Bill Status of SB 538   94th General Assembly

Short Description:  INSURANCE&MEDICAID FRAUD

Senate Sponsors
Sen. Dale A. Righter-Richard J. Winkel, Jr.

House Sponsors
(Rep. Frank J. Mautino-Donald L. Moffitt)


Last Action  View All Actions

DateChamber Action
  8/12/2005SenatePublic Act . . . . . . . . . 94-0577

Statutes Amended In Order of Appearance
225 ILCS 60/22from Ch. 111, par. 4400-22
305 ILCS 5/8A-3.5 new
305 ILCS 5/8A-3.6 new
720 ILCS 5/46-1
720 ILCS 5/46-6 new

Synopsis As Introduced
Amends the Medical Practice Act of 1987, the Illinois Public Aid Code, and the Criminal Code of 1961. Requires the Department of Financial and Professional Regulation to suspend the license of a physician who has not paid restitution for financial loss sustained as a result of insurance fraud or vendor fraud in relation to medical assistance under the Illinois Public Aid Code committed by the physician, including any court costs and attorney fees. Provides that a person convicted of insurance fraud or recipient fraud, unauthorized use of medical assistance, or vendor fraud in relation to the provision of medical assistance under the Illinois Public Aid Code shall be ordered to pay monetary restitution to a person for any financial loss sustained by that person as a result of the violation, including any court costs and attorney fees. Provides that an order of restitution also includes expenses incurred and paid in connection with any medical evaluation or treatment. Provides that State licensing agencies, the Office of the Attorney General, and the Department of Financial and Professional Regulation shall coordinate enforcement efforts relating to acts of insurance fraud or recipient fraud, unauthorized use of medical assistance, or vendor fraud in relation to medical assistance under the Illinois Public Aid Code.

House Amendment No. 1
Deletes reference to:
225 ILCS 60/22
Adds reference to:
210 ILCS 50/3.133 new
225 ILCS 2/117 new
225 ILCS 5/16.5 new
225 ILCS 15/15.1 new
225 ILCS 20/19.5 new
225 ILCS 25/23c new
225 ILCS 50/18.5 new
225 ILCS 51/77 new
225 ILCS 55/87 new
225 ILCS 60/22.5 new
225 ILCS 63/113 new
225 ILCS 65/20-13 new
225 ILCS 75/19.17 new
225 ILCS 80/24.5 new
225 ILCS 84/93 new
225 ILCS 85/30.5 new
225 ILCS 90/17.5 new
225 ILCS 95/21.5 new
225 ILCS 100/24.5 new
225 ILCS 106/97 new
225 ILCS 107/83 new
225 ILCS 110/16.3 new
225 ILCS 125/107 new
225 ILCS 130/77 new
225 ILCS 135/97 new

Deletes everything after the enacting clause. Amends the Emergency Medical Services (EMS) Systems Act, the Acupuncture Practice Act, the Illinois Athletic Trainers Practice Act, the Clinical Psychologist Licensing Act, the Clinical Social Work and Social Work Practice Act, the Illinois Dental Practice Act, the Hearing Instrument Consumer Protection Act, the Home Medical Equipment and Service Provider License Act, Marriage and Family Therapy Licensing Act, the Medical Practice Act of 1987, the Naprapathic Practice Act, the Nursing and Advanced Practice Nursing Act, the Illinois Occupational Therapy Practice Act, the Illinois Optometric Practice Act of 1987, the Orthotics, Prosthetics, and Pedorthics Practice Act, the Pharmacy Practice Act of 1987, the Illinois Physical Therapy Act, the Physician Assistant Practice Act of 1987, the Podiatric Medical Practice Act of 1987, the Respiratory Care Practice Act, the Professional Counselor and Clinical Professional Counselor Licensing Act, the Illinois Speech-Language Pathology and Audiology Practice Act, the Perfusionist Practice Act, the Registered Surgical Assistant and Registered Surgical Technologist Title Protection Act, the Genetic Counselor Licensing Act, the Illinois Public Aid Code, and the Criminal Code of 1961. Requires the Department of Financial and Professional Regulation and, in the case of the Emergency Medical Services (EMS) Systems Act and the Hearing Instrument Consumer Protection Act, the Department of Public Health to suspend the professional license of an individual who has not paid restitution for financial loss sustained as a result of insurance fraud or vendor fraud in relation to medical assistance under the Illinois Public Aid Code committed by the individual, including any court costs and attorney fees. Provides that a person convicted of insurance fraud or recipient fraud, unauthorized use of medical assistance, vendor fraud in relation to the provision of medical assistance under the Illinois Public Aid Code, or convicted of a federal criminal violation associated with defrauding the Medicaid program shall be ordered to pay monetary restitution to a person for any financial loss sustained by that person as a result of the violation, including any court costs and attorney fees. Provides that an order of restitution also includes expenses incurred and paid in connection with any medical evaluation or treatment. Provides that State licensing agencies, the Illinois State Police, and the Department of Financial and Professional Regulation shall coordinate enforcement efforts relating to acts of insurance fraud or recipient fraud, unauthorized use of medical assistance, or vendor fraud in relation to medical assistance under the Illinois Public Aid Code. Effective January 1, 2006.

