Illinois General Assembly - Bill Status for SB1840
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 Bill Status of SB1840  102nd General Assembly


Short Description:  HOSPITALS-FINANCIAL ASSISTANCE

Senate Sponsors
Sen. Mattie Hunter - Patricia Van Pelt, Adriane Johnson, Laura Fine, Karina Villa, Ann Gillespie, Sara Feigenholtz and Elgie R. Sims, Jr.

House Sponsors
(Rep. Camille Y. Lilly - Carol Ammons - Dagmara Avelar, Edgar Gonzalez, Jr., Kelly M. Cassidy, Delia C. Ramirez, Bob Morgan, Theresa Mah, Sonya M. Harper, Rita Mayfield, Emanuel Chris Welch, Elizabeth Hernandez and Daniel Didech)

Last Action
DateChamber Action
  8/25/2021SenatePublic Act . . . . . . . . . 102-0581

Statutes Amended In Order of Appearance
210 ILCS 76/5
210 ILCS 76/10
210 ILCS 76/15
210 ILCS 76/20
210 ILCS 76/22 new
210 ILCS 76/25
210 ILCS 89/5
210 ILCS 89/10
210 ILCS 89/15
210 ILCS 89/25


Synopsis As Introduced
Amends the Community Benefits Act. Provides that the Act applies to all nonprofit and public hospitals licensed under the Hospital Licensing Act or operated under the University of Illinois Hospital Act (rather than not applying to a hospital operated by a unit of government, a hospital located outside of a metropolitan statistical area, or a hospital with 100 or fewer beds). Requires community benefits plans to describe activities the hospital is undertaking to address health equity, reduce health disparities, and improve community health. Provides that, in order to increase transparency and accessibility of charity care and financial assistance data, the Attorney General shall post on the Attorney General's website: all community benefits plans contained in reports submitted by hospitals; and a compiled report that summarizes information from completed community benefits plans. Provides that an electronic version of the compiled report shall be sent to the Governor and each member of the General Assembly. Provides a late filing fee for nonprofit hospitals for community benefits plans of $2,500 per month that the report is late (rather than $100). Makes other changes. Amends the Hospital Uninsured Patient Discount Act. Provides that hospitals, other than a rural hospital or Critical Access Hospitals, shall provide a discount from charges to specified uninsured patients for all medically necessary health care services exceeding $150 (rather than $300) in any one inpatient admission or outpatient encounter. Provides civil monetary penalties of not$1,000 to $5,000 (rather than $500). Requires the Attorney General to publish an annual report that outlines complaints received related to hospital uninsured discount programs and financial assistance applications. Makes other changes. Effective immediately.

Senate Floor Amendment No. 1
Deletes reference to:
210 ILCS 76/5
210 ILCS 76/25

Replaces everything after the enacting clause. Amends the Community Benefits Act. Provides that the community benefits plans developed by a nonprofit hospital must describe activities the hospital is undertaking to address health equity, reduce health disparities, and improve community health. Provides that the annual report for the community benefits plan must include details about specified financial assistance applications received and processed by the hospital. Provides that, for a health system that includes more than one hospital, charity care spending and financial assistance application data must be reported separately for each individual hospital within the health system. Provides that a hospital shall make the annual hospital community benefits plan report submitted to the Attorney General available to the public by publishing the information on the hospital's website in the same location where annual reports are posted or on a prominent location on the homepage of the hospital's website. Provides that a hospital is not required to post its audited financial statements. Requires the Attorney General to provide notice on the Attorney General's website informing the public that, upon request, the Attorney General will provide the annual reports filed with the Attorney General. Makes changes concerning definitions. Makes other changes. Amends the Hospital Uninsured Patient Discount Act. Provides that a hospital meeting specified requirements shall provide: (1) a discount from its charges to any uninsured patient who applies for a discount and has family income of not more than 600% of the federal poverty income guidelines for all medically necessary health care services exceeding $150 (rather than $300) in any one inpatient admission or outpatient encounter; and (2) a charitable discount of 100% of its charges for all medically necessary health care services exceeding $150 (rather than $300) in any one inpatient admission or outpatient encounter to any uninsured patient who applies for a discount and has family income of not more than 200% of the federal poverty income guideline. Provides that the maximum amount that may be collected in a 12-month period for health care services provided by a hospital from a patient determined by that hospital to be eligible under specified provisions is 20% (rather than 25%) of the patient's family income. Requires hospital financial assistance applications to include language that directs the uninsured patient to contact the hospital's financial counseling department with questions or concerns, along with contact information for the financial counseling department, and a specified statement. Provides that a hospital shall permit an uninsured patient to apply for a discount within 90 (rather than 60) days of the date of discharge or date of service. Provides that a hospital shall offer specified uninsured patients an opportunity to be screened for and assistance with applying for public health insurance programs if there is a reasonable basis to believe that the uninsured patient may be eligible for a public health insurance program. Provides that, no later than September 1, 2022, the Attorney General shall provide data on the Attorney General's website regarding enforcement efforts performed under the Act from July 1, 2021 through June 30, 2022. Provides that, no later than September 1 of each year through September 1, 2027, the Attorney General shall annually provide data on the Attorney General's website regarding enforcement efforts performed under the Act from July 1 through June 30 of each year. Makes other changes. Effective January 1, 2022.

House Committee Amendment No. 1
In provisions of the Hospital Uninsured Patient Discount Act regarding patient responsibility, provides that hospitals may make the availability of a discount and the maximum collectible amount under the Act contingent upon the uninsured patient first applying for coverage under public health insurance programs (rather than public programs) if there is a reasonable basis to believe that the uninsured patient may be eligible for such program.

