093_HB3147

 
                                     LRB093 04024 JLS 04063 b

 1        AN ACT concerning insurance.

 2        Be  it  enacted  by  the People of the State of Illinois,
 3    represented in the General Assembly:

 4        Section 5.  The Illinois Insurance  Code  is  amended  by
 5    adding Section 356z.4 as follows:

 6        (215 ILCS 5/356z.4 new)
 7        Sec.  356z.4.  Surgical assistants. A group or individual
 8    policy of accident and health insurance  amended,  delivered,
 9    issued,   or   renewed  after  the  effective  date  of  this
10    amendatory Act of the 93rd  General  Assembly  that  provides
11    coverage   for   health  care  services,  including  surgical
12    services, must provide coverage for services rendered  by  an
13    assistant in surgery authorized or credentialed by a hospital
14    or  ambulatory  surgical treatment center to provide surgical
15    assistance to a physician licensed to  practice  medicine  in
16    all its branches.  An assistant in surgery may be a physician
17    licensed  to  practice  medicine  in  all  its  branches,  an
18    advanced practice registered nurse, a registered professional
19    nurse,   a   nationally   certified   surgical  assistant,  a
20    nationally  certified  first  assistant,  or   a   nationally
21    certified  orthopedic assistant physician.  In the case of an
22    assistant  physician,   a   nationally   certified   surgical
23    assistant,  a  nationally  certified  first  assistant,  or a
24    nationally   certified   orthopedic   assistant    physician,
25    insurance reimbursement may be made directly to the provider.

26        Section  10.  The  Health Maintenance Organization Act is
27    amended by changing Section 4-6.5 as follows:

28        (215 ILCS 125/4-6.5)
29        Sec. 4-6.5.  Required health benefits; Illinois Insurance

 
                            -2-      LRB093 04024 JLS 04063 b
 1    Code requirements.   A  health  maintenance  organization  is
 2    subject to the provisions of Sections 155.37, 356t, 356u, and
 3    356z.1, and 356z.4 of the Illinois Insurance Code.
 4    (Source:  P.A.  92-130,  eff.  7-20-01; 92-440, eff. 8-17-01;
 5    92-651, eff. 7-11-02.)

 6        Section 15.  The Voluntary Health Services Plans  Act  is
 7    amended by changing Section 10 as follows:

 8        (215 ILCS 165/10) (from Ch. 32, par. 604)
 9        Sec.   10.  Application  of  Insurance  Code  provisions.
10    Health services plan corporations and all persons  interested
11    therein   or  dealing  therewith  shall  be  subject  to  the
12    provisions of Articles IIA and XII 1/2 and Sections 3.1, 133,
13    140, 143, 143c, 149, 155.37, 354, 355.2,  356r,  356t,  356u,
14    356v,  356w, 356x, 356y, 356z.1, 356z.2, 356z.4, 367.2, 368a,
15    401,  401.1,  402,  403,  403A,  408,  408.2,  and  412,  and
16    paragraphs (7) and  (15)  of  Section  367  of  the  Illinois
17    Insurance Code.
18    (Source: P.A.  91-406,  eff.  1-1-00;  91-549,  eff. 8-14-99;
19    91-605, eff. 12-14-99;  91-788,  eff.  6-9-00;  92-130,  eff.
20    7-20-01;  92-440, eff. 8-17-01; 92-651, eff. 7-11-02; 92-764,
21    eff. 1-1-03.)

22        Section 99.  Effective date.  This Act takes effect  upon
23    becoming law.