Bill Text: IL SB0035 | 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 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 8-0)

Status: (Introduced) 2019-02-07 - Added as Co-Sponsor Sen. Laura Fine [SB0035 Detail]

Download: Illinois-2019-SB0035-Introduced.html


101ST GENERAL ASSEMBLY
State of Illinois
2019 and 2020
SB0035

Introduced 1/10/2019, by Sen. Melinda Bush

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 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 02881 SMS 47889 b
FISCAL NOTE ACT MAY APPLY
STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT

A BILL FOR

SB0035LRB101 02881 SMS 47889 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 Sec. 6.11. Required health benefits; Illinois Insurance
21Code requirements. The program of health benefits shall provide
22the post-mastectomy care benefits required to be covered by a
23policy of accident and health insurance under Section 356t of
24the Illinois Insurance Code. The program of health benefits

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1shall provide the coverage required under Sections 356g,
2356g.5, 356g.5-1, 356m, 356u, 356w, 356x, 356z.2, 356z.4,
3356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
4356z.14, 356z.15, 356z.17, 356z.22, 356z.25, and 356z.26, and
5356z.29, 356z.32, and 356z.33 of the Illinois Insurance Code.
6The program of health benefits must comply with Sections
7155.22a, 155.37, 355b, 356z.19, 370c, and 370c.1 of the
8Illinois Insurance Code. The Department of Insurance shall
9enforce the requirements of this Section.
10 Rulemaking authority to implement Public Act 95-1045, if
11any, is conditioned on the rules being adopted in accordance
12with all provisions of the Illinois Administrative Procedure
13Act and all rules and procedures of the Joint Committee on
14Administrative Rules; any purported rule not so adopted, for
15whatever reason, is unauthorized.
16(Source: P.A. 99-480, eff. 9-9-15; 100-24, eff. 7-18-17;
17100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1024, eff.
181-1-19; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised
1910-3-18.)
20 Section 15. The Counties Code is amended by changing
21Section 5-1069.3 as follows:
22 (55 ILCS 5/5-1069.3)
23 Sec. 5-1069.3. Required health benefits. If a county,
24including a home rule county, is a self-insurer for purposes of

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1providing health insurance coverage for its employees, the
2coverage shall include coverage for the post-mastectomy care
3benefits required to be covered by a policy of accident and
4health insurance under Section 356t and the coverage required
5under Sections 356g, 356g.5, 356g.5-1, 356u, 356w, 356x,
6356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12, 356z.13,
7356z.14, 356z.15, 356z.22, 356z.25, and 356z.26, and 356z.29,
8356z.32, and 356z.33 of the Illinois Insurance Code. The
9coverage shall comply with Sections 155.22a, 355b, 356z.19, and
10370c of the Illinois Insurance Code. The Department of
11Insurance shall enforce the requirements of this Section. The
12requirement that health benefits be covered as provided in this
13Section is an exclusive power and function of the State and is
14a denial and limitation under Article VII, Section 6,
15subsection (h) of the Illinois Constitution. A home rule county
16to which this Section applies must comply with every provision
17of this Section.
18 Rulemaking authority to implement Public Act 95-1045, if
19any, is conditioned on the rules being adopted in accordance
20with all provisions of the Illinois Administrative Procedure
21Act and all rules and procedures of the Joint Committee on
22Administrative Rules; any purported rule not so adopted, for
23whatever reason, is unauthorized.
24(Source: P.A. 99-480, eff. 9-9-15; 100-24, eff. 7-18-17;
25100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1024, eff.
261-1-19; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised

