Bill Text: IL SB0682 | 2009-2010 | 96th General Assembly | Introduced

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Bill Title: Amends the Health Maintenance Organization Act. Makes a technical change in a Section concerning organ transplants.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2009-08-15 - Pursuant to Senate Rule 3-9(b) / Referred to Assignments [SB0682 Detail]

Download: Illinois-2009-SB0682-Introduced.html

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96TH GENERAL ASSEMBLY State of Illinois 2009 and 2010 SB0682 Introduced 2/6/2009, by Sen. John J. Cullerton SYNOPSIS AS INTRODUCED:
215 ILCS 125/4-5 from Ch. 111 1/2, par. 1408.5
Amends the Health Maintenance Organization Act. Makes a technical change in a Section concerning organ transplants.
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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 Health Maintenance Organization Act is
amended by changing Section 4-5 as follows:
(215 ILCS 125/4-5) (from Ch. 111 1/2, par. 1408.5)
Sec. 4-5. Organ Transplants. No contract or evidence of
coverage issued by a health maintenance organization which
provides coverage for health care services shall deny
reimbursement for an otherwise covered expense incurred for any
organ transplantation procedure solely on the the basis that
such procedure is deemed experimental or investigational
unless supported by the determination of the Office of Health
Care Technology Assessment within the Agency for Health Care
Policy and Research within the federal Department of Health and
Human Services that such procedure is either experimental or
investigational or that there is insufficient data or
experience to determine whether an organ transplantation
procedure is clinically acceptable. If a health maintenance
organization has made written request, or had one made on its
behalf by a national organization, for determination by the
Office of Health Care Technology Assessment within the Agency
for Health Care Policy and Research within the federal

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Department of Health and Human Services as to whether a
specific organ transplantation procedure is clinically
acceptable and said organization fails to respond to such a
request within a period of 90 days, the failure to act may be
deemed a determination that the procedure is deemed to be
experimental or investigational.
(Source: P.A. 87-218.)