HB3618eng 99TH GENERAL ASSEMBLY

HB3618 Engrossed LRB099 07999 RPS 28139 b

AN ACT concerning regulation.

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

Section 5. The University of Illinois Hospital Act is amended by adding Section 8a as follows:

(110 ILCS 330/8a new)

Sec. 8a. Notice to patient of outpatient status.

(a) The University of Illinois Hospital shall provide notice of a patient's outpatient status to the patient or the patient's designee if:

(1) the patient receives onsite services from the hospital for more than 23 consecutive hours;

(2) the onsite services received by the patient include a hospital bed and meals that have been provided in an area of the hospital other than the hospital emergency room; and

(3) the patient has not been formally admitted as an inpatient at the hospital.

(b) The patient notice required under subsection (a) shall include a statement that:

(1) outpatient observation status may impact coverage determinations made by the federal Medicare program or the patient's insurance company for hospital and post-hospital payments;

(2) final decisions related to outpatient observation status can be made after a patient is no longer a patient at the hospital and after a patient has received hospital services or other services; and

(3) a patient should contact his or her provider of benefits under the Medicare or Medicaid program or his or her health insurance provider if the patient has specific questions about the coverage.

Section 10. The Hospital Licensing Act is amended by adding Section 6.22a as follows:

(210 ILCS 85/6.22a new)

Sec. 6.22a. Notice to patient of outpatient status.

(a) A hospital shall provide notice of a patient's outpatient status to the patient or the patient's designee if:

(1) the patient receives onsite services from the hospital for more than 23 consecutive hours;

(2) the onsite services received by the patient include a hospital bed and meals that have been provided in an area of the hospital other than the hospital emergency room; and

(3) the patient has not been formally admitted as an inpatient at the hospital.

(b) The patient notice required under subsection (a) shall include a statement that:

(1) outpatient observation status may impact coverage determinations made by the federal Medicare program or the patient's insurance company for hospital and post-hospital payments;

(2) final decisions related to outpatient observation status can be made after a patient is no longer a patient at the hospital and after a patient has received hospital services or other services; and

(3) a patient should contact his or her provider of benefits under the Medicare or Medicaid program or his or her health insurance provider if the patient has specific questions about the coverage.

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