Bill Amendment: IL SB0659 | 2019-2020 | 101st General Assembly
NOTE: For additional amemendments please see the Bill Drafting List
Bill Title: FIRE SPRINKLER CONTRACTOR
Status: 2020-01-24 - Public Act . . . . . . . . . 101-0626 [SB0659 Detail]
Download: Illinois-2019-SB0659-House_Amendment_001.html
Bill Title: FIRE SPRINKLER CONTRACTOR
Status: 2020-01-24 - Public Act . . . . . . . . . 101-0626 [SB0659 Detail]
Download: Illinois-2019-SB0659-House_Amendment_001.html
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1 | AMENDMENT TO SENATE BILL 659
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2 | AMENDMENT NO. ______. Amend Senate Bill 659 by replacing | ||||||
3 | everything after the enacting clause with the following:
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4 | "Section 5. The Illinois Insurance Code is amended by | ||||||
5 | adding Section 356z.33 as follows:
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6 | (215 ILCS 5/356z.33 new) | ||||||
7 | Sec. 356z.33. Coverage for congenital anomaly or birth | ||||||
8 | defect. | ||||||
9 | (a) As used in this Section, "treatment" includes inpatient | ||||||
10 | and outpatient care and services performed to improve or | ||||||
11 | restore body function, or performed to approximate a normal | ||||||
12 | appearance, due to congenital anomaly or birth defect and | ||||||
13 | includes treatment to any and all missing or abnormal body | ||||||
14 | parts, including teeth, the oral cavity, and their associated | ||||||
15 | structures, that would otherwise be provided under the plan or | ||||||
16 | coverage for any other injury and sickness, including: |
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1 | (1) inpatient and outpatient care, reconstructive | ||||||
2 | services and procedures, and complications thereof, | ||||||
3 | including prosthetics and appliances; | ||||||
4 | (2) adjunctive dental, orthodontic, or prosthodontic | ||||||
5 | support from birth until the medical or surgical treatment | ||||||
6 | of the defect or anomaly has been completed, including | ||||||
7 | ongoing or subsequent treatment required to maintain | ||||||
8 | function or approximate a normal appearance; | ||||||
9 | (3) procedures that do not materially restore or | ||||||
10 | improve the function of the body part being treated; | ||||||
11 | (4) procedures for secondary conditions and follow-up | ||||||
12 | treatment; and | ||||||
13 | (5) anesthetics provided by a dentist with a permit | ||||||
14 | provided under Section 8.1 of the Illinois Dental Practice | ||||||
15 | Act. | ||||||
16 | "Treatment" does not include cosmetic surgery performed to | ||||||
17 | reshape normal structures of the body to improve appearance or | ||||||
18 | self-esteem. | ||||||
19 | (b) An individual or group policy of accident and health | ||||||
20 | insurance amended, delivered, issued, or renewed after the | ||||||
21 | effective date of this amendatory Act of the 101st General | ||||||
22 | Assembly shall cover charges incurred and services provided for | ||||||
23 | outpatient and inpatient care in conjunction with services that | ||||||
24 | are provided to a covered individual related to the diagnosis | ||||||
25 | and treatment of a congenital anomaly or birth defect. | ||||||
26 | (c) Coverage required under this Section includes any |
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1 | service to functionally improve, repair, or restore any body | ||||||
2 | part that is medically necessary to achieve normal body | ||||||
3 | function or appearance, as determined by the treating physician | ||||||
4 | or dentist. Any coverage provided may be subject to coverage | ||||||
5 | limits, such as pre-authorization or pre-certification, as | ||||||
6 | required by the plan or issuer that are no more restrictive | ||||||
7 | than the predominant treatment limitations applied to | ||||||
8 | substantially all medical and surgical benefits covered by the | ||||||
9 | plan.
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10 | Section 99. Effective date. This Act takes effect upon | ||||||
11 | becoming law.".
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