Bill Text: IL SB0634 | 2017-2018 | 100th General Assembly | Engrossed
Bill Title: Amends the State Employees Group Insurance Act of 1971. Provides that the failure of the State of Illinois to adequately reimburse a dental provider for a period of 6 months from the date a claim was submitted may be considered by the provider to be a material breach of any associated participating provider contract utilized by the State for its employees. Provides that a dental provider who has an existing contract that provides services to State employees under this Act and who has not received timely reimbursement for services for a period of 6 months: (1) may consider the associated provider contract null and void for the State of Illinois; (2) may opt out of the obligation to provide services under the terms and conditions of the associated provider contract without penalty by the State or the administrator of the dental plan including any provision that allows for termination from any other commercial plans administered by the dental insurer without cause; and (3) shall, upon providing notice, be deemed an out-of-network provider from that time forward. Effective immediately.
Spectrum: Moderate Partisan Bill (Republican 9-2)
Status: (Failed) 2019-01-09 - Session Sine Die [SB0634 Detail]
Download: Illinois-2017-SB0634-Engrossed.html
| |||||||
| |||||||
| |||||||
| 1 | AN ACT concerning regulation.
| ||||||
| 2 | Be it enacted by the People of the State of Illinois,
| ||||||
| 3 | represented in the General Assembly:
| ||||||
| 4 | Section 5. The State Employees Group Insurance Act of 1971 | ||||||
| 5 | is amended by adding Section 6.12a as follows:
| ||||||
| 6 | (5 ILCS 375/6.12a new) | ||||||
| 7 | Sec. 6.12a. Vendor assistant program for dentists | ||||||
| 8 | providing services to State of Illinois employees. The | ||||||
| 9 | Department of Central Management Services may establish a | ||||||
| 10 | vendor payment program for dentists providing services to State | ||||||
| 11 | of Illinois employees under which qualified purchasers may | ||||||
| 12 | purchase from participating vendors certain qualified accounts | ||||||
| 13 | receivable owed by the State to the participating vendors. This | ||||||
| 14 | program shall be subject to any State offset of the purchase | ||||||
| 15 | price for which any qualified account receivable purchased | ||||||
| 16 | under the program equals 100% of the base invoice amount | ||||||
| 17 | associated with such account receivable, as determined by the | ||||||
| 18 | State Comptroller. The purchase price for a qualified account | ||||||
| 19 | receivable shall be determined by the Department of Central | ||||||
| 20 | Management Services. In consideration of the payment of the | ||||||
| 21 | purchase price, a participating dentist shall assign to the | ||||||
| 22 | qualified purchaser all of its rights to payment of such | ||||||
| 23 | qualified account receivable, including all current and future | ||||||
| |||||||
| |||||||
| 1 | prompt payment penalties due relating to such qualified account | ||||||
| 2 | receivable in accordance with the State Prompt Payment Act.
| ||||||
| 3 | Section 99. Effective date. This Act takes effect upon | ||||||
| 4 | becoming law.
| ||||||
