Illinois General Assembly - Full Text of HB3848
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Full Text of HB3848  99th General Assembly

HB3848enr 99TH GENERAL ASSEMBLY

  
  
  

 


 
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1    AN ACT concerning public health.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 10. The Sexual Assault Survivors Emergency
5Treatment Act is amended by changing Sections 1a, 5, 7, and 8
6and by adding Section 7.5 as follows:
 
7    (410 ILCS 70/1a)  (from Ch. 111 1/2, par. 87-1a)
8    Sec. 1a. Definitions. In this Act:
9    "Ambulance provider" means an individual or entity that
10owns and operates a business or service using ambulances or
11emergency medical services vehicles to transport emergency
12patients.
13    "Areawide sexual assault treatment plan" means a plan,
14developed by the hospitals in the community or area to be
15served, which provides for hospital emergency services to
16sexual assault survivors that shall be made available by each
17of the participating hospitals.
18    "Department" means the Department of Public Health.
19    "Emergency contraception" means medication as approved by
20the federal Food and Drug Administration (FDA) that can
21significantly reduce the risk of pregnancy if taken within 72
22hours after sexual assault.
23    "Follow-up healthcare" means healthcare services related

 

 

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1to a sexual assault, including laboratory services and pharmacy
2services, rendered within 90 days of the initial visit for
3hospital emergency services.
4    "Forensic services" means the collection of evidence
5pursuant to a statewide sexual assault evidence collection
6program administered by the Department of State Police, using
7the Illinois State Police Sexual Assault Evidence Collection
8Kit.
9    "Health care professional" means a physician, a physician
10assistant, or an advanced practice nurse.
11    "Hospital" has the meaning given to that term in the
12Hospital Licensing Act.
13    "Hospital emergency services" means healthcare delivered
14to outpatients within or under the care and supervision of
15personnel working in a designated emergency department of a
16hospital, including, but not limited to, care ordered by such
17personnel for a sexual assault survivor in the emergency
18department.
19    "Illinois State Police Sexual Assault Evidence Collection
20Kit" means a prepackaged set of materials and forms to be used
21for the collection of evidence relating to sexual assault. The
22standardized evidence collection kit for the State of Illinois
23shall be the Illinois State Police Sexual Assault Evidence
24Collection Kit.
25    "Nurse" means a nurse licensed under the Nurse Practice
26Act.

 

 

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1    "Physician" means a person licensed to practice medicine in
2all its branches.
3    "Sexual assault" means an act of nonconsensual sexual
4conduct or sexual penetration, as defined in Section 11-0.1 of
5the Criminal Code of 2012, including, without limitation, acts
6prohibited under Sections 11-1.20 through 11-1.60 of the
7Criminal Code of 2012.
8    "Sexual assault survivor" means a person who presents for
9hospital emergency services in relation to injuries or trauma
10resulting from a sexual assault.
11    "Sexual assault transfer plan" means a written plan
12developed by a hospital and approved by the Department, which
13describes the hospital's procedures for transferring sexual
14assault survivors to another hospital in order to receive
15emergency treatment.
16    "Sexual assault treatment plan" means a written plan
17developed by a hospital that describes the hospital's
18procedures and protocols for providing hospital emergency
19services and forensic services to sexual assault survivors who
20present themselves for such services, either directly or
21through transfer from another hospital.
22    "Transfer services" means the appropriate medical
23screening examination and necessary stabilizing treatment
24prior to the transfer of a sexual assault survivor to a
25hospital that provides hospital emergency services and
26forensic services to sexual assault survivors pursuant to a

 

 

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1sexual assault treatment plan or areawide sexual assault
2treatment plan.
3    "Voucher" means a document generated by a hospital at the
4time the sexual assault survivor receives hospital emergency
5and forensic services that a sexual assault survivor may
6present to providers for follow-up healthcare.
7(Source: P.A. 96-328, eff. 8-11-09; 96-1551, eff. 7-1-11;
897-1150, eff. 1-25-13.)
 
