1880 Other Facility Record Requirements
SUBPART J: FOOD SERVICE
Section
300.2010 Director of Food Services
300.2020 Dietary Staff in Addition to Director of Food Services
300.2030 Hygiene of Dietary Staff
300.2040 Diet Orders
300.2050 Meal Planning
ILLINOIS REGISTER 1141
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
300.2060 Therapeutic Diets (Repealed)
300.2070 Scheduling Meals
300.2080 Menus and Food Records
300.2090 Food Preparation and Service
300.2100 Food Handling Sanitation
300.2110 Kitchen Equipment, Utensils, and Supplies
SUBPART K: MAINTENANCE, HOUSEKEEPING, AND LAUNDRY
Section
300.2210 Maintenance
300.2220 Housekeeping
300.2230 Laundry Services
SUBPART L: FURNISHINGS, EQUIPMENT, AND SUPPLIES
Section
300.2410 Furnishings
300.2420 Equipment and Supplies
300.2430 Sterilization of Equipment and Supplies
SUBPART M: WATER SUPPLY AND SEWAGE DISPOSAL
Section
300.2610 Codes
300.2620 Water Supply
300.2630 Sewage Disposal
300.2640 Plumbing
SUBPART N: DESIGN AND CONSTRUCTION STANDARDS
FOR NEW INTERMEDIATE CARE AND SKILLED NURSING FACILITIES
Section
300.2810 Applicability of these Standards
300.2820 Codes and Standards
300.2830 Preparation of Drawings and Specifications
300.2840 Site
300.2850 Administration and Public Areas
300.2860 Nursing Unit
ILLINOIS REGISTER 1142
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
300.2870 Dining, Living, Activities Rooms
300.2880 Therapy and Personal Care
300.2890 Service Departments
300.2900 General Building Requirements
300.2910 Structural
300.2920 Mechanical Systems
300.2930 Plumbing Systems
300.2940 Electrical Systems
SUBPART O: DESIGN AND CONSTRUCTION STANDARDS
FOR EXISTING INTERMEDIATE CARE AND SKILLED NURSING FACILITIES
Section
300.3010 Applicability
300.3020 Codes and Standards
300.3030 Preparation of Drawings and Specifications
300.3040 Site
300.3050 Administration and Public Areas
300.3060 Nursing Unit
300.3070 Living, Dining, Activities Rooms
300.3080 Treatment and Personal Care
300.3090 Service Departments
300.3100 General Building Requirements
300.3110 Structural
300.3120 Mechanical Systems
300.3130 Plumbing Systems
300.3140 Electrical Requirements
SUBPART P: RESIDENT'S RIGHTS
Section
300.3210 General
300.3220 Medical Care
300.3230 Restraints (Repealed)
300.3240 Abuse and Neglect
300.3250 Communication and Visitation
300.3260 Resident's Funds
300.3270 Residents' Advisory Council
300.3280 Contract With Facility
ILLINOIS REGISTER 1143
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
300.3290 Private Right of Action
300.3300 Transfer or Discharge
300.3310 Complaint Procedures
300.3320 Confidentiality
300.3330 Facility Implementation
SUBPART Q: SPECIALIZED LIVING FACILITIES FOR THE MENTALLY ILL
Section
300.3410 Application of Other Sections of These Minimum Standards (Repealed)
300.3420 Administrator (Repealed)
300.3430 Policies (Repealed)
300.3440 Personnel (Repealed)
300.3450 Resident Living Services Medical and Dental Care (Repealed)
300.3460 Resident Services Program (Repealed)
300.3470 Psychological Services (Repealed)
300.3480 Social Services (Repealed)
300.3490 Recreational and Activities Services (Repealed)
300.3500 Individual Treatment Plan (Repealed)
300.3510 Health Services (Repealed)
300.3520 Medical Services (Repealed)
300.3530 Dental Services (Repealed)
300.3540 Optometric Services (Repealed)
300.3550 Audiometric Services (Repealed)
300.3560 Podiatric Services (Repealed)
300.3570 Occupational Therapy Services (Repealed)
300.3580 Nursing and Personal Care (Repealed)
300.3590 Resident Care Services (Repealed)
300.3600 Record Keeping (Repealed)
300.3610 Food Service (Repealed)
300.3620 Furnishings, Equipment and Supplies (New and Existing Facilities) (Repealed)
300.3630 Design and Construction Standards (New and Existing Facilities) (Repealed)
SUBPART R: DAYCARE PROGRAMS
Section
300.3710 Day Care in Long-Term Care Facilities
SUBPART S: PROVIDING SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS
ILLINOIS REGISTER 1144
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
Section
300.4000 Applicability of Subpart S
300.4010 Comprehensive Assessments for Residents with Serious Mental Illness Residing
in Facilities Subject to Subpart S
300.4020 Reassessments for Residents with Serious Mental Illness Residing in Facilities
Subject to Subpart S
300.4030 Individualized Treatment Plan for Residents with Serious Mental Illness Residing
in Facilities Subject to Subpart S
300.4040 General Requirements for Facilities Subject to Subpart S
300.4050 Psychiatric Rehabilitation Services for Facilities Subject to Subpart S
300.4060 Discharge Plans for Residents with Serious Mental Illness Residing in Facilities
Subject to Subpart S
300.4070 Work Programs for Residents with Serious Mental Illness Residing in Facilities
Subject to Subpart S
300.4080 Community-Based Rehabilitation Programs for Residents with Serious Mental
Illness Residing in Facilities Subject to Subpart S
300.4090 Personnel for Providing Services to Persons with Serious Mental Illness for
Facilities Subject to Subpart S
SUBPART T: FACILITIES PARTICIPATING IN ILLINOIS DEPARTMENT OF
HEALTHCARE AND FAMILY SERVICES'
DEMONSTRATION PROGRAM FOR PROVIDING
SERVICES TO PERSONS WITH SERIOUS MENTAL ILLNESS
Section
300.6000 Applicability of Subpart T (Repealed)
300.6005 Quality Assessment and Improvement for Facilities Subject to Subpart T
(Repealed)
300.6010 Comprehensive Assessments for Residents of Facilities Subject to Subpart T
(Repealed)
300.6020 Reassessments for Residents of Facilities Subject to Subpart T (Repealed)
300.6030 Individualized Treatment Plan for Residents of Facilities Subject to Subpart T
(Repealed)
300.6040 General Requirements for Facilities Subject to Subpart T (Repealed)
300.6045 Serious Incidents and Accidents in Facilities Subject to Subpart T (Repealed)
300.6047 Medical Care Policies for Facilities Subject to Subpart T (Repealed)
300.6049 Emergency Use of Restraints for Facilities Subject to Subpart T (Repealed)
300.6050 Psychiatric Rehabilitation Services for Facilities Subject to Subpart T (Repealed)
ILLINOIS REGISTER 1145
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
300.6060 Discharge Plans for Residents of Facilities Subject to Subpart T (Repealed)
300.6070 Work Programs for Residents of Facilities Subject to Subpart T (Repealed)
300.6080 Community-Based Rehabilitation Programs for Residents of Facilities Subject to
Subpart T (Repealed)
300.6090 Personnel for Providing Services to Residents of Facilities Subject to Subpart T
(Repealed)
300.6095 Training and Continuing Education for Facilities Subject to Subpart T (Repealed)
SUBPART U: ALZHEIMER'S SPECIAL CARE UNIT OR CENTER PROVIDING
CARE TO PERSONS WITH ALZHEIMER'S DISEASE OR OTHER DEMENTIA
Section
300.7000 Applicability
300.7010 Admission Criteria
300.7020 Assessment and Care Planning
300.7030 Ability-Centered Care
300.7040 Activities
300.7050 Staffing
300.7060 Environment
300.7070 Quality Assessment and Improvement
300.7080 Variances to Enhance Residents' Quality of Life
300.APPENDIX A Example of Staffing Calculations from Section 300.1230Interpretation,
Components, and Illustrative Services for Intermediate Care Facilities and
Skilled Nursing Facilities (Repealed)
300.APPENDIX B Crosswalk of Nursing Home Care Act Job Descriptions and Payroll Based
Journal Job TitlesClassification of Distinct Part of a Facility for Different
Levels of Service (Repealed)
300.APPENDIX C Federal Requirements Regarding Patients'/Residents' Rights (Repealed)
300.APPENDIX D Forms for Day Care in Long-Term Care Facilities
300.APPENDIX E Criteria for Activity Directors Who Need Only Minimal Consultation
(Repealed)
300.APPENDIX F Guidelines for the Use of Various Drugs
300.APPENDIX G Facility Report
300.TABLE A Sound Transmission Limitations in New Skilled Nursing and Intermediate
Care Facilities
300.TABLE B Pressure Relationships and Ventilation Rates of Certain Areas for New
Intermediate Care Facilities and Skilled Nursing Facilities
300.TABLE C Construction Types and Sprinkler Requirements for Existing Skilled
ILLINOIS REGISTER 1146
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
Nursing Facilities/Intermediate Care Facilities
300.TABLE D Heat Index Table/Apparent Temperature
AUTHORITY: Implementing and authorized by the Nursing Home Care Act [210 ILCS 45].
SOURCE: Emergency rules adopted at 4 Ill. Reg. 10, p. 1066, effective March 1, 1980, for a
maximum of 150 days; adopted at 4 Ill. Reg. 30, p. 311, effective July 28, 1980; emergency
amendment at 6 Ill. Reg. 3229, effective March 8, 1982, for a maximum of 150 days; amended at
6 Ill. Reg. 5981, effective May 3, 1982; amended at 6 Ill. Reg. 6454, effective May 14, 1982;
amended at 6 Ill. Reg. 8198, effective June 29, 1982; amended at 6 Ill. Reg. 11631, effective
September 14, 1982; amended at 6 Ill. Reg. 14550 and 14554, effective November 8, 1982;
amended at 6 Ill. Reg. 14684, effective November 15, 1982; amended at 7 Ill. Reg. 285, effective
December 22, 1982; amended at 7 Ill. Reg. 1972, effective January 28, 1983; amended at 7 Ill.
Reg. 8579, effective July 11, 1983; amended at 7 Ill. Reg. 15831, effective November 10, 1983;
amended at 7 Ill. Reg. 15864, effective November 15, 1983; amended at 7 Ill. Reg. 16992,
effective December 14, 1983; amended at 8 Ill. Reg. 15599, 15603, and 15606, effective August
15, 1984; amended at 8 Ill. Reg. 15947, effective August 17, 1984; amended at 8 Ill. Reg. 16999,
effective September 5, 1984; codified at 8 Ill. Reg. 19766; amended at 8 Ill. Reg. 24186,
effective November 29, 1984; amended at 8 Ill. Reg. 24668, effective December 7, 1984;
amended at 8 Ill. Reg. 25102, effective December 14, 1984; amended at 9 Ill. Reg. 132, effective
December 26, 1984; amended at 9 Ill. Reg. 4087, effective March 15, 1985; amended at 9 Ill.
Reg. 11049, effective July 1, 1985; amended at 11 Ill. Reg. 16927, effective October 1, 1987;
amended at 12 Ill. Reg. 1052, effective December 24, 1987; amended at 12 Ill. Reg. 16811,
effective October 1, 1988; emergency amendment at 12 Ill. Reg. 18477, effective October 24,
1988, for a maximum of 150 days; emergency expired March 23, 1989; amended at 13 Ill. Reg.
4684, effective March 24, 1989; amended at 13 Ill. Reg. 5134, effective April 1, 1989; amended
at 13 Ill. Reg. 20089, effective December 1, 1989; amended at 14 Ill. Reg. 14950, effective
October 1, 1990; amended at 15 Ill. Reg. 554, effective January 1, 1991; amended at 16 Ill. Reg.
681, effective January 1, 1992; amended at 16 Ill. Reg. 5977, effective March 27, 1992; amended
at 16 Ill. Reg. 17089, effective November 3, 1992; emergency amendment at 17 Ill. Reg. 2420,
effective February 3, 1993, for a maximum of 150 days; emergency expired on July 3, 1993;
emergency amendment at 17 Ill. Reg. 8026, effective May 6, 1993, for a maximum of 150 days;
emergency expired on October 3, 1993; amended at 17 Ill. Reg. 15106, effective September 3,
1993; amended at 17 Ill. Reg. 16194, effective January 1, 1994; amended at 17 Ill. Reg. 19279,
effective October 26, 1993; amended at 17 Ill. Reg. 19604, effective November 4, 1993;
amended at 17 Ill. Reg. 21058, effective November 20, 1993; amended at 18 Ill. Reg. 1491,
effective January 14, 1994; amended at 18 Ill. Reg. 15868, effective October 15, 1994; amended
at 19 Ill. Reg. 11600, effective July 29, 1995; emergency amendment at 20 Ill. Reg. 567,
effective January 1, 1996, for a maximum of 150 days; emergency expired May 29, 1996;
ILLINOIS REGISTER 1147
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
amended at 20 Ill. Reg. 10142, effective July 15, 1996; amended at 20 Ill. Reg. 12208, effective
September 10, 1996; amended at 21 Ill. Reg. 15000, effective November 15, 1997; amended at
22 Ill. Reg. 4094, effective February 13, 1998; amended at 22 Ill. Reg. 7218, effective April 15,
1998; amended at 22 Ill. Reg. 16609, effective September 18, 1998; amended at 23 Ill. Reg.
1103, effective January 15, 1999; amended at 23 Ill. Reg. 8106, effective July 15, 1999;
amended at 24 Ill. Reg. 17330, effective November 1, 2000; amended at 25 Ill. Reg. 4911,
effective April 1, 2001; amended at 26 Ill. Reg. 3113, effective February 15, 2002; amended at
26 Ill. Reg. 4846, effective April 1, 2002; amended at 26 Ill. Reg. 10523, effective July 1, 2002;
emergency amendment at 27 Ill. Reg. 2181, effective February 1, 2003, for a maximum of 150
days; emergency expired June 30, 2003; emergency amendment at 27 Ill. Reg. 5452, effective
March 25, 2003, for a maximum of 150 days; emergency expired August 21, 2003; amended at
27 Ill. Reg. 5862, effective April 1, 2003; emergency amendment at 27 Ill. Reg. 14204, effective
August 15, 2003, for a maximum of 150 days; emergency expired January 11, 2004; amended at
27 Ill. Reg. 15855, effective September 25, 2003; amended at 27 Ill. Reg. 18105, effective
November 15, 2003; expedited correction at 28 Ill. Reg. 3528, effective November 15, 2003;
amended at 28 Ill. Reg. 11180, effective July 22, 2004; amended at 28 Ill. Reg. 14623, effective
October 20, 2004; amended at 29 Ill. Reg. 876, effective December 22, 2004; emergency
amendment at 29 Ill. Reg. 11824, effective July 12, 2005, for a maximum of 150 days;
emergency rule modified in response to JCAR Recommendation at 29 Ill. Reg. 15101, effective
September 23, 2005, for the remainder of the maximum 150 days; emergency amendment
expired December 8, 2005; amended at 29 Ill. Reg. 12852, effective August 2, 2005; amended at
30 Ill. Reg. 1425, effective January 23, 2006; amended at 30 Ill. Reg. 5213, effective March 2,
2006; amended at 31 Ill. Reg. 6044, effective April 3, 2007; amended at 31 Ill. Reg. 8813,
effective June 6, 2007; amended at 33 Ill. Reg. 9356, effective June 17, 2009; amended at 34 Ill.
Reg. 19182, effective November 23, 2010; amended at 35 Ill. Reg. 3378, effective February 14,
2011; amended at 35 Ill. Reg. 11419, effective June 29, 2011; expedited correction at 35 Ill. Reg.
17468, effective June 29, 2011; amended at 36 Ill. Reg. 14090, effective August 30, 2012;
amended at 37 Ill. Reg. 2298, effective February 4, 2013; amended at 37 Ill. Reg. 4954, effective
March 29, 2013; amended at 38 Ill. Reg. 22851, effective November 21, 2014; amended at 39 Ill.
Reg. 5456, effective March 25, 2015; amended at 41 Ill. Reg. 14811, effective November 15,
2017; amended at 43 Ill. Reg. 3536, effective February 28, 2019; emergency amendment at 44
Ill. Reg. 8521, effective May 5, 2020, for a maximum of 150 days; emergency amendment to
emergency rule at 44 Ill. Reg. 16264, effective September 15, 2020, for the remainder of the 150
days; emergency rule as amended expired October 1, 2020; emergency amendment at 44 Ill.
Reg. 10217, effective May 28, 2020, for a maximum of 150 days; amended by emergency
amendment to emergency rule at 44 Ill. Reg. 12931, effective July 14, 2020, for the remainder of
the 150 days; emergency rule as amended repealed at 44 Ill. Reg. 17790, effective October 23,
2020; emergency amendment at 44 Ill. Reg. 16894, effective October 2, 2020, for a maximum of
150 days; emergency amendment at 44 Ill. Reg. 18462, effective October 23, 2020, for a
ILLINOIS REGISTER 1148
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
maximum of 150 days; emergency amendment at 44 Ill. Reg. 19551, effective December 2,
2020, for a maximum of 150 days; emergency amendment to emergency rule at 45 Ill. Reg. 393,
effective December 18, 2020, for the remainder of the 150 days; amended at 45 Ill. Reg. 1134,
effective January 8, 2021.
SUBPART A: GENERAL PROVISIONS
Section 300.230 Information to Be Made Available to the Public byBy the Licensee
a) Every facility shall conspicuously post foror 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 the 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 subsection (b)
andsubsection (b) of this Section and Section 3-210 of the Act. (Section 3-
209 of the Act)
b) A facility shall retain the following for public inspection:
1) A complete copy of every inspection report of the facility received from the
Department during the past five years;
2) A copy of every order pertaining to the facility issued by the Department
or a court during the past five years;
3) A description of the services provided by the facility and the rates charged
for those services and items for which a resident may be separately
charged;
4) A copy of the statement of ownershipStatement of Ownership required by
Section 3-207 of the Act;
ILLINOIS REGISTER 1149
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
5) A record of personnel employed or retained by the facility who are
licensed, certified or registered by the Department of Financial and
Professional Regulation; and
6) A complete copy of the most recent inspection report of the facility
received from the Department; and. (Section 3-210 of the Act)
7) A copy of the current Consumer Choice Information Report required by
Section 2-214 of the Act. (Section 3-210 of the Act)
c) A facility that has received a notice of violation for a violation of the minimum
staffing requirements under Section 3-202.05 of the Act and Section 300.1230 of
this Part shall display, during the period of time the facility is out of compliance, 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 does not currently meet the minimum staffing ratios required by law.
Posted at the direction of the Illinois Department of Public Health."
1) The notice shall 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 shall also be
posted on the main page of the facility's website.
2) Pursuant to Section 300.1234(a)(5), 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. (Section 3-
209 of the Act)
(Source: Amended at 45 Ill. Reg. 1134, effective January 8, 2021)
SUBPART C: POLICIES
Section 300.650 Personnel Policies
a) Each facility shall develop and maintain written personnel policies that are
ILLINOIS REGISTER 1150
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
followed in the operation of the facility. These policies shall include, at a
minimum, each of the following requirements of this Section.
b) Employee Records
1) Employment application forms shall be completed for each employee and
kept on file in the facility. Completed forms shall be available to
Department personnel for review.
2) Individual personnel files for each employee shall contain date of birth;
home address; educational background; experience, including types and
places of employment; date of employment and position employed to fill
in this facility; and (if no longer employed in this facility) last date
employed and reasons for leaving.
3) Individual personnel files for each employee shall also contain health
records, including the initial health evaluation and the results of the
tuberculin skin test required under Section 300.655, and any other
pertinent health records.
4) Individual personnel records for each employee shall also contain records
of evaluation of performance.
c) Prior to employing any individual in a position that requires a State license, the
facility shall contact the Illinois Department of Financial and Professional
Regulation to verify that the individual's license is active. A copy of the license
shall be placed in the individual's personnel file.
d) The facility shall check the status of all applicants with the Health Care Worker
Registry prior to hiring.
e) All personnel shall have either training or experience, or both, in the job assigned
to them.
f) Orientation and In-Service Training
1) All new employees, including student interns, shall complete an
orientation program covering, at a minimum, the following: general
facility and resident orientation; job orientation, emphasizing allowable
ILLINOIS REGISTER 1151
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
duties of the new employee; resident safety, including fire and disaster,
emergency care and basic resident safety; and understanding and
communicating with the type of residents being cared for in the facility.
In addition, all new direct care staff, including student interns, shall
complete an orientation program covering the facility's policies and
procedures for resident care services before being assigned to provide
direct care to residents. This orientation program shall include
information on the prevention and treatment of decubitus ulcers and the
importance of nutrition in general health care.
2) All employees, except student interns shall attend in-service training
programs pertaining to their assigned duties at least annually. These in-
service training programs shall include the facility's policies, skill training
and ongoing education to enable all personnel to perform their duties
effectively. The in-service training sessions regarding personal care,
nursing and restorative services shall include information on the
prevention and treatment of decubitus ulcers. In-service training
concerning dietary services shall include information on the effects of diet
in treatment of various diseases or medical conditions and the importance
of laboratory test results in determining therapeutic diets. Written records
of program content for each session and of personnel attending each
session shall be kept.
3) All facilities shall provide training and education on the requirements of
Section 2-106.1 of the Act and Section 300.686 of this Part to all personnel
involved in providing care to residents, and train and educate those
personnel on the methods and procedures to effectively implement the
facility's policies. Training and education provided under Section 2-106.1
of the Act and Section 300.686 shall be documented in each personnel file.
(Section 2-106.1(b-15) of the Act)
g) Employees shall be assigned duties that are directly related to their functions, as
identified in their job descriptions. Exceptions may be made in emergencies.
h) Personnel policies shall include a plan to provide personnel coverage for regular
staff when they are absent.
i) Every facility shall have a current, dated weekly employee time schedule posted
where employees may refer to it. This schedule shall contain the employee's
ILLINOIS REGISTER 1152
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
name, job title, job duty (identifying the duty or duties listed in Section
300.1230(f)(1) through (10), if applicable), shift assignment, hours of work, and
days off. If an employee works in two different job duties during the same week,
specifically including those job duties listed in Section 300.1230(f), if applicable,
the facility shall separately state the hours of work for each job duty. The
schedule shall be kept on file in the facility for one year after the week for which
the schedule was used.
j) Time spent in scheduled breaks and scheduled in-service training when staff are
not providing direct care shall be documented.
(Source: Amended at 45 Ill. Reg. 1134, effective January 8, 2021)
Section 300.686 Unnecessary, Psychotropic, and Antipsychotic MedicationsDrugs
a) For the purposes of this Section, the following definitions shall apply:
1) "Adverse consequence" – unwanted, uncomfortable, or dangerous effects
that a medication may have, such as impairment or decline in an
individual's mental or physical condition or functional or psychosocial
status. It may include, but is not limited to, various types of adverse
medication reactions and interactions (e.g., medication-medication,
medication-food, and medication-disease).
2) "Antipsychotic medication" – a medication that is used to treat symptoms
of psychosis such as delusions, hearing voices, hallucinations, paranoia, or
confused thoughts. Antipsychotic medications are used in the treatment of
schizophrenia, severe depression, and severe anxiety. Older antipsychotic
medications tend to be called typical antipsychotics. Those developed
more recently are called atypical antipsychotics.
3) "Dose" – the total amount/strength/concentration of a medication given at
one time or over a period of time. The individual dose is the
amount/strength/concentration received at each administration. The
amount received over a 24-hour period may be referred to as the daily
dose.
4) "Duplicative therapy" – multiple medications of the same pharmacological
class or category or any medication therapy that substantially duplicates a
ILLINOIS REGISTER 1153
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
particular effect of another medication that the individual is taking.
5) "Emergency" – has the same meaning as in Section 1-112 of the Act and
Section 300.330 of this Part. (Section 2-106.1(b) of the Act)
6) "Excessive dose" – the total amount of any medication (including
duplicative therapy) given at one time or over a period of time that is
greater than the amount recommended by the manufacturer's label,
package or insert, and the accepted standards of practice for a resident's
age and condition.
7) "Gradual dose reduction" – the stepwise tapering of a dose to determine if
symptoms, conditions or risks can be managed by a lower dose or if the
dose or medication can be discontinued.
8) "Informed consent" – documented, written permission for specific
medications, given freely, without coercion or deceit, by a capable
resident, or by a resident's surrogate decision maker, after the resident, or
the resident's surrogate decision maker, has been fully informed of, and
had an opportunity to consider, the nature of the medications, the likely
benefits and most common risks to the resident of receiving the
medications, any other likely and most common consequences of
receiving or not receiving the medications, and possible alternatives to the
proposed medications.
9) "Licensed nurse" – an advanced practice registered nurse or a registered
professional nurse, as defined in the Nurse Practice Act.
10) "Psychotropic medication" – medication that is used for or listed as used
for psychotropic, antidepressant, antimanic or antianxiety behavior
modification or behavior management purposes in the Prescribers Digital
Reference database, the Lexicomp-online database, or the American
Society of Health-System Pharmacists database. Psychotropic medication
also includes any medication listed in 42 CFR 483.45(c)(3).
11) "Surrogate decision maker" – an individual representing the resident's
interests in regard to consent to receive psychotropic medications, as
permitted by Section 2-106.1(b) of the Act and this Section. (Section 2-
106.1(b) of the Act)
ILLINOIS REGISTER 1154
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
ba) A resident shall not be given unnecessary medicationsdrugs in accordance with
Section 300.Appendix F. AnIn addition, an unnecessary medicationdrug is any
drug used:
1) Inin an excessive dose, including in duplicative therapy;
2) Forfor excessive duration;
3) Withoutwithout adequate monitoring;
4) Withoutwithout adequate indications for its use; or
5) Inin the presence of adverse consequences that indicate the
medicationsdrugs should be reduced or discontinued. (Section 2-106.1(a)
of the Act); or
6) Any combination of the circumstances stated in subsections (b)(1) through
(5).
c) Residents shall not be given antipsychotic medications unless antipsychotic
medication therapy is ordered by a physician or an authorized prescribing
professional, as documented in the resident's comprehensive assessment, to treat a
specific symptom or suspected condition as diagnosed and documented in the
clinical record or to rule out the possibility of one of the conditions in accordance
with Appendix F.
d) Residents who use antipsychotic medications shall receive gradual dose
reductions and behavior interventions, unless clinically contraindicated, in an
effort to discontinue these medications in accordance with Appendix F. In
compliance with subsection 2-106.1(b) of the Act and this Section, the facility
shall obtain informed consent for each dose reduction.
eb) Except in the case of an emergency, psychotropicPsychotropic medication shall
not be administeredprescribed or administered without the informed consent of
the resident or, the resident's surrogate decision makerguardian, or other
authorized representative. (Section 2-106.1(b) of the Act) Additional informed
consent is not required for reductions in dosage level or deletion of a specific
medication, pursuant to subsection (f)(9). Informed consent is requiredThe
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informed consent may provide for a medication administration program of
sequentially increased doses or a combination of medications to establish the
lowest effective dose that will achieve the desired therapeutic outcome, pursuant
to subsection (f)(9). The most common sideSide effects of the medications shall
be described. In an emergency, a facility shall:
1) Document the alleged emergency in detail, including the facts surrounding
the medication's need, pursuant to the requirements of Section 300.1820;
and
2) Present this documentation to the resident and the resident's
representative or other surrogate decision maker no later than 24 hours
after the administration of emergency psychotropic medication. (Section
2-106.1(b) of the Act)
c) Residents shall not be given antipsychotic drugs unless antipsychotic drug therapy
is necessary, as documented in the resident's comprehensive assessment, to treat a
specific or suspected condition as diagnosed and documented in the clinical
record or to rule out the possibility of one of the conditions in accordance with
Section 300.Appendix F.
d) Residents who use antipsychotic drugs shall receive gradual dose reductions and
behavior interventions, unless clinically contraindicated, in an effort to
discontinue these drugs in accordance with Section 300.Appendix F.
e) For the purposes of this Section:
1) "Duplicative drug therapy" means any drug therapy that duplicates a
particular drug effect on the resident without any demonstrative
therapeutic benefit. For example, any two or more drugs, whether from
the same drug category or not, that have a sedative effect.
2) "Psychotropic medication" means medication that is used for or listed as
used for antipsychotic, antidepressant, antimanic or antianxiety behavior
modification or behavior management purposes in the latest edition of the
AMA Drug Evaluations (Drug Evaluation Subscription, American Medical
Association, Vols. I-III, Summer 1993), United States Pharmacopoeia
Dispensing Information Volume I (USP DI) (United States
Pharmacopoeial Convention, Inc., 15th Edition, 1995), American Hospital
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Formulary Service Drug Information 1995 (American Society of Health
Systems Pharmacists, 1995), or the Physician's Desk Reference (Medical
Economics Data Production Company, 49th Edition, 1995) or the United
States Food and Drug Administration approved package insert for the
psychotropic medication. (Section 2-106.1(b) of the Act)
3) "Antipsychotic drug" means a neuroleptic drug that is helpful in the
treatment of psychosis and has a capacity to ameliorate thought disorders.
f) Protocol for Securing Informed Consent for Psychotropic Medication
1) Except in the case of an emergency as described in subsection (e), no
resident shall be administered psychotropic medication prior to a
discussion between the resident or the resident's surrogate decision
maker, or both, and the resident's physician or a physician the resident
was referred to, a registered pharmacist who is not a dispensing
pharmacist for the facility where the resident lives, or a licensed nurse
about the most common possible risks and benefits of a recommended
medication and the use of standardized consent forms designated by the
Department. (Section 2-106.1(b) of the Act)
2) Prior to initiating any detailed discussion designed to secure informed
consent, a licensed health care professional shall inform the resident or the
resident's surrogate decision maker that the resident's physician has
prescribed a psychotropic medication for the resident, and that informed
consent is required from the resident or the resident's surrogate decision
maker before the resident may be given the medication.
3) The discussion shall include information about:
A) The name of the medication;
B) The condition or symptoms that the medication is intended to treat,
and how the medication is expected to treat those symptoms;
C) How the medication is intended to affect those symptoms;
D) Other common effects or side effects of the medication, and any
reasons (e.g., age, health status, other medications) that the resident
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is more or less likely to experience side effects;
E) Dosage information, including how much medication would be
administered, how often, and the method of administration (e.g.,
orally or by injection; with, before, or after food);
F) Any tests and related procedures that are required for the safe and
effective administration of the medication;
G) Any food or activities the resident should avoid while taking the
medication;
H) Any possible alternatives to taking the medication that could
accomplish the same purpose; and
I) Any possible consequences to the resident of not taking the
medication.
4) Pursuant to Section 2-105 of the Act, the discussion designed to secure
informed consent shall be private, between the resident or the resident's
surrogate decision maker and the resident's physician, or a physician the
resident was referred to, or a registered pharmacist who is not a dispensing
pharmacist for the facility where the resident lives, or a licensed nurse.
5) In addition to the oral discussion, the resident or his or her surrogate
decision maker shall be given the information in subsection (f)(3) in
writing. The information shall be in plain language, understandable to the
resident or his or her surrogate decision maker. If the written information
is in a language not understood by the resident or his or her surrogate
decision maker, the facility, in compliance with the Language Assistance
Services Act and the Language Assistance Services Code, shall provide, at
no cost to the resident or the resident's surrogate decision maker, an
interpreter capable of communicating with the resident or his or her
surrogate decision maker and the authorized prescribing professional
conducting the discussion. The authorized prescribing professional shall
guide the resident through the written information. The written
information shall include a place for the resident or his or her surrogate
decision maker to give, or to refuse to give, informed consent. The written
information shall be placed in the resident's record. Informed consent is
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not secured until the resident or surrogate decision maker has given
written informed consent. If the resident has dementia and the facility is
unable to contact the resident's surrogate decision maker, the facility shall
not administer psychotropic medication to the resident except in an
emergency as provided by subsection (e).
6) Informed consent shall be sought first from a resident, then from a
surrogate decision maker, in the following order or priority:
A) The resident's guardian of the person if one has been named by a
court of competent jurisdiction.
B) In the absence of a court-ordered guardian, informed consent shall
be sought from a health care agent under the Illinois Power of
Attorney Act [755 ILCS 45] who has authority to give consent.
C) If neither a court-ordered guardian of the person, nor a health
care agent under the Power of Attorney Act, is available, and the
attending physician determines that the resident lacks capacity to
make decisions, informed consent shall be sought from the
resident's attorney-in-fact designated under the Mental Health
Treatment Preference Declaration Act [755 ILCS 43], if
applicable, or the resident's representative. (Section 2-106.1(b) of
the Act)
7) Regardless of the availability of a surrogate decision maker, the resident
may be notified and present at any discussion required by this Section.
Upon request, the resident or the resident's surrogate decision maker shall
be given, at a minimum, written information about the medication and an
oral explanation of common side effects of the medication to facilitate the
resident in identifying the medication and in communicating the existence
of side effects to the direct care staff.
8) The facility shall inform the resident, surrogate decision maker, or both of
the existence of a copy of:
A) The resident's care plan;
B) The facility policies and procedures adopted in compliance with
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Section 2-106.1(b-15) of the Act, and this Section; and
C) A notification that the most recent of the resident's care plans and
the facility's policies are available to the resident or surrogate
decision maker upon request.
9) The maximum possible period for informed consent shall be until:
A) A change in the prescription occurs, either as to type of
psychotropic medication or dosage; or
B) A resident's care plan changes in a way that affects the
prescription or dosage of the psychotropic medication. (Section 2-
106.1(b) of the Act).
10) A resident or his or her surrogate decision maker shall not be asked to
consent to the administration of a new psychotropic medication in a
dosage or frequency that exceeds the maximum recommended daily
dosage as found in the Prescribers Digital Reference database, the
Lexicomp-online database, or the American Society of Health-System
Pharmacists database unless the reason for exceeding the recommended
daily dosage is explained to the resident or his or her surrogate decision
maker by a licensed medical professional, and the reason for exceeding the
recommended daily dosage is justified by the prescribing professional in
the clinical record. The dosage and frequency shall be reviewed and re-
justified by the licensed prescriber on a weekly basis and reviewed by a
consulting pharmacist. The justification for exceeding the recommended
daily dosage shall be recorded in the resident's record and shall be
approved within seven calendar days after obtaining informed consent, in
writing, by the medical director of the facility.
11) Pursuant to Section 2-104(c) of the Act, the resident or the resident's
surrogate decision maker shall be informed, at the time of the discussion
required by subsection (f)(1), that his or her informed consent may be
withdrawn at any time, and that, even with informed consent, the resident
may refuse to take the medication.
12) The facility shall obtain informed consent using forms provided by the
Department on its official website, or on forms approved by the
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Department, pursuant to Section 2-106.1(b) of the Act. The facility shall
document on the consent form whether the resident is capable of giving
informed consent for medication therapy, including for receiving
psychotropic medications. If the resident is not capable of giving informed
consent, the identity of the resident's surrogate decision maker shall be
placed in the resident's record.
