Bill Text: IL HB3473 | 2019-2020 | 101st General Assembly | Introduced


Bill Title: Amends the Illinois Insurance Code. Provides that, for purposes of treatment in the early stages of a mental health condition, a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed shall provide coverage for the treatment of serious mental illnesses and serious emotional disturbances. Provides that coverage shall include, but not be limited to, certain evidence-based and evidence-informed bundled treatment approaches. Provides that payment for the services performed under the treatment models shall be based on all the components of the treatment model combined, rather than for each separate service. Provides that disability or functional impairment shall not be a precondition to receive treatment under the provisions. Provides that if federal regulations require the State to defray the cost of coverage for serious mental illnesses or serious emotional disturbances, then the provisions are inoperative and the State shall not assume any obligation for the cost of the coverage. Makes conforming changes in the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, and the Voluntary Health Services Plans Act. Provides that the amendatory Act may be referred to as the Fair Insurance Coverage for Early Treatment of Serious Mental Health Conditions Act. Effective immediately.

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Introduced - Dead) 2019-04-25 - Added Co-Sponsor Rep. Diane Pappas [HB3473 Detail]

Download: Illinois-2019-HB3473-Introduced.html


101ST GENERAL ASSEMBLY
State of Illinois
2019 and 2020
HB3473

Introduced , by Rep. Deb Conroy

SYNOPSIS AS INTRODUCED:
See Index

Amends the Illinois Insurance Code. Provides that, for purposes of treatment in the early stages of a mental health condition, a group or individual policy of accident and health insurance or managed care plan that is amended, delivered, issued, or renewed shall provide coverage for the treatment of serious mental illnesses and serious emotional disturbances. Provides that coverage shall include, but not be limited to, certain evidence-based and evidence-informed bundled treatment approaches. Provides that payment for the services performed under the treatment models shall be based on all the components of the treatment model combined, rather than for each separate service. Provides that disability or functional impairment shall not be a precondition to receive treatment under the provisions. Provides that if federal regulations require the State to defray the cost of coverage for serious mental illnesses or serious emotional disturbances, then the provisions are inoperative and the State shall not assume any obligation for the cost of the coverage. Makes conforming changes in the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, the School Code, the Health Maintenance Organization Act, the Limited Health Service Organization Act, and the Voluntary Health Services Plans Act. Provides that the amendatory Act may be referred to as the Fair Insurance Coverage for Early Treatment of Serious Mental Health Conditions Act. Effective immediately.
LRB101 04818 SMS 49827 b
FISCAL NOTE ACT MAY APPLY
STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT

A BILL FOR

HB3473LRB101 04818 SMS 49827 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 1. Short title. This Act may be referred to as the
5Fair Insurance Coverage for Early Treatment of Serious Mental
6Health Conditions Act.
7 Section 5. Legislative findings. The General Assembly
8finds the following:
9 (1) An estimated 60% of Illinoisans have private
10 insurance coverage.
11 (2) Most mental health conditions begin to manifest
12 before the age of 24.
13 (3) On average, it takes 10 years for individuals with
14 a serious mental health condition to receive the right
15 diagnosis and treatment.
16 (4) During the lag time between initial symptom
17 manifestation and when the right treatment is received, an
18 individual often experiences debilitating symptoms that
19 can lead to permanent disability.
20 (5) Early treatment can mean wellness, symptom
21 management, and full recovery.
22 (6) Private insurance does not cover the
23 evidence-based or evidence-informed community-based

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1 treatment approaches that the public sector covers that are
2 proven, effective treatments for serious mental illnesses
3 and serious emotional disturbances.
4 (7) Community-based treatment has demonstrated
5 positive mental health outcomes over many decades and
6 enables wellness and supports recovery by providing
7 intensive services through team-based models in a person's
8 natural environment.
9 (8) The 60% of Illinoisans with private insurance
10 coverage do not have access to these evidence-based
11 treatment approaches.
12 (9) If private insurance covered these community-based
13 treatment approaches when an individual is in the early
14 stages of a serious mental health condition, permanent
15 disability and a life of public coverage could be avoided
16 for thousands across Illinois.
17 Section 10. The State Employees Group Insurance Act of 1971
18is amended by changing Section 6.11 as follows:
19 (5 ILCS 375/6.11)
20 (Text of Section before amendment by P.A. 100-1170)
21 Sec. 6.11. Required health benefits; Illinois Insurance
22Code requirements. The program of health benefits shall provide
23the post-mastectomy care benefits required to be covered by a
24policy of accident and health insurance under Section 356t of

