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20 Ill. Comp. Stat. §§ 3934/1 through 3934/15: Electronic Health Records Taskforce Act – Illinois
Status: Enacted     Year Enacted: 2005
Statute creates an Electronic Health Records Taskforce to create a plan for development and utilization of electronic health records in order to improve the quality of patient care, increase the efficiency of health care practice, …
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20 Ill. Comp. Stat. §§ 3960/1 through 3960/5.3: Illinois Health Facilities Planning Act – Illinois
Status: Enacted     Year Enacted: 1974
The purpose of this act is to establish a procedure that promotes the orderly and economic development of health care facilities in the state of Illinois that avoids unnecessary duplication of such facilities and promotes …
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210 Ill. Comp. Stat. § 50/3.55. Scope of practice: Emergency Medical Services Systems Act – Illinois
Status: Enacted     Year Enacted: 1995
Statute provides emergency and non-emergency medical services that any person licensed as an EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic may perform.
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210 Ill. Comp. Stat. §§ 155/1 through 155/45: Long Term Acute Care Hospital Quality Improvement Transfer Program Act – Illinois
Status: Enacted     Year Enacted: 2010
Act created as a method to improve health care outcomes of patients, which results in a more efficient use of resources needed to provide care. It is estimated this Act could save $10,000,000 annually. Statutes …
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210 Ill. Comp. Stat. §§ 26/1 through 26/30: Accountable Care Organization Clinical Laboratory Testing Advisory Board Act – Illinois
Status: Enacted     Year Enacted: 2015
Statutes require that every accountable care organization providing diagnosis and treatment for patients in Illinois must establish an advisory board to consider and recommend guidelines or protocols for clinical laboratory testing.
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210 Ill. Comp. Stat. §§ 3/1 through 3/35: Alternative Health Care Delivery Act – Illinois
Status: Enacted     Year Enacted: 1992
The Alternative Health Care Delivery Act is created by these statutes with the intent to foster new and innovative solutions to health care problems, including limited access, lack of choice and high cost. These statutes …
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210 Ill. Comp. Stat. §§ 49/1-101.3 through 49/1-102: Specialized Mental Health Rehabilitation Act of 2013 – Illinois
Status: Enacted     Year Enacted: 2013
Statutes promote community-integrated behavioral health services for people with serious mental illnesses. Statutes recognize alternatives are necessary because inpatient hospitalization rates for behavioral health services are high in Illinois and are the least cost effective …
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210 Ill. Comp. Stat. §§ 86/1 through 86/30: Hospital Report Card Act – Illinois
Status: Enacted     Year Enacted: 2004
Illinois consumers have a right to access information about the qualit of health care provided in Illinois hospitals in order to make better decisions about their choice of health care provider. Act requires individual hospitals …
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210 Ill. Comp. Stat. §§ 88/1 through 88/55: Fair Patient Billing Act – Illinois
Status: Enacted     Year Enacted: 2007
The purpose of this act is to advance the prompt and accurate payment of health care services through fair and reasonable billing and collection practices of hospitals. Statutes require a hospital to provide specified information …
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210 Ill. Comp. Stat. §§ 89/1 through 89/25: Hospital Uninsured Patient Discount Act – Illinois
Status: Enacted     Year Enacted: 2008
For all health care services exceeding $300 in any one inpatient admission or outpatient encounter, a hospital shall not collect from an uninsured patient, deemed eligible under subsection (a), more than its charges less the …
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215 Ill. Comp. Stat. § 105/15. Alternative portable coverage for federally eligible individuals: Comprehensive Health Insurance Plan Act – Illinois
Status: Enacted     Year Enacted: 1997
Statute governs portability provisions of comprehensive health insurance plan and requires that the coverages offered under this statute, the schedule of benefits, deductibles, co-payments, exclusions and other limitations be approved by the board.The board is …
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215 Ill. Comp. Stat. § 125/1-2. Definitions: Health Maintenance Organization Act – Illinois
Status: Enacted     Year Enacted: 1974
Definitions for the Health Maintenance Organization Act.
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215 Ill. Comp. Stat. § 125/2-8. Provider agreements: Health Maintenance Organization Act – Illinois
Status: Enacted     Year Enacted: 1987
HMO Provider agreements must include a hold-harmless clause. All HMO providers shall participate in the quality assurance program.
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215 Ill. Comp. Stat. § 125/4-10. Medical necessity; dispute resolution; independent second opinion: Health Maintenance Organization Act – Illinois
Status: Enacted     Year Enacted: 1987
There is an indepenent review process for what constitutes “medically necessary“ for a certain patient.
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215 Ill. Comp. Stat. § 125/4-12. Changes in Rate Methodology and Benefits, Material Modifications: Health Maintenance Organization Act – Illinois
Status: Enacted     Year Enacted: 1989
A health maintenance organization shall file with the Director, prior to use, a notice of any change in rate methodology, or benefits and of any material modification of any matter or document furnished pursuant to …
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215 Ill. Comp. Stat. § 125/4.5-1. Point-of-service health service contracts: Health Maintenance Organization Act – Illinois
Status: Enacted     Year Enacted: 2002
HMOs may offer point-of-service contracts must abide by these limitations, including that the contract must include as in-plan covered services all services required by law to be provided by a health maintenance organization; must provide …
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