9    (410 ILCS 70/5)  (from Ch. 111 1/2, par. 87-5)
10    Sec. 5. Minimum requirements for hospitals providing
11hospital emergency services and forensic services to sexual
12assault survivors.
13    (a) Every hospital providing hospital emergency services
14and forensic services to sexual assault survivors under this
15Act shall, as minimum requirements for such services, provide,
16with the consent of the sexual assault survivor, and as ordered
17by the attending physician, an advanced practice nurse who has
18a written collaborative agreement with a collaborating
19physician that authorizes provision of emergency services, or a
20physician assistant who has been delegated authority to provide
21hospital emergency services and forensic services, the
22following:
23        (1) appropriate medical examinations and laboratory
24    tests required to ensure the health, safety, and welfare of
25    a sexual assault survivor or which may be used as evidence

 

 

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1    in a criminal proceeding against a person accused of the
2    sexual assault, or both; and records of the results of such
3    examinations and tests shall be maintained by the hospital
4    and made available to law enforcement officials upon the
5    request of the sexual assault survivor;
6        (2) appropriate oral and written information
7    concerning the possibility of infection, sexually
8    transmitted disease and pregnancy resulting from sexual
9    assault;
10        (3) appropriate oral and written information
11    concerning accepted medical procedures, medication, and
12    possible contraindications of such medication available
13    for the prevention or treatment of infection or disease
14    resulting from sexual assault;
15        (4) an amount of medication for treatment at the
16    hospital and after discharge as is deemed appropriate by
17    the attending physician, an advanced practice nurse, or a
18    physician assistant and consistent with the hospital's
19    current approved protocol for sexual assault survivors;
20        (5) an evaluation of the sexual assault survivor's risk
21    of contracting human immunodeficiency virus (HIV) from the
22    sexual assault;
23        (6) written and oral instructions indicating the need
24    for follow-up examinations and laboratory tests after the
25    sexual assault to determine the presence or absence of
26    sexually transmitted disease;

 

 

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1        (7) referral by hospital personnel for appropriate
2    counseling; and
3        (8) when HIV prophylaxis is deemed appropriate, an
4    initial dose or doses of HIV prophylaxis, along with
5    written and oral instructions indicating the importance of
6    timely follow-up healthcare.
7    (b) Any person who is a sexual assault survivor who seeks
8emergency hospital services and forensic services or follow-up
9healthcare under this Act shall be provided such services
10without the consent of any parent, guardian, custodian,
11surrogate, or agent.
12    (b-5) Every treating hospital providing hospital emergency
13and forensic services to sexual assault survivors shall issue a
14voucher to any sexual assault survivor who is eligible to
15receive one. The hospital shall make a copy of the voucher and
16place it in the medical record of the sexual assault survivor.
17The hospital shall provide a copy of the voucher to the sexual
18assault survivor after discharge upon request.
19    (c) Nothing in this Section creates a physician-patient
20relationship that extends beyond discharge from the hospital
21emergency department.
22(Source: P.A. 95-432, eff. 1-1-08; 96-318, eff. 1-1-10.)
 
23    (410 ILCS 70/7)  (from Ch. 111 1/2, par. 87-7)
24    Sec. 7. Reimbursement.
25    (a) A hospital or health care professional furnishing

 

 

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1hospital emergency services or forensic services, an ambulance
2provider furnishing transportation to a sexual assault
3survivor, a hospital, health care professional, or laboratory
4providing follow-up healthcare, or a pharmacy dispensing
5prescribed medications to any sexual assault survivor shall
6furnish such services or medications to that person without
7charge and shall seek payment as follows:
8        (1) If a sexual assault survivor is eligible to receive
9    benefits under the medical assistance program under
10    Article V of the Illinois Public Aid Code, the ambulance
11    provider, hospital, health care professional, laboratory,
12    or pharmacy must submit the bill to the Department of
13    Healthcare and Family Services or the appropriate Medicaid
14    managed care organization and accept the amount paid as
15    full payment.
16        (2) If a sexual assault survivor is covered by one or
17    more policies of health insurance or is a beneficiary under
18    a public or private health coverage program, the ambulance
19    provider, hospital, health care professional, laboratory,
20    or pharmacy shall bill the insurance company or program.
21    With respect to such insured patients, applicable
22    deductible, co-pay, co-insurance, denial of claim, or any
23    other out-of-pocket insurance-related expense may be
24    submitted to the Illinois Sexual Assault Emergency
25    Treatment Program of the Department of Healthcare and
26    Family Services in accordance with 89 Ill. Adm. Code

