Illinois 2023-2024 Regular Session

Illinois House Bill HB2222 Compare Versions

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1-Public Act 103-0526
21 HB2222 EnrolledLRB103 30580 LNS 57017 b HB2222 Enrolled LRB103 30580 LNS 57017 b
32 HB2222 Enrolled LRB103 30580 LNS 57017 b
4-AN ACT concerning civil law.
5-Be it enacted by the People of the State of Illinois,
6-represented in the General Assembly:
7-Section 5. The Illinois Health Facilities Planning Act is
8-amended by changing Section 8.5 as follows:
9-(20 ILCS 3960/8.5)
10-(Section scheduled to be repealed on December 31, 2029)
11-Sec. 8.5. Certificate of exemption for change of ownership
12-of a health care facility; discontinuation of a category of
13-service; public notice and public hearing.
14-(a) Upon a finding that an application for a change of
15-ownership is complete, the State Board shall publish a legal
16-notice on 3 consecutive days in a newspaper of general
17-circulation in the area or community to be affected and afford
18-the public an opportunity to request a hearing. If the
19-application is for a facility located in a Metropolitan
20-Statistical Area, an additional legal notice shall be
21-published in a newspaper of limited circulation, if one
22-exists, in the area in which the facility is located. If the
23-newspaper of limited circulation is published on a daily
24-basis, the additional legal notice shall be published on 3
25-consecutive days. The applicant shall pay the cost incurred by
26-the Board in publishing the change of ownership notice in
3+1 AN ACT concerning civil law.
4+2 Be it enacted by the People of the State of Illinois,
5+3 represented in the General Assembly:
6+4 Section 5. The Illinois Health Facilities Planning Act is
7+5 amended by changing Section 8.5 as follows:
8+6 (20 ILCS 3960/8.5)
9+7 (Section scheduled to be repealed on December 31, 2029)
10+8 Sec. 8.5. Certificate of exemption for change of ownership
11+9 of a health care facility; discontinuation of a category of
12+10 service; public notice and public hearing.
13+11 (a) Upon a finding that an application for a change of
14+12 ownership is complete, the State Board shall publish a legal
15+13 notice on 3 consecutive days in a newspaper of general
16+14 circulation in the area or community to be affected and afford
17+15 the public an opportunity to request a hearing. If the
18+16 application is for a facility located in a Metropolitan
19+17 Statistical Area, an additional legal notice shall be
20+18 published in a newspaper of limited circulation, if one
21+19 exists, in the area in which the facility is located. If the
22+20 newspaper of limited circulation is published on a daily
23+21 basis, the additional legal notice shall be published on 3
24+22 consecutive days. The applicant shall pay the cost incurred by
25+23 the Board in publishing the change of ownership notice in
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33-newspapers as required under this subsection. The legal notice
34-shall also be posted on the Health Facilities and Services
35-Review Board's web site and sent to the State Representative
36-and State Senator of the district in which the health care
37-facility is located and to the Office of the Attorney General.
38-An application for change of ownership of a hospital shall not
39-be deemed complete without a signed certification that for a
40-period of 2 years after the change of ownership transaction is
41-effective, the hospital will not adopt a charity care policy
42-that is more restrictive than the policy in effect during the
43-year prior to the transaction. An application for a change of
44-ownership need not contain signed transaction documents so
45-long as it includes the following key terms of the
46-transaction: names and background of the parties; structure of
47-the transaction; the person who will be the licensed or
48-certified entity after the transaction; the ownership or
49-membership interests in such licensed or certified entity both
50-prior to and after the transaction; fair market value of
51-assets to be transferred; and the purchase price or other form
52-of consideration to be provided for those assets. The issuance
53-of the certificate of exemption shall be contingent upon the
54-applicant submitting a statement to the Board within 90 days
55-after the closing date of the transaction, or such longer
56-period as provided by the Board, certifying that the change of
57-ownership has been completed in accordance with the key terms
58-contained in the application. If such key terms of the
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34+1 newspapers as required under this subsection. The legal notice
35+2 shall also be posted on the Health Facilities and Services
36+3 Review Board's web site and sent to the State Representative
37+4 and State Senator of the district in which the health care
38+5 facility is located and to the Office of the Attorney General.
39+6 An application for change of ownership of a hospital shall not
40+7 be deemed complete without a signed certification that for a
41+8 period of 2 years after the change of ownership transaction is
42+9 effective, the hospital will not adopt a charity care policy
43+10 that is more restrictive than the policy in effect during the
44+11 year prior to the transaction. An application for a change of
45+12 ownership need not contain signed transaction documents so
46+13 long as it includes the following key terms of the
47+14 transaction: names and background of the parties; structure of
48+15 the transaction; the person who will be the licensed or
49+16 certified entity after the transaction; the ownership or
50+17 membership interests in such licensed or certified entity both
51+18 prior to and after the transaction; fair market value of
52+19 assets to be transferred; and the purchase price or other form
53+20 of consideration to be provided for those assets. The issuance
54+21 of the certificate of exemption shall be contingent upon the
55+22 applicant submitting a statement to the Board within 90 days
56+23 after the closing date of the transaction, or such longer
57+24 period as provided by the Board, certifying that the change of
58+25 ownership has been completed in accordance with the key terms
59+26 contained in the application. If such key terms of the
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61-transaction change, a new application shall be required.
