Full Text of SB1617 96th General Assembly
SB1617sam001 96TH GENERAL ASSEMBLY
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Sen. Heather Steans
Filed: 3/24/2009
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| AMENDMENT TO SENATE BILL 1617
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| AMENDMENT NO. ______. Amend Senate Bill 1617 by replacing | 3 |
| everything after the enacting clause with the following:
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| "Section 5. The Ambulatory Surgical Treatment Center Act is | 5 |
| amended by changing Section 6 as follows:
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| (210 ILCS 5/6) (from Ch. 111 1/2, par. 157-8.6)
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| Sec. 6. Upon receipt of an application for a license, the | 8 |
| Director may
deny the application for any of the following | 9 |
| reasons:
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| (1) Conviction of the applicant, or if the applicant is | 11 |
| a firm,
partnership
or association, of any of its members, | 12 |
| or if a corporation, of any of its
officers or directors, | 13 |
| or of the person designated to manage or supervise
the | 14 |
| facility, of a felony, or of 2 or more misdemeanors | 15 |
| involving moral
turpitude, as shown by a certified copy of | 16 |
| the record of the court of
conviction, or, in the case of |
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| the conviction of a misdemeanor by a court not
of record, | 2 |
| as shown by other evidence, if the Director determines, | 3 |
| after
investigation, that such person has not been | 4 |
| sufficiently rehabilitated to
warrant the public trust; or | 5 |
| other satisfactory evidence that the moral
character of the | 6 |
| applicant, or manager, or supervisor of the facility is not
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| reputable;
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| (2) The licensure status or record of the applicant, or | 9 |
| if the applicant
is a firm, partnership or association, of | 10 |
| any of its members, or if a
corporation, of any of its | 11 |
| officers or directors, or of the person designated
to | 12 |
| manage or supervise the facility, from any other state | 13 |
| where the applicant
has done business in a similar capacity | 14 |
| indicates that granting a license to
the applicant would be | 15 |
| detrimental to the interests of the public; or
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| (3) The applicant has insufficient financial or other | 17 |
| resources to operate
and conduct the facility in accordance | 18 |
| with the requirements of this Act
and the minimum | 19 |
| standards, rules and regulations promulgated thereunder.
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| The Director shall only issue a license if he finds that | 21 |
| the applicant
facility complies with this Act and the rules, | 22 |
| regulations and standards
promulgated pursuant thereto and:
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| (a) is under the medical supervision of one or more | 24 |
| physicians;
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| (b) permits a surgical procedure to be performed only | 26 |
| by a physician,
podiatrist or dentist who at the time is |
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| privileged to have his patients
admitted by himself or an | 2 |
| associated physician and is himself privileged to
perform | 3 |
| surgical procedures in at least one Illinois hospital; and
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| (c) maintains adequate medical records for each | 5 |
| patient.
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| A license, unless sooner suspended or revoked, shall be | 7 |
| renewable
annually upon approval by the Department and payment | 8 |
| of a license fee of
$300. Each license shall be issued only for | 9 |
| the premises and persons named in
the application and shall not | 10 |
| be transferable or assignable. The licenses shall
be posted in | 11 |
| a conspicuous place on the licensed premises. A placard or
| 12 |
| registry of all physicians on staff in the facility shall be | 13 |
| centrally located
and available for inspection to any | 14 |
| interested person. The Department may,
either before or after | 15 |
| the issuance of a license, request the cooperation of
the State | 16 |
| Fire Marshal. The report and recommendations of this agency | 17 |
| shall be
in writing and shall state with particularity its | 18 |
| findings with respect to
compliance or noncompliance with such | 19 |
| minimum standards, rules and regulations.
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| On and after the effective date of this amendatory Act of | 21 |
| the 96th General Assembly, no license shall be granted or | 22 |
| renewed unless the applicant submits a notarized statement | 23 |
| signed by the Chief Executive Officer of the organization | 24 |
| certifying that the applicant will not refuse service to any | 25 |
| patient because the services the patient seeks may be | 26 |
| reimbursed under the program of Medical Assistance under |
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| Article V of the Illinois Public Aid Code or Medicare. In | 2 |
| addition, no license shall be granted or renewed if the | 3 |
| Department determines that the applicant has not complied with | 4 |
| a prior notarized statement submitted pursuant to this | 5 |
| paragraph.
