Sec. 8A-16. Unfair or deceptive marketing practices.

385 words·~2 min read·/il/chapter-305/act-5/8a-16

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(a)As used in this Section, "health plan" has the meaning attributed to that term in Section 8A-13.

(b)It is unlawful to knowingly and willfully engage in any unfair or deceptive marketing practice in connection with proposing, offering, selling, soliciting, or providing any health care service or any health plan. Unfair or deceptive marketing practices include the following:

(1)Making a false and misleading oral or written statement, visual description,

advertisement, or other representation of any kind that has the capacity, tendency, or effect of deceiving or misleading health care consumers with respect to any health care service, health plan, or health care provider.

(2)Making a representation that a health care plan or a health care provider offers any

service, benefit, access to care, or choice that it does not in fact offer.

(3)Making a representation that a health plan or health care provider has any status,

certification, qualification, sponsorship, affiliation, or licensure that it does not have.

(4)A failure to state a material fact if the failure deceives or tends to deceive.

(5)Offering any kickback, bribe, reward, or benefit to any person as an inducement to

select or to refrain from selecting any health care service, health plan, or health care provider, unless the benefit offered is medically necessary health care or is permitted by the Illinois Department.

(6)The use of health care consumer or other information that is confidential or

privileged or that cannot be disclosed to or obtained by the user without violating a State or federal confidentiality law, including:

(A)medical records information; and

(B)information that identifies the health care consumer or any member of his or her

group as a recipient of any government sponsored or mandated welfare program.

(7)The use of any device or artifice in advertising a health plan or soliciting a

health care consumer that misrepresents the solicitor's profession, status, affiliation, or mission.

(c)Any person who commits a first violation of this Section is guilty of a Class A misdemeanor and is subject to a fine of not more than $5,000. Any person who commits a second or subsequent violation of this Section is guilty of a Class 4 felony and is subject to a fine of not more than $25,000.