093_HB0343

 
                                     LRB093 04377 AMC 04427 b

 1        AN ACT concerning patient rights.

 2        Be it enacted by the People of  the  State  of  Illinois,
 3    represented in the General Assembly:

 4        Section  5.  The Medical Patient Rights Act is amended by
 5    changing Section 3 and adding Section 2.06 as follows:

 6        (410 ILCS 50/2.06 new)
 7        Sec.  2.06.  Pharmaceutical   company.    "Pharmaceutical
 8    company"  means  a  company  or  business,  or  an  agent  or
 9    representative   thereof,   that   manufactures,   sells,  or
10    distributes  pharmaceuticals,  medications,  or  prescription
11    drugs.

12        (410 ILCS 50/3) (from Ch. 111 1/2, par. 5403)
13        Sec. 3. The following rights are hereby established:
14        (a)  The right of each patient to  care  consistent  with
15    sound  nursing  and  medical practices, to be informed of the
16    name of the physician responsible for coordinating his or her
17    care, to receive information concerning his or her  condition
18    and proposed treatment, to refuse any treatment to the extent
19    permitted  by  law,  and  to  privacy  and confidentiality of
20    records except as otherwise provided by law.
21        (b)  The right of each patient, regardless of  source  of
22    payment,  to  examine and receive a reasonable explanation of
23    his total bill for services  rendered  by  his  physician  or
24    health  care  provider,  including  the  itemized charges for
25    specific services received.  Each physician  or  health  care
26    provider   shall   be   responsible  only  for  a  reasonable
27    explanation of  those  specific  services  provided  by  such
28    physician or health care provider.
29        (c)  In the event an insurance company or health services
30    corporation  cancels or refuses to renew an individual policy
 
                            -2-      LRB093 04377 AMC 04427 b
 1    or plan, the insured patient shall  be  entitled  to  timely,
 2    prior notice of the termination of such policy or plan.
 3        An  insurance company or health services corporation that
 4    requires  any  insured  patient  or  applicant  for  new   or
 5    continued  insurance  or  coverage to be tested for infection
 6    with  human  immunodeficiency  virus  (HIV)  or   any   other
 7    identified   causative  agent  of  acquired  immunodeficiency
 8    syndrome (AIDS) shall (1) give the patient or applicant prior
 9    written notice of such requirement,  (2)  proceed  with  such
10    testing  only upon the written authorization of the applicant
11    or  patient,  and  (3)  keep  the  results  of  such  testing
12    confidential.  Notice of an adverse underwriting or  coverage
13    decision  may be given to any appropriately interested party,
14    but the insurer may only disclose the test result itself to a
15    physician designated by the applicant  or  patient,  and  any
16    such   disclosure   shall   be   in  a  manner  that  assures
17    confidentiality.
18        The Department of Insurance shall enforce the  provisions
19    of this subsection.
20        (d)  The   right   of   each   patient   to  privacy  and
21    confidentiality in health care. Each physician,  health  care
22    provider,   health   services   corporation,   pharmaceutical
23    company,  and insurance company shall refrain from disclosing
24    the nature or  details  of  services  provided  to  patients,
25    except that such information may be disclosed to the patient,
26    the  party  making  treatment  decisions  if  the  patient is
27    incapable of making decisions regarding the  health  services
28    provided,  those  parties  directly  involved  with providing
29    treatment to the patient or processing the payment  for  that
30    treatment,   those   parties  responsible  for  peer  review,
31    utilization review and quality assurance, and  those  parties
32    required  to be notified under the Abused and Neglected Child
33    Reporting Act, the Illinois  Sexually  Transmissible  Disease
34    Control Act or where otherwise authorized or required by law.
 
                            -3-      LRB093 04377 AMC 04427 b
 1    This  right  may  be  waived in writing by the patient or the
 2    patient's guardian, but a  physician  or  other  health  care
 3    provider  may  not condition the provision of services on the
 4    patient's or guardian's agreement to sign such a  waiver.   A
 5    pharmaceutical company may not require a patient to authorize
 6    disclosure to receive medications.
 7    (Source: P.A. 86-895; 86-902; 86-1028; 87-334.)

 8        Section  99.  Effective date.  This Act takes effect upon
 9    becoming law.