Actions 
DateChamber Action
  2/26/2021SenateFiled with Secretary by Sen. Mattie Hunter
  2/26/2021SenateFirst Reading
  2/26/2021SenateReferred to Assignments
  3/9/2021SenateAssigned to Health
  3/16/2021SenateTo Subcommittee on Public Health
  3/18/2021SenateAdded as Chief Co-Sponsor Sen. Patricia Van Pelt
  3/29/2021SenateAdded as Co-Sponsor Sen. Adriane Johnson
  3/29/2021SenateAdded as Co-Sponsor Sen. Laura Fine
  4/6/2021SenateReported Back To Health; 004-001-000
  4/13/2021SenateAdded as Co-Sponsor Sen. Karina Villa
  4/14/2021SenateDo Pass Health; 015-000-000
  4/14/2021SenatePlaced on Calendar Order of 2nd Reading April 15, 2021
  4/15/2021SenateAdded as Co-Sponsor Sen. Ann Gillespie
  4/19/2021SenateSenate Floor Amendment No. 1 Filed with Secretary by Sen. Mattie Hunter
  4/19/2021SenateSenate Floor Amendment No. 1 Referred to Assignments
  4/20/2021SenateSenate Floor Amendment No. 1 Assignments Refers to Health
  4/20/2021SenateSenate Floor Amendment No. 1 Recommend Do Adopt Health; 011-000-000
  4/20/2021SenateSenate Floor Amendment No. 1 Adopted; Hunter
  4/20/2021SenateSecond Reading
  4/20/2021SenatePlaced on Calendar Order of 3rd Reading April 21, 2021
  4/21/2021SenateThird Reading - Passed; 056-000-000
  4/21/2021SenateAdded as Co-Sponsor Sen. Sara Feigenholtz
  4/21/2021SenateAdded as Co-Sponsor Sen. Elgie R. Sims, Jr.
  4/22/2021HouseArrived in House
  4/22/2021HouseChief House Sponsor Rep. Camille Y. Lilly
  4/23/2021HouseFirst Reading
  4/23/2021HouseReferred to Rules Committee
  4/28/2021HouseAdded Alternate Chief Co-Sponsor Rep. Carol Ammons
  4/28/2021HouseAssigned to Executive Committee
  5/4/2021HouseAdded Alternate Co-Sponsor Rep. Edgar Gonzalez, Jr.
  5/4/2021HouseAdded Alternate Co-Sponsor Rep. Kelly M. Cassidy
  5/4/2021HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Camille Y. Lilly
  5/4/2021HouseHouse Committee Amendment No. 1 Referred to Rules Committee
  5/5/2021HouseAdded Alternate Co-Sponsor Rep. Delia C. Ramirez
  5/5/2021HouseHouse Committee Amendment No. 1 Rules Refers to Executive Committee
  5/5/2021HouseAdded Alternate Chief Co-Sponsor Rep. Dagmara Avelar
  5/12/2021HouseAdded Alternate Co-Sponsor Rep. Bob Morgan
  5/12/2021HouseAdded Alternate Co-Sponsor Rep. Theresa Mah
  5/12/2021HouseAdded Alternate Co-Sponsor Rep. Sonya M. Harper
  5/12/2021HouseHouse Committee Amendment No. 1 Adopted in Executive Committee; by Voice Vote
  5/12/2021HouseDo Pass as Amended / Consent Calendar Executive Committee; 015-000-000
  5/12/2021HousePlaced on Calendar 2nd Reading - Consent Calendar
  5/13/2021HouseAdded Alternate Co-Sponsor Rep. Rita Mayfield
  5/13/2021HouseSecond Reading - Consent Calendar
  5/13/2021HouseHeld on Calendar Order of Second Reading - Consent Calendar
  5/14/2021HousePlaced on Calendar Order of 3rd Reading - Consent Calendar
  5/17/2021HouseAdded Alternate Co-Sponsor Rep. Emanuel Chris Welch
  5/18/2021HouseAdded Alternate Co-Sponsor Rep. Elizabeth Hernandez
  5/19/2021HouseAdded Alternate Co-Sponsor Rep. Daniel Didech
  5/21/2021HouseThird Reading - Consent Calendar - First Day
  5/26/2021HouseThird Reading - Consent Calendar - Passed 112-000-000
  5/26/2021SenateSecretary's Desk - Concurrence House Amendment(s) 1
  5/26/2021SenatePlaced on Calendar Order of Concurrence House Amendment(s) 1 - May 27, 2021
  5/29/2021SenateHouse Committee Amendment No. 1 Motion to Concur Filed with Secretary Sen. Mattie Hunter
  5/29/2021SenateHouse Committee Amendment No. 1 Motion to Concur Referred to Assignments
  5/29/2021SenateHouse Committee Amendment No. 1 Motion to Concur Assignments Referred to Health
  5/29/2021SenateHouse Committee Amendment No. 1 Motion To Concur Recommended Do Adopt Health; 011-000-000
  5/30/2021SenateHouse Committee Amendment No. 1 Senate Concurs 059-000-000
  5/30/2021SenateSenate Concurs
  5/30/2021SenatePassed Both Houses
  6/28/2021SenateSent to the Governor
  8/25/2021SenateGovernor Approved
  8/25/2021SenateEffective Date January 1, 2022
  8/25/2021SenatePublic Act . . . . . . . . . 102-0581

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