62-Where a change of ownership is among related persons, and
63-there are no other changes being proposed at the health care
64-facility that would otherwise require a permit or exemption
65-under this Act, the applicant shall submit an application
66-consisting of a standard notice in a form set forth by the
67-Board briefly explaining the reasons for the proposed change
68-of ownership. Once such an application is submitted to the
69-Board and reviewed by the Board staff, the Board Chair shall
70-take action on an application for an exemption for a change of
71-ownership among related persons within 45 days after the
72-application has been deemed complete, provided the application
73-meets the applicable standards under this Section. If the
74-Board Chair has a conflict of interest or for other good cause,
75-the Chair may request review by the Board. Notwithstanding any
76-other provision of this Act, for purposes of this Section, a
77-change of ownership among related persons means a transaction
78-where the parties to the transaction are under common control
79-or ownership before and after the transaction is completed.
80-Nothing in this Act shall be construed as authorizing the
81-Board to impose any conditions, obligations, or limitations,
82-other than those required by this Section, with respect to the
83-issuance of an exemption for a change of ownership, including,
84-but not limited to, the time period before which a subsequent
85-change of ownership of the health care facility could be
86-sought, or the commitment to continue to offer for a specified
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89-time period any services currently offered by the health care
90-facility.
91-The changes made by this amendatory Act of the 103rd
92-General Assembly are inoperative on and after January 1, 2027.
93-(a-3) (Blank).
94-(a-5) Upon a finding that an application to discontinue a
95-category of service is complete and provides the requested
96-information, as specified by the State Board, an exemption
97-shall be issued. No later than 30 days after the issuance of
98-the exemption, the health care facility must give written
99-notice of the discontinuation of the category of service to
100-the State Senator and State Representative serving the
101-legislative district in which the health care facility is
102-located. No later than 90 days after a discontinuation of a
103-category of service, the applicant must submit a statement to
104-the State Board certifying that the discontinuation is
105-complete.
106-(b) If a public hearing is requested, it shall be held at
107-least 15 days but no more than 30 days after the date of
108-publication of the legal notice in the community in which the
109-facility is located. The hearing shall be held in the affected
110-area or community in a place of reasonable size and
111-accessibility and a full and complete written transcript of
112-the proceedings shall be made. All interested persons
113-attending the hearing shall be given a reasonable opportunity
114-to present their positions in writing or orally. The applicant
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117-shall provide a summary or describe the proposed change of
118-ownership at the public hearing.
119-(c) For the purposes of this Section "newspaper of limited
120-circulation" means a newspaper intended to serve a particular
121-or defined population of a specific geographic area within a
122-Metropolitan Statistical Area such as a municipality, town,
123-village, township, or community area, but does not include
124-publications of professional and trade associations.
125-(d) The changes made to this Section by this amendatory
126-Act of the 101st General Assembly shall apply to all
127-applications submitted after the effective date of this
128-amendatory Act of the 101st General Assembly.
129-(Source: P.A. 100-201, eff. 8-18-17; 101-83, eff. 7-15-19.)
130-Section 10. The State Finance Act is amended by adding
131-Section 5.990 as follows:
132-(30 ILCS 105/5.990 new)
133-Sec. 5.990. The Antitrust Enforcement Fund. This Section
134-is repealed on January 1, 2027.
135-Section 15. The Illinois Antitrust Act is amended by
136-changing Section 7.2 and by adding Sections 7.2a and 13 as
137-follows:
138-(740 ILCS 10/7.2) (from Ch. 38, par. 60-7.2)
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70+1 transaction change, a new application shall be required.
71+2 Where a change of ownership is among related persons, and
72+3 there are no other changes being proposed at the health care
73+4 facility that would otherwise require a permit or exemption
74+5 under this Act, the applicant shall submit an application
75+6 consisting of a standard notice in a form set forth by the
76+7 Board briefly explaining the reasons for the proposed change
77+8 of ownership. Once such an application is submitted to the
78+9 Board and reviewed by the Board staff, the Board Chair shall
79+10 take action on an application for an exemption for a change of
80+11 ownership among related persons within 45 days after the
81+12 application has been deemed complete, provided the application
82+13 meets the applicable standards under this Section. If the
83+14 Board Chair has a conflict of interest or for other good cause,
84+15 the Chair may request review by the Board. Notwithstanding any
85+16 other provision of this Act, for purposes of this Section, a
86+17 change of ownership among related persons means a transaction
87+18 where the parties to the transaction are under common control
88+19 or ownership before and after the transaction is completed.
