HB4331ham001 104TH GENERAL ASSEMBLY

Rep. Amy Briel

Filed: 3/13/2026

10400HB4331ham001 LRB104 17206 BAB 34482 a

AMENDMENT TO HOUSE BILL 4331

AMENDMENT NO. ______. Amend House Bill 4331 by replacing everything after the enacting clause with the following:

"Section 5. The Fair Patient Billing Act is amended by changing Section 55 and by adding Section 21 as follows:

(210 ILCS 88/21 new)

Sec. 21. Telehealth billing transparency.

(a) For the purpose of this Section, "telehealth services" has the meaning given to that term in Section 5 of the Telehealth Act.

(b) A hospital that offers telehealth services shall not bill or charge a person, group or individual policy of accident and health insurance, or managed care plan for any services or care not rendered during a telehealth visit, including, but not limited to, exams that are not possible to perform on a patient at a remote location, such as taking measurements of a patient's blood pressure, temperature, height, or weight.

(210 ILCS 88/55)

Sec. 55. Enforcement.

(a) The Attorney General is responsible for administering and ensuring compliance with this Act, including the development of any rules necessary for the implementation and enforcement of this Act.

(b) The Attorney General shall develop and implement a process for receiving and handling complaints from individuals or hospitals regarding possible violations of this Act.

(c) The Attorney General may conduct any investigation deemed necessary regarding possible violations of this Act by any hospital including, without limitation, the issuance of subpoenas to: (i) require the hospital to file a statement or report or answer interrogatories in writing as to all information relevant to the alleged violations; (ii) examine under oath any person who possesses knowledge or information directly related to the alleged violations; and (iii) examine any record, book, document, account, or paper necessary to investigate the alleged violation.

(d) If the Attorney General determines that there is a reason to believe that any hospital has violated the Act, the Attorney General may bring an action in the name of the People of the State against the hospital to obtain temporary, preliminary, or permanent injunctive relief for any act, policy, or practice by the hospital that violates this Act. Before bringing such an action, the Attorney General may permit the hospital to submit a Correction Plan for the Attorney General's approval.

(e) This Section applies if:

(i) a court orders a party to make payments to the Attorney General and the payments are to be used for the operations of the Office of the Attorney General; or

(ii) a party agrees in a Correction Plan under this Act, to make payments to the Attorney General for the operations of the Office of the Attorney General.

(f) Moneys paid under any of the conditions described in (e) shall be deposited into the Attorney General Court Ordered and Voluntary Compliance Payment Projects Fund. Moneys in the Fund shall be used, subject to appropriation, for the performance of any function pertaining to the exercise of the duties to the Attorney General including, but not limited to, enforcement of any law of this State and conducting public education programs; however, any moneys in the Fund that are required by the court to be used for a particular purpose shall be used for that purpose.

(g) The Attorney General may seek the assessment of one or more of the following civil monetary penalties in any action filed under this Act where the hospital knowingly violates the Act:

(1) For violations, involving a pattern or practice, of not providing the information to patients under Sections 12, 15, 20, 25, and 50, the civil monetary penalty shall not exceed $500 per violation.

(2) For violations involving the failure to engage in or refrain from certain activities under Sections 21, 30, 35, and 40, the civil monetary penalty shall not exceed $1,000 $1000 per violation.

(h) In the event a court grants a final order of relief against any hospital for a violation of this Act, the Attorney General may, after all appeal rights have been exhausted, refer the hospital to the Illinois Department of Public Health for possible adverse licensure action under the Hospital Licensing Act.

(Source: P.A. 104-181, eff. 1-1-26.)".