Hospital Operations

IHA analyzes issues related to obtaining certificates of need or exemption, as well as hospital licensing regulations, to ensure hospitals are meeting regulatory requirements.

  • Certificate of Need
  • Licensing Requirements
Sep 16, 2025

Regulatory Legislation Enacted During 2025 Spring Session

The Spring 2025 legislative session resulted in several hospital regulatory bills being passed by the Illinois General Assembly and signed into law by Gov. JB Pritzker.

Jul 14, 2025

HFSRB Rules, Including Fee Increases, Adopted, Effective July 1

HFSRB has adopted amendments to the Health Facilities and Services Review Operational Rules (77 Ill. Adm. Code 1130), (June 20 Illinois Register, pages 8366 to 8435). 

Jul 24, 2019

IHA Update: Compromise CON Legislation Enacted (P.A. 101-0083)

This memo summarizes compromise legislation affecting CON and COE processes.

Nov 27, 2017

Bed Capacity Talking Points

IHA's talking points on bed capacity and future resource allocation emphasize that hospitals provide a continuum of services and partner with other providers to meet healthcare needs.

Jul 29, 2015

Health Facilities Planning Act PA 99-0154

IHA's efforts helped streamline Section 8.5 of the Health Facilities Planning Act regarding change of ownership and closure of a healthcare facility and discontinuation of a category of service.

Oct 20, 2025

Hospital Licensing Rules Codifying Legislation Adopted

The adopted amendments codify recent statutory changes made to the Hospital Licensing Act pursuant to P.A. 103-0803 and P.A. 103-0948. This memo serves as a summary of those changes.

Sep 29, 2025

Child Abuse Notice Requirement for Hospital Emergency Departments

The Child Abuse Notice Act requires a variety of businesses to post a notice aimed toward children under 18 that provides information on what constitutes physical and sexual abuse and how to report.

Sep 03, 2025

Maternal Health Legislation Enacted During 2025 Spring Session

The Spring 2025 legislative session resulted in several maternal health bills being passed by the General Assembly and signed into law by Gov. Pritzker. This memo provides a summary of those laws.

Jun 27, 2025

Hospital Licensing Rules Related to Emergency Treatment Adopted

The Illinois Dept. of Public Health (IDPH) has adopted amendments to the Hospital Licensing Requirements (77 Ill. Adm. Code 250 et seq.), (June 6, Illinois Register, pages 7978 to 7993).

Jun 25, 2024

IDPH Adopts Omnibus Rulemaking

The Illinois Dept. of Public Health (IDPH) adopts new rules to the hospital licensing regulations codifying recent statutory changes.

May 01, 2024

Resources for Implementation of New Pediatric Bed Regulations

IHA has compiled resources for hospitals including: a webinar recording, reporting files and member memos for implementation of new pediatric bed regulations.

May 24, 2023

IDPH Omnibus Rulemaking Adopted

IDPH has adopted amendments to the Hospital Licensing Requirements. This memo serves as a summary of the adopted changes. 

Sep 23, 2022

IDPH Adopts Omnibus Rules Including IHA Initiatives

The Illinois Dept. of Public Health has adopted multiple changes to the Hospital Licensing regulations which includes three IHA initiatives.

Aug 10, 2021

Regulatory and Patient Care Legislation Acted Upon by General Assembly

This memo summarizes legislation passed by the General Assembly in the Spring 2021 session addressing issues of patient care and hospital regulation.   

Nov 18, 2019

IDPH Finalizes Rules on Home Health Referrals, Antibiotic Stewardship Programs, Anesthesia Services

IDPH finalized rules on home health referrals, antibiotic stewardship programs, anesthesia services, medical record preservation, and emergency and strike notices.

Oct 14, 2019

Changes to the Equitable Restrooms Act Require New Signage

Recently enacted legislation will require signage changes for single-use restrooms in public buildings and places of “public accommodation,” which includes hospitals.

Sep 18, 2019

Pathway for Independent Physical Therapy Practice at Hospital Outpatient Facilities

In 2018, the Illinois Physical Therapy Practice Act was changed to allow physical therapists to provide services without a referral. IHA provides guidance on its applicability in the hospital setting.
Jul 19, 2018

IDPH Finalizes Rules on Admitting, Observation, Sepsis and Opioid Overdose

New amendments to Hospital Licensing Requirements update regulations and codify statutory changes related to admitting policies, observation status, sepsis protocols and opioid overdose reporting.