89+20 Nothing in this Act shall be construed as authorizing the
90+21 Board to impose any conditions, obligations, or limitations,
91+22 other than those required by this Section, with respect to the
92+23 issuance of an exemption for a change of ownership, including,
93+24 but not limited to, the time period before which a subsequent
94+25 change of ownership of the health care facility could be
95+26 sought, or the commitment to continue to offer for a specified
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141-Sec. 7.2. (1) Whenever it appears to the Attorney General
142-that any person has engaged in, is engaging in, or is about to
143-engage in any act or practice prohibited by this Act, or that
144-any person has assisted or participated in any agreement or
145-combination of the nature described herein, he may, in his
146-discretion, conduct an investigation as he deems necessary in
147-connection with the matter and has the authority prior to the
148-commencement of any civil or criminal action as provided for
149-in the Act to subpoena witnesses, and pursuant to a subpoena
150-(i) compel their attendance for the purpose of examining them
151-under oath, (ii) require the production of any books,
152-documents, records, writings or tangible things hereafter
153-referred to as "documentary material" which the Attorney
154-General deems relevant or material to his investigation, for
155-inspection, reproducing or copying under such terms and
156-conditions as hereafter set forth, (iii) require written
157-answers under oath to written interrogatories, or (iv) require
158-compliance with a combination of the foregoing. Any subpoena
159-issued by the Attorney General shall contain the following
160-information:
161-(a) The statute and section thereof, the alleged
162-violation of which is under investigation and the general
163-subject matter of the investigation.
164-(b) The date and place at which time the person is
165-required to appear or produce documentary material in his
166-possession, custody or control or submit answers to
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169-interrogatories in the office of the Attorney General
170-located in Springfield or Chicago. Said date shall not be
171-less than 10 days from date of service of the subpoena.
172-(c) Where documentary material is required to be
173-produced, the same shall be described by class so as to
174-clearly indicate the material demanded.
175-The Attorney General is hereby authorized, and may so
176-elect, to require the production, pursuant to this section, of
177-documentary material or interrogatory answers prior to the
178-taking of any testimony of the person subpoenaed. Said
179-documentary material shall be made available for inspection
180-and copying during normal business hours at the principal
181-place of business of the person served, or at such other time
182-and place, as may be agreed upon by the person served and the
183-Attorney General. When documentary material is demanded by
184-subpoena, said subpoena shall not:
185-(i) contain any requirement which would be
186-unreasonable or improper if contained in a subpoena duces
187-tecum issued by a court of this State; or
188-(ii) require the disclosure of any documentary
189-material which would be privileged, or which for any other
190-reason would not be required by a subpoena duces tecum
191-issued by a court of this State.
192-(2) The production of documentary material in response to
193-a subpoena served pursuant to this Section shall be made under
194-a sworn certificate, in such form as the subpoena designates,
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197-by the person, if a natural person, to whom the demand is
198-directed or, if not a natural person, by a person or persons
199-having knowledge of the facts and circumstances relating to
200-such production, to the effect that all of the documentary
201-material required by the demand and in the possession,
202-custody, or control of the person to whom the demand is
203-directed has been produced and made available to the
204-custodian. Answers to interrogatories shall be accompanied by
205-a statement under oath attesting to the accuracy of the
206-answers.
207-While in the possession of the Attorney General and under
208-such reasonable terms and conditions as the Attorney General
209-shall prescribe: (A) documentary material shall be available
210-for examination by the person who produced such material or by
211-any duly authorized representative of such person, (B)
212-transcript of oral testimony shall be available for
213-examination by the person who produced such testimony, or his
214-or her counsel and (C) answers to interrogatories shall be
215-available for examination by the person who swore to their
216-accuracy.
217-Except as otherwise provided in this Section, no
218-documentary material, transcripts of oral testimony, or
219-answers to interrogatories, or copies thereof, in the
220-possession of the Attorney General shall be available for
221-examination by any individual other than an authorized
222-employee of the Attorney General or other law enforcement
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106+1 time period any services currently offered by the health care
107+2 facility.
108+3 The changes made by this amendatory Act of the 103rd
109+4 General Assembly are inoperative on and after January 1, 2027.
110+5 (a-3) (Blank).
111+6 (a-5) Upon a finding that an application to discontinue a
112+7 category of service is complete and provides the requested
113+8 information, as specified by the State Board, an exemption
114+9 shall be issued. No later than 30 days after the issuance of
115+10 the exemption, the health care facility must give written
116+11 notice of the discontinuation of the category of service to
117+12 the State Senator and State Representative serving the
118+13 legislative district in which the health care facility is
119+14 located. No later than 90 days after a discontinuation of a
120+15 category of service, the applicant must submit a statement to
121+16 the State Board certifying that the discontinuation is
122+17 complete.
123+18 (b) If a public hearing is requested, it shall be held at
124+19 least 15 days but no more than 30 days after the date of
125+20 publication of the legal notice in the community in which the
126+21 facility is located. The hearing shall be held in the affected
127+22 area or community in a place of reasonable size and
128+23 accessibility and a full and complete written transcript of
129+24 the proceedings shall be made. All interested persons
130+25 attending the hearing shall be given a reasonable opportunity
131+26 to present their positions in writing or orally. The applicant
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225-officials, federal, State, or local, without the consent of
226-the person who produced such material, transcripts, or
227-interrogatory answers. Such documentary material, transcripts
228-of oral testimony, or answers to interrogatories, or copies
229-thereof may be used by the Attorney General in any
230-administrative or judicial action or proceeding.