13) No facility shall deny 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
shall:
A) Document the alleged risk in detail, along with a description of all
nonpharmacological or alternative care options attempted and
why they were unsuccessful;
B) 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
C) Inform the resident or his or her surrogate decision maker of his or
her right to appeal an involuntary transfer or discharge to the
Department as provided in the Act and this Part. (Section 2-
106.1(b-10) of the Act)
g) By April 10, 2021, all facilities shall implement written policies and procedures
for compliance with Section 2-106.1 of the Act and this Section. A facility's
failure to make available to the Department the documentation required under
this subsection is sufficient to demonstrate its intent to not comply with Section 2-
106.1 of the Act and this Section and shall be grounds for review by the
Department. (Section 2-106.1(b-15) of the Act)
h) Upon the receipt of a report of any violation of Section 2-106.1 of the Act and this
Section, the Department will investigate and, upon finding sufficient evidence of a
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violation of Section 2-106.1 of the Act and this Section, may proceed with
disciplinary action against the licensee of the facility. In any administrative
disciplinary action under this subsection, the Department will 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. (Section 2-106.1(b-20) of the Act)
i) A violation of informed consent that, for an individual resident, lasts for seven
days or more under this Section is, at a minimum, a Type "B" 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
"B" violation. (Section 2-106.1(b-25) of the Act)
j) Any violation of Section 2-106.1 of the Act and this Section by a facility may be
enforced by an action brought by the Department in the name of the People of
Illinois for injunctive relief, civil penalties, or both injunctive relief and civil
penalties. The Department may initiate the action upon its own complaint or the
complaint of any other interested party. (Section 2-106.1(b-30) of the Act)
k) Any resident who has been administered a psychotropic medication in violation of
Section 2-106.1 of the Act and this Section may bring an action for injunctive
relief, civil damages, and costs and attorney's fees against any facility responsible
for the violation. (Section 2-106.1(b-35) of the Act)
l) An action under this Section shall be filed within two years after either the date of
discovery of the violation that 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. (Section 2-106.1(b-40) of the Act)
m) A facility subject to action under Section 2-106.1 of the Act and this Section shall
be liable for damages of up to $500 for each day, after discovery of a violation,
that the facility violates the requirements of Section 2-106.1 of the Act and this
Section. (Section 2-106.1(b-45) of the Act)
n) The rights provided for in Section 2-106.1 of the Act and 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. (Section 2-106.1(b-55) of the Act)
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o) In addition to the penalties described in this Section and any other penalty
prescribed by law, a facility that is found to have violated Section 2-106.1 of the
Act and this Section, or the federal certification requirement that informed
consent be obtained before administering a psychotropic medication, shall
thereafter be required to obtain the signatures of two 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 Section 2-106.1 of the Act and this Section. (Section 2-
106.1(b) of the Act)
(Source: Amended at 45 Ill. Reg. 1134, effective January 8, 2021)
SUBPART F: NURSING AND PERSONAL CARE
Section 300.1230 Direct Care Staffing
a) For purposes of the minimum staffing ratios in Section 3-202.05 of the Act and
this Section, all residents shall be classified as requiring either skilled care or
intermediate care. (Section 3-202.05(b-5) of the Act)
ba) For the purposes of this Section, the following definitions shall apply:
1) "Direct care" − is the provision of nursing care or personal care as defined
in Section 300.330, therapies, and care provided by staff listed in
subsection (if). Direct care staff are those individuals who, through
interpersonal contact with residents or resident care management, provide
care and services to allow residents to attain or maintain the highest
practicable physical, mental and psychosocial well-being. Direct care staff
does not include individuals whose primary duty is maintaining the
physical environment of the facility (e.g., housekeeping).
2) "Skilled care" – skilled nursing care, continuous skilled nursing
observations, restorative nursing, and other services under professional
direction with frequent medical supervision. (Section 3-202.05(b-5) of the
Act) Skilled nursing services are either nursing or therapy care services,
furnished pursuant to physician orders, that require the skills of a licensed
nurse to treat, manage, and observe a resident's condition and evaluate a
resident's care. The skilled nursing services may be provided by a CNA,
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under the supervision of a licensed nurse to ensure the safety of the patient
and to achieve the medically desired result. A resident in a skilled nursing
facility is classified as receiving skilled care if:
A) The resident is receiving care covered by Medicare under any
arrangement allowed by Title XVIII of the Social Security Act;
B) The resident is receiving care that would be covered by Medicare,
but the resident has exhausted his or her Medicare benefits; or
C) The resident is not Medicare eligible, but is receiving care that
would be covered by Medicare if the resident were eligible.Skilled
care is skilled nursing care, continuous skilled nursing
observations, restorative nursing, and other services under
professional direction with frequent medical supervision.
3) "Intermediate care" – basic nursing care and other restorative services
under periodic medical direction. (Section 3-202.05(b-5) of the Act)
Services not classified as skilled care will be classified as intermediate
care.Intermediate care is basic nursing care and other restorative services
under periodic medical direction.
c) 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. 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. (Section 3-202.05(e) of the
Act)
d) The minimum staffing ratios shall be 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. (Section 3-202.05(d) of
the Act) For the purpose of this subsection, "nursing care" and "personal care"
mean direct care provided by staff listed in subsection (i).
e) The facility shall schedule nursing personnel so that the nursing needs of all
residents are met.
fb) The number of staff who provide direct care who are needed at any time in the
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facility shall be based on the needs of the residents, and shall be determined by
figuring the number of hours of direct care each resident needs peron each shift of
the day.
c) If residents participate in regularly scheduled therapeutic programs outside the
facility, such as school or sheltered workshops, the minimum hours per day of
direct care staffing in the facility are reduced for the hours the residents are not in
the facility.
gd) Each facility shall provide minimum direct care staff by complying with
subsection (f) and meeting the minimum direct care staffing ratios set forth in this
Section.:
1) Determining the amount of direct care staffing needed to meet the needs
of its residents; and
2) Meeting the minimum direct care staffing ratios set forth in this Section.
he) The direct care staffing calculationsrequirements in this Section shall include only
apply to the number of staffpersons actually on duty on siteand not to the number
of persons scheduled to be on duty. The following shall not be included in direct
care staffing calculations:
1) Meal and break times (paid or unpaid);
2) Scheduled training; and
3) When a facility is utilized as a clinical site for nurse aide training, if the
facility is not paying the employee for the services provided.
if) For the purpose of computing staff to resident ratios, direct care staff shall
include the following:, as long as the person is assigned to duties consistent with
the identified job title and documented in employee time schedules as required by
Section 300.650(i):
1) Registered professionalregistered nurses;
2) Licensedlicensed practical nurses;
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3) Certifiedcertified nurse assistants;
4) Psychiatricpsychiatric services rehabilitation aides (see Section
300.4090);
5) Rehabilitationrehabilitation and therapy aides;
6) Psychiatricpsychiatric services rehabilitation coordinators (see Section
300.4090);
7) Assistantassistant directors of nursing;
8) 50% of the Director of Nurses' time;
9) 30% of the Social Services Directors' time (Section 3-202.05 of the Act);
and
10) Licensedlicensed physical, occupational, speech and respiratory therapists.
jg) Facilities subject to Subpart S may utilize specialized clinical staff, as defined in
Section 300.4090(c) and (f), to count towards the staffing ratios. (Section 3-
202.05(a) of the Act)
h) Care Determinations
When differences of opinion occur between facility staff and Department
surveyors regarding the care an individual resident may require, the surveyor shall
determine whether the resident is receiving appropriate care. If the resident is
receiving appropriate care, the surveyor will accept the facility's determination of
the number of direct care hours the facility shall provide.
i) The facility shall schedule nursing personnel so that the nursing needs of all
residents are met.
j) Skilled Nursing and Intermediate Care
For the purpose of this subsection, "nursing care" and "personal care" mean direct
care provided by staff listed in subsection (f).
1) 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
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provided; for each resident needing intermediate care, 1.7 hours of
nursing and personal care each day must be provided.
2) 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) 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) Effective January 1, 2013, the minimum staffing ratios shall be increased
to 3.4 hours of nursing and 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. (Section 3-202.05(d) of the Act)
k) Effective September 12, 2012, 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. 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. (Section 3-202.05(e) of the Act)
k) To determine the direct care staffing required to meet daily minimum staffing
ratios for skilled care and intermediate care, the following staffing formula shall
be used:
1) Determine the number of residents requiring skilled care and the number
of residents requiring intermediate care.
2) Calculate the total daily required nursing and personal care hours for each
level of care:
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A) The number of residents requiring skilled care shall be multiplied
by the required number of hours (3.8) per resident.
B) The number of residents requiring intermediate care shall be
multiplied by the required number of hours (2.5) per resident.
3) Add the total number of hours of direct care required for each level of care
to determine the total number of hours required to provide direct care for
all residents in the facility.
4) Multiplying the total minimum hours of direct care hours required for all
residents, determined under subsection (k)(3), by 25% results in the
minimum amount of licensed nurse hours that shall be provided during a
24-hour period.
5) Multiplying the total minimum hours of direct care time required for all
residents, determined under subsection (k)(3), by 10% results in the
minimum amount of registered nurse hours that shall be provided during a
24-hour period.
6) The remaining 75% of the minimum required direct care hours may also
be fulfilled by other staff identified in subsection (i) as long as it can be
documented that those staff provide direct care, and that nursing care and
nursing delegation is in accordance with the Nurse Practice Act.
7) The amount of time determined in subsections (k)(4), (5) and (6) is
expressed in hours.
8) See Appendix A for an example of staffing calculations.
l) A written work schedule shall be posted at least 10 days prior to the first day on
the schedule. The work schedule shall be posted in a location conspicuous and
accessible only to employees.
1) This work schedule shall contain the employee's name, job title,
(identifying the job title or titles listed in subsection (i), if applicable), shift
assignment, hours of work, and days off.
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2) If an employee works in more than one job during the same week,
specifically including those job duties listed in subsection (i), if applicable,
the facility shall separately state the hours of work for each job duty.
3) The work schedule, whether a hard copy or in an electronic format, shall
be kept on file in the facility in the administrator's office for a minimum of
three years after the week for which the schedule was used.
m) Time spent in scheduled breaks and mealtimes, and scheduled training, when staff
are not providing direct care shall be documented.
n) A facility operating under a waiver from the minimum registered professional
nurse staffing requirements (see Section 300.1232) shall provide written
documentation of the waiver to the Department upon request.
l) To determine the numbers of direct care personnel needed to staff any facility, the
following procedures shall be used:
1) The facility shall determine the number of residents needing skilled or
intermediate care.
2) The number of residents in each category shall be multiplied by the overall
hours of direct care needed each day for each category.
3) Adding the hours of direct care needed for the residents in each category
will give the total hours of direct care needed by all residents in the
facility.
4) Multiplying the total minimum hours of direct care needed by 25% will
give the minimum amount of licensed nurse time that shall be provided
during a 24-hour period. Multiplying the total minimum hours of direct
care needed by 10% will give the minimum amount of registered nurse
time that shall be provided during a 24-hour period.
5) Additional Direct Care Hours Equal to at Least 75% of the Minimum
Required
The remaining 75% of the minimum required direct care hours may be
fulfilled by other staff identified in subsection (f) as long as it can be
documented that they provide direct care and as long as nursing care is
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provided in accordance with the Nurse Practice Act.
6) The amount of time determined in subsections (l)(4) and (5) is expressed
in hours. Dividing the total number of hours needed by the number of
hours each person works per shift (usually 7.5 or 8 hours) will give the
number of persons needed to staff each shift. Calculations shall not
include time for scheduled breaks or scheduled in-service training. The
number of residents used to calculate staff ratios shall be based on the
facility's midnight census.
m) Example of Staffing Calculations
1) Following is an example of this computation assuming a l00-bed Skilled
Nursing Facility that has 25 residents needing skilled care and 75 residents
needing intermediate care, and assuming that the identified needs of the
residents have led the facility to assign 45% of the staff to the day shift;
35% to the evening shift and 20% to the night shift.
2) Under the subsection (j) requirements for January 1, 2014, staffing would
be computed as follows:
A) Total Minimum Hours of Care Needed
Level of
Care
# of
Residents
Total Hrs.
Needed/Day
Per Resident
Total Hrs.
Needed/Day
Per Facility
Skilled 25 [times] 3.8 = 95.0
Intermediate 75 [times] 2.5 = 187.5
Total hours needed 282.5
B) Minimum Total Hours Needed Per Shift
Shift
Total Hrs.
Per Day
Minimum
Percent
Total Hrs.
Needed
7-3 282.5 [times] 45% = 127.125
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3-11 282.5 [times] 35% = 98.875
11-7 282.5 [times] 20% = 56.500
100% 282.500
C) Licensed Nurse Time Per Shift
Shift
Minimum Hrs.
Per Shift
Minimum
Percent
Minimum Lic.
Nurse Hrs.
Required
7-3 127.125 [times] 25% = 31.781
3-11 98.875 [times] 25% = 24.719
11-7 56.500 [times] 25% = 14.125
D) Licensed Nurses Required
Shift
Minimum
Nurse Hrs.
Required
Hrs. Worked
Per Shift
# of Lic.
Nurses
Needed
7-3 31.781 [divided by] 8 = 3.973
3-11 24.719 [divided by] 8 = 3.090
11-7 14.125 [divided by] 8 = 1.766
E) Registered Nurse Time
Shift
Minimum
Registered
Nurse Hrs.
Per Shift
Minimum
Percent
Minimum
Registered
Nurse Hrs.
Required
7-3 127.125 [times] 10% = 12.712
3-11 98.875 [times] 10% = 9.887
11-7 56.500 [times] 10% = 5.650
F) Registered Nurses Required
Shift
Minimum
Registered
Nurse Hrs.
Hrs. Worked
Per Shift
# of Registered
Nurses Needed
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
Required
7-3 12.712 [divided by] 8 = 1.589
3-11 9.887 [divided by] 8 = 1.236
11-7 5.650 [divided by] 8 = .706
G) Additional Direct Care Hours*
Shift
Minimum
Total Hrs.
Needed Per
Shift
Lic. Nurse
Time
Worked Per
Shift
# of
Additional
Direct Care
Staff Hrs.*
Needed
7-3 127.125 [minus] 31.781 = 95.344
3-11 98.875 [minus] 24.719 = 74.156
11-7 56.500 [minus] 14.125 = 42.375
H) Additional Direct Care Staff* Required
Shift
Minimum
Additional
Direct Care
Hrs.
Required
Hrs.
Worked Per
Shift
# of Additional
Direct Care
Staff* Needed
7-3 95.344 [divided by] 8 = 11.918
3-11 74.156 [divided by] 8 = 9.270
11-7 42.375 [divided by] 8 = 5.300
*See subsection (l)(5).
(Source: Amended at 45 Ill. Reg. 1134, effective January 8, 2021)
Section 300.1231 Calculation of Direct Care Staffing During Inspections, Surveys and
Evaluations
a) Calculation of direct care staffing during inspections, surveys and evaluations will
be based on the finalized working schedule and daily census report totals for the
two-week period preceding the first day of the inspection. The work schedule
ILLINOIS REGISTER 1172
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
shall be determined as outlined in Section 300.1230(k) and shall be provided upon
request.
b) For certified facilities, copies of nurse staffing information required by 42 CFR
483.35(g) for the two-week period preceding the first day of the inspection shall
be provided upon request.
(Source: Added at 45 Ill. Reg. 1134, effective January 8, 2021)
Section 300.1232 Waiver of Registered Professional Nurse Staffing Requirements
a) Upon application by a facility, the Director may grant or renew a waiver, in
whole or in part, of the registered professional nurse staffing requirements
contained in Section 3-202.05(e) of the Act and Section 300.1230(c) of this Part,
considering the criteria in Section 300.320, if the facility demonstrates to the
Director's satisfaction that the facility is unable, despite diligent efforts, including
offering wages at a competitive rate for registered professional nurses in the
community, to employ the required number of registered professional nurses and
that the waivers will not endanger the health or safety of residents of the facility.
b) A facility in compliance with the terms of a waiver granted under Section 3-
303.1(c) of the Act and this Section will not be subject to fines or penalties
imposed by the Department for violating the registered professional nurse staffing
requirements of Section 3-202.05(e) of the Act and Section 300.1230(c). Nothing
in the Act or this Section allows the Director to grant or renew a waiver of the
minimum registered professional nurse staffing requirements provided in 42 CFR
483.35(b) to a facility that is Medicare-certified or to a facility that is both
Medicare-certified and Medicaid-certified.
c) Waivers granted under the Act and this Section will be reviewed quarterly by the
Department, including requiring a demonstration by the facility that it has
continued to make diligent efforts to employ the required number of registered
professional nurses, and shall be revoked for noncompliance with any of the
following requirements:
1) For periods in which the number of registered professional nurses
required by law is not in the facility, a physician or registered
professional nurse shall respond immediately to a telephone call from the
facility.
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
2) The facility to notify the following of the waiver: the Office of the State
Long Term Care Ombudsman, the residents of the facility, the residents'
guardians, and the residents' representatives. (Section 3-303.1(c) of the
Act)
d) A copy of each waiver application and each waiver granted or renewed by the
Department will be on file with the Department and available for public
inspection. The Director will annually review the file and recommend to the
Long-Term Care Facility Advisory Board any modification in this Part suggested
by the number and nature of waivers requested and granted and the difficulties
faced in compliance by similarly situated facilities. (Section 3-303.1(d) of the
Act)
e) If the Department grants a waiver to a facility under this Section, the facility shall
immediately notify the following of the waiver:
1) The Office of the State Long Term Care Ombudsman;
2) The residents of the facility;
3) The residents' guardians;
4) The residents' representatives (Section 3-303.1(c)(2) of the Act);
5) Individuals seeking information from the facility prior to admission to the
facility; and
6) The Illinois Department of Healthcare and Family Services Bureau of
Long-Term Care.
f) A request for a waiver from the registered professional nurse staffing
requirements shall be made in writing to the Department, specifying the
following:
1) A detailed explanation of why the facility is unable, despite diligent
efforts, including offering wages at a competitive rate for registered
professional nurses in the community, to employ the required number of
registered professional nurses (Section 3-303.1(c) of the Act);
ILLINOIS REGISTER 1174
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
2) A detailed description of the programs or services offered by the facility
for which the waiver is requested;
3) A detailed explanation of why the waiver will not endanger the health or
safety of residents of the facility (Section 3-303.1(c) of the Act);
4) The number of residents in the facility and the level of care they require,
the location and number of ambulatory and non-ambulatory residents, and
residents' decision making capacity; and
5) The time period for which the waiver is requested.
g) The Department may revoke a waiver granted to a facility if the facility fails to
comply with any of the requirements in the Act and this Section.
h) A facility operating under an initial license shall not be eligible for a waiver of
registered professional nurse staffing requirements.
i) A facility that has been subject to any of the following actions by the Department
in the three years prior to application shall not be eligible for a waiver of
registered professional nurse staffing requirements:
1) Issuance of one or more Type "AA" violations if operated by the same
owner at the time of the waiver application;
2) Issuance of two or more Type "A" violations if operated by the same
owner at the time of the waiver application; or
3) Issuance of two consecutive annual or bi-annual certification surveys with
substantiated substandard quality of care deficiencies.
j) No waiver shall exceed the duration of the current license or, in the case of an
application for license renewal, the duration of the renewal period. (Section 3-
303.1(a) of the Act) For facilities with two-year licenses, no waiver shall be
granted for a period that exceeds one year. Waivers shall not be transferable.
k) The Department will post on its website a list of facilities with approved waivers
by no later than June 30 of each year.
ILLINOIS REGISTER 1175
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
(Source: Added at 45 Ill. Reg. 1134, effective January 8, 2021)
Section 300.1233 Quarterly Administrative Staffing Compliance Review
a) The Department will determine compliance quarterly by comparing the number of
hours provided per resident per day using the Centers for Medicare and Medicaid
Services' payroll-based journal (PBJ) and the facility's daily census. (Section 3-
202.05(f) of the Act) PBJ data that is utilized for compliance shall not be
contested. For a crosswalk of job titles from Section 300.1230(i) versus PBJ job
titles, see Appendix B.
b) The quarterly deadlines for submitting PBJ data to the Department are as follows:
1) For the first fiscal quarter reporting period of October 1 through December
31, quarterly PBJ data is due to the Department on March 1.
2) For the second fiscal quarter reporting period of January 1 through March
31, quarterly PBJ data is due to the Department on June 1.
3) For the third fiscal quarter reporting period of April 1 through June 30,
quarterly PBJ data is due to the Department on September 1.
4) For the fourth fiscal quarter reporting period of July 1 through September
30, quarterly PBJ data is due to the Department on December 1.
c) Licensed-only facilities are not required to submit PBJ data to the Department but
shall submit quarterly staffing data to the Department in a format and manner
determined by the Department, adhering to the same deadlines as in subsection
(b).
d) The facility's daily census report shall be broken down by intermediate and skilled
care. (Section 3-202.05(f) of the Act) Required information for each day listed
on the report is as follows:
1) The date;
2) The total number of residents requiring skilled care for the date;
ILLINOIS REGISTER 1176
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
3) The total number of residents requiring intermediate care for the date; and
4) The total census for the date.
e) Facilities shall submit to [email protected] a separate daily
census report for each day of the month of the quarter, adhering to the same
deadlines as in subsection (b).
f) Failure to submit a required daily census report by the submission deadline shall
result in calculations based on skilled care direct care staffing requirements for
any of the missing information.
(Source: Added at 45 Ill. Reg. 1134, effective January 8, 2021)
Section 300.1234 Penalties and Notice of Violation
a) Notwithstanding any other provision of the Act or this Part, the Department will
impose penalties for violations of the minimum staffing requirements of the Act
and Section 300.1230, as follows:
1) No monetary penalty will be issued for noncompliance during the
implementation period, which will be July 1, 2020 through September 30,
2020. If a facility is found to be noncompliant during the implementation
period, the Department will provide a written notice identifying the
staffing deficiencies. The facility shall provide a sufficiently detailed
correction plan to meet the statutory minimum staffing levels.
2) Monetary penalties will be imposed by the Department beginning no later
than January 1, 2021, and quarterly thereafter, and shall be based on the
latest quarter for which the Department has data.
3) Monetary penalties shall be established based on a formula that
calculates, on a daily basis, the cost of wages and benefits for the missing
staffing hours. All notices of noncompliance issued by the Department
will include the computations used to determine noncompliance and
establishing the variance between minimum staffing ratios and the
Department's computations.
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
4) The penalty for the first offense shall be 125% of the cost of wages and
benefits for the missing staffing hours. The penalty will increase to 150%
of the cost of wages and benefits for the missing staffing hours for the
second offense and 200% of the cost of wages and benefits for the missing
staffing hours for the third and all subsequent offenses.
5) The penalty shall be imposed regardless of whether the facility has
committed other violations of the Act and this Part during the same period
that the staffing offense occurred.
6) The penalty may not be waived, but the Department may determine the
gravity of the violation in situations in which there is no more than a 10%
deviation from the staffing requirements and make appropriate
adjustments to the penalty.
A) A facility shall have 30 days from the receipt of the notice of
violation to request an adjustment to the penalty pursuant to this
subsection (a)(6).
B) This subsection does not apply to deviations due to a waiver
granted under Section 300.1232.
7) The Department may waive the penalty when unforeseen circumstances
have occurred that resulted in call-offs of scheduled staff. This provision
will be applied no more than 6 times per quarter. (Section 3-202.05(g) of
the Act) A facility shall have 30 days from the receipt of the notice of
violation to request a waiver of the penalty pursuant to this subsection
(a)(7). If the Department declines to waive the penalty, it will inform the
facility of the reasons why. For the purposes of this Section:
A) An unforeseen circumstance includes, but is not limited to, a
disaster as defined in Section 300.670(a), labor unrest, civil unrest,
a viral epidemic or pandemic, family emergency, or any cause
beyond the reasonable control of the facility.
B) "Six Times" means 6 unforeseen circumstances. If an unforeseen
circumstance occurs, the facility shall document the type of
unforeseen circumstance, the beginning and end dates of the
unforeseen circumstance, and how many scheduled staff called off
ILLINOIS REGISTER 1178
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
during the unforeseen circumstance. The facility shall submit the
report to the Department within 24 hours after the end of the
unforeseen circumstance. If the unforeseen circumstance is a viral
epidemic or pandemic, the facility shall submit regular reports to
the Department pursuant to Section 300.696.
b) Nothing in the Act or this Section diminishes a facility's right to appeal a
Department finding of non-compliance with the minimum staffing requirements
of Section 300.1230. (Section 3-202.05(g) of the Act) A facility shall have 30
days from the receipt of the notice of violation to file an appeal on a Department
finding of non-compliance.
c) The Department will notify the facility of non-compliance with the minimum
staffing requirements within 30 days after the latest quarter for which the
Department has complete staffing data. The notice shall contain, at a minimum:
1) The year and quarter the staffing shortfall occurred;
2) A summary breakdown of the total penalty showing results of calculations
made pursuant to subsection (d);
3) Citations to the Act and this Part relative to the violation;
4) The total amount of the fine, if any, the date by which payment is due to
be paid, and accepted forms of payment;
5) An explanation of consequences for nonpayment, incomplete payment, or
late payment (see subsection (e));
6) A statement of the facility's right to file an appeal of the violation, to
request an adjustment of the penalty when there is no more than a 10%
deviation from the staffing requirements, or request a waiver of the
penalty for an unforeseen circumstance; and
7) The process for filing an appeal or requesting an adjustment or a waiver of
the penalty.
d) The Department will use the following procedures to determine penalties for
facilities that fail to meet minimum direct care staffing ratios:
ILLINOIS REGISTER 1179
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
1) The Department will calculate penalties for unmet direct care staffing
hours using the most current median hourly wage data reported by U.S.
Department of Labor Bureau of Labor Statistics (BLS) in the BLS'
Occupational Employment Statistics' metropolitan and nonmetropolitan
Area Occupational Employment and Wage Estimates for the State of
Illinois, which is published at https://www.bls.gov/oes/current/
oessrcma.htm.
A) The hourly wage for unmet registered professional nurse hours will
be determined by the most current median hourly wage available
for RNs (defined as "registered nurses" with the BLS occupational
code 29-1141) in the metropolitan area in which the nursing
facility is located.
B) The hourly wage for unmet licensed practical nurse hours will be
determined by the most recent median hourly wage available for
LPNs (defined as "licensed practical and licensed vocational
nurses" with the BLS occupational code 29-2061) in the
metropolitan area in which the nursing facility is located.
C) The hourly wage for unmet hours of direct care staff who are not
registered nurses or licensed practical nurses will be determined by
the most recent median hourly wage available for CNAs (defined
as "nursing assistants" with the BLS occupational code 31-1014) in
the metropolitan area in which the nursing facility is located.
2) The Department will use the following formulas to determine the wage
cost for each day's unmet direct care staffing hours when a staffing-hours
shortfall is greater than zero. For the purposes of this Section, "median
wage" refers to the BLS wage rate for the metropolitan or non-
metropolitan area in which the facility is located.
A) The cost of RN hours shortfall = the RN hours shortfall x the
median RN wage.
B) The cost of LPN hours shortfall = the LPN hours shortfall x the
median LPN wage.
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
C) The cost of direct care hours shortfall = the direct care hours
shortfall x the median CNA wage.
3) The Department will use the following procedures to add the cost of
benefits to the cost of hourly wages identified in subsection (d)(2):
A) The Department will use a multiplier of 120% of the hourly wage
that would have been paid for each hour of deficiency in skilled,
intermediate or direct care. When calculating, under this subsection
(d)(3), the combined wage and benefit value basis to determine a
penalty for each violation, the wage per hour values shall be
determined by the most recent cost reports filed with the
Department of Healthcare and Family Services by facilities
licensed under the Nursing Home Care Act.
B) The Department will calculate the total compensation costs
(employee wages and benefits) of unmet direct care staffing hours
using the following formula, which applies a multiplier based on
the percentage identified in subsection (d)(3)(A) to the total direct
care staffing hour shortfalls identified in subsections (d)(2)(A),
(B), and (C):
Total Compensation Cost of Unmet Direct Care Staffing
Hours = (1.0 + (the Cost of Benefits Per Hour Worked/the
Cost of Wages Per Hour Worked)) X (Cost of RN Hours
Shortfall + Cost of LPN Hours Shortfall + Cost of Direct
Care Hours Shortfall)
4) The total penalty amount will be calculated based on the total
compensation cost of unmet direct care staffing hours calculated in
subsection (d)(3)(B), as follows:
A) If the violation is the facility's first violation for unmet direct care
staffing hours, the Total Compensation Cost for Unmet Direct Care
Staffing Hours will be multiplied by 125%.
B) If the violation is the facility's second violation for unmet direct
care staffing hours, the Total Compensation Cost for Unmet Direct
Care Staffing Hours will be multiplied by 150%.
ILLINOIS REGISTER 1181
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
C) If the violation is the facility's third violation or any violation
beyond the third, the Total Compensation Cost for Unmet Direct
Care Staffing Hours will be multiplied by 200%.
D) Any shortfall of hours within a quarter, regardless of whether the
shortfall is in all or only one direct care staff category, constitutes
one violation.
e) If the person or facility against whom a penalty has been assessed does not
comply with a written demand for payment within 30 days after receiving a notice
of violation, the Department will issue an order to do any of the following:
1) Direct the State Treasurer or Comptroller to deduct the amount of the fine
from amounts otherwise due from the State for the penalty and remit that
amount to the Department;
2) Add the amount of the penalty to the facility's licensing fee. If the licensee
refuses to make the payment at the time of application for renewal of its
license, the license shall not be renewed; or
3) Bring an action in circuit court to recover the amount of the penalty.
(Section 3-310 of the Act)
(Source: Added at 45 Ill. Reg. 1134, effective January 8, 2021)
ILLINOIS REGISTER 1182
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
Section 300.APPENDIX A Example of Staffing Calculations from Section
300.1230Interpretation, Components, and Illustrative Services for Intermediate Care
Facilities and Skilled Nursing Facilities: (Repealed)
A. Following is an example of staffing calculations assuming a 100-bed Skilled Nursing
Facility that has 25 residents needing skilled care and 75 residents needing intermediate
care.
Under Section 300.1230(d) requirements, staffing would be computed as follows:
1. Total Minimum Hours of Care Needed
Level of
Care
# of
Residents
Total Hrs.
Needed Per
Day Per
Resident
Total Hrs.
Needed Per
Day Per
Facility
Skilled 25 [times] 3.8 = 95.0
Intermediate 75 [times] 2.5 = 187.5
Total Hours Needed 282.5
2. Licensed Practical Nurse (LPN) Hours Required
Level of
Care
Total Hrs.
Needed Per
Day Per
Facility
Minimum
Percent
Minimum
LPN Hrs.
Required
Skilled 95.0 [times] 25% = 23.75
Intermediate 187.5 [times] 25% = 46.875
Total LPN Hours Needed 70.625
3. Registered Professional Nurse (RN) Hours Required
ILLINOIS REGISTER 1183
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
Level of
Care
Total Hrs.
Needed Per
Day Per
Facility
Minimum
Percent
Minimum
RN Hrs.
Required
Skilled 95.0 [times] 10% = 9.5
Intermediate 187.5 [times] 10% = 18.75
Total RN Hours Needed 28.25
4. Additional Direct Care Hours*
Level of
Care
Total Hrs.
Needed Per
Day Per
Facility
Licensed
Nurse
Hours
# of Additional
Direct Care
Staff Hrs.*
Needed
Per Day
Skilled 95.0 [minus] 23.75 = 71.25
Intermediate 187.5 [minus] 46.875 = 140.625
Additional Direct Care Hours Needed 211.875
*See Section 300.1230(k).
(Source: Former Appendix A repealed at 23 Ill. Reg. 8106, effective July 15, 1999; new
Appendix A added at 45 Ill. Reg. 1134, effective January 8, 2021)
ILLINOIS REGISTER 1184
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
Section 300.APPENDIX B Crosswalk of Nursing Home Care Act Job Descriptions and
Payroll Based Journal Job TitlesClassification of Distinct Part of a Facility for Different
Levels of Service (Repealed)
Nursing Staff
Illinois Category
Section 300.1230(i)
PBJ Job Title Code PBJ Job Description
Section 300.1230(i)(1)
Registered Nurses
Section 300.1230(i)(7)
Assistant Directors of
Nursing (DON) and
(i)(8) 50% DON
Job Titles 5, 7, 13 and 14 Registered Nurse
Registered Nurse, DON
Nurse Practitioner
Clinical Nurse Specialist
Section 300.1230(i)(2)
Licensed Practical Nurse
Job Title 9 Licensed Practical/Vocational
Nurse
Section 300.1230(i)(3)
Certified Nurse Assistants
Job Titles 10, 11 and 12 Certified Nurse Aide
Nurse Aide in Training
Medication Aide/Technician
Non-Nurse Direct Care Staff
Illinois Category
Section 300.1230(i)
PBJ Job Title Code PBJ Job Description
Section 300.1230(i)(4)
Psychiatric Services
Rehabilitation Aide
Section 300.1230(i)(6)
Psychiatric Services
Rehabilitation Coordinator
Job Title 34 Mental Health Service
Worker
Section 300.1230(i)(5)
Rehabilitation and Therapy
Aides
Job Titles 19, 20, 22, 23, 25
and 29
Occupational Therapy
Assistant
Occupational Therapy Aide
Physical Therapy Assistant
Physical Therapy Aide
Respiratory Therapy
Technician
Other Activities Staff
Section 300.1230(i)(9)
30% of Social Services
Job Titles 28 and 30 Qualified Activities
Professional
ILLINOIS REGISTER 1185
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DEPARTMENT OF PUBLIC HEALTH
NOTICE OF ADOPTED AMENDMENTS
Director Qualified Social Worker
Section 300.1230(i)(10)
Licensed Physical,
Occupational, Speech, and
Respiratory Therapists
Job Titles 18, 21, 24, 26 Occupational Therapist
Physical Therapy Therapist
Respiratory Therapist
Speech/Language Pathologist
(Source: Former Appendix B repealed at 16 Ill. Reg. 17089, effective November 3,
1992; new Appendix B added at 45 Ill. Reg. 1134, effective January 8, 2021)
ILLINOIS REGISTER 1186
21
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
NOTICE OF EMERGENCY AMENDMENT
1) Heading of the Part: Illinois Credit Union Act
2) Code Citation: 38 Ill. Adm. Code 190
3) Section Number: Emergency Action:
190.230 New Section
4) Statutory Authority: Implementing and authorized by the Illinois Credit Union Act [205
ILCS 305].
5) Effective Date of Rule: January 8, 2021
6) If this emergency rule is to expire before the end of the 150-day period, please specify the
date on which it is to expire: The Department has not set a date for the emergency to
expire before the end of the 150-day period.
7) Date Filed with Index Department: January 8, 2021
8) A copy of the emergency rule, including any material incorporated by reference, is on file
in the Division of Financial and Professional Regulation's principal office of the Division
of Professional Regulation and is available for public inspection.
9) Reason for Emergency: The Department finds that the COVID-19 pandemic reasonably
constitutes a threat to the public interest, safety, or welfare and that members physically
attending meetings poses risks to public health. Remote meetings promote social
distancing and reduce the risk of virus transmission. The amendment is also consistent
with flexibility provided by the National Credit Union Association due to the COVID-19
pandemic.
10) A Complete Description of the Subjects and Issues Involved: The amendment permits
the Board of Directors of Credit Unions to provide by resolution that all members may
attend, participate in, act, and vote at the annual meeting or special meeting of the
members through audio or video conference or other communication technology that
enables meeting participants to communicate with each other. The rule provides that
attendance through such means shall constitute in person attendance. Permitting remote
meeting eliminates unnecessary travel and will likely lead to greater member
participation. The Board of Directors is in the best position to determine whether remote
meetings are appropriate for a specific credit union. Remote meetings are commonly
permitted in other contexts (e.g. shareholder meetings) under Illinois law. This
ILLINOIS REGISTER 1187
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DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
NOTICE OF EMERGENCY AMENDMENT
amendment also modernizes the Act by removing ambiguity regarding the permissibility
of remote meetings.
The language is materially consistent with language in many other Illinois laws including
the General Not For Profit Corporation Act of 1986 and the Business Incorporation Act
of 1983.
11) Are there any other rulemakings pending on this Part? No
12) Statement of Statewide Policy Objective: This rulemaking will not require a local
government to establish, expand or modify its activities in such a way as to necessitate
additional expenditures from local revenues.
