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Full Text of HB4957
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HB4957 - 104th General Assembly
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104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB4957
Introduced , by Rep. Kelly M. Cassidy
SYNOPSIS AS INTRODUCED:
210 ILCS 85/11.11 new
Amends the Hospital Licensing Act. Provides that a hospital licensed
under the Act shall not charge a covered hospital employee more than 10% of
the total health insurance premium cost. Provides that any agreement
permitting a charge to a covered hospital employee in excess of 10% of the
total health insurance premium cost shall be deemed invalid, void, and
unenforceable. Provides that a hospital in violation of those provisions
shall pay a civil penalty of $500 to the Department of Public Health for
each impacted covered hospital employee.
LRB104 18000 BAB 31437 b
A BILL FOR
HB4957
LRB104 18000 BAB 31437 b
1
AN ACT concerning regulation.
2
Be it enacted by the People of the State of Illinois,
3
represented in the General Assembly:
4
Section 5.
The Hospital Licensing Act is amended by adding
5
Section 11.11 as follows:
6
(210 ILCS 85/11.11 new)
7
Sec. 11.11.
Health insurance premiums for hospital
8
employees.
9
(a) In this Section:
10
"Covered hospital employee" means any of the following:
11
(1) An employee of a large hospital who provides
12
patient care, health care services, or services supporting
13
the provision of health care, which includes, but is not
14
limited to, employees performing work in the occupation of
15
a nurse, physician, caregiver, medical resident, intern or
16
fellow, patient care technician, janitor, housekeeping
17
staff person, groundskeeper, guard, clerical worker,
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nonmanagerial administrative worker, food service worker,
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gift shop worker, technical and ancillary services worker,
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medical coding and medical billing personnel, scheduler,
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call center and warehouse worker, and laundry worker,
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regardless of formal job title.
23
(2) A contracted or subcontracted employee, if all of
HB4957
- 2 -
LRB104 18000 BAB 31437 b
1
the following apply:
2
(A) The employee's employer contracts with the
3
hospital employer, or with a contractor or
4
subcontractor to the hospital employer, to provide
5
health care services or services supporting the
6
provision of health care.
7
(B) The hospital directly or indirectly, or
8
through an agent or any other person, exercises
9
control over the employee's wages, hours, or working
10
conditions. However, "covered hospital employee"
11
includes all employees performing contracted or
12
subcontracted work primarily on the premises of a
13
hospital to provide health care services or services
14
supporting the provision of health care.
15
"Health insurance premium" means any money charged to a
16
hospital, plan sponsor, or other entity to provide for the
17
medical, dental, or vision insurance coverage for a covered
18
hospital employee.
19
"Health system" means any entity that:
20
(1) owns or operates at least one hospital; or
21
(2) sponsors, supports, or administers graduate
22
medical education programs across a consortium of
23
independent or affiliated hospitals or medical or
24
osteopathic colleges or schools.
25
"Large hospital" means a hospital licensed under this Act
26
that has net patient revenue of at least $1,000,000,000 per
HB4957
- 3 -
LRB104 18000 BAB 31437 b
1
year or is part of a health system that has net patient revenue
2
of at least $1,000,000,000 per year.
3
(b) A hospital licensed under this Act shall not charge a
4
covered hospital employee more than 10% of the total health
5
insurance premium cost. The requirements of this Section may
6
not be waived. Any agreement permitting a charge to a covered
7
hospital employee in excess of 10% of the total health
8
insurance premium cost shall be deemed invalid, void, and
9
unenforceable under this Section.
10
(c) A hospital in violation of this Section shall pay a
11
civil penalty of $500 to the Department for each impacted
12
covered hospital employee.
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