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1 | AN ACT concerning health. | |||||||||||||||||||
2 | Be it enacted by the People of the State of Illinois, | |||||||||||||||||||
3 | represented in the General Assembly: | |||||||||||||||||||
4 | Section 5. The Medical Patient Rights Act is amended by | |||||||||||||||||||
5 | changing Section 3 as follows: | |||||||||||||||||||
6 | (410 ILCS 50/3) (from Ch. 111 1/2, par. 5403) | |||||||||||||||||||
7 | Sec. 3. The following rights are hereby established: | |||||||||||||||||||
8 | (a) The right of each patient to care consistent with | |||||||||||||||||||
9 | sound nursing and medical practices, to be informed of the | |||||||||||||||||||
10 | name of the physician responsible for coordinating his or | |||||||||||||||||||
11 | her care, to receive information concerning his or her | |||||||||||||||||||
12 | condition and proposed treatment, to refuse any treatment | |||||||||||||||||||
13 | to the extent permitted by law, and to privacy and | |||||||||||||||||||
14 | confidentiality of records except as otherwise provided by | |||||||||||||||||||
15 | law. | |||||||||||||||||||
16 | (b) The right of each patient, regardless of source of | |||||||||||||||||||
17 | payment, to examine and receive a reasonable explanation | |||||||||||||||||||
18 | of his total bill for services rendered by his physician | |||||||||||||||||||
19 | or health care provider, including the itemized charges | |||||||||||||||||||
20 | for specific services received. Each physician or health | |||||||||||||||||||
21 | care provider shall be responsible only for a reasonable | |||||||||||||||||||
22 | explanation of those specific services provided by such | |||||||||||||||||||
23 | physician or health care provider. |
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1 | (c) In the event an insurance company or health | ||||||
2 | services corporation cancels or refuses to renew an | ||||||
3 | individual policy or plan, the insured patient shall be | ||||||
4 | entitled to timely, prior notice of the termination of | ||||||
5 | such policy or plan. | ||||||
6 | An insurance company or health services corporation | ||||||
7 | that requires any insured patient or applicant for new or | ||||||
8 | continued insurance or coverage to be tested for infection | ||||||
9 | with human immunodeficiency virus (HIV) or any other | ||||||
10 | identified causative agent of acquired immunodeficiency | ||||||
11 | syndrome (AIDS) shall (1) give the patient or applicant | ||||||
12 | prior written notice of such requirement, (2) proceed with | ||||||
13 | such testing only upon the written authorization of the | ||||||
14 | applicant or patient, and (3) keep the results of such | ||||||
15 | testing confidential. Notice of an adverse underwriting or | ||||||
16 | coverage decision may be given to any appropriately | ||||||
17 | interested party, but the insurer may only disclose the | ||||||
18 | test result itself to a physician designated by the | ||||||
19 | applicant or patient, and any such disclosure shall be in | ||||||
20 | a manner that assures confidentiality. | ||||||
21 | The Department of Insurance shall enforce the | ||||||
22 | provisions of this subsection. | ||||||
23 | (d) The right of each patient to privacy and | ||||||
24 | confidentiality in health care. Each physician, health | ||||||
25 | care provider, health services corporation and insurance | ||||||
26 | company shall refrain from disclosing the nature or |
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1 | details of services provided to patients, except that such | ||||||
2 | information may be disclosed: (1) to the patient, (2) to | ||||||
3 | the party making treatment decisions if the patient is | ||||||
4 | incapable of making decisions regarding the health | ||||||
5 | services provided, (3) for treatment in accordance with 45 | ||||||
6 | CFR 164.501 and 164.506, (4) for payment in accordance | ||||||
7 | with 45 CFR 164.501 and 164.506, (5) to those parties | ||||||
8 | responsible for peer review, utilization review, and | ||||||
9 | quality assurance, (6) for health care operations in | ||||||
10 | accordance with 45 CFR 164.501 and 164.506, (7) to those | ||||||
11 | parties required to be notified under the Abused and | ||||||
12 | Neglected Child Reporting Act or the Illinois Sexually | ||||||
13 | Transmitted Infection Control Act, or (8) as otherwise | ||||||
14 | permitted, authorized, or required by State or federal | ||||||
15 | law. This right may be waived in writing by the patient or | ||||||
16 | the patient's guardian or legal representative, but a | ||||||
17 | physician or other health care provider may not condition | ||||||
18 | the provision of services on the patient's, guardian's, or | ||||||
19 | legal representative's agreement to sign such a waiver. In | ||||||
20 | the interest of public health, safety, and welfare, | ||||||
21 | patient information, including, but not limited to, health | ||||||
22 | information, demographic information, and information | ||||||
23 | about the services provided to patients, may be | ||||||
24 | transmitted to or through a health information exchange, | ||||||
25 | as that term is defined in Section 2 of the Mental Health | ||||||
26 | and Developmental Disabilities Confidentiality Act, in |
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1 | accordance with the disclosures permitted pursuant to this | ||||||
2 | Section. Patients shall be provided the opportunity to opt | ||||||
3 | out of their health information being transmitted to or | ||||||
4 | through a health information exchange in accordance with | ||||||
5 | Section 9.6 of the Mental Health and Developmental | ||||||
6 | Disabilities Confidentiality Act, Section 9.6 of the AIDS | ||||||
7 | Confidentiality Act, or Section 31.8 of the Genetic | ||||||
8 | Information Privacy Act, as applicable. In the case of a | ||||||
9 | patient choosing to opt out of having his or her | ||||||
10 | information available on an HIE, nothing in this Act shall | ||||||
11 | cause the physician or health care provider to be liable | ||||||
12 | for the release of a patient's health information by other | ||||||
13 | entities that may possess such information, including, but | ||||||
14 | not limited to, other health professionals, providers, | ||||||
15 | laboratories, pharmacies, hospitals, ambulatory surgical | ||||||
16 | centers, and nursing homes. | ||||||
17 | (e) The right of each patient to request access to and | ||||||
18 | be provided with an electronic record of the patient's | ||||||
19 | health information free of charge. If a request under this | ||||||
20 | subsection is made by a patient or the patient's | ||||||
21 | representative and the records are readily producible in | ||||||
22 | an electronic format, the health care provider shall | ||||||
23 | provide the patient or the patient's representative with | ||||||
24 | access to the requested records in an electronic format. | ||||||
25 | (Source: P.A. 103-508, eff. 8-4-23; 103-1049, eff. 8-9-24.) |