Bill Text: IL SB0193 | 2017-2018 | 100th General Assembly | Introduced

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance must provide coverage for medically necessary preventative physical therapy for insureds diagnosed with multiple sclerosis without any treatment limitation or calendar year maximum. Removes requirements that coverage under this provision be subject to the same waiting period, cost sharing limitation, treatment limitation, calendar year maximum, or other limitation as provided for other physical or rehabilitative therapy benefits.

Spectrum: Partisan Bill (Democrat 29-0)

Status: (Failed) 2018-05-30 - Total Veto Stands [SB0193 Detail]

Download: Illinois-2017-SB0193-Introduced.html

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100TH GENERAL ASSEMBLY State of Illinois 2017 and 2018 SB0193 Introduced 1/18/2017, by Sen. Terry Link SYNOPSIS AS INTRODUCED:
215 ILCS 5/356z.8
Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance must provide coverage for medically necessary preventative physical therapy for insureds diagnosed with multiple sclerosis without any treatment limitation or calendar year maximum. Removes requirements that coverage under this provision be subject to the same waiting period, cost sharing limitation, treatment limitation, calendar year maximum, or other limitation as provided for other physical or rehabilitative therapy benefits.
LRB100 05979 SMS 16007 b
A BILL FOR
SB0193 LRB100 05979 SMS 16007 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.8 as follows:
(215 ILCS 5/356z.8)
Sec. 356z.8. Multiple sclerosis preventative physical
therapy. A group or individual policy of accident and health
insurance or managed care plan amended, delivered, issued, or
renewed after the effective date of this amendatory Act of the
100th General Assembly this amendatory Act of the 94th General
Assembly must provide coverage for medically necessary
preventative physical therapy without any treatment limitation
or calendar year maximum, for insureds diagnosed with multiple
sclerosis. For the purposes of this Section, "preventative
physical therapy" means physical therapy that is prescribed by
a physician licensed to practice medicine in all of its
branches for the purpose of treating parts of the body affected
by multiple sclerosis, but only where the physical therapy
includes reasonably defined goals, including, but not limited
to, sustaining the level of function the person has achieved,
with periodic evaluation of the efficacy of the physical
therapy against those goals. The coverage required under this

SB0193 - 2 - LRB100 05979 SMS 16007 b
Section shall be subject to the same deductible and ,
coinsurance requirements , waiting period, cost sharing
limitation, treatment limitation, calendar year maximum, or
other limitations as provided for other physical or
rehabilitative therapy benefits covered by the policy.
(Source: P.A. 94-1076, eff. 12-29-06.)