231-For purposes of this Section, all documentary materials,
232-transcripts of oral testimony, or answers to interrogatories
233-obtained by the Attorney General from other law enforcement
234-officials, information voluntarily produced to the Attorney
235-General for purposes of any investigation conducted under
236-subsection (1), or information provided to the Attorney
237-General pursuant to the notice requirement of Section 7.2a
238-shall be treated as if produced pursuant to a subpoena served
239-pursuant to this Section for purposes of maintaining the
240-confidentiality of such information.
241-The changes made by this amendatory Act of the 103rd
242-General Assembly are inoperative on and after January 1, 2027.
243-(3) No person shall, with intent to avoid, evade, prevent,
244-or obstruct compliance in whole or in part by any person with
245-any duly served subpoena of the Attorney General under this
246-Act, knowingly remove from any place, conceal, withhold,
247-destroy, mutilate, alter, or by any other means falsify any
248-documentary material that is the subject of such subpoena. A
249-violation of this subsection is a Class A misdemeanor. The
250-Attorney General, with such assistance as he may from time to
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253-time require of the State's Attorneys in the several counties,
254-shall investigate suspected violations of this subsection and
255-shall commence and try all prosecutions under this subsection.
256-(Source: P.A. 96-751, eff. 1-1-10; 96-1000, eff. 7-2-10.)
257-(740 ILCS 10/7.2a new)
258-Sec. 7.2a. Notification to the Attorney General.
259-(a) As used in this Section:
260-"Acquisition" means an agreement, arrangement, or activity
261-the consummation of which results in a person acquiring
262-directly or indirectly the control of another person.
263-"Acquisition" includes the acquisition of voting securities
264-and noncorporate interests, such as assets, capital stock,
265-membership interests, or equity interests.
266-"Contracting affiliation" means the formation of a
267-relationship between 2 or more entities that permits the
268-entities to negotiate jointly with health carriers or
269-third-party administrators over rates for professional medical
270-services, or for one entity to negotiate on behalf of the other
271-entity with health carriers or third-party administrators over
272-rates for professional medical services. "Contracting
273-affiliation" does not include arrangements among entities
274-under common ownership.
275-"Covered transaction" means any merger, acquisition, or
276-contracting affiliation between 2 or more health care
277-facilities or provider organizations not previously under
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278138
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280-common ownership or contracting affiliation.
281-"Health care facility" means the following facilities,
282-organizations, and related persons:
283-(1) An ambulatory surgical treatment center required
284-to be licensed under the Ambulatory Surgical Treatment
285-Center Act.
286-(2) An institution, place, building, or agency
287-required to be licensed under the Hospital Licensing Act.
288-(3) A hospital, ambulatory surgical treatment center,
289-or kidney disease treatment center maintained by the State
290-or any department or agency thereof.
291-(4) A kidney disease treatment center, including a
292-free-standing hemodialysis unit required to meet the
293-requirements of 42 CFR 494 in order to be certified for
294-participation in Medicare and Medicaid under Titles XVIII
295-and XIX of the federal Social Security Act of 1935.
296-(5) An institution, place, building, or room used for
297-the performance of outpatient surgical procedures that is
298-leased, owned, or operated by or on behalf of an
299-out-of-state facility.
300-(6) An institution, place, building, or room used for
301-provision of a health care category of service, as defined
302-under the Illinois Health Facilities Planning Act,
303-including, but not limited to, cardiac catheterization and
304-open heart surgery.
305-With the exception of those health care facilities
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142+1 shall provide a summary or describe the proposed change of
143+2 ownership at the public hearing.
144+3 (c) For the purposes of this Section "newspaper of limited
145+4 circulation" means a newspaper intended to serve a particular
146+5 or defined population of a specific geographic area within a
147+6 Metropolitan Statistical Area such as a municipality, town,
148+7 village, township, or community area, but does not include
149+8 publications of professional and trade associations.
150+9 (d) The changes made to this Section by this amendatory
151+10 Act of the 101st General Assembly shall apply to all
152+11 applications submitted after the effective date of this
153+12 amendatory Act of the 101st General Assembly.
154+13 (Source: P.A. 100-201, eff. 8-18-17; 101-83, eff. 7-15-19.)
155+14 Section 10. The State Finance Act is amended by adding
156+15 Section 5.990 as follows:
157+16 (30 ILCS 105/5.990 new)
158+17 Sec. 5.990. The Antitrust Enforcement Fund. This Section
159+18 is repealed on January 1, 2027.
160+19 Section 15. The Illinois Antitrust Act is amended by
161+20 changing Section 7.2 and by adding Sections 7.2a and 13 as
162+21 follows:
163+22 (740 ILCS 10/7.2) (from Ch. 38, par. 60-7.2)
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308-specifically included in this Section, nothing in this Section
309-shall be intended to include facilities operated as a part of
310-the practice of a physician or other licensed health care
311-professional, whether practicing in his or her individual
312-capacity or within the legal structure of any partnership,
313-medical or professional corporation, or unincorporated medical
314-or professional group. Further, this Section shall not apply
315-to physicians or other licensed health care professional's
316-practices where such practices are carried out in a portion of
317-a health care facility under contract with such health care
318-facility by a physician or by other licensed health care
319-professionals, whether practicing in his or her individual
320-capacity or within the legal structure of any partnership,
321-medical or professional corporation, or unincorporated medical
322-or professional groups, unless the entity constructs,
323-modifies, or establishes a health care facility as
324-specifically defined in this Section.
