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Tj /F7 12.73 Tf 37.20 -42.72 TD (COMPLAINT COUNSEL'S NOTICE OF SUPPLEMENTAL AUTHORITY) Tj /F7 12.07 Tf -.72 -28.08 TD (Complaint Counsel submit this notice of supplemental authority relating to the appeal of) Tj /F7 12.12 Tf -36.48 -28.08 TD (the Initial Decision dated October 20,2005, in which Judge Stephen J. McGuire held that the) Tj /F9 11.12 Tf 0.00 -28.32 TD (consumated merger of Evanston Northwestern Healthcare Corporation and Highland Park) Tj /F7 12.13 Tf -.24 -28.08 TD (Hospital violated section 7 ofthe Clayton Act, 15 D.S.C. 18.) Tj /F7 12.06 Tf 36.48 -28.56 TD (On appeal, Respondents contend that, after the merger, the hospitals were incapable of) Tj /F7 12.00 Tf -36.48 -28.08 TD (increasing their prices for services because, inter alia, "competitor hospitals \(are J able to expand) Tj /F9 11.20 Tf -.24 -28.32 TD (their capacity and service offerings. . . ." Respondents' Corrected Appeal Brief dated Januar) Tj /F7 12.17 Tf 1.20 -28.08 TD (12,2006, at 44. To support this contention, Respondents correctly noted that, at the time they) Tj /F8 5.00 Tf -.96 -28.32 TD (filed their brief, the Ilinois Certificate of ) Tj /F7 12.12 Tf 199.92 0.00 TD (Need program - which established significant legal) Tj /F7 12.18 Tf -200.64 -28.08 TD (barrers both to market entry by new facilities and to the major expansion of existing facilities -) Tj /F9 10.84 Tf 0.00 -28.32 TD (was scheduled to expire on July 1, 2006. d.) Tj /F7 12.13 Tf 36.48 -28.56 TD (We advise the Commission that since Respondents fied their brief, and after oral) Tj /F8 5.00 Tf -36.00 -28.08 TD (argument, the State of ) Tj 108.48 -.24 TD (Ilinois has thrce extended its Certificate of ) Tj /F7 12.34 Tf 214.32 -.24 TD (Need program.! Most) Tj /F8 5.00 Tf -251.28 -38.16 TD (By Public Act 94-983, the State first extended the scheduled sunset date of ) Tj /F7 11.98 Tf 362.88 -.24 TD (the) Tj /F8 5.00 Tf -434.88 -13.92 TD (Ilinois Certificate of ) Tj 102.96 0.00 TD (Need law from July 1,2006, to April ) Tj /F7 12.12 Tf 183.12 0.00 TD (1, 2007. By Public Act 95-0001, the) Tj /F7 12.09 Tf -285.84 -14.16 TD (State then extended the scheduled sunset date ofthe statute from April 1, 2007, to May 31, 2007.) 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Tj /F14 12.07 Tf -30.72 -28.32 TD (Public Act 095-0005 also establishes a task force to assess long term reforms to the State) Tj /F15 5.00 Tf -36.00 -28.56 TD (Certificate of ) Tj 66.48 0.00 TD (Need program. The task force is specifically ) Tj /F14 12.07 Tf 219.36 -.72 TD (directed to make recommendations) Tj /F15 5.00 Tf -286.32 -27.36 TD (regarding, inter alia, the impact of a sunset provision in the Certificate of ) Tj /F14 12.14 Tf 356.88 -1.20 TD (Need Act and) Tj /F15 5.00 Tf -356.88 -29.28 TD ("\(rJeforms that wil enable the Ilinois Health Facilities Planing Board to focus most of ) Tj /F14 11.44 Tf 428.88 0.72 TD (its) Tj /F14 12.06 Tf -429.36 -26.64 TD (project review efforts on 'Certificate-of-Need' applications involving new facilities,) Tj /F14 12.07 Tf 0.48 -28.08 TD (discontinuation of services, major expansions, and volume-sensitive services, and to expedite) Tj /F16 11.24 Tf -.48 -28.08 TD (review of other projects to the maximum extent possible." Section 5, Public Act 095-0005,) Tj /F15 8.22 Tf 0.24 -28.08 TD (codifed at 20 Il. Code 3960/15.5\(c\)\(4\).) Tj /F15 5.00 Tf 35.76 -28.32 TD (A copy of ) Tj /F14 12.06 Tf 50.64 0.00 TD (Public Act 095-0005 is attached as Exhibit A.) Tj /F14 11.93 Tf 167.28 -28.80 TD (Respectfully submitted,) Tj /F16 10.96 Tf -254.40 -55.68 TD (Dated: June 19,2007) Tj /F14 72.00 Tf 245.28 -2.40 TD (!1~) Tj /F14 11.90 Tf 8.64 -12.48 TD (Thomas H. Brock) Tj /F14 12.00 Tf -.24 -13.92 TD (Bureau of Competition) Tj /F14 12.01 Tf -.24 -14.16 TD (鶹ý Trade Commission) Tj /F14 11.92 Tf 0.24 -14.16 TD (601 New Jersey Ave., N.W.) 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Tj /F27 10.05 Tf 0.24 -22.56 TD (WHEREAS, The 94th General Assembly funded a study by the) Tj /F27 10.00 Tf -24.00 -11.04 TD (Lewin Group, "An Evaluation of illinois' 'Certificate of Need') Tj /F27 10.04 Tf 0.24 -11.28 TD (Program", which recommended that "... the Illinois legislature) Tj /F27 10.08 Tf -.72 -11.28 TD (move forward to continue the 'Certificate-of-Need' program) Tj 0.00 -11.04 TD (with an abundance of caution...". Given the potential for harm) Tj /F27 9.99 Tf 0.48 -11.52 TD (to specific critical elements of the health care system,) Tj /F27 10.06 Tf -.48 -11.04 TD (non-traditional arguments for maintaining) Tj /F27 10.01 Tf 1.44 -11.52 TD ("Certificate-of-Need" laws deserve consideration, until the) Tj /F27 10.06 Tf -1.20 -11.28 TD (evidence on the impact that specialty providers and ambulatory) Tj /F27 10.03 Tf 0.48 -11.28 TD (surgery centers may have on safety-net providers and services) Tj /F27 9.89 Tf -.48 -11.28 TD (can be better quantified. In response to the Lewin ana'lysis and) Tj /F27 10.04 Tf 0.00 -11.28 TD (additional concerns regarding health planning in Illinois, the) Tj /F27 10.02 Tf 0.48 -11.28 TD (95th General Assembly enacted Senate Bill 611 \(Public Act) Tj /F27 10.04 Tf -.24 -11.28 TD (95-0001\) that extended the "sunset" date of the Illinois Health) Tj -.24 -11.04 TD (Facilities Planning Act from April 1, 2007 to May 31, 2007 so) Tj 0.00 -11.52 TD (that interested parties could agree on a strategy to further) Tj /F27 10.03 Tf -.24 -11.28 TD (extend the "sunset" date, and develop a more comprehensive) Tj /F27 10.07 Tf 0.00 -11.28 TD (reform agenda therefore) Tj /F27 10.00 Tf 23.52 -22.56 TD (Be it enacted by the People of the State of Illinois,) Tj /F27 10.24 Tf -23.76 -11.28 TD (represented in the General Assemly:) Tj /F27 10.02 Tf 24.24 -22.32 TD (Section 5. The Illinois Health Facilities Planning Act is) Tj /F27 10.03 Tf -24.48 -11.04 TD (amended by changing Section 19.6 and by adding Sections 12.5) Tj /F27 9.88 Tf 0.00 -12.24 TD (and 15.5 as follows:) Tj /F27 9.67 Tf 26.40 -23.28 TD (\(20 ILCS 3960/12.5 new\)) Tj /F27 10.04 Tf -2.40 -10.56 TD (Sec. 12.5. Update existing bed inventory and associated bed) Tj -24.48 -11.04 TD (need projections. While the Task Force on Health Planning) Tj 0.00 -11.28 TD (Reform will make long-term recommendations related to the) Tj /F27 10.06 Tf -.24 -11.28 TD (method and formula for calculatina the bed inventory and) Tj /F27 9.88 Tf 0.24 -11.52 TD (associated bed need proj ections, there is a current need for) Tj /F27 10.03 Tf 0.00 -11.28 TD (the bed inventory to be updated prior to the issuance of the) Tj /F27 10.05 Tf 0.00 -11.04 TD (recommendations of the Task Force. Therefore, the State Agency) Tj /F27 10.03 Tf 0.24 -11.52 TD (shall immediately update the existina bed inventory and) Tj /F27 10.04 Tf -.48 -11.28 TD (associated bed need projections required by Sections 12 and) Tj /F27 10.01 Tf 0.48 -11.28 TD (12.3 of this Act, usina the most recently published historical) Tj /F27 10.05 Tf -.96 -11.52 TD (utilization data, 10-year population projections, and an) Tj /F27 10.04 Tf 0.24 -11.28 TD (appropriate miaration factor for the medical-surgical and) Tj /F27 9.99 Tf -.24 -11.28 TD (pediatric cateaory of service which shall be no less than 50%.) 