Actions 
DateChamber Action
  2/17/2005SenateFiled with Secretary by Sen. Dale A. Righter
  2/17/2005SenateFirst Reading
  2/17/2005SenateReferred to Rules
  3/3/2005SenateAdded as Chief Co-Sponsor Sen. Richard J. Winkel, Jr.
  3/9/2005SenateAssigned to Health & Human Services
  3/17/2005SenateDo Pass Health & Human Services; 010-000-000
  3/17/2005SenatePlaced on Calendar Order of 2nd Reading April 6, 2005
  4/11/2005SenateSecond Reading
  4/11/2005SenatePlaced on Calendar Order of 3rd Reading April 12, 2005
  4/14/2005SenateThird Reading - Passed; 055-000-000
  4/14/2005HouseArrived in House
  4/14/2005HousePlaced on Calendar Order of First Reading
  4/15/2005HouseChief House Sponsor Rep. Frank J. Mautino
  4/15/2005HouseFirst Reading
  4/15/2005HouseReferred to Rules Committee
  4/20/2005HouseAssigned to Registration and Regulation Committee
  5/11/2005HouseDo Pass / Short Debate Registration and Regulation Committee; 017-000-001
  5/12/2005HousePlaced on Calendar 2nd Reading - Short Debate
  5/17/2005HouseHouse Amendment No. 1 Filed with Clerk by Rep. Frank J. Mautino
  5/17/2005HouseHouse Amendment No. 1 Referred to Rules Committee
  5/19/2005HouseHouse Amendment No. 1 Rules Refers to Registration and Regulation Committee
  5/19/2005HouseHouse Amendment No. 1 Recommends Be Adopted Registration and Regulation Committee; 022-000-000
  5/20/2005HouseFinal Action Deadline Extended-9(b) May 31, 2005
  5/24/2005HouseSecond Reading - Short Debate
  5/24/2005HouseHouse Amendment No. 1 Adopted by Voice Vote
  5/24/2005HousePlaced on Calendar Order of 3rd Reading - Short Debate
  5/25/2005HouseAdded Alternate Chief Co-Sponsor Rep. Donald L. Moffitt
  5/25/2005HouseThird Reading - Short Debate - Passed 115-000-000
  5/26/2005SenateSecretary's Desk - Concurrence House Amendment(s) 01
  5/26/2005SenatePlaced on Calendar Order of Concurrence House Amendment(s) 01-May 27, 2005.
  5/26/2005SenateHouse Amendment No. 1 Motion to Concur Filed with Secretary Sen. Dale A. Righter
  5/26/2005SenateHouse Amendment No. 1 Motion to Concur Referred to Rules
  5/26/2005SenateHouse Amendment No. 1 Motion to Concur Referred to Health & Human Services
  5/26/2005SenateHouse Amendment No. 1 Motion to Concur Be Adopted Health & Human Services; 010-000-000
  5/27/2005SenateHouse Amendment No. 1 Senate Concurs 059-000-000
  5/27/2005SenatePassed Both Houses
  6/24/2005SenateSent to the Governor
  8/12/2005SenateGovernor Approved
  8/12/2005SenateEffective Date January 1, 2006
  8/12/2005SenatePublic Act . . . . . . . . . 94-0577

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