325-"Health care services revenue" means the total revenue
326-received for health care services in the previous 12 months.
327-"Health carriers" has the meaning given to that term in
328-Section 10 of the Health Carrier External Review Act.
329-"Illinois health care entity" means a health care facility
330-or provider organization that has an office in or is doing
331-business in this State.
332-"Merger" means the consolidation of 2 or more
333-organizations, including 2 or more organizations joining
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336-through a common parent organization or 2 or more
337-organizations forming a new organization, but does not include
338-a corporate reorganization.
339-"Out-of-state health care entity" means a health care
340-facility or provider organization that is not headquartered in
341-this State and does not do business in this State.
342-"Provider organization" means a corporation, partnership,
343-business trust, association, or organized group of persons,
344-whether incorporated or not, which is in the business of
345-health care delivery or management and that represents 20 or
346-more health care providers in contracting with health carriers
347-or third-party administrators for the payment of health care
348-services. "Provider organization" includes physician
349-organizations, physician-hospital organizations, independent
350-practice associations, provider networks, and accountable care
351-organizations.
352-"Third-party administrator" means an entity that
353-administers payments for health care services on behalf of a
354-client in exchange for an administrative fee.
355-(b) Health care facilities or provider organizations that
356-are party to a covered transaction shall provide notice of
357-such transaction to the Attorney General no later than 30 days
358-prior to the transaction closing or effective date of the
359-transaction.
360-Covered transactions between an Illinois health care
361-entity and an out-of-state health care entity must provide
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364-notice under this subsection where the out-of-state entity
365-generates $10,000,000 or more in annual revenue from patients
366-residing in this State.
367-(c) The written notice provided by the parties under
368-subsection (b) shall be provided as follows:
369-(1) For any health care facility or provider
370-organization that is a party to a covered transaction and
371-files a premerger notification with the Federal Trade
372-Commission or the United States Department of Justice, in
373-compliance with the Hart-Scott-Rodino Antitrust
374-Improvements Act of 1976, 15 U.S.C. 18a, the notice
375-requirement is satisfied by providing a copy of such
376-filing to the Attorney General at the same time as it is
377-provided to the federal government.
378-(2) For any health care facility that is a party to a
379-covered transaction that is not described in paragraph
380-(1), the notice requirement is satisfied when the
381-healthcare facility files an application for a change of
382-ownership with the Health Facilities and Services Review
383-Board, in compliance with the Illinois Health Facilities
384-Planning Act. The Health Facilities and Services Review
385-Board shall provide a copy of such filing to the Attorney
386-General at the same time as it is provided to the
387-applicable State legislators under subsection (a) of
388-Section 8.5 of the Illinois Health Facilities Planning
389-Act.
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174+1 Sec. 7.2. (1) Whenever it appears to the Attorney General
175+2 that any person has engaged in, is engaging in, or is about to
176+3 engage in any act or practice prohibited by this Act, or that
177+4 any person has assisted or participated in any agreement or
178+5 combination of the nature described herein, he may, in his
179+6 discretion, conduct an investigation as he deems necessary in
180+7 connection with the matter and has the authority prior to the
181+8 commencement of any civil or criminal action as provided for
182+9 in the Act to subpoena witnesses, and pursuant to a subpoena
183+10 (i) compel their attendance for the purpose of examining them
184+11 under oath, (ii) require the production of any books,
185+12 documents, records, writings or tangible things hereafter
186+13 referred to as "documentary material" which the Attorney
187+14 General deems relevant or material to his investigation, for
188+15 inspection, reproducing or copying under such terms and
189+16 conditions as hereafter set forth, (iii) require written
190+17 answers under oath to written interrogatories, or (iv) require
191+18 compliance with a combination of the foregoing. Any subpoena
192+19 issued by the Attorney General shall contain the following
193+20 information:
194+21 (a) The statute and section thereof, the alleged
195+22 violation of which is under investigation and the general
196+23 subject matter of the investigation.
197+24 (b) The date and place at which time the person is
198+25 required to appear or produce documentary material in his
199+26 possession, custody or control or submit answers to
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392-(3) For any health care facility or provider
393-organization that is a party to a covered transaction that
394-is not described in paragraph (1) or (2), written notice
395-provided by the parties must include:
396-(A) the names of the parties and their current
397-business address;
398-(B) identification of all locations where health
399-care services are currently provided by each party;
400-(C) a brief description of the nature and purpose
401-of the proposed transaction; and
402-(D) the anticipated effective date of the proposed
403-transaction.
404-Nothing in this subsection prohibits the parties to a
405-covered transaction from voluntarily providing additional
406-information to the Attorney General.
407-(d) The Attorney General may make any requests for
408-additional information from the parties that is relevant to
409-its investigation of the covered transaction within 30 days of
410-the date notice is received under subsections (b) and (c). If
411-the Attorney General requests additional information, the
412-covered transaction may not proceed until 30 days after the
413-parties have substantially complied with the request. Any
414-subsequent request for additional information by the Attorney
415-General shall not further delay the covered transaction from
416-proceeding. Nothing in this Section precludes the Attorney
417-General from conducting an investigation or enforcing State or
418202
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420-federal antitrust laws at a later date.