13) Information and questions regarding this emergency rule shall be directed to: Persons
who wish to comment on this emergency rule may submit written comments no later than
45 days after the publication of this Notice to:
Department of Financial and Professional Regulation
Attention: Craig Cellini
320 West Washington, 2nd Floor
Springfield IL 62786
217/785-0813
fax: 217/557-445
The full text of the Emergency Amendment begins on the next page:
ILLINOIS REGISTER 1188
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DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
NOTICE OF EMERGENCY AMENDMENT
TITLE 38: FINANCIAL INSTITUTIONS
CHAPTER I: DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
PART 190
ILLINOIS CREDIT UNION ACT
SUBPART A: GENERAL PROVISIONS
Section
190.2 Definitions
190.5 Credit Union Service Organizations
190.10 Field of Membership Procedures
190.15 Civil Penalty
190.20 Hearings
190.25 Regulatory Examination Consistency and Due Process
190.30 Cease and Desist Procedures
190.40 Removal or Suspension Procedures
190.50 Fees
190.60 General Accounting Procedures
190.70 Loan Loss Accounting Procedures
190.80 Use of Electronic Data Processing
190.90 Fixed Asset Investments
190.100 Classes of Share and Special Purpose Share Accounts
190.110 Share Drafts
190.120 Bond and Insurance Requirements
190.130 Verification of Share and Loan Accounts
190.140 Real Estate Lending
190.150 Reverse Mortgage (Repealed)
190.160 Lending Limits – Consumer Loans
190.165 Business Loans
190.170 Group Purchasing
190.180 Investments
190.185 Investment in "Other Financial Institutions"
190.190 Liquidation
190.200 Conversion of Charter
190.210 Reimbursement for Financial Records
190.220 Registration of Out of State Credit Unions
190.230 Remote Meetings
EMERGENCY
ILLINOIS REGISTER 1189
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DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
NOTICE OF EMERGENCY AMENDMENT
SUBPART B: HIGH RISK HOME LOANS
Section
190.500 Definitions (Repealed)
190.505 Applicability of Rule (Repealed)
190.510 Good Faith Requirements (Repealed)
190.515 Fraudulent or Deceptive Practices (Repealed)
190.520 Prohibited Refinances (Repealed)
190.525 Negative Amortization (Repealed)
190.530 Negative Equity (Repealed)
190.535 Balloon Payments (Repealed)
190.540 Financing of Certain Points and Fees (Repealed)
190.545 Financing of Single Premium Insurance Products (Repealed)
190.550 Lending Without Due Regard to Ability to Repay (Repealed)
190.555 Verification of Ability to Repay (Repealed)
190.560 Payments to Contractors (Repealed)
190.565 Counseling Prior to Perfecting Foreclosure (Repealed)
190.570 Mortgage Awareness Program (Repealed)
190.575 Offer of Mortgage Awareness Program (Repealed)
190.580 Third Party Review (Repealed)
SUBPART C: PAYDAY LOANS
Section
190.600 Definitions
190.601 Purpose and Scope
190.605 Applicability of Rule
190.610 Issuance of Payday Loans by Credit Unions
190.APPENDIX A Estimated Monthly Income and Expenses Worksheet (Repealed)
190.APPENDIX B Mortgage Ratio Worksheet (Repealed)
AUTHORITY: Implementing and authorized by the Illinois Credit Union Act [205 ILCS 305].
SOURCE: Adopted at 4 Ill. Reg. 20, p. 17, effective May 7, 1980; amended at 6 Ill. Reg. 11154,
effective September 7, 1982; amended and codified at 7 Ill. Reg. 14973, effective October 26,
1983; emergency amendment at 9 Ill. Reg. 14378, effective September 11, 1985, for a maximum
of 150 days; amended at 9 Ill. Reg. 16231, effective October 10, 1985; amended at 10 Ill. Reg.
ILLINOIS REGISTER 1190
21
DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
NOTICE OF EMERGENCY AMENDMENT
14667, effective August 27, 1986; amended at 12 Ill. Reg. 10464, effective June 7, 1988;
amended at 12 Ill. Reg. 17383, effective October 24, 1988; amended at 13 Ill. Reg. 3793,
effective March 10, 1989; amended at 13 Ill. Reg. 15998, effective October 2, 1989; emergency
amendment at 16 Ill. Reg. 12781, effective July 29, 1992, for a maximum of 150 days; amended
at 16 Ill. Reg. 17073, effective October 26, 1992; amended at 19 Ill. Reg. 2826, effective
February 24, 1995; amended at 20 Ill. Reg. 5803, effective April 8, 1996; emergency amendment
at 20 Ill. Reg. 13093, effective September 27, 1996, for a maximum of 150 days; emergency
expired February 17, 1997; amended at 22 Ill. Reg. 17317, effective September 15, 1998;
emergency amendment at 23 Ill. Reg. 3086, effective February 23, 1999, for a maximum of 150
days; emergency expired July 22, 1999; amended at 23 Ill. Reg. 12614, effective October 4,
1999; amended at 23 Ill. Reg. 14031, effective November 12, 1999; amended at 25 Ill. Reg.
6244, effective May 17, 2001; amended at 25 Ill. Reg. 13278, effective October 19, 2001;
amended at 26 Ill. Reg. 17999, effective December 9, 2002; amended at 28 Ill. Reg. 11699,
effective July 29, 2004; amended at 29 Ill. Reg. 10579, effective July 8, 2005; amended at 30 Ill.
Reg. 18919, effective December 4, 2006; amended at 32 Ill. Reg. 1377, effective January 16,
2008; amended at 34 Ill. Reg. 10500, effective July 12, 2010; amended at 37 Ill. Reg. 12450,
effective July 16, 2013; amended at 38 Ill. Reg. 19910, effective October 17, 2014; amended at
41 Ill. Reg. 4764, effective May 1, 2017; amended at 41 Ill. Reg. 11307, effective August 28,
2017; amended at 43 Ill. Reg. 303, effective January 1, 2019; amended at 44 Ill. Reg. 18320,
effective November 13, 2020; emergency amendment at 45 Ill. Reg. 1186, effective January 8,
2021, for a maximum of 150 days.
SUBPART A: GENERAL PROVISIONS
Section 190.230 Remote Meetings
EMERGENCY
Unless expressly prohibited by the articles of incorporation or bylaws and subject to
requirements of the Illinois Credit Union Act, the Board of Directors of a Credit Union may
provide by resolution that members may attend, participate in, act, and vote at any annual
meetings or special meetings through the use of a conference telephone or interactive
technology, including but not limited to electronic transmission, internet usage, or remote
communication, by means of which persons participating in the meeting can communicate with
each other. Participation through the use of a conference telephone or interactive technology
shall constitute attendance, presence, and representation in person at the annual meeting or
special meeting of the person or persons so participating and count towards quorum.
(Source: Added by emergency rulemaking at 45 Ill. Reg. 1186, effective January 8,
2021, for a maximum of 150 days)
ILLINOIS REGISTER 1191
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF EMERGENCY AMENDMENT
1) Heading of the Part: Long Term Care Reimbursement Changes
2) Code Citation: 89 Ill. Adm. Code 153
3) Section Number: Emergency Action:
153.125 Amendment
4) Statutory Authority: Section 12-13 of the Illinois Public Aid Code [305 ILCS 5/12-13]
5) Effective Date of Rule: January 6, 2021
6) If this emergency amendment is to expire before the end of the 150-day period, please
specify the date on which it is to expire: Upon adoption of the proposed general
rulemaking.
7) Date Filed with the Index Department: January 6, 2021
8) A copy of the emergency rule, including any materials incorporated by reference, is on
file in the Agency's principal office and is available for public inspection.
9) Reason for Emergency: PA 101-636 amends Section 5.5.4 of the Illinois Public Aid
Code and requires the Department to increase reimbursement rates under the medical
assistance program for ID/DD facilities and MC/DD facilities and to adopt emergency
rules to implement the provisions of this Section. The General Assembly deems the
adoption of these emergency rules to be necessary for the public interest, safety, and
welfare.
10) Complete Description of the Subjects and Issues Involved: This emergency amendment
implements medical assistance program reimbursement rate increases for facilities
licensed under ID/DD Community Care Act and the MC/DD Act as required by PA 101-
636.
11) Are there any other rulemakings pending on this Part? No
12) Statement of Statewide Policy Objective: This rulemaking is not anticipated to create nor
expand a State mandate on units of local government.
13) Information and questions regarding this emergency rule shall be directed to:
ILLINOIS REGISTER 1192
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF EMERGENCY AMENDMENT
Steffanie Garrett
General Counsel
Illinois Department of Healthcare and Family Services
201 South Grand Avenue E., 3rd Floor
Springfield IL 62763-0002
The full text of the Emergency Amendment begins on the next page:
ILLINOIS REGISTER 1193
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF EMERGENCY AMENDMENT
TITLE 89: SOCIAL SERVICES
CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER e: GENERAL TIME-LIMITED CHANGES
PART 153
LONG TERM CARE REIMBURSEMENT CHANGES
Section
153.100 Reimbursement for Long Term Care Services
153.125 Long Term Care Facility Rate Adjustments
EMERGENCY
153.126 Long Term Care Facility Medicaid Per Diem Adjustments
153.150 Quality Assurance Review (Repealed)
AUTHORITY: Implementing and authorized by Articles III, IV, V, VI and Section 12-13 of the
Illinois Public Aid Code [305 ILCS 5/Arts. III, IV, V and VI and 12-13].
SOURCE: Emergency rules adopted at 18 Ill. Reg. 2159, effective January 18, 1994, for
maximum of 150 days; adopted at 18 Ill. Reg. 10154, effective June 17, 1994; emergency
amendment at 18 Ill. Reg. 11380, effective July 1, 1994, for a maximum of 150 days; amended at
18 Ill. Reg. 16669, effective November 1, 1994; emergency amendment at 19 Ill. Reg. 10245,
effective June 30, 1995, for a maximum of 150 days; amended at 19 Ill. Reg. 16281, effective
November 27, 1995; emergency amendment at 20 Ill. Reg. 9306, effective July 1, 1996, for a
maximum of 150 days; amended at 20 Ill. Reg. 14840, effective November 1, 1996; emergency
amendment at 21 Ill. Reg. 9568, effective July 1, 1997, for a maximum of 150 days; amended at
21 Ill. Reg. 13633, effective October 1, 1997; emergency amendment at 22 Ill. Reg. 13114,
effective July 1, 1998, for a maximum of 150 days; amended at 22 Ill. Reg. 16285, effective
August 28, 1998; amended at 22 Ill. Reg. 19872, effective October 30, 1998; emergency
amendment at 23 Ill. Reg. 8229, effective July 1, 1999, for a maximum of 150 days; emergency
amendment at 23 Ill. Reg. 12794, effective October 1, 1999, for a maximum of 150 days;
amended at 23 Ill. Reg. 13638, effective November 1, 1999; emergency amendment at 24 Ill.
Reg. 10421, effective July 1, 2000, for a maximum of 150 days; amended at 24 Ill. Reg. 15071,
effective October 1, 2000; emergency amendment at 25 Ill. Reg. 8867, effective July 1, 2001, for
a maximum of 150 days; amended at 25 Ill. Reg. 14952, effective November 1, 2001; emergency
amendment at 26 Ill. Reg. 6003, effective April 11, 2002, for a maximum of 150 days;
emergency amendment repealed at 26 Ill. Reg. 12791, effective August 9, 2002, for a maximum
of 150 days; emergency amendment at 26 Ill. Reg. 11087, effective July 1, 2002, for a maximum
of 150 days; amended at 26 Ill. Reg. 17817, effective November 27, 2002; emergency
amendment at 27 Ill. Reg. 11088, effective July 1, 2003, for a maximum of 150 days; amended at
ILLINOIS REGISTER 1194
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF EMERGENCY AMENDMENT
27 Ill. Reg. 18880, effective November 26, 2003; emergency amendment at 28 Ill. Reg. 10218,
effective July 1, 2004, for a maximum of 150 days; amended at 28 Ill. Reg. 15584, effective
November 24, 2004; emergency amendment at 29 Ill. Reg. 1026, effective January 1, 2005, for a
maximum of 150 days; emergency amendment at 29 Ill. Reg. 4740, effective March 18, 2005,
for a maximum of 150 days; amended at 29 Ill. Reg. 6979, effective May 1, 2005; amended at 29
Ill. Reg. 12452, effective August 1, 2005; emergency amendment at 30 Ill. Reg. 616, effective
January 1, 2006, for a maximum of 150 days; emergency amendment modified pursuant to the
Joint Committee on Administrative Rules Objection at 30 Ill. Reg. 7817, effective April 7, 2006,
for the remainder of the maximum 150 days; amended at 30 Ill. Reg. 10417, effective May 26,
2006; emergency amendment at 30 Ill. Reg. 11853, effective July 1, 2006, for a maximum of 150
days; emergency expired November 27, 2006; amended at 30 Ill. Reg. 14315, effective August
18, 2006; emergency amendment at 30 Ill. Reg. 18779, effective November 28, 2006, for a
maximum of 150 days; amended at 31 Ill. Reg. 6954, effective April 26, 2007; emergency
amendment at 32 Ill. Reg. 535, effective January 1, 2008, for a maximum of 150 days;
emergency amendment at 32 Ill. Reg. 4105, effective March 1, 2008, for a maximum of 150
days; amended at 32 Ill. Reg. 7761, effective May 5, 2008; amended at 32 Ill. Reg. 9972,
effective June 27, 2008; amended at 33 Ill. Reg. 9347, effective July 1, 2009; emergency
amendment at 34 Ill. Reg. 17462, effective November 1, 2010, for a maximum of 150 days;
amended at 35 Ill. Reg. 6171, effective March 28, 2011; amended at 35 Ill. Reg. 19524, effective
December 1, 2011; emergency amendment at 36 Ill. Reg. 10416, effective July 1, 2012 through
June 30, 2013; amended at 36 Ill. Reg. 17405, effective December 1, 2012; amended at 37 Ill.
Reg. 10529, effective June 27, 2013; emergency amendment at 38 Ill. Reg. 15732, effective July
7, 2014, for a maximum of 150 days; amended at 38 Ill. Reg. 23799, effective December 2,
2014; emergency amendment at 39 Ill. Reg. 6956, effective May 1, 2015 through June 30, 2015;
emergency amendment at 41 Ill. Reg. 12632, effective September 25, 2017, for a maximum of
150 days; amended at 42 Ill. Reg. 4594, effective February 20, 2018; emergency amendment at
42 Ill. Reg. 16562, effective August 27, 2018, for a maximum of 150 days; emergency expired
January 23, 2019; amended at 43 Ill. Reg. 2253, effective February 4, 2019; emergency
amendment at 45 Ill. Reg. 1191, effective January 6, 2021, for a maximum of 150 days.
Section 153.125 Long Term Care Facility Rate Adjustments
EMERGENCY
a) Notwithstanding the provisions set forth in Section 153.100, long term care
facility (SNF/ICF and ICF/MR) rates established on July 1, 1996 shall be
increased by 6.8 percent for services provided on or after January 1, 1997.
b) Notwithstanding the provisions set forth in Section 153.100, long term care
facility (SNF/ICF and ICF/MR) rates and developmental training rates established
ILLINOIS REGISTER 1195
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF EMERGENCY AMENDMENT
on July 1, 1998, for services provided on or after that date, shall be increased by
three percent. For nursing facilities (SNF/ICF) only, $1.10 shall also be added to
the nursing component of the rate.
c) Notwithstanding the provisions set forth in Section 153.100, long term care
facility (SNF/ICF and ICF/MR) rates and developmental training rates established
on July 1, 1999, for services provided on or after that date, shall include:
1) an increase of 1.6 percent for SNF/ICF, ICF/MR and developmental
training rates;
2) an additional increase of $3.00 per resident day for ICF/MR rates; and
3) an increase of $10.02 per person, per month for developmental training
rates.
d) Notwithstanding the provisions set forth in Section 153.100, SNF/ICF rates shall
be increased by $4.00 per resident day for services provided on or after October 1,
1999.
e) Notwithstanding the provisions set forth in Section 153.100, SNF/ICF, ICF/MR
and developmental training rates shall be increased 2.5 percent per resident day
for services provided on or after July 1, 2000.
f) Notwithstanding the provisions set forth in Section 153.100, nursing facility
(SNF/ICF) rates effective on July 1, 2001 shall be computed using the most recent
cost reports on file with the Department no later than April 1, 2000, updated for
inflation to January 1, 2001.
1) The Uniform Building Value shall be as defined in 89 Ill. Adm. Code
140.570(b)(10), except that, as of July 1, 2001, the definition of current
year is the year 2000.
2) The real estate tax bill that was due to be paid in 1999 by the nursing
facility shall be used in determination of the capital component of the rate.
The real estate tax component shall be removed from the capital rate if the
facility's status changes so as to be exempt from assessment to pay real
estate taxes.
ILLINOIS REGISTER 1196
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF EMERGENCY AMENDMENT
3) For rates effective July 1, 2001 only, rates shall be the greater of the rate
computed for July 1, 2001 or the rate effective on June 30, 2001.
4) All accounting records and other documentation necessary to support the
costs and other information reported on the cost report to be used in
accordance with rate setting under Section 153.125(f) shall be kept for a
minimum of two years after the Department's final payment using rates
that were based in part on that cost report.
g) Notwithstanding the provisions set forth in Section 153.100, intermediate care
facilities for persons with developmental disabilities (ICF/MR), including skilled
nursing facilities for persons under 22 years of age (SNF/Ped), shall receive an
increase in rates for residential services equal to a statewide average of 7.85
percent. Residential rates taking effect March 1, 2001, for services provided on or
after that date, shall include an increase of 11.01 percent to the residential
program rate component and an increase of 3.33 percent to the residential support
rate component, each of which shall be adjusted by the geographical area adjuster,
as defined by the Department of Human Services (DHS).
h) For developmental training services provided on or after March 1, 2001, for
residents of long term care facilities, rates shall include an increase of 9.05
percent and rates shall be adjusted by the geographical area adjuster, as defined by
DHS.
i) Notwithstanding the provisions set forth in Section 153.100, daily rates for
intermediate care facilities for persons with developmental disabilities (ICF/MR),
including skilled long term care facilities for persons under 22 years of age
(SNF/Ped), shall be increased by 2.247 percent for services provided during the
period beginning on April 11, 2002, and ending on June 30, 2002.
j) Notwithstanding the provisions set forth in Section 153.100, daily rates effective
on July 1, 2002, for intermediate care facilities for persons with developmental
disabilities (ICF/MR), including skilled long term care facilities for persons under
22 years of age (SNF/Ped), shall be reduced to the level of the rates in effect on
April 10, 2002.
k) Notwithstanding the provisions set forth in Section 153.100, nursing facility
(SNF/ICF) rates effective on July 1, 2002 will be 5.9 percent less than the rates in
effect on June 30, 2002.
ILLINOIS REGISTER 1197
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF EMERGENCY AMENDMENT
l) Notwithstanding the provisions set forth in Section 153.100, daily rates effective
on July 1, 2003, for intermediate care facilities for persons with developmental
disabilities (ICF/MR), including skilled long term care facilities for persons under
22 years of age (SNF/Ped), shall be increased by 3.59 percent.
m) Notwithstanding the provisions set forth in Section 153.100, developmental
training rates effective on July 1, 2003 shall be increased by 4 percent.
n) Notwithstanding the provisions set forth in Section 153.100, pending the
approvals described in this subsection (n), nursing facility (SNF/ICF) rates
effective July 1, 2004 shall be 3.0 percent greater than the rates in effect on June
30, 2004. The increase is contingent on approval of both the payment
methodologies required under Article 5A-12 of the Public Aid Code [305 ILCS
5/5A-12] and the waiver granted under 42 CFR 433.68.
o) Notwithstanding the provisions set forth in Section 153.100, the "Original
Building Base Cost" for nursing facilities (SNF/ICF) which have been rented
continuously from an unrelated party since prior to January 1, 1978, effective on
July 1, 2004, shall be added to the capital rate calculation using the most recent
cost reports on file with the Department no later than June 30, 2004. The
"Original Building Base Cost" as defined in 89 Ill. Adm. Code 140.570 shall be
calculated from the original lease information that is presently on file with the
Department. This original lease information will be used to capitalize the oldest
available lease payment from the unrelated party lease that has been in effect
since prior to January 1, 1978, and continued to be in effect on December 31,
1999. Before the lease payment is capitalized, a 15 percent portion will be
removed from the oldest available lease payment for movable equipment costs.
After the lease payment is capitalized, a portion of the capitalized amount will be
removed for land cost. The land cost portion is 4.88 percent. The remaining
amount will be the facility's building cost. The construction/acquisition year for
the building will be the date the pre-1978 lease began. The allowable cost of
subsequent improvements to the building will be included in the original building
base cost. The original building base cost will not change due to sales or leases of
the facility after January 1, 1978.
p) Notwithstanding the provisions set forth in Section 153.100, nursing facility
(SNF/ICF) rates effective on January 1, 2005 will be 3.0 percent more than the
rates in effect on December 31, 2004.
ILLINOIS REGISTER 1198
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF EMERGENCY AMENDMENT
q) Notwithstanding the provisions set forth in Section 153.100, nursing facility
(SNF/ICF) rates shall be increased by the difference between a facility's per diem
property, liability and malpractice insurance costs as reported in the cost report
that was filed with the Department and used to establish rates effective July 1,
2001, and those same costs as reported in the facility's 2002 cost report. These
costs shall be passed through to the facility without caps or limitations.
r) Notwithstanding the provisions set forth in Section 153.100, daily rates effective
on January 1, 2006 for intermediate care facilities for persons with developmental
disabilities (ICF/MR), including skilled long term care facilities for persons under
22 years of age (SNF/Ped), shall be increased by 3 percent.
s) Notwithstanding the provisions set forth in Section 153.100, developmental
training rates for intermediate care facilities for persons with developmental
disabilities (ICF/MR), including skilled long term care facilities for persons under
22 years of age (SNF/Ped), effective on January 1, 2006 shall be increased by 3
percent.
t) Notwithstanding the provisions set forth in Section 153.100, for facilities that are
federally defined as Institutions for Mental Disease (see Section 145.30), a
socio-development component rate equal to 6.6% of the nursing component rate
as of January 1, 2006 shall be established and paid effective July 1, 2006. This
rate shall become a part of the facility's nursing component of the Medicaid rate.
While this rate may be adjusted by the Department, the rate shall not be reduced.
u) Notwithstanding any other provision of this Section, for facilities licensed by the
Department of Public Health under the Nursing Home Care Act as skilled nursing
facilities or intermediate care facilities, the support component of the rates taking
effect on January 1, 2008 shall be computed using the most recent cost reports on
file with the Department of Healthcare and Family Services no later than April 1,
2005, updated for inflation to January 1, 2006.
1) Support rates taking effect on January 1, 2008 shall be adjusted based on
audits of cost report data in accordance with 89 Ill. Adm. Code 140.582(b)
and 140.590. The audited cost report data will be used to retroactively
update the resulting support rate effective January 1, 2008, after the
45-day appeal period from Section 140.582(b) has passed.
ILLINOIS REGISTER 1199
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF EMERGENCY AMENDMENT
2) All accounting records and other documentation necessary to support the
costs and other information reported on the cost report to be used in
accordance with rate setting under this subsection (u) shall be kept for a
minimum of two years after the Department's final payment using rates
that were based in part on that cost report.
v) Notwithstanding the provisions set forth in Section 153.100, pursuant to Public
Act 95-0744, for services beginning August 1, 2008, the socio-development
component for facilities that are federally defined as Institutions for Mental
Disease (see 89 Ill. Adm. Code 145.30) shall equal 6.6% of the facility's nursing
component rate as of January 1, 2006, multiplied by a factor of 3.53.
w) Notwithstanding the provisions set forth in Section 153.100, pursuant to Public
Act 95-0744, for services beginning January 1, 2009, the support component for
skilled and intermediate care facilities that was effective on January 1, 2008,
computed using the most recent cost reports on file with the Department of
Healthcare and Family Services no later than April 1, 2005, updated for inflation
to January 1, 2006, shall be increased to the amount that would have been derived
using standard Department of Healthcare and Family Services methods,
procedures and inflators described in Sections 140.533, 140.551, 140.553 and
140.561.
x) Notwithstanding the provisions set forth in Section 153.100, effective November
1, 2010, the program and support components of the per diem rate for ICF/MR
qualifying under 89 Ill. Adm. Code 144.102 shall be adjusted in accordance with
that Section.
y) Notwithstanding the provisions set forth in Section 153.100, pursuant to Public
Act 96-1530, for services beginning May 1, 2011, the socio-development
component for facilities that are federally defined as Institutions for Mental
Disease (IMD) (see 89 Ill. Adm. Code 145.30) and that are Medicaid certified will
have the nursing component of their rate fully funded using the MDS
methodology and will also receive an increase to their socio-development
component rate. The socio-development component rate increase will be equal to
two-thirds of the difference between the highest nursing rate among the Medicaid
certified IMD facilities and the individual IMD's nursing rate. This rate change is
subject to approval by the Centers for Medicare and Medicaid Services of the U.S.
Department of Health and Human Services.
ILLINOIS REGISTER 1200
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF EMERGENCY AMENDMENT
z) Notwithstanding the provisions set forth in Section 153.100, effective for services
beginning May 1, 2011, facilities that are federally defined as Institutions for
Mental Disease (see 89 Ill. Adm. Code 145.30) and determined to be Subpart T
facilities (see 89 Ill. Adm. Code 145.10) will receive an increase to their
socio-development component rate of $.50 per day, per resident.
aa) Notwithstanding the provisions set forth in Section 153.100, effective for services
beginning August 1, 2017, facilities licensed by the Department of Public Health
under the ID/DD Community Care Act [210 ILCS 47] as an ID/DD facility and
medically complex for the developmentally disabled facilities licensed under the
MC/DD Act [210 ILCS 46] as an MC/DD facility will receive an increase to their
reimbursement rates sufficient to provide a $0.75 per hour wage increase for non-
executive staff. This increase shall apply to the facility per diem rates and
developmental training rates.
bb) Notwithstanding the provisions set forth in Section 153.100, effective for services
beginning July 1, 2018, facilities licensed by the Department of Public Health
under the ID/DD Community Care Act [210 ILCS 47] or MC/DD Act [210 ILCS
46] will receive an increase to the facility per diem rates and developmental
training rates as follows:
1) Facilities outside the geographic boundaries of the City of Chicago will
receive an increase to their reimbursement rates sufficient to provide a
$0.50 per hour wage increase for front-line personnel.
2) Facilities inside the geographic boundaries of the City of Chicago will
receive an increase to their reimbursement rates sufficient to provide a
$0.54 per hour wage increase for front-line personnel.
cc) Notwithstanding the provisions set forth in Section 153.100, pursuant to 305
ILCS 5/5-5.4(j), effective for services beginning July 1, 2018, the per diem rate
will be increased by $21.15 for facilities with more than 16 beds licensed by the
Department of Public Health under the ID/DD Community Care Act [210 ILCS
47] and located in the Department of Public Health's Planning Area 7-B.
dd) Notwithstanding the provisions set forth in Section 153.100, facilities licensed by
the Department of Public Health under ID/DD Community Care Act [210 ILCS
47] or MC/DD Act [210 ILCS 46] will receive an increase to their facility rate:
ILLINOIS REGISTER 1201
21
DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
NOTICE OF EMERGENCY AMENDMENT
1) Effective June 1, 2020, facilities will receive an increase to their
reimbursement rates sufficient to provide a $0.26 per hour wage increase
for non-executive staff.
2) Effective July 1, 2020, facilities will receive an increase to their
reimbursement rates sufficient to provide a $1.00 per hour wage increase
for non-executive staff. Facilities shall use these additional funds to
provide a direct increase to wages for non-executive staff by at least $0.80
per hour, with priority given to direct care staff wages.
3) Effective January 1, 2021, facilities will receive an increase to their
reimbursement rates sufficient to provide a $0.50 per hour wage increase
for non-executive staff. Facilities shall use these additional funds to
provide a direct increase to wages for non-executive staff by at least $0.40
per hour, with priority given to direct care staff wages.
(Source: Amended by emergency rulemaking at 45 Ill. Reg. 1191, effective January 6,
2021, for a maximum of 150 days)
ILLINOIS REGISTER 1202
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF EMERGENCY AMENDMENT
1) Heading of the Part: Hospital Licensing Requirements
2) Code Citation: 77 Ill. Adm. Code 250
3) Section Number: Emergency Action:
250.3 New Section
4) Statutory Authority: Hospital Licensing Act [210 ILCS 85]
5) Effective Date of Rule: January 8, 2021
6) If this emergency rule is to expire before the end of the 150-day period, please specify the
date on which they are to expire: The emergency amendment will expire at the end of the
150-day period or upon repeal of the emergency rule.
7) Date Filed with the Index Department: January 8, 2021
8) A copy of the emergency rule, including any material incorporated by reference, is on file
in the Agency's principal office and is available for public inspection.
9) Reason for Emergency: This emergency rule is adopted in response to Governor JB
Pritzker's Gubernatorial Disaster Proclamations issued during 2020 related to COVID-19.
Section 5-45 of the Illinois Administrative Procedure Act [5 ILCS 100/5-45] defines
"emergency" as "the existence of any situation that any agency finds reasonably
constitutes a threat to the public interest, safety, or welfare." The COVID-19 outbreak in
Illinois is a significant public health crisis that warrants these emergency rules.
10) A Complete Description of the Subjects and Issues Involved: This emergency
amendment implements a new waiver from the Centers for Medicare and Medicaid
Services (CMMS) that exempts qualifying hospitals from compliance with subsections
482.23(b) and (b)(1) of the Hospital Conditions of Participation (42 CFR 482).
Qualifying hospitals will be permitted to provide limited inpatient services directly in a
patient's home. The purpose of the CMMS waiver is to alleviate the strain on hospitals
from increased hospitalizations and the consequent lack of resources due to the COVID-
19 pandemic, and to safely protect those with comorbidities from contracting COVID-19.
11) Are there any other rulemakings pending on this Part? No
ILLINOIS REGISTER 1203
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF EMERGENCY AMENDMENT
12) Statement of Statewide Policy Objective: This rulemaking will not create or expand a
State mandate.
13) Information and questions regarding this emergency rule shall be directed to:
Elizabeth Paton
Acting Rules Coordinator
Division of Legal Services
Illinois Department of Public Health
535 W. Jefferson St., 5th floor
Springfield IL 62761
217/782-2043
The full text of the Emergency Amendment begins on the next page:
ILLINOIS REGISTER 1204
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF EMERGENCY AMENDMENT
TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER b: HOSPITALS AND AMBULATORY CARE FACILITIES
PART 250
HOSPITAL LICENSING REQUIREMENTS
SUBPART A: GENERAL PROVISIONS
Section
250.1 COVID-19 Emergency Provisions
EMERGENCY
250.2 COVID-19 Emergency Provisions for Hospitals, Hospital Alternate Care
Facilities, and State Alternate Care Facilities
EMERGENCY
250.3 COVID-19 Emergency Provisions – At-Home Patient Care
EMERGENCY
250.100 Definitions
250.105 Incorporated and Referenced Materials
250.110 Application for and Issuance of Permit to Establish a Hospital
250.120 Application for and Issuance of a License to Operate a Hospital
250.130 Administration by the Department
250.140 Hearings
250.150 Definitions (Renumbered)
250.160 Incorporated and Referenced Materials (Renumbered)
SUBPART B: ADMINISTRATION AND PLANNING
Section
250.210 The Governing Board
250.220 Accounting
250.230 Planning
250.240 Admission and Discharge
250.245 Failure to Initiate Criminal Background Checks
250.250 Visiting Rules
250.260 Patients' Rights
250.265 Language Assistance Services
250.270 Manuals of Procedure
250.280 Agreement with Designated Organ Procurement Agencies
ILLINOIS REGISTER 1205
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF EMERGENCY AMENDMENT
250.285 Smoking Restrictions
250.290 Safety Alert Notifications
SUBPART C: THE MEDICAL STAFF
Section
250.310 Organization
250.315 House Staff Members
250.320 Admission and Supervision of Patients
250.330 Orders for Medications and Treatments
250.340 Availability for Emergencies
SUBPART D: PERSONNEL SERVICE
Section
250.410 Organization
250.420 Personnel Records
250.430 Duty Assignments
250.435 Health Care Worker Background Check
250.440 Education Programs
250.445 Workplace Violence Prevention Program
250.450 Personnel Health Requirements
250.460 Benefits
SUBPART E: LABORATORY
Section
250.510 Laboratory Services
250.520 Blood and Blood Components
250.525 Designated Blood Donor Program
250.530 Proficiency Survey Program (Repealed)
250.540 Laboratory Personnel (Repealed)
250.550 Western Blot Assay Testing Procedures (Repealed)
SUBPART F: RADIOLOGICAL SERVICES
Section
250.610 General Diagnostic Procedures and Treatments
250.620 Radioactive Isotopes
ILLINOIS REGISTER 1206
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF EMERGENCY AMENDMENT
250.630 General Policies and Procedures Manual
SUBPART G: GENERAL HOSPITAL EMERGENCY SERVICES
Section
250.710 Classification of Emergency Services
250.720 General Requirements
250.725 Notification of Emergency Personnel
250.730 Community or Areawide Planning
250.740 Disaster and Mass Casualty Program
250.750 Medical Forensic Services for Sexual Assault Survivors
SUBPART H: RESTORATIVE AND REHABILITATION SERVICES
Section
250.810 Applicability of Other Parts of These Requirements
250.820 General
250.830 Classifications of Restorative and Rehabilitation Services
250.840 General Requirements for all Classifications
250.850 Specific Requirements for Comprehensive Physical Rehabilitation Services
250.860 Medical Direction
250.870 Nursing Care
250.880 Additional Allied Health Services
250.890 Animal-Assisted Therapy
SUBPART I: NURSING SERVICE AND ADMINISTRATION
Section
250.910 Nursing Services
250.920 Organizational Plan
250.930 Role in hospital planning
250.940 Job descriptions
250.950 Nursing committees
250.960 Specialized nursing services
250.970 Nursing Care Plans
250.980 Nursing Records and Reports
250.990 Unusual Incidents
250.1000 Meetings
250.1010 Education Programs
ILLINOIS REGISTER 1207
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF EMERGENCY AMENDMENT
250.1020 Licensure
250.1030 Policies and Procedures
250.1035 Domestic Violence Standards
250.1040 Patient Care Units
250.1050 Equipment for Bedside Care
250.1060 Drug Services on Patient Unit
250.1070 Care of Patients
250.1075 Use of Restraints
250.1080 Admission Procedures Affecting Care
250.1090 Sterilization and Processing of Supplies
250.1100 Infection Control
250.1110 Mandatory Overtime Prohibition
250.1120 Staffing Levels
250.1130 Nurse Staffing by Patient Acuity
SUBPART J: SURGICAL AND RECOVERY ROOM SERVICES
Section
250.1210 Surgery
250.1220 Surgery Staff
250.1230 Policies & Procedures
250.1240 Surgical Privileges
250.1250 Surgical Emergency Care
250.1260 Operating Room Register and Records
250.1270 Surgical Patients
250.1280 Equipment
250.1290 Safety
250.1300 Operating Room
250.1305 Visitors in Operating Room
250.1310 Cleaning of Operating Room
250.1320 Postanesthesia Care Units
SUBPART K: ANESTHESIA SERVICES
Section
250.1410 Anesthesia Service
SUBPART L: RECORDS AND REPORTS
ILLINOIS REGISTER 1208
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF EMERGENCY AMENDMENT
Section
250.1510 Medical Records
250.1520 Reports
SUBPART M: FOOD SERVICE
Section
250.1610 Dietary Department Administration
250.1620 Facilities
250.1630 Menus and Nutritional Adequacy
250.1640 Diet Orders
250.1650 Frequency of Meals
250.1660 Therapeutic (Modified) Diets
250.1670 Food Preparation and Service
250.1680 Sanitation
SUBPART N: HOUSEKEEPING AND LAUNDRY SERVICES
Section
250.1710 Housekeeping
250.1720 Garbage, Refuse and Solid Waste Handling and Disposal
250.1730 Insect and Rodent Control
250.1740 Laundry Service
250.1750 Soiled Linen
250.1760 Clean Linen
SUBPART O: OBSTETRIC AND NEONATAL SERVICE
Section
250.1810 Applicability of Other Provisions of this Part
250.1820 Obstetric and Neonatal Service (Perinatal Service)
250.1830 General Requirements for All Obstetric Departments
250.1840 Discharge of Newborn Infants from Hospital
250.1845 Caesarean Birth
250.1850 Single Room Postpartum Care of Mother and Infant
250.1860 Special Programs (Repealed)
250.1870 Labor, Delivery, Recovery and Postpartum Care
SUBPART P: ENGINEERING AND MAINTENANCE OF THE PHYSICAL PLANT, SITE,
ILLINOIS REGISTER 1209
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF EMERGENCY AMENDMENT
EQUIPMENT, AND SYSTEMS – HEATING, COOLING, ELECTRICAL, VENTILATION,
PLUMBING, WATER, SEWER, AND SOLID WASTE DISPOSAL
Section
250.1910 Maintenance
250.1920 Emergency electric service
250.1930 Water Supply
250.1940 Ventilation, Heating, Air Conditioning, and Air Changing Systems
250.1950 Grounds and Buildings Shall be Maintained
250.1960 Sewage, Garbage, Solid Waste Handling and Disposal
250.1970 Plumbing
250.1980 Fire and Safety
SUBPART Q: CHRONIC DISEASE HOSPITALS
Section
250.2010 Definition
250.2020 Requirements
SUBPART R: PHARMACY OR DRUG AND MEDICINE SERVICE
Section
250.2110 Service Requirements
250.2120 Personnel Required
250.2130 Facilities for Services
250.2140 Pharmacy and Therapeutics Committee
SUBPART S: PSYCHIATRIC SERVICES
Section
250.2210 Applicability of other Parts of these Regulations
250.2220 Establishment of a Psychiatric Service
250.2230 The Medical Staff
250.2240 Nursing Service
250.2250 Allied Health Personnel
250.2260 Staff and Personnel Development and Training
250.2270 Admission, Transfer and Discharge Procedures
250.2280 Care of Patients
250.2290 Special Medical Record Requirements for Psychiatric Hospitals and Psychiatric
ILLINOIS REGISTER 1210
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF EMERGENCY AMENDMENT
Units of General Hospitals or General Hospitals Providing Psychiatric Care
250.2300 Diagnostic, Treatment and Physical Facilities and Services
SUBPART T: DESIGN AND CONSTRUCTION STANDARDS
Section
250.2410 Applicability of these Standards
250.2420 Submission of Plans for New Construction, Alterations or Additions to Existing
Facility
250.2430 Preparation of Drawings and Specifications – Submission Requirements
250.2440 General Hospital Standards
250.2442 Fees
250.2443 Advisory Committee
250.2450 Details
250.2460 Finishes
250.2470 Structural
250.2480 Mechanical
250.2490 Plumbing and Other Piping Systems
250.2500 Electrical Requirements
SUBPART U: CONSTRUCTION REQUIREMENTS FOR EXISTING HOSPITALS
Section
250.2610 Applicability of Subpart U
250.2620 Codes and Standards
250.2630 Existing General Hospital Requirements
250.2640 Details
250.2650 Finishes
250.2660 Mechanical
250.2670 Plumbing and Other Piping Systems
250.2680 Electrical Requirements
SUBPART V: SPECIAL CARE AND/OR SPECIAL SERVICE UNITS
Section
250.2710 Special Care and/or Special Service Units
250.2720 Day Care for Mildly Ill Children
SUBPART W: ALCOHOLISM AND INTOXICATION TREATMENT SERVICES
ILLINOIS REGISTER 1211
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF EMERGENCY AMENDMENT
Section
250.2810 Applicability of Other Parts of These Requirements
250.2820 Establishment of an Alcoholism and Intoxication Treatment Service
250.2830 Classification and Definitions of Service and Programs
250.2840 General Requirements for all Hospital Alcoholism Program Classifications
250.2850 The Medical and Professional Staff
250.2860 Medical Records
250.2870 Referral
250.2880 Client Legal and Human Rights
250.APPENDIX A Codes and Standards (Repealed)
250.EXHIBIT A Codes (Repealed)
250.EXHIBIT B Standards (Repealed)
250.EXHIBIT C Addresses of Sources (Repealed)
250.ILLUSTRATION A Seismic Zone Map
250.TABLE A Measurements Essential for Level I, II, III Hospitals
250.TABLE B Sound Transmission Limitations in General Hospitals
250.TABLE C Filter Efficiencies for Central Ventilation and Air Conditioning Systems in
General Hospitals (Repealed)
250.TABLE D General Pressure Relationships and Ventilation of Certain Hospital Areas
(Repealed)
250.TABLE E Piping Locations for Oxygen, Vacuum and Medical Compressed Air
250.TABLE F General Pressure Relationships and Ventilation of Certain Hospital Areas
250.TABLE G Insulation/Building Perimeter
AUTHORITY: Implementing and authorized by the Hospital Licensing Act [210 ILCS 85] and
authorized by the Department of Public Health Act [20 ILCS 2305].