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Tj /F33 9.72 Tf 26.88 -23.52 TD (\(20 ILCS 3960/15.5 new\)) Tj /F33 9.99 Tf -2.40 -10.56 TD (Sec. 15.5. Task Force on Health Planning Reform.) Tj /F33 9.94 Tf 2.16 -12.24 TD (\(a\) The Task Force on Health Planning Reform is created.) Tj /F33 9.98 Tf 0.00 -11.28 TD (\(b\) The Task Force shall consist of 19 voting members, as) Tj /F33 10.05 Tf -26.16 -10.56 TD (follows: 6 persons, who are not currently employed by a State) Tj /F33 9.90 Tf -.24 -11.28 TD (agency, appointed by the Director of Publ ic Health, 3 of whom) Tj /F33 10.06 Tf 0.24 -12.24 TD (shall be persons with knowledge and experience in the delivery) Tj -.48 -11.28 TD (of health care services, including at least one person) Tj /F33 10.05 Tf 0.00 -11.28 TD (representing organized health service workers, 2 of whom shall) Tj /F33 10.07 Tf -.48 -11.52 TD (be persons with professional experience in the administration) Tj /F33 10.05 Tf 0.24 -11.04 TD (or management of health care facilities, and one of whom shall) Tj /F33 9.89 Tf -.24 -11.52 TD (be a person with experience in health planning i 2 members of) Tj /F33 9.99 Tf 0.48 -11.04 TD (the Illinois Senate appointed by the President of the Senate,) Tj /F33 10.04 Tf -.24 -11.28 TD (one of whom shall be a co-chair to the Task Forcei 2 members of) Tj /F33 9.87 Tf 0.24 -11.28 TD (the Illinois Senate appointed by the Senate Minority Leader i 2) Tj /F33 10.07 Tf -.72 -11.04 TD (members of the Illinois House of Representatives appointed by) Tj /F33 10.03 Tf 0.72 -11.52 TD (the Speaker of the House of Representatives, one of whom shall) Tj /F33 10.04 Tf -.72 -11.28 TD (be a co-chair to the Task Forcei 2 members of the Illinois) Tj /F33 10.06 Tf 0.00 -11.04 TD (House of Representatives appointed by the House Minority) Tj /F33 10.03 Tf 0.24 -11.28 TD (Leaderi the Attorney General, or his or her designeei and 4) Tj /F33 10.04 Tf -.24 -11.28 TD (members of the general public, representing health care) Tj /F33 9.98 Tf 0.48 -11.28 TD (consumers, appointed by the Attorney General of Illinois.) Tj /F33 10.06 Tf 23.52 -11.28 TD (The following persons, or their designees, shall serve, ex) Tj /F33 10.05 Tf -24.00 -11.28 TD (officio, as nonvoting members of the Task Force: the Director) Tj /F33 10.04 Tf 0.00 -11.28 TD (of Public Health, the Secretary of the Illinois Health) Tj /F33 10.05 Tf 0.00 -11.04 TD (Facilities Planning Board, the Director of Healthcare and) Tj /F33 10.04 Tf 0.00 -11.52 TD (Family Services, the Secretary of Human Services, and the) Tj /F33 9.67 Tf -.48 -11.04 TD (Director of the Governor i s Office of Management and Budget.) Tj /F33 10.05 Tf 23.76 -11.52 TD (Members shall serve without compensation, but may be) Tj -23.52 -11.04 TD (reimbursed for their expenses in relation to duties on the Task) Tj /F35 13.11 Tf 0.00 -11.52 TD (Force.) 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Tj /F33 9.98 Tf 26.16 -12.00 TD (\(2\) Reform of the Illinois Health Facilities Planning) Tj /F33 10.05 Tf -26.64 -10.32 TD (Board to enable it to undertake a more active role in) Tj /F33 9.86 Tf 0.00 -11.52 TD (heal th planning to provide guidance in the development of) Tj /F33 9.95 Tf 0.48 -11.28 TD (services to meet the health care needs of Illinois,) Tj /F33 10.01 Tf 0.00 -11.28 TD (including identifying and recommending initiatives to meet) Tj /F33 9.77 Tf -.24 -11.52 TD (special needs.) Tj /F33 9.76 Tf 26.16 -12.00 TD (\(3\) Reforms to ensure that heal th planning under the) Tj /F33 10.03 Tf -26.16 -10.56 TD (Illinois Health Facilities Planning Act is coordinated) Tj -.72 -11.04 TD (with other health planning laws and activities of the) Tj /F35 14.83 Tf 0.24 -11.52 TD (State.) 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("vQ>7-ك__?ܰհ钻%y/NDmg&հ찭1ѳ(&7^"#}K<,nYٜCʌ.n25?W'BA dHS0A.9=kٛV{r뙃=~bch60DȑUWSL&BEimBXA `pյVn P [^…ڟ8+'w[?"""""Pb!4*꘣80T> . =/"""$F2$CP dL5ivQ6N W$ը= -;l*"""z#`Vبvﰖ4mDM8:i∘1w) o`VG6#e^kUd%r$DDq"0L[ȑa4DDQl]A /uH s """$J{6 a\q!s/CuOlHD)p "NsNZy .qP3SB /ށKt\nkwE_Gwab:12 "adT I!kSŦ8l/D\.k>ԫI vAt !tE5żtAC,ڀ#G=$7.ۓNEOK (`0yD 𩬅j /=A6nQtsdg?2P' f7g'qV ։.\䩝483d|g*`D]uWZZMH!;j3z-m*zzOPNCDDQ}\0>PY!/:Av2xg w-5 \!4͌FmyvG ziVDRӤoU 'z \!аC0!l.rs|.9g.j: k Boh bb 8e'7Dvv]=_yIr1zA:}߯ o]  iuxG麸M$a""$aAȹ[ d{eDDE'3e^VMBM6F` v.DDDC$5Nq0G! ᵈ h2(Bal&Hdd s #L24l0^JY)2 LHiC)x: glM̂BfR9ި?hC2qB " a`Ih=ua?f`Bbf΅ϗ' 'u-?AdT2x;!(UPD'6P)֗.OCA 0 u$ ]F>|*$A gR<.X>qh4! ~4$T_]pZ??srVUM0 BДNAr:GO_U_: {}DL p.y5 JH%b](>wAD  jGY|-tp_^'Fh34ŧA3NBPhATٖ dX}ps}=ao__ #DEA!_C1r|sv/#~&H$01H?{ 6c ;hM6mvWYaV!:=?Z܄/uZ[_?'@xM  ~ո`0K"AN"H$-7oпGÌ1G\HjOպICʌȃ0[P $/^("хa][[(oD݅,tگM24 "`E0U }yc 0E8dQc8Olq!l'#̏f}BJ""""iz& dGNH& 8aaGp2%騦;dwM;ngt\*Uwl`W!|lR#*fmvOQ{: "K EFC*!ʎanAccp_&"""2}"O& p0c/eٱ 1)3dA@ ȑv {""""$23:a;'z KB<"LB`"""W-r/1bX-yiH)j p8˲෗qh-踑;#f$NsLy !ˆȈ endstream endobj 45 0 obj << /Length 5482 >> stream q q 612.00 0.00 0.00 792.00 0.00 0.00 cm /Im46 Do Q Q q BT 3 Tr /F47 10.04 Tf 85.68 727.20 TD (facilities and services that are not currently regulated) Tj /F47 10.05 Tf -.72 -11.28 TD (under this Act, as determined by the Board. The planning) Tj /F47 10.03 Tf 0.24 -11.52 TD (criteria and standards should be adjusted to take into) Tj /F47 9.97 Tf 0.00 -11.28 TD (consideration services that are regulated under the Act,) Tj /F47 10.05 Tf -.72 -11.28 TD (but are also offered by non-regulated providers. The) Tj /F47 10.04 Tf 0.96 -11.52 TD (Illinois Department of Public Health bed inventory should) Tj /F47 10.06 Tf -1.20 -11.28 TD (be updated each year using the most recent utilization data) Tj /F47 10.04 Tf 0.72 -11.28 TD (for both hospitals and lonq-term care facilities including) Tj /F47 10.03 Tf -.48 -11.28 TD (2003, 2004, 2005 and subsequent-year inpatient discharges) Tj /F47 10.05 Tf 0.00 -11.52 TD (and days. This revised bed supply should be used as the bed) Tj /F47 9.99 Tf 0.00 -11.28 TD (supply input for all Planning Area bed-need calculations.) Tj /F47 9.88 Tf -.48 -11.28 TD (Ten-year population proj ection data should be incorporated) Tj /F47 10.04 Tf 0.48 -11.52 TD (into the plan. Plan updates may include redrawing planning) Tj /F47 10.05 Tf -.48 -11.28 TD (area boundaries to reflect population changes. The Task) Tj /F47 10.04 Tf 0.24 -11.04 TD (Force shall consider whether the inventory formula should) Tj /F47 9.97 Tf -.72 -11.52 TD (use migration factors for the medical/surgical,) Tj /F47 9.99 Tf -.24 -11.28 TD (pediatrics, obstetrics, and other cateqories of service,) Tj /F47 10.03 Tf 0.48 -11.28 TD (and if so, what those migration factors should be. The) Tj /F47 10.04 Tf -.48 -11.04 TD (Board should hold public hearings on the plan and its) Tj /F47 10.05 Tf 0.00 -11.28 TD (updates. There should be a mechanism for the public to) Tj /F47 10.03 Tf 0.24 -11.28 TD (request that the plan be updated more frequently to address) Tj /F47 10.05 Tf 0.00 -12.00 TD (emerqing population and demographic trends. In developinq) Tj 0.00 -11.28 TD (the plan, the Board should consider health plans and other) Tj -.24 -11.04 TD (related publications that have been developed both in) Tj /F47 10.04 Tf 0.24 -11.52 TD (Illinois and nationally. In developinq the plan, the need) Tj /F47 10.00 Tf -.24 -11.28 TD (to ensure access to care, especially for "safety net") Tj /F47 10.03 Tf 0.00 -11.28 TD (services, including rural and medically underserved) Tj /F48 12.94 Tf -.24 -11.28 TD (communities, should be included.) Tj /F47 9.98 Tf 26.40 -12.00 TD (\(3\) Changes in regulations that establish sparate) Tj /F47 10.03 Tf -26.64 -10.56 TD (criteria, standards, and procedures when necessary to) Tj /F47 10.01 Tf 0.00 -11.04 TD (adjust for structural, functional, and operational) Tj /F47 10.03 Tf -.24 -11.52 TD (differences between long-term care facilities and acute) Tj /F47 10.01 Tf 0.00 -11.28 TD (care facilities and that allow routine changes of) Tj /F47 10.04 Tf -.48 -11.28 TD (ownership, facility sales, and closure requests to be) Tj /F47 10.07 Tf -.48 -11.28 TD (processed on a timely basis. Consider rules to allow) Tj /F47 10.02 Tf 0.96 -11.04 TD (flexibility for facilities to modernize, expand, or) Tj /F47 10.05 Tf -.48 -11.52 TD (convert to alternative uses that are in accord with health) Tj /F49 14.51 Tf -.72 -11.04 TD (planning standards.) Tj /F47 9.94 Tf 27.12 -12.24 TD (\(4\) Changes in policies and procedures so that the) Tj /F47 10.01 Tf -26.16 -10.32 TD (Illinois Health Facilities Planning Board updates the) Tj /F47 10.05 Tf -.24 -11.28 TD (standards and criteria on a regular basis and proposes new) Tj /F47 10.02 Tf -.24 -11.28 TD (standards to keep pace with the evolving health care) Tj /F47 10.04 Tf -.48 -11.28 TD (delivery system. Proton Therapy and Treatment is an example) Tj /F47 10.05 Tf 0.00 -11.28 TD (of a new, cutting-edge procedure that may require the Board) Tj /F47 10.03 Tf 0.00 -11.28 TD (to immediately develop criteria, standards, and procedures) Tj /F47 10.01 Tf 0.24 -11.04 TD (for that type of facility. Temporary advisory committees) Tj /F47 10.04 Tf -.96 -11.52 TD (may be appointed to assist in the development of revisions) Tj /F47 10.01 Tf 0.48 -12.00 TD (to the Board's standards and criteria, includinq experts) Tj /F47 10.04 Tf -.72 -11.28 TD (with professional competence in the subject matter of the) Tj /F47 9.99 Tf 0.00 -11.28 TD (proposed standards or criteria that are to be developed.) Tj /F47 9.94 Tf 26.88 -12.24 TD (\(5\) Changes in policies and procedures to expedite) Tj /F47 9.49 Tf -27.12 -10.32 TD (proj ect approval, particularly for less complex proj ects ,) Tj /F47 9.87 Tf 0.72 -11.52 TD (including standards for determininq whether a proj ect is in) Tj /F47 9.99 Tf 0.72 -11.28 TD ("substantial compliance" with the Board's review) Tj /F47 10.01 Tf -.96 -11.28 TD (standards. The review standards must include a requirement) Tj /F47 9.97 Tf 0.00 -11.28 TD (for applicants to include a "Safety Net" Impact Statement.) Tj /F47 10.04 Tf -.72 -11.28 TD (This Statement shall describe the project's impact on) Tj /F47 10.03 Tf 0.48 -11.52 TD (safety net services in the community. The State Aqency) Tj /F47 9.97 Tf -.72 -11.04 TD (Report shall include an assessment of the Statement.) 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Tj /F54 5.00 Tf 26.40 -12.48 TD (\(8\) Other chanqes determined ) Tj /F54 10.02 Tf 171.84 0.00 TD (necessary to improve the) Tj /F54 9.85 Tf -198.72 -10.32 TD (administration of this Act.) Tj /F54 9.89 Tf 2.40 -12.24 TD (\(e\) The State Agency, at the direction of the Task Force,) Tj /F54 10.06 Tf -27.60 -10.32 TD (may hire any necessary staff or consultants, enter into) Tj /F54 10.04 Tf 0.48 -11.28 TD (contracts, and make any expenditures necessary for carrying out) Tj /F54 10.05 Tf 0.00 -11.52 TD (the duties of the Task Force, all out of moneys appropriated) Tj /F54 10.03 Tf 0.24 -11.04 TD (for that purpose. Staff support services shall be provided to) Tj /F54 9.99 Tf -.24 -12.24 TD (the Task Force by the State Agency from such appropriations.) 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BrocK )Tj EMC /P <>BDC /T1_0 1 Tf 11.92 0 0 11.92 356.88 197.52 Tm (Complaint Counsel )Tj EMC /P <>BDC 9.6 0 0 9.6 297.6 74.4 Tm (3 )Tj EMC ET endstream endobj 1007 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /LI_Label <>BDC /T1_0 1 Tf 3 Tr 9.92 0 0 9.92 113.52 726 Tm (\(6\))Tj EMC /LI_Title <>BDC ( Changes to enforcement processes and compliance\001 )Tj 10.01 0 0 10.01 87.12 715.44 Tm (standards to ensure they are fair and consistent with the\001)Tj EMC /P <>BDC /T1_1 1 Tf 14.65 0 0 14.65 86.88 704.16 Tm (severity of the violation. )Tj EMC /LI_Label <>BDC /T1_0 1 Tf 9.93 0 0 9.93 113.04 691.92 Tm (\(7\))Tj EMC /LI_Title <>BDC ( Revisions in policies and procedures to prevent\001 )Tj EMC /P <>BDC 10.03 0 0 10.03 86.4 681.6 Tm (conflicts of interest by members of the Illinois Health\001 )Tj 9.94 0 0 9.94 86.4 670.08 Tm (Facilities Planning Board and State Agency staff,\001 )Tj 9.95 0 0 9.95 86.4 658.8 Tm (including increasinq the penalties for violations.\001 )Tj EMC /LI_Label <>BDC 5 0 0 5 112.8 646.32 Tm (\(8\))Tj EMC /LI_Title <>BDC ( Other chanqes determined \001)Tj EMC /P <>BDC 10.02 0 0 10.02 284.64 646.32 Tm (necessary to improve the\001 )Tj 9.85 0 0 9.85 85.92 636 Tm (administration of this Act.