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20 Ill. Comp. Stat. § 215/5-1. Mandatory Utilization Review: Illinois Health Finance Reform Act – Illinois
Introduced:    Status: Enacted
Any third party payor shall have the option to require utilization review for hospital admissions and continued hospital stays
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20 Ill. Comp. Stat. § 2215/4-1. Illinois Health Finance Data Collection: Illinois Health Finance Reform Act – Illinois
Introduced:    Status: Enacted
The purpose of this Article is to insure that data are available to make valid comparisons among health care providers of prices and utilization of services provided and to support ongoing analysis of the health …
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20 Ill. Comp. Stat. § 2215/4-2. Powers and duties: Illinois Health Finance Reform Act – Illinois
Introduced:    Status: Enacted
The Department of Public Health shall require that all hospitals and ambulatory surgical treatment centers licensed to operate in the State of Illinois adopt a uniform system for submitting patient claims and encounter data for …
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20 Ill. Comp. Stat. § 2215/4-4. Information to prospective patients on hospital charges; notice: Illinois Health Finance Reform Act – Illinois
Introduced:    Status: Enacted
Hospitals shall make available to prospective patients information on the normal charge incurred for any procedure or operation the prospective patient is considering.
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20 Ill. Comp. Stat. § 2215/5-1 – Illinois
Introduced:    Status: Enacted
Permits any third party payer to require a utilization review for hospital admissions and continued hospital stays for payment of hospital services. The third party payer may contract to withhold payment for hospital services to …

20 Ill. Comp. Stat. § 3860/10. Creation of the Health Information Exchange Authority: Illinois Health Information Exchange and Technology Act – Illinois
Introduced:    Status: Enacted
The Illinois Health Information Exchange Authority exists to to serve as a State-level electronic medical records exchange providing for the transfer of health information, medical records, and other health data in a secure environment for …
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210 Ill. Comp. Stat. § 3/5. Purpose: Alternative Health Care Delivery Act – Illinois
Introduced:    Status: Enacted
The General Assembly finds that many consumers have limited access to needed health care. Other consumers have limited health care choices. Consumers of health care also experience high out-of-pocket costs for health care, and the …
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210 Ill. Comp. Stat. § 89/10. Uninsured patient discounts: Hospital Uninsured Patient Discount Act – Illinois
Introduced:    Status: Enacted
Discount. 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 …
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210 Ill. Comp. Stat. § 89/15. Patient responsibility: Hospital Uninsured Patient Discount Act – Illinois
Introduced:    Status: Enacted
Hospitals may make the availability of a discount and the maximum collectible amount under this Act contingent upon the uninsured patient first applying for coverage under public programs, such as Medicare, Medicaid, AllKids, the State …
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210 Ill. Comp. Stat. § 89/20. Exemption and limitations: Hospital Uninsured Patient Discount Act – Illinois
Introduced:    Status: Enacted
Hospitals that do not charge for their services are exempt from the provisions of this Act. Nothing in this Act shall be used by any private or public health care insurer or plan as a …
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210 Ill. Comp. Stat. § 89/5. Definitions: Hospital Uninsured Patient Discount Act – Illinois
Introduced:    Status: Enacted
Definitions for the Hospital Uninsured Patient Discount Act.
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215 Ill. Comp. Stat. § 134/10. Definitions: Managed Care Reform and Patient Rights Act – Illinois
Introduced:    Status: Enacted
Definitions for the Managed Care Reform and Patient Rights Act.
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215 Ill. Comp. Stat. § 134/15. Provision of information: Managed Care Reform and Patient Rights Act – Illinois
Introduced:    Status: Enacted
A health care plan shall provide annually to enrollees and prospective enrollees, upon request, a complete list of participating health care providers in the health care plan’s service area and a description of the following …
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215 Ill. Comp. Stat. § 134/30. Prohibitions: Managed Care Reform and Patient Rights Act – Illinois
Introduced:    Status: Enacted
No health care plan or its subcontractors may prohibit or discourage health care providers by contract or policy from discussing any health care services and health care providers, utilization review and quality assurance policies, terms …
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215 Ill. Comp. Stat. § 134/45.2. Prior authorization form; prescription benefits: Managed Care Reform and Patient Rights Act – Illinois
Introduced:    Status: Enacted
A health insurer that provides prescription drug benefits must, within 72 hours after receipt of a paper or electronic prior authorization form from a prescribing provider or pharmacist, either approve or deny the prior authorization. …
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215 Ill. Comp. Stat. § 134/65. Emergency services prior to stabilization: Managed Care Reform and Patient Rights Act – Illinois
Introduced:    Status: Enacted
A health care plan that provides or that is required by law to provide coverage for emergency services shall provide coverage such that payment under this coverage is not dependent upon whether the services are …
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