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Public Act 097-0563 |
HB1973 Enrolled | LRB097 09421 CEL 49556 b |
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AN ACT concerning State government.
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Be it enacted by the People of the State of Illinois,
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represented in the General Assembly:
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Section 5. The Illinois Optometric Practice Act of 1987 is |
amended by changing Section 24.2 as follows: |
(225 ILCS 80/24.2)
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(Section scheduled to be repealed on January 1, 2017) |
Sec. 24.2. Prohibition against fee splitting. |
(a) A licensee under this Act may not directly or |
indirectly divide, share or split any professional fee or other |
form of compensation for professional services with anyone in |
exchange for a referral or otherwise, other than as provided in |
this Section 24.2. |
(b) Nothing contained in this Section abrogates the right |
of 2 or more licensed health care workers as defined in the |
Health Care Worker Self-referral Act to each receive adequate |
compensation for concurrently rendering services to a patient |
and to divide the fee for such service, whether or not the |
worker is employed, provided that the patient has full |
knowledge of the division and the division is made in |
proportion to the actual services personally performed and |
responsibility assumed by each licensee consistent with his or |
her license, except as prohibited by law. |
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(c) Nothing contained in this Section prohibits a licensee |
under this Act from practicing optometry through or within any |
form of legal entity authorized to conduct business in this |
State or from pooling, sharing, dividing, or apportioning the |
professional fees and other revenues in accordance with the |
agreements and policies of the entity provided: |
(1) each owner of the entity is licensed under this |
Act; |
(2) the entity is organized under the Professional |
Services Corporation Act or , the Professional Association |
Act , or the Limited Liability Company Act ; |
(3) the entity is (i) allowed by Illinois law to |
provide optometric services or employ optometrists such as |
a licensed hospital or hospital affiliate or (ii) a |
licensed ambulatory surgical treatment center owned in |
full or in part by Illinois-licensed physicians or |
optometrists in accordance with Section 8 of this Act ; or |
(4) the entity is a combination or joint venture of the |
entities authorized under this subsection (c). |
(d) Nothing contained in this Section prohibits a licensee |
under this Act from paying a fair market value fee to any |
person or entity whose purpose is to perform billing, |
administrative preparation, or collection services based upon |
a percentage of professional service fees billed or collected, |
a flat fee, or any other arrangement that directly or |
indirectly divides professional fees, for the administrative |
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preparation of the licensee's claims or the collection of the |
licensee's charges for professional services, provided that: |
(i) the licensee or the licensee's practice under |
subsection (c) at all times controls the amount of fees |
charged and collected; and |
(ii) all charges collected are paid directly to the |
licensee or the licensee's practice or are deposited |
directly into an account in the name of and under the sole |
control of the licensee or the licensee's practice or |
deposited into a "Trust Account" by a licensed collection |
agency in accordance with the requirements of Section 8(c) |
of the Illinois Collection Agency Act. |
(e) Nothing contained in this Section prohibits the |
granting of a security interest in the accounts receivable or |
fees of a licensee under this Act or the licensee's practice |
for bona fide advances made to the licensee or licensee's |
practice provided the licensee retains control and |
responsibility for the collection of the accounts receivable |
and fees. |
(f) Excluding payments that may be made to the owners of or |
licensees in the licensee's practice under subsection (c), a |
licensee under this Act may not divide, share or split a |
professional service fee with, or otherwise directly or |
indirectly pay a percentage of the licensee's professional |
service fees, revenues or profits to anyone for: (i) the |
marketing or management of the licensee's practice, (ii) |
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including the licensee or the licensee's practice on any |
preferred provider list, (iii) allowing the licensee to |
participate in any network of health care providers, (iv) |
negotiating fees, charges or terms of service or payment on |
behalf of the licensee, or (v) including the licensee in a |
program whereby patients or beneficiaries are provided an |
incentive to use the services of the licensee. |
(g) Nothing contained in this Section prohibits the payment |
of rent or other remunerations paid to an individual, |
partnership, or corporation by a licensee for the lease, |
rental, or use of space, owned or controlled by the individual, |
partnership, corporation, or association. |
(h) Nothing contained in this Section prohibits the |
payment, at no more than fair market value, to an individual, |
partnership, or corporation by a licensee for the use of staff, |
administrative services, franchise agreements, marketing |
required by franchise agreements, or equipment owned or |
controlled by the individual, partnership, or corporation, or |
the receipt thereof by a licensee.
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(Source: P.A. 96-608, eff. 8-24-09.)
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Section 99. Effective date. This Act takes effect upon |
becoming law.
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