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: (Engrossed) 2017-07-06 - Rule 19(a) / Re-referred to Rules Committee [SB0634 Detail]

Download: Illinois-2017-SB0634-Engrossed.html

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1 AN ACT concerning regulation.
2 Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
4 Section 5. The State Employees Group Insurance Act of 1971
5is amended by adding Section 6.12a as follows:
6 (5 ILCS 375/6.12a new)
7 Sec. 6.12a. Vendor assistant program for dentists
8providing services to State of Illinois employees. The
9Department of Central Management Services may establish a
10vendor payment program for dentists providing services to State
11of Illinois employees under which qualified purchasers may
12purchase from participating vendors certain qualified accounts
13receivable owed by the State to the participating vendors. This
14program shall be subject to any State offset of the purchase
15price for which any qualified account receivable purchased
16under the program equals 100% of the base invoice amount
17associated with such account receivable, as determined by the
18State Comptroller. The purchase price for a qualified account
19receivable shall be determined by the Department of Central
20Management Services. In consideration of the payment of the
21purchase price, a participating dentist shall assign to the
22qualified purchaser all of its rights to payment of such
23qualified account receivable, including all current and future

SB0634 Engrossed- 2 -LRB100 05383 RJF 15394 b
1prompt payment penalties due relating to such qualified account
2receivable in accordance with the State Prompt Payment Act.
3 Section 99. Effective date. This Act takes effect upon
4becoming law.