SB3315 Engrossed LRB096 19938 ASK 35414 b

1     AN ACT concerning professional regulation.
 
2     Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
 
4     Section 5. The Medical Practice Act of 1987 is amended by
5 changing Section 22.2 as follows:
 
6     (225 ILCS 60/22.2)
7     (Section scheduled to be repealed on December 31, 2010)
8     Sec. 22.2. Prohibition against fee splitting.
9     (a) A licensee under this Act may not directly or
10 indirectly divide, share or split any professional fee or other
11 form of compensation for professional services with anyone in
12 exchange for a referral or otherwise, other than as provided in
13 this Section 22.2.
14     (b) Nothing contained in this Section abrogates the right
15 of 2 or more licensed health care workers as defined in the
16 Health Care Worker Self-referral Act to each receive adequate
17 compensation for concurrently rendering services to a patient
18 and to divide the fee for such service, provided that the
19 patient has full knowledge of the division and the division is
20 made in proportion to the actual services personally performed
21 and responsibility assumed by each licensee consistent with his
22 or her license, except as prohibited by law.
23     (c) Nothing contained in this Section prohibits a licensee

 

 

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1 under this Act from practicing medicine through or within any
2 form of legal entity authorized to conduct business in this
3 State or from pooling, sharing, dividing, or apportioning the
4 professional fees and other revenues in accordance with the
5 agreements and policies of the entity provided:
6         (1) each owner of the entity is licensed under this
7     Act;
8         (2) the entity is organized under the Medical
9     Corporation Act, the Professional Services Corporation
10     Act, the Professional Association Act, or the Limited
11     Liability Company Act;
12         (3) the entity is allowed by Illinois law to provide
13     physician services or employ physicians such as a licensed
14     hospital or hospital affiliate or licensed ambulatory
15     surgical treatment center owned in full or in part by
16     Illinois-licensed physicians; or
17         (4) the entity is a combination or joint venture of the
18     entities authorized under this subsection (c); or .
19         (5) the entity is an Illinois not for profit
20     corporation that is recognized as exempt from the payment
21     of federal income taxes as an organization described in
22     Section 501(c)(3) of the Internal Revenue Code and all of
23     its members are full-time faculty members of a medical
24     school that offers a M.D. degree program that is accredited
25     by the Liaison Committee on Medical Education and a program
26     of graduate medical education that is accredited by the

 

 

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1     Accreditation Council for Graduate Medical Education.
2     (d) Nothing contained in this Section prohibits a licensee
3 under this Act from paying a fair market value fee to any
4 person or entity whose purpose is to perform billing,
5 administrative preparation, or collection services based upon
6 a percentage of professional service fees billed or collected,
7 a flat fee, or any other arrangement that directly or
8 indirectly divides professional fees, for the administrative
9 preparation of the licensee's claims or the collection of the
10 licensee's charges for professional services, provided that:
11         (i) the licensee or the licensee's practice under
12     subsection (c) of this Section at all times controls the
13     amount of fees charged and collected; and
14         (ii) all charges collected are paid directly to the
15     licensee or the licensee's practice or are deposited
16     directly into an account in the name of and under the sole
17     control of the licensee or the licensee's practice or
18     deposited into a "Trust Account" by a licensed collection
19     agency in accordance with the requirements of Section 8(c)
20     of the Illinois Collection Agency Act.
21     (e) Nothing contained in this Section prohibits the
22 granting of a security interest in the accounts receivable or
23 fees of a licensee under this Act or the licensee's practice
24 for bona fide advances made to the licensee or licensee's
25 practice provided the licensee retains control and
26 responsibility for the collection of the accounts receivable

 

 

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1 and fees.
2     (f) Excluding payments that may be made to the owners of or
3 licensees in the licensee's practice under subsection (c), a
4 licensee under this Act may not divide, share or split a
5 professional service fee with, or otherwise directly or
6 indirectly pay a percentage of the licensee's professional
7 service fees, revenues or profits to anyone for: (i) the
8 marketing or management of the licensee's practice, (ii)
9 including the licensee or the licensee's practice on any
10 preferred provider list, (iii) allowing the licensee to
11 participate in any network of health care providers, (iv)
12 negotiating fees, charges or terms of service or payment on
13 behalf of the licensee, or (v) including the licensee in a
14 program whereby patients or beneficiaries are provided an
15 incentive to use the services of the licensee.
16 (Source: P.A. 96-608, eff. 8-24-09.)
 
17     Section 99. Effective date. This Act takes effect upon
18 becoming law.