IL SB1630

Physicians who order but do not supervise or perform anatomic pathology services must disclose the name and address of the provider and the actual amount paid for the service on patient bills.

Physicians are prohibited from marking up or increasing the actual cost of anatomic pathology services when billing patients, insurers, or third-party payers.

Referring physicians may charge separately for specimen acquisition and processing limited to actual costs for collection and transportation, if separately coded per American Medical Association standards.

Exemptions apply to hospitals, university hospitals, clinical laboratories within hospitals, public health clinics, nonprofit health clinics, and government agencies.

Patients, insurers, and third-party payers are not required to reimburse charges submitted in violation of this section, and individuals may sue to recover amounts paid in knowing and willful violations; the Department of Insurance enforces compliance.