Bill Text: IL HB3784 | 2011-2012 | 97th General Assembly | Introduced
Bill Title: Amends the State Employees Group Insurance Act of 1971. Provides that if health benefits coverage is offered under the Act through a health maintenance organization, then (i) at least one participating health maintenance organization must be accessible in each county with 50,000 or fewer inhabitants and (ii) at least 2 participating health maintenance organizations must be accessible in every county with more than 50,000 inhabitants. Specifies that access to an open access plan is not considered access to a health maintenance organization. Effective immediately.
Spectrum: Partisan Bill (Republican 1-0)
Status: (Failed) 2013-01-08 - Session Sine Die [HB3784 Detail]
Download: Illinois-2011-HB3784-Introduced.html
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1 | AN ACT concerning State government.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The State Employees Group Insurance Act of 1971 | ||||||||||||||||||||||||
5 | is amended by changing Section 6.1 as follows:
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6 | (5 ILCS 375/6.1) (from Ch. 127, par. 526.1)
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7 | Sec. 6.1. Health maintenance organizations. The program of | ||||||||||||||||||||||||
8 | health benefits may offer as an alternative,
available on an | ||||||||||||||||||||||||
9 | optional basis, coverage through
health maintenance | ||||||||||||||||||||||||
10 | organizations. That part of the premium for
such coverage which | ||||||||||||||||||||||||
11 | is in excess of the amount which would
otherwise be paid by the | ||||||||||||||||||||||||
12 | State for the program of health benefits shall
be paid by the | ||||||||||||||||||||||||
13 | member who elects such alternative coverage and shall
be | ||||||||||||||||||||||||
14 | collected as provided for premiums for other optional | ||||||||||||||||||||||||
15 | coverages. | ||||||||||||||||||||||||
16 | If a county has 50,000 or fewer inhabitants, then health | ||||||||||||||||||||||||
17 | benefits coverage offered under this Section must provide | ||||||||||||||||||||||||
18 | access to at least one participating health maintenance | ||||||||||||||||||||||||
19 | organization in that county. If a county has more than 50,000 | ||||||||||||||||||||||||
20 | inhabitants, then health benefits coverage offered under this | ||||||||||||||||||||||||
21 | Section must provide access to at least 2 participating health | ||||||||||||||||||||||||
22 | maintenance organizations in that county. For the purposes of | ||||||||||||||||||||||||
23 | this Section, access to an open access plan is not considered |
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1 | access to a health maintenance organization.
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2 | However, nothing in this Act shall be construed to permit, | ||||||
3 | after
the effective date of this amendatory Act of 1983, the | ||||||
4 | noncontributory portion
of any such program to include the | ||||||
5 | expenses of obtaining an abortion, induced
miscarriage or | ||||||
6 | induced premature birth unless, in the opinion of a physician,
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7 | such procedures are necessary for the preservation of the life | ||||||
8 | of the woman
seeking such treatment, or except an induced | ||||||
9 | premature birth intended to
produce a live viable child and | ||||||
10 | such procedure is necessary for the health
of the mother or her | ||||||
11 | unborn child.
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12 | (Source: P.A. 85-848.)
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13 | Section 99. Effective date. This Act takes effect upon | ||||||
14 | becoming law.
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