 

 

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1    148.510 for payment at the Department of Healthcare and
2    Family Services' allowable rates under the Illinois Public
3    Aid Code. The ambulance provider, hospital, health care
4    professional, laboratory, or pharmacy shall accept the
5    amounts paid by the insurance company or health coverage
6    program and the Illinois Sexual Assault Treatment Program
7    as full payment.
8        (3) If a sexual assault survivor is neither eligible to
9    receive benefits under the medical assistance program
10    under Article V of the Public Aid Code nor covered by a
11    policy of insurance or a public or private health coverage
12    program, the ambulance provider, hospital, health care
13    professional, laboratory, or pharmacy shall submit the
14    request for reimbursement to the Illinois Sexual Assault
15    Emergency Treatment Program under the Department of
16    Healthcare and Family Services in accordance with 89 Ill.
17    Adm. Code 148.510 at the Department of Healthcare and
18    Family Services' allowable rates under the Illinois Public
19    Aid Code.
20        (4) If a sexual assault survivor presents a voucher for
21    follow-up healthcare, the healthcare professional or
22    laboratory that provides follow-up healthcare or the
23    pharmacy that dispenses prescribed medications to a sexual
24    assault survivor shall submit the request for
25    reimbursement for follow-up healthcare, laboratory, or
26    pharmacy services to the Illinois Sexual Assault Emergency

 

 

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1    Treatment Program under the Department of Healthcare and
2    Family Services in accordance with 89 Ill. Adm. Code
3    148.510 at the Department of Healthcare and Family
4    Services' allowable rates under the Illinois Public Aid
5    Code. Nothing in this subsection (a) precludes hospitals
6    from providing follow-up healthcare and receiving
7    reimbursement under this Section.
8When any ambulance provider furnishes transportation, hospital
9provides hospital emergency services and forensic services,
10hospital or health care professional or laboratory provides
11follow-up healthcare, or pharmacy dispenses prescribed
12medications to any sexual assault survivor, as defined by the
13Department of Healthcare and Family Services, who is neither
14eligible to receive such services under the Illinois Public Aid
15Code nor covered as to such services by a policy of insurance,
16the ambulance provider, hospital, health care professional,
17pharmacy, or laboratory shall furnish such services to that
18person without charge and shall be entitled to be reimbursed
19for providing such services by the Illinois Sexual Assault
20Emergency Treatment Program under the Department of Healthcare
21and Family Services and at the Department of Healthcare and
22Family Services' allowable rates under the Illinois Public Aid
23Code.
24    (b) Nothing in this Section precludes a hospital, health
25care provider, ambulance provider, laboratory, or pharmacy
26from billing the sexual assault survivor or any applicable

 

 

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1health insurance or coverage for inpatient services. The
2hospital is responsible for submitting the request for
3reimbursement for ambulance services, hospital emergency
4services, and forensic services to the Illinois Sexual Assault
5Emergency Treatment Program. Nothing in this Section precludes
6hospitals from providing follow-up healthcare and receiving
7reimbursement under this Section.
8    (c) (Blank). The health care professional who provides
9follow-up healthcare and the pharmacy that dispenses
10prescribed medications to a sexual assault survivor are
11responsible for submitting the request for reimbursement for
12follow-up healthcare or pharmacy services to the Illinois
13Sexual Assault Emergency Treatment Program.
14    (d) On and after July 1, 2012, the Department shall reduce
15any rate of reimbursement for services or other payments or
16alter any methodologies authorized by this Act or the Illinois
17Public Aid Code to reduce any rate of reimbursement for
18services or other payments in accordance with Section 5-5e of
19the Illinois Public Aid Code.
20    (e) The Department of Healthcare and Family Services shall
21establish standards, rules, and regulations to implement this
22Section.
23(Source: P.A. 97-689, eff. 6-14-12; 98-463, eff. 8-16-13.)
 
