IL HB1284 | 2013-2014 | 98th General Assembly

Status

Completed Legislative Action
Spectrum: Partisan Bill (Democrat 1-0)
Status: Failed on December 3 2014 - 100% progression
Action: 2014-12-03 - Session Sine Die
Text: Latest bill text (Introduced) [HTML]

Summary

Creates the Exclusive Provider Benefit Plan Act. Provides that an exclusive provider benefit plan that meets the requirements of the Act shall be permitted. Provides that to the extent of any conflict between the provision permitting exclusive provider benefit plans and any other statutory provision, the provision permitting exclusive provider benefit plans prevails over the conflicting provision. Provides that an insurer duly licensed under the laws of this State may offer exclusive provider benefit plans to individuals and group health plans in conformity with the terms set forth in the provision concerning the applicability of the Act. Provides that an insurer shall not be required to be licensed as an HMO under the Health Maintenance Organization Act in order to offer exclusive provider benefit plans under the provision concerning the applicability of the Act. Sets forth provisions concerning the applicability of the Health Carrier External Review Act; the construction of the Exclusive Provider Benefit Plan Act; providing information to enrollees and prospective enrollees; the availability of exclusive providers; notice of nonrenewal or termination; transitions of service and continuity of care; prohibitions; exclusive provider benefit plan's access to specialists; health care services appeals, complaints, and external independent reviews; emergency services prior to stabilization; post-stabilization medical services; quality assessment programs; utilization review; and qualifying examinations of insurers and fees. Amends the Freedom of Information Act to establish an exemption for all identified or deidentified health information due to the Department's administration of the Exclusive Provider Benefit Plan Act. Effective immediately.

Tracking Information

Register now for our free OneVote public service or GAITS Pro trial account and you can begin tracking this and other legislation, all driven by the real-time data of the LegiScan API. Providing tools allowing you to research pending legislation, stay informed with email alerts, content feeds, and share dynamic reports. Use our new PolitiCorps to join with friends and collegaues to monitor & discuss bills through the process.

Monitor Legislation or view this same bill number from multiple sessions or take advantage of our national legislative search.

Title

EXCLUSIVE PROVIDER BNFT PLANS

Sponsors


History

DateChamberAction
2014-12-03HouseSession Sine Die
2013-04-19HouseRule 19(a) / Re-referred to Rules Committee
2013-04-18HouseHeld on Calendar Order of Second Reading - Short Debate
2013-04-18HouseSecond Reading - Short Debate
2013-03-20HousePlaced on Calendar 2nd Reading - Short Debate
2013-03-19HouseDo Pass / Short Debate Insurance Committee; 026-000-000
2013-02-13HouseAssigned to Insurance Committee
2013-02-05HouseReferred to Rules Committee
2013-02-05HouseFirst Reading
2013-02-05HouseFiled with the Clerk by Rep. Lou Lang

Code Citations

ChapterArticleSectionCitation TypeStatute Text
51407.5Amended CodeCitation Text

Illinois State Sources


Bill Comments

feedback