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110-3-18.)
2 Section 20. The Illinois Municipal Code is amended by
3changing Section 10-4-2.3 as follows:
4 (65 ILCS 5/10-4-2.3)
5 Sec. 10-4-2.3. Required health benefits. If a
6municipality, including a home rule municipality, is a
7self-insurer for purposes of providing health insurance
8coverage for its employees, the coverage shall include coverage
9for the post-mastectomy care benefits required to be covered by
10a policy of accident and health insurance under Section 356t
11and the coverage required under Sections 356g, 356g.5,
12356g.5-1, 356u, 356w, 356x, 356z.6, 356z.8, 356z.9, 356z.10,
13356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.22, 356z.25,
14and 356z.26, and 356z.29, 356z.32, and 356z.33 of the Illinois
15Insurance Code. The coverage shall comply with Sections
16155.22a, 355b, 356z.19, and 370c of the Illinois Insurance
17Code. The Department of Insurance shall enforce the
18requirements of this Section. The requirement that health
19benefits be covered as provided in this is an exclusive power
20and function of the State and is a denial and limitation under
21Article VII, Section 6, subsection (h) of the Illinois
22Constitution. A home rule municipality to which this Section
23applies must comply with every provision of this Section.
24 Rulemaking authority to implement Public Act 95-1045, if

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1any, is conditioned on the rules being adopted in accordance
2with all provisions of the Illinois Administrative Procedure
3Act and all rules and procedures of the Joint Committee on
4Administrative Rules; any purported rule not so adopted, for
5whatever reason, is unauthorized.
6(Source: P.A. 99-480, eff. 9-9-15; 100-24, eff. 7-18-17;
7100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1024, eff.
81-1-19; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised
910-4-18.)
10 Section 25. The School Code is amended by changing Section
1110-22.3f as follows:
12 (105 ILCS 5/10-22.3f)
13 Sec. 10-22.3f. Required health benefits. Insurance
14protection and benefits for employees shall provide the
15post-mastectomy care benefits required to be covered by a
16policy of accident and health insurance under Section 356t and
17the coverage required under Sections 356g, 356g.5, 356g.5-1,
18356u, 356w, 356x, 356z.6, 356z.8, 356z.9, 356z.11, 356z.12,
19356z.13, 356z.14, 356z.15, 356z.22, 356z.25, and 356z.26, and
20356z.29, 356z.32, and 356z.33 of the Illinois Insurance Code.
21Insurance policies shall comply with Section 356z.19 of the
22Illinois Insurance Code. The coverage shall comply with
23Sections 155.22a, 355b, and 370c of the Illinois Insurance
24Code. The Department of Insurance shall enforce the

SB0035- 7 -LRB101 02881 SMS 47889 b
1requirements of this Section.
2 Rulemaking authority to implement Public Act 95-1045, if
3any, is conditioned on the rules being adopted in accordance
4with all provisions of the Illinois Administrative Procedure
5Act and all rules and procedures of the Joint Committee on
6Administrative Rules; any purported rule not so adopted, for
7whatever reason, is unauthorized.
8(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17;
9100-863, eff. 8-14-18; 100-1024, eff. 1-1-19; 100-1057, eff.
101-1-19; 100-1102, eff. 1-1-19; revised 10-4-18.)
11 Section 30. The Illinois Insurance Code is amended by
12adding Section 356z.33 as follows:
13 (215 ILCS 5/356z.33 new)
14 Sec. 356z.33. Coverage for the early treatment of serious
15mental illnesses and serious emotional disturbances.
16 (a) For purposes of this Section:
17 "Serious emotional disturbance" has the meaning as
18 interpreted by the federal Substance Abuse and Mental
19 Health Services Administration.
20 "Serious mental illness" has the same meaning as in the
21 most recent edition of the Diagnostic and Statistical
22 Manual of Mental Disorders.
23 (b) For purposes of treatment in the early stages of a
24mental health condition, a group or individual policy of

