The Illinois legislature unanimously overrode Governor Blagojevich’s amendatory veto to enact the Hospital Uninsured Patient Discount Act (the “Act”), which took effect September 23, 2008 (although a few parts of the bill do not take effect until December 22, 2008). The Act requires Illinois hospitals to provide substantial discounts to eligible patients. Eligible patients are uninsured Illinois residents with a family income of not more than 600% of the federal poverty level (FPL)(which is $127,200 for a family of four in 2008) (300% at critical access and rural hospitals, which is $63,600 for a family of four in 2008). The discounts limit the charges to 135% of the hospital’s cost (as shown on its most recently filed Medicare cost report). The discount is applicable only to charges exceeding $300 in any one inpatient admission or outpatient encounter. The Act also imposes a cap (25% of annual gross family income) on the amount a hospital can collect from an eligible patient in any 12-month period for medically necessary hospital services. However, hospitals may exclude from this cap eligible patients with assets (such as a primary residence and certain personal property) of more than 600% of the FPL (300% at critical access and rural hospitals). Every hospital bill to an eligible patient must include a prominent statement that the patient may qualify for the discount and information regarding how to apply for the discount. Patients may be required to apply for Medicare, Medicaid, AllKids, SCHIP, or other public programs, if there is reasonable to believe they are eligible. Patients must be able to provide third-party verification of their income. The Act applies to health care services provided no earlier than April 1, 2009. The Attorney General is responsible for promulgating any necessary rules and for administering and enforcing /the Act. Hospitals in violation of the Act are subject to injunctive relief, civil penalties up to $500 per violation, and possible adverse licensure action.