HB3473- 3 -LRB101 04818 SMS 49827 b
1the Illinois Insurance Code. The program of health benefits
2shall provide the coverage required under Sections 356g,
3356g.5, 356g.5-1, 356m, 356u, 356w, 356x, 356z.2, 356z.4,
4356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
5356z.14, 356z.15, 356z.17, 356z.22, 356z.25, and 356z.26, and
6356z.29, 356z.32, and 356z.33 of the Illinois Insurance Code.
7The program of health benefits must comply with Sections
8155.22a, 155.37, 355b, 356z.19, 370c, and 370c.1 of the
9Illinois Insurance Code. The Department of Insurance shall
10enforce the requirements of this Section.
11 Rulemaking authority to implement Public Act 95-1045, if
12any, is conditioned on the rules being adopted in accordance
13with all provisions of the Illinois Administrative Procedure
14Act and all rules and procedures of the Joint Committee on
15Administrative Rules; any purported rule not so adopted, for
16whatever reason, is unauthorized.
17(Source: P.A. 99-480, eff. 9-9-15; 100-24, eff. 7-18-17;
18100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1024, eff.
191-1-19; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised
201-8-19.)
21 (Text of Section after amendment by P.A. 100-1170)
22 Sec. 6.11. Required health benefits; Illinois Insurance
23Code requirements. The program of health benefits shall provide
24the post-mastectomy care benefits required to be covered by a
25policy of accident and health insurance under Section 356t of

HB3473- 4 -LRB101 04818 SMS 49827 b
1the Illinois Insurance Code. The program of health benefits
2shall provide the coverage required under Sections 356g,
3356g.5, 356g.5-1, 356m, 356u, 356w, 356x, 356z.2, 356z.4,
4356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
5356z.14, 356z.15, 356z.17, 356z.22, 356z.25, 356z.26, 356z.29,
6and 356z.32, and 356z.33 of the Illinois Insurance Code. The
7program of health benefits must comply with Sections 155.22a,
8155.37, 355b, 356z.19, 370c, and 370c.1 of the Illinois
9Insurance Code. The Department of Insurance shall enforce the
10requirements of this Section with respect to Sections 370c and
11370c.1 of the Illinois Insurance Code; all other requirements
12of this Section shall be enforced by the Department of Central
13Management Services.
14 Rulemaking authority to implement Public Act 95-1045, if
15any, is conditioned on the rules being adopted in accordance
16with all provisions of the Illinois Administrative Procedure
17Act and all rules and procedures of the Joint Committee on
18Administrative Rules; any purported rule not so adopted, for
19whatever reason, is unauthorized.
20(Source: P.A. 99-480, eff. 9-9-15; 100-24, eff. 7-18-17;
21100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1024, eff.
221-1-19; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19;
23100-1170, eff. 6-1-19.)
24 Section 15. The Counties Code is amended by changing
25Section 5-1069.3 as follows:

HB3473- 5 -LRB101 04818 SMS 49827 b
1 (55 ILCS 5/5-1069.3)
2 Sec. 5-1069.3. Required health benefits. If a county,
3including a home rule county, is a self-insurer for purposes of
4providing health insurance coverage for its employees, the
5coverage shall include coverage for the post-mastectomy care
6benefits required to be covered by a policy of accident and
7health insurance under Section 356t and the coverage required
8under Sections 356g, 356g.5, 356g.5-1, 356u, 356w, 356x,
9356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
10356z.14, 356z.15, 356z.22, 356z.25, and 356z.26, and 356z.29,
11356z.32, and 356z.33 of the Illinois Insurance Code. The
12coverage shall comply with Sections 155.22a, 355b, 356z.19, and
13370c of the Illinois Insurance Code. The Department of
14Insurance shall enforce the requirements of this Section. The
15requirement that health benefits be covered as provided in this
16Section is an exclusive power and function of the State and is
17a denial and limitation under Article VII, Section 6,
18subsection (h) of the Illinois Constitution. A home rule county
19to which this Section applies must comply with every provision
20of this Section.
21 Rulemaking authority to implement Public Act 95-1045, if
22any, is conditioned on the rules being adopted in accordance
23with all provisions of the Illinois Administrative Procedure
24Act and all rules and procedures of the Joint Committee on
25Administrative Rules; any purported rule not so adopted, for