\001 )Tj EMC /LI_Label <>BDC 9.89 0 0 9.89 88.32 623.76 Tm (\(e\))Tj EMC /LI_Title <>BDC ( The State Agency, at the direction of the Task Force,\001 )Tj 10.06 0 0 10.06 60.72 613.44 Tm (may hire any necessary staff or consultants, enter into\001 )Tj 10.04 0 0 10.04 61.2 602.16 Tm (contracts, and make any expenditures necessary for carrying out\001 )Tj EMC /P <>BDC 10.05 0 0 10.05 61.2 590.64 Tm (the duties of the Task Force, all out of moneys appropriated\001 )Tj 10.03 0 0 10.03 61.44 579.6 Tm (for that purpose. Staff support services shall be provided to\001 )Tj 9.99 0 0 9.99 61.2 567.36 Tm (the Task Force by the State Agency from such appropriations.\001 )Tj EMC /LI_Label <>BDC 9.97 0 0 9.97 87.84 555.36 Tm (\(f\))Tj EMC /LI_Title <>BDC ( The Task Force may establish any advisory committee to\001 )Tj 10.02 0 0 10.02 60.96 544.8 Tm (ensure maximum public participation in the Task Force's\001 )Tj 10.05 0 0 10.05 60.24 533.76 Tm (planninq, organization, and implementation review process. If\001 )Tj 10.03 0 0 10.03 60.72 522.48 Tm (established, advisory committees shall \(i\) advise and assist\001 )Tj 10.04 0 0 10.04 60.72 511.2 Tm (the Task Force in its duties and \(ii\) help the Task Force to\001 )Tj 9.91 0 0 9.91 60.96 499.92 Tm (identify issues of public concern.\001 )Tj EMC /LI_Label <>BDC 9.95 0 0 9.95 87.36 487.68 Tm (\(q\))Tj EMC /LI_Title <>BDC ( The Task Force shall submit findinqs and\001 )Tj 10.05 0 0 10.05 60.72 477.6 Tm (recommendations to the Governor and the General Assembly by\001 )Tj 10.06 0 0 10.06 60 466.32 Tm (March 1, 2008, including any necessary implementing\001 )Tj 9.97 0 0 9.97 60.72 455.04 Tm (legislation, and recommendations for changes to policies,\001 )Tj EMC /P <>BDC 10.03 0 0 10.03 60.48 443.76 Tm (rules, or procedures that are not incorporated in the\001 )Tj 9.84 0 0 9.84 60.72 432.48 Tm (implementing legislation.\001 )Tj EMC /LI_Label <>BDC 9.9 0 0 9.9 86.64 420.24 Tm (\(h\))Tj EMC /LI_Title <>BDC ( The Task Force is abolished on August 1, 2008.\001 )Tj EMC /P <>BDC 9.58 0 0 9.58 86.4 397.44 Tm (\(20 ILCS 3960/19.6\)\001 )Tj 9.88 0 0 9.88 86.4 386.4 Tm (\(Section scheduled to be repealed on May 31, 2007\)\001 )Tj 10.02 0 0 10.02 84 375.84 Tm (Sec. 19.6. Repeal. This Act is repealed on August 31, 2008\001 )Tj 7.44 0 0 7.44 59.52 364.8 Tm (M:a:" 11, :JQQ"7.\001 )Tj 9.9 0 0 9.9 61.92 352.56 Tm (\(Source: P.A. 94-983, eff. 6-30-06i 95-1, eff. 3-30-07.\)\001 )Tj EMC /P <>BDC 10.05 0 0 10.05 83.52 330.72 Tm (Section 99. Effective date. This Act takes effect upon\001 )Tj EMC /P <>BDC /T1_1 1 Tf 11.9 0 0 11.9 59.04 319.68 Tm (becoming law. )Tj EMC /P <>BDC /T1_2 1 Tf 11.55 0 0 11.55 59.04 273.84 Tm (Floor Actions )Tj 10.93 0 0 10.93 94.08 259.68 Tm (Date )Tj 11.2 0 0 11.2 154.56 258.96 Tm (Action )Tj 10.83 0 0 10.83 84.72 244.32 Tm (5/31/2007 )Tj 11.09 0 0 11.09 151.92 243.84 Tm (Public Act. . . . . . . . .095-0005 )Tj EMC ET endstream endobj 1008 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 10.04 0 0 10.04 85.68 727.2 Tm (facilities and services that are not currently regulated\001 )Tj 10.05 0 0 10.05 84.96 715.92 Tm (under this Act, as determined by the Board. The planning\001 )Tj 10.03 0 0 10.03 85.2 704.4 Tm (criteria and standards should be adjusted to take into\001 )Tj 9.97 0 0 9.97 85.2 693.12 Tm (consideration services that are regulated under the Act,\001 )Tj 10.05 0 0 10.05 84.48 681.84 Tm (but are also offered by non-regulated providers. The\001 )Tj 10.04 0 0 10.04 85.44 670.32 Tm (Illinois Department of Public Health bed inventory should\001 )Tj 10.06 0 0 10.06 84.24 659.04 Tm (be updated each year using the most recent utilization data\001 )Tj 10.04 0 0 10.04 84.96 647.76 Tm (for both hospitals and lonq-term care facilities including\001 )Tj 10.03 0 0 10.03 84.48 636.48 Tm (2003, 2004, 2005 and subsequent-year inpatient discharges\001 )Tj 10.05 0 0 10.05 84.48 624.96 Tm (and days. This revised bed supply should be used as the bed\001 )Tj 9.99 0 0 9.99 84.48 613.68 Tm (supply input for all Planning Area bed-need calculations.\001 )Tj 9.88 0 0 9.88 84 602.4 Tm (Ten-year population proj ection data should be incorporated\001 )Tj 10.04 0 0 10.04 84.48 590.88 Tm (into the plan. Plan updates may include redrawing planning\001 )Tj 10.05 0 0 10.05 84 579.6 Tm (area boundaries to reflect population changes. The Task\001 )Tj 10.04 0 0 10.04 84.24 568.56 Tm (Force shall consider whether the inventory formula should\001 )Tj 9.97 0 0 9.97 83.52 557.04 Tm (use migration factors for the medical/surgical,\001 )Tj 9.99 0 0 9.99 83.28 545.76 Tm (pediatrics, obstetrics, and other cateqories of service,\001 )Tj 10.03 0 0 10.03 83.76 534.48 Tm (and if so, what those migration factors should be. The\001 )Tj 10.04 0 0 10.04 83.28 523.44 Tm (Board should hold public hearings on the plan and its\001 )Tj 10.05 0 0 10.05 83.28 512.16 Tm (updates. There should be a mechanism for the public to\001 )Tj 10.03 0 0 10.03 83.52 500.88 Tm (request that the plan be updated more frequently to address\001 )Tj 10.05 0 0 10.05 83.52 488.88 Tm (emerqing population and demographic trends. In developinq\001 )Tj 0 -1.122 TD (the plan, the Board should consider health plans and other\001 )Tj -0.024 -1.099 Td (related publications that have been developed both in\001 )Tj 10.04 0 0 10.04 83.52 455.04 Tm (Illinois and nationally. In developinq the plan, the need\001 )Tj 10 0 0 10 83.28 443.76 Tm (to ensure access to care, especially for "safety net"\001 )Tj 10.03 0 0 10.03 83.28 432.48 Tm (services, including rural and medically underserved\001)Tj EMC /P <>BDC /T1_1 1 Tf 12.94 0 0 12.94 83.04 421.2 Tm (communities, should be included. )Tj EMC /LI_Label <>BDC /T1_0 1 Tf 9.98 0 0 9.98 109.44 409.2 Tm (\(3\))Tj EMC /LI_Title <>BDC ( Changes in regulations that establish s\350parate\001 )Tj 10.03 0 0 10.03 82.8 398.64 Tm (criteria, standards, and procedures when necessary to\001 )Tj 10.01 0 0 10.01 82.8 387.6 Tm (adjust for structural, functional, and operational\001 )Tj 10.03 0 0 10.03 82.56 376.08 Tm (differences between long-term care facilities and acute\001 )Tj 10.01 0 0 10.01 82.56 364.8 Tm (care facilities and that allow routine changes of\001 )Tj 10.04 0 0 10.04 82.08 353.52 Tm (ownership, facility sales, and closure requests to be\001 )Tj 10.07 0 0 10.07 81.6 342.24 Tm (processed on a timely basis. Consider rules to allow\001 )Tj 10.02 0 0 10.02 82.56 331.2 Tm (flexibility for facilities to modernize, expand, or\001 )Tj 10.05 0 0 10.05 82.08 319.68 Tm (convert to alternative uses that are in accord with health\001 )Tj EMC /P <>BDC /T1_2 1 Tf 14.51 0 0 14.51 81.36 308.64 Tm (planning standards. )Tj EMC /LI_Label <>BDC /T1_0 1 Tf 9.94 0 0 9.94 