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June 2014
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  • Senate Bill 1630 to Change Anatomic Pathology Billing Practices Lands on Governor’s Desk

    An initiative of the Illinois Society of Pathology would impose restrictions and guidelines on physicians who order and bill for anatomical pathology services, but did not perform the test.

    Senate Bill 1630, originally introduced last year, was opposed by several medical specialty groups who contract for pathology services with laboratories and then bill for the test. Pathologists have complained that such arrangements frequently lead to inappropriate mark-ups of the charges and violate current legal prohibitions on fee splitting and billing for services that were not performed. Medicare and Medicaid do not permit such billing.

    Over a three-year period, ISMS held several meetings with pathologists and other medical specialty groups opposed to the bill in an effort to resolve differences, but an acceptable compromise could not be achieved.  

    SB 1630 passed both houses and was sent to Governor Quinn, who has until August 6 to act on the proposed legislation. While ISMS is neutral on the bill, other medical specialties remain opposed and are seeking an amendatory veto from the governor to address their opposition.

    Learn more about the bill on the Legislative Action Hub.




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