Bill Text: IL HB3206 | 2011-2012 | 97th General Assembly | Introduced
Bill Title: Amends the Health Care Services Lien Act. Provides that the total of all liens under the Act, including insurer reimbursement claims, (instead of all liens under the Act) shall not exceed 40% of a verdict, judgment, or settlement. Provides that a petition by an injured person or a health care provider to adjudicate the rights including liens of all interested parties may be served on interested parties by personal service, substitute service, or registered or certified mail. Provides that the Act applies to all insurers and their reimbursement claims and rights. Provides that if a patient provides his or her health insurance information to a health care professional or health care provider, the professional or provider is required to submit health care charges to the identified insurer and that the failure to do so voids the professional's or provider's lien and bars any collection action directly against the injured person. Limits the professional's or provider's lien to 66% of the charges that would have been submitted had the charge been presented to the insurer. Makes related changes.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Failed) 2013-01-08 - Session Sine Die [HB3206 Detail]
Download: Illinois-2011-HB3206-Introduced.html
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1 | AN ACT concerning civil law.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Health Care Services Lien Act is amended by | |||||||||||||||||||||||||
5 | changing Sections 10, 30, 35, and 45 as follows:
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6 | (770 ILCS 23/10)
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7 | Sec. 10. Lien created; limitation.
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8 | (a) Every health care professional and health care provider | |||||||||||||||||||||||||
9 | that renders any
service
in the treatment, care, or maintenance | |||||||||||||||||||||||||
10 | of an injured person, except services
rendered under the | |||||||||||||||||||||||||
11 | provisions of the Workers' Compensation Act or the Workers'
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12 | Occupational Diseases Act, shall have a lien
upon all
claims | |||||||||||||||||||||||||
13 | and causes of action of the injured person for the amount of | |||||||||||||||||||||||||
14 | the health
care
professional's or health care provider's | |||||||||||||||||||||||||
15 | reasonable charges up to the date of
payment of
damages to the | |||||||||||||||||||||||||
16 | injured person. The total amount of all liens under this Act , | |||||||||||||||||||||||||
17 | including insurer reimbursement claims ,
however, shall
not | |||||||||||||||||||||||||
18 | exceed 40% of the verdict, judgment, award, settlement, or
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19 | compromise secured
by or on behalf of the injured person on his | |||||||||||||||||||||||||
20 | or her claim or right of action.
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21 | (b) The lien shall include a written notice containing the | |||||||||||||||||||||||||
22 | name and
address of
the injured person, the date of the injury, | |||||||||||||||||||||||||
23 | the name and address of the health
care
professional or health |
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1 | care provider, and the name of the party alleged to be
liable | ||||||
2 | to
make compensation to the injured person for the injuries | ||||||
3 | received. The lien
notice shall
be served on both the injured | ||||||
4 | person and the party against whom the claim or
right of
action | ||||||
5 | exists.
Notwithstanding any other provision of this Act, | ||||||
6 | payment in good faith to any
person other than the healthcare | ||||||
7 | professional or healthcare provider claiming
or asserting such | ||||||
8 | lien prior to the service of such notice of lien shall, to
the | ||||||
9 | extent of the payment so made, bar or prevent the creation of | ||||||
10 | an
enforceable lien.
Service shall be made by registered or | ||||||
11 | certified mail or in person.
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12 | (c) All health care professionals and health care providers | ||||||
13 | holding liens
under this
Act with respect to a particular | ||||||
14 | injured person shall share proportionate
amounts within
the | ||||||
15 | statutory limitation set forth in subsection (a).
The statutory | ||||||
16 | limitations under this Section may be waived or otherwise | ||||||
17 | reduced
only by the lienholder.
No individual licensed
category | ||||||
18 | of
health care professional (such as physicians) or health care | ||||||
19 | provider (such as
hospitals) as set forth in Section 5,
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20 | however, may receive more
than one-third of the verdict, | ||||||
21 | judgment, award, settlement, or compromise
secured by or
on | ||||||
22 | behalf
of the injured person on his or her claim or right of | ||||||
23 | action.
If the total amount of all liens under this Act meets | ||||||
24 | or exceeds 40% of the
verdict, judgment, award,
settlement, or | ||||||
25 | compromise, then:
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26 | (1) all the liens of health care professionals shall |
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1 | not exceed 20% of
the verdict, judgment, award, settlement, | ||||||
2 | or compromise; and
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3 | (2) all the liens of health care providers shall not | ||||||
4 | exceed 20% of the
verdict, judgment, award, settlement, or | ||||||
5 | compromise;
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6 | provided, however, that health care services liens shall be | ||||||
7 | satisfied to the
extent
possible for all health care | ||||||
8 | professionals and health care providers by
reallocating the
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9 | amount
unused within the aggregate total limitation of 40% for | ||||||
10 | all health care
services liens
under
this Act; and provided | ||||||
11 | further that the amounts of liens under paragraphs (1)
and (2) | ||||||
12 | are subject to the one-third limitation under this subsection.