HB3473- 6 -LRB101 04818 SMS 49827 b
1whatever reason, is unauthorized.
2(Source: P.A. 99-480, eff. 9-9-15; 100-24, eff. 7-18-17;
3100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1024, eff.
41-1-19; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised
510-3-18.)
6 Section 20. The Illinois Municipal Code is amended by
7changing Section 10-4-2.3 as follows:
8 (65 ILCS 5/10-4-2.3)
9 Sec. 10-4-2.3. Required health benefits. If a
10municipality, including a home rule municipality, is a
11self-insurer for purposes of providing health insurance
12coverage for its employees, the coverage shall include coverage
13for the post-mastectomy care benefits required to be covered by
14a policy of accident and health insurance under Section 356t
15and the coverage required under Sections 356g, 356g.5,
16356g.5-1, 356u, 356w, 356x, 356z.6, 356z.8, 356z.9, 356z.10,
17356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25,
18and 356z.26, and 356z.29, 356z.32, and 356z.33 of the Illinois
19Insurance Code. The coverage shall comply with Sections
20155.22a, 355b, 356z.19, and 370c of the Illinois Insurance
21Code. The Department of Insurance shall enforce the
22requirements of this Section. The requirement that health
23benefits be covered as provided in this is an exclusive power
24and function of the State and is a denial and limitation under

HB3473- 7 -LRB101 04818 SMS 49827 b
1Article VII, Section 6, subsection (h) of the Illinois
2Constitution. A home rule municipality to which this Section
3applies must comply with every provision of this Section.
4 Rulemaking authority to implement Public Act 95-1045, if
5any, is conditioned on the rules being adopted in accordance
6with all provisions of the Illinois Administrative Procedure
7Act and all rules and procedures of the Joint Committee on
8Administrative Rules; any purported rule not so adopted, for
9whatever reason, is unauthorized.
10(Source: P.A. 99-480, eff. 9-9-15; 100-24, eff. 7-18-17;
11100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1024, eff.
121-1-19; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised
1310-4-18.)
14 Section 25. The School Code is amended by changing Section
1510-22.3f as follows:
16 (105 ILCS 5/10-22.3f)
17 Sec. 10-22.3f. Required health benefits. Insurance
18protection and benefits for employees shall provide the
19post-mastectomy care benefits required to be covered by a
20policy of accident and health insurance under Section 356t and
21the coverage required under Sections 356g, 356g.5, 356g.5-1,
22356u, 356w, 356x, 356z.6, 356z.8, 356z.9, 356z.11, 356z.12,
23356z.13, 356z.14, 356z.15, 356z.22, 356z.25, and 356z.26, and
24356z.29, 356z.32, and 356z.33 of the Illinois Insurance Code.

HB3473- 8 -LRB101 04818 SMS 49827 b
1Insurance policies shall comply with Section 356z.19 of the
2Illinois Insurance Code. The coverage shall comply with
3Sections 155.22a, 355b, and 370c of the Illinois Insurance
4Code. The Department of Insurance shall enforce the
5requirements of this Section.
6 Rulemaking authority to implement Public Act 95-1045, if
7any, is conditioned on the rules being adopted in accordance
8with all provisions of the Illinois Administrative Procedure
9Act and all rules and procedures of the Joint Committee on
10Administrative Rules; any purported rule not so adopted, for
11whatever reason, is unauthorized.
12(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17;
13100-863, eff. 8-14-18; 100-1024, eff. 1-1-19; 100-1057, eff.
141-1-19; 100-1102, eff. 1-1-19; revised 10-4-18.)
15 Section 30. The Illinois Insurance Code is amended by
16adding Section 356z.33 as follows:
17 (215 ILCS 5/356z.33 new)
18 Sec. 356z.33. Coverage for the early treatment of serious
19mental illnesses and serious emotional disturbances.
20 (a) As used in this Section:
21 "Serious emotional disturbance" has the meaning as
22interpreted by the federal Substance Abuse and Mental Health
23Services Administration.
24 "Serious mental illness" has the same meaning as in the

