Bill Text: IL HB5253 | 2021-2022 | 102nd General Assembly | Introduced

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Bill Title: Amends the Illinois Insurance Code. In provisions concerning victims of certain offenses, removes language providing that any insurance carrier shall upon reasonable demand by the Department of Public Health disclose the names and identities of its insureds entitled to benefits to the Department whenever the Department has determined that it has paid, or is about to pay, hospital or medical expenses for which an insurance carrier is liable. Removes language providing that whenever the Department finds that it has paid all or part of any hospital or medical expenses which an insurance carrier is obligated to pay, the Department shall be entitled to receive reimbursement for its payments from such insurance carrier provided that the Department has notified the insurance carrier of its claims before the carrier has paid such benefits to its insureds or in behalf of its insureds.

Sponsorship: Partisan Bill (Republican 1)

Status: (Introduced - Dead) 2022-02-18 - Rule 19(a) / Re-referred to Rules Committee [HB5253 Detail]

Download: Illinois-2021-HB5253-Introduced.html

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102ND GENERAL ASSEMBLY State of Illinois 2021 and 2022 HB5253 Introduced , by Rep. Keith R. Wheeler SYNOPSIS AS INTRODUCED:
215 ILCS 5/356e from Ch. 73, par. 968e
Amends the Illinois Insurance Code. In provisions concerning victims of certain offenses, removes language providing that any insurance carrier shall upon reasonable demand by the Department of Public Health disclose the names and identities of its insureds entitled to benefits to the Department whenever the Department has determined that it has paid, or is about to pay, hospital or medical expenses for which an insurance carrier is liable. Removes language providing that whenever the Department finds that it has paid all or part of any hospital or medical expenses which an insurance carrier is obligated to pay, the Department shall be entitled to receive reimbursement for its payments from such insurance carrier provided that the Department has notified the insurance carrier of its claims before the carrier has paid such benefits to its insureds or in behalf of its insureds.
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A BILL FOR
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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 356e as follows:
(215 ILCS 5/356e) (from Ch. 73, par. 968e)
Sec. 356e. Victims of certain offenses.
(1) No policy of accident and health insurance, which
provides benefits for hospital or medical expenses based upon
the actual expenses incurred, delivered or issued for delivery
to any person in this State shall contain any specific
exception to coverage which would preclude the payment under
that policy of actual expenses incurred in the examination and
testing of a victim of an offense defined in Sections 11-1.20
through 11-1.60 or 12-13 through 12-16 of the Criminal Code of
1961 or the Criminal Code of 2012, or an attempt to commit such
offense to establish that sexual contact did occur or did not
occur, and to establish the presence or absence of sexually
transmitted disease or infection, and examination and
treatment of injuries and trauma sustained by a victim of such
offense arising out of the offense. Every policy of accident
and health insurance which specifically provides benefits for
routine physical examinations shall provide full coverage for

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expenses incurred in the examination and testing of a victim
of an offense defined in Sections 11-1.20 through 11-1.60 or
12-13 through 12-16 of the Criminal Code of 1961 or the
Criminal Code of 2012, or an attempt to commit such offense as
set forth in this Section. This Section shall not apply to a
policy which covers hospital and medical expenses for
specified illnesses or injuries only.
(2) (Blank). For purposes of enabling the recovery of
State funds, any insurance carrier subject to this Section
shall upon reasonable demand by the Department of Public
Health disclose the names and identities of its insureds
entitled to benefits under this provision to the Department of
Public Health whenever the Department of Public Health has
determined that it has paid, or is about to pay, hospital or
medical expenses for which an insurance carrier is liable
under this Section. All information received by the Department
of Public Health under this provision shall be held on a
confidential basis and shall not be subject to subpoena and
shall not be made public by the Department of Public Health or
used for any purpose other than that authorized by this
Section.
(3) (Blank). Whenever the Department of Public Health
finds that it has paid all or part of any hospital or medical
expenses which an insurance carrier is obligated to pay under
this Section, the Department of Public Health shall be
entitled to receive reimbursement for its payments from such

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insurance carrier provided that the Department of Public
Health has notified the insurance carrier of its claims before
the carrier has paid such benefits to its insureds or in behalf
of its insureds.
(Source: P.A. 96-1551, eff. 7-1-11; 97-1150, eff. 1-25-13.)