093_SB0060

 
                                     LRB093 02170 ACG 02177 b

 1        AN ACT concerning the health care.

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

 4        Section 5.  The Illinois Health  Finance  Reform  Act  is
 5    amended by changing Section 4-2 as follows:

 6        (20 ILCS 2215/4-2) (from Ch. 111 1/2, par. 6504-2)
 7        Sec. 4-2.  Powers and duties.
 8        (a)  (Blank).
 9        (b)  (Blank).
10        (c)  (Blank).
11        (d)  Uniform Provider Utilization and Charge Information.
12             (1)  The  Department  of Public Health shall require
13        that hospitals  licensed  to  operate  in  the  State  of
14        Illinois  adopt  a  uniform system for submitting patient
15        charges  for  payment  from  public  and  private  payors
16        effective January 1, 1985.  This system  shall  be  based
17        upon  adoption  of  the  uniform  hospital  billing  form
18        (UB-92)  or  its successor form developed by the National
19        Uniform Billing Committee.
20             (2)  (Blank).
21             (3)  The Department of Insurance shall  require  all
22        third-party   payors,   including  but  not  limited  to,
23        licensed   insurers,   medical   and   hospital   service
24        corporations,  health  maintenance   organizations,   and
25        self-funded  employee health plans, to accept the uniform
26        billing  form,  without  attachment   as   submitted   by
27        hospitals  pursuant  to  paragraph  (1) of subsection (d)
28        above, effective  January  1,  1985;  provided,  however,
29        nothing  shall  prevent  all such third party payors from
30        requesting additional information necessary to  determine
31        eligibility  for  benefits or liability for reimbursement
 
                            -2-      LRB093 02170 ACG 02177 b
 1        for services provided.
 2        (e)  (Blank).
 3        (f)  The Department of Public Health  shall  require  any
 4    pharmaceutical  company  that  provides prescription drugs in
 5    Illinois to disclose to  the  Department,  in  a  manner  and
 6    fashion   designated   by   the   Department   by  rule,  all
 7    prescription  drug  advertising  and  promotion  costs.   The
 8    Department  must  then  conduct  a  cost/benefit  analysis to
 9    determine (i) the impact of these costs on prescription  drug
10    prices  and  (ii)  the  impact  on  Illinois residents of any
11    increase of the prices and costs of prescription  drugs  that
12    is   attributable   to   the   advertising   and  promotional
13    activities.
14    (Source: P.A. 91-756, eff. 6-2-00; 92-597, eff. 7-1-02.)