IL SB2807 | 2015-2016 | 99th General Assembly

Status

Spectrum: Partisan Bill (Democrat 2-0)
Status: Introduced on February 17 2016 - 25% progression, died in committee
Action: 2016-04-22 - Rule 3-9(a) / Re-referred to Assignments
Pending: Senate Assignments Committee
Text: Latest bill text (Introduced) [HTML]

Summary

Amends the Illinois Insurance Code. Provides that on and after the effective date of the amendatory Act, no insurer that amends, delivers, issues, or renews a group or individual policy of accident and health insurance or a qualified health plan offered through the health insurance marketplace shall: (1) provide or refer to a coverage determination as medically necessary in any publication, policy, contract or agreement, or explanation of benefits made by the policy or plan, or (2) provide or state in any way that treatment or services recommended by the insured or enrollees treating, consulting, ordering, or attending physician or health care provider is not medically necessary, and that doing so is an unfair and deceptive practice under the Code. Provides that nothing shall prohibit a health care benefit determination with respect to whether treatment or services are covered under the policy or plan. Amends the Managed Care Reform and Patient Rights Act to make similar changes for health care plans. Amends the State Employees Group Insurance Act of 1971, Counties Code, Illinois Municipal Code, School Code, Health Maintenance Organization Act, Limited Health Service Organization Act, Voluntary Health Services Plans Act, and Illinois Public Aide Code to make conforming changes.

Tracking Information

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Title

INS CD-MEDICAL NECESSITY

Sponsors


History

DateChamberAction
2016-04-22SenateRule 3-9(a) / Re-referred to Assignments
2016-04-19SenateAdded as Co-Sponsor Sen. Laura M. Murphy
2016-04-08SenateRule 2-10 Committee Deadline Established As April 22, 2016
2016-04-06SenatePostponed - Insurance
2016-03-01SenateAssigned to Insurance
2016-02-17SenateReferred to Assignments
2016-02-17SenateFirst Reading
2016-02-17SenateFiled with Secretary by Sen. Linda Holmes

Code Citations

ChapterArticleSectionCitation TypeStatute Text
105510-22.3fAmended CodeCitation Text
2151304003Amended CodeCitation Text
21513410Amended CodeCitation Text
21513431New CodeSee Bill Text
21516510Amended CodeCitation Text
21552Amended CodeCitation Text
2155356z.24New CodeSee Bill Text
30555-16.8Amended CodeCitation Text
53756.11Amended CodeCitation Text
5555-1069.3Amended CodeCitation Text
65510-4-2.3Amended CodeCitation Text

Illinois State Sources


Bill Comments

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