Bill Text: IL HB4162 | 2019-2020 | 101st General Assembly | Introduced

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Bill Title: Amends the Illinois Insurance Code. Provides that individual or group policies of accident or health insurance that cover telehealth services must provide coverage for telehealth services used to treat a mental, emotional, nervous, or substance use disorder or condition.

Sponsorship: Partisan Bill (Republican 1)

Status: (Introduced - Dead) 2020-06-23 - Rule 19(b) / Re-referred to Rules Committee [HB4162 Detail]

Download: Illinois-2019-HB4162-Introduced.html

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101ST GENERAL ASSEMBLY State of Illinois 2019 and 2020 HB4162 Introduced , by Rep. Ryan Spain SYNOPSIS AS INTRODUCED:
215 ILCS 5/356z.22
Amends the Illinois Insurance Code. Provides that individual or group policies of accident or health insurance that cover telehealth services must provide coverage for telehealth services used to treat a mental, emotional, nervous, or substance use disorder or condition.
LRB101 16137 BMS 65504 b
FISCAL NOTE ACT MAY APPLY
A BILL FOR
HB4162 LRB101 16137 BMS 65504 b
AN ACT concerning regulation.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Illinois Insurance Code is amended by
changing Section 356z.22 as follows:
(215 ILCS 5/356z.22)
Sec. 356z.22. Coverage for telehealth services.
(a) For purposes of this Section:
"Distant site" means the location at which the health care
provider rendering the telehealth service is located.
"Interactive telecommunications system" means an audio and
video system permitting 2-way, live interactive communication
between the patient and the distant site health care provider.
"Telehealth services" means the delivery of covered health
care services by way of an interactive telecommunications
system.
(b) If an individual or group policy of accident or health
insurance provides coverage for telehealth services, then it
must comply with the following:
(1) An individual or group policy of accident or health
insurance providing telehealth services may not:
(A) require that in-person contact occur between a
health care provider and a patient;

HB4162 - 2 - LRB101 16137 BMS 65504 b
(B) require the health care provider to document a
barrier to an in-person consultation for coverage of
services to be provided through telehealth;
(C) require the use of telehealth when the health
care provider has determined that it is not
appropriate; or
(D) require the use of telehealth when a patient
chooses an in-person consultation.
(2) Deductibles, copayments, or coinsurance applicable
to services provided through telehealth shall not exceed
the deductibles, copayments, or coinsurance required by
the individual or group policy of accident or health
insurance for the same services provided through in-person
consultation.
(b-5) If an individual or group policy of accident or
health insurance provides coverage for telehealth services, it
must provide coverage for licensed dietitian nutritionists and
certified diabetes educators who counsel senior diabetes
patients in the senior diabetes patients' homes to remove the
hurdle of transportation for senior diabetes patients to
receive treatment.
(b-10) If an individual or group policy of accident or
health insurance provides coverage for telehealth services, it
must provide coverage for telehealth services used to treat a
mental, emotional, nervous, or substance use disorder or
condition as defined in paragraph (4) of subsection (a) of

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Section 370c.
(c) Nothing in this Section shall be deemed as precluding a
health insurer from providing benefits for other services,
including, but not limited to, remote monitoring services,
other monitoring services, or oral communications otherwise
covered under the policy.
(Source: P.A. 100-1009, eff. 1-1-19.)