Bill Amendment: IL HB3593 | 2025-2026 | 104th General Assembly

NOTE: For additional amemendments please see the Bill Drafting List

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Bill Title: FAIR PATIENT BILLING

Status: 2025-04-11 - House Floor Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee [HB3593 Detail]

Download: Illinois-2025-HB3593-House_Amendment_001.html

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Rep. Dagmara Avelar

Filed: 4/7/2025

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AMENDMENT TO HOUSE BILL 3593
AMENDMENT NO. ______. Amend House Bill 3593 as follows:
on page 3, by replacing lines 5 through 7 with the following:
"(10) Third-party individuals or entities are
increasingly providing health care services in a hospital
building or facility without extending the screening,
billing, and"; and
on page 4, by replacing lines 8 through 14 with the following:
""Outsource" or "outsourcing" means contracting with a
person or entity not employed by the hospital or not otherwise
on the hospital staff. "Outsourced" or "outsourcing" is
distinct from an in-network or out-of-network contracted
relationship with an insurer described in Section 50."; and
on page 5, line 17, by deleting "on-site"; and

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on page 5, line 25, by replacing "on-site health care services
provided" with "outsourced health care services provided in a
hospital building or facility"; and
on page 6, by replacing lines 2 through 15 with the following:
"(c) In the event the hospital outsources health care
services, the hospital's obligations under this Act continue
as though the hospital provided the health care services. The
provider of the outsourced care shall be responsible for
complying with the hospital's financial assistance, charity
care, and billing and collections policies upon notification
by the hospital that a patient qualifies under such policies
before or after bills for such services are submitted to the
appropriate billing agent.
(d) The hospital and the provider of outsourced health
care services shall execute a written agreement setting forth
the manner by which the contractor will operate under the
hospital's financial assistance policy, screening procedures,
reasonable payment plan obligations, collections provisions,
and all applicable provisions of this Act. An individual or
entity that provides outsourced care for a hospital shall: (i)
establish standards and procedures to facilitate compliance
with this Act, (ii) cooperate fully with the hospital by
providing reasonable access to billing records or documents
upon a reasonable request by the hospital, and (iii) monitor
all billing-related activity to ensure that the individual or

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entity's obligations under this Act are carried out.
(e) The hospital is responsible for ensuring a provider of
outsourced health care services complies with this Act.
Nothing in this Section shall, in any way, increase the
hospital's medical liability."; and
on page 9, by replacing lines 3 through 7 with the following:
""Outsource" or "outsourcing" means contracting with a
person or entity not employed by the hospital or not otherwise
on the hospital staff."; and
by replacing line 25 on page 13 through line 18 on page 14 with
the following:
"(e) In the event the hospital outsources health care
services, the hospital's obligations under this Act continue
as though the hospital itself provided the health care
services. The hospital shall include charges from the
third-party individual or entity when calculating the charge,
discount, or collectible amount applicable under this Act. The
provider of outsourced care shall be responsible for complying
with the hospital's financial assistance, charity care, and
billing and collections policies upon notification by the
hospital that a patient qualifies under such policies before
or after bills for such services are submitted to the
appropriate billing agent. The hospital and provider of
outsourced health care services may agree in writing that

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charity care and financial assistance provided by an
outsourced care provider shall constitute a community benefit
provided by the hospital.
(f) The hospital's obligation to patients under this Act
covers all health care services, including, but not limited
to, outsourced health care services provided in a hospital
building or facility by a hospital contractor.
(g) The hospital and the provider of outsourced health
care services shall execute a written agreement setting forth
the manner by which the contractor will operate under the
hospital's financial assistance and uninsured patient discount
policies and all applicable provisions of this Act. An
individual or entity that provides outsourced care for a
hospital shall: (i) establish standards and procedures to
facilitate compliance with this Act, (ii) cooperate fully with
the hospital by providing reasonable access to billing records
or documents upon a reasonable request by the hospital, and
(iii) monitor all billing-related activity to ensure that the
individual or entity's obligations under this Act are carried
out.
(h) The hospital is responsible for ensuring a provider of
outsourced health care services complies with this Act.
Nothing in this Section shall, in any way, increase the
hospital's medical liability.".