24    (410 ILCS 70/7.5 new)
25    Sec. 7.5. Prohibition on billing sexual assault survivors

 

 

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1directly for certain services; written notice; billing
2protocols.
3    (a) A hospital, health care professional, ambulance
4provider, laboratory, or pharmacy furnishing hospital
5emergency services, forensic services, transportation,
6follow-up healthcare, or medication to a sexual assault
7survivor shall not:
8        (1) charge or submit a bill for any portion of the
9    costs of the services, transportation, or medications to
10    the sexual assault survivor, including any insurance
11    deductible, co-pay, co-insurance, denial of claim by an
12    insurer, spenddown, or any other out-of-pocket expense;
13        (2) communicate with, harass, or intimidate the sexual
14    assault survivor for payment of services, including, but
15    not limited to, repeatedly calling or writing to the sexual
16    assault survivor and threatening to refer the matter to a
17    debt collection agency or to an attorney for collection,
18    enforcement, or filing of other process;
19        (3) refer a bill to a collection agency or attorney for
20    collection action against the sexual assault survivor;
21        (4) contact or distribute information to affect the
22    sexual assault survivor's credit rating; or
23        (5) take any other action adverse to the sexual assault
24    survivor or his or her family on account of providing
25    services to the sexual assault survivor.
26    (b) Nothing in this Section precludes a hospital, health

 

 

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1care provider, ambulance provider, laboratory, or pharmacy
2from billing the sexual assault survivor or any applicable
3health insurance or coverage for inpatient services.
4    (c) Within 60 days after the effective date of this
5amendatory Act of the 99th General Assembly, every hospital
6providing treatment services to sexual assault survivors in
7accordance with a plan approved under Section 2 of this Act
8shall provide a written notice to a sexual assault survivor.
9The written notice must include, but is not limited to, the
10following:
11        (1) a statement that the sexual assault survivor should
12    not be directly billed by any ambulance provider providing
13    transportation services, or by any hospital, health care
14    professional, laboratory, or pharmacy for the services the
15    sexual assault survivor received as an outpatient at the
16    hospital;
17        (2) a statement that a sexual assault survivor who is
18    admitted to a hospital may be billed for inpatient services
19    provided by a hospital, health care professional,
20    laboratory, or pharmacy;
21        (3) a statement that prior to leaving the emergency
22    department of the treating facility, the hospital will give
23    the sexual assault survivor a voucher for follow-up
24    healthcare if the sexual assault survivor is eligible to
25    receive a voucher;
26        (4) the definition of "follow-up healthcare" as set

 

 

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1    forth in Section 1a of this Act;
2        (5) a phone number the sexual assault survivor may call
3    should the sexual assault survivor receive a bill from the
4    hospital for hospital emergency services and forensic
5    services;
6        (6) the toll-free phone number of the Office of the
7    Illinois Attorney General, Crime Victim Services Division,
8    which the sexual assault survivor may call should the
9    sexual assault survivor receive a bill from an ambulance
10    provider, a health care professional, a laboratory, or a
11    pharmacy.
12    This subsection (c) shall not apply to hospitals that
13provide transfer services as defined under Section 1a of this
14Act.
15    (d) Within 60 days after the effective date of this
16amendatory Act of the 99th General Assembly, every health care
17professional, except for those employed by a hospital or
18hospital affiliate, as defined in the Hospital Licensing Act,
19or those employed by a hospital operated under the University
20of Illinois Hospital Act, who bills separately for hospital
21emergency services or forensic services must develop a billing
22protocol that ensures that no survivor of sexual assault will
23be sent a bill for any hospital emergency services or forensic
24services and submit the billing protocol to the Crime Victim
25Services Division of the Office of the Attorney General for
26approval. Health care professionals who bill as a legal entity