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

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1treatment approaches covered by this Section, neither
2disability nor functional impairment shall be a precondition to
3receive the treatment approaches since the goal of coverage
4under this Section is early treatment of a serious mental
5illness or serious emotional disturbance and preventing
6progression of the illness or condition. Medical necessity
7shall be presumed following a psychiatric inpatient
8hospitalization if the treatment approaches are recommended by
9a licensed physician, licensed clinical psychologist, licensed
10professional clinical counselor, or licensed clinical social
11worker. If, at any time, the Secretary of the United States
12Department of Health and Human Services, or its successor
13agency, promulgates rules or regulations to be published in the
14Federal Register or publishes a comment in the Federal Register
15or issues an opinion, guidance, or other action that would
16require the State, pursuant to any provision of the Patient
17Protection and Affordable Care Act, including, but not limited
18to, 42 U.S.C. 18031(d)(3)(b), or any successor provision, to
19defray the cost of any coverage for serious mental illnesses or
20serious emotional disturbances outlined in this Section, then
21the requirement that a group or individual policy of accident
22and health insurance or managed care plan cover the bundled
23treatment approaches outlined in this Section is inoperative
24other than any such coverage authorized under Section 1902 of
25the Social Security Act, 42 U.S.C. 1396a, and the State shall
26not assume any obligation for the cost of the coverage.

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1 Section 35. The Health Maintenance Organization Act is
2amended by changing Section 5-3 as follows:
3 (215 ILCS 125/5-3) (from Ch. 111 1/2, par. 1411.2)
4 Sec. 5-3. Insurance Code provisions.
5 (a) Health Maintenance Organizations shall be subject to
6the provisions of Sections 133, 134, 136, 137, 139, 140, 141.1,
7141.2, 141.3, 143, 143c, 147, 148, 149, 151, 152, 153, 154,
8154.5, 154.6, 154.7, 154.8, 155.04, 155.22a, 355.2, 355.3,
9355b, 356g.5-1, 356m, 356v, 356w, 356x, 356y, 356z.2, 356z.4,
10356z.5, 356z.6, 356z.8, 356z.9, 356z.10, 356z.11, 356z.12,
11356z.13, 356z.14, 356z.15, 356z.17, 356z.18, 356z.19, 356z.21,
12356z.22, 356z.25, 356z.26, 356z.29, 356z.30, 356z.32, 356z.33,
13364, 364.01, 367.2, 367.2-5, 367i, 368a, 368b, 368c, 368d,
14368e, 370c, 370c.1, 401, 401.1, 402, 403, 403A, 408, 408.2,
15409, 412, 444, and 444.1, paragraph (c) of subsection (2) of
16Section 367, and Articles IIA, VIII 1/2, XII, XII 1/2, XIII,
17XIII 1/2, XXV, and XXVI of the Illinois Insurance Code.
18 (b) For purposes of the Illinois Insurance Code, except for
19Sections 444 and 444.1 and Articles XIII and XIII 1/2, Health
20Maintenance Organizations in the following categories are
21deemed to be "domestic companies":
22 (1) a corporation authorized under the Dental Service
23 Plan Act or the Voluntary Health Services Plans Act;
24 (2) a corporation organized under the laws of this

SB0035- 11 -LRB101 02881 SMS 47889 b
1 State; or
2 (3) a corporation organized under the laws of another
3 state, 30% or more of the enrollees of which are residents
4 of this State, except a corporation subject to
5 substantially the same requirements in its state of
6 organization as is a "domestic company" under Article VIII
7 1/2 of the Illinois Insurance Code.
8 (c) In considering the merger, consolidation, or other
9acquisition of control of a Health Maintenance Organization
10pursuant to Article VIII 1/2 of the Illinois Insurance Code,
11 (1) the Director shall give primary consideration to
12 the continuation of benefits to enrollees and the financial
13 conditions of the acquired Health Maintenance Organization
14 after the merger, consolidation, or other acquisition of
15 control takes effect;
16 (2)(i) the criteria specified in subsection (1)(b) of
17 Section 131.8 of the Illinois Insurance Code shall not
18 apply and (ii) the Director, in making his determination
19 with respect to the merger, consolidation, or other
20 acquisition of control, need not take into account the
21 effect on competition of the merger, consolidation, or
22 other acquisition of control;
23 (3) the Director shall have the power to require the
24 following information:
25 (A) certification by an independent actuary of the
26 adequacy of the reserves of the Health Maintenance

