Illinois General Assembly - Full Text of SB1840
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Full Text of SB1840  102nd General Assembly

SB1840 102ND GENERAL ASSEMBLY

  
  

 


 
102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
SB1840

 

Introduced 2/26/2021, by Sen. Mattie Hunter

 

SYNOPSIS AS INTRODUCED:
 
See Index

    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.


LRB102 15013 CPF 20368 b

 

 

A BILL FOR

 

SB1840LRB102 15013 CPF 20368 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 Community Benefits Act is amended by
5changing Sections 5, 10, 15, 20, and 25 and by adding Section
622 as follows:
 
7    (210 ILCS 76/5)
8    Sec. 5. Applicability. This Act applies to all nonprofit
9and public hospitals licensed under the Hospital Licensing Act
10or operated under the University of Illinois Hospital Act.
11This Act does not apply to a hospital operated by a unit of
12government, a hospital located outside of a metropolitan
13statistical area, or a hospital with 100 or fewer beds.
14Hospitals that are owned or operated by or affiliated with a
15health system shall be deemed to be in compliance with this Act
16if the health system has met the requirements of this Act.
17(Source: P.A. 93-480, eff. 8-8-03.)
 
18    (210 ILCS 76/10)
19    Sec. 10. Definitions. As used in this Act:
20    "Bad debt" means any bill submitted to a patient or
21guarantor where efforts to collect are exhausted and the bill
22is not paid in full.

 

 

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1    "Charity care" means care provided by a health care
2provider for which the provider does not expect to receive
3payment from the patient or a third party payer. "Charity
4care" includes the actual cost of services provided based upon
5the total cost to charge ratio derived from the nonprofit
6hospital's Medicare cost report and not based upon the charges
7for the services. "Charity care" does not include bad debt.
8    "Community benefits" means the unreimbursed cost to a
9hospital or health system of providing charity care, language
10assistant services, government-sponsored indigent health care,
11donations, volunteer services, education,
12government-sponsored program services, research, and
13subsidized health services and collecting bad debts.
14"Community benefits" does not include the cost of paying any
15taxes or other governmental assessments.
16    "Cost to charge ratio" means the ratio between a
17hospital's expenses and what the hospital charges, and service
18costs relative to the charges assigned by the hospital, as
19provided in the hospital's Medicare Cost Report.
20    "Financial assistance" means care given at a reduced rate
21or no cost due to the inability of the patient to pay for such
22care as a result of being uninsured or underinsured under the
23terms and conditions the hospital offers to qualified patients
24and as required by law.
25    "Government-sponsored Government sponsored indigent health
26care" means the unreimbursed cost to a hospital or health

 

 

SB1840- 3 -LRB102 15013 CPF 20368 b

1system of Medicare, providing health care services to
2recipients of Medicaid, and other federal, State, or local
3indigent health care programs, eligibility for which is based
4on financial need.
5    "Health system" means an entity that owns or operates at
6least one hospital.
7    "Net patient revenue" means the amount a hospital or
8health system expects to be received from a public or private
9health insurance payer, or paid directly in the form of
10copayments, coinsurance, or other payment, for health care
11services provided by the hospital or health system.
12    "Nonprofit hospital" means a hospital that is organized as
13a nonprofit corporation, including religious organizations, or
14a charitable trust under Illinois law or the laws of any other
15state or country.
16    "Subsidized health services" means those services provided
17by a hospital in response to community needs for which the
18reimbursement is less than the hospital's cost of providing
19the services that must be subsidized by other hospital or
20nonprofit supporting entity revenue sources. "Subsidized
21health services" includes, but is not limited to, emergency
22and trauma care, neonatal intensive care, community health
23clinics, and collaborative efforts with local government or
24private agencies to prevent illness and improve wellness, such
25as immunization programs.
26(Source: P.A. 93-480, eff. 8-8-03.)
 

