99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016
HB3618
 
Introduced , by Rep. Cynthia Soto
 
SYNOPSIS AS INTRODUCED:
 

 
110 ILCS 330/8a new
210 ILCS 85/6.22a new

     Amends the University of Illinois Hospital Act and the Hospital Licensing Act. Requires a hospital to provide notice of a patient's outpatient status to the patient or the patient's designee if: (1) the patient receives onsite services from the hospital for more than 23 consecutive hours; (2) the onsite services received by the patient include a hospital bed and meals that have been provided in an area of the hospital other than the hospital emergency room; and (3) the patient has not been formally admitted as an inpatient at the hospital. Requires the notice to include certain information concerning insurance coverage. Effective immediately.
  


LRB099 07999 RPS 28139 b

FISCAL NOTE ACT MAY APPLY
 
 
A BILL FOR
 

  
HB3618LRB099 07999 RPS 28139 b


  
1    AN ACT concerning regulation.
  
 
2    Be it enacted by the People of the State of Illinois,
 
3represented in the General Assembly:
  
 
 
4    Section 5. The University of Illinois Hospital Act is 
5amended  by adding Section 8a as follows:
 
6    (110 ILCS 330/8a new)
7    Sec. 8a. Notice to patient of outpatient status.
8    (a) The University of Illinois Hospital shall provide 
9notice of a patient's outpatient status  to the patient or the 
10patient's designee if:
11        (1) the patient receives onsite services from the 
12    hospital for more than 23 consecutive hours;
13        (2) the onsite services received by the patient include 
14    a hospital bed and meals that have been provided in an area 
15    of the hospital other than the hospital emergency room; and
16        (3) the patient has not been formally admitted as an

17    inpatient at the hospital.
18    (b) The patient notice required under subsection (a) shall 
19include a statement that:
20        (1) outpatient observation status may impact coverage

21    determinations made by the federal Medicare program or the

22    patient's insurance company for hospital and post-hospital

23    payments; 
 
 
HB3618- 2 -LRB099 07999 RPS 28139 b

1        (2) final decisions related to outpatient observation

2    status can be made after a patient is no longer a patient 
3    at the hospital and after a patient has received hospital 
4    services or other services; and
5        (3) a patient should contact his or her provider of 
6    benefits under the Medicare or Medicaid program or his or 
7    her health insurance provider if the patient has specific 
8    questions about the coverage.
 
9    Section 10. The Hospital Licensing Act is amended  by adding 
10Section 6.22a as follows:
 
11    (210 ILCS 85/6.22a new)
12    Sec. 6.22a. Notice to patient of outpatient status.
13    (a) A hospital shall provide notice of a patient's 
14outpatient status  to the patient or the patient's designee if:
15        (1) the patient receives onsite services from the 
16    hospital for more than 23 consecutive hours;
17        (2) the onsite services received by the patient include 
18    a hospital bed and meals that have been provided in an area 
19    of the hospital other than the hospital emergency room; and
20        (3) the patient has not been formally admitted as an

21    inpatient at the hospital.
22    (b) The patient notice required under subsection (a) shall 
23include a statement that:
24        (1) outpatient observation status may impact coverage

 
 
HB3618- 3 -LRB099 07999 RPS 28139 b

1    determinations made by the federal Medicare program or the

2    patient's insurance company for hospital and post-hospital

3    payments; 
4        (2) final decisions related to outpatient observation

5    status can be made after a patient is no longer a patient 
6    at the hospital and after a patient has received hospital 
7    services or other services; and
8        (3) a patient should contact his or her provider of 
9    benefits under the Medicare or Medicaid program or his or 
10    her health insurance provider if the patient has specific 
11    questions about the coverage.
 
 
12    Section 99. Effective date. This Act takes effect upon 
13becoming law.