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| The Director may issue a provisional license to any | 7 |
| ambulatory
surgical treatment center which does not | 8 |
| substantially comply with the
provisions of this Act and the | 9 |
| standards, rules and regulations
promulgated by virtue thereof | 10 |
| provided that he finds that such
ambulatory surgical treatment | 11 |
| center will undertake changes and
corrections which upon | 12 |
| completion will render the ambulatory surgical
treatment | 13 |
| center in substantial compliance with the provisions of this
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| Act, and the standards, rules and regulations adopted | 15 |
| hereunder, and
provided that the health and safety of the | 16 |
| patients of the ambulatory
surgical treatment center will be | 17 |
| protected during the period for which
such provisional license | 18 |
| is issued. The Director shall advise the
licensee of the | 19 |
| conditions under which such provisional license is
issued, | 20 |
| including the manner in which the facilities fail to comply | 21 |
| with
the provisions of the Act, standards, rules and | 22 |
| regulations, and the
time within which the changes and | 23 |
| corrections necessary for such
ambulatory surgical treatment | 24 |
| center to substantially comply with this
Act, and the | 25 |
| standards, rules and regulations of the Department relating
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| thereto shall be completed.
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| A person or facility not licensed under this Act or the | 2 |
| Hospital Licensing
Act shall not hold itself out to the public | 3 |
| as a "surgery center" or as a
"center for surgery".
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| (Source: P.A. 88-490.)
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| Section 10. The Health Care Worker Self-Referral Act is | 6 |
| amended by changing Sections 15 and 20 and by adding Section 21 | 7 |
| as follows:
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| (225 ILCS 47/15)
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| Sec. 15. Definitions. In this Act:
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| (a) "Board" means the Health Facilities Planning Board.
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| (a-5) "Compensation relationship" means any arrangement | 12 |
| involving remuneration, direct or indirect, between a health | 13 |
| care worker (or a member of the health care worker's immediate | 14 |
| family) and an entity. For purposes of this Act, "compensation | 15 |
| relationship" does not include any arrangement satisfying the | 16 |
| requirements for exception under Section 1877 of the federal | 17 |
| Social Security Act (42 U.S.C. 1395nn). | 18 |
| (b) "Entity" means any individual, partnership, firm, | 19 |
| corporation, or
other business that provides health services | 20 |
| but does not include an
individual who is a health care worker | 21 |
| who provides professional services
to an individual.
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| (b-5) "Financial relationship" means a direct or indirect | 23 |
| investment interest, or a direct or indirect compensation | 24 |
| relationship. |
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| (c) "Group practice" means a group of 2 or more health care | 2 |
| workers
legally organized as a partnership, professional | 3 |
| corporation,
not-for-profit corporation, faculty
practice plan | 4 |
| or a similar association in which:
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| (1) each health care worker who is a member or employee | 6 |
| or an
independent contractor of the group provides
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| substantially the full range of services that the health | 8 |
| care worker
routinely provides, including consultation, | 9 |
| diagnosis, or treatment,
through the use of office space, | 10 |
| facilities, equipment, or personnel of the
group;
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| (2) the services of the health care workers
are | 12 |
| provided through the group, and payments received for | 13 |
| health
services are treated as receipts of the group; and
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| (3) the overhead expenses and the income from the | 15 |
| practice are
distributed by methods previously determined | 16 |
| by the group.
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| (d) "Health care worker" means any individual licensed | 18 |
| under the laws of
this State to provide health services, | 19 |
| including but not limited to:
dentists licensed under the | 20 |
| Illinois Dental Practice Act; dental hygienists
licensed under | 21 |
| the Illinois Dental Practice Act; nurses and advanced practice
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| nurses licensed under the Nurse Practice Act;
occupational | 23 |
| therapists licensed under
the
Illinois Occupational Therapy | 24 |
| Practice Act; optometrists licensed under the
Illinois | 25 |
| Optometric Practice Act of 1987; pharmacists licensed under the
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| Pharmacy Practice Act; physical therapists licensed under the
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| Illinois Physical Therapy Act; physicians licensed under the | 2 |
| Medical
Practice Act of 1987; physician assistants licensed | 3 |
| under the Physician
Assistant Practice Act of 1987; podiatrists | 4 |
| licensed under the Podiatric
Medical Practice Act of 1987; | 5 |
| clinical psychologists licensed under the
Clinical | 6 |
| Psychologist Licensing Act; clinical social workers licensed | 7 |
| under
the Clinical Social Work and Social Work Practice Act; | 8 |
| speech-language
pathologists and audiologists licensed under | 9 |
| the Illinois Speech-Language
Pathology and Audiology Practice | 10 |
| Act; or hearing instrument
dispensers licensed
under the | 11 |
| Hearing Instrument Consumer Protection Act, or any of
their | 12 |
| successor Acts.
