Bill Amendment: IL SB0193 | 2017-2018 | 100th General Assembly

NOTE: For additional amemendments please see the Bill Drafting List

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Bill Title: ATTY GEN-WORKER PROTECT UNIT

Status: 2018-05-30 - Total Veto Stands [SB0193 Detail]

Download: Illinois-2017-SB0193-Senate_Amendment_001.html

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Sen. Terry Link

Filed: 3/6/2017

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AMENDMENT TO SENATE BILL 193
AMENDMENT NO. ______. Amend Senate Bill 193 on page 1, by
replacing lines 13 and 14 with "preventative physical therapy
for insureds diagnosed with multiple"; and
on page 2, line 2, after "requirements", by inserting "or other
limitations"; and
on page 2, immediately below line 5, by inserting the
following:
"A group or individual policy of accident and health
insurance or managed care plan amended, delivered, issued, or
renewed after the effective date of this amendatory Act of the
100th General Assembly shall offer an exception process from
treatment limitations for individuals diagnosed with primary
or secondary progressive multiple sclerosis. The exception
process must be posted on the insurer's website in an

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easily-accessible location. An exception request must document
medical necessity for extended treatment that is reasonable and
appropriate to the individual's defined goals included in his
or her treatment plan. A health insurer shall, within 72 hours
after receiving the exception request, either approve or deny
the request.
The coverage required by this Section shall be subject to
other general exclusions and limitations of the policy,
including coordination of benefits, participating provider
requirements, restrictions on services provided by family or
household members, utilization review of health care services,
including review of medical necessity, case management,
experimental or investigational treatments, and other managed
care provisions.".