Full Text of HB4949 100th General Assembly
HB4949 100TH GENERAL ASSEMBLY |
| | 100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018 HB4949 Introduced , by Rep. Sara Feigenholtz SYNOPSIS AS INTRODUCED: |
| 225 ILCS 47/55 new | | 225 ILCS 60/22.2 | | 815 ILCS 505/2VVV new | |
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Amends the Consumer Fraud and Deceptive Business Practices Act. Provides that it is an unlawful practice for any person to engage in
misleading or false advertising or promotion that
misrepresents the need to seek mental health disorder or
substance use disorder treatment outside of the State of
Illinois. Requires any marketing, advertising, promotional, or sales
materials directed to Illinois residents concerning mental
health disorder or substance use disorder treatment to (i) prominently display or announce the full physical
address of the treatment program or facility; (ii) include a link to the Internet website for the
Department of Human Services' Division of Mental Health and
Division of Alcoholism and Substance Abuse; and (iii) provide that mental health disorder and substance
use disorder treatment may be available at a reduced cost
or for free for Illinois residents. Prohibits arrangements under which a patient seeking mental health
disorder or substance use disorder treatment is referred to a
mental health disorder or substance use disorder treatment
program or facility in exchange for a fee or other remuneration. Amends the Health Care Worker Self-Referral Act. Provides that a violation of any provision of the Act constitutes an unlawful practice under the Consumer Fraud and Deceptive Business Practices Act. Amends the Medical Practice Act of 1987. Provides that a violation of the Act's prohibition against fee splitting constitutes an unlawful practice under the Consumer Fraud and Deceptive Business Practices Act.
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| | A BILL FOR |
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| 1 | | AN ACT concerning business.
| 2 | | Be it enacted by the People of the State of Illinois,
| 3 | | represented in the General Assembly:
| 4 | | Section 1. The Health Care Worker Self-Referral Act is | 5 | | amended by adding Section 55 as follows: | 6 | | (225 ILCS 47/55 new) | 7 | | Sec. 55. Application of the Consumer Fraud and Deceptive | 8 | | Business
Practices
Act. A violation of any of the provisions of | 9 | | this Act constitutes an unlawful practice under the Consumer | 10 | | Fraud and Deceptive Business Practices Act. All remedies, | 11 | | penalties, and authority granted to the Attorney General or | 12 | | State's Attorney by the Consumer Fraud and Deceptive Business | 13 | | Practices Act shall be available to him or her for the | 14 | | enforcement of this Act. | 15 | | Section 5. The Medical Practice Act of 1987 is amended by | 16 | | changing Section 22.2 as follows: | 17 | | (225 ILCS 60/22.2)
| 18 | | (Section scheduled to be repealed on December 31, 2019) | 19 | | Sec. 22.2. Prohibition against fee splitting. | 20 | | (a) A licensee under this Act may not directly or | 21 | | indirectly divide, share or split any professional fee or other |
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| 1 | | form of compensation for professional services with anyone in | 2 | | exchange for a referral or otherwise, other than as provided in | 3 | | this Section 22.2. | 4 | | (b) Nothing contained in this Section abrogates the right | 5 | | of 2 or more licensed health care workers as defined in the | 6 | | Health Care Worker Self-referral Act to each receive adequate | 7 | | compensation for concurrently rendering services to a patient | 8 | | and to divide the fee for such service, provided that the | 9 | | patient has full knowledge of the division and the division is | 10 | | made in proportion to the actual services personally performed | 11 | | and responsibility assumed by each licensee consistent with his | 12 | | or her license, except as prohibited by law. | 13 | | (c) Nothing contained in this Section prohibits a licensee | 14 | | under this Act from practicing medicine through or within any | 15 | | form of legal entity authorized to conduct business in this | 16 | | State or from pooling, sharing, dividing, or apportioning the | 17 | | professional fees and other revenues in accordance with the | 18 | | agreements and policies of the entity provided: | 19 | | (1) each owner of the entity is licensed under this | 20 | | Act; | 21 | | (2) the entity is organized under the Medical | 22 | | Corporation Act, the Professional Services Corporation | 23 | | Act, the Professional Association Act, or the Limited | 24 | | Liability Company Act; | 25 | | (3) the entity is allowed by Illinois law to provide | 26 | | physician services or employ physicians such as a licensed |
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| 1 | | hospital or hospital affiliate or licensed ambulatory | 2 | | surgical treatment center owned in full or in part by | 3 | | Illinois-licensed physicians; | 4 | | (4) the entity is a combination or joint venture of the | 5 | | entities authorized under this subsection (c); or | 6 | | (5) the entity is an Illinois not for profit | 7 | | corporation that is recognized as exempt from the payment | 8 | | of federal income taxes as an organization described in | 9 | | Section 501(c)(3) of the Internal Revenue Code and all of | 10 | | its members are full-time faculty members of a medical | 11 | | school that offers a M.D. degree program that is accredited | 12 | | by the Liaison Committee on Medical Education and a program | 13 | | of graduate medical education that is accredited by the | 14 | | Accreditation Council for Graduate Medical Education. | 15 | | (d) Nothing contained in this Section prohibits a licensee | 16 | | under this Act from paying a fair market value fee to any | 17 | | person or entity whose purpose is to perform billing, | 18 | | administrative preparation, or collection services based upon | 19 | | a percentage of professional service fees billed or collected, | 20 | | a flat fee, or any other arrangement that directly or | 21 | | indirectly divides professional fees, for the administrative | 22 | | preparation of the licensee's claims or the collection of the | 23 | | licensee's charges for professional services, provided that: | 24 | | (i) the licensee or the licensee's practice under | 25 | | subsection (c) of this Section at all times controls the | 26 | | amount of fees charged and collected; and |