SB0035- 12 -LRB101 02881 SMS 47889 b
1 Organization sought to be acquired;
2 (B) pro forma financial statements reflecting the
3 combined balance sheets of the acquiring company and
4 the Health Maintenance Organization sought to be
5 acquired as of the end of the preceding year and as of
6 a date 90 days prior to the acquisition, as well as pro
7 forma financial statements reflecting projected
8 combined operation for a period of 2 years;
9 (C) a pro forma business plan detailing an
10 acquiring party's plans with respect to the operation
11 of the Health Maintenance Organization sought to be
12 acquired for a period of not less than 3 years; and
13 (D) such other information as the Director shall
14 require.
15 (d) The provisions of Article VIII 1/2 of the Illinois
16Insurance Code and this Section 5-3 shall apply to the sale by
17any health maintenance organization of greater than 10% of its
18enrollee population (including without limitation the health
19maintenance organization's right, title, and interest in and to
20its health care certificates).
21 (e) In considering any management contract or service
22agreement subject to Section 141.1 of the Illinois Insurance
23Code, the Director (i) shall, in addition to the criteria
24specified in Section 141.2 of the Illinois Insurance Code, take
25into account the effect of the management contract or service
26agreement on the continuation of benefits to enrollees and the

SB0035- 13 -LRB101 02881 SMS 47889 b
1financial condition of the health maintenance organization to
2be managed or serviced, and (ii) need not take into account the
3effect of the management contract or service agreement on
4competition.
5 (f) Except for small employer groups as defined in the
6Small Employer Rating, Renewability and Portability Health
7Insurance Act and except for medicare supplement policies as
8defined in Section 363 of the Illinois Insurance Code, a Health
9Maintenance Organization may by contract agree with a group or
10other enrollment unit to effect refunds or charge additional
11premiums under the following terms and conditions:
12 (i) the amount of, and other terms and conditions with
13 respect to, the refund or additional premium are set forth
14 in the group or enrollment unit contract agreed in advance
15 of the period for which a refund is to be paid or
16 additional premium is to be charged (which period shall not
17 be less than one year); and
18 (ii) the amount of the refund or additional premium
19 shall not exceed 20% of the Health Maintenance
20 Organization's profitable or unprofitable experience with
21 respect to the group or other enrollment unit for the
22 period (and, for purposes of a refund or additional
23 premium, the profitable or unprofitable experience shall
24 be calculated taking into account a pro rata share of the
25 Health Maintenance Organization's administrative and
26 marketing expenses, but shall not include any refund to be

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1 made or additional premium to be paid pursuant to this
2 subsection (f)). The Health Maintenance Organization and
3 the group or enrollment unit may agree that the profitable
4 or unprofitable experience may be calculated taking into
5 account the refund period and the immediately preceding 2
6 plan years.
7 The Health Maintenance Organization shall include a
8statement in the evidence of coverage issued to each enrollee
9describing the possibility of a refund or additional premium,
10and upon request of any group or enrollment unit, provide to
11the group or enrollment unit a description of the method used
12to calculate (1) the Health Maintenance Organization's
13profitable experience with respect to the group or enrollment
14unit and the resulting refund to the group or enrollment unit
15or (2) the Health Maintenance Organization's unprofitable
16experience with respect to the group or enrollment unit and the
17resulting additional premium to be paid by the group or
18enrollment unit.
19 In no event shall the Illinois Health Maintenance
20Organization Guaranty Association be liable to pay any
21contractual obligation of an insolvent organization to pay any
22refund authorized under this Section.
23 (g) Rulemaking authority to implement Public Act 95-1045,
24if any, is conditioned on the rules being adopted in accordance
25with all provisions of the Illinois Administrative Procedure
26Act and all rules and procedures of the Joint Committee on