108.48 296.4 Tm (\(4\))Tj EMC /LI_Title <>BDC ( Changes in policies and procedures so that the\001 )Tj 10.01 0 0 10.01 82.32 286.08 Tm (Illinois Health Facilities Planning Board updates the\001 )Tj 10.05 0 0 10.05 82.08 274.8 Tm (standards and criteria on a regular basis and proposes new\001 )Tj 10.02 0 0 10.02 81.84 263.52 Tm (standards to keep pace with the evolving health care\001 )Tj 10.04 0 0 10.04 81.36 252.24 Tm (delivery system. Proton Therapy and Treatment is an example\001 )Tj 10.05 0 0 10.05 81.36 240.96 Tm (of a new, cutting-edge procedure that may require the Board\001 )Tj 10.03 0 0 10.03 81.36 229.68 Tm (to immediately develop criteria, standards, and procedures\001 )Tj 10.01 0 0 10.01 81.6 218.64 Tm (for that type of facility. Temporary advisory committees\001 )Tj EMC /P <>BDC 10.04 0 0 10.04 80.64 207.12 Tm (may be appointed to assist in the development of revisions\001 )Tj 10.01 0 0 10.01 81.12 195.12 Tm (to the Board's standards and criteria, includinq experts\001 )Tj 10.04 0 0 10.04 80.4 183.84 Tm (with professional competence in the subject matter of the\001 )Tj 9.99 0 0 9.99 80.4 172.56 Tm (proposed standards or criteria that are to be developed.\001 )Tj EMC /LI_Label <>BDC 9.94 0 0 9.94 107.28 160.32 Tm (\(5\))Tj EMC /LI_Title <>BDC ( Changes in policies and procedures to expedite\001 )Tj EMC /P <>BDC 9.49 0 0 9.49 80.16 150 Tm (proj ect approval, particularly for less complex proj ects ,\001 )Tj 9.87 0 0 9.87 80.88 138.48 Tm (including standards for determininq whether a proj ect is in\001 )Tj 9.99 0 0 9.99 81.6 127.2 Tm ("substantial compliance" with the Board's review\001 )Tj 10.01 0 0 10.01 80.64 115.92 Tm (standards. The review standards must include a requirement\001 )Tj 9.97 0 0 9.97 80.64 104.64 Tm (for applicants to include a "Safety Net" Impact Statement.\001 )Tj 10.04 0 0 10.04 79.92 93.36 Tm (This Statement shall describe the project's impact on\001 )Tj EMC /P <>BDC 10.03 0 0 10.03 80.4 81.84 Tm (safety net services in the community. The State Aqency\001 )Tj 9.97 0 0 9.97 79.68 70.8 Tm (Report shall include an assessment of the Statement.\001 )Tj EMC ET endstream endobj 1009 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 10.04 0 0 10.04 83.52 727.68 Tm (Facilities Planning Board to focus most of its project\001 )Tj 0 -1.124 TD (review efforts on "Certificate-of-Need" applications\001 )Tj 9.97 0 0 9.97 83.76 704.16 Tm (involvinq new facilities, discontinuation of services,\001 )Tj 10.07 0 0 10.07 82.8 692.88 Tm (major expansions, and volume-sensitive services, and to\001 )Tj 10.05 0 0 10.05 83.04 681.36 Tm (expedite review of other projects to the maximum extent\001)Tj EMC /P <>BDC /T1_1 1 Tf 14.83 0 0 14.83 82.56 670.08 Tm (possible. )Tj EMC /LI_Label <>BDC /T1_0 1 Tf 9.98 0 0 9.98 109.44 657.84 Tm (\(5\))Tj EMC /LI_Title <>BDC ( Reforms that will enable the Illinois Health\001 )Tj -2.645 -1.058 Td (Facilities Planning Board to determine how criteria,\001 )Tj 10.03 0 0 10.03 83.04 636 Tm (standards, and procedures for evaluating project\001 )Tj 10.06 0 0 10.06 82.8 624.48 Tm (applications involving specialty providers, ambulatory\001 )Tj 10.03 0 0 10.03 83.04 613.2 Tm (surgical facilities, and other alternative health care\001 )Tj 10.06 0 0 10.06 82.08 601.92 Tm (models should be amended to give special attention to the\001 )Tj 0.072 -1.121 Td (impact of those projects on traditional community\001 )Tj -0.072 -1.121 Td (hospitals to assure the availability and access to\001 )Tj 9.8 0 0 9.8 82.32 567.84 Tm (essential quality medical care in those communi ties.\001 )Tj EMC /LI_Label <>BDC 9.94 0 0 9.94 108.96 555.84 Tm (\(6\))Tj EMC /LI_Title <>BDC ( Implementation of policies and procedures\001 )Tj 10.06 0 0 10.06 82.08 545.52 Tm (necessary for the Illinois Health Facilities Planninq\001 )Tj 10.05 0 0 10.05 81.84 534.24 Tm (Board to give special consideration to the impact of the\001 )Tj 10.01 0 0 10.01 81.6 522.96 Tm (projects it reviews on access to "safety net" services.\001 )Tj EMC /LI_Label <>BDC 9.95 0 0 9.95 108.72 510.72 Tm (\(7\))Tj EMC /LI_Title <>BDC ( Chanqes in policies and procedures to make the\001 )Tj 9.96 0 0 9.96 82.56 500.64 Tm (Illinois health facilities planning process predictable,\001)Tj EMC /P <>BDC /T1_2 1 Tf 14.08 0 0 14.08 82.08 489.12 Tm (transparent, and as efficient as possible i requirinq the )Tj EMC /P <>BDC /T1_0 1 Tf 10.05 0 0 10.05 82.08 478.08 Tm (State Aqency \(the Illinois Department of Public Health\) and\001 )Tj 10.04 0 0 10.04 81.84 466.8 Tm (the Illinois Health Facilities Planninq Board to provide\001 )Tj 10.05 0 0 10.05 81.84 455.52 Tm (timely and appropriate explanations of its decisions and\001 )Tj 10.03 0 0 10.03 81.6 444.24 Tm (establish more effective procedures to enable public\001 )Tj 10.04 0 0 10.04 81.6 432.96 Tm (review and comment on facts set forth in State Agency staff\001 )Tj T* (analyses of project applications prior to the issuance of\001 )Tj 9.94 0 0 9.94 81.84 409.68 Tm (final decisions on each project.\001 )Tj EMC /LI_Label <>BDC 9.97 0 0 9.97 108 397.44 Tm (\(8\))Tj EMC /LI_Title <>BDC ( Reforms to ensure that patient access to new and\001 )Tj 10.06 0 0 10.06 80.88 387.12 Tm (modernized services will not be delayed during a transition\001 )Tj 10.04 0 0 10.04 80.88 375.84 Tm (period under any proposed system reformi and that the\001 )Tj 0.048 -1.124 Td (transition should minimize disruption of the process for\001 )Tj 9.83 0 0 9.83 81.12 353.28 Tm (current applicants.\001 )Tj EMC /LI_Label <>BDC 9.95 0 0 9.95 107.52 341.04 Tm (\(9\))Tj EMC /LI_Title <>BDC ( Identification of the resources necessary to\001 )Tj 9.96 0 0 9.96 81.12 330.72 Tm (support the work of the Aqency and the Board.\001 )Tj EMC /LI_Label <>BDC 0.193 -1.229 Td (\(d\))Tj EMC /LI_Title <>BDC ( The Task Force shall recommend reforms regarding the\001)Tj EMC /P <>BDC /T1_1 1 Tf 13.83 0 0 13.83 56.88 308.4 Tm (following: )Tj EMC /LI_Label <>BDC /T1_0 1 Tf 9.97 0 0 9.97 107.04 295.92 Tm (\(1\))Tj EMC /LI_Title <>BDC ( The size and membership of current Illinois Health\001 )Tj EMC /P <>BDC 10.02 0 0 10.02 80.64 285.84 Tm (Facilities Planning Board. Review and make recommendations\001 )Tj 10.03 0 0 10.03 80.16 274.32 Tm (on the reorganization of the structure and function of the\001 )Tj 10.01 0 0 10.01 80.88 263.28 Tm (Illinois Health Facilities Planning Board and the State\001 )Tj EMC /P <>BDC 10.03 0 0 10.03 79.68 252 Tm (Aqency responsible for health planning \(the Illinois )Tj /T1_1 1 Tf 5 0 0 5 79.92 240.72 Tm (Department )Tj /T1_0 1 Tf 9.79 0 0 9.79 146.64 240.48 Tm (of Public Health\) , giving consideration to )Tj 10.06 0 0 10.06 79.44 229.68 Tm (various options for reassigning the primary responsibility)Tj EMC /P <>BDC /T1_1 1 Tf 15.16 0 0 15.16 80.4 218.16 Tm (for the review, approval, and denial of proj ect )Tj EMC /P <>BDC /T1_0 1 Tf 10.03 0 0 10.03 79.92 206.88 Tm (applications between the Board and the State Agency, so\001 )Tj 0 -1.149 TD (that the "Certificate-of-Need" process is administered in\001 )Tj EMC /P <>BDC -0.024 -1.125 Td (the most effective, efficient, and consistent manner\001 )Tj EMC /P <>BDC 10.04 0 0 10.04 79.2 172.8 Tm (possible in accordance with the objectives referenced in\001 )Tj 9.92 0 0 9.92 79.92 161.52 Tm (subsection \(c\) of this Section.