SOURCE: Rules repealed and new rules adopted August 27, 1978; emergency amendment at 2
Ill. Reg. 31, p. 73, effective July 24, 1978, for a maximum of 150 days; amended at 2 Ill. Reg.
21, p. 49, effective May 16, 1978; emergency amendment at 2 Ill. Reg. 31, p. 73, effective July
24, 1978, for a maximum of 150 days; amended at 2 Ill. Reg. 45, p. 85, effective November 6,
1978; amended at 3 Ill. Reg. 17, p. 88, effective April 22, 1979; amended at 4 Ill. Reg. 22, p.
233, effective May 20, 1980; amended at 4 Ill. Reg. 25, p. 138, effective June 6, 1980; amended
at 5 Ill. Reg. 507, effective December 29, 1980; amended at 6 Ill. Reg. 575, effective December
30, 1981; amended at 6 Ill. Reg. 1655, effective January 27, 1982; amended at 6 Ill. Reg. 3296,
effective March 15, 1982; amended at 6 Ill. Reg. 7835 and 7838, effective June 17, 1982;
amended at 7 Ill. Reg. 962, effective January 6, 1983; amended at 7 Ill. Reg. 5218 and 5221,
ILLINOIS REGISTER 1212
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF EMERGENCY AMENDMENT
effective April 4, 1983 and April 5, 1983; amended at 7 Ill. Reg. 6964, effective May 17, 1983;
amended at 7 Ill. Reg. 8546, effective July 12, 1983; amended at 7 Ill. Reg. 9610, effective
August 2, 1983; codified at 8 Ill. Reg. 19752; amended at 8 Ill. Reg. 24148, effective November
29, 1984; amended at 9 Ill. Reg. 4802, effective April 1, 1985; amended at 10 Ill. Reg. 11931,
effective September 1, 1986; amended at 11 Ill. Reg. 10283, effective July 1, 1987; amended at
11 Ill. Reg. 10642, effective July 1, 1987; amended at 12 Ill. Reg. 15080, effective October 1,
1988; amended at 12 Ill. Reg. 16760, effective October 1, 1988; amended at 13 Ill. Reg. 13232,
effective September 1, 1989; amended at 14 Ill. Reg. 2342, effective February 15, 1990;
amended at 14 Ill. Reg. 13824, effective September 1, 1990; amended at 15 Ill. Reg. 5328,
effective May 1, 1991; amended at 15 Ill. Reg. 13811, effective October 1, 1991; amended at 17
Ill. Reg. 1614, effective January 25, 1993; amended at 17 Ill. Reg. 17225, effective October 1,
1993; amended at 18 Ill. Reg. 11945, effective July 22, 1994; amended at 18 Ill. Reg. 15390,
effective October 10, 1994; amended at 19 Ill. Reg. 13355, effective September 15, 1995;
emergency amendment at 20 Ill. Reg. 474, effective January 1, 1996, for a maximum of 150
days; emergency expired May 29, 1996; amended at 20 Ill. Reg. 3234, effective February 15,
1996; amended at 20 Ill. Reg. 10009, effective July 15, 1996; amended at 22 Ill. Reg. 3932,
effective February 13, 1998; amended at 22 Ill. Reg. 9342, effective May 20, 1998; amended at
23 Ill. Reg. 1007, effective January 15, 1999; emergency amendment at 23 Ill. Reg. 3508,
effective March 4, 1999, for a maximum of 150 days; amended at 23 Ill. Reg. 9513, effective
August 1, 1999; amended at 23 Ill. Reg. 13913, effective November 15, 1999; amended at 24 Ill.
Reg. 6572, effective April 11, 2000; amended at 24 Ill. Reg. 17196, effective November 1, 2000;
amended at 25 Ill. Reg. 3241, effective February 15, 2001; amended at 27 Ill. Reg. 1547,
effective January 15, 2003; amended at 27 Ill. Reg. 13467, effective July 25, 2003; amended at
28 Ill. Reg. 5880, effective March 29, 2004; amended at 28 Ill. Reg. 6579, effective April 15,
2004; amended at 29 Ill. Reg. 12489, effective July 27, 2005; amended at 31 Ill. Reg. 4245,
effective February 20, 2007; amended at 31 Ill. Reg. 14530, effective October 3, 2007; amended
at 32 Ill. Reg. 3756, effective February 27, 2008; amended at 32 Ill. Reg. 4213, effective March
10, 2008; amended at 32 Ill. Reg. 7932, effective May 12, 2008; amended at 32 Ill. Reg. 14336,
effective August 12, 2008; amended at 33 Ill. Reg. 8306, effective June 2, 2009; amended at 34
Ill. Reg. 2528, effective January 27, 2010; amended at 34 Ill. Reg. 3331, effective February 24,
2010; amended at 34 Ill. Reg. 19031, effective November 17, 2010; amended at 34 Ill. Reg.
19158, effective November 23, 2010; amended at 35 Ill. Reg. 4556, effective March 4, 2011;
amended at 35 Ill. Reg. 6386, effective March 31, 2011; amended at 35 Ill. Reg. 13875, effective
August 1, 2011; amended at 36 Ill. Reg. 17413, effective December 3, 2012; amended at 38 Ill.
Reg. 13280, effective June 10, 2014; amended at 39 Ill. Reg. 5443, effective March 25, 2015;
amended at 39 Ill. Reg. 13041, effective September 3, 2015; amended at 41 Ill. Reg. 7154,
effective June 12, 2017; amended at 41 Ill. Reg. 14945, effective November 27, 2017; amended
at 42 Ill. Reg. 9507, effective May 24, 2018; amended at 43 Ill. Reg. 3889, effective March 18,
2019; amended at 43 Ill. Reg. 12990, effective October 22, 2019; emergency amendment at 44
ILLINOIS REGISTER 1213
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF EMERGENCY AMENDMENT
Ill. Reg. 5934, effective March 25, 2020, for a maximum of 150 days; emergency expired August
21, 2020; emergency amendment at 44 Ill. Reg. 7788, effective April 16, 2020, for a maximum
of 150 days; emergency repeal of emergency amendment at 44 Ill. Reg. 14333, effective August
24, 2020; emergency amendment at 44 Ill. Reg. 14804, effective August 24, 2020, for a
maximum of 150 days; amended at 44 Ill. Reg. 18379, effective October 29, 2020; emergency
amendment at 45 Ill. Reg. 1202, effective January 8, 2021, for a maximum of 150 days.
SUBPART A: GENERAL PROVISIONS
Section 250.3 COVID-19 Emergency Provisions – At-Home Patient Care
EMERGENCY
a) To adequately respond to COVID-19, a hospital may apply for an Acute Hospital
Care at Home waiver from the requirements of 42 CFR 482.23(b) and (b)(1) to
provide limited inpatient services directly in a patient's home. The waiver
application may be found at https://qualitynet.cms.gov/acute-hospital-care-at-
home.
b) A participating hospital with an approved waiver from the Centers for Medicare
and Medicaid Services (CMMS) shall provide the Department with the following:
1) A copy of the CMMS-approved Medicare waiver;
2) A copy of the participating hospital's screening protocol to determine
patient eligibility for the at-home inpatient services; and
3) A copy of the participating hospital's policy and procedures for clinical
management of inpatients at home.
c) The Department will conduct any complaint investigation, survey, or inspection
of the participating hospital, request any documentation, and require corrective
action pursuant to its State licensure authority.
d) A participating hospital also shall meet the following requirements:
1) Provide safe and quality care to each patient in his or her home;
2) Prohibit all abuse of a patient by an administrator, agent, employee, or
member of its medical staff and, in addition, comply with the abuse and
ILLINOIS REGISTER 1214
21
DEPARTMENT OF PUBLIC HEALTH
NOTICE OF EMERGENCY AMENDMENT
neglect reporting requirements of Section 250.260 for suspected
occurrences;
3) Ensure access to health care information and services for limited English-
speaking or non-English-speaking patients, in compliance with Section
250.265;
4) Administer no medication, treatment, or diagnostic test to a patient except
on a written or verbal order, if necessary, by a licensed medical
professional acting within his or her scope of practice;
5) Ensure nursing services are under the direction of a registered nurse who
has qualifications in nursing administration;
6) Maintain an adequate, timely, and complete medical record for each
patient receiving at-home care in compliance with Section 250.1510;
7) Comply with incident reporting requirements in Section 250.1520(f);
8) Ensure all drugs and medicines are stored and dispensed in compliance
with Section 250.2110(f) and (g); and
9) Comply with all directives and guidance related to COVID-19 diagnosis
and treatment from the Centers for Disease Control and Prevention, the
Department, other State of Illinois agencies, and any applicable local
public health departments.
(Source: Added by emergency rulemaking at 45 Ill. Reg. 1202, effective January 8,
2021, for a maximum of 150 days)
ILLINOIS REGISTER 1215
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF EMERGENCY AMENDMENT
1) Heading of the Part: Business Corporation Act
2) Code Citation: 14 Ill. Adm. Code 150
3) Section Number: Emergency Action:
150.740 Amendment
4) Statutory Authority: Implementing and authorized by the Business Corporation Act of
1983 [805 ILCS 5].
5) Effective Date of Emergency Rule: January 8, 2021
6) If this emergency rule will expire before the end of the 150-day period, please specify the
date on which it is to expire: This emergency rule will expire at the end of 150 days or
the date on which the permanent rulemaking is adopted, whichever occurs first.
7) Date Filed with the Index Department: January 8, 2021
8) A copy of the emergency rule, including any material incorporated by reference, is on file
in the Agency's principal office and is available for public inspection.
9) Reason for Emergency: Upon the expiration of the 150 days stated in the Emergency
Amendment to the Emergency Rule of Section 150.740 of the Administrative Rules, filed
and effective on April 27, 2020, the Department of Business Services (the "Department")
of the Office of the Secretary of State believed that the waiver of any fees for the late
filing of materials and documents, i.e., annual reports and other documents, was no
longer in effect. The Department acted accordingly, reinstituting its normal practices and
procedures, including numerous and time-consuming computer programming changes.
Until the discovery of the existing language, the Department has been enforcing the fees
for the late filing of documents.
10) A Complete Description of the Subjects and Issues Involved: New language is added
stating that the statutory fees for the late filing of certain documents, including franchise
tax, penalties, interest and filing fees are in full force and effect.
11) Are there any rulemakings to this Part pending? No
12) Statement of Statewide Policy Objective: This rulemaking does not create or enlarge a
mandate as described in Section 3(b) of the State Mandates Act.
ILLINOIS REGISTER 1216
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF EMERGENCY AMENDMENT
13) Information and questions regarding this emergency rule shall be directed to:
Terrence J. McConville
Senior Legal Advisor
100 W. Randolph St. #5-400
Chicago IL 60601
The full text of the Emergency Amendment begins on the next page:
ILLINOIS REGISTER 1217
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF EMERGENCY AMENDMENT
TITLE 14: COMMERCE
SUBTITLE A: REGULATION OF BUSINESS
CHAPTER I: SECRETARY OF STATE
PART 150
BUSINESS CORPORATION ACT
SUBPART A: HEARING PROCEDURES
Section
150.10 Applicability
150.20 Definitions
150.30 Right to Counsel
150.40 Appearance of Attorney
150.50 Special Appearance
150.60 Substitution of Parties or Attorneys
150.70 Commencement of Action; Notice of Hearing
150.80 Motions
150.90 Form of Papers
150.100 Conduct of Hearings
150.110 Orders
150.120 Record of Hearings
150.130 Invalidity
SUBPART B: SALE AND RELEASE OF INFORMATION
Section
150.200 Annual List of Corporations
150.210 Monthly List of Corporations
150.220 Daily List of Corporations
150.230 Computer Access to Information
150.240 Abstracts of Corporate Record
150.250 Invalidity
SUBPART C: ERRORS, REFUNDS, CORRECTIONS, ADJUSTMENTS,
OBJECTIONS, AND OTHER RELIEF
Section
150.300 Errors or Defects
ILLINOIS REGISTER 1218
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF EMERGENCY AMENDMENT
150.305 Financial Data as Support Documentation
150.310 Invalidity
SUBPART D: NAMES
Section
150.400 Preliminary Determination of Availability
150.405 Final Determination of Availability
150.410 Response as to Basis of Unavailability
150.415 Reconsideration Procedure
150.420 Effect of Final Determination
150.425 Applicability
150.430 Availability of Names: Statutory Requirements
150.435 Standards − Conflicting Names
150.440 Distinguishable − Defined
150.445 Matters Not Considered
150.450 Differences
150.455 Surnames
150.460 Alphabet Names
150.465 Government Affiliation
150.470 Restricted and Professional Words
150.475 Acceptable Characters of Print
150.480 Invalidity
150.485 Improper Names
SUBPART E: SERVICE OF PROCESS ON THE SECRETARY OF STATE
Section
150.500 Preamble
150.510 Manner of Service
150.520 Place of Service
150.530 Payment of Fees
150.540 Invalidity
SUBPART F: FEES, FRANCHISE TAX AND LICENSE FEES: ANNUAL REPORT
Section
150.600 Payment of Fees, Franchise Tax and License Fee
150.610 Definitions
ILLINOIS REGISTER 1219
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF EMERGENCY AMENDMENT
150.620 Annual Report
150.621 Confidentiality of Annual Report Financial Data
150.630 Shares Having a Par Value
150.631 Amended Annual Report
150.640 Invalidity
SUBPART G: INTERPRETIVE COMMENTS AND GENERAL PROVISIONS
Section
150.700 Interpretive Comments Applicable Generally
150.705 Paid-In Capital
150.710 Advice to the Public
150.720 Incorporating Licensed Professionals
150.725 Corporation Acting as an Incorporator
150.730 Business Hours
150.735 Electronic Filing
150.740 Extension of Filing and Secretary of State Deadlines
EMERGENCY
AUTHORITY: Implementing and authorized by the Business Corporation Act of 1983 [805
ILCS 5].
SOURCE: Adopted at 9 Ill. Reg. 1433, effective February 1, 1985; amended at 10 Ill. Reg.
5146, effective March 21, 1986; amended at 11 Ill. Reg. 10302, effective June 1, 1987; amended
at 17 Ill. Reg. 11571, effective July 15, 1993; amended at 18 Ill. Reg. 7783, effective May 15,
1994; amended at 20 Ill. Reg. 7026, effective May 8, 1996; amended at 21 Ill. Reg. 16173,
effective December 1, 1997; amended at 27 Ill. Reg. 550, effective December 27, 2002;
amended at 28 Ill. Reg. 3504, effective February 3, 2004; amended at 29 Ill. Reg. 14047,
effective September 1, 2005; amended at 30 Ill. Reg. 12961, effective July 11, 2006; amended at
31 Ill. Reg. 9469, effective July 16, 2007; amended at 32 Ill. Reg. 12039, effective July 16, 2008;
emergency amendment at 42 Ill. Reg. 807, effective December 29, 2017, for a maximum of 150
days; emergency amendment to emergency rule at 42 Ill. Reg. 2073, effective January 9, 2018,
for the remainder of 150 days; emergency expired May 27, 2018; emergency amendment at 44
Ill. Reg. 5786, effective March 20, 2020, for a maximum of 150 days; emergency amendment to
emergency rule at 44 Ill. Reg. 6601, effective April 9, 2020, for the remainder of the 150 days;
emergency amendment to emergency rule at 44 Ill. Reg. 7944, effective April 27, 2020, for the
remainder of the 150 days; emergency amendment to emergency rule effective April 27, 2020
suspended by the Joint Committee on Administrative Rules at 44 Ill. Reg. 10029, effective May
20, 2020; suspension withdrawn at 44 Ill. Reg. 14082, effective August 11, 2020; emergency
ILLINOIS REGISTER 1220
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF EMERGENCY AMENDMENT
rule effective March 20, 2020, as amended April 9, 2020 and April 27, 2020, expired August 16,
2020; amended at 44 Ill. Reg. 14019, effective August 17, 2020; emergency amendment at 45 Ill.
Reg. 1215, effective January 8, 2021, for a maximum of 150 days.
SUBPART G: INTERPRETIVE COMMENTS AND GENERAL PROVISIONS
Section 150.740 Extension of Filing and Secretary of State Deadlines
EMERGENCY
Filing of Organizational Documents, Annual Reports, and Other Business Entity Materials
a) All organizational documents, annual reports, and other business entity materials
required to be filed with the Secretary of State pursuant to Chapter 805 of the
Illinois Compiled Statutes shall be filed with the Business Services Department,
Howlett Building, Room 350, Springfield IL 62756 or 69 West Washington, Suite
1240, Chicago IL 60602.
b) Pursuant to the powers vested in him by Section 5(7) of the Secretary of State
Act, the Secretary of State hereby extends for the duration of the disaster
proclaimed by the Governor in Gubernatorial Proclamation number 2020-038,
issued on March 9, 2020, as extended by subsequent proclamations, and for a
period of 90 days thereafter, the filing deadlines for materials required to be filed
with the Secretary of State pursuant to Chapter 805 of the Illinois Compiled
Statutes and that were due to be filed on or after March 17, 2020. This extension
period may be rescinded by the Secretary of State through the adoption of an
emergency rule. Business organizations are required to pay the statutory amounts
to the Secretary of State when materials are filed, including franchise tax,
penalties, interest, filing fees, and other charges required to be paid, without
regard to the application of the filing extension deadline of this Section.Any fees
for late filings of materials shall be waived for materials subject to this Section.
c) Pursuant to the terms of Executive Order 2020-39, as extended by Executive
Order 2020-44, and as may be further extended by subsequent Executive Orders,
the provisions of Section 1.45 of the Business Corporations Act (BCA) that
require the Secretary of State to, within 10 days after any of the documents
subject to Section 1.45 are delivered to the Secretary for filing, give written notice
of his or her disapproval of the documents are suspended for the duration of the
disaster proclaimed in Gubernatorial Proclamation 2020-44, as extended, and for
ILLINOIS REGISTER 1221
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF EMERGENCY AMENDMENT
30 days thereafter. During this period of suspension, the Secretary shall process
these documents as expeditiously as possible.
d) Pursuant to the terms of Executive Order 2020-39, as extended by Executive
Order 2020-44, and as may be further extended by subsequent Executive Orders,
the provisions of Section 15.95 of the BCA that require the Secretary of State to
provide expedited services upon request are suspended for the duration of the
disaster proclaimed in the Gubernatorial Proclamation 2020-44, as extended, and
for 30 days thereafter. During this period of suspension, the Secretary shall
process the expedited documents within 24 hours or as soon as possible thereafter.
For purposes of filing dates, the date the document was submitted for filing will
be the document's filing date.
(Source: Amended by emergency rulemaking at 45 Ill. Reg. 1215, effective January 8,
2021, for a maximum of 150 days)
ILLINOIS REGISTER 1222
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF EMERGENCY AMENDMENT
1) Heading of the Part: School Bus Driver Permit
2) Code Citation: 92 Ill. Adm. Code 1035
3) Section Number: Emergency Action:
1035.30 Amendment
4) Statutory Authority: Implementing Section 6-106.1 and authorized by Section 6-521 of
the Illinois Vehicle Code [625 ILCS 5].
5) Effective Date of Emergency Rule: January 6, 2021
6) If this emergency rule will expire before the end of the 150-day period, please specify the
date on which it is to expire: January 6, 2021
7) Date Filed with the Index Department: January 6, 2021
8) A copy of the emergency rule, including any material incorporated by reference, is on file
in the Agency's principal office and is available for public inspection.
9) Reason for Emergency: Due to COVID-19 mitigations, annual refresher training for
school bus permit holders provided by Regional Superintendents of Education have been
postponed until Spring of 2021.
10) A Complete Description of the Subjects and Issues Involved: This rulemaking will
provide an additional 90 days for school bus permit holders to complete their annual
refresher training. All other requirements for renewal of a school bus permit remain in
effect.
11) Are there any other rulemakings to the Part pending? No
12) Statement of Statewide Policy Objective: No expenditures by units of local government.
13) Information and questions regarding this emergency rule shall be directed to:
Brenda Glahn
Senior Legal Advisor
298 Howlett Building
Springfield IL 62756
ILLINOIS REGISTER 1223
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF EMERGENCY AMENDMENT
217/785-3094
The full text of the Emergency Amendment begins on the next page:
ILLINOIS REGISTER 1224
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF EMERGENCY AMENDMENT
TITLE 92: TRANSPORTATION
CHAPTER II: SECRETARY OF STATE
PART 1035
SCHOOL BUS DRIVER PERMIT
Section
1035.10 Definitions
1035.15 Requirements of Applicants for a School Bus Driver Permit
1035.20 Annual Medical Examination and Certificate
1035.25 Permit Application Process
1035.30 Training
EMERGENCY
1035.32 Random Drug Testing for Alcohol and Controlled Substances
1035.35 Denial, Cancellation, or Suspension of a School Bus Driver Permit
1035.40 Notice
1035.45 Employer Responsibility
1035.46 Military Deferrals
1035.50 Hearings
1035.APPENDIX A School Bus Driver Permit Medical Examiner's Certificate
AUTHORITY: Implementing Section 6-106.1 and authorized by Section 6-521 of the Illinois
Vehicle Code [625 ILCS 5].
SOURCE: Adopted at 19 Ill. Reg. 10716, effective July 11, 1995; amended at 24 Ill. Reg. 1269,
effective January 10, 2000; amended at 24 Ill. Reg. 12092, effective July 31, 2000; amended at
26 Ill. Reg. 12045, effective July 22, 2002; amended at 33 Ill. Reg. 17093, effective December 1,
2009; amended at 34 Ill. Reg. 7750, effective May 20, 2010; amended at 34 Ill. Reg. 19082,
effective November 22, 2010; amended at 35 Ill. Reg. 7412, effective April 21, 2011; amended
at 36 Ill. Reg. 2384, effective January 30, 2012; amended at 39 Ill. Reg. 5101, effective March
23, 2015; amended at 39 Ill. Reg. 11633, effective July 28, 2015; amended at 40 Ill. Reg. 9646,
effective July 1, 2016; amended at 45 Ill. Reg. 750, effective December 28, 2020; emergency
amendment at 45 Ill. Reg. 1222, effective January 6, 2021, for a maximum of 150 days.
Section 1035.30 Training
EMERGENCY
ILLINOIS REGISTER 1225
21
OFFICE OF THE SECRETARY OF STATE
NOTICE OF EMERGENCY AMENDMENT
a) The initial course and annual refresher training courses are required for each
school bus driver permit holder and shall be:
1) Approved by the Secretary of State and the agency or organization
conducting the course;
2) Taught by an instructor certified by the Illinois State Board of Education;
and
3) A minimum of two hours in length, part of which must include first aid
training.
b) The date of the annual refresher training shall be computed as follows:
1) The first refresher training following initial training must be completed
within one year (365 days) from the date of initial training. The date of
the first refresher training will be known as the refresher date.
2) In the event that an individual completes subsequent refresher training
between the actual refresher date and 60 days prior to that refresher date,
the next annual refresher date will not change. In the event refresher
training is completed more than 60 days prior to the refresher date, the
date the driver completes the refresher training will become the new
annual refresher date.
3) In recognition of the disaster proclaimed by the Governor in Gubernatorial
Proclamation number 2020-038 issued on March 9, 2020, as extended by
subsequent disaster proclamations and of the Tier 3 mitigations currently
in place, refresher dates for those individuals whose current refresher date
falls in December 2020, January 2021, February 2021 or March 2021 are
extended for a period of 90 days.
(Source: Amended by emergency rulemaking at 45 Ill. Reg. 1222, effective January 6,
2021, for a maximum of 150 days)
ILLINOIS REGISTER 1226
21
JOINT COMMITTEE ON ADMINISTRATIVE RULES
SECOND NOTICES RECEIVED
The following second notices were received during the period of January 5, 2021 through
January 11, 2021. These rulemakings are scheduled for the February 16, 2021 meeting. Other
items not contained in this published list may also be considered. Members of the public
wishing to express their views with respect to a rulemaking should submit written comments to
the Committee at the following address: Joint Committee on Administrative Rules, 700 Stratton
Bldg., Springfield IL 62706.
Second
Notice
Expires
Agency and Rule
Start
of First
Notice
JCAR
Meeting
2/17/21 Department of Financial and Professional
Regulation, Real Estate License Act of
2000 (68 Ill. Adm. Code 1450)
10/16/20
44 Ill. Reg.
16584
2/16/21
2/20/21 Department of Financial and Professional
Regulation, Optometric Practice Act of
1987 (68 Ill. Adm. Code 1320)
11/20/20
44 Ill. Reg.
18543
2/16/21
2/20/21 Department of Financial and Professional
Regulation, Illinois Certified Shorthand
Reporters Act of 1984 (68 Ill. Adm. Code
1200)
11/13/20
44 Ill. Reg.
17839
2/16/21
2/20/21 Department of Financial and Professional
Regulation, Electrologist Licensing Act (68
Ill. Adm. Code 1246)
11/13/20
44 Ill. Reg.
17853
2/16/21
2/20/21 Department of Financial and Professional
Regulation, Funeral Directors and
Embalmers Licensing Code (68 Ill. Adm.
Code 1250)
11/13/20
44 Ill. Reg.
17859
2/16/21
2/20/21 Department of Financial and Professional
Regulation, Illinois Physical Therapy Act
(68 Ill. Adm. Code 1340)
11/13/20
44 Ill. Reg.
17879
2/16/21
ILLINOIS REGISTER 1227
21
JOINT COMMITTEE ON ADMINISTRATIVE RULES
SECOND NOTICES RECEIVED
2/20/21 Department of Financial and Professional
Regulation, Nursing Home Administrators
Licensing and Disciplinary Act (68 Ill.
Adm. Code 1310)
11/13/20
44 Ill. Reg.
17868
2/16/21
2/24/21 Department of Financial and Professional
Regulation, Illinois Roofing Industry
Licensing Act (68 Ill. Adm. Code 1460)
11/20/20
44 Ill. Reg.
18546
2/16/21
2/19/21 Department of Transportation, Port
Facilities Capital Investment Grant
Program (92 Ill. Adm. Code 600)
10/16/20
44 Ill. Reg.
16745
2/16/21
2/19/21 Illinois Gaming Board, Video Gaming
(General) (11 Ill. Adm. Code 1800)
11/6/20
44 Ill. Reg.
17542
2/16/21
2/24/21 State Board of Education, Standards for All
Illinois Teachers (23 Ill. Adm. Code 24)
9/11/20
44 Ill. Reg.
14574
2/16/21
2/24/21 State Board of Education, Special
Education (23 Ill. Adm. Code 226)
9/11/20
44 Ill. Reg.
14630
2/16/21
ILLINOIS REGISTER 1228
21
ILLINOIS EDUCATIONAL LABOR RELATIONS BOARD
AGENCY RESPONSE TO JOINT COMMITTEE STATEMENT OF OBJECTION TO
EMERGENCY RULEMAKING
Date: January 7, 2021
Agency: Illinois Educational Labor Relations Board
Heading of the Part: General Procedures
Code Citation: 80 Ill. Adm. Code 1100
Register Citation: 44 Ill. Reg. 15998; September 25, 2020
Agency Response to Specific Joint Committee Objections:
At its meeting on October 14, 2020, the Joint Committee on Administrative Rules (JCAR)
considered the above-cited emergency rulemaking and objected to the ",,, Board's use of
emergency rulemaking to adopt rules titled General Procedures (80 Ill. Adm. Code 1100; 44 Ill.
Reg. 15998 - 9/25/20) because it allows service of documents by email when that is not one of
the three acceptable methods for service specified in Section 5(h) of the Illinois Educational
Labor Relations Act [115 ILCS 5]."
The Board has reviewed the statement of objection from JCAR regarding the above-cited
emergency rulemaking. The Board did not attempt or intend to circumvent the Illinois
Educational Labor Relations Act (IELRA). The Board reasonably and in good faith undertook
the emergency and subsequent proposed rulemakings based upon the history of its laws and
rulemaking, as well as the COVID-19 pandemic. JCAR reviewed the Board's predraft of this
emergency rulemaking and the JCAR Executive Director returned it on July 21, 2020 without
noting that the rulemaking was inconsistent with the IELRA. While the review of the predraft of
the rulemaking does not preclude JCAR’s current objection, the JCAR review before filing the
emergency rulemaking evidences the Board's good faith.
The Board filed proposed rulemaking on October 22, 2020 that was published at 44 Ill. Reg.
17536 on November 6, 2020. The proposed rulemaking mirrors the emergency rulemaking
predraft reviewed by JCAR. The Board asserts that the emergency and the proposed rulemakings
are permissible pursuant to and authorized by Section 5(i) of the Illinois Educational Labor
Relations Act [115 ILCS 5/5(i)] and by Section 10-75 of the Illinois Administrative Procedure
Act (IAPA) [5 ILCS 100/10-75].
The Board asserts that subsections (h) and (i) of Section 5 of the IELRA are intended to be read
together [115 ILCS 5/5(h and i)]. At the time of the enactment of the IELRA, tracking of various
ILLINOIS REGISTER 1229
21
ILLINOIS EDUCATIONAL LABOR RELATIONS BOARD
AGENCY RESPONSE TO JOINT COMMITTEE STATEMENT OF OBJECTION TO
EMERGENCY RULEMAKING
types of mail delivery, proof of delivery and reading of emails, and third-party courier tracking
options were nonexistent or less developed. The legislative direction in Section 5(i) of the
IELRA to the Illinois Administrative Procedure Act (IAPA) includes the ability to use the
multiple proposed methods of service of documents set out in various sections, as well as the
rulemaking requirements regarding safeguards pertaining to verifiable electronic service set out
in Section 10-75 of the IAPA [5 ILCS 100/10-75].
The Board has used certified mail since during or about 1984, consistent with the Board's
adopted rulemaking and without objection by JCAR that such was an unacceptable method per
Section (h) the IELRA [115 ILCS 5/5(h)]. Certified mail "is not one of the three acceptable
methods for service specified in Section 5(h) of the Illinois Educational Labor Relations Act
[115 ILCS 5/5]."
In 2017, the Board filed Notices proposing and adopting amendments to its service of
documents, citing Section 5(i) of the IELRA as its authority to do such [115 ILCS 5/5(i)]. JCAR
did not object. The Board proposed and adopted the following amendments to subsections (c)
and (d) of 80 Ill. Adm. Code 1100.20 that expanded the methods of service:
"c) The Board will serve final Board opinions, complaints and notices of hearing,
petitions, intervening claims, and unfair labor practice charges, and fair share fee
objections on the appropriate parties by personal service, registered or certified
mail, or by leaving a copy at the principal office or place of business of the person
required to be served. A party may agree to service of the above documents by
other means by giving written consent. The Board may serve other documents by
other means.
d) All documents, except those listed in subsection (c), will be served on the
appropriate parties by the party propounding the document by means calculated to
provide proper service. When a party is represented in a proceeding before the
Board, service shall be on the party's representative. When a party is not
represented, service shall be on the party. Subpoenas will be served by the party
requesting the subpoena by personal service, registered or certified mail, or
leaving a copy at the principal office or place of business of the person required to
be served."
80 Ill. Adm. Code 1100.20 amended at 41 Ill. Reg. 10566, effective August 1, 2017.
ILLINOIS REGISTER 1230
21
ILLINOIS EDUCATIONAL LABOR RELATIONS BOARD
AGENCY RESPONSE TO JOINT COMMITTEE STATEMENT OF OBJECTION TO
EMERGENCY RULEMAKING
The Board asserts that it has had the ability to use electronic service of its documents since on or
before the 2017 amendment to its rules. The need for the use of electronic service became an
unforeseeable necessity during the pandemic. The Board was compelled to assure the safety and
best interest of its employees and the parties that appear before the Board. The Board has and
continues to explore JCAR-suggested options of obtaining an Executive Order and legislative
amendment as evidence of its good faith. While the use of this emergency rulemaking has been
extremely helpful during the pandemic, the pandemic is outlasting the six months allowed for
emergency rules, resulting in the proposed rulemaking being an absolute necessity to continue,
assuring the safety of said employees and parties, as well as providing prompt due process notice
to the parties with respect to Board decisions and orders.
Regardless of whether the Board is able to obtain an Executive Order and/or a statutory
amendment, the electronic service rulemaking setting out safeguards to verify service will still be
required pursuant to Section 10-75 of the IAPA [5 ILCS 100/10-75]. The IAPA requires the
Board to adopt rules to specify how the Board will ensure delivery of service by email or other
electronic methods and how the Board will accomplish service when electronic service fails. The
rulemaking language is required to achieve the goal that electronic service is verifiable and how
the Board will proceed when the electronic service is undeliverable.
In summation, the Board responds to the JCAR objection to its rulemaking as follows:
1. Subsections (h) and (i) of Section 5 of the IELRA are consistent with each other
and intended to be read together [115 ILCS 5/5(h and i)].
2. Section (h) of the IELRA states that service of documents may be served
personally, by registered mail or by leaving a copy at the principal office of the
respondent required to be served as forms of service of documents [115 ILCS
5/5(h)]. Legislature listed personal service separately and "leaving" is not defined
in the subsequent method to require personally leaving a copy. Verifiable
electronic service such as email is one of the most reliable methods of service of
documents as it ensures that the intended recipient timely receives service of
documents and satisfies due process requirements.
3. The Board proposed other rulemakings regarding service of documents and had a
history of no JCAR objections. The Board has not had any indication that JCAR
interpreted Section 5(h) of the IELRA to preclude the Board's ability to use other
forms of service of documents [115 ILCS 5/5(h)].