421-(e) Any health care facility or provider organization that
422-fails to comply with any provision of this Section is subject
423-to a civil penalty of not more than $500 per day for each day
424-during which the health care facility or provider organization
425-is in violation of this Section.
426-Whenever the Attorney General has reason to believe that a
427-health care facility or provider organization has engaged in
428-or is engaging in a covered transaction without complying with
429-the provisions of this Section, the Attorney General may apply
430-for and obtain, in an action in the Circuit Court of Sangamon
431-or Cook County, a temporary restraining order or injunction,
432-or both, prohibiting the health care facility or provider
433-organization from continuing its noncompliance or doing any
434-act in furtherance thereof. The court may make such further
435-orders or judgments, at law or in equity, as may be necessary
436-to remedy such noncompliance.
437-Before bringing such an action or seeking to recover a
438-civil penalty, the Attorney General shall permit the health
439-care facility or provider organization to come into compliance
440-with this Section within 10 days of being notified of its
441-alleged noncompliance. The right to cure noncompliance does
442-not exist on or after the covered transaction's proposed or
443-actual closing date of the covered transaction, whichever is
444-sooner.
445-(f) This Section is repealed on January 1, 2027.
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446206
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448-(740 ILCS 10/13 new)
449-Sec. 13. Antitrust Enforcement Fund. Any penalties
450-collected from an entity for violations of this Act shall be
451-deposited into the Antitrust Enforcement Fund, a special fund
452-created in the State treasury that is dedicated to enforcing
453-this Act.
454-This Section is repealed on January 1, 2027.
455-Section 99. Effective date. This Act takes effect January
456-1, 2024.
208+HB2222 Enrolled- 7 -LRB103 30580 LNS 57017 b HB2222 Enrolled - 7 - LRB103 30580 LNS 57017 b
209+ HB2222 Enrolled - 7 - LRB103 30580 LNS 57017 b
210+1 interrogatories in the office of the Attorney General
211+2 located in Springfield or Chicago. Said date shall not be
212+3 less than 10 days from date of service of the subpoena.
213+4 (c) Where documentary material is required to be
214+5 produced, the same shall be described by class so as to
215+6 clearly indicate the material demanded.
216+7 The Attorney General is hereby authorized, and may so
217+8 elect, to require the production, pursuant to this section, of
218+9 documentary material or interrogatory answers prior to the
219+10 taking of any testimony of the person subpoenaed. Said
220+11 documentary material shall be made available for inspection
221+12 and copying during normal business hours at the principal
222+13 place of business of the person served, or at such other time
223+14 and place, as may be agreed upon by the person served and the
224+15 Attorney General. When documentary material is demanded by
225+16 subpoena, said subpoena shall not:
226+17 (i) contain any requirement which would be
227+18 unreasonable or improper if contained in a subpoena duces
228+19 tecum issued by a court of this State; or
229+20 (ii) require the disclosure of any documentary
230+21 material which would be privileged, or which for any other
231+22 reason would not be required by a subpoena duces tecum
232+23 issued by a court of this State.
233+24 (2) The production of documentary material in response to
234+25 a subpoena served pursuant to this Section shall be made under
235+26 a sworn certificate, in such form as the subpoena designates,
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246+1 by the person, if a natural person, to whom the demand is
247+2 directed or, if not a natural person, by a person or persons
248+3 having knowledge of the facts and circumstances relating to
249+4 such production, to the effect that all of the documentary
250+5 material required by the demand and in the possession,
251+6 custody, or control of the person to whom the demand is
252+7 directed has been produced and made available to the
253+8 custodian. Answers to interrogatories shall be accompanied by
254+9 a statement under oath attesting to the accuracy of the
255+10 answers.
256+11 While in the possession of the Attorney General and under
257+12 such reasonable terms and conditions as the Attorney General
258+13 shall prescribe: (A) documentary material shall be available
259+14 for examination by the person who produced such material or by
260+15 any duly authorized representative of such person, (B)
261+16 transcript of oral testimony shall be available for
262+17 examination by the person who produced such testimony, or his
263+18 or her counsel and (C) answers to interrogatories shall be
264+19 available for examination by the person who swore to their
265+20 accuracy.
266+21 Except as otherwise provided in this Section, no
267+22 documentary material, transcripts of oral testimony, or
268+23 answers to interrogatories, or copies thereof, in the
269+24 possession of the Attorney General shall be available for
270+25 examination by any individual other than an authorized
271+26 employee of the Attorney General or other law enforcement
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282+1 officials, federal, State, or local, without the consent of
283+2 the person who produced such material, transcripts, or
284+3 interrogatory answers. Such documentary material, transcripts
285+4 of oral testimony, or answers to interrogatories, or copies
286+5 thereof may be used by the Attorney General in any
287+6 administrative or judicial action or proceeding.
288+7 For purposes of this Section, all documentary materials,
289+8 transcripts of oral testimony, or answers to interrogatories
290+9 obtained by the Attorney General from other law enforcement
291+10 officials, information voluntarily produced to the Attorney
292+11 General for purposes of any investigation conducted under
293+12 subsection (1), or information provided to the Attorney
294+13 General pursuant to the notice requirement of Section 7.2a
295+14 shall be treated as if produced pursuant to a subpoena served
296+15 pursuant to this Section for purposes of maintaining the
297+16 confidentiality of such information.