\001 )Tj EMC /LI_Label <>BDC 9.94 0 0 9.94 106.08 149.28 Tm (\(2\))Tj EMC /LI_Title <>BDC ( Changes in policies and procedures that will charge\001 )Tj 10.02 0 0 10.02 79.44 138.96 Tm (the Illinois Health Facilities Planning Board with\001 )Tj 9.95 0 0 9.95 79.2 127.68 Tm (developing a long-range health facilities plan \(10 years\)\001 )Tj EMC /P <>BDC 10.02 0 0 10.02 79.2 115.44 Tm (to be updated at least every 2 years, so that it is a\001 )Tj 9.8 0 0 9.8 79.2 104.4 Tm (rolling 10 -year plan based upon data no older than 2 years.\001)Tj EMC /P <>BDC /T1_1 1 Tf 14.68 0 0 14.68 78.96 93.12 Tm (The plan should incorporate an inventory of the State i s )Tj EMC /P <>BDC /T1_0 1 Tf 10.01 0 0 10.01 78.72 81.6 Tm (health facilities infrastructure includinq both facilities\001 )Tj 10 0 0 10 78.72 70.32 Tm (and services regulated under this Act, as well as\001 )Tj EMC ET endstream endobj 1010 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 10.05 0 0 10.05 59.52 726.96 Tm (the methodology and rationale used to determine the appropriate\001)Tj EMC /P <>BDC /T1_1 1 Tf 14.13 0 0 14.13 58.8 715.68 Tm (migration factor. )Tj EMC /P <>BDC /T1_0 1 Tf 9.72 0 0 9.72 85.68 692.16 Tm (\(20 ILCS 3960/15.5 new\)\001 )Tj EMC /P <>BDC 9.99 0 0 9.99 83.28 681.6 Tm (Sec. 15.5. Task Force on Health Planning Reform.\001 )Tj EMC /LI_Label <>BDC 9.94 0 0 9.94 85.44 669.36 Tm (\(a\))Tj EMC /LI_Title <>BDC ( The Task Force on Health Planning Reform is created.\001 )Tj EMC /LI_Label <>BDC 9.98 0 0 9.98 85.44 658.08 Tm (\(b\))Tj EMC /LI_Title <>BDC ( The Task Force shall consist of 19 voting members, as\001 )Tj 10.05 0 0 10.05 59.28 647.52 Tm (follows: 6 persons, who are not currently employed by a State\001 )Tj 9.9 0 0 9.9 59.04 636.24 Tm (agency, appointed by the Director of Publ ic Health, 3 of whom\001 )Tj EMC /P <>BDC 10.06 0 0 10.06 59.28 624 Tm (shall be persons with knowledge and experience in the delivery\001 )Tj -0.048 -1.121 Td (of health care services, including at least one person\001 )Tj 10.05 0 0 10.05 58.8 601.44 Tm (representing organized health service workers, 2 of whom shall\001 )Tj 10.07 0 0 10.07 58.32 589.92 Tm (be persons with professional experience in the administration\001 )Tj 10.05 0 0 10.05 58.56 578.88 Tm (or management of health care facilities, and one of whom shall\001 )Tj 9.89 0 0 9.89 58.32 567.36 Tm (be a person with experience in health planning i 2 members of\001 )Tj 9.99 0 0 9.99 58.8 556.32 Tm (the Illinois Senate appointed by the President of the Senate,\001 )Tj 10.04 0 0 10.04 58.56 545.04 Tm (one of whom shall be a co-chair to the Task Forcei 2 members of\001 )Tj 9.87 0 0 9.87 58.8 533.76 Tm (the Illinois Senate appointed by the Senate Minority Leader i 2\001 )Tj 10.07 0 0 10.07 58.08 522.72 Tm (members of the Illinois House of Representatives appointed by\001 )Tj 10.03 0 0 10.03 58.8 511.2 Tm (the Speaker of the House of Representatives, one of whom shall\001 )Tj 10.04 0 0 10.04 58.08 499.92 Tm (be a co-chair to the Task Forcei 2 members of the Illinois\001 )Tj 10.06 0 0 10.06 58.08 488.88 Tm (House of Representatives appointed by the House Minority\001 )Tj 10.03 0 0 10.03 58.32 477.6 Tm (Leaderi the Attorney General, or his or her designeei and 4\001 )Tj 10.04 0 0 10.04 58.08 466.32 Tm (members of the general public, representing health care\001 )Tj 9.98 0 0 9.98 58.56 455.04 Tm (consumers, appointed by the Attorney General of Illinois.\001 )Tj EMC /P <>BDC 10.06 0 0 10.06 82.08 443.76 Tm (The following persons, or their designees, shall serve, ex\001 )Tj 10.05 0 0 10.05 58.08 432.48 Tm (officio, as nonvoting members of the Task Force: the Director\001 )Tj 10.04 0 0 10.04 58.08 421.2 Tm (of Public Health, the Secretary of the Illinois Health\001 )Tj 10.05 0 0 10.05 58.08 410.16 Tm (Facilities Planning Board, the Director of Healthcare and\001 )Tj 10.04 0 0 10.04 58.08 398.64 Tm (Family Services, the Secretary of Human Services, and the\001 )Tj 9.67 0 0 9.67 57.6 387.6 Tm (Director of the Governor i s Office of Management and Budget.\001 )Tj EMC /P <>BDC 10.05 0 0 10.05 81.36 376.08 Tm (Members shall serve without compensation, but may be )Tj -2.34 -1.099 Td (reimbursed for their expenses in relation to duties on the Task )Tj /T1_2 1 Tf 13.11 0 0 13.11 57.84 353.52 Tm (Force. )Tj EMC /P <>BDC /T1_0 1 Tf 10.1 0 0 10.1 80.88 342.24 Tm (A vote of 12 members appointed to )Tj 9.86 0 0 9.86 287.76 341.28 Tm (the Task Force is )Tj 10.04 0 0 10.04 57.84 330.24 Tm (requ~red with respect to the adoption )Tj 9.96 0 0 9.96 287.52 329.28 Tm (of recommendations to )Tj /T1_2 1 Tf 13.95 0 0 13.95 420 328.8 Tm (the )Tj /T1_0 1 Tf 10.04 0 0 10.04 57.36 318.96 Tm (Governor and General Assembly and the )Tj 9.94 0 0 9.94 287.76 318.24 Tm (final report required )Tj /T1_2 1 Tf 12.24 0 0 12.24 419.28 317.52 Tm (by )Tj /T1_0 1 Tf 9.72 0 0 9.72 57.6 307.68 Tm (this Section. )Tj EMC /LI_Label <>BDC 9.96 0 0 9.96 83.52 295.44 Tm (\(c\))Tj EMC /LI_Title <>BDC ( The Task Force shall gather information and make\001 )Tj EMC /P <>BDC 10.05 0 0 10.05 57.36 285.36 Tm (recommendations relating to at least the following topics in\001 )Tj 9.98 0 0 9.98 57.36 274.08 Tm (relation to the Illinois Health Facilities Planning Act:\001 )Tj EMC /LI_Label <>BDC 9.96 0 0 9.96 107.52 261.84 Tm (\(1\))Tj EMC /LI_Title <>BDC ( The impact of health planning on the provision of\001 )Tj 10.05 0 0 10.05 81.12 251.52 Tm (essential and accessible health care servicesi prevention\001 )Tj 9.99 0 0 9.99 80.88 240.24 Tm (of unnecessary duplication of facilities and servicesi\001 )Tj 9.98 0 0 9.98 81.12 228.96 Tm (improvement in the efficiency of the health care systemi\001 )Tj 10.07 0 0 10.07 80.4 217.68 Tm (maintenance of an environment in the health care system\001 )Tj 10.02 0 0 10.02 80.88 206.4 Tm (that supports quality carei the most economic use of\001 )Tj EMC /P <>BDC 9.82 0 0 9.82 80.64 194.88 Tm (available resources i and the effect of repealing this Act.