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| (e) "Health services" means health care procedures and | 14 |
| services
provided by or through a health care worker.
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| (f) "Immediate family member" means a health care worker's | 16 |
| spouse,
child, child's spouse, or a parent.
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| (g) "Investment interest" means an equity or debt security | 18 |
| issued by an
entity, including, without limitation, shares of | 19 |
| stock in a corporation,
units or other interests in a | 20 |
| partnership, bonds, debentures, notes, or
other equity | 21 |
| interests or debt instruments except that investment interest
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| for purposes of Section 20 does not include interest in a | 23 |
| hospital licensed
under the laws of the State of Illinois.
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| (h) "Investor" means an individual or entity directly or | 25 |
| indirectly
owning a legal or beneficial ownership or investment | 26 |
| interest, (such as
through an immediate family member, trust, |
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| or another entity related to the investor).
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| (i) "Office practice" includes the facility or facilities | 3 |
| at which a health
care worker, on an ongoing basis, provides or | 4 |
| supervises the provision of
professional health services to | 5 |
| individuals.
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| (j) "Referral" means any referral of a patient for health | 7 |
| services,
including, without limitation:
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| (1) The forwarding of a patient by one health care | 9 |
| worker to another
health care worker or to an entity | 10 |
| outside the health care worker's office
practice or group | 11 |
| practice that provides health services.
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| (2) The request or establishment by a health care
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| worker of a plan of care outside the health care worker's | 14 |
| office practice
or group practice
that includes the | 15 |
| provision of any health services.
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| (Source: P.A. 95-639, eff. 10-5-07; 95-689, eff. 10-29-07; | 17 |
| 95-876, eff. 8-21-08.)
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| (225 ILCS 47/20)
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| Sec. 20. Prohibited referrals and claims for payment.
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| (a) A health care worker shall not refer a patient for | 21 |
| health services
to an entity outside the health care worker's | 22 |
| office or group practice with in
which the health care worker | 23 |
| has a financial relationship is an investor , unless the health | 24 |
| care worker
directly provides health services within the entity | 25 |
| and will be personally
involved with the provision of care to |
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| the referred patient and the entity meets the standards set | 2 |
| forth in Section 21 .
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| (b) Pursuant to Board determination that the following | 4 |
| exception is
applicable, a health care worker may invest in and | 5 |
| refer to an entity,
whether or not the health care worker | 6 |
| provides direct services within said
entity, if there is a | 7 |
| demonstrated need in the community for the entity and
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| alternative financing is not available. For purposes of this | 9 |
| subsection
(b), "demonstrated need" in the community for the | 10 |
| entity may exist if (1)
there is no facility of reasonable | 11 |
| quality that provides medically
appropriate service, (2) use of | 12 |
| existing facilities is onerous or creates
too great a hardship | 13 |
| for patients,
(3) the entity is formed to own or lease medical | 14 |
| equipment which replaces
obsolete or otherwise inadequate | 15 |
| equipment in or under the control of a
hospital located in a | 16 |
| federally designated health manpower shortage area,
or (4) such | 17 |
| other standards as
established, by rule, by the Board. | 18 |
| "Community" shall be defined as a
metropolitan area for a city, | 19 |
| and a county for a rural area. In addition,
the following | 20 |
| provisions must be met to be exempt under this Section:
| 21 |
| (1) Individuals who are not in a position to refer | 22 |
| patients to an
entity are given a bona fide opportunity to | 23 |
| also invest in the entity on the
same terms as those | 24 |
| offered a referring health care worker; and
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| (2) No health care worker who invests shall be required | 26 |
| or encouraged
to make referrals to the entity or otherwise
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| generate business as a condition of becoming or remaining | 2 |
| an investor; and
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| (3) The entity shall market or furnish its services to
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| referring health care worker investors and other investors | 5 |
| on equal terms; and
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| (4) The entity shall not loan funds or guarantee any | 7 |
| loans for health
care workers who are in a position to | 8 |
| refer to an entity; and
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| (5) The income on the health care worker's investment | 10 |
| shall be tied to
the health care worker's equity in the | 11 |
| facility rather than to the volume
of referrals made; and
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| (6) Any investment contract between the entity and the | 13 |
| health care
worker shall not include any covenant or | 14 |
| non-competition clause that
prevents a health care worker | 15 |
| from investing in other entities; and
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| (7) When making a referral, a health care worker must | 17 |
| disclose his
investment interest in an entity to the | 18 |
| patient being referred to such
entity. If alternative | 19 |
| facilities are reasonably available, the health care
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| worker must provide the patient with a list of alternative | 21 |
| facilities.
