HB4518 Summary

• Amends the Illinois Health Facilities Planning Act to modify definitions, Board structure, and permit/exemption procedures for health care facilities.

• Expands the definition of "health care facilities" to include facilities licensed under the Specialized Mental Health Rehabilitation Act of 2013, ID/DD Community Care Act, and MC/DD Act, with specific exemptions for bed reductions and closures.

• Increases the Health Facilities and Services Review Board from 7 to 9 voting members, requires at least 4 members reside outside the Chicago Metropolitan Statistical Area, and grants the Board authority to contract for operational support and expert assistance.

• Modifies change of ownership procedures to allow applications without signed transaction documents if key terms are included, requires hospitals to maintain existing charity care policies for 2 years post-transaction, and permits Board Chair to approve related-party transfers within 45 days.

• Establishes notification and reporting requirements for facility closures and category of service discontinuations, including applicant certification within 90 days that discontinuation is complete and mandatory written notice to legislators.