\001 )Tj EMC /LI_Label <>BDC 9.98 0 0 9.98 106.8 182.88 Tm (\(2\))Tj EMC /LI_Title <>BDC ( Reform of the Illinois Health Facilities Planning\001 )Tj EMC /P <>BDC 10.05 0 0 10.05 80.16 172.56 Tm (Board to enable it to undertake a more active role in\001 )Tj 9.86 0 0 9.86 80.16 161.04 Tm (heal th planning to provide guidance in the development of\001 )Tj 9.95 0 0 9.95 80.64 149.76 Tm (services to meet the health care needs of Illinois,\001 )Tj 10.01 0 0 10.01 80.64 138.48 Tm (including identifying and recommending initiatives to meet\001 )Tj EMC /P <>BDC 9.77 0 0 9.77 80.4 126.96 Tm (special needs.\001 )Tj EMC /LI_Label <>BDC 9.76 0 0 9.76 106.56 114.96 Tm (\(3\))Tj EMC /LI_Title <>BDC ( Reforms to ensure that heal th planning under the\001 )Tj 10.03 0 0 10.03 80.4 104.4 Tm (Illinois Health Facilities Planning Act is coordinated\001 )Tj -0.072 -1.101 Td (with other health planning laws and activities of the\001)Tj EMC /P <>BDC /T1_2 1 Tf 14.83 0 0 14.83 79.92 81.84 Tm (State. )Tj EMC /LI_Label <>BDC /T1_0 1 Tf 9.95 0 0 9.95 106.32 69.6 Tm (\(4\))Tj EMC /LI_Title <>BDC ( Reforms that will enable the Illinois Health\001 )Tj EMC ET endstream endobj 1011 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 13.54 0 0 13.54 59.52 705.84 Tm (Public Act 095-0005 )Tj EMC /P <>BDC /T1_1 1 Tf 10 0 0 10 58.8 590.4 Tm (Public Act 095-0005\001 )Tj EMC /P <>BDC 0.024 -2.232 Td (SB0244 Enrolled )Tj /T1_2 1 Tf 11.23 0 0 11.23 310.32 567.84 Tm (LRB095 08444 HLH 28621 b )Tj EMC /P <>BDC /T1_1 1 Tf 9.99 0 0 9.99 82.56 545.52 Tm (AN ACT concerning State government.\001 )Tj EMC /P <>BDC 10.05 0 0 10.05 82.8 522.96 Tm (WHEREAS, The 94th General Assembly funded a study by the\001 )Tj 10 0 0 10 58.8 511.92 Tm (Lewin Group, "An Evaluation of illinois' 'Certificate of Need'\001 )Tj 10.04 0 0 10.04 59.04 500.64 Tm (Program", which recommended that "... the Illinois legislature\001 )Tj 10.08 0 0 10.08 58.32 489.36 Tm (move forward to continue the 'Certificate-of-Need' program\001 )Tj 0 -1.095 TD (with an abundance of caution...". Given the potential for harm\001 )Tj 9.99 0 0 9.99 58.8 466.8 Tm (to specific critical elements of the health care system,\001 )Tj 10.06 0 0 10.06 58.32 455.76 Tm (non-traditional arguments for maintaining\001 )Tj 10.01 0 0 10.01 59.76 444.24 Tm ("Certificate-of-Need" laws deserve consideration, until the\001 )Tj 10.06 0 0 10.06 58.56 432.96 Tm (evidence on the impact that specialty providers and ambulatory\001 )Tj 10.03 0 0 10.03 59.04 421.68 Tm (surgery centers may have on safety-net providers and services\001 )Tj 9.89 0 0 9.89 58.56 410.4 Tm (can be better quantified. In response to the Lewin ana'lysis and\001 )Tj 10.04 0 0 10.04 58.56 399.12 Tm (additional concerns regarding health planning in Illinois, the\001 )Tj 10.02 0 0 10.02 59.04 387.84 Tm (95th General Assembly enacted Senate Bill 611 \(Public Act\001 )Tj 10.04 0 0 10.04 58.8 376.56 Tm (95-0001\) that extended the "sunset" date of the Illinois Health\001 )Tj -0.024 -1.1 Td (Facilities Planning Act from April 1, 2007 to May 31, 2007 so\001 )Tj 0 -1.147 TD (that interested parties could agree on a strategy to further\001 )Tj 10.03 0 0 10.03 58.32 342.72 Tm (extend the "sunset" date, and develop a more comprehensive\001 )Tj 10.07 0 0 10.07 58.32 331.44 Tm (reform agenda \241therefore\001 )Tj EMC /P <>BDC 10 0 0 10 81.84 308.88 Tm (Be it enacted by the People of the State of Illinois,\001 )Tj 10.24 0 0 10.24 58.08 297.6 Tm (represented in the General Assemly:\001 )Tj EMC /P <>BDC 10.02 0 0 10.02 82.32 275.28 Tm (Section 5. The Illinois Health Facilities Planning Act is\001 )Tj 10.03 0 0 10.03 57.84 264.24 Tm (amended by changing Section 19.6 and by adding Sections 12.5\001 )Tj 9.88 0 0 9.88 57.84 252 Tm (and 15.5 as follows:\001 )Tj EMC /P <>BDC 9.67 0 0 9.67 84.24 228.72 Tm (\(20 ILCS 3960/12.5 new\)\001 )Tj EMC /P <>BDC 10.04 0 0 10.04 81.84 218.16 Tm (Sec. 12.5. Update existing bed inventory and associated bed\001 )Tj -2.438 -1.1 Td (need projections. While the Task Force on Health Planning\001 )Tj 0 -1.124 TD (Reform will make long-term recommendations related to the\001 )Tj 10.06 0 0 10.06 57.12 184.56 Tm (method and formula for calculatina the bed inventory and\001 )Tj 9.88 0 0 9.88 57.36 173.04 Tm (associated bed need proj ections, there is a current need for\001 )Tj 10.03 0 0 10.03 57.36 161.76 Tm (the bed inventory to be updated prior to the issuance of the\001 )Tj 10.05 0 0 10.05 57.36 150.72 Tm (recommendations of the Task Force. Therefore, the State Agency\001 )Tj 10.03 0 0 10.03 57.6 139.2 Tm (shall immediately update the existina bed inventory and\001 )Tj 10.04 0 0 10.04 57.12 127.92 Tm (associated bed need projections required by Sections 12 and\001 )Tj EMC /LI_Label <>BDC 10.01 0 0 10.01 57.6 116.64 Tm (12.3)Tj EMC /LI_Title <>BDC ( of this Act, usina the most recently published historical\001 )Tj 10.05 0 0 10.05 56.64 105.12 Tm (utilization data, 10-year population projections, and an\001 )Tj 10.04 0 0 10.04 56.88 93.84 Tm (appropriate miaration factor for the medical-surgical and\001 )Tj 9.99 0 0 9.99 56.64 82.56 Tm (pediatric cateaory of service which shall be no less than 50%.\001 )Tj 10.05 0 0 10.05 56.64 71.28 Tm (The State Aaency shall provide written documentation providina\001 )Tj EMC ET endstream endobj 1012 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 23.05 0 0 23.05 257.76 457.2 Tm (Exhibit A\001 )Tj EMC ET endstream endobj 1013 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 12.06 0 0 12.06 70.56 705.6 Tm (recently, in Public Act 095-0005, which was enacted on May 31, 2007, the\ State extended the )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 70.8 677.04 Tm (Certificate of \001)Tj EMC /P <>BDC /T1_0 1 Tf 12.06 0 0 12.06 137.28 677.04 Tm (Need program to August 31, 2008. )Tj EMC /P <>BDC 12.07 0 0 12.07 106.56 648.72 Tm (Public Act 095-0005 also establishes a task force to assess long term re\ forms to the State )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 70.56 620.16 Tm [(Certificate of )-4296(Need program. The task force is specifically )]TJ /T1_0 1 Tf 12.07 0 0 12.07 356.4 619.44 Tm (directed to make recommendations )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 70.08 592.08 Tm (regarding, inter alia, the impact of a sunset provision in the Certifica\ te of )Tj /T1_0 1 Tf 12.14 0 0 12.14 426.96 590.88 Tm (Need Act and )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 70.08 561.6 Tm ("\(rJeforms that wil enable the Ilinois Health Facilities Planing Board \ to focus most of )Tj /T1_0 1 Tf 11.44 0 0 11.44 498.96 562.32 Tm (its )Tj EMC /P <>BDC 12.06 0 0 12.06 69.6 535.68 Tm (project review efforts on 'Certificate-of-Need' applications involving n\ ew facilities, )Tj EMC /P <>BDC 12.07 0 0 12.07 70.08 507.6 Tm (discontinuation of services, major expansions, and volume-sensitive serv\ ices, and to expedite )Tj EMC /P <>BDC /T1_2 1 Tf 11.24 0 0 11.24 69.6 479.52 Tm (review of other projects to the maximum extent possible." Section 5, Pub\ lic Act 095-0005, )Tj EMC /P <>BDC /T1_1 1 Tf 8.22 0 0 8.22 69.84 451.44 Tm (codifed at 20 Il. Code \247 3960/15.5\(c\)\(4\).