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| Public Act 097-0690 | ||||
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AN ACT concerning health facilities.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 5. The Fair Patient Billing Act is amended by | ||||
adding Section 27 as follows: | ||||
(210 ILCS 88/27 new) | ||||
Sec. 27. Application Procedures for Financial Assistance. | ||||
(a) Applications. The Attorney General shall, by rule, | ||||
adopt standard provisions to be included in all applications | ||||
for financial assistance no later than June 30, 2013. On or | ||||
before January 1, 2013, a statewide association representing a | ||||
majority of hospitals may submit to the Attorney General | ||||
recommendations concerning standard provisions to be used in an | ||||
application for financial assistance, and the Attorney General | ||||
shall take those recommendations into account when adopting | ||||
rules under this subsection. | ||||
(b) Presumptive Eligibility. The Attorney General shall, | ||||
by rule, adopt appropriate methodologies for the determination | ||||
of presumptive eligibility no later than June 30, 2013. On or | ||||
before January 1, 2013, a statewide association representing a | ||||
majority of hospitals may submit to the Attorney General | ||||
recommendations concerning those methodologies, and the | ||||
Attorney General shall take those recommendations into account | ||||
when adopting rules under this subsection. | ||
Section 10. The Hospital Uninsured Patient Discount Act is | ||
amended by changing Section 10 as follows: | ||
(210 ILCS 89/10)
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Sec. 10. Uninsured patient discounts. | ||
(a) Eligibility. | ||
(1) A hospital, other than a rural hospital or Critical | ||
Access Hospital, shall provide a discount from its charges | ||
to any uninsured patient who applies for a discount and has | ||
family income of not more than 600% of the federal poverty | ||
income guidelines for all medically necessary health care | ||
services exceeding $300 in any one inpatient admission or | ||
outpatient encounter. | ||
(2) A hospital, other than a rural hospital or Critical | ||
Access Hospital, shall provide a charitable discount of | ||
100% of its charges for all medically necessary health care | ||
services exceeding $300 in any one inpatient admission or | ||
outpatient encounter to any uninsured patient who applies | ||
for a discount and has family income of not more than 200% | ||
of the federal poverty income guidelines. | ||
(3) (2) A rural hospital or Critical Access Hospital | ||
shall provide a discount from its charges to any uninsured | ||
patient who applies for a discount and has annual family | ||
income of not more than 300% of the federal poverty income | ||
guidelines for all medically necessary health care | ||
services exceeding $300 in any one inpatient admission or | ||
outpatient encounter. | ||
(4) A rural hospital or Critical Access Hospital shall | ||
provide a charitable discount of 100% of its charges for | ||
all medically necessary health care services exceeding | ||
$300 in any one inpatient admission or outpatient encounter | ||
to any uninsured patient who applies for a discount and has | ||
family income of not more than 125% of the federal poverty | ||
income guidelines. | ||
(b) Discount. For all health care services exceeding $300 | ||
in any one inpatient admission or outpatient encounter, a | ||
hospital shall not collect from an uninsured patient, deemed | ||
eligible under subsection (a), more than its charges less the | ||
amount of the uninsured discount. | ||
(c) Maximum Collectible Amount. | ||
(1) The maximum amount that may be collected in a 12 | ||
month period for health care services provided by the | ||
hospital from a patient determined by that hospital to be | ||
eligible under subsection (a) is 25% of the patient's | ||
family income, and is subject to the patient's continued | ||
eligibility under this Act. | ||
(2) The 12 month period to which the maximum amount | ||
applies shall begin on the first date, after the effective | ||
date of this Act, an uninsured patient receives health care | ||
services that are determined to be eligible for the | ||
uninsured discount at that hospital. | ||
(3) To be eligible to have this maximum amount applied | ||
to subsequent charges, the uninsured patient shall inform | ||
the hospital in subsequent inpatient admissions or | ||
outpatient encounters that the patient has previously | ||
received health care services from that hospital and was | ||
determined to be entitled to the uninsured discount. | ||
(4) Hospitals may adopt policies to exclude an | ||
uninsured patient from the application of subdivision | ||
(c)(1) when the patient owns assets having a value in | ||
excess of 600% of the federal poverty level for hospitals | ||
in a metropolitan statistical area or owns assets having a | ||
value in excess of 300% of the federal poverty level for | ||
Critical Access Hospitals or hospitals outside a | ||
metropolitan statistical area, not counting the following | ||
assets: the uninsured patient's primary residence; | ||
personal property exempt from judgment under Section | ||
12-1001 of the Code of Civil Procedure; or any amounts held | ||
in a pension or retirement plan, provided, however, that | ||
distributions and payments from pension or retirement | ||
plans may be included as income for the purposes of this | ||
Act. | ||
(d) Each hospital bill, invoice, or other summary of | ||
charges to an uninsured patient shall include with it, or on | ||
it, a prominent statement that an uninsured patient who meets | ||
certain income requirements may qualify for an uninsured | ||
discount and information regarding how an uninsured patient may | ||
apply for consideration under the hospital's financial | ||
assistance policy.
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(Source: P.A. 95-965, eff. 12-22-08.)
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Section 99. Effective date. This Act takes effect upon | ||
becoming law.
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