Bill Text: IL HB3223 | 2017-2018 | 100th General Assembly | Engrossed


Bill Title: Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance must provide coverage for medically necessary preventative physical therapy for insureds diagnosed with multiple sclerosis without any treatment limitation or calendar year maximum. Removes requirements that coverage under this provision be subject to the same waiting period, cost sharing limitation, treatment limitation, calendar year maximum, or other limitation as provided for other physical or rehabilitative therapy benefits.

Spectrum: Strong Partisan Bill (Democrat 22-2)

Status: (Engrossed) 2017-11-08 - Placed on Calendar Order of 3rd Reading November 9, 2017 [HB3223 Detail]

Download: Illinois-2017-HB3223-Engrossed.html



HB3223 EngrossedLRB100 09204 SMS 19360 b
1 AN ACT concerning regulation.
2 Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
4 Section 5. The Illinois Insurance Code is amended by
5changing Section 356z.8 as follows:
6 (215 ILCS 5/356z.8)
7 Sec. 356z.8. Multiple sclerosis preventative physical
8therapy. A group or individual policy of accident and health
9insurance or managed care plan amended, delivered, issued, or
10renewed after the effective date of this amendatory Act of the
11100th General Assembly this amendatory Act of the 94th General
12Assembly must provide coverage for medically necessary
13preventative physical therapy without any treatment limitation
14or calendar year maximum, for insureds diagnosed with multiple
15sclerosis. For the purposes of this Section, "preventative
16physical therapy" means physical therapy that is prescribed by
17a physician licensed to practice medicine in all of its
18branches for the purpose of treating parts of the body affected
19by multiple sclerosis, but only where the physical therapy
20includes reasonably defined goals, including, but not limited
21to, sustaining the level of function the person has achieved,
22with periodic evaluation of the efficacy of the physical
23therapy against those goals. The coverage required under this

HB3223 Engrossed- 2 -LRB100 09204 SMS 19360 b
1Section shall be subject to the same deductible and ,
2coinsurance requirements , waiting period, cost sharing
3limitation, treatment limitation, calendar year maximum, or
4other limitations as provided for other physical or
5rehabilitative therapy benefits covered by the policy.
6(Source: P.A. 94-1076, eff. 12-29-06.)
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