\001 )Tj EMC /P <>BDC 5 0 0 5 105.6 423.12 Tm (A copy of )Tj /T1_0 1 Tf 12.06 0 0 12.06 156.24 423.12 Tm (Public Act 095-0005 is attached as Exhibit A. )Tj EMC /P <>BDC 11.93 0 0 11.93 323.52 394.32 Tm (Respectfully submitted, )Tj EMC /P <>BDC /T1_2 1 Tf 10.96 0 0 10.96 69.12 338.64 Tm (Dated: June 19,2007 )Tj EMC /P <>BDC /T1_0 1 Tf 72 0 0 72 314.4 336.24 Tm (!1~)Tj EMC /P <>BDC 11.9 0 0 11.9 323.04 323.76 Tm (Thomas H. Brock )Tj 12 0 0 12 322.8 309.84 Tm (Bureau of Competition )Tj 12.01 0 0 12.01 322.56 295.68 Tm (鶹ý Trade Commission )Tj 11.92 0 0 11.92 322.8 281.52 Tm (601 New Jersey Ave., N.W. )Tj 12.3 0 0 12.3 322.56 267.36 Tm (Washington, D.C. 20580 )Tj EMC /LI_Label <>BDC 11.79 0 0 11.79 322.56 251.28 Tm (\(202\))Tj EMC /LI_Title <>BDC ( 326-2813 )Tj EMC /P <>BDC /T1_1 1 Tf 9.79 0 0 9.79 322.32 239.52 Tm (Tbrock~FTC. gov\001 )Tj EMC /P <>BDC /T1_0 1 Tf 11.89 0 0 11.89 322.32 211.2 Tm (Complaint Counsel )Tj EMC /P <>BDC 10.56 0 0 10.56 299.76 73.44 Tm (2\001 )Tj EMC ET endstream endobj 1014 0 obj <>stream /Artifact <>BDC q 612 0 0 792 0 0 cm /Im0 Do Q EMC BT /P <>BDC /T1_0 1 Tf 3 Tr 12.68 0 0 12.68 219.84 713.04 Tm (UNITED STATES OF AMERICA )Tj EMC /P <>BDC /T1_1 1 Tf 13.79 0 0 13.79 188.4 698.64 Tm (BEFORE FEDERA TRAE COMMISSION\001 )Tj EMC /TH <>BDC /T1_0 1 Tf 10.09 0 0 10.09 290.88 668.16 Tm (\) )Tj EMC /TH <>BDC 12.17 0 0 12.17 73.44 656.4 Tm (In the matter of )Tj EMC /TD <>BDC 10.81 0 0 10.81 290.64 654 Tm (\) )Tj EMC /TD <>BDC 0 -1.31 TD (\) )Tj EMC /TH <>BDC /T1_1 1 Tf 9.49 0 0 9.49 73.44 627.84 Tm (Evanston Northwestern Healthcare )Tj EMC /TD <>BDC /T1_0 1 Tf 10.09 0 0 10.09 290.64 625.44 Tm (\) )Tj EMC /TD <>BDC 12.62 0 0 12.62 326.88 627.6 Tm (PUBLIC )Tj EMC /TH <>BDC 13.03 0 0 13.03 109.92 613.2 Tm (Corporation, )Tj EMC /TD <>BDC 10.09 0 0 10.09 290.64 611.04 Tm (\) )Tj EMC /TD <>BDC 0 -1.403 TD (\) )Tj EMC /TD <>BDC /T1_1 1 Tf 9.09 0 0 9.09 326.64 599.04 Tm (Docket No. 9315 )Tj EMC /TH <>BDC /T1_0 1 Tf 11.64 0 0 11.64 145.92 584.88 Tm (and )Tj EMC /TD <>BDC 10.09 0 0 10.09 290.64 582.72 Tm (\) )Tj EMC /TD <>BDC T* (\) )Tj EMC /TH <>BDC 12.77 0 0 12.77 73.2 556.56 Tm (ENH Medical Group, Inc. )Tj EMC /TD <>BDC 10.09 0 0 10.09 290.64 554.16 Tm (\) )Tj EMC /TD <>BDC 10.81 0 0 10.81 290.4 540.72 Tm (\) )Tj EMC /P <>BDC 12.73 0 0 12.73 110.4 513.84 Tm (COMPLAINT COUNSEL'S NOTICE OF SUPPLEMENTAL AUTHORITY )Tj 12.07 0 0 12.07 109.68 485.76 Tm (Complaint Counsel submit this notice of supplemental authority relating \ to the appeal of )Tj 12.12 0 0 12.12 73.2 457.68 Tm (the Initial Decision dated October 20,2005, in which Judge Stephen J. Mc\ Guire held that the )Tj EMC /P <>BDC /T1_2 1 Tf 11.12 0 0 11.12 73.2 429.36 Tm (consumated merger of Evanston Northwestern Healthcare Corporation and Hi\ ghland Park )Tj EMC /P <>BDC /T1_0 1 Tf 12.13 0 0 12.13 72.96 401.28 Tm (Hospital violated section 7 ofthe Clayton Act, 15 D.S.C. \247 18. )Tj 12.06 0 0 12.06 109.44 372.72 Tm (On appeal, Respondents contend that, after the merger, the hospitals wer\ e incapable of )Tj 12 0 0 12 72.96 344.64 Tm (increasing their prices for services because, inter alia, "competitor ho\ spitals \(are J able to expand )Tj EMC /P <>BDC /T1_2 1 Tf 11.2 0 0 11.2 72.72 316.32 Tm (their capacity and service offerings. . . ." Respondents' Corrected Appe\ al Brief dated Januar )Tj EMC /P <>BDC /T1_0 1 Tf 12.17 0 0 12.17 73.92 288.24 Tm (12,2006, at 44. To support this contention, Respondents correctly noted \ that, at the time they )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 72.96 259.92 Tm (filed their brief, the Ilinois Certificate of \001)Tj EMC /P <>BDC /T1_0 1 Tf 12.12 0 0 12.12 272.88 259.92 Tm (Need program - which established significant legal )Tj 12.18 0 0 12.18 72.24 231.84 Tm (barrers both to market entry by new facilities and to the major expansio\ n of existing facilities \255)Tj /T1_2 1 Tf 10.84 0 0 10.84 72.24 203.52 Tm (was scheduled to expire on July 1, 2006. \241d. )Tj /T1_0 1 Tf 12.13 0 0 12.13 108.72 174.96 Tm (We advise the Commission that since Respondents fied their brief, and af\ ter oral )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 72.72 146.88 Tm (argument, the State of )Tj 21.696 -0.048 Td (Ilinois has thrce extended its Certificate of \001)Tj EMC /P <>BDC /T1_0 1 Tf 12.34 0 0 12.34 395.52 146.4 Tm (Need program.! Most )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 144.24 108.24 Tm (By Public Act 94-983, the State first extended the scheduled sunset date\ of )Tj /T1_0 1 Tf 11.98 0 0 11.98 507.12 108 Tm (the )Tj EMC /P <>BDC /T1_1 1 Tf 5 0 0 5 72.24 94.08 Tm (Ilinois Certificate of )Tj 20.592 0 Td (Need law from July 1,2006, to April \001)Tj EMC /P <>BDC /T1_0 1 Tf 12.12 0 0 12.12 358.32 94.08 Tm (1, 2007. By Public Act 95-0001, the )Tj 12.09 0 0 12.09 72.48 79.92 Tm (State then extended the scheduled sunset date ofthe statute from April 1\ , 2007, to May 31, 2007. )Tj EMC ET endstream endobj 1015 0 obj <> endobj 1016 0 obj <>stream application/pdf D-9315 Complaint Counsel's Notice of Supplemental Authority - Public FTC 2007-06-21T09:22:03-04:00 2007-06-21T09:22:03-04:00 2007-06-21T09:22:03-04:00 uuid:073e95eb-00ee-4b4d-8d83-0e607b6e3317 uuid:c9c8cb0d-06a9-413e-b127-9075d042b053 endstream endobj xref 0 2 0000000548 65535 f 0000421342 00000 n 3 1 0000421508 00000 n 10 1 0000421753 00000 n 17 1 0000422001 00000 n 22 1 0000422225 00000 n 29 1 0000422473 00000 n 36 1 0000422721 00000 n 43 1 0000422972 00000 n 50 1 0000423223 00000 n 57 1 0000423474 00000 n 65 13 0000423725 00000 n 0000423834 00000 n 0000424987 00000 n 0000425094 00000 n 0000426249 00000 n 0000427403 00000 n 0000427510 00000 n 0000428667 00000 n 0000428776 00000 n 0000429930 00000 n 0000430037 00000 n 0000431191 00000 n 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