summary
Introduced
01/22/2025
01/22/2025
In Committee
01/22/2025
01/22/2025
Crossed Over
Passed
Dead
Introduced Session
104th General Assembly
Bill Summary
Creates the Hospital Price Transparency Act. Provides that a hospital shall publish specified information regarding standard charges on its publicly accessible Internet website and provide hard copies upon request. Requires a hospital to maintain a list of all standard charges for all hospital items or services in accordance with the Act and ensure that the list is always available to the public, including publishing the list electronically in the specified manner. Provides that the list shall include a description of each hospital item or service provided by the hospital; specified charges for each individual hospital item or service when provided in either an inpatient setting or an outpatient department setting, as applicable; and a code used by the hospital for the purpose of accounting or billing for the hospital item or service, including the Current Procedural Terminology (CPT) code, the Healthcare Common Procedure Coding System (HCPCS) code, the Diagnosis Related Group (DRG) code, the National Drug Code (NDC), or other common identifiers. Requires a hospital to maintain and make publicly available a list of the standard charges for each of at least 300 shoppable services provided by the hospital with charges specific to that individual hospital location, except as specified in the Act. Sets forth provisions concerning duties of hospitals and the Department of Public Health relating to lists of all standard and shoppable charges; reporting requirements for hospitals; submission of complaints for violations of the Act; plans of correction for violations of the Act; sanctions and penalties; disclosure of facility fees; reporting requirements for the Department; and restrictions on hospitals initiating or pursuing a collection action if they are in violation of the Act. Effective July 1, 2026.
AI Summary
This bill creates the Hospital Price Transparency Act, which requires hospitals in Illinois to publicly disclose detailed pricing information for their medical services. Specifically, hospitals must publish comprehensive digital files on their websites that include standard charges for all hospital items and services, with details such as gross charges, negotiated rates from different insurance payors, discounted cash prices, and specific billing codes. The bill mandates that hospitals create two primary lists: a complete list of all standard charges and a consumer-friendly list of at least 300 "shoppable services" (medical services that can be scheduled in advance) with pricing information for each service. Hospitals must update these lists at least annually, make them easily searchable and accessible without requiring user accounts, and ensure the information is free of charge and indexed by search engines. The legislation also introduces significant penalties for non-compliance, including potential civil penalties ranging from $2,500 to $15,000 for repeated violations and restrictions on hospitals' ability to pursue debt collection if they are not transparent about their pricing. Additionally, the bill requires hospitals to disclose facility fees to patients in plain language and report detailed information about these fees to the Department of Public Health annually. The Act is set to become effective on July 1, 2026, with the goal of increasing healthcare pricing transparency and helping patients understand potential medical costs before receiving services.
Sponsors (1)
Last Action
Referred to Assignments (on 01/22/2025)
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.ilga.gov/legislation/BillStatus.asp?DocNum=232&GAID=18&DocTypeID=SB&SessionID=114&GA=104 |
| BillText | https://www.ilga.gov/legislation/104/SB/10400SB0232.htm |
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