298+17 The changes made by this amendatory Act of the 103rd
299+18 General Assembly are inoperative on and after January 1, 2027.
300+19 (3) No person shall, with intent to avoid, evade, prevent,
301+20 or obstruct compliance in whole or in part by any person with
302+21 any duly served subpoena of the Attorney General under this
303+22 Act, knowingly remove from any place, conceal, withhold,
304+23 destroy, mutilate, alter, or by any other means falsify any
305+24 documentary material that is the subject of such subpoena. A
306+25 violation of this subsection is a Class A misdemeanor. The
307+26 Attorney General, with such assistance as he may from time to
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318+1 time require of the State's Attorneys in the several counties,
319+2 shall investigate suspected violations of this subsection and
320+3 shall commence and try all prosecutions under this subsection.
321+4 (Source: P.A. 96-751, eff. 1-1-10; 96-1000, eff. 7-2-10.)
322+5 (740 ILCS 10/7.2a new)
323+6 Sec. 7.2a. Notification to the Attorney General.
324+7 (a) As used in this Section:
325+8 "Acquisition" means an agreement, arrangement, or activity
326+9 the consummation of which results in a person acquiring
327+10 directly or indirectly the control of another person.
328+11 "Acquisition" includes the acquisition of voting securities
329+12 and noncorporate interests, such as assets, capital stock,
330+13 membership interests, or equity interests.
331+14 "Contracting affiliation" means the formation of a
332+15 relationship between 2 or more entities that permits the
333+16 entities to negotiate jointly with health carriers or
334+17 third-party administrators over rates for professional medical
335+18 services, or for one entity to negotiate on behalf of the other
336+19 entity with health carriers or third-party administrators over
337+20 rates for professional medical services. "Contracting
338+21 affiliation" does not include arrangements among entities
339+22 under common ownership.
340+23 "Covered transaction" means any merger, acquisition, or
341+24 contracting affiliation between 2 or more health care
342+25 facilities or provider organizations not previously under
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353+1 common ownership or contracting affiliation.
354+2 "Health care facility" means the following facilities,
355+3 organizations, and related persons:
356+4 (1) An ambulatory surgical treatment center required
357+5 to be licensed under the Ambulatory Surgical Treatment
358+6 Center Act.
359+7 (2) An institution, place, building, or agency
360+8 required to be licensed under the Hospital Licensing Act.
361+9 (3) A hospital, ambulatory surgical treatment center,
362+10 or kidney disease treatment center maintained by the State
363+11 or any department or agency thereof.
364+12 (4) A kidney disease treatment center, including a
365+13 free-standing hemodialysis unit required to meet the
366+14 requirements of 42 CFR 494 in order to be certified for
367+15 participation in Medicare and Medicaid under Titles XVIII
368+16 and XIX of the federal Social Security Act of 1935.
369+17 (5) An institution, place, building, or room used for
370+18 the performance of outpatient surgical procedures that is
371+19 leased, owned, or operated by or on behalf of an
372+20 out-of-state facility.
373+21 (6) An institution, place, building, or room used for
374+22 provision of a health care category of service, as defined
375+23 under the Illinois Health Facilities Planning Act,
376+24 including, but not limited to, cardiac catheterization and
377+25 open heart surgery.
378+26 With the exception of those health care facilities
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389+1 specifically included in this Section, nothing in this Section
390+2 shall be intended to include facilities operated as a part of
391+3 the practice of a physician or other licensed health care
392+4 professional, whether practicing in his or her individual
393+5 capacity or within the legal structure of any partnership,
394+6 medical or professional corporation, or unincorporated medical
395+7 or professional group. Further, this Section shall not apply
396+8 to physicians or other licensed health care professional's
397+9 practices where such practices are carried out in a portion of
398+10 a health care facility under contract with such health care
399+11 facility by a physician or by other licensed health care
400+12 professionals, whether practicing in his or her individual
401+13 capacity or within the legal structure of any partnership,
402+14 medical or professional corporation, or unincorporated medical
403+15 or professional groups, unless the entity constructs,
404+16 modifies, or establishes a health care facility as
405+17 specifically defined in this Section.
406+18 "Health care services revenue" means the total revenue
407+19 received for health care services in the previous 12 months.
408+20 "Health carriers" has the meaning given to that term in
409+21 Section 10 of the Health Carrier External Review Act.
410+22 "Illinois health care entity" means a health care facility
411+23 or provider organization that has an office in or is doing
412+24 business in this State.
413+25 "Merger" means the consolidation of 2 or more
414+26 organizations, including 2 or more organizations joining
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425+1 through a common parent organization or 2 or more
426+2 organizations forming a new organization, but does not include
427+3 a corporate reorganization.
428+4 "Out-of-state health care entity" means a health care
429+5 facility or provider organization that is not headquartered in
430+6 this State and does not do business in this State.