ILLINOIS REGISTER 1231
21
ILLINOIS EDUCATIONAL LABOR RELATIONS BOARD
AGENCY RESPONSE TO JOINT COMMITTEE STATEMENT OF OBJECTION TO
EMERGENCY RULEMAKING
4. The Board had no indication that it must seek legislative amendment to the
IELRA or an Executive Order prior to the instant JCAR objection. The ongoing
and increasingly dangerous pandemic hinders or otherwise delays the ability for
prompt legislative changes. An Executive Order during the pandemic would only
be temporary. The pandemic has outlasted the time permitted for the effectiveness
of emergency rulemaking. The Board has been exemplary in its discharge of its
duties per the IELRA and its use of verifiable electronic service of documents
during the pandemic.
5. The emergency and the proposed rulemakings are required under the IAPA
regardless of how the issue of acceptable avenues (IELRA, Executive Order,
and/or the Board's rulemaking)for use of electronic service is determined. The
Board is required to propose and adopt this rulemaking to be consistent with and
provide the safeguards required per the IAPA [5 ILCS 100/10-75].
The Board prays that JCAR will remove its objection for the reasons stated herein. The Board
will continue to seek an Executive Order for service during the pandemic and a legislative
amendment to Section (h) of the IELRA to provide clarification to all concerned regarding the
intended methods of service of documents [115 ILCS 5/5(h)].
_____________________
Victor E. Blackwell
Executive Director
ILLINOIS REGISTER 1232
21
EXECUTIVE ORDER
2021-1
EXECUTIVE ORDER 2021-01
(COVID-19 EXECUTIVE ORDER NO. 71)
WHEREAS, since early March 2020, Illinois has faced a pandemic that has caused
extraordinary sickness and loss of life, infecting over 1,000,000, and taking the lives of more
than 17,000 residents; and,
WHEREAS, as Illinois adapts and responds to the public health disaster caused by Coronavirus
Disease 2019 (COVID-19), a novel severe acute respiratory illness that spreads rapidly through
respiratory transmissions and that continues to be without an effective treatment or vaccine, the
burden on residents, healthcare providers, first responders, and governments throughout the State
is unprecedented; and,
WHEREAS, at all times but especially during a public health crisis, protecting the health and
safety of Illinoisans is among the most important functions of State government; and,
WHEREAS, public health research and guidance indicates the necessity and efficacy of wearing
cloth face coverings in public settings where social distancing measures are difficult to maintain,
and indicates that the risk of transmission outdoors is less than the risk of transmission indoors;
and,
WHEREAS, public health guidance advises that minimizing physical interactions between
people who do not reside in the same household is critical to slowing the spread of COVID-19;
and,
WHEREAS, as COVID-19 has spread in Illinois over the course of the Gubernatorial Disaster
Proclamations, the circumstances causing a disaster throughout the State have changed and
continue to change, making definitive predictions of the course the virus will take over the
coming months extremely difficult; and,
WHEREAS, in addition to causing the tragic loss of more than 17,000 Illinoisans and wreaking
havoc on the physical health of tens of thousands more, COVID-19 has caused extensive
economic loss and continues to threaten the financial welfare of a significant number of
individuals and businesses across the nation and the State; and,
WHEREAS, many executive agencies in the State have focused their limited resources on the
ongoing response to the COVID-19 pandemic; and,
ILLINOIS REGISTER 1233
21
EXECUTIVE ORDER
WHEREAS, the COVID-19 pandemic has required the Illinois Department of Agriculture
(IDOA) to address the outbreak's impact on the State's food supply chain through regulation and
oversight of meat and poultry facilities and livestock management facilities; and,
WHEREAS, the COVID-19 pandemic's disruption to the livestock market has required IDOA to
concentrate its resources on working with livestock owners and producers in addressing safe and
environmental animal disposal concerns through its oversight and regulation of the Dead Animal
Disposal Act; and,
WHEREAS, IDOA regulates and investigates many other industries that have been directly
impacted by the COVID-19 pandemic including, but not limited to, pesticide applicators, animal
shelters, pet shops, and gas stations, and the continued, proper regulation of these industries
requires IDOA to commit additional time and resources into creating new procedures for
conducting remote investigations and trainings; and,
WHEREAS, the COVID-19 pandemic's detrimental impact to IDOA's regulated industries has
required IDOA to place additional time and resources into organizing and managing the timely
implementation of the Business Interruption Grant Program; and,
WHEREAS, on January 8, 2021, considering the expected continuing spread of COVID-19 and
the ongoing health and economic impacts that that will be felt over the coming month by people
across the State, I declared all counties in the State of Illinois as a disaster area; and,
WHEREAS, in response to the epidemic emergency and public health emergency described
above, I find it necessary to re-issue Executive Orders 2020-03, 2020-04, 2020-07, 2020-08,
2020-09, 2020-11, 2020-12, 2020-15, 2020-16, 2020-17, 2020-20, 2020-21, 2020-22, 2020-23,
2020-24, 2020-25, 2020-26, 2020-27, 2020-28, 2020-29, 2020-30, 2020-34, 2020-35, 2020-36,
2020-40, 2020-41, 2020-42, 2020-45, 2020-47, 2020-50, 2020-53, 2020-56, 2020-57, 2020-60,
2020-61, 2020-62, 2020-63, 2020-64, 2020-65, 2020-66, 2020-67, 2020-68, 2020-69, 2020-70,
2020-72, and 2020-73 and hereby incorporate the WHEREAS clauses of those Executive Orders;
THEREFORE, by the powers vested in me as the Governor of the State of Illinois, pursuant to
the Illinois Constitution and Sections 7(1), 7(2), 7(3), 7(8), 7(9), and 7(12) of the Illinois
Emergency Management Agency Act, 20 ILCS 3305, and consistent with the powers in public
health laws, I hereby order the following, effective January 8, 2021:
Part 1: Re-Issue of Executive Orders.
Executive Orders 2020-03, 2020-04, 2020-07, 2020-08, 2020-09, 2020-11, 2020-12, 2020-15,
2020-16, 2020-17, 2020-20, 2020-21, 2020-22, 2020-23, 2020-24, 2020-25, 2020-26, 2020-27,
2020-28, 2020-29, 2020-30, 2020-34, 2020-35, 2020-36, 2020-40, 2020-41, 2020-42, 2020-45,
ILLINOIS REGISTER 1234
21
EXECUTIVE ORDER
2020-47, 2020-50, 2020-53, 2020-56, 2020-57, 2020-60, 2020-61, 2020-62, 2020-63, 2020-64,
2020-65, 2020-66, 2020-67, 2020-68, 2020-69, 2020-70, 2020-72, and 2020-73 as follows:
Executive Order 2020-04 (Closure of James R. Thompson Center; waiver of sick
leave requirement for State employees):
Sections 2 and 3 of Executive Order 2020-04 are re-issued and extended through
February 6, 2021. Nothing in Section 2 precludes the Department of Central
Management Services from designating specific points of ingress and egress and
controlling traffic flow in the James R. Thompson Center for State employees, members
of the public attending to State business, and members of the public patronizing the
businesses and food court.
Executive Order 2020-07 (In-person meeting requirements):
Section 6 of Executive Order 2020-07, as amended by Executive Order 2020-33 and
Executive Order 2020-44, is re-issued and extended through February 6, 2021.
Executive Order 2020-08 (Secretary of State operations):
Sections 3, 4, 5, and 6 of Executive Order 2020-08, as amended by Executive Order
2020-39, Executive Order 2020-44, and Executive Order 2020-74, are re-issued and
extended through February 6, 2021.
Executive Order 2020-09 (Telehealth):
Executive Order 2020-09, as amended by Executive Order 2020-52, is re-issued in its
entirety and extended through February 6, 2021.
Executive Order 2020-11 (Illinois Department of Corrections notification period):
Section 4 of Executive Order 2020-11 is re-issued and extended through February 6,
2021.
Executive Order 2020-12 (Health care worker background checks; Illinois
Department of Juvenile Justice notification period):
Sections 1 and 3 of Executive Order 2020-12 are re-issued and extended through
February 6, 2021.
Executive Order 2020-15 (Suspending provisions of the Illinois School Code):
ILLINOIS REGISTER 1235
21
EXECUTIVE ORDER
Sections 5, 6, 7, 8, and 9 of Executive Order 2020-15 are re-issued and extended through
February 6, 2021.
Executive Order 2020-16 (Suspension of classroom training requirement for
security services):
Section 2 of Executive Order 2020-16 is re-issued and extended through February 6,
2021.
Executive Orders 2020-03 and 2020-17 (Cannabis deadlines and applications):
Executive Orders 2020-03 and 2020-17, as modified by Executive Order 2020-18, are re-
issued and shall remain in effect as specified by Executive Order 2020-18.
Executive Order 2020-20 (Public assistance requirements):
Executive Order 2020-20 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-21 (Furlough of Illinois Department of Corrections inmates):
Executive Order 2020-21 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-22 (Placements under the Child Care Act of 1969; fingerprint
submissions under Health Care Worker Background Check Act):
Sections 4, 5, and the Savings Clause of Executive Order 2020-22 are re-issued and
extended through February 6, 2021.
Executive Order 2020-23 (Actions by the Illinois Department of Financial and
Professional Regulation for licensed professionals engaged in disaster response):
Executive Order 2020-23 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-24 (Illinois Department of Human Services Forensic
Treatment Program; investigations of Illinois Department of Human Services
employees):
ILLINOIS REGISTER 1236
21
EXECUTIVE ORDER
Executive Order 2020-24 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-25 (Garnishment and wage deductions):
Executive Order 2020-25, as amended by Executive Order 2020-55, is re-issued in its
entirety and extended through February 6, 2021.
Executive Order 2020-26 (Hospital capacity):
Executive Order 2020-26 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-27 (Cadavers testing positive for COVID-19):
Executive Order 2020-27 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-28 (Industrial radiography certifications):
Executive Order 2020-28, as amended by Executive Order 2020-55, is re-issued in its
entirety and extended through February 6, 2021.
Executive Order 2020-28 is further amended and revised as follows:
Section 2. For any industrial radiography certification or industrial radiography trainee
certification that expired during the period of the Gubernatorial Disaster Proclamations
issued in 2020, IEMA-DNS may administratively extend terms of existing certifications
for industrial radiographers and industrial radiographer trainees in 90-day increments, not
to exceed a maximum period of nine months beyond the initial 5 or 2 year term, to allow
individuals time to meet the examination criteria. For those certifications expiring in
January 2021 or later, IEMA-DNS may extend terms of existing certifications for a
period of 90 days. Industrial radiographers and industrial radiographer trainees shall meet
all other requirements as set forth by IEMA-DNS.
Executive Order 2020-29 (In-person education or exams for professional insurance
licenses):
Executive Order 2020-29 is re-issued in its entirety and extended through February 6,
2021.
ILLINOIS REGISTER 1237
21
EXECUTIVE ORDER
Executive Order 2020-30 (Expired consular identification documents; electronic
filings for the Illinois Human Rights Commission):
Sections, 1, 4, 5, and 6 of Executive Order 2020-30 are re-issued and extended through
February 6, 2021.
Executive Order 2020-34 (Cannabis requirements):
Executive Order 2020-34 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-35 (Illinois Department of Public Health regulatory
activities):
Sections 14, 15, 16, and 17 of Executive Order 2020-35 are re-issued and extended
through February 6, 2021.
Executive Order 2020-36 (Marriage licenses):
Executive Order 2020-36 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-40 (Child Labor Law):
Sections 2 and 4 of Executive Order 2020-40 are re-issued and extended through
February 6, 2021.
Executive Order 2020-41 (Sports wagering):
Executive Order 2020-41 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-42 (State Fairs):
Executive Order 2020-42 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-45 (Cannabis licenses):
Executive Order 2020-45 is re-issued in its entirety and shall remain in effect as specified
by Executive Order 2020-45.
ILLINOIS REGISTER 1238
21
EXECUTIVE ORDER
Executive Order 2020-47 (In-person instruction at preK-12 schools):
Executive Order 2020-47 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-50 (Resuming transfers from county jails to Illinois
Department of Corrections):
Executive Order 2020-50 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-53 (Region 7 mitigations):
Executive Order 2020-53 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-56 (Region 1 mitigations):
Executive Order 2020-56 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-57 (Cannabis identification cards):
Executive Order 2020-57 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-60 (Region 5 mitigations):
Executive Order 2020-60 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-61 (Regions 7 and 8 mitigations):
Executive Order 2020-61 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-62 (Region 1 Tier 2 mitigations):
Executive Order 2020-62 is re-issued in its entirety and extended through February 6,
2021.
ILLINOIS REGISTER 1239
21
EXECUTIVE ORDER
Executive Order 2020-63 (Regions 4 and 10 mitigations):
Executive Order 2020-63 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-64 (Region 11 mitigations):
Executive Order 2020-64 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-65 (Region 9 mitigations):
Executive Order 2020-65 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-66 (Region 3 mitigations):
Executive Order 2020-66 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-67 (Region 6 mitigations):
Executive Order 2020-67 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-68 (Cannabis registry identification card renewals):
Executive Order 2020-68 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-69 (Region 2 mitigations):
Executive Order 2020-69 is re-issued in its entirety and extended through February 6,
2021.
Executive Order 2020-70 (Regions 5, 7, and 8 Tier 2 mitigations):
Executive Order 2020-70 is re-issued in its entirety and extended through February 6,
2021.
ILLINOIS REGISTER 1240
21
EXECUTIVE ORDER
Executive Order 2020-72 (Residential eviction moratorium):
Executive Order 2020-72, as amended by Executive Order 2020-74, is re-issued in its
entirety and extended through February 6, 2021.
Executive Order 2020-72 is further amended and revised as follows:
Section 6. A person or entity may not commence a residential eviction action pursuant to
or arising under 735 ILCS 5/9-101 et seq. against a tenant who does not owe rent unless
the tenant poses a direct threat to the health and safety of other tenants or an immediate
and severe risk to property. A tenant shall not be required to provide a Declaration if they
are covered by this section.
Executive Order 2020-73 (Tier 3 mitigations):
Executive Order 2020-73 is re-issued in its entirety and extended through February 6,
2021.
Part 2: Savings Clause. If any provision of this Executive Order or its application to any person
or circumstance is held invalid by any court of competent jurisdiction, this invalidity does not
affect any other provision or application of this Executive Order, which can be given effect
without the invalid provision or application. To achieve this purpose, the provisions of this
Executive Order are declared to be severable.
Issued by the Governor January 8, 2021
Filed by the Secretary of State January 8, 2021
ILLINOIS REGISTER 1241
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PROCLAMATIONS
2020-76
National Problem Gambling Awareness Month
WHEREAS, on behalf of the residents of Illinois, I am pleased to join the Illinois Department of
Human Services' division of substance Use Prevention and Recovery in promoting March as
National Problem Gambling Awareness Month in Illinois; and,
WHEREAS, promoting awareness provides individuals in the problem gambling community an
opportunity to educate the public and policymakers about the social and financial effectiveness
of services available for problem gambling; and,
WHEREAS, problem gambling is treatable, and treatment is effective in minimizing the harm to
both individuals and society as a whole; and,
WHEREAS, the state offers a myriad of services aimed at treating problem gambling, including
outpatient treatment programs for gambling disorders throughout the state, a toll-free Hotline at
1-800-Gambler, and a website aimed at providing resources for problem gambling at
www.WeKnowTheFeeling.org; and,
WHEREAS, problem gambling is a public health issue affecting millions of Americans of all
ages, races, and ethnic backgrounds in all communities and has a significant societal and
economic cost; and,
WHEREAS, numerous individuals, professionals and organizations have dedicated their efforts
to educating the public about problem gambling and the availability and effectiveness of
treatment; and,
WHEREAS, the Illinois Department of Human Services and the Division of Substance Use
Prevention and Recovery invite all residents of Illinois to participate in National Problem
Gambling Awareness Month.
THEREFORE, I, JB Pritzker, Governor of Illinois, do hereby proclaim the month of March
2020 as National Problem Gambling Awareness Month in Illinois and encourage all citizens to
support the men, women, and youth who are in treatment and recovery for problem gambling
behavior and support their families.
Issued by the Governor March 2, 2020
Filed by the Secretary of State January 8, 2021
2020-77
Gerald M. Brookhart Arts in Education Spring Celebration Months
ILLINOIS REGISTER 1242
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PROCLAMATIONS
WHEREAS, the arts are the personification of beauty in the world and help to preserve our
cultural heritage; and,
WHEREAS, arts education, which includes dance, drama, music, and visual arts, is an essential
part of basic instruction for all students, providing them with a balanced education that will aid
in developing their full potential; and,
WHEREAS, the Peoria County Regional Office of Education is committed to the establishment
and continuation of school programs that provide students with the opportunity to achieve
academic excellence, and to the promotion of fine and applied arts programs; and,
WHEREAS, the Gerald M. Brookhart Arts in Education Spring Celebration is held at the Peoria
County Courthouse Plaza and provides a venue for students in pre-Kindergarten through 12th
grade to showcase their works and talents; and,
WHEREAS, the 35th annual Gerald M. Brookhart Arts in Education Spring Celebration will be
held April 15th - May 15th, 2020; and,
WHEREAS, the State of Illinois supports events such as the Gerald M. Brookhart Arts in
Education Spring Celebration and commends the students and teachers who work to bring the
beauty of art to this great state;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby recognize April and
May 2020 as Gerald M. Brookhart Arts in Education Spring Celebration Months in Illinois.
Issued by the Governor March 5, 2020
Filed by the Secretary of State January 8, 2021
2020-78
Prevent Child Abuse Illinois Day
WHEREAS, Prevent Child Abuse Illinois is a not-for-profit charitable organization incorporated
under the laws of the State of Illinois on October 25, 1990 and is the chartered Illinois chapter of
Prevent Child Abuse America; and,
WHEREAS, Prevent Child Abuse Illinois is the only statewide organization in Illinois dedicated
solely to the prevention of child abuse and neglect; and,
ILLINOIS REGISTER 1243
21
PROCLAMATIONS
WHEREAS, Prevent Child Abuse Illinois envisions an Illinois where all children grow up in
healthy, nurturing homes and communities free of abuse, neglect, violence, or endangerment of
any kind; and,
WHEREAS, Prevent Child Abuse Illinois provides substantial leadership in Illinois to prevent
one of the most tragic social issues of our time – the abuse and neglect of children, which
touches the lives of tens of thousands of Illinois children each year: and,
WHEREAS, Prevent Child Abuse Illinois is a strong partner with state government
organizations, social service agencies, schools, religious organizations, law enforcement
agencies, businesses, civic groups, and individual citizens in making child abuse prevention
programs effective in Illinois: and,
WHEREAS, 2020 is the 30th anniversary of the founding of Prevent Child Abuse Illinois;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois do hereby proclaim October 25,
2020 as Prevent Child Abuse Illinois Day for its contributions to the well-being of Illinois
children and families, and I offer my congratulations on the occasion of its 30th Anniversary and
my best wishes for continued success in its efforts.
Issued by the Governor March 5, 2020
Filed by the Secretary of State January 8, 2021
2020-79
AmeriCorps Week
WHEREAS, service to others is a hallmark of the American character, and, throughout the
county's history, residents have stepped up to meet our challenges by volunteering in their
communities; and,
WHEREAS, since its creation in 1994, the AmeriCorps national service program has proven to
be a highly effective way to engage Americans of all ages and backgrounds in meeting a wide
range of community needs and to promote the ethic of service and volunteering; and,
WHEREAS, each year AmeriCorps programs, including AmeriCorps*State and National,
AmeriCorps*VISTA and AmeriCorps*NCCC, provide opportunities for nearly 75,000 residents
across the nation, including more than 2,300 in Illinois, to give back in an intensive way to our
communities, our state, and our country; and,
WHEREAS, more than 1,000,000 people across the nation, including more than 45,000 from
Illinois, have taken the AmeriCorps pledge to "get things done" since 1994; and,
ILLINOIS REGISTER 1244
21
PROCLAMATIONS
WHEREAS, those Illinois AmeriCorps Members have served more than 64 million hours;
which equates to over $1.7 billion in impact for Illinois, by helping improve the lives of our
state's most vulnerable residents, strengthening our educational system, protecting our
environment, and contributing to our public safety; and,
WHEREAS, last year AmeriCorps Members in Illinois recruited over 18,000 volunteers, served
over 366,000 Illinoisans, provided more than 2.1 million hours of service valued at over $59
million, and helped to leverage more than $42 million in cash and in-kind resources; and,
WHEREAS, residents of Illinois have earned more than $157 million in Segal AmeriCorps
Education Awards to help pay for college or pay back student loans since 1994; and,
WHEREAS, AmeriCorps members, after their terms of service, remain engaged in our
communities as volunteers, teachers, public servants, and nonprofit leaders in disproportionately
high levels; and,
WHEREAS, the Serve Illinois Commission on Volunteerism and Community Service and the
federal Corporation for National and Community Service play a key role in determining where
AmeriCorps resources should be directed to meet state and local needs;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim March 8-14,
2020 as AmeriCorps Week in Illinois and urge residents to thank AmeriCorps Members and
alumni for their service and to find ways to give back to their communities at
www.Serve.Illinois.gov.
Issued by the Governor March 9, 2020
Filed by the Secretary of State January 8, 2021
2020-80
Peripartum Cardiomyopathy Awareness Week
WHEREAS, Save the Mommies, established in 2017, is a dedicated non-profit organization to
help raise awareness of peripartum cardiomyopathy (PPCM), a pregnancy related heart failure;
and,
WHEREAS, Illinoisans would like to lead the efforts to increase such awareness; and,
WHEREAS, increasing awareness of this condition could result in saving lives of young
mothers and families in Illinois and worldwide by bringing attention to this important condition
that greatly contributes to the rising maternal mortality rate; and,
ILLINOIS REGISTER 1245
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PROCLAMATIONS
WHEREAS, PPCM is not yet given the awareness it needs by other national organizations, Save
The Mommies attempts to bridge the gap in much needed awareness for one of the leading
causes, if not the leading cause, of death in pregnant or postpartum women; and,
WHEREAS, survivors of PPCM − including the president and founder of Save The Mommies
and its board members − have been personally affected by a misdiagnosis of this deadly
pregnancy heart failure condition due to lack of awareness and education in society and the
medical community; and,
WHEREAS, Save The Mommies and PPCM survivors are committed to educating and raising
awareness and aid in research to save women from a diagnosis of PPCM to assist in the
awareness of this condition so they can better advocate for themselves during and after
pregnancy; and,
WHEREAS, PPCM affects women worldwide and therefore requires global attention and
mandatory education of existing medical staff and in medical schools around the world;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim May 3-9,
2020 as Peripartum Cardiomyopathy Awareness Week in Illinois.
Issued by the Governor March 10, 2020
Filed by the Secretary of State January 8, 2021
2020-81
¡Vive tu Vida! Get Up! Get Moving! Wellness Day
WHEREAS, Hispanic communities in Illinois and throughout the United States are faced with
many challenges every day, including maintaining health and wellness; and,
WHEREAS, with a Hispanic population of nearly 16.9 percent, Illinois recognizes the need to
confront the challenges the community faces with a proactive strategy to strengthen community
alliance and networks; and,
WHEREAS, it is important to ensure the state's Hispanic communities receive culturally-
proficient and linguistically-appropriate service, with the goal of promoting healthy behaviors
and reducing the risk of illness and injury; and,
WHEREAS, to maximize and coordinate efforts among city and state organizations to promote
healthy lifestyle awareness in Chicago's Hispanic communities, the Chicago Hispanic Health
Coalition, Illinois Department of Human Service, and Illinois Department of Public Health are
ILLINOIS REGISTER 1246
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PROCLAMATIONS
joining together with its member agencies and the National Alliance for Hispanic Health to
sponsor "Vive tu Vida! Get Up! Get Moving!"; and,
WHEREAS, thousands of people are expected to attend "Vive tu Vida! Get Up! Get Moving!"
events in cities across the country; and,
WHEREAS, this year, Chicago will host a "Vive tu Vida! Get Up! Get Moving! event on May
30th;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim May 30th,
2020 as ¡Vive tu Vida! Get Up! Get Moving! Wellness Day in Illinois and encourage all
residents to recognize the need to increase health awareness in the Hispanic community and to
support the efforts of those participating in this important event.
Issued by the Governor March 10, 2020
Filed by the Secretary of State January 8, 2021
2020-82
Apraxia Awareness Day
WHEREAS, May 14th, 2020 marks the seventh annual Childhood Apraxia of Speech Day
during which awareness will be raised throughout Illinois about childhood apraxia of speech
(CAS), an extremely challenging speech disorder in children; and,
WHEREAS, CAS causes children to have significant difficulty learning to speak and is among
the most severe speech deficits in children; and,
WHEREAS, the act of learning to speak comes effortlessly to most children, those with apraxia
endure an incredible and lengthy struggle; and,
WHEREAS, without appropriate speech therapy intervention, children with apraxia are placed
at high risk for secondary impacts in reading, writing, spelling, and other school-related skills;
and,
WHEREAS, that such primary and secondary impacts diminish future independence and
employment opportunities if not resolved or improved; and,
WHEREAS, most children with apraxia of speech will learn to communicate with their voices
only if they receive early intervention, appropriate, intensive, and frequent speech therapy; and,
ILLINOIS REGISTER 1247
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PROCLAMATIONS
WHEREAS, funders such as insurance providers, schools, and policy makers are encouraged to
recognize the critical need to provide adequate speech therapy and other services, so that the
impact of this disorder is minimized and so that thousands of affected children can grow into
productive, contributing adult citizens; and,
WHEREAS, our highest respect goes to these children, as well as their families, for their effort,
determination and resilience in the face of such obstacles;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby recognize May 14th,
2020 as Apraxia Awareness Day in Illinois and encourage all Illinois residents and citizens of
Illinois to work within their communities to increase awareness and understanding of childhood
apraxia of speech.
Issued by the Governor March 11, 2020
Filed by the Secretary of State January 8, 2021
2020-83
Blount's Disease Day
WHEREAS, there are nearly 7,000 diseases and conditions considered rare (each affecting
fewer than 200,000 Americans) in the United States, according to the National Institutes of
Health (NIH); and,
WHEREAS, Blount's disease is considered a rare disease affecting less than one percent of the
population in the US, with no supporting organization and not enough research; and,
WHEREAS, Blount's disease is a developmental disorder characterized by abnormality in the
growth plate in the upper part of the tibia that causes pain and can lead to deformity and arthritis
issues in the future; and,
WHEREAS, individuals affected by Blount's disease often experience problems such as
difficulty finding a medical expert, and lack of access to research and treatment; and,
WHEREAS, the cause of Blount's disease is unknown and patients and caregivers who have this
rare disease will now participate in this observance;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim April 2,
2020 Blount's Disease Day.
Issued by the Governor March 11, 2020
Filed by the Secretary of State January 8, 2021
ILLINOIS REGISTER 1248
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PROCLAMATIONS
2020-84
Fabry Disease Awareness Month
WHEREAS, Fabry disease is a progressive, destructive, inherited disorder that causes children
and adults to experience many symptoms that diminish their quality of life and may lead to
premature death in adults due to strokes, kidney failure, and heart failure; and,
WHEREAS, Fabry disease is caused by deficient activity of the lysosomal enzyme alpha-
galactosidase A that results in buildup of lipids in the body causing cell and organ damage; and,
WHEREAS, there are two approved treatments available, but because the disease is severely
under-diagnosed, many people live without an accurate diagnosis or opportunity for treatment
until after irreversible organ damage occurs; and,
WHEREAS, newborn screening has now been performed in several countries, yielding a
prevalence ranging from 1:1,368 to 1:8,882. This is in contrast to earlier presumed prevalence of
1:40,000-1:117,000; and,
WHEREAS, health care providers and families should be aware of the many Fabry disease
symptoms and if warranted, obtain a GLA gene test that can definitively assess the presence of
this treatable disorder;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby declare April 2020 as
"Fabry Disease Awareness Month" in Illinois and urge the residents of this state to learn about
Fabry disease and assess their family's risk.
Issued by Governor March 11, 2020
Filed by the Secretary of State January 8, 2021
2020-85
National School Breakfast Week
WHEREAS, the School Breakfast Program has served our nation admirably since it was
permanently established in 1975; and,
WHEREAS, the state of Illinois is dedicated to expanding access to and enhancing current
school breakfast programs throughout the state to ensure our children are provided with the
means to succeed; and,
ILLINOIS REGISTER 1249
21
PROCLAMATIONS
WHEREAS, frequent studies have shown meals provided at school not only contribute to the
nutritional needs of students, but also significantly increase and enhance their ability to learn;
and,
WHEREAS, Breakfast After the Bell programs, which make breakfast part of the school day,
are desirable and effective ways of ensuring more students realize the benefits of breakfast; and,
WHEREAS, the Community Eligibility Provision offers high-need Illinois schools the
opportunity to serve breakfast to all students at no cost. This provision has the added benefits to
schools of reducing administrative costs, eliminating the collection of paper applications,
streamlining meal service operations, and increasing the reimbursements schools receive from
federal child nutrition programs; and,
WHEREAS, more than 74 million school breakfast are served yearly to students at more than
3,400 schools in Illinois;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim March 2-6,
2020, as National School Breakfast Week and I encourage all residents to recognize the efforts
made by schools, their school food service professionals, and school administrators to ensure the
health, safety, and success of our children.
Issued by the Governor March 11, 2020
Filed by the Secretary of State January 8, 2021
2020-86
Public Health Week
WHEREAS, the week of April 6-12, 2020 is National Public Health Week, and the theme is
"NPHW@25: Looking Back, Moving Forward"; and,
WHEREAS, the observation is a cooperative effort of the American Public Health Association,
the Illinois Public Health Association, state and local health departments, academic institutions,
allied organizations, community groups, and professional and trade associations which have
joined together to promote a common interest in public health; and,
WHEREAS, inside health departments in every corner of the state, public health workers ensure
the basic foundations necessary for good health − clean water, safe food, breathable air, and
access to life-saving vaccines; and,
ILLINOIS REGISTER 1250
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PROCLAMATIONS
WHEREAS, public health action, together with scientific and technologic advances, has played
a major role in reducing, and in some cases eliminating, the spread of infectious disease and in
establishing today's disease surveillance and control systems; and,
WHEREAS, strong and consistent funding levels are necessary for the public health system to
respond to both everyday health threats and unexpected health emergencies;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim the week of
April 6-12, 2020 as Public Health Week in Illinois and call upon residents to observe this week
by helping our families, friends, neighbors, co-workers, and leaders better understand the value
of public health and to celebrate public health's accomplishments in light of this year's theme,
NPHW@25: Looking Back, Moving Forward.
Issued by the Governor March 11, 2020
Filed by the Secretary of State January 8, 2021
2020-87
Women Veterans Recognition Month
WHEREAS, women have a long and often unrecognized history of serving in the Armed
Forces; and,
WHEREAS, throughout our history, women have been among the patriots who have defended
our land and liberty from every enemy; and,
WHEREAS, women have served in occupations from pilot to nurse, in both peacetime and war;
we owe all of them a special debt of gratitude for their part in advancing the promise of freedom;
and,
WHEREAS, women have demonstrated great skill, sacrifice, and commitment to defending the
principles upon which our nation was founded; and,
WHEREAS, we do well to recall that we owe appreciation to our many veterans of military
service who are women; and,
WHEREAS, there are approximately 2.2 million living women veterans in the United States and
its territories with an estimated 50,000 women veterans who call the state of Illinois home; and,
WHEREAS, the state of Illinois is proud to honor women veterans throughout the month of
March, to recognize the courage, honor, and dignity with which women have served and
continue to serve in defense of our nation;
ILLINOIS REGISTER 1251
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PROCLAMATIONS
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim March 2020
as Women Veterans Recognition Month in Illinois, and encourage all residents to honor those
women veterans who have courageously served their country.
Issued by the Governor March 11, 2020
Filed by the Secretary of State January 8, 2021
2020-88
Day of Prayer
WHEREAS, the 69th annual observance of the National Day of Prayer will be held on Thursday,
May 7, 2020; and,
WHEREAS, the First Continental Congress proposed a day of public prayer in 1775 in support
of building the nation, a tradition that informally guided the United States for over one hundred
years until the U.S. Congress approved a joint resolution setting aside an annual day to honor the
act of prayer in 1952; and,
WHEREAS, Public Law 100-307 directs the President of the United States to set aside and
annually proclaim the first Thursday of May as a National Day of Prayer; and,
WHEREAS, leaders and all people of our nation are afforded the privilege of prayer, as well as
the freedom to choose how and if they honor a guiding faith; and,
WHEREAS, a Day of Prayer serves as a reminder of the values of compassion and goodwill that
tie us to one another, a shared day to honor prayer as means by which we can consider the
struggle of others,
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim, May 7,
2020, as a Day of Prayer throughout the state of Illinois.
Issued by the Governor May 4, 2020
Filed by the Secretary of State January 8, 2021
2020-89
Foster Parent Appreciation Month
WHEREAS, each year more than 4,000 Illinois children who have been abused or neglected
cannot remain with their families safely, and these children need and deserve the temporary safe
haven of a family home where they can be protected, nurtured and loved; and,
ILLINOIS REGISTER 1252
21
PROCLAMATIONS
WHEREAS, without volunteer foster families, the Illinois Department of Children and Family
Services would not be able to fulfill its mission to provide for the well-being of the nearly 17,000
children currently in its care; and,
WHEREAS, the department and its nonprofit partners provide a wide range of supports to assist
foster families in meeting not only a child's basic physical needs but to also ensure their
educational, emotional and social well-being needs are met, none of which can be achieved
without the dedication of foster families; and,
WHEREAS, foster families answer a noble calling to devote their time and energy to children,
to reunite families when possible, support other permanency options and create opportunities for
a successful transition to adulthood; and,
WHEREAS, it is impossible to quantify the ways foster parents change lives, and they deserve
the utmost respect and gratitude for the lasting impact they have in the life of a child, in their
communities and on the next generation of this state;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do proclaim May 2020 as
FOSTER PARENT APPRECIATION MONTH in Illinois, extending thanks on behalf of all the
people of Illinois to the thousands of Illinois foster families, and encouraging all to consider
joining them in their noble service to children, communities and our state.
Issued by the Governor May 8, 2020
Filed by the Secretary of State January 8, 2021
2020-90
National Nurses Week and National Nurses Day
WHEREAS, the year 2020 marks the 200th birthday of Florence Nightingale the founder of
modern nursing and a leader in establishing infection control and general healthcare protocols;
and,
WHEREAS, nurses work collaboratively with physicians, other healthcare clinicians, and
wellness practitioners to serve and care for individuals, families, and communities; and,
WHEREAS, professional nursing has been demonstrated to be a crucial component of safe and
high-quality care, with nurses accounting for the majority of patient contact with healthcare
workers; and,
ILLINOIS REGISTER 1253
21
PROCLAMATIONS
WHEREAS, nurses play a vital role in providing health services − devoting their lives to caring
for others; giving lifesaving immunizations and health advice; looking after older people and
generally meeting everyday essential health needs; and,
WHEREAS, nurses worked tirelessly and selflessly to see the world through the 1918 flu
pandemic, the Polio epidemic, the Ebola crisis, and now the COVID-19 pandemic, once again
demonstrating their immeasurable value and critical role in building a strong health system; and,
WHEREAS, while nurses face the daily threat of contracting the illnesses they fight, their role is
critical in processing, assessing and triaging patients efficiently, managing medical supplies and
equipment, enforcing sanitation, and educating their patients and the general public on how to
stay healthy; and,
WHEREAS, despite the risks associated with their jobs, nurses remain strong and steadfast in
their dedication to their patients who will forever appreciate their help, and as the global need for
nurses continues to rise, we should do everything in our power to recognize and appreciate the
importance of the profession to all Illinoisans;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim May 6-12,
2020, NATIONAL NURSES WEEK in Illinois and May 12th as NATIONAL NURSES DAY in
Illinois, and ask all residents of Illinois to join me in expressing our gratitude to these brave
healthcare workers who, without hesitation, answer the call every single day − and let them
know we see them, we honor them, we salute them, and we thank them for being our heroes.
