225 ILCS 47/1
Short title
Short title. This Act may be cited as the Health Care Worker Self-Referral Act. (Source: P.A. 87-1207.)
Illinois Compiled Statutes 225 ILCS 47 — Health Care Worker Self-Referral Act.
Illinois · statute · 225 ILCS 47 · 12 active provisions
Provisions
225 ILCS 47/5
Legislative intent
Legislative intent. The General Assembly recognizes that patient referrals by health care workers for health services to an entity in which the referring health care worker has an investment interest may present a potential conflict of interest. The General Assembly finds that these referral practices may limit or comp…
225 ILCS 47/10
Applicability
Applicability. This Act shall apply to referrals for health services made on or after January 1, 1993. However, if a health care worker acquired an investment interest before July 1, 1992, this Act shall not apply to referrals made for health services before January 1, 1996. (Source: P.A. 87-1207.)
225 ILCS 47/15
Definitions
Definitions. In this Act: (a) "Board" means the Health Facilities and Services Review Board. (b) "Entity" means any individual, partnership, firm, corporation, or other business that provides health services but does not include an individual who is a health care worker who provides professional services to an individu…
225 ILCS 47/20
Prohibited referrals and claims for payment
Prohibited referrals and claims for payment. (a) A health care worker shall not refer a patient for health services to an entity outside the health care worker's office or group practice in which the health care worker is an investor, unless the health care worker directly provides health services within the entity and…
225 ILCS 47/25
Penalties
Penalties. (a) Any entity, other than a health care worker, that makes or causes to be made a referral prohibited under Section 20 of this Act or presents or causes to be presented a bill or claim for service that the entity knows or should know is prohibited by Section 20 of this Act, shall be subject to a civil penal…
225 ILCS 47/30
Rulemaking
Rulemaking. The Health Facilities and Services Review Board shall exclusively and solely implement the provisions of this Act pursuant to rules adopted in accordance with the Illinois Administrative Procedure Act concerning, but not limited to: (a) Standards and procedures for the administration of this Act. (b) Proced…
225 ILCS 47/35
Administrative Procedure Act; application
Administrative Procedure Act; application. The Illinois Administrative Procedure Act is hereby expressly adopted and incorporated herein and shall apply to the Board as if all of the provisions of such Act were included in this Act; except that in case of a conflict between the Illinois Administrative Procedure Act and…
225 ILCS 47/40
Review under Administrative Review Law
Review under Administrative Review Law. Any person who is adversely affected by a final decision of the Board may have such decision judicially reviewed. The provisions of the Administrative Review Law and the rules adopted pursuant thereto shall apply to and govern all proceedings for the judicial review of final admi…
225 ILCS 47/50
Statutorily required referrals
Statutorily required referrals. (a) With respect to statutorily required referrals for physical therapy services, occupational therapy services, athletic trainer services, or genetic counselor services, a patient shall be informed that he or she may request a referral for these services outside or independent of the au…
225 ILCS 47/55
Application of the Consumer Fraud and Deceptive Business Practices Act
Application of the Consumer Fraud and Deceptive Business Practices Act. A violation of any of the provisions of this Act constitutes an unlawful practice under the Consumer Fraud and Deceptive Business Practices Act. All remedies, penalties, and authority granted to the Attorney General or State's Attorney by the Consu…
225 ILCS 47/160
This Act takes effect January 1, 1993
This Act takes effect January 1, 1993. (Source: P.A. 87-1207.)