The health care worker shall inform the patient | 22 |
| that they have the option to use
an alternative facility | 23 |
| other than one in which the health care worker has
an | 24 |
| investment interest and the patient will not be treated | 25 |
| differently by
the health care worker if the patient | 26 |
| chooses to use another entity.
This shall be applicable to |
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| all health care worker investors, including
those who | 2 |
| provide direct care or services for their patients in | 3 |
| entities
outside their office practices; and
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| (8) If a third party payor requests information with | 5 |
| regard to a health
care worker's investment interest, the | 6 |
| same shall be disclosed; and
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| (9) The entity shall establish an internal utilization | 8 |
| review program to
ensure that investing health care workers | 9 |
| provided appropriate or
necessary utilization; and
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| (10) If a health care worker's financial interest in an | 11 |
| entity is
incompatible with a referred patient's
interest, | 12 |
| the health care worker shall make alternative arrangements | 13 |
| for
the patient's care.
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| The Board shall make such a determination for a health care | 15 |
| worker within
90 days of a completed written request. Failure | 16 |
| to make such a
determination within the 90 day time frame shall | 17 |
| mean that no alternative
is practical based upon the facts set | 18 |
| forth in the completed written request.
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| (c) It shall not be a violation of this Act for a health | 20 |
| care worker to
refer a patient for health services to a | 21 |
| publicly traded entity in which he or
she
has an investment | 22 |
| interest provided that:
| 23 |
| (1) the
entity is listed for trading on the New
York | 24 |
| Stock Exchange or on the American Stock Exchange, or is a | 25 |
| national
market system security traded under an automated | 26 |
| inter-dealer quotation
system operated by the National |
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| Association of Securities Dealers; and
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| (2) the entity had, at the end of the corporation's | 3 |
| most recent fiscal
year, total net assets of at least | 4 |
| $30,000,000
related to the furnishing of health services; | 5 |
| and
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| (3) any investment interest obtained after the | 7 |
| effective date of this
Act is traded on the exchanges | 8 |
| listed in paragraph 1 of subsection (c) of this Section
| 9 |
| after the entity
became a publicly traded corporation; and
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| (4) the entity markets or furnishes its services to | 11 |
| referring
health care worker investors and other health | 12 |
| care workers on equal terms; and
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| (5) all stock held in such publicly traded companies, | 14 |
| including stock
held in the predecessor privately held | 15 |
| company, shall be of one class
without preferential | 16 |
| treatment as to status or remuneration; and
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| (6) the entity does not loan funds or guarantee any | 18 |
| loans for health
care workers who are in a position to be | 19 |
| referred to an entity; and
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| (7) the income on the health care worker's investment | 21 |
| is tied to the
health care worker's equity in the entity | 22 |
| rather than to the volume of
referrals made; and
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| (8) the investment interest does not exceed 1/2 of 1% | 24 |
| of the entity's total equity.
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| (d) Any hospital licensed under the Hospital Licensing Act | 26 |
| shall not
discriminate against or otherwise penalize a health |
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| care worker for
compliance with this Act.
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| (e) Any health care worker or other entity shall not enter | 3 |
| into an
arrangement or scheme seeking to make referrals to | 4 |
| another health care
worker or entity based upon the condition | 5 |
| that the health care worker
or entity will make referrals with | 6 |
| an intent to evade the prohibitions of
this Act by inducing | 7 |
| patient referrals which would be prohibited by this Section
if | 8 |
| the health care worker or entity made the referral directly.
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| (f) If compliance with the need and alternative investor | 10 |
| criteria is not
practical, the health care worker shall | 11 |
| identify to the patient reasonably
available alternative | 12 |
| facilities. The Board shall, by rule, designate when
compliance | 13 |
| is "not practical".
