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20 Ill. Comp. Stat. § 1705/9. Charges for outpatient services: Mental Health and Developmental Disabilities Administrative Act – Illinois
Status: Enacted     Year Enacted: 1961
Only reasonable charges shall be imposed for outpatient services at State facilities. What is reasonable shall be determined by the Department and charges may be waived for persons who are unable to make payment.
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20 Ill. Comp. Stat. § 2215/5-1. Mandatory Utilization Review: Illinois Health Finance Reform Act – Illinois
Status: Enacted     Year Enacted: 1984
Statute grants any third party payor the option to require utilization review for hospital admissions and continued hospital stays.
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20 Ill. Comp. Stat. § 505/5.45. Managed care plan services: Children and Family Services Act – Illinois
Status: Enacted     Year Enacted: 2018
Statute regulates Medicaid managed care organizations and plans that cover children. Statute requires managed care organizations to post certain information on its website, including defined prior authorization requirements. Prior to transitioning a child to managed …
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20 Ill. Comp. Stat. §§ 1340/1 through 1340/25: Regional Integrated Behavioral Health Networks Act – Illinois
Status: Enacted     Year Enacted: 2012
Each Network shall develop a plan for its respective region that addresses the following: inventory of all mental health and substance use disorder services; identification of unmet community needs, identification of opportunities to improve access …
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20 Ill. Comp. Stat. §§ 2215/4-1 through 2215/4-4: Illinois Health Finance Reform Act – Illinois
Status: Enacted     Year Enacted: 1984
Statutes require hospitals to make information available about the normal charge incurred for any procedure or operation to prospective patients. Statutes require the Department to make available the “Consumer Guide to Health Care” and the …
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20 Ill. Comp. Stat. §§ 3860/1 through 3860/10: Illinois Health Information Exchange and Technology Act – Illinois
Status: Enacted     Year Enacted: 2010
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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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. §§ 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. §§ 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. §§ 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. § 134/10. Definitions: Managed Care Reform and Patient Rights Act – Illinois
Status: Enacted     Year Enacted: 2000
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
Status: Enacted     Year Enacted: 2000
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. § 134/25. Transition of services: Managed Care Reform and Patient Rights Act – Illinois
Status: Enacted     Year Enacted: 2000
Statute allows an enrollee to continue using a provider that moves out-of-network, but the physician must agree to accept reimbursement from the health care plan at rates established by the health care plan, the physician …
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