Bill Text: IL HB2846 | 2019-2020 | 101st General Assembly | Introduced
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Amends the Illinois Insurance Code. Provides that for billing and diagnosis purposes, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome shall be coded as autoimmune encephalitis until the American Medical Association and the Centers for Medicare and Medicaid Services create and assign a specific code for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome. Provides that thereafter, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome may be coded as autoimmune encephalitis, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections, or pediatric acute onset neuropsychiatric syndrome.
Spectrum: Moderate Partisan Bill (Democrat 23-6)
Status: (Passed) 2019-08-23 - Public Act . . . . . . . . . 101-0488 [HB2846 Detail]
Download: Illinois-2019-HB2846-Introduced.html
Bill Title: Amends the Illinois Insurance Code. Provides that for billing and diagnosis purposes, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome shall be coded as autoimmune encephalitis until the American Medical Association and the Centers for Medicare and Medicaid Services create and assign a specific code for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome. Provides that thereafter, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome may be coded as autoimmune encephalitis, pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections, or pediatric acute onset neuropsychiatric syndrome.
Spectrum: Moderate Partisan Bill (Democrat 23-6)
Status: (Passed) 2019-08-23 - Public Act . . . . . . . . . 101-0488 [HB2846 Detail]
Download: Illinois-2019-HB2846-Introduced.html
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1 | AN ACT concerning regulation.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Illinois Insurance Code is amended by | |||||||||||||||||||
5 | changing Section 356z.25 as follows:
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6 | (215 ILCS 5/356z.25) | |||||||||||||||||||
7 | Sec. 356z.25. Coverage for treatment of pediatric | |||||||||||||||||||
8 | autoimmune neuropsychiatric disorders associated with | |||||||||||||||||||
9 | streptococcal infections and pediatric acute onset | |||||||||||||||||||
10 | neuropsychiatric syndrome. A group or individual policy of | |||||||||||||||||||
11 | accident and health insurance or managed care plan that is | |||||||||||||||||||
12 | amended, delivered, issued, or renewed after July 18, 2017 (the | |||||||||||||||||||
13 | effective date of Public Act 100-24) shall provide coverage for | |||||||||||||||||||
14 | treatment of pediatric autoimmune neuropsychiatric disorders | |||||||||||||||||||
15 | associated with streptococcal infections and pediatric | |||||||||||||||||||
16 | acute-onset neuropsychiatric syndrome, including, but not | |||||||||||||||||||
17 | limited to, the use of intravenous immunoglobulin therapy. A | |||||||||||||||||||
18 | treatment that is administered or prescribed after July 18, | |||||||||||||||||||
19 | 2017 shall be covered. | |||||||||||||||||||
20 | For billing and diagnosis purposes, pediatric autoimmune | |||||||||||||||||||
21 | neuropsychiatric disorders associated with streptococcal | |||||||||||||||||||
22 | infections and pediatric acute onset neuropsychiatric syndrome | |||||||||||||||||||
23 | shall be coded as autoimmune encephalitis until a code is |
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1 | assigned. Coverage under this Section may not be denied due to | ||||||
2 | a diagnosis of autoimmune encephalopathy or autoimmune | ||||||
3 | encephalitis. | ||||||
4 | If, at any time, the Secretary of the United States | ||||||
5 | Department of Health and Human Services, or its successor | ||||||
6 | agency, promulgates rules or regulations to be published in the | ||||||
7 | Federal Register or publishes a comment in the Federal Register | ||||||
8 | or issues an opinion, guidance, or other action that would | ||||||
9 | require the State, pursuant to any provision of the Patient | ||||||
10 | Protection and Affordable Care Act (Public Law 111-148), | ||||||
11 | including, but not limited to, 42 U.S.C. 18031(d)(3)(B) or any | ||||||
12 | successor provision, to defray the cost of any coverage for | ||||||
13 | pediatric autoimmune neuropsychiatric disorders associated | ||||||
14 | with streptococcal infections and pediatric acute onset | ||||||
15 | neuropsychiatric syndrome outlined in this Section, then the | ||||||
16 | requirement that an insurer cover pediatric autoimmune | ||||||
17 | neuropsychiatric disorders associated with streptococcal | ||||||
18 | infections and pediatric acute onset neuropsychiatric syndrome | ||||||
19 | is inoperative other than any such coverage authorized under | ||||||
20 | Section 1902 of the Social Security Act, 42 U.S.C. 1396a, and | ||||||
21 | the State shall not assume any obligation for the cost of | ||||||
22 | coverage for pediatric autoimmune neuropsychiatric disorders | ||||||
23 | associated with streptococcal infections and pediatric acute | ||||||
24 | onset neuropsychiatric syndrome.
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25 | (Source: P.A. 100-24, eff. 7-18-17; 100-863, eff. 8-14-18.)
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26 | Section 99. Effective date. This Act takes effect upon |
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1 | becoming law.
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