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services, established or licensed by the Department of Human |
Services. |
"Substance use disorder" has the same meaning as |
"substance abuse" under Section 1-10 of the Substance Use |
Disorder Act. |
"Treatment" has the meaning ascribed to that term in |
Section 1-10 of the Substance Use Disorder Act when used in |
reference to treatment for a substance use disorder. |
"Treatment" has the meaning ascribed to that term in Section |
1-128 of the Mental Health and Developmental Disabilities Code |
when used in reference to treatment for a mental health |
disorder. |
(b) It is an unlawful practice for any person to engage in |
misleading or false advertising or promotion that |
misrepresents the need to seek mental health disorder or |
substance use disorder treatment outside of the State of |
Illinois. |
(c) Any marketing, advertising, promotional, or sales |
materials directed to Illinois residents concerning mental |
health disorder or substance use disorder treatment must: |
(1) prominently display or announce the full physical |
address of the treatment program or facility; |
(2) display whether the treatment program or facility |
is licensed in the State of Illinois; |
(3) display whether the treatment program or facility |
has locations in Illinois; |
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(4) display whether the services provided by the |
treatment program or facility are covered by an insurance |
policy issued to an Illinois resident; |
(5) display whether the treatment program or facility |
is an in-network or out-of-network provider; |
(6) include a link to the Internet website for the |
Department of Human Services' Division of Mental Health |
and Division of Substance Use Prevention and Recovery, or |
any successor State agency that provides information |
regarding licensed providers of services; and |
(7) disclose that mental health disorder and substance |
use disorder treatment may be available at a reduced cost |
or for free for Illinois residents within the State of |
Illinois. |
(d) It is an unlawful practice for any person to solicit, |
offer, or enter into an arrangement under which a patient |
seeking mental health disorder or substance use disorder |
treatment is referred to a mental health disorder or substance |
use disorder treatment program or facility in exchange for a |
fee, a percentage of the treatment program's or facility's |
revenues that are related to the patient, or any other |
remuneration that takes into account the volume or value of |
the referrals to the treatment program or facility. Such |
practice shall also be considered a violation of the |
prohibition against fee splitting in Section 22.2 of the |
Medical Practice Act of 1987 and a violation of the Health Care |
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Worker Self-Referral Act. It is not a violation
of this |
Section for programs or facilities to enter into
personal |
services agreements or management services agreements
with |
third parties that do not take into account the volume or
value |
of referrals. It is not a violation of this Section
for |
programs or facilities to provide discounts for treatment
|
services to clients as long as the discount is
based on |
financial necessity in accordance with the program's or |
facility's
charity care plan, regardless of referral source or |
reason.
Compensation paid by programs or facilities to their |
employees and independent
contractors related to identifying, |
locating, and securing referrals to
that program or facility |
is not a violation of this Section if the amount of |
compensation provided to the
employee or independent |
contractor does not vary based upon the volume
or value of such |
referrals. This Section does not apply to health insurance |
companies, health maintenance organizations, managed care |
plans, or organizations, including hospitals and hospital |
affiliates licensed in Illinois.
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(Source: P.A. 100-1058, eff. 1-1-19; 100-1188, eff. 4-5-19; |
101-81, eff. 7-12-19.)
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Section 99. Effective date. This Act takes effect upon |
becoming law.
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