Issued by the Governor May 11, 2020
Filed by the Secretary of State January 8, 2021
2020-91
Peace Officers Memorial Day
WHEREAS, the dedicated members of law enforcement selflessly serve to protect the lives and
safety of Illinois residents as well as visitors to our great state; and,
WHEREAS, those who work in law enforcement face great risks and willingly put their lives on
the line to keep our families and our communities safe; and,
WHEREAS, peace officers are skilled professionals who must act as counselors,
communicators, and experts at crisis intervention; and,
WHEREAS, peace officers must protect and defend our lives, our personal safety and our
property while maintaining a professional demeanor in stressful situations; and,
ILLINOIS REGISTER 1254
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PROCLAMATIONS
WHEREAS, we could not live safely and comfortably in our communities without the hard
work and sacrifices made each day by the peace officers employed by state, county and
municipal governmental units; and,
WHEREAS, it is our duty to recognize peace officers for their hard work and dedication, and to
honor the memory of those officers who have given their lives in the performance of their duties;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby declare May 15,
2020, as PEACE OFFICERS MEMORIAL DAY in Illinois, and order all persons or entities
governed by the Illinois Flag Display Act to fly their flags at half-staff from sunrise to sunset on
this day in honor of the heroism of all our law enforcement officers, especially those who have
given their lives in the service of their communities.
Issued by the Governor May 15, 2020
Filed by the Secretary of State January 8, 2021
2020-92
Congenital Diaphragmatic Hernia Awareness Month
WHEREAS, a congenital diaphragmatic hernia (CDH) is a birth defect that occurs during fetal
development causing a hole in an infant's diaphragm, allowing organs to migrate through the
hole and crowding the abdomen, and ultimately may cause the infant's lungs to be small and
underdeveloped; and,
WHEREAS, since the year 2000 an estimated 700,000 babies worldwide have been born with
CDH; and,
WHEREAS, 1,600 newborns are affected by CDH in the United States every year with only
about half surviving past infancy; and,
WHEREAS, CDH is as common as spina bifida and cystic fibrosis but is not as well-known;
and,
WHEREAS, those with CDH often endure multiple surgeries and possible medical
complications, which can include heart defects, pulmonary complications, gastric and intestinal
problems, developmental delays, and may require respiratory and medicinal support for years;
and,
ILLINOIS REGISTER 1255
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PROCLAMATIONS
WHEREAS, raising awareness of this congenital defect will help bring about acceptance and
support for those suffering with CDH and their families, and will lead to urgently needed
research and medical advances;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim April 2020,
to be Congenital Diaphragmatic Hernia Awareness Month, and urge all residents of Illinois to
take cognizance of this event and participate fittingly in its observance.
Issued by the Governor May 19, 2020
Filed by the Secretary of State January 8, 2021
2020-93
Parkinson's Disease Awareness Month in Illinois
WHEREAS, Parkinson's Disease is a chronic, progressive disorder of the nervous system that
affects movement for which there is currently no cure; and,
WHEREAS, one million people in the United States are currently living with Parkinson's
disease, with an additional 50,000-60,000 new cases diagnosed each year; making Parkinson's
disease the 14th leading cause of death in the US according to the Centers for Disease Control;
and,
WHEREAS, every day the American Parkinson Disease Association provides the support,
education, and research that helps everyone impacted by Parkinson's disease live life to the
fullest, through research, patient and family services, education and more; and,
WHEREAS, increased efforts and awareness are desperately needed to help expedite the
research efforts into better treatments, medications and ultimately a cure, as well as enhanced
programs and services to help those impacted by Parkinson's disease live life to the fullest until a
cure is found; and,
WHEREAS, the world, the nation, and the state of Illinois observe Parkinson's Disease
Awareness Month in April 2020; and,
WHEREAS, the state of Illinois recognizes the efforts of the Midwest Chapter to raise funds and
promote awareness to fight Parkinson's disease, thereby improving the quality of life for those
living with the disease;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, in recognition of more than 55
years of indispensable services of the American Parkinson Disease Association and to the
ILLINOIS REGISTER 1256
21
PROCLAMATIONS
residents of Illinois do hereby proclaim April 2019 Parkinson's Disease Awareness Month in
Illinois.
Issued by the Governor May 19, 2020
Filed by the Secretary of State January 8, 2021
2020-94
Illinois Community College Month
WHEREAS, America's first public community college was established in Joliet, Illinois, in
1901; and,
WHEREAS, today the Illinois Community College System is the third largest in the nation, with
48 community colleges and 39 college districts located throughout the state; and,
WHEREAS, according to the Illinois Community College Board, Illinois community colleges
educate 60 percent of the students enrolled in Illinois public higher education; and,
WHEREAS, Illinois is #1 in the nation in bachelor's degree completion rates among community
college students of whom 58 percent transfer; and,
WHEREAS, nine out of 10 of the state's community college graduates live, work, pay taxes, and
raise their families in Illinois; and,
WHEREAS, earning an Associate of Applied Science or long-term certificate from an Illinois
community college adds more than $570,000 in lifetime earnings; and,
WHEREAS, nearly 74 percent of Illinois employers have hired a community college graduate;
and,
WHEREAS, Illinois community colleges have partnered with local school districts to offer
10,994 dual credit courses to 58,000 high school students; and,
WHEREAS, Illinois community colleges share a common mission to prepare people for the
workforce, to transfer students to other colleges and universities, and to continually respond to
the communities they serve through adult, literacy, and continuing education services;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim April 2020
to be Illinois Community College Month in honor of the Illinois Community College System and
the significant contribution these institutions are making to the strength, vitality, and prosperity
of our state.
ILLINOIS REGISTER 1257
21
PROCLAMATIONS
Issued by the Governor June 4, 2020
Filed by the Secretary of State January 8, 2021
2020-95
Illinois Pollinator Week
WHEREAS, pollinator species such as birds and insects are essential partners of farmers and
ranchers in producing much of our food supply; and,
WHEREAS, pollination plays a vital role in the health of our national forests and grasslands,
which provide forage, fish and wildlife, timber, water, mineral resources, and recreational
opportunities as well as enhanced economic development opportunities for communities; and,
WHEREAS, pollinator species provide significant environmental benefits that are necessary for
maintaining healthy, biodiverse ecosystems; and,
WHEREAS, the state of Illinois has managed wildlife habitats and public lands such as Illinois
prairies, wetlands and forests for decades; and,
WHEREAS, the state of Illinois provides farmers and ranchers with conservation assistance to
promote wise conservation stewardship, including the protection and maintenance of pollinators
and their habitats on working lands and wildlands; and,
WHEREAS, the Illinois Environmental Protection Agency, Illinois Department of Natural
Resources, Illinois Department of Agriculture and Illinois Department of Transportation are
overseeing the Illinois Monarch Project and the creation of the Illinois Monarch Action Plan;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim the week of
June 22-28, 2020 as ILLINOIS POLLINATOR WEEK throughout the state of Illinois, and urge
all residents to recognize this observance.
Issued by the Governor June 4, 2020
Filed by the Secretary of State January 8, 2021
2020-96
American Eagle Day
WHEREAS, the bald eagle was designated as the United States of America's national emblem
on June 20, 1782, by the founding fathers at the Second Continental Congress; and,
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WHEREAS, the bald eagle is unique to North America and represents such American values
and attributes as freedom, courage, strength, spirit, justice, equality, and excellence; and,
WHEREAS, the bald eagle is the central image used in the Great Seal of the United States and
in the logos of many branches of the U.S. government, including the Presidency; Congress;
Departments of Commerce, Defense, Justice, State, and Treasury; and U.S. Postal Service; and,
WHEREAS, the bald eagle was federally classified as an "endangered species" in the lower 48
states under the Endangered Species Act in 1973, was upgraded to a less imperiled "threatened"
status under that Act in 1995, and is currently making a gradual comeback to America's skies;
and,
WHEREAS, the Department of Interior and U.S. Fish and Wildlife Service delisted the bald
eagle from Endangered Species Act protection in 2007, but the bald eagle continues to be
protected under the Bald and Golden Eagle Act of 1940 and the Migratory Bird Treaty Act of
1918;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim June 20,
2019, as American Eagle Day in Illinois and encourage all residents to join in support of the
majestic bald eagle's continuing recovery and protection of its precious natural habitat, and in
commemorating the living and symbolic presence of our national bird.
Issued by the Governor June 12, 2020
Filed by the Secretary of State January 8, 2021
2020-97
Pollution Control Board Day
WHEREAS, the Pollution Control Board was created in 1970 with the enactment of Illinois'
Environmental Protection Act; and,
WHEREAS, the Board is charged with developing environmental rules and standards,
adjudicating complaints alleging violation of the Act and regulations; considering requests for
regulatory relief, and providing a forum to appeal specified administrative actions; and,
WHEREAS, in the 50 years since its creation, more than 50 persons have served on the Board,
providing expertise in law, science, and engineering as well as experience in state and local
government, educational institutions, environmental organizations, and the private sector; and,
WHEREAS, the Board encourages public participation in all its proceedings to ensure that its
decisions consider the fullest possible range of information and positions; and,
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WHEREAS, the Board makes its decisions and other documents available to the public free of
charge, and uses new technologies to make its work as accessible as possible; and,
WHEREAS, the Board works diligently in its rulemaking process to protect Illinois'
environmental and public health while fully considering the technical feasibility and economic
reasonableness of proposed regulation; and,
WHEREAS, the Board strives to maintain a fair and open process when adjudicating contested
environmental cases including enforcement actions and permit appeals; and,
WHEREAS, the Board has played and will continue to play an important role in implementing
Illinois' environmental programs;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, proclaim July 1, 2020, as
Pollution Control Board Day on the occasion of its 50th anniversary and commend it for the
important role it has played since 1970 in protecting the environment of Illinois and the health
and well-being of its people.
Issued by the Governor June 12, 2020
Filed by the Secretary of State January 8, 2021
2020-98
Bob Molaro Day
WHEREAS, the State of Illinois, its Governor and its citizens, are grateful for the dedication of
its elected public servants in advocating and working for the general good of the State, with
integrity, selflessness and compassion; and,
WHEREAS, the State of Illinois, its Governor and its citizens, are reliant on and benefited by
private agents of an engaged democracy to liaise in the cooperative relationship between
lawmakers, local municipalities, businesses, community organizations and the public-at-large;
and,
WHEREAS, Robert "Bob" Molaro served for a decade as a thrice-elected Illinois State Senator
of the 12th district; and,
WHEREAS, during his three terms in the Senate, Senator Molaro served as Democratic
spokesman of the Senate Licensed Activities Committee, the Higher Education Committee and
as the Democratic spokesperson of the Senate Executive Committee; and,
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WHEREAS, Senator Molaro has also served on the Committees on Insurance, Pensions and
Licensed Activities, Judiciary, and Transportation, and the Pension Laws Commission; and,
WHEREAS, upon retirement from the Illinois State Senate, Bob Molaro was elected to the
Illinois House of Representatives to serve as legislator for the 21st district; and,
WHEREAS, during his three terms in the Illinois House, Representative Molaro chaired the
Criminal Law Judiciary Committee, the Revenue Committee, and also served prominently on
committees for Gaming, Public Safety Appropriations, Mass Transit and Executive Leadership;
and,
WHEREAS, Bob Molaro achieved numerous legislative accomplishments as both a Senator and
Representative which have enhanced the quality of life for the people of his culturally and
racially diverse legislative districts; and,
WHEREAS, Bob Molaro was a compassionate advocate of criminal sentencing moderation,
animal rights including a ban on shooting preserves and horse slaughter for human consumption,
and protection for victims of child abuse and sex crimes; and,
WHEREAS, Bob Molaro was known and respected as a champion of Illinois horseracing and its
attendant agribusinesses, who promoted legislation to modernize the sport and establish parity
with other Illinois gaming interests, including advanced deposit mobile and online wagering,
impact fee collection and distribution, and allowance for casino-style gaming at race tracks,
thereby saving an historic Illinois industry; and,
WHEREAS, upon his retirement from Legislative service, Bob Molaro established a business of
government relations to advocate for cooperation between public and private sectors of Illinois
for the general betterment of the quality-of-life and working conditions within the State; and,
WHEREAS, Bob Molaro enlightened all with whom he worked with his studious understanding
of complicated civic issues, his enduring respect for competing opinions, and his humble humor
and general affection for all people;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, let it be resolved by declaration
that henceforth June 29th, the day of his birth, be known as Bob Molaro Day to recognize his
achievements as a trusted servant to the public of Illinois, and as a passionate citizen-advocate
for the common good of our State.
Issued by the Governor June 24, 2020
Filed by the Secretary of State January 8, 2021
ILLINOIS REGISTER 1261
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2020-99
Honorary Poet Laureate
WHEREAS, John Prine's legendary musical career spanned five decades of writing songs that
captured the human experience of everyday Americans leading to him being recognized as one
of his generation's most influential singer/songwriters; and,
WHEREAS, he was born in Maywood, Illinois on October 10, 1946 and began playing the
guitar at age 14; and,
WHEREAS, Prine worked as a mailman following high school and again upon returning from
serving two years with the U.S. Army in Germany; he wrote many of his early songs while
walking his mail route; and,
WHEREAS, he attended classes at Chicago's Old Town School of Folk Music and was an
integral part of the city's folk revival scene in the late 1960s; and,
WHEREAS, in 1970 while playing at The Fifth Peg club, Prine received a fortuitous review by
then Chicago Sun Times film critic Roger Ebert headlined 'Singing Mailman Delivers a Powerful
Message in a Few Words;' this was his first publicity and it launched him onto the Chicago folk
music scene; and,
WHEREAS, John Prine's self-titled debut album was released in 1971 and included some of his
most well-known songs including "Illegal Smile," "Hello in There," "Sam Stone," "Paradise,"
and "Angel from Montgome,y;" the album was named on Rolling Stone magazine's list of 500
Greatest Albums of All Time (#452); and,
WHEREAS, his work has been recorded by artists such as Johnny Cash, Kris Kristofferson, and
Bonnie Raitt and influenced the likes of Bob Dylan, Norah Jones, and Roger Waters; recently he
was a mentor to a new generation of artists including Jason Isbell, Brandi Carlile, Sturgill
Simpson, Dan Auerbach, and Kacey Musgraves; and,
WHEREAS, throughout his career Prine released 18 studio albums, won two Grammy Awards
(11 nominations), was named Artist of the Year three times by the Americana Music Honors &
Awards, received the 2020 Grammy Lifetime Achievement Award, and was inducted into the
Songwriters Hall of Fame, among many other accolades; and,
WHEREAS, in 2005 he was the first singer-songwriter to read and perform at the Library of
Congress by invitation of U.S. Poet Laureate Ted Kooser. Kooser spoke of Prine as a "truly
original writer, unequaled, and a genuine poet of the American people" and that "he did a better
ILLINOIS REGISTER 1262
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PROCLAMATIONS
job of holding up the mirror of art to the '60s and '70s than any of our official literary poets;"
and,
WHEREAS, on April 7, 2020, John Prine danced off life's stage at the age of 73 from
complications related to COVID-19; and,
WHEREAS, he leaves behind an unparalleled musical legacy and was beloved by family and
millions of fans.who hope that in Heaven he finds Paradise waitin' just as he longed for;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby bestow upon John
Prine the designation of Honorary Poet Laureate to honor and celebrate his lifetime of
contributions as a writer and poet.
Issued by the Governor June 30, 2020
Filed by the Secretary of State January 8, 2021
2020-100
Chronic Disease Awareness Day
WHEREAS, chronic disease affects millions of individuals throughout the nation and accounts
for seven of the top 10 causes of premature death in Americans throughout the United States;
and,
WHEREAS, hundreds of thousands of Americans suffer daily from unpreventable and costly
chronic and rare conditions, as well as conditions such as cardiovascular disease, stroke,
diabetes, cancer, and obesity; and,
WHEREAS, Chronic Disease Day promotes actionable resources to reduce individual risk and
lower the rate of chronic disease in America and spreads awareness so to help patients make
healthy choices and access preventative care; and,
WHEREAS, community advocacy organizations, healthcare professionals, and federal, state and
local governments together recognize the 10th day of the year's 7th month as Chronic Disease Day
in honor of the 7 in 10 people who will eventually lose their life to a chronic condition;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim July 10,
2020, as Chronic Disease Awareness Day in the state of Illinois.
Issued by the Governor July 9, 2020
Filed by the Secretary of State January 8, 2021
ILLINOIS REGISTER 1263
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PROCLAMATIONS
2020-101
ISEPS 50 Years of Service Day
WHEREAS, most people rank sight as the most important of their senses with, according to the
American Academy of Ophthalmology, as many as 70 percent of Americans saying they would
miss eyesight more than any other sense while nearly 37 million Americans over the age of 40
suffer from potentially blinding eye diseases such as cataracts, glaucoma, age-related macular
degeneration and diabetic retinopathy and some 2.4 million eye injuries occur in the United
States every year; and,
WHEREAS, ophthalmologists are medical doctors who specialize in medical and surgical
treatment of eye conditions and comprehensive vision care; and,
WHEREAS, the Illinois Society of Eye Physicians and Surgeons was established on July 20,
1970, by 16 pioneering ophthalmologists who saw a benefit in organizing the profession in
Illinois for the purposes of education, research and advocating for improvements in quality care
and safety of patients, and now represents the aspirations of more than 700 ophthalmologists
practicing in the state, as well as 100 residents and fellows who are training in Illinois; and,
WHEREAS, the annual educational conference of the Illinois Society of Eye Physicians and
Surgeons led by President Doctor Sohail Hasan, in partnership with the Chicago
Ophthalmological Society, is one of the largest state conferences in the nation; and,
WHEREAS, the ISEPS Global Ophthalmology Foundation was recently established to support
charitable projects for those in need of eye care here in Illinois and abroad;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim July 20,
2020, to be ISEPS 50 Years of Service Day in honor of the founding of the Illinois Society of
Eye Physicians and Surgeons and congratulate all ophthalmologists in the State for their work
every day to preserve the vision and eye health of Illinois citizens.
Issued by the Governor July 13, 2020
Filed by the Secretary of State January 8, 2021
2020-102
Wind Week in Illinois
WHEREAS, wind energy is the largest provider of renewable energy in the country; and,
ILLINOIS REGISTER 1264
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PROCLAMATIONS
WHEREAS, Illinois is the 3rd fastest growing state for new wind production, ranks sixth in the
nation for installed wind capacity and became the sixth state to exceed 5,000 MW of operating
wind in 2019 according to the American Wind Energy Association; and,
WHEREAS, Illinois is home to 34 active wind energy manufacturing facilities and almost
14,000 total jobs supported by wind and solar, cementing our ranking as third in the nation in
wind industry employment; and,
WHEREAS, wind powers opportunity in cities and communities all across Illinois, generating in
$49 million in annual state and local tax payments and $37 million in annual lease payments to
Illinois farmers; and,
WHEREAS, wind farms in Illinois have attracted nearly $11.4 billion in investment to date,
helping to spur critical investments in communities that fund manufacturing jobs, education
programs, and local economic development projects; and,
WHEREAS, the advancements in wind power will greatly enhance our ability to attract new
businesses and talent to our state and community, and will continue to grow as a major force in
the U.S. economy;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, hereby proclaim August 9th-15th
Wind Week in Illinois in recognition of American Wind Week, and encourage all Illinois
citizens to learn more about the benefits of wind energy in our communities and celebrate
Illinois' leadership in renewable energy production.
Issued by the Governor July 27, 2020
Filed by the Secretary of State January 8, 2021
2020-103
Gastroparesis Awareness Month
WHEREAS, gastroparesis is a chronic illness which, according to National Institutes of Health
(NIH) estimates, affects more than five million people in the United States, yet is little known or
understood; and,
WHEREAS, gastroparesis is "paralysis of the stomach" which is characterized by sometimes
debilitating pain, nausea, vomiting, and early satiety, and can lead to serious complications such
as malnourishment, dehydration, extreme weight fluctuations, esophageal damage, and
dangerously erratic blood sugar levels; and,
ILLINOIS REGISTER 1265
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WHEREAS, there is little awareness, no known cure, and few consistently safe, reliable, and
effective medications or treatments; and,
WHEREAS, we seek further research, improved medications, additional treatment options,
better support, and hope for our future; and,
WHEREAS, we seek to educate the citizens of our state, the medical community, and the
general public regarding the devastating effects of this disorder and promote awareness of our
condition for the good of the public health;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim the month
of August 2020, Gastroparesis Awareness Month.
Issued by the Governor August 7, 2020
Filed by the Secretary of State January 8, 2021
2020-104
Immunization Awareness Week in Illinois
WHEREAS, vaccines are one of the safest and most effective methods to protect children and
adults from more than a dozen vaccine-preventable diseases such as chickenpox and whooping
cough, which remain common in the United States, and to prevent rare infectious diseases, such
as measles, from spreading quickly; and,
WHEREAS, every year thousands of adults in the U.S. are hospitalized due to vaccine-
preventable diseases; and,
WHEREAS, adults should also receive certain vaccines, such as an influenza vaccine each year,
as well as tetanus and diphtheria boosters every 10 years; additionally, it is recommended that
adults over the age of 50 receive the shingles vaccine and adults over the age of 65 are
recommended to receive both pneumococcal vaccines; and,
WHEREAS, it has only become more important during the COVID-19 pandemic for all adults
and children to maintain the recommended vaccine schedule to help prevent resurgences of
preventable diseases; and,
WHEREAS, in 2019, 58.9 percent of children had received the full doses of the standard
childhood vaccine series, and all children should receive these vital immunizations; and,
WHEREAS, influenza has many similar symptoms to COVID-19, it remains important for
adults and children to receive the flu shot during the COVID-19 pandemic to protect themselves
ILLINOIS REGISTER 1266
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PROCLAMATIONS
from a vaccine-preventable disease and to reduce the amount of healthcare resources dedicated
to caring for flu patients;
THEREFORE, I, JB Pritzker, do hereby declare August 2020 as Immunization Awareness
Month in the State of Illinois and urge residents of all ages to talk with their health care provider
about the vaccines necessary to help keep themselves and their communities safe.
Issued by the Governor August 26, 2020
Filed by the Secretary of State January 8, 2021
2020-105
IARF Membership Appreciation Week
WHEREAS, IARF member agencies provide services and supports in more than 900 locations
across the state of Illinois to adults and children with intellectual and developmental disabilities
and serious mental illness; and,
WHEREAS, IARF members serve the entire state of Illinois from Galena to Karnak, Chicago to
Metro East St. Louis, and Quincy to Danville; and,
WHEREAS, the hard work that is done day in and day out and the dedication to the
development and improvement of services in Illinois from IARF members is remarkable; and,
WHEREAS, the state of Illinois is proud to stand with all of you and applaud the critical work
you are doing during this difficult point in history;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim August 24-
28, 2020 as IARF Membership Appreciation Week to recognize the dedication and vital role
IARF members play in enhancing the lives of adults and children with intellectual and
developmental disabilities and serious mental illness. On behalf of the people of Illinois, I offer
my best wishes for a safe, enjoyable, and fun, 2020 IARF Membership Appreciation Week.
Issued by the Governor August 27, 2020
Filed by the Secretary of State January 8, 2021
2020-106
Illinois Rail Safety Week
WHEREAS, 104 crashes occurred at public highway-rail grade crossings, resulting in 26
personal injuries and 19 fatalities in the State of Illinois during 2019; and,
ILLINOIS REGISTER 1267
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PROCLAMATIONS
WHEREAS, 48 trespassing incidents occurred in the State of Illinois during 2019, resulting in
the deaths of 29 pedestrians and the injuries of 20 others while trespassing on railroad property
rights of way; and,
WHEREAS, Illinois ranks fourth in the nation in grade crossing fatalities and fourth in trespass
fatalities for 2019; and,
WHEREAS, more than 81 percent of crashes at public grade crossings in Illinois occur where
active warning devices exist; and,
WHEREAS, educating and informing the public about rail safety, reminding the public that
railroad rights of way are private property, enhancing public awareness of the dangers associated
with highway-rail grade crossing, ensuring pedestrians and motorists are looking and listening
while near railways, and obeying established traffic laws will reduce the number of fatalities and
injuries to Illinoisans; and,
WHEREAS, the Illinois Association of Chiefs of Police (ILACP), partnered with Metra
Railroad and supported by the American Automobile Association, Illinois Commerce
Commission, Illinois Department of Transportation, Illinois Operation Lifesaver, Illinois State
Police, Illinois Tollway Authority, Illinois Sheriff's Association, Illinois Secretary of State,
Illinois Truck Enforcement Association, Illinois High School and College Driver's Education
Association, DuPage Rail Safety Council, and local and railroad law enforcement, first
responders and area railroad companies commit to partnering together in an effort to educate
Illinois residents on all aspects of railroad safety, to enforce applicable state laws, and to support
Illinois Rail Safety Week; and,
WHEREAS, the Illinois Commerce Commission continues to develop partnerships designed to
create a strong, supportive rail safety culture throughout Illinois to reduce the number of railroad
related incidents;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim September
21-27, 2020 as Illinois Rail Safety Week, and encourage all citizens to recognize the importance
of rail safety education.
Issued by the Governor September 15, 2020
Filed by the Secretary of State January 8, 2021
2020-107
Chiropractic Health Care Month
ILLINOIS REGISTER 1268
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PROCLAMATIONS
WHEREAS, every year, more than 30 million Americans throughout the country, including two
million in Illinois, visit chiropractic physicians who locate and help correct joint and spinal
problems; and,
WHEREAS, chiropractic physicians have long stressed that exercise, good posture, and
balanced nutrition are essentials to proper growth, development, and health maintenance; and,
WHEREAS, Illinois chiropractic physicians are dedicated to protecting and promoting patient
rights, the practice of chiropractic medicine, and fostering the growth of chiropractic through
ongoing training and a commitment to safe and ethical practice; and,
WHEREAS, chiropractic is a safe, conservative approach to pain relief and wellness, and it is
the most popular form of natural healthcare in the world; and,
WHEREAS, the science of chiropractic and the physicians who practice it contribute greatly to
the health and wellbeing of the people of Illinois;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim October
2020 as Chiropractic Health Care Month in Illinois to raise awareness about chiropractic care.
Issued by the Governor September 16, 2020
Filed by the Secretary of State January 8, 2021
2020-108
Direct Support Professionals Week
WHEREAS, direct support professionals, direct care workers, and in-home support workers are
the primary providers of publicly-funded, long-term services and support for individuals with
intellectual/developmental disabilities; and,
WHEREAS, direct support professionals must build close, respectful, and trusted relationships
with the persons they serve and support; and,
WHEREAS, direct support professionals help those with intellectual/developmental disabilities
participate fully in their communities and remain connected to family and friends; and,
WHEREAS, direct support professionals provide a broad range of support to help enable
individuals with intellectual/developmental disabilities live meaningful lives; and,
WHEREAS, direct support professionals play an important role in supporting individuals with
intellectual/developmental disabilities in helping them avoid more costly institutional care; and,
ILLINOIS REGISTER 1269
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WHEREAS, without direct support professionals, there are no community-based services and
support for individuals with intellectual/developmental disabilities; and,
WHEREAS, Illinois is experiencing a severe workforce crisis due to the inability of community-
based providers to retain and recruit direct support professionals and addressing this will require
a myriad of solutions; and,
WHEREAS, Illinoisans recognize and celebrate the contributions of direct support professionals
that help strengthen our communities by fostering greater inclusion of persons with
intellectual/developmental disabilities;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim September
8-14, as Direct Support Professionals Recognition Week in Illinois to recognize the dedication
and vital role of direct support professionals in enhancing the lives of individuals of all ages with
intellectual/developmental disabilities.
Issued by the Governor September 17, 2020
Filed by the Secretary of State January 8, 2021
2020-109
Gold Star Mother's Day
WHEREAS, many times our nation has the made call to action, there have been men and
women who didn't flinch and proudly raised their right hand in service to their country; and,
WHEREAS, these heroes served with great honor and distinction, we cannot forget who bears
the brunt of the loss when they don't return home, the courage of their sons and daughters has
ensured the continued freedom of our state and nation, we are only able to sit here today, because
bravery flowed from the hearts of your children; and,
WHEREAS, we remember our commitment to the Gold Star Mothers who go on with their days
with the same honor and courage as their children despite living with an unfillable void; and,
WHEREAS, we recall our sacred obligation to those who gave their lives so we could live ours;
and,
WHEREAS, the United States 74th Congress proclaimed the last Sunday in September to be
known as "Gold Star Mother's Day";
ILLINOIS REGISTER 1270
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THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim September
27, 2020 as Gold Star Mother's Day in Illinois to recognize the mothers who suffered the
supreme tragedy in the loss of their sons and daughters in wars and remember the sacrifice they
have made.
Issued by the Governor September 22, 2020
Filed by the Secretary of State January 8, 2021
2020-110
Principals Week and Principals Day
WHEREAS, school principals play an integral role in the education and growth of children in
elementary, middle, and secondary schools across the State of Illinois; and,
WHEREAS, school principals are responsible for promoting education and building
relationships with parents and teachers to ensure that each child receives services that meet their
needs to excel in the classroom; and,
WHEREAS, it is the primary responsibility of the State of Illinois to preserve and improve
resources for schools so that all students have access to a quality education and foundation for a
successful future; and,
WHEREAS, the Illinois Principals Association, which represents over 5,800 educational leaders
statewide, believes that learning is a lifelong process and that the education of our children is the
highest priority; and,
WHEREAS, for that reason, the Illinois Principals Association is dedicated to developing,
supporting, and advocating for innovative school leaders; and,
WHEREAS, educational leaders face many challenges in supporting and educating our young
people and it is through their perseverance and passion that Illinois continues to produce quality,
career-ready students; and,
WHEREAS, school principals and learning leaders have faced unprecedented challenges related
to COVID-19 during the 2019-2020 school year and preparing to reopen schools for the 2020-
2021 school year during a continuing pandemic; and,
WHEREAS, we must continue to encourage, support, and recognize our school leaders who
have a positive impact on Illinois students and the educational system in the Land of Lincoln;
and,
ILLINOIS REGISTER 1271
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PROCLAMATIONS
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim the week of
October 18-24, 2020 as Principals Week and Friday, October 23, 2020 as Principals Day in
Illinois, to recognize principals and the Illinois Principals Association for all that they do to help
our children learn and succeed.
Issued by the Governor September 22, 2020
Filed by the Secretary of State January 8, 2021
2020-111
Family Meals Month
WHEREAS, Family Meals Month is a national effort to encourage families to pledge to share
more meals at home per week; and,
WHEREAS, 92 percent of U.S. consumers say they want to eat healthier meals, yet only 30
percent of American families share dinner every night; and,
WHEREAS, conversations around dinner tables establish closer relationships and increase
parental involvement; and,
WHEREAS, regular family meals are linked to kids earning higher grades, improving self-
esteem and resisting negative peer pressure; and,
WHEREAS, children who grow up sharing family meals are more likely to exhibit prosocial
behavior as adults, such as sharing, fairness, and respect; and,
WHEREAS, 90 percent of supermarkets offer fresh, prepared foods, 95 percent offer cooking
demos, 86 percent offer cooking classes, and 100 percent offer recipes and meal ideas;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim September
2020 be recognized as Family Meals Month, and encourage Illinois residents to add one more
family meal per week during this month and throughout the year.
Issued by the Governor September 25, 2020
Filed by the Secretary of State January 8, 2021
2020-112
Manufacturing Month in Illinois
WHEREAS, manufacturing has historically represented the largest single sector in the Illinois
economy and contributes more than $108 billion in economic output annually; and,
ILLINOIS REGISTER 1272
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PROCLAMATIONS
WHEREAS, more than 18,000 companies call Illinois home and provide employment for more
than 550,000 of our family and neighbors; and,
WHEREAS, Illinois and communities around the World face the most unique challenges in
more than a century with the presence of the Novel Coronavirus, COVID-19; and,
WHEREAS, in response to the pandemic, nearly 1,000 manufacturers and distributors
voluntarily came forward to provide the state of Illinois with critically indispensable protective
supplies and equipment needed by frontline medical and public safety personnel; development of
lifesaving medicine and diagnostic tools; and with many who took extraordinary steps to ensure
our food supply remained safe and plentiful, and our homes and businesses stayed safeguarded;
and,
WHEREAS, the growing manufacturing industry with an array of careers offered allows anyone
the opportunity to be an integral participant in rising to meet future challenges and create new
and innovative products that move our state into the future; and,
WHEREAS, manufacturers continue to struggle to keep pace with filling more than 25,000
ongoing vacancies in production and engineering careers that represent high-quality, high-paying
opportunities for every individual; and,
WHEREAS, this pandemic casts limitations on our annual celebration of manufacturing in our
state and its great career opportunities, we nonetheless recognize with deep appreciation the vital
role of manufacturing in every Illinois community and its ongoing contributions to our economy;
THEREFORE, I, JB Pritzker, Governor of Illinois, due hereby proclaim October 2020 as
MANUFACTURING MONTH IN ILLINOIS and encourage local collaborative efforts be safely
designed to expand knowledge about and improve general public perception of manufacturing
careers and industry's overall value to Illinois and our economy; and,
BE IT FURTHER RESOLVED, that Manufacturing Month is for students and their parents,
educators, and all citizens to celebrate the contributions manufacturers make to the fabric of our
state's communities and assure continued success of local events highlighting Manufacturing
Month in Illinois.
Issued by the Governor September 28, 2020
Filed by the Secretary of State January 8, 2021
2020-113
Suicide Prevention Month
ILLINOIS REGISTER 1273
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PROCLAMATIONS
WHEREAS, suicide is a major public health issue that can have lasting, harmful effects on
individuals, families, and communities; its causes are complex and determined by multiple
factors; and,
WHEREAS, in the United States, one person completes suicide every 10.9 minutes and one
suicide attempt occurs every 26 seconds. It is estimated that 5.4 million people in the United
States are loss survivors of suicide − those who have lost a loved one to suicide; and,
WHEREAS, in 2017, suicide resulted in nearly 479,000 emergency department visits for self-
inflicted injury and more than 48,000 deaths nationally; and in 2018 more than 1,400 deaths in
Illinois. Illinois residents who've died of suicide, 38.5 percent use a firearm, 34.6 percent died of
asphyxiation, and 11.6 percent died of drug poisoning; and,
WHEREAS, suicide affects all ages and is a problem throughout the life span; suicide is the
10th leading cause of all deaths in the United States and the second leading cause of death
among individuals between the ages of 10 and 34. In Illinois, suicide is the 11th leading cause of
all deaths, second among people 10 to 14 years of age, third among 15 to 25 years of age, and
fourth among 35 to 54 years of age; and,
WHEREAS, suicide rates vary by race/ethnicity, age, and other population characteristics, such
as non-Hispanic, American Indian/Alaska Native, non-Hispanic White, veterans and other
military personnel, workers in certain occupational groups, and sexual minority youth; and,
WHEREAS, of the Illinoisans who died of suicide in a single year, 15 percent were defined as
reporting ever serving in the U.S. Armed Forces and the latest statistics show that the Veteran
suicide rate in Illinois is significantly higher than the national suicide rate leading to the Illinois
General Assembly forming the Veteran Suicide Task Force to study and evaluate how the State
of Illinois can become a partner and collaborate in reducing Veteran suicide; and,
WHEREAS, the stigma associated with mental illness and suicidality discourages persons at
risk for suicide from seeking lifesaving help and further traumatizes survivors of suicide; and,
WHEREAS, the coronavirus disease 2019 (COVID-19) pandemic can be stressful for people
with many Americans experiencing impacts on their mental and emotional well-being, issues
such as job loss, financial strain, and social isolation – all risks factors for suicide. Mental health
is an important part of overall health and well-being. It is importance to support individuals in
seeking personal counseling or treatment anytime it is needed. Those experiencing a suicidal
crisis, can call the National Suicide Prevention Lifeline (1-800-273-8255), or text HOME to
741741 for the Crisis Text Line; and,
ILLINOIS REGISTER 1274
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PROCLAMATIONS
WHEREAS, a great many suicides are preventable, individuals and prevention organizations are
working to address prevention at all levels of influence − individual, relationship, community,
and societal, to promote awareness of suicide and encourage a commitment to social change;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, hereby proclaim September
2020 as Suicide Prevention Month and encourage Illinois residents and stakeholders to join
statewide suicide prevention efforts.
