IL HB2465 | 2019-2020 | 101st General Assembly

Status

Spectrum: Partisan Bill (Democrat 3-0)
Status: Introduced on February 13 2019 - 25% progression, died in committee
Action: 2019-03-29 - Rule 19(a) / Re-referred to Rules Committee
Pending: House Rules Committee
Text: Latest bill text (Introduced) [HTML]

Summary

Amends the Illinois Insurance Code. Provides that all managed care plans shall ensure that all claims and indemnities concerning health care services shall be paid within 30 days after receipt of a claim that has provided specified information on a CMS-1500 Health Insurance Claim Form or a UB-04 (CMS-1450) form. Provides that certain health care providers shall be notified of any known failure of the claim and provide detailed information on how the claim may be satisfied to receive payment within 30 days after receipt. Provides that any undisputed portions of a claim must be reimbursed by the managed care plan within 30 days after receipt. Grants the Department of Insurance specific authority to issue a cease and desist order, fine, or otherwise penalize managed care plans that violate provisions concerning timely payment for health care services. Provides that a policy issued or delivered to the Department of Healthcare and Family Services that provides coverage to certain persons is subject to the provisions concerning timely payment for health care services. Makes conforming changes in the Illinois Public Aid Code.

Tracking Information

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Title

INS CD-MANAGED CARE PLAN CLAIM

Sponsors


History

DateChamberAction
2019-03-29HouseRule 19(a) / Re-referred to Rules Committee
2019-03-22HouseTo Medicaid & Managed Care Subcommittee
2019-03-06HouseAdded Co-Sponsor Rep. Kelly M. Cassidy
2019-02-26HouseAssigned to Appropriations-Human Services Committee
2019-02-25HouseAdded Co-Sponsor Rep. Kelly M. Burke
2019-02-13HouseReferred to Rules Committee
2019-02-13HouseFirst Reading
2019-02-13HouseFiled with the Clerk by Rep. Robyn Gabel

Code Citations

ChapterArticleSectionCitation TypeStatute Text
2155352Amended CodeCitation Text
2155368aAmended CodeCitation Text
30555-16.8Amended CodeCitation Text

Illinois State Sources


Bill Comments

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