 

 

SB1840- 4 -LRB102 15013 CPF 20368 b

1    (210 ILCS 76/15)
2    Sec. 15. Organizational mission statement; community
3benefits plan. A nonprofit hospital shall develop:
4        (1) an organizational mission statement that
5    identifies the hospital's commitment to serving the health
6    care needs of the community; and
7        (2) a community benefits plan defined as an
8    operational plan for serving the community's health care
9    needs that:
10            (A) sets out goals and objectives for providing
11        community benefits that include charity care and
12        government-sponsored government sponsored indigent
13        health care; and
14            (B) identifies the populations and communities
15        served by the hospital; and .
16            (C) describes activities the hospital is
17        undertaking to address health equity, reduce health
18        disparities, and improve community health. This may
19        include, but is not limited to:
20                (i) efforts to recruit and promote a racially
21            and culturally diverse and representative
22            workforce;
23                (ii) efforts to procure goods and services
24            locally and from historically underrepresented
25            communities;

 

 

SB1840- 5 -LRB102 15013 CPF 20368 b

1                (iii) training that addresses cultural
2            competency and implicit bias; and
3                (iv) partnerships and investments to address
4            social needs such as food, housing, and community
5            safety.
6(Source: P.A. 93-480, eff. 8-8-03.)
 
7    (210 ILCS 76/20)
8    Sec. 20. Annual report for community benefits plan.
9    (a) Each nonprofit hospital shall prepare an annual report
10of the community benefits plan. The report must include, in
11addition to the community benefits plan itself, all of the
12following background information:
13        (1) The hospital's mission statement.
14        (2) A disclosure of the health care needs of the
15    community that were considered in developing the
16    hospital's community benefits plan.
17        (3) A disclosure of the amount and types of community
18    benefits actually provided, including charity care, and
19    details about financial assistance applications received
20    and processed by hospitals as specified in paragraph (5)
21    of subsection (a) of Section 22. Charity care must be
22    reported separate from other community benefits. In
23    reporting charity care, the hospital must report the
24    actual cost of services provided, based on the total cost
25    to charge ratio derived from the hospital's Medicare cost

 

 

SB1840- 6 -LRB102 15013 CPF 20368 b

1    report (CMS 2552-96 Worksheet C, Part 1, PPS Inpatient
2    Ratios), not the charges for the services. For a health
3    system that includes more than one hospital, charity care
4    spending and financial assistance application data must be
5    reported separately for each individual hospital within
6    the health system.
7        (4) Audited annual financial reports for its most
8    recently completed fiscal year.
9    (b) Each nonprofit hospital shall annually file a report
10of the community benefits plan with the Attorney General. The
11report must be filed not later than the last day of the sixth
12month after the close of the hospital's fiscal year, beginning
13with the hospital fiscal year that ends in 2004.
14    (c) Each nonprofit hospital shall prepare a statement that
15notifies the public that the annual report of the community
16benefits plan is:
17        (1) public information;
18        (2) filed with the Attorney General; and
19        (3) available to the public on request from the
20    Attorney General.
21    This statement shall be made available to the public.
22    (d) The obligations of a hospital under this Act, except
23for the filing of its audited financial report, shall take
24effect beginning with the hospital's fiscal year that begins
25after the effective date of this Act. Within 60 days of the
26effective date of this Act, a hospital shall file the audited

 

 

SB1840- 7 -LRB102 15013 CPF 20368 b

1annual financial report that has been completed for its most
2recently completed fiscal year. Thereafter, a hospital shall
3include its audited annual financial report for its most
4recently completed fiscal year in its annual report of its
5community benefits plan.
6(Source: P.A. 93-480, eff. 8-8-03.)
 
7    (210 ILCS 76/22 new)
8    Sec. 22. Public reports.
9    (a) In order to increase transparency and accessibility of
10charity care and financial assistance data, the Attorney
11General shall post on the Attorney General's website: all
12community benefits plans contained in reports submitted by
13hospitals under Section 20; and a compiled report that
14summarizes information from completed community benefits
15plans. Past reports and disclosures shall remain publicly
16available on the website for at least 15 years. Numerical data
17shall be published in XML, CSV, and PDF file formats.
18Hospitals shall also make this information available to the
19public by publishing this information on the hospital's
20website in the same location where annual reports are posted.
21Information made available to the public shall include, but
22not be limited to, the following:
23        (1) The reporting period.
24        (2) Charity care costs consistent with the reporting
25    requirements in paragraph (3) of subsection (a) of Section

 

 