HB3473- 9 -LRB101 04818 SMS 49827 b
1most recent edition of the Diagnostic and Statistical Manual of
2Mental Disorders.
3 (b) For purposes of treatment in the early stages of a
4mental health condition, a group or individual policy of
5accident and health insurance or managed care plan that is
6amended, delivered, issued, or renewed after the effective date
7of this amendatory Act of the 101st General Assembly shall
8provide coverage for the treatment of serious mental illnesses
9and serious emotional disturbances, including, but not limited
10to, the following evidence-based and evidence-informed bundled
11treatment approaches:
12 (1) assertive community treatment and community
13 support team treatment, which are both community-based
14 treatment models that are covered for individuals under the
15 Medical Assistance Program under Article V of the Public
16 Aid Code; the covered bundled services for assertive
17 community treatment and community support team treatment
18 shall be comparable in scope to those covered under the
19 treatment models through the Medical Assistance Program;
20 and
21 (2) first episode psychosis treatment, covering at a
22 minimum the elements of the coordinated specialty care
23 model applied in the research trials conducted by the
24 National Institute of Mental Health in the Recovery of an
25 Initial Schizophrenia Episode studies.
26 Payment for the services performed under the treatment

HB3473- 10 -LRB101 04818 SMS 49827 b
1models in paragraphs (1) and (2) shall be based on all the
2components of the treatment model combined, rather than for
3each separate service.
4 (c) For purposes of determining medical necessity for the
5treatment approaches covered by this Section, neither
6disability nor functional impairment shall be a precondition to
7receive the treatment approaches since the goal of coverage
8under this Section is early treatment of a serious mental
9illness or serious emotional disturbance and preventing
10progression of the illness or condition. Medical necessity
11shall be presumed following a psychiatric inpatient
12hospitalization if the treatment approaches are recommended by
13a licensed physician, licensed clinical psychologist, licensed
14professional clinical counselor, or licensed clinical social
15worker. If, at any time, the Secretary of the United States
16Department of Health and Human Services, or its successor
17agency, promulgates rules or regulations to be published in the
18Federal Register or publishes a comment in the Federal Register
19or issues an opinion, guidance, or other action that would
20require the State, pursuant to any provision of the Patient
21Protection and Affordable Care Act, including, but not limited
22to, 42 U.S.C. 18031(d)(3)(b), or any successor provision, to
23defray the cost of any coverage for serious mental illnesses or
24serious emotional disturbances outlined in this Section, then
25the requirement that a group or individual policy of accident
26and health insurance or managed care plan cover the bundled

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1treatment approaches outlined in this Section is inoperative
2other than any such coverage authorized under Section 1902 of
3the Social Security Act, 42 U.S.C. 1396a, and the State shall
4not assume any obligation for the cost of the coverage.
5 Section 35. The Health Maintenance Organization Act is
6amended by changing Section 5-3 as follows:
7 (215 ILCS 125/5-3) (from Ch. 111 1/2, par. 1411.2)
8 Sec. 5-3. Insurance Code provisions.
9 (a) Health Maintenance Organizations shall be subject to
10the provisions of Sections 133, 134, 136, 137, 139, 140, 141.1,
11141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153, 154,
12154.5, 154.6, 154.7, 154.8, 155.04, 155.22a, 355.2, 355.3,
13355b, 356g.5-1, 356m, 356v, 356w, 356x, 356y, 356z.2, 356z.4,
14356z.5, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12,
15356z.13, 356z.14, 356z.15, 356z.17, 356z.18, 356z.19, 356z.21,
16356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32, 356z.33,
17364, 364.01, 367.2, 367.2-5, 367i, 368a, 368b, 368c, 368d,
18368e, 370c, 370c.1, 401, 401.1, 402, 403, 403A, 408, 408.2,
19409, 412, 444, and 444.1, paragraph (c) of subsection (2) of
20Section 367, and Articles IIA, VIII 1/2, XII, XII 1/2, XIII,
21XIII 1/2, XXV, and XXVI of the Illinois Insurance Code.
22 (b) For purposes of the Illinois Insurance Code, except for
23Sections 444 and 444.1 and Articles XIII and XIII 1/2, Health
24Maintenance Organizations in the following categories are

