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ILLINOIS PHARMACY LAWS AND REGULATIONS TABLE OF CONTENTS Page Sections Affected by Public Acts current through 102-10 ......................................................................................................xiii DEA Pharmacist’s Manual ..........................................................................................................................................................1 PHARMACY PRACTICE 225 ILCS 85 Pharmacy Practice Act, 85/1 to 85/42 .............................................................................................................129 68 IAC 1330 Pharmacy Practice Act Subpart A. General Provisions, §§ 1330.10 to 1330.110 ................................................................................156 Subpart B. Pharmacy Technician, §§ 1330.200 to 1330.220 .........................................................................161 Subpart C. Pharmacist, §§ 1330.300 to 1330.350 ..........................................................................................162 Subpart D. Pharmacy Licensure, §§ 1330.400 to 1330.420 ...........................................................................165 Subpart E. Types of Pharmacies, §§ 1330.500 to 1330.560 ...........................................................................166 Subpart F. Pharmacy Standards, §§ 1330.600 to 1330.680 ...........................................................................175 Subpart G. Pharmacy Operations, §§ 1330.700 to 1330.800 .........................................................................180 410 ILCS 620 Illinois Food, Drug and Cosmetic Act, 620/1 to 620/2.2, 620/2.4, 620/2.5, 620/2.7 to 620/2.16, 620/2.22, 620/2.24, 620/2.25, 620/2.36, 620/2.37, 620/3 to 620/3.21, 620/3.23, 620/4 to 620/8, 620/14 to 620/17.1, 620/20 to 620/26...........................................................................................................................................184 77 IAC 720 Food, Drug and Cosmetic Code, §§ 720.10 to 720.60 ......................................................................................199 CONTROLLED SUBSTANCES 720 ILCS 570 Illinois Controlled Substances Act Article I. 570/100 to 570/103 ...........................................................................................................................213 Article II. 570/201 to 570/220 .........................................................................................................................222 Article III. 570/301 to 570/321 ........................................................................................................................232 Article IV. 570/401 to 570/415 ........................................................................................................................245 Article V. 570/501 to 570/510 .........................................................................................................................258 Article VI. 570/601 to 570/603 ........................................................................................................................263 77 IAC 3100 Illinois Controlled Substances Act, §§ 3100.10 to 3100.530 ..........................................................................264 720 ILCS 602 Ephedra Prohibition Act, 602/1 to 602/99 .......................................................................................................273 720 ILCS 648 Methamphetamine Precursor Control Act, 648/1 to 648/999 ........................................................................273 720 ILCS 649 Methamphetamine Precursor Tracking Act, 649/1 to 649/999 ......................................................................278 77 IAC 2080 Electronic Prescription Monitoring Program, §§ 2080.10 to 2080.325 .........................................................281 77 IAC 2081 Electronic Prescription Monitoring Program - Long Term Care, §§ 2081.10 to 2081.80 .............................289 PHARMACY PRACTICE RELATED ACTS/RULES 720 ILCS 635 Hypodermic Syringes and Needles Act, 635/0.01 to 635/6 .............................................................................297 410 ILCS 27 Epinephrine Injector Act, 27/10 ......................................................................................................................298 225 ILCS 51 Home Medical Equipment and Services Provider License Act, 51/1 to 51/999 ............................................299 68 IAC 1253 Home Medical Equipment and Services Provider Act, §§ 1253.10 to 1253.100 ...........................................306 210 ILCS 150 Safe Pharmaceutical Disposal Act, 150/1 to 150/99 .......................................................................................309 35 IAC 889 Medication Takeback Program Subpart A. General, §§ 889.100 to 889.115 ....................................................................................................311 Subpart B. Application, Selection And Operation, §§ 889.200 to 889.220 ....................................................311 v TABLE OF CONTENTS vi Page LONG TERM CARE 210 ILCS 45 Nursing Home Care Act Article I. Short Title and Definitions, 45/1-101 to 45/1-132 ..........................................................................315 Article II. Rights and Responsibilities Part 1. Resident Rights, 45/2-101 to 45/2-115 ...........................................................................................319 Part 2. Responsibilities, 45/2-201 to 45/2-217 ...........................................................................................324 Article III. Licensing, Enforcement, Violations, Penalties and Remedies Part 1. Licensing, 45/3-101 to 45/3-120 ......................................................................................................332 Part 2. General Provisions, 45/3-201 to 45/3-215 ......................................................................................337 Part 3. Violations and Penalties, 45/3-301 to 45/3-320 .............................................................................348 