SB1840- 8 -LRB102 15013 CPF 20368 b

1    20. Charity care costs associated with services provided
2    as part of a hospital's obligation to comply with the
3    federal Emergency Medical Treatment and Labor Act shall be
4    reported as a subset of total charity care costs.
5        (3) Total net patient revenue, reported separately by
6    hospital if the reporting health system includes more than
7    one hospital.
8        (4) Total community benefits spending.
9        (5) Data on financial assistance applications
10    consistent with the reporting requirements in paragraph
11    (3) of subsection (a) Section 20, including:
12            (A) the number of applications submitted to the
13        hospital, both complete and incomplete;
14            (B) the number of applications approved, with
15        details as to whether the approval was for full or
16        partial financial assistance, as well as the type of
17        service, including inpatient, outpatient, emergency
18        department, or other, associated with the approved
19        application; and
20            (C) the number of applications denied, the 5 most
21        frequent reasons for denial, and the type of services
22        associated with the denied application, including
23        inpatient, outpatient, emergency department, or other.
24        (6) To the extent that race, ethnicity, or preferred
25    language is collected and available for financial
26    assistance applications, the data outlined in paragraph

 

 

SB1840- 9 -LRB102 15013 CPF 20368 b

1    (5) shall be reported by race, ethnicity, gender,
2    employment status, occupation, housing status, and primary
3    language. If this data is not provided by the patient, the
4    hospital shall indicate this in its reports.
5    (b) An electronic version of the Attorney General report
6under subsection (a) shall be sent to the Governor and each
7member of the General Assembly.
 
8    (210 ILCS 76/25)
9    Sec. 25. Failure to file annual report. The Attorney
10General may assess a late filing fee against a nonprofit
11hospital that fails to make a report of the community benefits
12plan as required under this Act in an amount not to exceed
13$2,500 per month that the report is late $100. The Attorney
14General may grant extensions for good cause. No penalty may be
15assessed against a hospital under this Section until 30
16business days have elapsed after written notification to the
17hospital of its failure to file a report.
18(Source: P.A. 93-480, eff. 8-8-03.)
 
19    Section 10. The Hospital Uninsured Patient Discount Act is
20amended by changing Sections 5, 10, 15, and 25 as follows:
 
21    (210 ILCS 89/5)
22    Sec. 5. Definitions. As used in this Act:
23    "Cost to charge ratio" means the ratio of a hospital's

 

 

SB1840- 10 -LRB102 15013 CPF 20368 b

1costs to its charges taken from its most recently filed
2Medicare cost report (CMS 2552-96 Worksheet C, Part I, PPS
3Inpatient Ratios).
4    "Critical Access Hospital" means a hospital that is
5designated as such under the federal Medicare Rural Hospital
6Flexibility Program.
7    "Family income" means the sum of a family's annual
8earnings and cash benefits from all sources before taxes, less
9payments made for child support.
10    "Federal poverty income guidelines" means the poverty
11guidelines updated periodically in the Federal Register by the
12United States Department of Health and Human Services under
13authority of 42 U.S.C. 9902(2).
14    "Financial assistance" means care given at a reduced rate
15or no cost due to the inability of the patient to pay for such
16care as a result of being uninsured or underinsured under the
17terms and conditions the hospital offers to qualified patients
18and as required by law.
19    "Health care services" means any medically necessary
20inpatient or outpatient hospital service, including
21pharmaceuticals or supplies provided by a hospital to a
22patient.
23    "Hospital" means any facility or institution required to
24be licensed pursuant to the Hospital Licensing Act or operated
25under the University of Illinois Hospital Act.
26    "Illinois resident" means any a person who lives in

 

 

SB1840- 11 -LRB102 15013 CPF 20368 b

1Illinois and who intends to remain living in Illinois
2indefinitely. Relocation to Illinois for the sole purpose of
3receiving health care benefits does not satisfy the residency
4requirement under this Act.
5    "Medically necessary" means any inpatient or outpatient
6hospital service, including pharmaceuticals or supplies
7provided by a hospital to a patient, covered under Title XVIII
8of the federal Social Security Act for beneficiaries with the
9same clinical presentation as the uninsured patient. A
10"medically necessary" service does not include any of the
11following:
12        (1) Non-medical services such as social and vocational
13    services.
14        (2) Elective cosmetic surgery, but not plastic surgery
15    designed to correct disfigurement caused by injury,
16    illness, or congenital defect or deformity.
17    "Rural hospital" means a hospital that is located outside
18a metropolitan statistical area.
19    "Uninsured discount" means a hospital's charges multiplied
20by the uninsured discount factor.
21    "Uninsured discount factor" means 1.0 less the product of
22a hospital's cost to charge ratio multiplied by 1.35.
23    "Uninsured patient" means an Illinois resident who is a
24patient of a hospital and is not covered under a policy of
25health insurance and is not a beneficiary under a public or
26private health insurance, health benefit, or other health

 

 

SB1840- 12 -LRB102 15013 CPF 20368 b

1coverage program, including high deductible health insurance
2plans, workers' compensation, accident liability insurance, or
3other third party liability.
4(Source: P.A. 95-965, eff. 12-22-08.)
 