HB3473- 12 -LRB101 04818 SMS 49827 b
1deemed to be "domestic companies":
2 (1) a corporation authorized under the Dental Service
3 Plan Act or the Voluntary Health Services Plans Act;
4 (2) a corporation organized under the laws of this
5 State; or
6 (3) a corporation organized under the laws of another
7 state, 30% or more of the enrollees of which are residents
8 of this State, except a corporation subject to
9 substantially the same requirements in its state of
10 organization as is a "domestic company" under Article VIII
11 1/2 of the Illinois Insurance Code.
12 (c) In considering the merger, consolidation, or other
13acquisition of control of a Health Maintenance Organization
14pursuant to Article VIII 1/2 of the Illinois Insurance Code,
15 (1) the Director shall give primary consideration to
16 the continuation of benefits to enrollees and the financial
17 conditions of the acquired Health Maintenance Organization
18 after the merger, consolidation, or other acquisition of
19 control takes effect;
20 (2)(i) the criteria specified in subsection (1)(b) of
21 Section 131.8 of the Illinois Insurance Code shall not
22 apply and (ii) the Director, in making his determination
23 with respect to the merger, consolidation, or other
24 acquisition of control, need not take into account the
25 effect on competition of the merger, consolidation, or
26 other acquisition of control;

HB3473- 13 -LRB101 04818 SMS 49827 b
1 (3) the Director shall have the power to require the
2 following information:
3 (A) certification by an independent actuary of the
4 adequacy of the reserves of the Health Maintenance
5 Organization sought to be acquired;
6 (B) pro forma financial statements reflecting the
7 combined balance sheets of the acquiring company and
8 the Health Maintenance Organization sought to be
9 acquired as of the end of the preceding year and as of
10 a date 90 days prior to the acquisition, as well as pro
11 forma financial statements reflecting projected
12 combined operation for a period of 2 years;
13 (C) a pro forma business plan detailing an
14 acquiring party's plans with respect to the operation
15 of the Health Maintenance Organization sought to be
16 acquired for a period of not less than 3 years; and
17 (D) such other information as the Director shall
18 require.
19 (d) The provisions of Article VIII 1/2 of the Illinois
20Insurance Code and this Section 5-3 shall apply to the sale by
21any health maintenance organization of greater than 10% of its
22enrollee population (including without limitation the health
23maintenance organization's right, title, and interest in and to
24its health care certificates).
25 (e) In considering any management contract or service
26agreement subject to Section 141.1 of the Illinois Insurance

HB3473- 14 -LRB101 04818 SMS 49827 b
1Code, the Director (i) shall, in addition to the criteria
2specified in Section 141.2 of the Illinois Insurance Code, take
3into account the effect of the management contract or service
4agreement on the continuation of benefits to enrollees and the
5financial condition of the health maintenance organization to
6be managed or serviced, and (ii) need not take into account the
7effect of the management contract or service agreement on
8competition.
9 (f) Except for small employer groups as defined in the
10Small Employer Rating, Renewability and Portability Health
11Insurance Act and except for medicare supplement policies as
12defined in Section 363 of the Illinois Insurance Code, a Health
13Maintenance Organization may by contract agree with a group or
14other enrollment unit to effect refunds or charge additional
15premiums under the following terms and conditions:
16 (i) the amount of, and other terms and conditions with
17 respect to, the refund or additional premium are set forth
18 in the group or enrollment unit contract agreed in advance
19 of the period for which a refund is to be paid or
20 additional premium is to be charged (which period shall not
21 be less than one year); and
22 (ii) the amount of the refund or additional premium
23 shall not exceed 20% of the Health Maintenance
24 Organization's profitable or unprofitable experience with
25 respect to the group or other enrollment unit for the
26 period (and, for purposes of a refund or additional

HB3473- 15 -LRB101 04818 SMS 49827 b
1 premium, the profitable or unprofitable experience shall
2 be calculated taking into account a pro rata share of the
3 Health Maintenance Organization's administrative and
4 marketing expenses, but shall not include any refund to be
5 made or additional premium to be paid pursuant to this
6 subsection (f)). The Health Maintenance Organization and
7 the group or enrollment unit may agree that the profitable
8 or unprofitable experience may be calculated taking into
9 account the refund period and the immediately preceding 2
10 plan years.
11 The Health Maintenance Organization shall include a
12statement in the evidence of coverage issued to each enrollee
13describing the possibility of a refund or additional premium,
14and upon request of any group or enrollment unit, provide to
15the group or enrollment unit a description of the method used
16to calculate (1) the Health Maintenance Organization's
17profitable experience with respect to the group or enrollment
18unit and the resulting refund to the group or enrollment unit
19or (2) the Health Maintenance Organization's unprofitable
20experience with respect to the group or enrollment unit and the
21resulting additional premium to be paid by the group or
22enrollment unit.
23 In no event shall the Illinois Health Maintenance
24Organization Guaranty Association be liable to pay any
25contractual obligation of an insolvent organization to pay any
26refund authorized under this Section.