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| (g) Health care workers may request from the Board that it | 15 |
| render an
advisory opinion that a referral to an existing or | 16 |
| proposed entity under
specified circumstances does or does not | 17 |
| violate the provisions of this
Act. The Board's opinion shall | 18 |
| be presumptively correct. Failure to
render such an advisory | 19 |
| opinion within 90 days of a completed written
request pursuant | 20 |
| to this Section shall create a rebuttable presumption that a
| 21 |
| referral described in the completed written request is not or | 22 |
| will not be a
violation of this Act.
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| (h) Notwithstanding any provision of this Act to the | 24 |
| contrary, a health
care worker may refer
a patient, who is a | 25 |
| member of a health maintenance organization "HMO"
licensed in | 26 |
| this State, for health services to an entity, outside the
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| health care worker's office or group practice, in which the | 2 |
| health care
worker is an investor, provided that any such | 3 |
| referral is made pursuant to
a contract with the HMO.
| 4 |
| Furthermore, notwithstanding any provision of this Act to the | 5 |
| contrary, a
health care worker may refer an enrollee of a | 6 |
| "managed care community network",
as defined in subsection (b) | 7 |
| of Section 5-11 of the Illinois
Public
Aid Code, for health
| 8 |
| services to an entity, outside the health care worker's office | 9 |
| or group
practice, in which the health care worker is an | 10 |
| investor, provided that any
such referral is made pursuant to a | 11 |
| contract with the managed care community
network.
| 12 |
| (Source: P.A. 92-370, eff. 8-15-01.)
| 13 |
| (225 ILCS 47/21 new) | 14 |
| Sec. 21. Exception to prohibition of referrals; | 15 |
| nondiscrimination. | 16 |
| (a) Notwithstanding any other provision of this Act to the | 17 |
| contrary, a health care worker may refer a patient for health | 18 |
| services to an entity outside the health care worker's office | 19 |
| or group practice with which the health care worker has a | 20 |
| financial relationship, provided that: | 21 |
| (1) the entity has adopted a policy providing that | 22 |
| services will be available to patients who are recipients | 23 |
| under the Illinois Public Aid Code and to patients who have | 24 |
| no health insurance on the same basis as other patients; | 25 |
| and |
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| (2) in determining whether to refer an individual | 2 |
| patient to an entity with which the health care provider | 3 |
| has a financial relationship, the health care worker shall | 4 |
| not discriminate based upon the patient's ability to pay | 5 |
| for services or upon the source of funding; in determining | 6 |
| whether this condition is met, the Board shall consider | 7 |
| whether the percentage of patients referred to the entity | 8 |
| by the health care worker who are recipients of assistance | 9 |
| under the Illinois Public Aid Code, or who have no health | 10 |
| insurance, is comparable to the percentage of such patients | 11 |
| served by the health care worker's office or group | 12 |
| practice; and | 13 |
| (3) the entity submits a report to the Board on an | 14 |
| annual basis regarding its adoption of a policy as provided | 15 |
| in paragraph (1), any modifications to that policy, and the | 16 |
| percentage of patients served by the entity who were | 17 |
| recipients of assistance under the Illinois Public Aid Code | 18 |
| and the percentage who had no health insurance. | 19 |
| (b) This Section does not apply to a licensed hospital or | 20 |
| to an entity owned in whole or in part by a licensed hospital. | 21 |
| Section 15. The Radiation Protection Act of 1990 is amended | 22 |
| by changing Section 5 as follows:
| 23 |
| (420 ILCS 40/5) (from Ch. 111 1/2, par. 210-5)
| 24 |
| (Section scheduled to be repealed on January 1, 2011)
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| Sec. 5. Limitations on application of radiation to human | 2 |
| beings and
requirements for radiation installation operators | 3 |
| providing mammography
services.
| 4 |
| (a) No person shall intentionally administer radiation to a | 5 |
| human being
unless such person is licensed to practice a | 6 |
| treatment of human ailments by
virtue of the Illinois Medical, | 7 |
| Dental or Podiatric Medical Practice Acts,
or, as physician | 8 |
| assistant, advanced practice nurse, technician, nurse,
or | 9 |
| other assistant, is
acting under the
supervision, prescription | 10 |
| or direction of such licensed person. However,
no such | 11 |
| physician assistant, advanced practice nurse, technician,
| 12 |
| nurse, or other assistant
acting under the supervision
of a | 13 |
| person licensed under the Medical Practice Act of 1987, shall
| 14 |
| administer radiation to human beings unless accredited by the | 15 |
| Agency, except that persons enrolled in a course of education
| 16 |
| approved by the Agency may apply ionizing radiation
to human | 17 |
| beings as required by their course of study when under the | 18 |
| direct
supervision of a person licensed under the Medical | 19 |
| Practice Act of 1987.