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| 1 | | (ii) all charges collected are paid directly to the | 2 | | licensee or the licensee's practice or are deposited | 3 | | directly into an account in the name of and under the sole | 4 | | control of the licensee or the licensee's practice or | 5 | | deposited into a "Trust Account" by a licensed collection | 6 | | agency in accordance with the requirements of Section 8(c) | 7 | | of the Illinois Collection Agency Act. | 8 | | (e) Nothing contained in this Section prohibits the | 9 | | granting of a security interest in the accounts receivable or | 10 | | fees of a licensee under this Act or the licensee's practice | 11 | | for bona fide advances made to the licensee or licensee's | 12 | | practice provided the licensee retains control and | 13 | | responsibility for the collection of the accounts receivable | 14 | | and fees. | 15 | | (f) Excluding payments that may be made to the owners of or | 16 | | licensees in the licensee's practice under subsection (c), a | 17 | | licensee under this Act may not divide, share or split a | 18 | | professional service fee with, or otherwise directly or | 19 | | indirectly pay a percentage of the licensee's professional | 20 | | service fees, revenues or profits to anyone for: (i) the | 21 | | marketing or management of the licensee's practice, (ii) | 22 | | including the licensee or the licensee's practice on any | 23 | | preferred provider list, (iii) allowing the licensee to | 24 | | participate in any network of health care providers, (iv) | 25 | | negotiating fees, charges or terms of service or payment on | 26 | | behalf of the licensee, or (v) including the licensee in a |
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| 1 | | program whereby patients or beneficiaries are provided an | 2 | | incentive to use the services of the licensee.
| 3 | | (g) A violation of any of the provisions of this Section | 4 | | constitutes an unlawful practice under the Consumer Fraud and | 5 | | Deceptive Business Practices Act. All remedies, penalties, and | 6 | | authority granted to the Attorney General by the Consumer Fraud | 7 | | and Deceptive Business Practices Act shall be available to him | 8 | | or her for the enforcement of this Section. | 9 | | (Source: P.A. 96-608, eff. 8-24-09; 96-1126, eff. 7-20-10 .) | 10 | | Section 10. The Consumer Fraud and Deceptive Business | 11 | | Practices Act is amended by adding Section 2VVV as follows: | 12 | | (815 ILCS 505/2VVV new) | 13 | | Sec. 2VVV. Deceptive marketing, advertising, and sale of | 14 | | mental health disorder and substance use disorder treatment. | 15 | | (a) As used in this Section: | 16 | | "Facility" has the same meaning as that term is defined in | 17 | | Section 1-10 of the Alcoholism and Other Drug Abuse and | 18 | | Dependency Act. | 19 | | "Mental health disorder" has the same meaning as "mental | 20 | | illness" under Section 1-129 of the Mental Health and | 21 | | Developmental Disabilities Code. | 22 | | "Program" has the same meaning as that term is defined in | 23 | | Section 1-10 of the Alcoholism and Other Drug Abuse and | 24 | | Dependency Act. |
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| 1 | | "Substance use disorder" has the same meaning as "substance | 2 | | abuse" under Section 1-10 of the Alcoholism and Other Drug | 3 | | Abuse and Dependency Act. | 4 | | "Treatment" has the same meaning as that term is defined in | 5 | | Section 1-10 of the Alcoholism and Other Drug Abuse and | 6 | | Dependency Act. | 7 | | (b) It is an unlawful practice for any person to engage in | 8 | | misleading or false advertising or promotion that | 9 | | misrepresents the need to seek mental health disorder or | 10 | | substance use disorder treatment outside of the State of | 11 | | Illinois. | 12 | | (c) Any marketing, advertising, promotional, or sales | 13 | | materials directed to Illinois residents concerning mental | 14 | | health disorder or substance use disorder treatment must: | 15 | | (1) prominently display or announce the full physical | 16 | | address of the treatment program or facility; | 17 | | (2) include a link to the Internet website for the | 18 | | Department of Human Services' Division of Mental Health and | 19 | | Division of Alcoholism and Substance Abuse or any successor | 20 | | State agency; and | 21 | | (3) provide that mental health disorder and substance | 22 | | use disorder treatment may be available at a reduced cost | 23 | | or for free for Illinois residents within the State of | 24 | | Illinois. | 25 | | (d) It is an unlawful practice for any person to enter into | 26 | | an arrangement under which a patient seeking mental health |
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| 1 | | disorder or substance use disorder treatment is referred to a | 2 | | mental health disorder or substance use disorder treatment | 3 | | program or facility in exchange for a fee, a percentage of the | 4 | | treatment program's or facility's revenues that are related to | 5 | | the patient, or any other remuneration that takes into account | 6 | | the volume or value of the referrals to the treatment program | 7 | | or facility. Such practice shall also be considered a violation | 8 | | of the prohibition against fee splitting in Section 22.2 of the | 9 | | Medical Practice Act of 1987 and a violation of the Health Care | 10 | | Worker Self-Referral Act. This Section does not apply to health | 11 | | insurance companies, health maintenance organizations, and | 12 | | managed care plans or organizations licensed in Illinois.
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