SB0035- 15 -LRB101 02881 SMS 47889 b
1Administrative Rules; any purported rule not so adopted, for
2whatever reason, is unauthorized.
3(Source: P.A. 99-761, eff. 1-1-18; 100-24, eff. 7-18-17;
4100-138, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1026, eff.
58-22-18; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised
610-4-18.)
7 Section 40. The Limited Health Service Organization Act is
8amended by changing Section 4003 as follows:
9 (215 ILCS 130/4003) (from Ch. 73, par. 1504-3)
10 Sec. 4003. Illinois Insurance Code provisions. Limited
11health service organizations shall be subject to the provisions
12of Sections 133, 134, 136, 137, 139, 140, 141.1, 141.2, 141.3,
13143, 143c, 147, 148, 149, 151, 152, 153, 154, 154.5, 154.6,
14154.7, 154.8, 155.04, 155.37, 355.2, 355.3, 355b, 356v,
15356z.10, 356z.21, 356z.22, 356z.25, 356z.26, 356z.29, 356z.32,
16356z.33, 368a, 401, 401.1, 402, 403, 403A, 408, 408.2, 409,
17412, 444, and 444.1 and Articles IIA, VIII 1/2, XII, XII 1/2,
18XIII, XIII 1/2, XXV, and XXVI of the Illinois Insurance Code.
19For purposes of the Illinois Insurance Code, except for
20Sections 444 and 444.1 and Articles XIII and XIII 1/2, limited
21health service organizations in the following categories are
22deemed to be domestic companies:
23 (1) a corporation under the laws of this State; or
24 (2) a corporation organized under the laws of another

SB0035- 16 -LRB101 02881 SMS 47889 b
1 state, 30% or more of the enrollees of which are residents
2 of this State, except a corporation subject to
3 substantially the same requirements in its state of
4 organization as is a domestic company under Article VIII
5 1/2 of the Illinois Insurance Code.
6(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17;
7100-201, eff. 8-18-17; 100-863, eff. 8-14-18; 100-1057, eff.
81-1-19; 100-1102, eff. 1-1-19; revised 10-4-18.)
9 Section 45. The Voluntary Health Services Plans Act is
10amended by changing Section 10 as follows:
11 (215 ILCS 165/10) (from Ch. 32, par. 604)
12 Sec. 10. Application of Insurance Code provisions. Health
13services plan corporations and all persons interested therein
14or dealing therewith shall be subject to the provisions of
15Articles IIA and XII 1/2 and Sections 3.1, 133, 136, 139, 140,
16143, 143c, 149, 155.22a, 155.37, 354, 355.2, 355.3, 355b, 356g,
17356g.5, 356g.5-1, 356r, 356t, 356u, 356v, 356w, 356x, 356y,
18356z.1, 356z.2, 356z.4, 356z.5, 356z.6, 356z.8, 356z.9,
19356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.18,
20356z.19, 356z.21, 356z.22, 356z.25, 356z.26, 356z.29, 356z.30,
21356z.32, 356z.33, 364.01, 367.2, 368a, 401, 401.1, 402, 403,
22403A, 408, 408.2, and 412, and paragraphs (7) and (15) of
23Section 367 of the Illinois Insurance Code.
24 Rulemaking authority to implement Public Act 95-1045, if

SB0035- 17 -LRB101 02881 SMS 47889 b
1any, is conditioned on the rules being adopted in accordance
2with all provisions of the Illinois Administrative Procedure
3Act and all rules and procedures of the Joint Committee on
4Administrative Rules; any purported rule not so adopted, for
5whatever reason, is unauthorized.
6(Source: P.A. 100-24, eff. 7-18-17; 100-138, eff. 8-18-17;
7100-863, eff. 8-14-18; 100-1026, eff. 8-22-18; 100-1057, eff.
81-1-19; 100-1102, eff. 1-1-19; revised 10-4-18.)
9 Section 99. Effective date. This Act takes effect upon
10becoming law.

SB0035- 18 -LRB101 02881 SMS 47889 b
1 INDEX
2 Statutes amended in order of appearance