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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 …

210 Ill. Comp. Stat. § 86/1 et seq. – Illinois
Introduced:    Status: Enacted
The “Hospital Report Card Act,” requires hospitals to issue periodic reports containing quality information respecting infection rates and nursing staff levels. The Department of Public Health shall compile the information acquired under the act and …

210 Ill. Comp. Stat. § 86/10. Definitions: Hospital Report Card Act – Illinois
Introduced:    Status: Enacted
Definitions for the Hospital Report Card Act
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210 Ill. Comp. Stat. § 86/25. Hospital reports: Hospital Report Card Act – Illinois
Introduced:    Status: Enacted
Hospitals must create quarterly reports about the infection rates and what it is doing to lower them, and vacancy and turnover rates for licensed nurses per clinical service area.
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210 Ill. Comp. Stat. § 86/30. Department reports: Hospital Report Card Act – Illinois
Introduced:    Status: Enacted
The Department of Public Health shall annually publish a report about safety measures on major public health problems, and risk-adjusted mortality rates for each hospital.
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210 Ill. Comp. Stat. § 88/50. Notification concerning out-of-network providers: Fair Patient Billing Act – Illinois
Introduced:    Status: Enacted
During the admission or as soon as practicable thereafter, the hospital must provide an insured patient with written notice that the patient may receive separate bills for services provided by health care professionals affiliated with …
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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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215 Ill. Comp. Stat. § 122/5-5. State health benefits exchange: Health Benefits Exchange Law – Illinois
Introduced:    Status: Enacted
Section creating IL ACA exchange marketplace.
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215 Ill. Comp. Stat. § 124/10. Network adequacy: Network Adequacy and Transparency Act – Illinois
Introduced:    Status: Enacted
Plans must file with the department a description of their network adequacy. An insurer shall not prohibit a preferred provider from discussing any specific or all treatment options with beneficiaries irrespective of the insurer’s position …
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215 Ill. Comp. Stat. § 124/25. Network transparency: Network Adequacy and Transparency Act – Illinois
Introduced:    Status: Enacted
A network plan shall post electronically an up-to-date, accurate, and complete provider directory for each of its network plans, with the information and search functions, as described in this Section.
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215 Ill. Comp. Stat. § 124/5. Definitions: Network Adequacy and Transparency Act – Illinois
Introduced:    Status: Enacted
Definitions for the Network Adequacy and Transparency Act.
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215 Ill. Comp. Stat. § 125/4-12. Changes in Rate Methodology and Benefits, Material Modifications: Health Maintenance Organization Act – Illinois
Introduced:    Status: Enacted
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. § 125/4-13. Prior approval of policy forms: Health Maintenance Organization Act – Illinois
Introduced:    Status: Enacted
All policy forms going to enrollees shall be approved by the director.
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