HB3473- 16 -LRB101 04818 SMS 49827 b
1 (g) Rulemaking authority to implement Public Act 95-1045,
2if any, is conditioned on the rules being adopted in accordance
3with all provisions of the Illinois Administrative Procedure
4Act and all rules and procedures of the Joint Committee on
5Administrative Rules; any purported rule not so adopted, for
6whatever reason, is unauthorized.
7(Source: P.A. 99-761, eff. 1-1-18; 100-24, eff. 7-18-17;
8100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1026, eff.
98-22-18; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised
1010-4-18.)
11 Section 40. The Limited Health Service Organization Act is
12amended by changing Section 4003 as follows:
13 (215 ILCS 130/4003) (from Ch. 73, par. 1504-3)
14 Sec. 4003. Illinois Insurance Code provisions. Limited
15health service organizations shall be subject to the provisions
16of Sections 133, 134, 136, 137, 139, 140, 141.1, 141.2, 141.3,
17143, 143c, 147, 148, 149, 151, 152, 153, 154, 154.5, 154.6,
18154.7, 154.8, 155.04, 155.37, 355.2, 355.3, 355b, 356v,
19356z.10, 356z.21, 356z.22, 356z.25, 356z.26, 356z.29, 356z.32,
20356z.33, 368a, 401, 401.1, 402, 403, 403A, 408, 408.2, 409,
21412, 444, and 444.1 and Articles IIA, VIII 1/2, XII, XII 1/2,
22XIII, XIII 1/2, XXV, and XXVI of the Illinois Insurance Code.
23For purposes of the Illinois Insurance Code, except for
24Sections 444 and 444.1 and Articles XIII and XIII 1/2, limited

HB3473- 17 -LRB101 04818 SMS 49827 b
1health service organizations in the following categories are
2deemed to be domestic companies:
3 (1) a corporation under the laws of this State; or
4 (2) a corporation organized under the laws of another
5 state, 30% or more of the enrollees of which are residents
6 of this State, except a corporation subject to
7 substantially the same requirements in its state of
8 organization as is a domestic company under Article VIII
9 1/2 of the Illinois Insurance Code.
10(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17;
11100-201, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1057, eff.
121-1-19; 100-1102, eff. 1-1-19; revised 10-4-18.)
13 Section 45. The Voluntary Health Services Plans Act is
14amended by changing Section 10 as follows:
15 (215 ILCS 165/10) (from Ch. 32, par. 604)
16 Sec. 10. Application of Insurance Code provisions. Health
17services plan corporations and all persons interested therein
18or dealing therewith shall be subject to the provisions of
19Articles IIA and XII 1/2 and Sections 3.1, 133, 136, 139, 140,
20143, 143c, 149, 155.22a, 155.37, 354, 355.2, 355.3, 355b, 356g,
21356g.5, 356g.5-1, 356r, 356t, 356u, 356v, 356w, 356x, 356y,
22356z.1, 356z.2, 356z.4, 356z.5, 356z.6, 356z.8, 356z.9,
23356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.18,
24356z.19, 356z.21, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30,

HB3473- 18 -LRB101 04818 SMS 49827 b
1356z.32, 356z.33, 364.01, 367.2, 368a, 401, 401.1, 402, 403,
2403A, 408, 408.2, and 412, and paragraphs (7) and (15) of
3Section 367 of the Illinois Insurance Code.
4 Rulemaking authority to implement Public Act 95-1045, if
5any, is conditioned on the rules being adopted in accordance
6with all provisions of the Illinois Administrative Procedure
7Act and all rules and procedures of the Joint Committee on
8Administrative Rules; any purported rule not so adopted, for
9whatever reason, is unauthorized.
10(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17;
11100-863, eff. 8-14-18; 100-1026, eff. 8-22-18; 100-1057, eff.
121-1-19; 100-1102, eff. 1-1-19; revised 10-4-18.)
13 Section 95. No acceleration or delay. Where this Act makes
14changes in a statute that is represented in this Act by text
15that is not yet or no longer in effect (for example, a Section
16represented by multiple versions), the use of that text does
17not accelerate or delay the taking effect of (i) the changes
18made by this Act or (ii) provisions derived from any other
19Public Act.
20 Section 99. Effective date. This Act takes effect upon
21becoming law.

HB3473- 19 -LRB101 04818 SMS 49827 b
1 INDEX
2 Statutes amended in order of appearance