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Full Text of SB3261  97th General Assembly

SB3261enr 97TH GENERAL ASSEMBLY

  
  
  

 


 
SB3261 EnrolledLRB097 19240 RPM 65186 b

1    AN ACT concerning health facilities.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Fair Patient Billing Act is amended by
5adding Section 27 as follows:
 
6    (210 ILCS 88/27 new)
7    Sec. 27. Application Procedures for Financial Assistance.
8    (a) Applications. The Attorney General shall, by rule,
9adopt standard provisions to be included in all applications
10for financial assistance no later than June 30, 2013. On or
11before January 1, 2013, a statewide association representing a
12majority of hospitals may submit to the Attorney General
13recommendations concerning standard provisions to be used in an
14application for financial assistance, and the Attorney General
15shall take those recommendations into account when adopting
16rules under this subsection.
17    (b) Presumptive Eligibility. The Attorney General shall,
18by rule, adopt appropriate methodologies for the determination
19of presumptive eligibility no later than June 30, 2013. On or
20before January 1, 2013, a statewide association representing a
21majority of hospitals may submit to the Attorney General
22recommendations concerning those methodologies, and the
23Attorney General shall take those recommendations into account

 

 

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1when adopting rules under this subsection.
 
2    Section 10. The Hospital Uninsured Patient Discount Act is
3amended by changing Section 10 as follows:
 
4    (210 ILCS 89/10)
5    Sec. 10. Uninsured patient discounts.
6    (a) Eligibility.
7        (1) A hospital, other than a rural hospital or Critical
8    Access Hospital, shall provide a discount from its charges
9    to any uninsured patient who applies for a discount and has
10    family income of not more than 600% of the federal poverty
11    income guidelines for all medically necessary health care
12    services exceeding $300 in any one inpatient admission or
13    outpatient encounter.
14        (2) A hospital, other than a rural hospital or Critical
15    Access Hospital, shall provide a charitable discount of
16    100% of its charges for all medically necessary health care
17    services exceeding $300 in any one inpatient admission or
18    outpatient encounter to any uninsured patient who applies
19    for a discount and has family income of not more than 200%
20    of the federal poverty income guidelines.
21        (3) (2) A rural hospital or Critical Access Hospital
22    shall provide a discount from its charges to any uninsured
23    patient who applies for a discount and has annual family
24    income of not more than 300% of the federal poverty income

 

 

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1    guidelines for all medically necessary health care
2    services exceeding $300 in any one inpatient admission or
3    outpatient encounter.
4        (4) A rural hospital or Critical Access Hospital shall
5    provide a charitable discount of 100% of its charges for
6    all medically necessary health care services exceeding
7    $300 in any one inpatient admission or outpatient encounter
8    to any uninsured patient who applies for a discount and has
9    family income of not more than 125% of the federal poverty
10    income guidelines.
11    (b) Discount. For all health care services exceeding $300
12in any one inpatient admission or outpatient encounter, a
13hospital shall not collect from an uninsured patient, deemed
14eligible under subsection (a), more than its charges less the
15amount of the uninsured discount.
16    (c) Maximum Collectible Amount.
17        (1) The maximum amount that may be collected in a 12
18    month period for health care services provided by the
19    hospital from a patient determined by that hospital to be
20    eligible under subsection (a) is 25% of the patient's
21    family income, and is subject to the patient's continued
22    eligibility under this Act.
23        (2) The 12 month period to which the maximum amount
24    applies shall begin on the first date, after the effective
25    date of this Act, an uninsured patient receives health care
26    services that are determined to be eligible for the

 

 

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1    uninsured discount at that hospital.
2        (3) To be eligible to have this maximum amount applied
3    to subsequent charges, the uninsured patient shall inform
4    the hospital in subsequent inpatient admissions or
5    outpatient encounters that the patient has previously
6    received health care services from that hospital and was
7    determined to be entitled to the uninsured discount.
8        (4) Hospitals may adopt policies to exclude an
9    uninsured patient from the application of subdivision
10    (c)(1) when the patient owns assets having a value in
11    excess of 600% of the federal poverty level for hospitals
12    in a metropolitan statistical area or owns assets having a
13    value in excess of 300% of the federal poverty level for
14    Critical Access Hospitals or hospitals outside a
15    metropolitan statistical area, not counting the following
16    assets: the uninsured patient's primary residence;
17    personal property exempt from judgment under Section
18    12-1001 of the Code of Civil Procedure; or any amounts held
19    in a pension or retirement plan, provided, however, that
20    distributions and payments from pension or retirement
21    plans may be included as income for the purposes of this
22    Act.
23    (d) Each hospital bill, invoice, or other summary of
24charges to an uninsured patient shall include with it, or on
25it, a prominent statement that an uninsured patient who meets
26certain income requirements may qualify for an uninsured

 

 

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1discount and information regarding how an uninsured patient may
2apply for consideration under the hospital's financial
3assistance policy.
4(Source: P.A. 95-965, eff. 12-22-08.)
 
5    Section 99. Effective date. This Act takes effect upon
6becoming law.