Part 4. Discharge and Transfer, 45/3-401 to 45/3-423 ..............................................................................355 Part 5. Monitors and Receivership, 45/3-501 to 45/3-518 .........................................................................358 Part 6. Duties, 45/3-601 to 45/3-612 ...........................................................................................................361 Part 7. Complaint, Hearing and Appeal, 45/3-701 to 45/3-714 .................................................................363 Part 8. Miscellaneous Provisions, 45/3-801 to 45/3-810 ............................................................................365 Article IIIA. Payment, 45/3A-101 ....................................................................................................................369 77 IAC 1125 Long-Term Care Subpart A. Authority, §§ 1125.110 to 1125.150 .............................................................................................370 Subpart B. Planning Policies, §§ 1125.210, 1125.220 ....................................................................................375 Subpart C. General Information Requirements, §§ 1125.310 to 1125.330 ...................................................376 Subpart D. General Long-Term Care - Review Criteria, §§ 1125.510 to 1125.650 ......................................377 Subpart E. Specialized Long-Term Care - Review Criteria, §§ 1125.710, 1125.720 ....................................381 Subpart F. Financial and Economic Feasibility - Review Criteria, § 1125.800............................................383 Appendix A. Project Size Standards - Square Footage And Utilization .......................................................384 Appendix B. Financial and Economic Review Standards ..............................................................................384 77 IAC 295 Assisted Living and Shared Housing Establishment Code Subpart A. General Provisions, §§ 295.100 to 295.1110 ................................................................................386 Subpart B. Policies, §§ 295.2000 to 295.2070 .................................................................................................396 Subpart C. Personnel, §§ 295.3000 to 295.3040 .............................................................................................400 Subpart D. Resident Care and Services, §§ 295.4000 to 295.4060 ................................................................402 Subpart E. Medications, § 295.5000 ...............................................................................................................404 Subpart F. Resident Rights, §§ 295.6000 to 295.6030 ...................................................................................405 Subpart G. Resident and Establishment Records, §§ 295.7000, 295.7010 ...................................................406 Subpart H. Food Service, § 295.8000 ..............................................................................................................407 Subpart I. Physical Plant and Environmental Requirements, §§ 295.9000 to 295.9040 .............................407 Appendix A. Physician’s Assessment Form ....................................................................................................409 Table A. Heat Index Table/Apparent Temperature .......................................................................................410 77 IAC 300 Skilled Nursing and Intermediate Care Facilities Code Subpart A. General Provisions, §§ 300.110 to 300.340 ..................................................................................411 Subpart B. Administration, § 300.510 ............................................................................................................434 Subpart C. Policies, §§ 300.610 to 300.696 .....................................................................................................434 Subpart D. Personnel, §§ 300.810 to 300.840 .................................................................................................450 Subpart E. Medical and Dental Care of Residents, §§ 300.1010 to 300.1060...............................................450 Subpart F. Nursing and Personal Care, §§ 300.1210 to 300.1240 ................................................................453 Subpart G. Resident Care Services, §§ 300.1410 to 300.1450 .......................................................................459 Subpart H. Medications, §§ 300.1610 to 300.1650 .........................................................................................461 Subpart I. Resident and Facility Records, §§ 300.1810 to 300.1880 .............................................................464 Subpart J. Food Service, §§ 300.2010 to 300.2110 .........................................................................................468 Subpart K. Maintenance, Housekeeping, and Laundry, §§ 300.2210 to 300.2230 ......................................470 Subpart L. Furnishings, Equipment, and Supplies, §§ 300.2410 to 300.2430 .............................................471 Subpart M. Water Supply and Sewage Disposal, §§ 300.2610 to 300.2640 ..................................................472 Subpart N. Design and Construction Standards for New Intermediate Care and Skilled Nursing Facilities, §§ 300.2810 to 300.2940.............................................................................................................473 Subpart O. Design and Construction Standards for Existing Intermediate Care and Skilled Nursing Facilities, §§ 300.3010 to 300.3140.............................................................................................................482 Subpart P. Resident’s Rights, §§ 300.3210 to 300.3330 .................................................................................489 Subpart Q. Specialized Living Facilities for the Mentally Ill, §§ 300.3410 to 300.3630 ..............................497 vii TABLE OF CONTENTS Page Subpart R. Day Care Programs, § 300.3710 ...................................................................................................498 Subpart S. Providing Services to Persons with Serious Mental Illness, §§ 300.4000 to 300.4090 ..............499 Subpart T. Facilities Participating in Illinois Department of Public Aid’s Demonstration Program for Providing Services to Persons with Serious Mental Illness, §§ 300.6000 to 300.6095 ......................506 Subpart U. Alzheimer’s Special Care Unit or Center Providing Care to Persons with Alzheimer’s Disease or Other Dementia, §§ 300.7000 to 300.7080...............................................................................507 Appendix A. Interpretation, Components, and Illustrative Services for Intermediate Care Facilities and Skilled Nursing Facilities: (Repealed) ................................................................................................510 Appendix A. Example of Staffing Calculations from Section 300.1230 ........................................................510 Appendix B. Classification of Distinct Part of a Facility for Different Levels of Service (Repealed) ..........511 Appendix B. Crosswalk of Nursing Home Care Act Job Descriptions and Payroll Based Journal Job Titles .....................................................................................................................................................511 Appendix C. Federal Requirements Regarding Patients’/Residents’ Rights (Repealed) .............................511 Appendix D. Forms for Day Care in Long-Term Care Facilities ...................................................................511 Appendix E. Criteria for Activity Directors Who Need Only Minimal Consultation (Repealed) ................512 Appendix F. Guidelines for the Use of Various Drugs ...................................................................................512 Appendix G. Facility Report ............................................................................................................................517 Table A. Sound Transmission Limitations in New Skilled Nursing and Intermediate Care Facilities .....518 Table B. Pressure Relationships and Ventilation Rates of Certain Areas for New Intermediate Care Facilities and Skilled Nursing Facilities ...................................................................................................518 Table C. Construction Types and Sprinkler Requirements for Existing Skilled Nursing Facilities/ Intermediate Care Facilities ......................................................................................................................518 Table D. Heat Index Table/Apparent Temperature .......................................................................................519 210 ILCS 46 MC/DD Act Article I. Short Title, Prior Law, and Definitions, 46/1-101 to 46/1-132 .......................................................520 Article II. Rights and Responsibilities Part 1. Resident Rights, 46/2-101 to 46/2-116 ...........................................................................................524 Part 2. Responsibilities, 46/2-201 to 46/2-218 ...........................................................................................528 Article III. Licensing, Enforcement, Violations, Penalties, and Remedies Part 1. Licensing, 46/3-101 to 46/3-119.1 ...................................................................................................534 Part 2. General Provisions, 46/3-201 to 46/3-216 ......................................................................................538 Part 3. Violations and Penalties, 46/3-301 to 46/3-320 .............................................................................545 Part 4. Discharge and Transfer, 46/3-401 to 46/3-423 ..............................................................................550 Part 5. Monitors and Receivership, 46/3-501 to 46/3-517 .........................................................................554 Part 6. Duties, 46/3-601 to 46/3-612 ...........................................................................................................557 Part 7. Complaint, Hearing, and Appeal, 46/3-701 to 46/3-714 ................................................................558 Part 8. Miscellaneous Provisions, 46/3-801 to 46/999 ...............................................................................561 210 ILCS 47 ID/DD Community Care Act Article I. Short Title, Prior Law, and Definitions, 47/1-101 to 47/1-132 .......................................................563 Article II. Rights and Responsibilities Part 1. Resident Rights, 47/2-101 to 47/2-116 ...........................................................................................567 Part 2. Responsibilities, 47/2-201 to 47/2-218 ...........................................................................................571 Article III. Licensing, Enforcement, Violations, Penalties, and Remedies Part 1. Licensing, 47/3-101 to 47/3-119.1 ...................................................................................................577 Part 2. General Provisions, 47/3-201 to 47/3-216 ......................................................................................582 Part 3. Violations and Penalties, 47/3-301 to 47/3-320 .............................................................................589 Part 4. Discharge and Transfer, 47/3-401 to 47/3-423 ..............................................................................594 Part 5. Monitors and Receivership, 47/3-501 to 47/3-517 .........................................................................598 Part 6. Duties, 47/3-601 to 47/3-612 ...........................................................................................................601 Part 7. Complaint, Hearing, and Appeal, 47/3-701 to 47/3-714 ................................................................602 Part 8. Miscellaneous Provisions, 47/3-801 to 47/3-810 ............................................................................605 Article 90. Amendatory Provisions, 47/90-2 to 47/90-195 ..............................................................................607 