Issued by the Governor September 30, 2020
Filed by the Secretary of State January 8, 2021
2020-114
Cybersecurity Awareness Month
WHEREAS, the State of Illinois recognizes that it plays a vital role in identifying, protecting its
citizens from, and responding to cyber threats that may have a significant impact on our
individual and collective security and privacy; and,
WHEREAS, critical infrastructure sectors are increasingly reliant on information systems and
technology to support financial services, energy, telecommunications, transportation, utilities,
health care, and emergency response systems; and,
WHEREAS, the National Cybersecurity Awareness campaign focuses on raising awareness of
the importance of cybersecurity and ensuring that all Americans have the resources they need to
be safer and more secure online; and,
WHEREAS, the emphasis for this year is encouraging individuals and organizations to own
their role in protecting their part of cyberspace, stressing personal accountability and the
importance of proactive steps to enhance cybersecurity; and,
WHEREAS, the line between our online and offline lives is indistinguishable in these tech-
fueled times, our homes, societal well-being, economic prosperity and nation's security are
impacted by the internet; and,
WHEREAS, the Illinois Department of Innovation & Technology, the U.S. Department of
Homeland Security, The National Cyber Security Alliance, and the Multi-State Information
Sharing and Analysis Center all recognize October as National Cybersecurity Awareness Month;
WHEREAS, all citizens are encouraged to visit the staysafeonline.org and the
stop.think.connect.org websites to learn about cybersecurity and put that knowledge into practice
in their homes, schools, workplaces, and businesses;
ILLINOIS REGISTER 1275
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PROCLAMATIONS
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim October
2020 as Cybersecurity Awareness Month in Illinois.
Issued by the Governor September 30, 2020
Filed by the Secretary of State January 8, 2021
2020-115
Domestic Violence Awareness Month
WHEREAS, domestic violence is a prevalent social problem that not only harms the victim but
affects family, friends and the community at large; and,
WHEREAS, domestic violence exists in all neighborhoods and cities, affects people of all ages,
genders, racial and ethnic, religious and socioeconomic backgrounds; and,
WHEREAS, the health-related costs of rape, physical assault, stalking, trafficking, and homicide
by intimate partners exceeds $8.3 billion every year; and,
WHEREAS, the annual cost of lost productivity in the workplace due to domestic violence
exceeds $5.8 billion every year; and,
WHEREAS, through the month of October, Illinois Coalition Against Domestic Violence and
its 52 member programs will recognize and honor all those who have experienced domestic
violence and highlight the additional dangers brought on by COVID-19 and the economic
downturn in 2020;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim the month
of October 2020 Domestic Violence Awareness Month.
Issued by the Governor September 30, 2020
Filed by the Secretary of State January 8, 2021
2020-116
Fire Prevention Week
WHEREAS, the State of Illinois is committed to ensuring the safety and security of all those
living in and visiting our state; and,
WHEREAS, fire is a serious public safety concern both locally and nationally, and homes are
the locations where people are at greatest risk from fire; and,
ILLINOIS REGISTER 1276
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PROCLAMATIONS
WHEREAS, home fires killed more than 2,630 people in the United States in 2017, according to
the National Fire Protection Association® (NFPA®), and fire departments in the United States
responded to 357,000 home fires; and,
WHEREAS, cooking is the leading cause of home fires in the United States where fire
departments responded to more than 173,200 annually between 2013 and 2017; and,
WHEREAS, according to the National Fire Incident Reporting System (NFIRS), Illinois fire
departments responded to 6,437 fires that originated in the kitchen or were caused by cooking in
2019; and,
WHEREAS, two of every five home fires start in the kitchen with 31% of these fires resulting
from unattended cooking; and,
WHEREAS, more than half of reported non-fatal home cooking fire injuries occurred when the
victims tried to fight the fire themselves; and,
WHEREAS, children under five face a higher risk of non-fire burns associated with cooking
than being burned in a cooking fire; and,
WHEREAS, Illinois residents should stay in the kitchen when frying food on the stovetop, keep
a three-foot kid-free zone around cooking areas and keep anything that can catch fire away from
stove tops; and,
WHEREAS, residents who have planned and practiced a home fire escape plan are more
prepared and will therefore be more likely to survive a fire; and,
WHEREAS, working smoke alarms cut the risk of dying in reported home fires in half; and,
WHEREAS, Illinois' first responders are dedicated to reducing the occurrence of home fires and
home fire injuries through prevention and protection education; and,
WHEREAS, Illinois' residents are responsive to public education measures and are able to take
personal steps to increase their safety from fire, especially in their homes; and,
WHEREAS, the 2020 Fire Prevention Week theme TM, "Serve Up Fire Safety in the Kitchen!!"
effectively serves to remind us to stay alert and use caution when cooking to reduce the risk of
kitchen fire;
ILLINOIS REGISTER 1277
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PROCLAMATIONS
THEREFORE, I JB Pritzker Governor of Illinois, do hereby proclaim October 4-10, 2020, as
Fire Prevention Week throughout this state, and I urge all the people of Illinois to check their
kitchens for fire hazards and use safe cooking practices during Fire Prevention Week 2020, and
to support the many public safety activities and efforts of Illinois' fire and emergency services.
Issued by the Governor October 2, 2020
Filed by the Secretary of State January 8, 2021
2020-117
Malnutrition Awareness Week
WHEREAS, experts agree that nutrition status is a direct measure of patient health and that
good nutrition can keep people healthy and out of healthcare institutions, thus reducing
healthcare costs which can be up to $42 billion annually for hospital stays involving
malnutrition; and,
WHEREAS, inadequate or unbalanced nutrition, known as malnutrition, is particularly
prevalent in vulnerable populations, such as hospitalized patients, older adults, and minority
populations, and those populations statistically shoulder the highest incidences of the most
severe chronic illnesses such as diabetes, kidney disease, cancer, and cardiovascular disease that
are also impacted by nutrition; and,
WHEREAS, malnutrition is exacerbated by the global COVID-19 health pandemic that has
intensified disparities and social isolation and is further compounded by food insecurity and
federal legislation has allocated supplemental funding for federal community nutrition programs;
and,
WHEREAS, illness, injury, and malnutrition can result in the loss of lean body mass, leading to
complications that impact good patient health outcomes, including recovery from surgery,
illness, or disease; and,
WHEREAS, Enhanced Recovery After Surgery (ERAS®) care plans implemented by a team of
multidisciplinary healthcare professionals can improve patient nutrition to support a strong
recovery and help reduce risk of complications from elective surgeries; and,
WHEREAS, despite the recognized link between good nutrition and good health, nutrition
screening and intervention have not been systematically incorporated across the continuum of
care; and,
WHEREAS, clinical quality measures can help improve nutrition screening and intervention,
and the Centers for Medicare & Medicaid Services (CMS) for the first time has approved
ILLINOIS REGISTER 1278
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PROCLAMATIONS
multiple malnutrition-specific clinical quality measures for two CMS qualified clinical data
registries; and,
WHEREAS, a collaborative effort among key stakeholders in the public and private sectors
continues to be required to increase awareness of, reduce, and prevent malnutrition and the
National Blueprint: Achieving Quality Malnutrition Care for Older Adults, 2020 Update serves
as a template for such collaboration;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, join with the Illinois Department
on Aging recognizing that an important step toward identifying and treating malnutrition is
raising awareness about it and thus join with The American Society for Parenteral and Enteral
Nutrition (ASPEN), proclaim October 5-9, 2020 is recognized as Malnutrition Awareness
Week™ in Illinois.
Issued by the Governor October 2, 2020
Filed by the Secretary of State January 8, 2021
2020-118
Filipino American History Awareness Month
WHEREAS, the Filipino American National Historical Society established Filipino American
History Month (FAHM) in 1988, choosing October to commemorate the arrival of the first
Filipinos who landed in what is now Morro Bay, California on October 18, 1587; and,
WHEREAS, Filipino Americans are now the second most populous Asian American group in
both the State of Illinois and the United States; and,
WHEREAS, Filipino Americans have been, and continue to be, are an integral part of the
Illinois essential front-line workers and healthcare system as nurses, doctors, other medical
professionals, home health and domestic care workers, farm workers, postal service workers and
other essential industry workers; and,
WHEREAS, Filipino American servicemen and servicewomen have a longstanding history
serving within the Armed Services of the United States from the Civil War to the present-day,
including the 250,000 Filipinos who fought under the United States flag during World War II to
protect and defend this great state and country; and,
WHEREAS, efforts should continue to promote the study of Filipino-American history and
culture, as mandated in the mission statement of the Filipino American National Historical
Society, because the roles of Filipino Americans and other people of color have been overlooked
in the writing, teaching, and learning of United States history; and,
ILLINOIS REGISTER 1279
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PROCLAMATIONS
WHEREAS, the State of Illinois recognizes the civic engagement of Filipino Americans in the
State of Illinois October 2020 national theme of, "History of Filipino American Activism" that
specifically recognizes the history of Filipino American solidarity with other communities in
their fights for equity and justice, including the Black Lives Matter Movement, American Indian
Movement, Civil Rights and Voting Rights, Women's Rights, LGBTQ Rights, and
Environmental Justice;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby recognize October
2020 as Filipino American History Month as a study of the advancement of Filipino Americans,
as a time of reflection and remembrance, and as a time to renew efforts toward the research and
examination of history and culture to provide an opportunity for all people in Illinois to learn and
appreciate more about Filipino Americans and their historic contributions in this great state and
to the nation.
Issued by the Governor October 5, 2020
Filed by the Secretary of State January 8, 2021
2020-119
St. Augustine College 40th Anniversary
WHEREAS, St. Augustine College has served more than 10,000 students since its inception 40
years ago and continues to serve a diverse and steadily increasing student population each year;
and,
WHEREAS, for 40 years, St. Augustine College has continued to help people strive for a
brighter future for themselves and their families by helping them train for higher-paying jobs;
and,
WHEREAS, St. Augustine College is the first and only fully Spanish/English bilingual
institution of higher education of its kind in the Midwest; and,
WHEREAS, St. Augustine College offers educational opportunities at low tuition rates for all
residents of Illinois − from bachelor's degrees to certificate programs to adult education,
economic development opportunities, and lifelong learning − and whose students come from all
backgrounds and walks of life; and,
WHEREAS, all St. Augustine College faculty, professional support staff, and administrators
begin celebrating the college's 40th anniversary during St. Augustine College's 40th Anniversary
Day Celebration;
ILLINOIS REGISTER 1280
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PROCLAMATIONS
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim Wednesday,
October 7, 2020, as St. Augustine College's 40th Anniversary Day in the State of Illinois, and
urge all residents to join me in recognizing the tremendous influence St. Augustine College has
had on the State since opening 40 years ago.
Issued by the Governor October 5, 2020
Filed by the Secretary of State January 8, 2021
2020-120
Infant Safe Sleep Awareness Month
WHEREAS, hundreds of infants die each year because they are placed in unsafe sleeping
environments; and,
WHEREAS, Sudden Unexpected Infant Deaths (SUID) is the sudden and unexpected death of
an infant, birth to age one year, in which the manner and cause of death are not immediately
obvious prior to investigation; and,
WHEREAS, Sudden Infant Death Syndrome (SIDS) is a subset of SUID and remains the
number one cause of infant death between the age of 28 days to one year; and,
WHEREAS, the tragedy of SUID can happen to any family, regardless of race, ethnic or
economic group; and,
WHEREAS, babies sleep safest when sleeping alone, on their backs, not in adult beds nor
couches nor chairs, but in a bassinet or crib with a firm mattress and tightly fitted sheets free of
pillows, bumpers, blankets and other items, in a smoke-free environment; and,
WHEREAS, Illinois law requires hospitals to provide education and materials regarding SIDS
prevention and safe sleep practices to parents of newborns; and,
WHEREAS, during the month of October we raise awareness of the important steps parents can
take to ensure the safety of their infant children while sleeping;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim October
2020 as Infant Safe Sleep Awareness Month in Illinois to raise awareness about sudden
unexplained infant death and to encourage infant safe sleep practices so that no parent will have
to endure the tragedy of infant death.
Issued by the Governor October 13, 2020
Filed by the Secretary of State January 8, 2021
ILLINOIS REGISTER 1281
21
PROCLAMATIONS
2020-121
Adoption Awareness Month
WHEREAS, thanks to thousands of adoptive parents across the state, 17,547 children have
found permanent homes over the last decade, including 1,523 children in the last year alone; and,
WHEREAS, all children need and deserve the love, nurturing and sense of security that can only
come from being a part of a loving, permanent family; and,
WHEREAS, adoption provides a unique joy and a special opportunity for individuals, whether
or not they are already parents, married, in a civil union, single or divorced, to open their hearts
and their homes for the rest of their lives to children; and,
WHEREAS, the Illinois Department of Children and Family Services and its nonprofit partners
strive to reunite children with their birth families, but when that simply is not possible, they are
equally committed to ensuring every child has the safe, loving family they deserve and need to
reach their fullest potential; and,
WHEREAS, Illinois has made great strides in recent years in strengthening and improving the
child welfare system: reducing the number of children in temporary substitute care from 52,000
to 18,000; establishing a Bill of Rights for both birth parents and adoptive parents; and
strengthening licensing requirements for adoption agencies to prevent the exploitation of birth
parents, adoptive parents and children; and,
WHEREAS, we are committed to improving the child welfare system even further, especially
by reducing the length of time children remain in temporary foster care; and,
WHEREAS, currently there are nearly 1,400 children awaiting adoption across the state, of all
ages, backgrounds and needs;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim November
2020 as Adoption Awareness Month in Illinois, and encourage all Illinoisans to express their
gratitude to the thousands of families across the state that have opened their homes and their
hearts to children, and encourage others to consider joining them in making a life-changing
difference for children.
Issued by the Governor October 15, 2020
Filed by the Secretary of State January 8, 2021
2020-122
ILLINOIS REGISTER 1282
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PROCLAMATIONS
Breast Cancer Awareness Month and Mammography Day
WHEREAS, October 2020 marks the 35th anniversary of National Breast Cancer Awareness
Month, a season to educate women about breast cancer and the importance of early detection
through mammography; and,
WHEREAS, breast cancer is the most common cancer diagnosed in women other than skin
cancer and is the second leading cause of cancer deaths for women; and,
WHEREAS, in the United States, one in eight women will be diagnosed with breast cancer in
their lifetime; and,
WHEREAS, a projected 276,480 new cases of breast cancer will be diagnosed in women across
the United States in 2020; and,
WHEREAS, the Illinois Breast and Cervical Cancer Program (IBCCP) offers free breast exams
and mammograms to uninsured and underinsured women; and,
WHEREAS, the best chance for detecting breast cancer early is through mammography
screening, and since 1993, the United States has recognized the third Friday in October as
National Mammography Day;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim October
2020 as BREAST CANCER AWARENESS MONTH and October 16, 2020, as
MAMMOGRAPHY DAY in Illinois, and encourage all citizens to join me in the continued fight
against breast cancer.
Issued by the Governor October 15, 2020
Filed by the Secretary of State January 8, 2021
2020-123
Women's Small Business Month in Illinois
WHEREAS, Illinois women entrepreneurs are innovators who think big, take risks and work
strategically. Women own businesses that provide essential services to their communities and are
the backbone of our economy; and,
WHEREAS, Illinois women, like their peers across the nation, have experienced an
unprecedented amount of economic impact on their business due to the ongoing COVID-19
pandemic; and,
ILLINOIS REGISTER 1283
21
PROCLAMATIONS
WHEREAS, per a recent survey taken by the U.S. Chamber of Commerce, the number of
women-owned businesses that rank their overall business' health as "somewhat or very good" has
fallen by 13 points during the pandemic compared to their male counterpart business owners who
only fell by five points. Also, women-owned small businesses were found to have less optimistic
revenue, investment and hiring plans compared to male-owned small businesses; and,
WHEREAS, women-owned businesses received over $19 million from the first round of
Illinois' Business Interruption Grant Program − or BIG Program − and over half of that amount
was received by women of color; and,
WHEREAS, the State of Illinois is administering $270m in grants through BIG that are
dedicated to support childcare providers – an industry predominantly comprised of women
entrepreneurs who provide a critical service to working mothers and fathers; and,
WHEREAS, the State of Illinois is committed to empowering women business owners across
the State, knowing that when we support small business, jobs are created, and local communities
maintain their distinct culture;
THEREFORE, we, JB Pritzker, Governor of the State of Illinois, and Juliana Stratton,
Lieutenant Governor of the State of Illinois, hereby proclaim October 2020 as WOMEN'S
SMALL BUSINESS MONTH IN ILLINOIS and encourage the people of the State of Illinois to
frequent and support women-owned businesses with our resources so they may not only survive
this time but thrive for years to come.
Issued by the Governor October 16, 2020
Filed by the Secretary of State January 8, 2021
2020-124
National Samosa Day
WHEREAS, Samosas have origins throughout the Middle East as conveniently encased meals
ideal for traveling merchants; and,
WHEREAS, Samosas have evolved to become a popular food amongst South Asian
communities, particularly Indian and Pakistani; and,
WHEREAS, the West Ridge community of Chicago has one of the highest concentrations of
restaurants and households serving Samosas; and,
WHEREAS, the modern Samosa has evolved to become a fusion of American, Asian,
European, and African cultures; and,
ILLINOIS REGISTER 1284
21
PROCLAMATIONS
WHEREAS, National Samosa Day shall be a representation of South Asian culture, and
celebration thereof in the community;
THEREFORE, I, JB Pritzker, Governor of the state of Illinois, proclaim October 25th 2020 shall
be declared National Samosa Day, and in conjunction be celebrated with a multitude of
multicultural festivities, including restaurant promotions and ethnic dances and songs.
Issued by the Governor October 23, 2020
Filed by the Secretary of State January 8, 2021
2020-125
TAR Syndrome Awareness Month
WHEREAS, Thrombocytopenia-Absent Radius (TAR) syndrome is characterized by the
absence of a bone called the radius in each forearm and a shortage of blood cells involved in
clotting; and,
WHEREAS, this platelet deficiency (thrombocytopenia) usually appears during infancy and
becomes less severe over time, in some cases the platelet levels become normal; and,
WHEREAS, thrombocytopenia prevents normal blood clotting, resulting in easy bruising and
frequent nosebleeds with potentially life-threatening episodes of severe bleeding − hemorrhages
− may occur in the brain and other organs, especially during the first year of life; and,
WHEREAS, hemorrhages can damage the brain and lead to intellectual disability; and affected
children who survive this period and do not have damaging hemorrhages in the brain usually
have a normal life expectancy and normal intellectual development; and,
WHEREAS, the severity of skeletal problems in TAR syndrome varies among affected
individuals with the radius, which is the bone on the thumb side of the forearm, is almost always
missing in both, and the other bone in the forearm, which is called the ulna, is sometimes
underdeveloped or absent in one or both arms; and,
WHEREAS, TAR syndrome is unusual among similar malformations in that affected
individuals have thumbs, while people with other conditions involving an absent radius typically
do not. However, there may be other abnormalities of the hands, such as webbed or fused fingers
(syndactyly) or curved pinky fingers (fifth finger clinodactyly). Some people with TAR
syndrome also have skeletal abnormalities affecting the upper arms, legs, or hip sockets;
ILLINOIS REGISTER 1285
21
PROCLAMATIONS
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do herby proclaim November
2020 as TAR SYNDROME AWARENESS MONTH, and encourage awareness of this
syndrome.
Issued by the Governor October 26, 2020
Filed by the Secretary of State January 8, 2021
2020-126
Election Hero Day
WHEREAS, the COVID-19 pandemic has had a far-reaching effect on the 2020 election,
including requiring closures of some polling places, and causing some experienced poll workers
to stay home instead of serving at the polls this year due to health risk; and,
WHEREAS, amidst all the changes, election administrators and poll workers, including many
with experience and many stepping up for the first time, are playing a critical role in helping
voters safely and securely access their ballots; and,
WHEREAS, to conduct an accessible and secure election requires the work of the Illinois State
Board of Elections, their staff, 108 local election authorities and their permanent staff, and
approximately 80,000 poll workers in every neighborhood and community in our state; and,
WHEREAS, making adjustments to election administration, educating the public, and recruiting
and training additional poll workers has required long hours and creativity by these election staff;
and,
WHEREAS, thanks to these heroic efforts, record numbers of voters are likely to participate in
the 2020 general election; and,
WHEREAS, in order to recognize the heroic efforts made by election administrators and poll
workers, the State of Illinois urges voters, businesses, organizations, public officials, and all
candidates for public office across our state to join in celebrating and thanking these individuals;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim November
3, 2020, as "ELECTION HERO DAY" in Illinois, and commend its observance to all residents.
Issued by the Governor October 29, 2020
Filed by the Secretary of State January 8, 2021
2020-127
Disability Employment Awareness Month
ILLINOIS REGISTER 1286
21
PROCLAMATIONS
WHEREAS, individuals with disabilities bring a unique skillset and provide important and
valuable contributions to the workforce across the State of Illinois; and,
WHEREAS, companies with jobs that are open and available to individuals of all abilities are an
essential step to create an inclusive community and strong economy while also aiding in the
State and Country's recovery from the COVID-19 pandemic; and,
WHEREAS, the Illinois Department of Human Services and other State agencies are working to
show and reinforce the value and talent individuals with disabilities are adding and can add to the
workforce and to affirm Illinois' commitment to an inclusive community that provides
opportunities and access for all individuals, including those with disabilities; and,
WHEREAS, there are roughly 700,000 individuals with disabilities of working age in Illinois;
and,
WHEREAS, of those Illinois residents with disabilities, there are over 250,000 employed in
competitive integrated jobs which represents an employment rate of 38.1 percent; and,
WHEREAS, October is National Disability Employment Awareness Month – a national
campaign, with 2020 marking its 75th observance, aimed at celebrating the many contributions of
workers with disabilities across America and raising awareness about disability employment
issues; and,
WHEREAS, 2020 marks the 30th anniversary of the passage of the Americans with Disabilities
Act, a landmark civil rights bill that increases access and opportunities for individuals with
disabilities across society, including in the workplace;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim October
2020 as DISABILITY EMPLOYMENT AWARENESS MONTH in Illinois, in support of the
effort to celebrate individuals with disabilities working across Illinois, and to encourage
companies to hire and support a diverse workforce that includes individuals of all abilities.
Issued by the Governor October 30, 2020
Filed by the Secretary of State January 8, 2021
2020-128
American Pharmacists Month
WHEREAS, pharmacy is one of the oldest of the health professions concerned with the health
and well-being of all people; and,
ILLINOIS REGISTER 1287
21
PROCLAMATIONS
WHEREAS, today, there are over 321,700 pharmacists licensed in the United States and nearly
12,500 licensed pharmacists in Illinois providing services to assure the rational and safe use of
all medications; and,
WHEREAS, the use of medication, as a cost-effective alternative to more expensive medical
procedures, is becoming a major force in moderating overall health care costs; and,
WHEREAS, today's powerful medications require greater attention to the manner in which they
are used by different patient population groups − both clinically and demographically; and,
WHEREAS, it is important that all users of prescription and nonprescription medications, or
their caregivers, be knowledgeable about and share responsibility for their own drug therapy;
and,
WHEREAS, pharmacists are specifically educated with a focus and level of expertise on
medication therapy that exceeds that of other health care providers; and,
WHEREAS, pharmacists are ideally suited to work collaboratively with other health care
providers and patients to improve medication use and outcomes by providing services through
medication therapy management; and,
WHEREAS, pharmacists provide both expertise and accessibility which are crucial to patients
fully optimizing access to medications that are not self-administered such as, but not limited to,
immunizations; and,
WHEREAS, pharmacists are best positioned to be the health care professionals to help ensure
patients are adherent to their medications and provide patient care that ensures optimal
medication therapy outcomes; and,
WHEREAS, pharmacists, as front-line health care providers, answered the call to aid during the
ongoing COVID-19 pandemic and have taken on additional responsibilities of care and practice
in order to best serve the public health needs of the residents of the State of Illinois; and,
WHEREAS, the American Pharmacists Association and the Illinois Pharmacists Association
have declared October as American Pharmacists Month with the theme Pharmacists: Easy to
Reach, Ready to Help;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim October
2020 as American Pharmacists Month in Illinois and urge all our residents to acknowledge the
ILLINOIS REGISTER 1288
21
PROCLAMATIONS
valuable services of pharmacists to provide safe, affordable, and beneficial pharmaceutical care
services and products to all residents.
Issued by the Governor November 2, 2020
Filed by the Secretary of State January 8, 2021
2020-129
Illinois Rural Health Day
WHEREAS, the main emphasis of rural health care has always been providing affordable,
holistic, primary care − a model for the rest of the country to follow as America transitions to a
population, wellness/prevention-based system of health care; and,
WHEREAS, rural hospitals and health systems are often the economic foundation and largest
employers of their communities; and,
WHEREAS, the health care needs of rural citizens are as unique as the communities in which
they live and cannot be addressed by utilizing a "one size fits all" approach; and,
WHEREAS, addressing transportation, workforce, infrastructure, broadband/telecommunication
needs, and geographic barriers is necessary to ensure that all rural safety net providers can
adequately meet the basic health care needs of the residents they serve; and,
WHEREAS, the Illinois Department of Public Health, Center for Rural Health, the National
Organization of State Offices of Rural Health, and other rural stakeholders provide services and
resources and foster relationships that help rural communities address their unique health care
needs; and,
THEREFORE, I, JB Pritzker, Governor of Illinois, do hereby proclaim November 19, 2020 to
be ILLINOIS RURAL HEALTH DAY in honor of National Rural Health Day; and encourage
residents of Illinois to recognize the unique contributions and selfless, "can do" attitudes of our
rural communities.
Issued by the Governor November 6, 2020
Filed by the Secretary of State January 8, 2021
2020-130
Congenital Heart Defect Awareness Week
WHEREAS, the health and well-being of our congenital heart patients is of paramount
importance; and,
ILLINOIS REGISTER 1289
21
PROCLAMATIONS
WHEREAS, each year in the United States, more than 40,000 babies are born with a congenital
heart defect; and,
WHEREAS, the medical community has identified congenital heart defects as the leading cause
of birth-defect related deaths; and,
WHEREAS, medical research can provide more identifiable means of the origins and symptoms
of congenital heart defect; and,
WHEREAS, there is no cure for congenital heart defects and it is a lifelong disease requiring
ongoing specialized care; and,
WHEREAS, fewer than ten percent of adults with congenital heart disease are receiving
recommended care; and,
WHEREAS, it is crucial that individuals planning a family, fetal clinicians, obstetric physicians,
pediatricians, and those in the medical field have a greater understanding of the potential for
congenital heart defects; and,
WHEREAS, Congenital Heart Defect Awareness Week provides the opportunity for patients
and families affected by this condition to share their experiences and knowledge so the general
public may be aware of how this defect affects all our lives;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim February 7-
14, 2021, CONGENITAL HEART DEFECT AWARENESS WEEK in Illinois.
Issued by the Governor November 12, 2020
Filed by the Secretary of State January 8, 2021
2020-131
NET Cancer Awareness Day
WHEREAS, neuroendocrine tumors (NETs) often develop into cancer and, if left untreated, can
result in serious illness and death; and,
WHEREAS, healthcare professionals sometimes underestimate the malignant and metastatic
potential of neuroendocrine tumors; and,
WHEREAS, NET cancer patients are often misdiagnosed or receive a delayed diagnosis, which
can have a negative impact on their chance of survival and quality of life; and,
ILLINOIS REGISTER 1290
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PROCLAMATIONS
WHEREAS, survival for NET cancer patients is further compromised by fragmented care and
lack of access to treatment by networks of specialists; and,
WHEREAS, although there have been advances in the detection and treatment of NET cancers,
not all patients are benefiting quickly enough from scientific and medical progress in the field;
and;
WHEREAS, with timely diagnosis and proper treatment, NET cancer patients can have
significantly improved outcomes and quality of life;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim November
10th, 2019 as NET Cancer Awareness Day and encourage patients, caregivers, and healthcare
professionals to raise awareness about NET cancers and the need for timely diagnosis and access
to optimal treatment and care.
Issued by the Governor November 12, 2020
Filed by the Secretary of State January 8, 2021
2020-132
Volunteers of America Day
WHEREAS, Volunteers of America has served the needs of our nation's most vulnerable people
in Illinois and through the United States since 1896; and,
WHEREAS, in Illinois, Volunteers of America serves 600 veterans at risk of homelessness each
year, which includes providing 220 affordable homes for veterans and their families in Chicago
and Joliet at its Hope Manor properties; and,
WHEREAS, Volunteers of America Illinois provides more than 500 units of affordable housing
for the elderly and those with disabilities in the state; and,
WHEREAS, Volunteers of America Illinois is one of the leading providers of foster care
services in the Chicago area, serving 200 children each year in its welfare service program while
recruiting and managing a large network of foster care homes; and,
WHEREAS, volunteers working with Volunteers of America Illinois logged approximately
14,000 services hours last year; and,
WHEREAS, Volunteers of America nationally will celebrate the 125th anniversary of its
founding on March 8, 2021;
ILLINOIS REGISTER 1291
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PROCLAMATIONS
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim March 8,
2021, as VOLUNTEERS OF AMERICA DAY in Illinois.
Issued by the Governor November 13, 2020
Filed by the Secretary of State January 8, 2021
2020-133
Antibiotics Awareness Week
WHEREAS, the Illinois Department of Public Health seeks to promote the health of the people
of Illinois through the prevention and control of disease and injury; and,
WHEREAS, antibiotic resistance is one of the most urgent threats to the public's health; and,
WHEREAS, the inappropriate use of antibiotics during the COVID-19 pandemic could
accelerate the emergence and spread of drug resistant bacteria; and,
WHEREAS, inappropriate antibiotic use, including unnecessary use, inappropriate selection,
dosing, and duration, may approach 50% of all outpatient antibiotic use; and,
WHEREAS, each year in the United States, more than 2.8 million people get infected with
antibiotic-resistant bacteria, and more than 35,000 people die as a result; and,
WHEREAS, the Illinois Department of Public Health, local organizations, and stakeholders are
partnering to help improve the way healthcare professionals prescribe antibiotics, how people
take antibiotics, and help fight antibiotic resistance to ensure that these life-saving drugs will be
available for future generations;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim the week of
November 18-24, 2020 as ANTIBIOTICS AWARENESS WEEK in Illinois and encourage all
Illinoisans to educate themselves, their families, and their communities about how to
appropriately use antibiotics.
Issued by the Governor November 17, 2020
Filed by the Secretary of State January 8, 2021
2020-134
Manuel Barbosa Conference Room
ILLINOIS REGISTER 1292
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PROCLAMATIONS
WHEREAS, the Honorable Manuel (Manny) Barbosa, the first chairman of the Illinois Human
Rights Commission and pioneering federal bankruptcy judge, passed away on November 25,
2019; and,
WHEREAS, the Illinois Human Rights Act became law 40 years ago, with much of the early
implementation shaped by Manny; and,
WHEREAS, his dedication to his fellow man was formed through his family's migration from
Mexico; and,
WHEREAS, the Barbosa family settled on a cotton farm in Weslaco, Texas before moving to
Illinois, where young Manny witnessed acts of dehumanization in the cotton fields, to which he
attributed the birth of his empathy for those in need of a voice, a defender, or an advocate; and,
WHEREAS, his dedication to public service extended across an accomplished legal career and
well into retirement, serving both his local community and the state as a whole; and,
WHEREAS, Governor James R. Thompson appointed Manny as Chairman of the Human Rights
Commission, where he served 18 years at the helm of the Commission, followed by 14 years on
a federal bankruptcy court in Rockford, Illinois; and,
WHEREAS, Manny had a lifelong passion for service and taught ESL and GED courses at the
Universidad Popular to Chicago's Latino immigrants during his years at The John Marshall Law
School, prosecuted criminal cases in Kane County, and served Elgin's Latino residents through
private practice and the scholarship fundraising efforts of Club Guadalupano; and,
WHEREAS, in July 2019 Manny was invited to rejoin the Commission on which he served until
his passing; and,
WHEREAS, the Illinois Human Rights Commission has dedicated its conference room in the
James R. Thompson Center, and any subsequent Illinois Human Rights Commission conference
rooms in other buildings, in Manny's name and honor;
THEREFORE, I, Governor JB Pritzker, Governor of the State of Illinois, do hereby proclaim
the naming of the MANUEL BARBOSA CONFERENCE ROOM of the Illinois Human Rights
Commission, to be dedicated on December 3, 2020.
Issued by the Governor November 17, 2020
Filed by the Secretary of State January 8, 2021
2020-135
ILLINOIS REGISTER 1293
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National Apprenticeship Week
WHEREAS, Illinois recognizes that the 21st century economy demands a highly-skilled
workforce that supports our state economy and supports employers to cultivate high-quality
talent pools that grow their businesses and address their workforce needs; and,
WHEREAS, the Office of the Governor is committed to preparing Illinois workers for high-
demand careers by developing core academic, technical, and essential employability skills
throughout their lifetimes, regardless of background, life circumstances, or education level; and,
WHEREAS, the importance of supporting and strengthening racial equity and diversity and
expanding access to the apprenticeship system in Illinois is a core priority for this administration;
and,
WHEREAS, apprenticeships are a strong career pathway that provide employees the
opportunity to earn a salary while learning the skills necessary to succeed in high-demand
careers and high-growth sectors and result in obtainment of an industry-recognized credential;
and,
WHEREAS, today, over 16,800 registered apprentices are training in the state of Illinois in high
skill careers that will provide lifetime experience and opportunity for achievement as well as
contribute to the overall prosperity of our state and nation; and,
WHEREAS, National Apprenticeship Week is an opportunity to recognize the positive impact
apprenticeships have on Illinois youth, adults, businesses, and the Illinois economy as a whole;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim November
11-15, 2019, as National Apprenticeship Week in Illinois in support of meaningful career
pathways to promote jobs and economic prosperity.
Issued by the Governor November 17, 2020
Filed by the Secretary of State January 8, 2021
2020-136
First Generation Students' Day
WHEREAS, First-Generation students represent a third of all undergraduate students in the
United States, and 31 percent of undergraduate students enrolled in Illinois colleges and
universities; and,
ILLINOIS REGISTER 1294
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PROCLAMATIONS
WHEREAS, First-Generation students' academic journey allows for the potential to alter the
academic, social, and economic trajectory of their families and communities; and,
WHEREAS, we acknowledge the aptitude, brilliance, and courage of First-Generation students
across the State of Illinois; and,
WHEREAS, we continue to support the access, retention and graduation of First-Generation
students to and from Illinois colleges and universities;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim and
annually celebrate November 8th as FIRST-GENERATION STUDENTS' DAY in the State of
Illinois.
Issued by the Governor November 17, 2020
Filed by the Secretary of State January 8, 2021
2020-137
National Adoption Day
WHEREAS, every child deserves to grow up in a safe, stable family; and,
WHEREAS, more than 400,000 children in the United States are currently in foster care,
including over 3,347 adoptable children in the care or custody of the Illinois Department of
Children and Family Services; and,
WHEREAS, the state of Illinois recognizes the diligence and hard work that adoption
professionals display every day in identifying forever families for its children in foster care; and,
WHEREAS, National Adoption Day occurs on Saturday, November 21, 2020, during National
Adoption Month, and in order to help children find permanent forever homes, local courts in all
50 states, the District of Columbia, and Puerto Rico will open their doors to finalize the
adoptions of children and join other organizations to celebrate these adoptions; and,
WHEREAS, Illinois' future depends on today's children, and it is important to heighten
community awareness of the crucial needs of these children and of all those who work tirelessly
to place them in loving families;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby recognize November
21, 2020 as NATIONAL ADOPTION DAY and encourage all Illinoisans to consider opening
their hearts and homes to children in this state who are in need of a forever family.
ILLINOIS REGISTER 1295
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PROCLAMATIONS
Issued by the Governor November 19, 2020
Filed by the Secretary of State January 8, 2021
2020-138
Wilton D. Gregory Day
WHEREAS, Archbishop Wilton Daniel Gregory was born in Chicago, Illinois in 1947 and
attended St. Carthage Grammar School, Quigley Preparatory Seminary South, Niles College of
Loyola University, and St. Mary of the Lake Seminary, and,
WHEREAS, Archbishop Gregory was ordained a priest of the Archdiocese of Chicago in 1973
and later returned to the state after earning a doctorate in sacred liturgy in Rome, and,
WHEREAS, Archbishop Gregory served as an associate pastor of Our Lady of Perpetual Help
Parish in Glenview, a faculty member of St. Mary of the Lake Seminary in Mundelein, and as an
auxiliary bishop of the Archdiocese of Chicago; and,
WHEREAS, Archbishop Gregory served as the seventh bishop of the Diocese of Belleville for
11 years; and,
WHEREAS, Archbishop Gregory served from 2001 to 2004 as the first African American
president of the United States Conference of Catholic Bishops, and implemented the Charter for
the Protection of Children and Young People; and,
WHEREAS, Archbishop Gregory was inducted in 2006 into the Martin Luther King Board of
Preachers at Morehouse College in Atlanta, and,
WHEREAS, Archbishop Gregory served from 2005 to 2019 as the archbishop of Atlanta,
leading that archdiocese through a period of growth; and,
WHEREAS, Archbishop Gregory in 2019 was appointed the seventh archbishop of Washington,
D.C. where he created an anti-racism initiative to combat racial injustice; and,
WHEREAS, Archbishop Gregory has worked to establish truth as the guiding principle for his
work as well as that of his congregations and communities; and,
WHEREAS, on October 25th of 2020, Pope Francis announced that Wilton D. Gregory would be
raised to the position of cardinal at a consistory on November 28th of 2020; and,
WHEREAS, Archbishop Gregory is to be the first African American cardinal in the history of
the Roman Catholic Church;
ILLINOIS REGISTER 1296
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PROCLAMATIONS
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim November
28, 2020 as Wilton D. Gregory Day in the State of Illinois in recognition of his remarkable
achievements.
