Bill Text: IL HB1530 | 2011-2012 | 97th General Assembly | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Amends the Illinois Insurance Code in the provisions concerning autism spectrum disorders, habilitative services for children, and mental and emotional disorders to provide that certain coverage provided under those respective provisions through a group or individual policy of accident and health insurance or managed care plan shall be subject to the parity requirements of the provision concerning mental health parity. Sets forth a provision concerning mental health parity. Provides that every insurer that amends, delivers, issues, or renews a group policy of accident and health insurance in the State providing coverage for hospital or medical treatment and for the treatment of mental, emotional, nervous, or substance use disorders or conditions shall ensure adherence to the provisions concerning financial requirements and treatment limitations. Sets forth provisions concerning aggregate lifetime and annual limits. Amends the Health Maintenance Organization Act to comport with the provision of the Illinois Insurance Code concerning mental health parity. Makes other changes. Effective immediately.

Spectrum: Strong Partisan Bill (Democrat 38-3)

Status: (Passed) 2011-08-18 - Public Act . . . . . . . . . 97-0437 [HB1530 Detail]

Download: Illinois-2011-HB1530-Amended.html

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Rep. Lou Lang

Filed: 3/10/2011

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AMENDMENT TO HOUSE BILL 1530
AMENDMENT NO. ______. Amend House Bill 1530 as follows:
on page 11, line 8, by replacing "individual" with "licensed or
certified professional at a program"; and
on page 11, line 9, immediately after "Drug", by inserting
"Abuse and"; and
on page 11, line 15, by replacing "individual" with "licensed
or certified professional at a program"; and
on page 11, line 16, immediately after "Drug", by inserting
"Abuse and"; and
on page 11, line 22, by replacing "individual" with "licensed
or certified professional at a program"; and

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on page 11, line 23, immediately after "Drug", by inserting
"Abuse and"; and
on page 12, line 2, by replacing "and licensed" with "and
licensed"; and
on page 12, line 2, immediately after "therapists,", by
inserting "licensed speech therapists, and other licensed or
certified professionals at programs licensed pursuant to the
Illinois Alcoholism and Other Drug Abuse and Dependency Act,";
and
on page 12, line 5, by replacing "or" with "or"; and
on page 12, line 6, by replacing "therapist" with "therapist,
licensed speech therapist, or other licensed or certified
professional at a program licensed pursuant to the Illinois
Alcoholism and Other Drug Abuse and Dependency Act"; and
on page 12, line 9, by replacing "or" with "or"; and
on page 12, line 10, by replacing "therapist" with "therapist,
licensed speech therapist, or other licensed or certified
professional at a program licensed pursuant to the Illinois
Alcoholism and Other Drug Abuse and Dependency Act"; and

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on page 12, line 15, by replacing "or" with "or"; and
on page 12, line 16, by replacing "therapist" with "therapist,
licensed speech therapist, or other licensed or certified
professional at a program licensed pursuant to the Illinois
Alcoholism and Other Drug Abuse and Dependency Act"; and
on page 12, line 20, immediately after "renewed", by inserting
"on or"; and
on page 12, line 22, by replacing "consistent" with "and
substance use disorders consistent"; and
on page 13, line 25, by replacing "and" with "and"; and
on page 13, line 26, by replacing "nervosa; and ." with
"nervosa."; and
on page 14, by replacing lines 1 through 3 with the following:
"(2.5) "Substance use disorder" means the following mental
disorders as defined in the most current edition of the
Diagnostic and Statistical Manual (DSM) published by the
American Psychiatric Association:
(A) substance abuse disorders;
(B) substance dependence disorders; and
(C) substance induced disorders.

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(3) Unless otherwise prohibited by federal law and
consistent with the parity requirements of Section"; and
on page 14, line 5, immediately after "illness", by inserting
"or substance use disorder"; and
on page 14, line 25, by replacing "illness," with "illness or
substance use disorder,"; and
on page 15, line 2, immediately after the period, by inserting
"Medical necessity determinations for substance use disorders
shall be made in accordance with appropriate patient placement
criteria established by the American Society of Addiction
Medicine."; and
on page 15, line 7, after "illness", by inserting "and
substance use disorders"; and
on page 16, line 22, by replacing "Department" with "Department
of Public Health or the Department"; and
on page 21, by replacing line 14 with the following:
"categories.
(d) This Section shall be interpreted in a manner
consistent with the interim final regulations promulgated by
the U.S. Department of Health and Human Services at 75 FR 5410,

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including the prohibition against applying a cumulative
financial requirement or cumulative quantitative treatment
limitation for mental, emotional, nervous, or substance use
disorder benefits that accumulates separately from any
cumulative financial requirement or cumulative quantitative
treatment limitation established for hospital and medical
benefits in the same classification.
(e) The provisions of subsections (b) and (c) of this
Section shall not be interpreted to allow the use of lifetime
or annual limits otherwise prohibited by State or federal
law."; and
on page 21, line 15, by replacing "(d)" with "(f)".