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Full Text of SB3261  97th General Assembly

SB3261ham002 97TH GENERAL ASSEMBLY

Rep. Kelly M. Cassidy

Filed: 5/24/2012

 

 


 

 


 
09700SB3261ham002LRB097 19240 HLH 70144 a

1
AMENDMENT TO SENATE BILL 3261

2    AMENDMENT NO. ______. Amend Senate Bill 3261, AS AMENDED,
3by replacing everything after the enacting clause with the
4following:
 
5    "Section 5. The Fair Patient Billing Act is amended by
6adding Section 27 as follows:
 
7    (210 ILCS 88/27 new)
8    Sec. 27. Application Procedures for Financial Assistance.
9    (a) Applications. The Attorney General shall, by rule,
10adopt standard provisions to be included in all applications
11for financial assistance no later than June 30, 2013. On or
12before January 1, 2013, a statewide association representing a
13majority of hospitals may submit to the Attorney General
14recommendations concerning standard provisions to be used in an
15application for financial assistance, and the Attorney General
16shall take those recommendations into account when adopting

 

 

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1rules under this subsection.
2    (b) Presumptive Eligibility. The Attorney General shall,
3by rule, adopt appropriate methodologies for the determination
4of presumptive eligibility no later than June 30, 2013. On or
5before January 1, 2013, a statewide association representing a
6majority of hospitals may submit to the Attorney General
7recommendations concerning those methodologies, and the
8Attorney General shall take those recommendations into account
9when adopting rules under this subsection.
 
10    Section 10. The Hospital Uninsured Patient Discount Act is
11amended by changing Section 10 as follows:
 
12    (210 ILCS 89/10)
13    Sec. 10. Uninsured patient discounts.
14    (a) Eligibility.
15        (1) A hospital, other than a rural hospital or Critical
16    Access Hospital, shall provide a discount from its charges
17    to any uninsured patient who applies for a discount and has
18    family income of not more than 600% of the federal poverty
19    income guidelines for all medically necessary health care
20    services exceeding $300 in any one inpatient admission or
21    outpatient encounter.
22        (2) A hospital, other than a rural hospital or Critical
23    Access Hospital, shall provide a charitable discount of
24    100% of its charges for all medically necessary health care

 

 

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1    services exceeding $300 in any one inpatient admission or
2    outpatient encounter to any uninsured patient who applies
3    for a discount and has family income of not more than 200%
4    of the federal poverty income guidelines.
5        (3) (2) A rural hospital or Critical Access Hospital
6    shall provide a discount from its charges to any uninsured
7    patient who applies for a discount and has annual family
8    income of not more than 300% of the federal poverty income
9    guidelines for all medically necessary health care
10    services exceeding $300 in any one inpatient admission or
11    outpatient encounter.
12        (4) A rural hospital or Critical Access Hospital shall
13    provide a charitable discount of 100% of its charges for
14    all medically necessary health care services exceeding
15    $300 in any one inpatient admission or outpatient encounter
16    to any uninsured patient who applies for a discount and has
17    family income of not more than 125% of the federal poverty
18    income guidelines.
19    (b) Discount. For all health care services exceeding $300
20in any one inpatient admission or outpatient encounter, a
21hospital shall not collect from an uninsured patient, deemed
22eligible under subsection (a), more than its charges less the
23amount of the uninsured discount.
24    (c) Maximum Collectible Amount.
25        (1) The maximum amount that may be collected in a 12
26    month period for health care services provided by the

 

 

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1    hospital from a patient determined by that hospital to be
2    eligible under subsection (a) is 25% of the patient's
3    family income, and is subject to the patient's continued
4    eligibility under this Act.
5        (2) The 12 month period to which the maximum amount
6    applies shall begin on the first date, after the effective
7    date of this Act, an uninsured patient receives health care
8    services that are determined to be eligible for the
9    uninsured discount at that hospital.
10        (3) To be eligible to have this maximum amount applied
11    to subsequent charges, the uninsured patient shall inform
12    the hospital in subsequent inpatient admissions or
13    outpatient encounters that the patient has previously
14    received health care services from that hospital and was
15    determined to be entitled to the uninsured discount.
16        (4) Hospitals may adopt policies to exclude an
17    uninsured patient from the application of subdivision
18    (c)(1) when the patient owns assets having a value in
19    excess of 600% of the federal poverty level for hospitals
20    in a metropolitan statistical area or owns assets having a
21    value in excess of 300% of the federal poverty level for
22    Critical Access Hospitals or hospitals outside a
23    metropolitan statistical area, not counting the following
24    assets: the uninsured patient's primary residence;
25    personal property exempt from judgment under Section
26    12-1001 of the Code of Civil Procedure; or any amounts held

 

 

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1    in a pension or retirement plan, provided, however, that
2    distributions and payments from pension or retirement
3    plans may be included as income for the purposes of this
4    Act.
5    (d) Each hospital bill, invoice, or other summary of
6charges to an uninsured patient shall include with it, or on
7it, a prominent statement that an uninsured patient who meets
8certain income requirements may qualify for an uninsured
9discount and information regarding how an uninsured patient may
10apply for consideration under the hospital's financial
11assistance policy.
12(Source: P.A. 95-965, eff. 12-22-08.)
 
13    Section 99. Effective date. This Act takes effect upon
14becoming law.".