No person authorized by this Section to | 20 |
| apply ionizing radiation shall apply
such radiation except to | 21 |
| those parts of the human body specified in the Act
under which | 22 |
| such person or his supervisor is licensed.
No person may | 23 |
| operate a radiation installation where ionizing radiation is
| 24 |
| administered to human beings unless all persons who administer | 25 |
| ionizing
radiation in that radiation installation are | 26 |
| licensed, accredited, or
exempted in accordance with this |
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| Section. Nothing in this Section shall be
deemed to relieve a | 2 |
| person from complying with the provisions of Section 10.
| 3 |
| (a-5) On or after the effective date of this amendatory Act | 4 |
| of the 96th General Assembly, no person may administer | 5 |
| radiation to a human being in a Class C or Class D radiation | 6 |
| installation, as defined in Section 25 of this Act, other than | 7 |
| a hospital, unless the radiation installation submits a | 8 |
| notarized statement signed by the Chief Executive Officer of | 9 |
| the radiation installation certifying that the radiation | 10 |
| installation will not refuse service to any patient because the | 11 |
| services the patient seeks may be reimbursed under the program | 12 |
| of Medical Assistance under Article V of the Illinois Public | 13 |
| Aid Code or Medicare. In addition, radiation may not be | 14 |
| administered to a human being in a Class C or Class D | 15 |
| installation other than a hospital if the Agency determines | 16 |
| that the radiation installation has not complied with a prior | 17 |
| notarized statement submitted pursuant to this subsection. | 18 |
| (b) In addition, no person shall provide mammography | 19 |
| services unless
all of the following requirements are met:
| 20 |
| (1) the mammography procedures are performed using a | 21 |
| radiation machine
that is specifically designed for | 22 |
| mammography;
| 23 |
| (2) the mammography procedures are performed using a | 24 |
| radiation machine
that is used solely for performing | 25 |
| mammography procedures;
| 26 |
| (3) the mammography procedures are performed using |
|
|
|
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| 1 |
| equipment that has
been subjected to a quality assurance | 2 |
| program that satisfies quality
assurance requirements | 3 |
| which the Agency shall establish by rule;
| 4 |
| (4) beginning one year after the effective date of this | 5 |
| amendatory Act
of 1991, if the mammography procedure is | 6 |
| performed by a radiologic
technologist, that technologist, | 7 |
| in addition to being accredited by the
Agency to perform | 8 |
| radiography, has satisfied training requirements
specific | 9 |
| to mammography, which the Agency shall establish by rule.
| 10 |
| (c) Every operator of a radiation installation at which | 11 |
| mammography
services are provided shall ensure and have | 12 |
| confirmed by each mammography
patient that the patient is | 13 |
| provided with a pamphlet which is orally reviewed
with the | 14 |
| patient and which contains the following:
| 15 |
| (1) how to perform breast self-examination;
| 16 |
| (2) that early detection of breast cancer is maximized | 17 |
| through a combined
approach, using monthly breast | 18 |
| self-examination, a thorough physical
examination | 19 |
| performed by a physician, and mammography performed at | 20 |
| recommended
intervals;
| 21 |
| (3) that mammography is the most accurate method for | 22 |
| making an early
detection of breast cancer, however, no | 23 |
| diagnostic tool is 100% effective;
| 24 |
| (4) that if the patient is self-referred and does not | 25 |
| have a primary care
physician, or if the patient is | 26 |
| unfamiliar with the breast examination
procedures, that |
|
|
|
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|
| 1 |
| the patient has received information regarding public | 2 |
| health
services where she can obtain a breast examination | 3 |
| and instructions.
| 4 |
| (Source: P.A. 93-149, eff. 7-10-03; 94-104, eff. 7-1-05.)
| 5 |
| Section 99. Effective date. This Act takes effect upon | 6 |
| becoming law.".
|
|