 

 

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1may submit a single billing protocol for the billing entity.
2The billing protocol must include at a minimum:
3        (1) a description of training for persons who prepare
4    bills for hospital emergency services and forensic
5    services;
6        (2) a written acknowledgement signed by a person who
7    has completed the training that the person will not bill
8    survivors of sexual assault;
9        (3) prohibitions on submitting any bill for any portion
10    of hospital emergency services or forensic services
11    provided to a survivor of sexual assault to a collection
12    agency;
13        (4) prohibitions on taking any action that would
14    adversely affect the credit of the survivor of sexual
15    assault;
16        (5) the termination of all collection activities if the
17    protocol is violated; and
18        (6) the actions to be taken if a bill is sent to a
19    collection agency or the failure to pay is reported to any
20    credit reporting agency.
21    The Crime Victim Services Division of the Office of the
22Attorney General may provide a sample acceptable billing
23protocol upon request.
24    The Office of the Attorney General shall approve a proposed
25protocol if it finds that the implementation of the protocol
26would result in no survivor of sexual assault being billed or

 

 

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1sent a bill for hospital emergency services or forensic
2services.
3    If the Office of the Attorney General determines that
4implementation of the protocol could result in the billing of a
5survivor of sexual assault for hospital emergency services or
6forensic services, the Office of the Attorney General shall
7provide the health care professional with a written statement
8of the deficiencies in the protocol. The health care
9professional shall have 30 days to submit a revised billing
10protocol addressing the deficiencies to the Office of the
11Attorney General. The health care professional shall implement
12the protocol upon approval by the Crime Victim Services
13Division of the Office of the Attorney General.
14    The health care professional shall submit any proposed
15revision to or modification of an approved billing protocol to
16the Crime Victim Services Division of the Office of the
17Attorney General for approval. The health care professional
18shall implement the revised or modified billing protocol upon
19approval by the Crime Victim Services Division of the Office of
20the Illinois Attorney General.
 
21    (410 ILCS 70/8)  (from Ch. 111 1/2, par. 87-8)
22    Sec. 8. Penalties.
23    (a) Any hospital violating any provisions of this Act other
24than Section 7.5 shall be guilty of a petty offense for each
25violation, and any fine imposed shall be paid into the general

 

 

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1corporate funds of the city, incorporated town or village in
2which the hospital is located, or of the county, in case such
3hospital is outside the limits of any incorporated
4municipality.
5    (b) The Attorney General may seek the assessment of one or
6more of the following civil monetary penalties in any action
7filed under this Act where the hospital, health care
8professional, ambulance provider, laboratory, or pharmacy
9knowingly violates Section 7.5 of the Act:
10        (1) For willful violations of paragraphs (1), (2), (4),
11    or (5) of subsection (a) of Section 7.5 or subsection (c)
12    of Section 7.5, the civil monetary penalty shall not exceed
13    $500 per violation.
14        (2) For violations of paragraphs (1), (2), (4), or (5)
15    of subsection (a) of Section 7.5 or subsection (c) of
16    Section 7.5 involving a pattern or practice, the civil
17    monetary penalty shall not exceed $500 per violation.
18        (3) For violations of paragraph (3) of subsection (a)
19    of Section 7.5, the civil monetary penalty shall not exceed
20    $500 for each day the bill is with a collection agency.
21        (4) For violations involving the failure to submit
22    billing protocols within the time period required under
23    subsection (d) of Section 7.5, the civil monetary penalty
24    shall not exceed $100 per day until the health care
25    professional complies with subsection (d) of Section 7.5.
26    All civil monetary penalties shall be deposited into the

 

 

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1Violent Crime Victims Assistance Fund.
2(Source: P.A. 79-564.)