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SB3315 Enrolled |
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LRB096 19938 ASK 35414 b |
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| AN ACT concerning professional regulation.
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| Be it enacted by the People of the State of Illinois,
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| represented in the General Assembly:
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| Section 5. The Medical Practice Act of 1987 is amended by |
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| changing Section 22.2 as follows: |
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| (225 ILCS 60/22.2)
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| (Section scheduled to be repealed on December 31, 2010) |
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| Sec. 22.2. Prohibition against fee splitting. |
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| (a) A licensee under this Act may not directly or |
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| indirectly divide, share or split any professional fee or other |
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| form of compensation for professional services with anyone in |
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| exchange for a referral or otherwise, other than as provided in |
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| this Section 22.2. |
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| (b) Nothing contained in this Section abrogates the right |
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| of 2 or more licensed health care workers as defined in the |
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| Health Care Worker Self-referral Act to each receive adequate |
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| compensation for concurrently rendering services to a patient |
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| and to divide the fee for such service, provided that the |
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| patient has full knowledge of the division and the division is |
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| made in proportion to the actual services personally performed |
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| and responsibility assumed by each licensee consistent with his |
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| or her license, except as prohibited by law. |
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| (c) Nothing contained in this Section prohibits a licensee |
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| under this Act from practicing medicine through or within any |
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| form of legal entity authorized to conduct business in this |
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| State or from pooling, sharing, dividing, or apportioning the |
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| professional fees and other revenues in accordance with the |
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| agreements and policies of the entity provided: |
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| (1) each owner of the entity is licensed under this |
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| Act; |
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| (2) the entity is organized under the Medical |
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| Corporation Act, the Professional Services Corporation |
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| Act, the Professional Association Act, or the Limited |
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| Liability Company Act; |
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| (3) the entity is allowed by Illinois law to provide |
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| physician services or employ physicians such as a licensed |
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| hospital or hospital affiliate or licensed ambulatory |
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| surgical treatment center owned in full or in part by |
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| Illinois-licensed physicians; or |
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| (4) the entity is a combination or joint venture of the |
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| entities authorized under this subsection (c); or . |
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| (5) the entity is an Illinois not for profit |
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| corporation that is recognized as exempt from the payment |
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| of federal income taxes as an organization described in |
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| Section 501(c)(3) of the Internal Revenue Code and all of |
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| its members are full-time faculty members of a medical |
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| school that offers a M.D. degree program that is accredited |
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| by the Liaison Committee on Medical Education and a program |
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| of graduate medical education that is accredited by the |
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LRB096 19938 ASK 35414 b |
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| Accreditation Council for Graduate Medical Education. |
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| (d) Nothing contained in this Section prohibits a licensee |
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| under this Act from paying a fair market value fee to any |
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| person or entity whose purpose is to perform billing, |
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| administrative preparation, or collection services based upon |
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| a percentage of professional service fees billed or collected, |
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| a flat fee, or any other arrangement that directly or |
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| indirectly divides professional fees, for the administrative |
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| preparation of the licensee's claims or the collection of the |
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| licensee's charges for professional services, provided that: |
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| (i) the licensee or the licensee's practice under |
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| subsection (c) of this Section at all times controls the |
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| amount of fees charged and collected; and |
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| (ii) all charges collected are paid directly to the |
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| licensee or the licensee's practice or are deposited |
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| directly into an account in the name of and under the sole |
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| control of the licensee or the licensee's practice or |
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| deposited into a "Trust Account" by a licensed collection |
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| agency in accordance with the requirements of Section 8(c) |
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| of the Illinois Collection Agency Act. |
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| (e) Nothing contained in this Section prohibits the |
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| granting of a security interest in the accounts receivable or |
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| fees of a licensee under this Act or the licensee's practice |
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| for bona fide advances made to the licensee or licensee's |
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| practice provided the licensee retains control and |
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| responsibility for the collection of the accounts receivable |
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| and fees. |
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| (f) Excluding payments that may be made to the owners of or |
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| licensees in the licensee's practice under subsection (c), a |
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| licensee under this Act may not divide, share or split a |
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| professional service fee with, or otherwise directly or |
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| indirectly pay a percentage of the licensee's professional |
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| service fees, revenues or profits to anyone for: (i) the |
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| marketing or management of the licensee's practice, (ii) |
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| including the licensee or the licensee's practice on any |
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| preferred provider list, (iii) allowing the licensee to |
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| participate in any network of health care providers, (iv) |
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| negotiating fees, charges or terms of service or payment on |
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| behalf of the licensee, or (v) including the licensee in a |
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| program whereby patients or beneficiaries are provided an |
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| incentive to use the services of the licensee.
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| (Source: P.A. 96-608, eff. 8-24-09.)
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| Section 99. Effective date. This Act takes effect upon |
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| becoming law.
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