Comments: IL HB2435 | 2019-2020 | 101st General Assembly

Bill Title: Amends the Managed Care Reform and Patient Rights Act. Provides that a health insurance carrier, health maintenance organization, or other managed care entity for a health care plan and its employees and other representatives are liable for damages for harm to an enrollee proximately caused by their failure to exercise ordinary care. Prohibits a health insurance carrier, health maintenance organization, or other managed care entity from removing a provider from its health care plan for advocating on behalf of an enrollee for appropriate and medically necessary health care. Prohibits a health insurance carrier, health maintenance organization, or other managed care entity from entering into a contract with a provider that indemnifies the health insurance carrier, health maintenance organization, or other managed care entity. Provides that an insured or enrollee seeking damages has the right and duty to submit the claim to arbitration in accordance with the Uniform Arbitration Act. Provides that the provisions do not apply to workers' compensation insurance coverage, actions seeking only a review of an adverse utilization review determination, and licensed insurance agents.

Spectrum: Partisan Bill (Democrat 3-0)

Status: (Introduced - Dead) 2020-06-23 - Rule 19(b) / Re-referred to Rules Committee [HB2435 Detail]

Text: Latest bill text (Introduced) [HTML]

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