5    (210 ILCS 89/10)
6    Sec. 10. Uninsured patient discounts.
7    (a) Eligibility.
8        (1) A hospital, other than a rural hospital or
9    Critical Access Hospital, shall provide a discount from
10    its charges to any uninsured patient who applies for a
11    discount and has family income of not more than 600% of the
12    federal poverty income guidelines for all medically
13    necessary health care services exceeding $150 $300 in any
14    one inpatient admission or outpatient encounter.
15        (2) A hospital, other than a rural hospital or
16    Critical Access Hospital, shall provide a charitable
17    discount of 100% of its charges for all medically
18    necessary health care services exceeding $150 $300 in any
19    one inpatient admission or outpatient encounter to any
20    uninsured patient who applies for a discount and has
21    family income of not more than 200% of the federal poverty
22    income guidelines.
23        (3) A rural hospital or Critical Access Hospital shall
24    provide a discount from its charges to any uninsured
25    patient who applies for a discount and has annual family

 

 

SB1840- 13 -LRB102 15013 CPF 20368 b

1    income of not more than 300% of the federal poverty income
2    guidelines for all medically necessary health care
3    services exceeding $300 in any one inpatient admission or
4    outpatient encounter.
5        Hospitals shall notify patients of their ability to
6    include health care received in the last 12 months towards
7    the maximum collectable amount. This information shall be
8    included clearly and in plain language on financial
9    assistance applications, hospital bills, invoices, or
10    summary of charges provided by the hospital.
11        (4) A rural hospital or Critical Access Hospital shall
12    provide a charitable discount of 100% of its charges for
13    all medically necessary health care services exceeding
14    $300 in any one inpatient admission or outpatient
15    encounter to any uninsured patient who applies for a
16    discount and has family income of not more than 125% of the
17    federal poverty income guidelines.
18    (b) Discount. For all health care services exceeding $300
19in any one inpatient admission or outpatient encounter, a
20hospital shall not collect from an uninsured patient, deemed
21eligible under subsection (a), more than its charges less the
22amount of the uninsured discount.
23    (c) Maximum Collectible Amount.
24        (1) The maximum amount that may be collected in a 12
25    month period for health care services provided by the
26    hospital from a patient determined by that hospital to be

 

 

SB1840- 14 -LRB102 15013 CPF 20368 b

1    eligible under subsection (a) is 15% 25% of the patient's
2    family income, and is subject to the patient's continued
3    eligibility under this Act.
4        (2) The 12 month period to which the maximum amount
5    applies shall begin on the first date, after the effective
6    date of this Act, an uninsured patient receives health
7    care services that are determined to be eligible for the
8    uninsured discount at that hospital.
9        (3) To be eligible to have this maximum amount applied
10    to subsequent charges, the uninsured patient shall inform
11    the hospital in subsequent inpatient admissions or
12    outpatient encounters that the patient has previously
13    received health care services from that hospital and was
14    determined to be entitled to the uninsured discount.
15        (4) Hospitals may adopt policies to exclude an
16    uninsured patient from the application of subdivision
17    (c)(1) when the patient owns assets having a value in
18    excess of 600% of the federal poverty level for hospitals
19    in a metropolitan statistical area or owns assets having a
20    value in excess of 300% of the federal poverty level for
21    Critical Access Hospitals or hospitals outside a
22    metropolitan statistical area, not counting the following
23    assets: the uninsured patient's primary residence;
24    personal property exempt from judgment under Section
25    12-1001 of the Code of Civil Procedure; or any amounts
26    held in a pension or retirement plan, provided, however,

 

 

SB1840- 15 -LRB102 15013 CPF 20368 b

1    that distributions and payments from pension or retirement
2    plans may be included as income for the purposes of this
3    Act.
4    (d) Each hospital bill, invoice, or other summary of
5charges to an uninsured patient shall include with it, or on
6it, a prominent statement that an uninsured patient who meets
7certain income requirements may qualify for an uninsured
8discount and information regarding how an uninsured patient
9may apply for consideration under the hospital's financial
10assistance policy. Each hospital bill, invoice, or other
11summary of charges to an uninsured patient shall state:
12"Complaints or concerns with the uninsured patient discount
13application process or hospital financial assistance process
14may be reported to the Health Care Bureau of the Illinois
15Attorney General.". A website, phone number, or both provided
16by the Attorney General shall be included with this statement.
17(Source: P.A. 97-690, eff. 6-14-12.)
 