431+7 "Provider organization" means a corporation, partnership,
432+8 business trust, association, or organized group of persons,
433+9 whether incorporated or not, which is in the business of
434+10 health care delivery or management and that represents 20 or
435+11 more health care providers in contracting with health carriers
436+12 or third-party administrators for the payment of health care
437+13 services. "Provider organization" includes physician
438+14 organizations, physician-hospital organizations, independent
439+15 practice associations, provider networks, and accountable care
440+16 organizations.
441+17 "Third-party administrator" means an entity that
442+18 administers payments for health care services on behalf of a
443+19 client in exchange for an administrative fee.
444+20 (b) Health care facilities or provider organizations that
445+21 are party to a covered transaction shall provide notice of
446+22 such transaction to the Attorney General no later than 30 days
447+23 prior to the transaction closing or effective date of the
448+24 transaction.
449+25 Covered transactions between an Illinois health care
450+26 entity and an out-of-state health care entity must provide
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461+1 notice under this subsection where the out-of-state entity
462+2 generates $10,000,000 or more in annual revenue from patients
463+3 residing in this State.
464+4 (c) The written notice provided by the parties under
465+5 subsection (b) shall be provided as follows:
466+6 (1) For any health care facility or provider
467+7 organization that is a party to a covered transaction and
468+8 files a premerger notification with the Federal Trade
469+9 Commission or the United States Department of Justice, in
470+10 compliance with the Hart-Scott-Rodino Antitrust
471+11 Improvements Act of 1976, 15 U.S.C. 18a, the notice
472+12 requirement is satisfied by providing a copy of such
473+13 filing to the Attorney General at the same time as it is
474+14 provided to the federal government.
475+15 (2) For any health care facility that is a party to a
476+16 covered transaction that is not described in paragraph
477+17 (1), the notice requirement is satisfied when the
478+18 healthcare facility files an application for a change of
479+19 ownership with the Health Facilities and Services Review
480+20 Board, in compliance with the Illinois Health Facilities
481+21 Planning Act. The Health Facilities and Services Review
482+22 Board shall provide a copy of such filing to the Attorney
483+23 General at the same time as it is provided to the
484+24 applicable State legislators under subsection (a) of
485+25 Section 8.5 of the Illinois Health Facilities Planning
486+26 Act.
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497+1 (3) For any health care facility or provider
498+2 organization that is a party to a covered transaction that
499+3 is not described in paragraph (1) or (2), written notice
500+4 provided by the parties must include:
501+5 (A) the names of the parties and their current
502+6 business address;
503+7 (B) identification of all locations where health
504+8 care services are currently provided by each party;
505+9 (C) a brief description of the nature and purpose
506+10 of the proposed transaction; and
507+11 (D) the anticipated effective date of the proposed
508+12 transaction.
509+13 Nothing in this subsection prohibits the parties to a
510+14 covered transaction from voluntarily providing additional
511+15 information to the Attorney General.
512+16 (d) The Attorney General may make any requests for
513+17 additional information from the parties that is relevant to
514+18 its investigation of the covered transaction within 30 days of
515+19 the date notice is received under subsections (b) and (c). If
516+20 the Attorney General requests additional information, the
517+21 covered transaction may not proceed until 30 days after the
518+22 parties have substantially complied with the request. Any
519+23 subsequent request for additional information by the Attorney
520+24 General shall not further delay the covered transaction from
521+25 proceeding. Nothing in this Section precludes the Attorney
522+26 General from conducting an investigation or enforcing State or
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533+1 federal antitrust laws at a later date.
534+2 (e) Any health care facility or provider organization that
535+3 fails to comply with any provision of this Section is subject
536+4 to a civil penalty of not more than $500 per day for each day
537+5 during which the health care facility or provider organization
538+6 is in violation of this Section.
539+7 Whenever the Attorney General has reason to believe that a
540+8 health care facility or provider organization has engaged in
541+9 or is engaging in a covered transaction without complying with
542+10 the provisions of this Section, the Attorney General may apply
543+11 for and obtain, in an action in the Circuit Court of Sangamon
544+12 or Cook County, a temporary restraining order or injunction,
545+13 or both, prohibiting the health care facility or provider
546+14 organization from continuing its noncompliance or doing any
547+15 act in furtherance thereof. The court may make such further
548+16 orders or judgments, at law or in equity, as may be necessary
549+17 to remedy such noncompliance.
550+18 Before bringing such an action or seeking to recover a
551+19 civil penalty, the Attorney General shall permit the health
552+20 care facility or provider organization to come into compliance
553+21 with this Section within 10 days of being notified of its
554+22 alleged noncompliance. The right to cure noncompliance does
555+23 not exist on or after the covered transaction's proposed or
556+24 actual closing date of the covered transaction, whichever is
557+25 sooner.
558+26 (f) This Section is repealed on January 1, 2027.
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569+1 (740 ILCS 10/13 new)
570+2 Sec. 13. Antitrust Enforcement Fund. Any penalties
571+3 collected from an entity for violations of this Act shall be
572+4 deposited into the Antitrust Enforcement Fund, a special fund
573+5 created in the State treasury that is dedicated to enforcing
574+6 this Act.
575+7 This Section is repealed on January 1, 2027.
576+8 Section 99. Effective date. This Act takes effect January
577+9 1, 2024.
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