Article 99. Effective Date, 47/99-99 ................................................................................................................607 210 ILCS 60 Hospice Program Licensing Act, 60/1 to 60/15 ...............................................................................................607 77 IAC 280 Hospice Programs Subpart A. Licensure, §§ 280.1000 to 280.1060 .............................................................................................613 Subpart B. Hospice Services, §§ 280.2000 to 280.3000 ..................................................................................617 Subpart C. Inpatient Care, §§ 280.4000 to 280.4040 .....................................................................................622 TABLE OF CONTENTS viii Page INSURANCE 215 ILCS 5 Insurance Insurance Code Article XX. Accident and Health Insurance, 5/356z.4, 5/356z.7, 5/356z.23, 5/356z.26, 5/364.3 ..................627 Article XX1/2. Health Care Reimbursement, 5/370f to 5/370t ......................................................................629 Article XXXI1/2. Third Party Prescription Programs, 5/512-1 to 5/512-10 ..................................................631 Article XXXIIB. Pharmacy Benefit Managers, 5/513b1 to 5/513b6 ..............................................................633 50 IAC 3145 Pharmacy Benefit Managers, §§ 3145.10 to 3145.30 .....................................................................................636 50 IAC 3150 Third Party Prescription Administrators, §§ 3150.10 to 3150.40 .................................................................636 215 ILCS 97 Illinois Health Insurance Portability and Accountability Act, 97/1 to 97/99 ...............................................638 50 IAC 2025 Illinois Health Insurance Portability and Accountability Standards, §§ 2025.10 to 2025.100 ...................648 215 ILCS 125 Health Maintenance Organization Act Article IV. Delivery of Services — Required Provisions and Marketing, 125/4-6.3 .....................................651 50 IAC 4521 Health Maintenance Organization, §§ 4521.10 to 4521.150..........................................................................652 77 IAC 240 Health Maintenance Organizations Code Subpart A. General Provisions, §§ 240.10, 240.20 .........................................................................................664 Subpart B. Application for HMO Certificate of Authority, §§ 240.30 to 240.60 ...........................................665 Subpart C. HMO Operating Requirements, §§ 240.80 to 240.120 ................................................................668 215 ILCS 134 Managed Care Reform and Patient Rights Act, 134/45.2, 134/72 .................................................................671 50 IAC 4520 Managed Care Reform & Patient Rights, §§ 4520.10 to 4520.140 ................................................................672 Exhibit A. Complaint Reporting Column Descriptions .................................................................................676 Exhibit B. Application for Registration of a Utilization Review Organization ............................................676 Exhibit C. Utilization Review Organization Officers and Directors Biographical Affidavit (Repealed) .....677 Exhibit D. NAIC Utilization Review Organization Officers and Directors Biographical Affidavit (Repealed) .....................................................................................................................................677 215 ILCS 135 Pharmaceutical Service Plan Act, 135/1 to 135/46.1 ......................................................................................678 215 ILCS 138 Uniform Prescription Drug Information Card Act, 138/1 to 138/99 .............................................................678 215 ILCS 156 Topical Eye Medication Prescription Act, 156/1, 156/5 ..................................................................................679 215 ILCS 195 Covid-19 Medically Necessary Diagnostic Testing Act Article 15. Covid-19 Medically Necessary Diagnostic Testing Act, 195/15-1 to 195/15-20 ..........................679 Article 99. 195/99-99 ........................................................................................................................................680 50 IAC 2017 Uniform Medical Claim and Billing Forms, §§ 2017.10 to 2017.70 ..............................................................681 50 IAC 2019 Minimum Benefit Standards for Diabetes Coverage, §§ 2019.10 to 2019.40 ...............................................682 50 IAC 2020 Reimbursement and Subrogation Provisions Contained in Individual and Group Accident and Health Policies, §§ 2020.10 to 2020.100 .................................................................................................................683 PUBLIC AID 305 ILCS 5 Illinois Public Aid Code Article I. Public Purpose — Short Title — Prior Statute — Construction, 5/1-1 to 5/1-12 ..........................685 Article II. Definitions, 5/2-1 to 5/2-19 .............................................................................................................687 Article V. Medical Assistance, 5/5-1 to 5/5-40 ................................................................................................690 89 IAC 140 Medical Payment Subpart A. General Provisions, §§ 140.2, 140.3 .............................................................................................763 Subpart C. Provider Assessments, §§ 140.80 to 140.94 .................................................................................765 Subpart D. Payment for Non-Institutional Services, §§ 140.400 to 140.451 ................................................784 Subpart E. Group Care, §§ 140.500, 140.511 .................................................................................................794 Subpart K. Mandatory MCO Enrollment, § 140.1010 ...................................................................................794
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