18    (210 ILCS 89/15)
19    Sec. 15. Patient responsibility.
20    (a) Hospitals may make the availability of a discount and
21the maximum collectible amount under this Act contingent upon
22the uninsured patient first applying for coverage under public
23programs, such as Medicare, Medicaid, AllKids, the State
24Children's Health Insurance Program, or any other program, if
25there is a reasonable basis to believe that the uninsured

 

 

SB1840- 16 -LRB102 15013 CPF 20368 b

1patient may be eligible for such program.
2    (b) Hospitals shall permit an uninsured patient to
3initiate an application for financial assistance prior to the
4receipt of a service apply for a discount within 60 days of the
5date of discharge or date of service. Hospitals shall permit
6uninsured patients with an inpatient hospital stay of 20 or
7more days to initiate an application for financial assistance
8within 90 days after the date of discharge.
9        (1) Income verification. Hospitals may require an
10    uninsured patient who is requesting an uninsured discount
11    to provide documentation of family income. Acceptable
12    family income documentation shall include any one of the
13    following:
14            (A) a copy of the most recent tax return;
15            (B) a copy of the most recent W-2 form and 1099
16        forms;
17            (C) copies of the 2 most recent pay stubs;
18            (D) written income verification from an employer
19        if paid in cash; or
20            (E) one other reasonable form of third party
21        income verification deemed acceptable to the hospital.
22        (2) Asset verification. Hospitals may require an
23    uninsured patient who is requesting an uninsured discount
24    to certify the existence or absence of assets owned by the
25    patient and to provide documentation of the value of such
26    assets, except for those assets referenced in paragraph

 

 

SB1840- 17 -LRB102 15013 CPF 20368 b

1    (5) of subsection (c) of Section 10. Acceptable
2    documentation may include statements from financial
3    institutions or some other third party verification of an
4    asset's value. If no third party verification exists, then
5    the patient shall certify as to the estimated value of the
6    asset.
7        (3) Illinois resident verification. Hospitals may
8    require an uninsured patient who is requesting an
9    uninsured discount to verify Illinois residency.
10    Acceptable verification of Illinois residency shall
11    include any one of the following:
12            (A) any of the documents listed in paragraph (1);
13            (B) a valid state-issued identification card;
14            (C) a recent residential utility bill;
15            (D) a lease agreement;
16            (E) a vehicle registration card;
17            (F) a voter registration card;
18            (G) mail addressed to the uninsured patient at an
19        Illinois address from a government or other credible
20        source;
21            (H) a statement from a family member of the
22        uninsured patient who resides at the same address and
23        presents verification of residency; or
24            (I) a letter from a homeless shelter, transitional
25        house or other similar facility verifying that the
26        uninsured patient resides at the facility; or .

 

 

SB1840- 18 -LRB102 15013 CPF 20368 b

1            (J) a temporary visitor's drivers license.
2    (c) Hospital obligations toward an individual uninsured
3patient under this Act shall cease if that patient
4unreasonably fails or refuses to provide the hospital with
5information or documentation requested under subsection (b) or
6to apply for coverage under public programs when requested
7under subsection (a) within 30 days of the hospital's request.
8    (d) In order for a hospital to determine the 12 month
9maximum amount that can be collected from a patient deemed
10eligible under Section 10, an uninsured patient shall inform
11the hospital in subsequent inpatient admissions or outpatient
12encounters that the patient has previously received health
13care services from that hospital and was determined to be
14entitled to the uninsured discount.
15    (e) Hospitals may require patients to certify that all of
16the information provided in the application is true. The
17application may state that if any of the information is
18untrue, any discount granted to the patient is forfeited and
19the patient is responsible for payment of the hospital's full
20charges.
21    (f) Hospitals shall ask for an applicant's race,
22ethnicity, gender, employment status, occupation, housing
23status, and preferred language on the financial assistance
24application. However, the questions shall be clearly marked as
25optional responses for the patient and shall note that
26responses or nonresponses by the patient will not have any

 

 

SB1840- 19 -LRB102 15013 CPF 20368 b

1impact on the outcome of the application.
2(Source: P.A. 95-965, eff. 12-22-08.)
 
