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1 | | "Hospital affiliate" has the meaning ascribed to that term |
2 | | in Section 10.8 of the Hospital Licensing Act. |
3 | | "Mental health disorder" has the same meaning as "mental |
4 | | illness" under Section 1-129 of the Mental Health and |
5 | | Developmental Disabilities Code. |
6 | | "Program" means a licensable or fundable activity or
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7 | | service, or a coordinated range of such activities or |
8 | | services, established or licensed by the Department of Human |
9 | | Services. |
10 | | "Substance use disorder" has the same meaning as |
11 | | "substance abuse" under Section 1-10 of the Substance Use |
12 | | Disorder Act. |
13 | | "Treatment" has the meaning ascribed to that term in |
14 | | Section 1-10 of the Substance Use Disorder Act when used in |
15 | | reference to treatment for a substance use disorder. |
16 | | "Treatment" has the meaning ascribed to that term in Section |
17 | | 1-128 of the Mental Health and Developmental Disabilities Code |
18 | | when used in reference to treatment for a mental health |
19 | | disorder. |
20 | | (b) It is an unlawful practice for any person to engage in |
21 | | misleading or false advertising or promotion that |
22 | | misrepresents the need to seek mental health disorder or |
23 | | substance use disorder treatment outside of the State of |
24 | | Illinois. |
25 | | (c) Any marketing, advertising, promotional, or sales |
26 | | materials directed to Illinois residents concerning mental |
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1 | | health disorder or substance use disorder treatment must: |
2 | | (1) prominently display or announce the full physical |
3 | | address of the treatment program or facility; |
4 | | (2) display whether the treatment program or facility |
5 | | is licensed in the State of Illinois; |
6 | | (3) display whether the treatment program or facility |
7 | | has locations in Illinois; |
8 | | (4) display whether the services provided by the |
9 | | treatment program or facility are covered by an insurance |
10 | | policy issued to an Illinois resident; |
11 | | (5) display whether the treatment program or facility |
12 | | is an in-network or out-of-network provider; |
13 | | (6) include a link to the Internet website for the |
14 | | Department of Human Services' Division of Mental Health |
15 | | and Division of Substance Use Prevention and Recovery, or |
16 | | any successor State agency that provides information |
17 | | regarding licensed providers of services; and |
18 | | (7) disclose that mental health disorder and substance |
19 | | use disorder treatment may be available at a reduced cost |
20 | | or for free for Illinois residents within the State of |
21 | | Illinois. |
22 | | (d) It is an unlawful practice for any person to solicit, |
23 | | offer, or enter into an arrangement under which a patient |
24 | | seeking mental health disorder or substance use disorder |
25 | | treatment is referred to a mental health disorder or substance |
26 | | use disorder treatment program or facility in exchange for a |
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1 | | fee, a percentage of the treatment program's or facility's |
2 | | revenues that are related to the patient, or any other |
3 | | remuneration that takes into account the volume or value of |
4 | | the referrals to the treatment program or facility. Such |
5 | | practice shall also be considered a violation of the |
6 | | prohibition against fee splitting in Section 22.2 of the |
7 | | Medical Practice Act of 1987 and a violation of the Health Care |
8 | | Worker Self-Referral Act. It is not a violation
of this |
9 | | Section for programs or facilities to enter into
personal |
10 | | services agreements or management services agreements
with |
11 | | third parties that do not take into account the volume or
value |
12 | | of referrals. It is not a violation of this Section
for |
13 | | programs or facilities to provide discounts for treatment
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14 | | services to clients as long as the discount is
based on |
15 | | financial necessity in accordance with the program's or |
16 | | facility's
charity care plan, regardless of referral source or |
17 | | reason.
Compensation paid by programs or facilities to their |
18 | | employees and independent
contractors related to identifying, |
19 | | locating, and securing referrals to
that program or facility |
20 | | is not a violation of this Section if the amount of |
21 | | compensation provided to the
employee or independent |
22 | | contractor does not vary based upon the volume
or value of such |
23 | | referrals. This Section does not apply to health insurance |
24 | | companies, health maintenance organizations, managed care |
25 | | plans, or organizations, including hospitals and hospital |
26 | | affiliates licensed in Illinois.
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