SB3027 - 104th General Assembly
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| 1 | AN ACT concerning regulation. | |||||||||||||||||||||
| 2 | Be it enacted by the People of the State of Illinois, | |||||||||||||||||||||
| 3 | represented in the General Assembly: | |||||||||||||||||||||
| 4 | Section 5. The Fair Patient Billing Act is amended by | |||||||||||||||||||||
| 5 | changing Section 10 and by adding Section 11 as follows: | |||||||||||||||||||||
| 6 | (210 ILCS 88/10) | |||||||||||||||||||||
| 7 | Sec. 10. Definitions. As used in this Act: | |||||||||||||||||||||
| 8 | "Artificial intelligence" has the meaning given to that | |||||||||||||||||||||
| 9 | term in Section 2-101 of the Illinois Human Rights Act. | |||||||||||||||||||||
| 10 | "Collection action" means any referral of a bill to a | |||||||||||||||||||||
| 11 | collection agency or law firm to collect payment for services | |||||||||||||||||||||
| 12 | from a patient or a patient's guarantor for hospital services. | |||||||||||||||||||||
| 13 | "Health care plan" means a health insurance company, | |||||||||||||||||||||
| 14 | health maintenance organization, preferred provider | |||||||||||||||||||||
| 15 | arrangement, or third party administrator authorized in this | |||||||||||||||||||||
| 16 | State to issue policies or subscriber contracts or administer | |||||||||||||||||||||
| 17 | those policies and contracts that reimburse for inpatient and | |||||||||||||||||||||
| 18 | outpatient services provided in a hospital. Health care plan, | |||||||||||||||||||||
| 19 | however, does not include any government-funded program such | |||||||||||||||||||||
| 20 | as Medicare or Medicaid, workers' compensation, and accident | |||||||||||||||||||||
| 21 | liability insurers. | |||||||||||||||||||||
| 22 | "Insured patient" means a patient who is insured by a | |||||||||||||||||||||
| 23 | health care plan. | |||||||||||||||||||||
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| 1 | "Medical debt" means a debt arising from the receipt of | ||||||
| 2 | health care services, products, or devices. | ||||||
| 3 | "Patient" means the individual receiving services from the | ||||||
| 4 | hospital and any individual who is the guarantor of the | ||||||
| 5 | payment for such services. | ||||||
| 6 | "Public health insurance program" means Medicare; | ||||||
| 7 | Medicaid; medical assistance under the Non-Citizen Victims of | ||||||
| 8 | Trafficking, Torture and Other Serious Crimes program; Health | ||||||
| 9 | Benefit for Immigrant Adults; Health Benefit for Immigrant | ||||||
| 10 | Seniors; All Kids; or other medical assistance programs | ||||||
| 11 | offered by the Department of Healthcare and Family Services. | ||||||
| 12 | "Reasonable payment plan" means a plan to pay a hospital | ||||||
| 13 | bill that is offered to the patient or the patient's legal | ||||||
| 14 | representative and takes into account the patient's available | ||||||
| 15 | income and assets, the amount owed, and any prior payments. | ||||||
| 16 | "Screen" or "screening" means a process whereby a hospital | ||||||
| 17 | engages with a patient to review and assess the patient's | ||||||
| 18 | potential eligibility for any financial assistance offered by | ||||||
| 19 | the hospital, public health insurance program, or other | ||||||
| 20 | discounted care known to the hospital; informs the patient of | ||||||
| 21 | the hospital's assessment; documents in the patient's record | ||||||
| 22 | the circumstances of the screening; and assists with the | ||||||
| 23 | application for hospital financial assistance. | ||||||
| 24 | "Uninsured patient" means a patient who is not insured by | ||||||
| 25 | a health care plan and is not a beneficiary under a | ||||||
| 26 | government-funded program, workers' compensation, or accident | ||||||
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| 1 | liability insurance. | ||||||
| 2 | (Source: P.A. 103-323, eff. 1-1-24.) | ||||||
| 3 | (210 ILCS 88/11 new) | ||||||
| 4 | Sec. 11. Prohibition on the use of artificial intelligence | ||||||
| 5 | in patient billing. All hospitals are prohibited from using | ||||||
| 6 | artificial intelligence to set or influence health care | ||||||
| 7 | pricing or billing. | ||||||