3    (210 ILCS 89/25)
4    Sec. 25. Enforcement.
5    (a) The Attorney General is responsible for administering
6and ensuring compliance with this Act, including the
7development of any rules necessary for the implementation and
8enforcement of this Act.
9    (b) The Attorney General shall develop and implement a
10process for receiving and handling complaints from individuals
11or hospitals regarding possible violations of this Act.
12    (c) The Attorney General may conduct any investigation
13deemed necessary regarding possible violations of this Act by
14any hospital including, without limitation, the issuance of
15subpoenas to:
16        (1) require the hospital to file a statement or report
17    or answer interrogatories in writing as to all information
18    relevant to the alleged violations;
19        (2) examine under oath any person who possesses
20    knowledge or information directly related to the alleged
21    violations; and
22        (3) examine any record, book, document, account, or
23    paper necessary to investigate the alleged violation.
24    (d) If the Attorney General determines that there is a
25reason to believe that any hospital has violated this Act, the

 

 

SB1840- 20 -LRB102 15013 CPF 20368 b

1Attorney General may bring an action in the name of the People
2of the State against the hospital to obtain temporary,
3preliminary, or permanent injunctive relief for any act,
4policy, or practice by the hospital that violates this Act.
5Before bringing such an action, the Attorney General may
6permit the hospital to submit a Correction Plan for the
7Attorney General's approval.
8    (e) This Section applies if:
9        (1) A court orders a party to make payments to the
10    Attorney General and the payments are to be used for the
11    operations of the Office of the Attorney General; or
12        (2) A party agrees in a Correction Plan under this Act
13    to make payments to the Attorney General for the
14    operations of the Office of the Attorney General.
15    (f) Moneys paid under any of the conditions described in
16subsection (e) shall be deposited into the Attorney General
17Court Ordered and Voluntary Compliance Payment Projects Fund.
18Moneys in the Fund shall be used, subject to appropriation,
19for the performance of any function, pertaining to the
20exercise of the duties, to the Attorney General including, but
21not limited to, enforcement of any law of this State and
22conducting public education programs; however, any moneys in
23the Fund that are required by the court to be used for a
24particular purpose shall be used for that purpose.
25    (g) The Attorney General may seek the assessment of a
26civil monetary penalty of not less than $1,000 but not to

 

 

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1exceed $5,000 for a $500 per violation in any action filed
2under this Act where a hospital, by pattern or practice,
3knowingly violates Section 10 of this Act.
4    (h) In the event a court grants a final order of relief
5against any hospital for a violation of this Act, the Attorney
6General may, after all appeal rights have been exhausted,
7refer the hospital to the Illinois Department of Public Health
8for possible adverse licensure action under the Hospital
9Licensing Act.
10    (i) Each hospital shall file Worksheet C Part I from its
11most recently filed Medicare Cost Report with the Attorney
12General within 60 days after the effective date of this Act and
13thereafter shall file each subsequent Worksheet C Part I with
14the Attorney General within 30 days of filing its Medicare
15Cost Report with the hospital's fiscal intermediary.
16    (j) On and after January 1, 2022, the Attorney General
17shall publish an annual report that outlines complaints
18received related to hospital uninsured discount programs and
19financial assistance applications. The initial report shall
20include the following:
21        (1) The number of complaints received, listed by
22    hospital.
23        (2) The status of each of the complaints.
24        (3) The number of violations found by the Attorney
25    General, and any actions, including monetary penalties
26    issued by the Attorney General, since January 1, 2012.

 

 

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1    Numerical data shall be published in XML, CSV, and PDF
2    file formats. Subsequent annual reports may be limited to
3    only reflect the most recent completed calendar year.
4(Source: P.A. 95-965, eff. 12-22-08.)
 
5    Section 99. Effective date. This Act takes effect upon
6becoming law.

 

 

SB1840- 23 -LRB102 15013 CPF 20368 b

1 INDEX
2 Statutes amended in order of appearance
3    210 ILCS 76/5
4    210 ILCS 76/10
5    210 ILCS 76/15
6    210 ILCS 76/20
7    210 ILCS 76/22 new
8    210 ILCS 76/25
9    210 ILCS 89/5
10    210 ILCS 89/10
11    210 ILCS 89/15
12    210 ILCS 89/25