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13 | If the total amount of all liens under this Act meets or | ||||||
14 | exceeds 40% of the
verdict, judgment,
award, settlement, or | ||||||
15 | compromise, the total amount of all the liens of
attorneys | ||||||
16 | under the
Attorneys Lien Act shall not
exceed 30% of the | ||||||
17 | verdict, judgment, award, settlement, or compromise. If an
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18 | appeal is taken by any party to a suit based on the claim or | ||||||
19 | cause of
action, however,
the attorney's lien
shall not
be | ||||||
20 | affected or limited by the provisions of this Act.
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21 | (d) If services furnished by health care professionals and | ||||||
22 | health care
providers are
billed at one all-inclusive rate, the | ||||||
23 | total reasonable charges for those
services shall be
reasonably | ||||||
24 | allocated among the health care professionals and health care
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25 | providers and
treated as separate liens for purposes of this | ||||||
26 | Act, including the filing of
separate lien
notices. For |
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1 | services provided under an all-inclusive rate, the liens of | ||||||
2 | health
care
professionals and health care providers may be | ||||||
3 | asserted by the entity that
bills the
all-inclusive rate.
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4 | (e) Payments under the liens shall be made directly to the | ||||||
5 | health care
professionals and health care providers. For | ||||||
6 | services provided under an
all-inclusive rate,
payments under | ||||||
7 | liens shall be made directly to the entity that bills the
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8 | all-inclusive rate.
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9 | (Source: P.A. 93-51, eff. 7-1-03.)
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10 | (770 ILCS 23/30)
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11 | Sec. 30. Adjudication of rights. On petition filed by the | ||||||
12 | injured person
or
the
health care professional or health care | ||||||
13 | provider and on the petitioner's
written notice to all
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14 | interested adverse parties, the circuit court shall adjudicate | ||||||
15 | the rights of
all interested
parties and enforce their liens. A | ||||||
16 | petition filed under this Section may be served upon an | ||||||
17 | interested adverse party by personal service, substitute | ||||||
18 | service, or registered or certified mail.
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19 | (Source: P.A. 93-51, eff. 7-1-03.)
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20 | (770 ILCS 23/35)
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21 | Sec. 35. Liens created under prior law. A lien validly | ||||||
22 | created under the
Clinical
Psychologists Lien Act, the Dentists | ||||||
23 | Lien Act, the Emergency Medical Services
Personnel Lien Act, | ||||||
24 | Home Health Agency Lien Act, the Hospital Lien Act, the
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1 | Optometrists Lien Act, the Physical Therapist Lien Act, or the | ||||||
2 | Physicians Lien
Act
remains in full force and
effect on
and | ||||||
3 | after July 1, 2003. Such a lien shall be enforceable according | ||||||
4 | to, and
otherwise
governed by, the provisions of the Act or | ||||||
5 | Code under which it was created, as
those
provisions existed on | ||||||
6 | June 30, 2003. This Act shall also apply to an insurer and an | ||||||
7 | insurer's reimbursement claims and rights.
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8 | (Source: P.A. 93-51, eff. 7-1-03.)
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9 | (770 ILCS 23/45)
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10 | Sec. 45. Amounts not recovered under lien. | ||||||
11 | (a) Except as provided in this Section, Nothing in this Act | ||||||
12 | shall be
construed
as limiting the right of a health care | ||||||
13 | professional or health care provider, or
attorney, to
pursue
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14 | collection, through all available means, of its reasonable | ||||||
15 | charges for the
services it
furnishes to an injured person. | ||||||
16 | Except as provided in this Section, Notwithstanding any other | ||||||
17 | provision of law, a
lien holder
may seek payment of the amount | ||||||
18 | of its reasonable charges that remain not paid
after the
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19 | satisfaction of its
lien under
this Act. If the patient | ||||||
20 | provides health insurance information, a health care | ||||||
21 | professional or health care provider is required to submit the | ||||||
22 | professional's or provider's charges to an injured person's | ||||||
23 | insurer; failure to do so will make the health care | ||||||
24 | professional's or health care provider's lien void and will act | ||||||
25 | as a bar to any collection directly against the injured person. |
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1 | The health care professional's or health care provider's lien | ||||||
2 | shall be limited to 66% of the amount that the insurer would | ||||||
3 | have paid had the charges been submitted to the insurer.
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4 | (b) If a lien or claim exists with respect to a claim for | ||||||
5 | personal injuries or death and the injured person's recovery is | ||||||
6 | diminished: | ||||||
7 | (1) by comparative fault, or | ||||||
8 | (2) by reason of the uncollectability of the full value | ||||||
9 | of the claim for personal injuries or death resulting from | ||||||
10 | limited liability insurance or from any other cause, | ||||||
11 | then the lien or claim shall be diminished in the same | ||||||
12 | proportion as the injured person's recovery is diminished. The | ||||||
13 | party holding the lien or claim shall bear a pro-rata share of | ||||||
14 | the injured person's attorney's fees and litigation expenses | ||||||
15 | and shall be barred from pursuing any claim for the unpaid | ||||||
16 | balance. | ||||||
17 | (Source: P.A. 93-51, eff. 7-1-03.)
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