Issued by the Governor November 23, 2020
Filed by the Secretary of State January 8, 2021
2020-139
Pearl Harbor Remembrance Day
WHEREAS, on Sunday morning, December 7, 1941, Japanese bombers and midget submarines
attacked the U.S. Naval base at Pearl Harbor, Hawaii; and,
WHEREAS, in fewer than two hours, Japanese forces damaged or sank nearly 20 U.S. naval
vessels and damaged or destroyed about 300 U.S. aircraft; and,
WHEREAS, more than 2,000 American military members were killed during the attack,
including more than 1,000 aboard the doomed USS Arizona, and more than 1,000 were injured;
and,
WHEREAS, upward of 50 of those killed at Pearl Harbor were from Illinois, and thousands of
Illinoisans joined the subsequent war efforts; and,
WHEREAS, the surprise attack on Pearl Harbor outraged Illinoisans and Americans nationwide,
solidifying the national resolve to defend the United States against all aggressors; and,
WHEREAS, one day after the attack, on December 8, 1941, President Franklin Roosevelt and
the U.S. Congress declared war against Japan and its allies, thereby bringing the United States
into World War II; and,
WHEREAS, United States' sailors, soldiers, and airmen – now remembered as our "greatest
generation" − joined with allies from France, England, and Russia to conduct mass campaigns
and operations within the Pacific, African, and European theaters; and,
WHEREAS, as a result of the valor and sacrifice of the "Grand Coalition," Germany
surrendered on May 7, 1945, followed by the surrender of Japan on August 14th of that same
year; and,
ILLINOIS REGISTER 1297
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PROCLAMATIONS
WHEREAS, more American military were mobilized during World War II than at any other
time in our history, and by the end of the war, more than eight million Americans were serving in
the U.S. Army alone; and,
WHEREAS, more than 400,000 Americans died in the service of the country, and virtually no
American family was left untouched by the sacrifices of war; and,
WHEREAS, this year marks the 79th anniversary of the "date that will live in infamy," and the
75th anniversary of the end of World War II; and,
WHEREAS, while we can never repay those men and women who faithfully served and
sacrificed to make the world safer for liberty, freedom, and human rights, we are proud to honor
their memory;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim December
7, 2020, as PEARL HARBOR REMEMBRANCE DAY in Illinois and order all persons or
entities governed by the Illinois Flag Display Act to join the ongoing COVID-19 disaster
proclamation and lower flags from sunrise to sunset on December 7, 2020, in honor of the
memory of all the heroes who died in the attack on Pearl Harbor.
Issued by the Governor November 24, 2020
Filed by the Secretary of State January 8, 2021
2020-140
National Native American Heritage Month
WHEREAS, the original stewards of the land we now call Illinois are the Council of the Three
Fires: The Odawa, Ojibwe and Potawatomi Nations, along with the Miami, Ho-Chunk,
Menominee, Sac, Fox, and many other Tribes; and,
WHEREAS, Illinois currently enjoys the sixth largest urban Indian population in the United
States with over 100 Tribal Nations; the largest Native American population in the Midwest is
located in Chicago along with the first American Indian Center in the country, according to a
University of Illinois at Chicago's Institute for Research on Race and Public Policy June 2019
report; and,
WHEREAS, Illinois has drawn upon and benefited from the profound influence of Native
American culture and wisdom on our food, science, arts, military, and much more, which has
strengthened and improved our State; and,
ILLINOIS REGISTER 1298
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PROCLAMATIONS
WHEREAS, Illinois' history is tarnished by cruelty, tragedy, and injustice towards Native
Americans, the damaging effects of which continue to degrade our entire State; Illinois must
recognize, confront, and learn from our history if we are to thrive as a healthy and prosperous
society; and,
WHEREAS, my administration is dedicated to reshaping our past by expanding opportunity and
access to the State for Native Americans as I am determined that all of the children of Illinois be
able to see someone who looks like them in my government; and,
WHEREAS, on August 23, 2019, I signed the historic Native American Employment Plan Act
to improve delivery of State services; increase employment and promotion opportunities for
Native Americans; establish the State's first Native American Employment Plan Advisory
Council to gather Native American community leaders and subject matter experts to examine
issues, barriers, and incentives regarding Native American access to State government; and direct
the Department of Central Management Services to draft annual Native American Employment
Plans to the General Assembly; and,
WHEREAS, the Native American community has been invisible for far too long and as written
in a prior Presidential Proclamation for National Native American Heritage Month, "Native
American voices have echoed through the mountains, valleys, and plains of our country for
thousands of years, and it is now our time to listen;"
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim November
2020 as NATIONAL NATIVE AMERICAN HERITAGE MONTH in Illinois to recognize the
rich contributions and tragic sacrifices of Native Americans and urge employers, schools,
community organizations, and all the people of Illinois to learn more about Native American
cultures.
Issued by the Governor November 24, 2020
Filed by the Secretary of State January 8, 2021
2020-141
Lois M. Moorman Day
WHEREAS, Lois M. Moorman has dedicated more than 40 years to serving and advocating for
older Illinoisans and their caregivers by working in programs to improve their independence,
dignity and quality of life; and,
WHEREAS, upon receiving her bachelor's degree in Social Welfare and Psychology from
Southern Illinois University and master's degree from the University of Saint Francis, Lois put
ILLINOIS REGISTER 1299
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PROCLAMATIONS
her education into practice as Social Services Director at the Madison County Nursing Home;
and,
WHEREAS, Lois' career continued to increase in responsibility in the 1970s and 1980s as she
worked as Staff Supervisor in the Comprehensive Alternative Care Program for the Family
Service and Visiting Nurse Association in Alton, as Community Care Coordinator and Care
Manager for Project LIFE Area Agency on Aging in Springfield, and as Vice President of
Program Operations and Program Specialist for Community Home Services Plus in Springfield,
all of which laid the foundation for joining the Illinois Department on Aging in 1986; and,
WHEREAS, Lois worked as a Regional Coordinator and Supervisor of Planning for the
Department's Older American Services before becoming Elder Abuse Program Coordinator for
the Bureau of Elder Rights and being named Program Administrator for the Office of Adult
Protective Services in 2004; and,
WHEREAS, under the auspices of Lois' leadership, the Office of Adult Protective Services
ushered in monumental initiatives, including responding to self-neglect reports, implementing
Fatality Review Teams statewide, and incorporating persons with disabilities ages 18-59 into the
APS program; and,
WHEREAS, the National Adult Protective Services Association honored Lois with its
President's Award in 2013 and Illinois TRIAD honored Lois with its Kathleen Quinn Award in
2017, demonstrating the esteem to which her colleagues hold her throughout the state and
nationwide; and,
WHEREAS, Lois' tenure has resulted in incalculable contributions to protect and improve the
lives of older adults and persons with disabilities for which all Illinoisans owe a debt of
gratitude; and,
WHEREAS, Lois is a true Illinoisan, having been born in Centralia on the Fourth of July to
Irvin and Erna Meinert, and reared in New Minden; and,
WHEREAS, Lois has been unfaltering in her support of the Fighting Illini and St. Louis
Cardinals and will continue to enjoy games upon her retirement at the end of 2020; and,
WHEREAS, Lois looks forward to spending more time with her husband, Ron, children
Nathaniel and Elizabeth, and grandchildren Stella, Sylvia, Mia and Ella;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim December
31, 2020 Lois M. Moorman Day.
ILLINOIS REGISTER 1300
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PROCLAMATIONS
Issued by the Governor December 14, 2020
Filed by the Secretary of State January 8, 2021
2020-142
Move Over Day
WHEREAS, law enforcement officers, firefighters, emergency response personnel, tow truck
drivers, and highway workers maintain the operations and safety of Illinois roadways daily and
are continually exposed to the dangers of being hit by motorists; and,
WHEREAS, the evening of December 23, 2000, Scott Gillen of the Chicago Fire Department
was struck and killed by a drunk driver while assisting at a crash site on a Chicago expressway;
and,
WHEREAS, Scott's Law requires motorists to proceed with due caution, make and lane change
or reduce the speed of their vehicle, upon the approach of a stationary authorized emergency
vehicle; and,
WHEREAS, the State Commemorative Dates Act provides, December 23 of each year is
designated as Scott's Law Day, to be observed throughout the State as a day to honor public
safety workers and to remind motorists to slow down, change lanes away from a stationary
authorized emergency vehicle, and proceed with due regard to safety and traffic conditions; and,
WHEREAS, in 2017, the law was expanded to include any stopped vehicle with flashing hazard
lights; and,
WHEREAS, in 2020, the Illinois State Police have already had 15 Scott's Law related crashes,
in 2019 they had 26 Scott's Law related crashes, which killed Troopers Christopher Lambert and
Brooke Jones-Story;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby proclaim December
23, 2020, as MOVE OVER DAY in Illinois, and urge Illinoisans to move over and slow down
when approaching stopped emergency vehicles along our highways.
Issued by the Governor December 23, 2020
Filed by the Secretary of State January 8, 2021
2020-143
FLAG LOWERING CPD TITUS THEOPSY MOORE
ILLINOIS REGISTER 1301
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PROCLAMATIONS
WHEREAS, all residents owe a debt of gratitude to the law enforcement officers whose courage
and sacrifice ensure the safety and security of Illinoisans; and,
WHEREAS, every day these men and women face great risks and often put their lives in danger
to perform their duties; and,
WHEREAS, on September 5, 1974 Titus Theopsy Moore was born to the union of Doretha and
Theopsy Moore as the third of four children; and,
WHEREAS, Titus was an avid student and voracious reader throughout his life, graduating from
Whitney M. Young Magnet High School, where he played in the band, and receiving an
Associate in Applied Science degree from Triton College; and,
WHEREAS, Titus always provided a funny, caring, and supportive presence for friends, family,
and his cherished pets; and,
WHEREAS, this selfless and devoted spirit extended into Titus's long career in public service,
as Titus proudly served as a Cook County Sheriff's Deputy, and later followed in his father's
footsteps as an officer of the Chicago Police Department for 14 years, spending the last years as
a Field Training Officer; and,
WHEREAS, on November 24, 2020 Titus died, leaving to cherish his memory his father
Theopsy Moore, sisters Tonia Moore and Thea Moore (Michael), nephew Richard, nieces Taryn,
Talya, Zuri and Zia, first cousins who thought of him as a brother, and a host of other cousins,
aunts, uncles, and friends;
THEREFORE, I, JB Pritzker, Governor of the State of Illinois, do hereby order all persons or
entities governed by the Illinois Flag Display Act to join the ongoing COVID-19 disaster
proclamation in honor and remembrance of Titus Theopsy Moore, whose service shall forever be
an inspiration to the people of Illinois.
Issued by the Governor December 8, 2020
Filed by the Secretary of State December 8, 2020
2021-1
Gubernatorial Disaster Proclamation
WHEREAS, since early March 2020, Illinois has faced a pandemic that has caused
extraordinary sickness and loss of life, infecting over 1,000,000, and taking the lives of more
than 17,000 residents; and,
ILLINOIS REGISTER 1302
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PROCLAMATIONS
WHEREAS, at all times but especially during a public health crisis, protecting the health and
safety of Illinoisans is among the most important functions of State government; and,
WHEREAS, it is critical that Illinoisans who become sick have access to necessary care from
medical professionals, including hospital beds, emergency room beds, or ventilators if needed;
and,
WHEREAS, it is also critical that the State's health care and first responder workforce has
adequate personal protective equipment (PPE) to safely treat patients, respond to public health
disasters, and prevent the spread of communicable diseases; and,
WHEREAS, as Illinois adapts and responds to the public health disaster caused by Coronavirus
Disease 2019 (COVID-19), a novel severe acute respiratory illness that spreads rapidly through
respiratory transmissions and that continues to be without an effective treatment or vaccine, the
burden on residents, healthcare providers, first responders, and governments throughout the State
is unprecedented; and,
WHEREAS, the World Health Organization declared COVID-19 a Public Health Emergency of
International Concern on January 30, 2020, and the United States Secretary of Health and
Human Services declared that COVID-19 presents a public health emergency on January 27,
2020; and,
WHEREAS, on March 11, 2020, the World Health Organization characterized the COVID-19
outbreak as a pandemic, and has now reported more than 86 million confirmed cases of COVID-
19 and nearly 1.9 million deaths attributable to COVID-19 globally; and,
WHEREAS, despite efforts to contain COVID-19, the virus has continued to spread rapidly,
resulting in the need for federal and State governments to take significant steps; and,
WHEREAS, on March 9, 2020, I, JB Pritzker, Governor of Illinois, declared all counties in the
State of Illinois as a disaster area in response to the outbreak of COVID-19; and,
WHEREAS, on March 13, 2020, the President declared a nationwide emergency pursuant to
Section 501(b) of the Robert T. Stafford Disaster Relief and Emergency Assistance Act, 42
U.S.C. 5121-5207 (the "Stafford Act"), covering all states and territories, including Illinois; and,
WHEREAS, on March 26, 2020, the President declared a major disaster in Illinois pursuant to
Section 401 of the Stafford Act; and,
WHEREAS, on April 1, 2020, due to the exponential spread of COVID-19 in Illinois, I declared
all counties in the State of Illinois as a disaster area; and,
ILLINOIS REGISTER 1303
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PROCLAMATIONS
WHEREAS, on April 30, 2020, due to the continued spread of COVID-19 in Illinois, the
threatened shortages of hospital beds, ER beds, and ventilators, and the inadequate testing
capacity, I declared all counties in the State of Illinois as a disaster area; and,
WHEREAS, on May 29, 2020, due to the continued spread of COVID-19 in Illinois, and the
resulting health and economic impacts of the virus, and the need to increase testing capacity, I
declared all counties in the State of Illinois as a disaster area; and,
WHEREAS, on June 26, 2020, due to the further spread of COVID-19 in Illinois, the continuing
health and economic impacts of the virus, and the need to continue to increase testing capacity
and preserve our progress against the disease, I declared all counties in the State of Illinois as a
disaster area; and,
WHEREAS, on July 24, 2020, due to the resurgence of COVID-19 in Illinois, the continuing
health and economic impacts of the virus, and the need to continue to increase testing capacity
and preserve our progress against the disease, I declared all counties in the State of Illinois as a
disaster area; and,
WHEREAS, on August 21, 2020, due to the resurgence of COVID-19 in Illinois, the continuing
health and economic impacts of the virus, and the need to continue to increase testing capacity
and preserve our progress against the disease, I declared all counties in the State of Illinois as a
disaster area; and,
WHEREAS, on September 18, 2020, due to the resurgence of COVID-19 in Illinois, the
continuing health and economic impacts of the virus, and the need to continue to increase testing
capacity and preserve our progress against the disease, I declared all counties in the State of
Illinois as a disaster area; and,
WHEREAS, on October 16, 2020, due to the resurgence of COVID-19 in Illinois, the
continuing health and economic impacts of the virus, and the need to continue to increase testing
capacity and preserve our progress against the disease, I declared all counties in the State of
Illinois as a disaster area; and,
WHEREAS, on November 13, 2020, due to the increased spread of COVID-19 in Illinois, the
continuing health and economic impacts of the virus, and the need to continue to increase testing
capacity and preserve our progress against the disease, I declared all counties in the State of
Illinois as a disaster area; and,
WHEREAS, on December 11, 2020, due to the continued rapid spread of COVID-19 in Illinois,
the health and economic impacts of the virus, and the need to continue to increase testing
ILLINOIS REGISTER 1304
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PROCLAMATIONS
capacity and preserve our progress against the disease, I declared all counties in the State of
Illinois as a disaster area; and,
WHEREAS, as circumstances surrounding COVID-19 have evolved and new evidence emerges,
there have been frequent changes in information and public health guidance; and,
WHEREAS, the unprecedented nature of COVID-19, including the health consequences it has
on not just the respiratory system but the heart, brain, kidneys, and the body's immune response,
has made the virus's effects and its path difficult to predict; and,
WHEREAS, from the outset, data suggested that older adults and those with serious underlying
health conditions are more likely to experience severe and sometimes fatal complications from
COVID-19; and,
WHEREAS, evidence has shown that young people, including infants and toddlers, are also at
risk of such complications; and,
WHEREAS, young and middle-aged people have comprised a significant proportion of new
COVID-19 cases and hospitalized COVID-19 patients, and there is evidence that COVID-19
causes blood clots and strokes, and has caused deadly strokes in young and middle-aged people
who exhibited few symptoms; and,
WHEREAS, the understanding of spread from infected individuals who have not shown
symptoms has changed and, on April 12, 2020, the federal Centers for Disease Control and
Prevention (CDC) changed the period of exposure risk from "onset of symptoms" to "48 hours
before symptom onset"; and,
WHEREAS, some people infected by the virus remain asymptomatic but nonetheless may
spread it to others; and,
WHEREAS, although the CDC initially recommended against wearing cloth face coverings or
masks as protection, as a result of research on asymptomatic and pre-symptomatic transmission,
the CDC revised its conclusions and recommends wearing cloth face coverings in public settings
where social distancing measures are difficult to maintain; and,
WHEREAS, the CDC now advises that cloth face coverings or masks protect both the wearer
and those around them from COVID-19; and,
WHEREAS, public health research and guidance now indicates the necessity and efficacy of
wearing cloth face coverings in public settings where social distancing measures are difficult to
maintain, and indicates that the risk of transmission outdoors is less than the risk of transmission
indoors; and,
ILLINOIS REGISTER 1305
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PROCLAMATIONS
WHEREAS, public health guidance advises that minimizing physical interactions between
people who do not reside in the same household is critical to slowing the spread of COVID-19;
and,
WHEREAS, as COVID-19 has spread in Illinois over the course of the Gubernatorial Disaster
Proclamations, the circumstances causing a disaster throughout the State have changed and
continue to change, making definitive predictions of the course the virus will take over the
coming months extremely difficult; and,
WHEREAS, at the time I issued the first Gubernatorial Disaster Proclamation, there were 11
confirmed cases of COVID-19 in one Illinois county; and,
WHEREAS, as of today, there have been over 1,000,000 confirmed cases of COVID-19 in all
102 Illinois counties; and,
WHEREAS, the first death attributed to COVID-19 in Illinois was announced on March 17,
2020; and,
WHEREAS, as of today, more than 17,000 residents of Illinois have died due to COVID-19;
and,
WHEREAS, from the outset, studies have suggested that for every confirmed case there are
many more unknown cases, some of which are asymptomatic individuals who can pass the virus
to others without knowing; and,
WHEREAS, the CDC estimates that total cases of COVID-19 may be up to 13 times higher than
currently reported for certain regions; and,
WHEREAS, the number of new COVID-19 cases in the State has remained high over the past
several weeks, and the virus continues to infect thousands of individuals and claim the lives of
too many Illinoisans each day; and,
WHEREAS, the COVID-19 pandemic is not limited to the most populous counties, and as of
today, counties in all regions of the State are demonstrating significant increased COVID-19
risk; and,
WHEREAS, without precautions COVID-19 can spread exponentially, even in less populous
areas; for example, in Jasper County, a single infected first responder visited a nursing home and
instigated series of infections that resulted in one of highest infection rates in the State; and
ILLINOIS REGISTER 1306
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PROCLAMATIONS
similarly, in Randolph County, a single infected person attended an event in mid-March that
caused that county likewise to suffer one of the State's highest infection rates; and,
WHEREAS, numerous counties all around the State have reported more than 75 cases per
100,000 people over the past 7 days; and,
WHEREAS, the State and the Illinois Department of Public Health have developed a mitigation
plan to trigger additional precautions when regions meet certain risk levels; and,
WHEREAS, due to the significant spread of the virus and a surge in COVID-19 patients
admitted to hospital beds and ICU beds, on November 20, 2020, I imposed a Tier 3 mitigation
plan statewide; and,
WHEREAS, while the precautions taken by Illinoisans previously slowed the growth of
COVID-19 cases and deaths in the State, the number of cases in the State remains high after a
period of exponential growth; and,
WHEREAS, the U.S. has surpassed 21 million total cases and more than 359,000 deaths; and,
WHEREAS, COVID-19 has claimed the lives of and continues to impact the health of Black
and Hispanic Illinoisans at a disproportionately high rate − magnifying significant health
disparities and inequities; and,
WHEREAS, the Illinois Department of Public Health activated its Illinois Emergency
Operations Plan and its Emergency Support Function 8 Plan to coordinate emergency response
efforts by hospitals, local health departments, and emergency management systems in order to
avoid a surge in the use of hospital resources and capacity; and,
WHEREAS, as the virus has progressed through Illinois, the crisis facing the State continues to
develop and requires an evolving response to ensure hospitals, health care professionals and first
responders are able to meet the health care needs of all Illinoisans and in a manner consistent
with CDC guidance that continues to be updated; and,
WHEREAS, in order to ensure that health care professionals, first responders, hospitals and
other facilities are able to meet the health care needs of all residents of Illinois, the State must
have critical supplies, including PPE, such as masks, face shields, gowns, and gloves; and,
WHEREAS, the State of Illinois maintains a stockpile that supports the existing PPE supply
chains and stocks at various healthcare facilities; and,
ILLINOIS REGISTER 1307
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PROCLAMATIONS
WHEREAS, while the State continues to make every effort to procure PPE, if those
procurement efforts are disrupted or Illinois experiences a surge in COVID-19 cases, the State
faces a life-threatening shortage of respirators, masks, protective eyewear, face shields, gloves,
gowns, and other protective equipment for health care workers and first responders; and,
WHEREAS, hospitalizations now are rapidly rising again; and Illinois is using a significant
percentage of hospital beds and ICU beds; and, if COVID-19 cases continue to surge, the State
could face a shortage of critical health care resources; and,
WHEREAS, over the course of the COVID-19 crisis, the State has been constrained in the
number of COVID-19 tests that can be taken and processed due to a limited number of testing
sites and labs, as well as a shortage of necessary supplies, including the swabs needed to take
samples; and,
WHEREAS, at the time I issued the first Gubernatorial Disaster Proclamation, Illinois had
capacity to test no more than a few hundred people per day for COVID-19 at a small number of
testing sites; and,
WHEREAS, the State has developed testing sites throughout Illinois and recently has exceeded
100,000 tests per day, and the State continues to focus efforts on increasing testing capacity; and,
WHEREAS, Illinois now has tested nearly 14 million total specimens for COVID-19; and,
WHEREAS, national projections adjusted for Illinois' population suggest the State must
continue to increase the number of tests processed per day as part of an effective effort to
permanently slow and reduce the spread of COVID-19; and,
WHEREAS, in addition to causing the tragic loss of more than 17,000 Illinoisans and wreaking
havoc on the physical health of tens of thousands more, COVID-19 has caused extensive
economic loss and continues to threaten the financial welfare of a significant number of
individuals and businesses across the nation and the State; and,
WHEREAS, nationwide, nearly 70 million people have filed unemployment claims since the
start of the pandemic – representing approximately four in ten U.S. workers; and,
WHEREAS, the Illinois Department of Employment Security announced that the State's
unemployment rate continues to be extremely high; and,
WHEREAS, the Illinois Department of Employment Security is responding to the economic
crisis in a number of ways, including through the Pandemic Unemployment Assistance program;
and,
ILLINOIS REGISTER 1308
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PROCLAMATIONS
WHEREAS, the Department of Commerce and Economic Opportunity is working to address the
economic crisis, including through assistance programs such as the Business Interruption Grants
Program for businesses that experienced a limited ability to operate due to COVID-19 related
closures; and,
WHEREAS, many executive agencies in the State have focused their limited resources on the
ongoing response to the COVID-19 pandemic; and,
WHEREAS, the COVID-19 pandemic has required the Illinois Department of Agriculture
(IDOA) to address the outbreak's impact on the State's food supply chain through regulation and
oversight of meat and poultry facilities and livestock management facilities; and
WHEREAS, the COVID-19 pandemic's disruption to the livestock market has required IDOA to
concentrate its resources on working with livestock owners and producers in addressing safe and
environmental animal disposal concerns through its oversight and regulation of the Dead Animal
Disposal Act; and
WHEREAS, IDOA regulates and investigates many other industries that have been directly
impacted by the COVID-19 pandemic including, but not limited to, pesticide applicators, animal
shelters, pet shops, and gas stations, and the continued, proper regulation of these industries
requires IDOA to commit additional time and resources into creating new procedures for
conducting remote investigations and trainings; and
WHEREAS, the COVID-19 pandemic's detrimental impact to IDOA's regulated industries has
required IDOA to place additional time and resources into organizing and managing the timely
implementation of the Business Interruption Grant Program; and
WHEREAS, the economic loss and insecurity caused by COVID-19 threatens the viability of
business and the access to housing, medical care, food, and other critical resources that directly
impact the health and safety of residents; and,
WHEREAS, access to housing helps prevent spread of COVID-19 because individuals with
housing are able to minimize physical contact with those outside their households; and,
WHEREAS, temporarily halting eviction proceedings avoids numerous interactions associated
with being evicted, including with law enforcement officers, courtroom personnel, landlords,
movers, and friends and family who agree to provide temporary housing, as well as, for those
who are forced into homelessness, the interactions associated with taking refuge in a shelter; and,
ILLINOIS REGISTER 1309
21
PROCLAMATIONS
WHEREAS, preventing spread by temporarily halting eviction proceedings thus also prevents
spread of COVID-19 in the broader community; and,
WHEREAS, COVID-19 also has been extraordinarily disruptive to schools, and it is among the
highest priorities of the State to ensure that students are able to obtain a quality education and
that schools are able to provide an environment that is safe for students, teachers, and the
community; and,
WHEREAS, based on the foregoing facts, and considering the rapid spread of COVID-19 and
the ongoing health and economic impacts that will be felt over the coming month by people
across the State, the current circumstances in Illinois surrounding the spread of COVID-19
constitute an epidemic emergency and a public health emergency under Section 4 of the Illinois
Emergency Management Agency Act; and,
WHEREAS, based on the foregoing, the continuing burden on hospital resources, the ongoing
potential that the State could face shortages of these resources in the event of a surge in
infections, and the critical need to increase the purchase and distribution of PPE as well as to
continue to expand COVID-19 testing capacity constitute a public health emergency under
Section 4 of the Illinois Emergency Management Agency Act; and,
WHEREAS, it is the policy of the State of Illinois to be prepared to address any disasters and,
therefore, it is necessary and appropriate to make additional State resources available to ensure
that that our healthcare delivery system is capable of serving those who are sick and that
Illinoisans remain safe and secure and able to obtain medical care; and,
WHEREAS, this proclamation will assist the State in facilitating economic recovery for
individuals and businesses in an effort to prevent further devastating consequences from the
economic instability COVID-19 has caused; and,
WHEREAS, this proclamation will assist Illinois agencies in coordinating State and Federal
resources, including materials needed to test for COVID-19, personal protective equipment, and
medicines, in an effort to support the State responses as well as the responses of local
governments to the present public health emergency; and,
WHEREAS, these conditions provide legal justification under Section 7 of the Illinois
Emergency Management Agency Act for the new issuance of a proclamation of disaster; and,
WHEREAS, the Illinois Constitution, in Article V, Section 8, provides that "the Governor shall
have the supreme executive power, and shall be responsible for the faithful execution of the
laws," and states, in the Preamble, that a central purpose of the Illinois Constitution is "provide
for the health, safety, and welfare of the people";
ILLINOIS REGISTER 1310
21
PROCLAMATIONS
NOW, THEREFORE, in the interest of aiding the people of Illinois and the local governments
responsible for ensuring public health and safety, I, JB Pritzker, Governor of the State of Illinois,
hereby proclaim as follows:
Section 1. Pursuant to the provisions of Section 7 of the Illinois Emergency Management
Agency Act, 20 ILCS 3305/7, I find that a disaster exists within the State of Illinois and
specifically declare all counties in the State of Illinois as a disaster area. The proclamation
authorizes the exercise of all of the emergency powers provided in Section 7 of the Illinois
Emergency Management Agency Act, 20 ILCS 3305/7, including but not limited to those
specific emergency powers set forth below.
Section 2. The Illinois Department of Public Health and the Illinois Emergency Management
Agency are directed to coordinate with each other with respect to planning for and responding to
the present public health emergency.
Section 3. The Illinois Department of Public Health is further directed to cooperate with the
Governor, other State agencies and local authorities, including local public health authorities, in
the development and implementation of strategies and plans to protect the public health in
connection with the present public health emergency.
Section 4. The Illinois Emergency Management Agency is directed to implement the State
Emergency Operations Plan to coordinate State resources to support local governments in
disaster response and recovery operations.
Section 5. To aid with emergency purchases necessary for response and other emergency
powers as authorized by the Illinois Emergency Management Agency Act, the provisions of the
Illinois Procurement Code that would in any way prevent, hinder or delay necessary action in
coping with the disaster are suspended to the extent they are not required by federal law. If
necessary, and in accordance with Section 7(1) of the Illinois Emergency Management Agency
Act, 20 ILCS 3305/7(1), the Governor may take appropriate executive action to suspend
additional statutes, orders, rules, and regulations.
Section 6. Pursuant to Section 7(3) of the Illinois Emergency Management Agency Act, 20
ILCS 3305/7(3), this proclamation activates the Governor's authority, as necessary, to transfer
the direction, personnel or functions of State departments and agencies or units thereof for the
purpose of performing or facilitating emergency response programs.
Section 7. The Illinois Department of Public Health, Illinois Department of Insurance and the
Illinois Department of Healthcare and Family Services are directed to recommend, and, as
appropriate, take necessary actions to ensure expanded access to testing for COVID-19 and that
ILLINOIS REGISTER 1311
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PROCLAMATIONS
consumers do not face financial barriers in accessing diagnostic testing and treatment services
for COVID-19.
Section 8. The Illinois State Board of Education is directed to recommend, and, as appropriate,
take necessary actions to address any impact to learning associated with the present public health
emergency and to continue to alleviate any barriers to the use of remote learning during the
effect of this proclamation that exist in the Illinois School Code, 105 ILCS 5/1-1 et. seq.
Section 9. All State agencies are directed to cooperate with the Governor, other State agencies
and local authorities in the development and implementation of strategies and plans to cope with
and recover from the economic impact of the present public health emergency.
Section 10. Pursuant to Section 7(14) of the Illinois Emergency Management Agency Act, 20
ILCS 3305/7(14), increases in the selling price of goods or services, including medical supplies,
protective equipment, medications and other commodities intended to assist in the prevention of
or treatment and recovery of COVID-19, shall be prohibited in the State of Illinois while this
proclamation is in effect.
Section 11. This proclamation can facilitate requests for federal emergency and/or disaster
assistance if a complete and comprehensive assessment of damage indicates that effective
recovery is beyond the capabilities of the State and affected local governments.
Section 12. For purposes of Public Act 101-0640, Article 15, section 15-5, amending the Open
Meetings Act, new section 5 ILCS 120/7(e)(4), I find that the public health concerns at issue in
this proclamation render in-person attendance of more than ten people at the regular meeting
location not feasible.
Section 13. This proclamation shall be effective immediately and remain in effect for 30 days.
Issued by the Governor January 8, 2021
Filed by the Secretary of State January 8, 2021
ILLINOIS ADMINISTRATIVE CODE Issue Index - With Effective Dates
Rules acted upon in Volume 45, Issue 4 are listed in the Issues Index by Title number, Part number, Volume and Issue. Inquiries about the Issue Index may be directed to the Administrative Code Division at (217) 782-7017/18.
PROPOSED RULES 38 - 190 ....................... 1093 89 - 146 ....................... 1096 89 - 147 ....................... 1103 89 - 153 ....................... 1112 14 - 150 ....................... 1114 92 - 1030 ....................... 1117 92 - 1035 ....................... 1132 ADOPTED RULES 77 - 300 1/8/2021 ....................... 1134 EMERGENCY RULES 38 - 190 1/8/2021 ....................... 1186 89 - 153 1/6/2021 ....................... 1191 77 - 250 1/8/2021 ....................... 1202 14 - 150 1/8/2021 ....................... 1215 92 - 1035 1/6/2021 ....................... 1222 EXECUTIVE ORDERS AND PROCLAMATIONS 21 - 1 1/8/2021 ....................... 1232 20 - 76 3/2/2020 ....................... 1241 20 - 77 3/5/2020 ....................... 1241 20 - 78 3/5/2020 ....................... 1242 20 - 79 3/9/2020 ....................... 1243 20 - 80 3/10/2020 ....................... 1244 20 - 81 3/10/2020 ....................... 1245 20 - 82 3/11/2020 ....................... 1246 20 - 83 3/11/2020 ....................... 1247 20 - 84 3/11/2020 ....................... 1248 20 - 85 3/11/2020 ....................... 1248 20 - 86 3/11/2020 ....................... 1249 20 - 87 3/11/2020 ....................... 1250 20 - 88 5/4/2020 ....................... 1251 20 - 89 5/8/2020 ....................... 1251 20 - 90 5/11/2020 ....................... 1252 20 - 91 5/15/2020 ....................... 1253 20 - 92 5/19/2020 ....................... 1254 20 - 93 5/19/2020 ....................... 1255 20 - 94 6/4/2020 ....................... 1256 20 - 95 6/4/2020 ....................... 1257 20 - 96 6/12/2020 ....................... 1257 20 - 97 6/12/2020 ....................... 1258
20 - 98 6/24/2020 ....................... 1259 20 - 99 6/30/2020 ....................... 1261 20 - 100 7/9/2020 ....................... 1262 20 - 101 7/13/2020 ....................... 1263 20 - 102 7/27/2020 ....................... 1263 20 - 103 8/7/2020 ....................... 1264 20 - 104 8/26/2020 ....................... 1265 20 - 105 8/27/2020 ....................... 1266 20 - 106 9/15/2020 ....................... 1266 20 - 107 9/16/2020 ....................... 1267 20 - 108 9/17/2020 ....................... 1268 20 - 109 9/22/2020 ....................... 1269 20 - 110 9/22/2020 ....................... 1270 20 - 111 9/25/2020 ....................... 1271 20 - 112 9/28/2020 ....................... 1271 20 - 113 9/30/2020 ....................... 1272 20 - 114 9/30/2020 ....................... 1274 20 - 115 9/30/2020 ....................... 1275 20 - 116 10/2/2020 ....................... 1275 20 - 117 10/2/2020 ....................... 1277 20 - 118 10/5/2020 ....................... 1278 20 - 119 10/5/2020 ....................... 1279 20 - 120 10/19/2020 ....................... 1280 20 - 121 10/15/2020 ....................... 1281 20 - 122 10/15/2020 ....................... 1281 20 - 123 10/16/2020 ....................... 1282 20 - 124 10/23/2020 ....................... 1283 20 - 125 10/26/2020 ....................... 1284 20 - 126 10/29/2020 ....................... 1285 20 - 127 10/30/2020 ....................... 1285 20 - 128 11/2/2020 ....................... 1286 20 - 129 11/6/2020 ....................... 1288 20 - 130 11/12/2020 ....................... 1288 20 - 131 11/12/2020 ....................... 1289 20 - 132 11/13/2020 ....................... 1290 20 - 133 11/17/2020 ....................... 1291 20 - 134 11/17/2020 ....................... 1291 20 - 135 11/17/2020 ....................... 1292 20 - 136 11/17/2020 ....................... 1293 20 - 137 11/19/2020 ....................... 1294 20 - 138 11/23/2020 ....................... 1295 20 - 139 11/24/2020 ....................... 1296 20 - 140 11/24/2020 ....................... 1297 20 - 141 12/14/2020 ....................... 1298 20 - 142 12/23/2020 ....................... 1300 20 - 143 12/8/2020 ....................... 1300 21 - 1 1/8/2021 ....................... 1301 OTHER INFORMATION REQUIRED BY LAW TO BE PUBLISHED IN THE ILLINOIS REGISTER
80 - 1100 ....................... 1228