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 Bill Status of HB5085  96th General Assembly


Short Description:  INS-CANCER-DRUG-CLINIC TRIAL

House Sponsors
Rep. Greg Harris - Sara Feigenholtz - Barbara Flynn Currie - Lou Lang - Susana A. Mendoza, Maria Antonia Berrios, Arthur L. Turner, Karen May, Constance A. Howard, Eddie Washington, LaShawn K. Ford, Marlow H. Colvin, Esther Golar, Elizabeth Coulson, Cynthia Soto, Harry Osterman, Elizabeth Hernandez, Jack D. Franks, Al Riley, Keith Farnham, William Davis, Carol A. Sente and Monique D. Davis

Senate Sponsors
(Sen. David Koehler - Pamela J. Althoff - Jeffrey M. Schoenberg - John J. Millner - Mattie Hunter, Antonio Muņoz, Edward D. Maloney, Susan Garrett, M. Maggie Crotty, Kwame Raoul, Deanna Demuzio, Dan Kotowski, Iris Y. Martinez, Heather Steans, Martin A. Sandoval, Don Harmon, Gary Forby, Emil Jones, III, Terry Link, Ira I. Silverstein and Jacqueline Y. Collins)

Last Action
DateChamber Action
  2/14/2011HousePublic Act . . . . . . . . . 96-1523

Statutes Amended In Order of Appearance
5 ILCS 375/6.11
55 ILCS 5/5-1069.3
65 ILCS 5/10-4-2.3
105 ILCS 5/10-22.3f
215 ILCS 5/356z.19 new
215 ILCS 5/364.01
215 ILCS 125/5-3from Ch. 111 1/2, par. 1411.2
215 ILCS 165/10from Ch. 32, par. 604


Synopsis As Introduced
Amends the State Employees Group Insurance Act of 1971, Counties Code, Illinois Municipal Code, School Code, Illinois Insurance Code, Health Maintenance Organization Act, and Voluntary Health Services Plans Act. Provides that accident and health insurance policies that provide coverage for prescription drugs or cancer chemotherapy treatment must provide coverage for prescribed orally-administered cancer medication used to kill or slow the growth of cancerous cells. Provides that an insurer shall ensure that the financial requirements and treatment limitations for orally-administered cancer medication coverage are no more restrictive than the requirements and limitations applied to intravenously administered cancer medications. Provides that accident and health insurance policies shall provide coverage to a qualified individual for participation in a qualified clinical cancer trial. Provides that an insurer shall not deny, limit, or impose additional conditions on the coverage of routine patient costs. Provides that the payment rate shall be at the agreed rate for covered items and services provided by a participating provider and at the usual and customary rate for covered items and services provided by a nonparticipating provider. Makes other changes. Contains a nonacceleration clause. Effective immediately.

Senate Floor Amendment No. 1
Deletes reference to:
5 ILCS 375/6.11
55 ILCS 5/5-1069.3
65 ILCS 5/10-4-2.3
105 ILCS 5/10-22.3f
215 ILCS 5/356z.19 new
215 ILCS 5/364.01
215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2
215 ILCS 165/10 from Ch. 32, par. 604
Adds reference to:
215 ILCS 5/356z.3
215 ILCS 5/356z.3a new

Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Makes changes in the provision concerning disclosure of limited benefit. Sets forth a provision concerning nonparticipating facility-based physicians and providers. Provides that when a beneficiary, insured, or enrollee utilizes a participating network hospital or a participating network ambulatory surgery center and, due to any reason, in network services for radiology, anesthesiology, pathology, emergency physician, or neonatology are unavailable and are provided by a nonparticipating facility-based physician or provider, the insurer or health plan shall ensure that the beneficiary, insured, or enrollee shall incur no greater out-of-pocket costs than the beneficiary, insured, or enrollee would have incurred with a participating physician or provider for covered services. Sets forth provisions concerning written explanation of benefits, billing, assignment, negotiated reimbursement, and arbitration. Makes other changes.

Actions 
DateChamber Action
  1/26/2010HouseFiled with the Clerk by Rep. Greg Harris
  1/29/2010HouseFirst Reading
  1/29/2010HouseReferred to Rules Committee
  2/9/2010HouseAssigned to Insurance Committee
  2/16/2010HouseAdded Chief Co-Sponsor Rep. Sara Feigenholtz
  2/17/2010HouseAdded Chief Co-Sponsor Rep. Barbara Flynn Currie
  2/17/2010HouseAdded Chief Co-Sponsor Rep. Lou Lang
  2/17/2010HouseAdded Chief Co-Sponsor Rep. Susana A. Mendoza
  2/17/2010HouseAdded Co-Sponsor Rep. Maria Antonia Berrios
  2/18/2010HouseAdded Co-Sponsor Rep. Arthur L. Turner
  2/23/2010HouseAdded Co-Sponsor Rep. Karen May
  2/23/2010HouseAdded Co-Sponsor Rep. Constance A. Howard
  2/23/2010HouseAdded Co-Sponsor Rep. Eddie Washington
  2/23/2010HouseAdded Co-Sponsor Rep. LaShawn K. Ford
  3/3/2010HouseAdded Co-Sponsor Rep. Patricia R. Bellock
  3/3/2010HouseAdded Co-Sponsor Rep. Marlow H. Colvin
  3/4/2010HouseAdded Co-Sponsor Rep. Esther Golar
  3/9/2010HouseDo Pass / Short Debate Insurance Committee; 022-000-000
  3/9/2010HousePlaced on Calendar 2nd Reading - Short Debate
  3/12/2010HouseAdded Co-Sponsor Rep. Elizabeth Coulson
  3/18/2010HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Greg Harris
  3/18/2010HouseHouse Floor Amendment No. 1 Referred to Rules Committee
  3/22/2010HouseHouse Floor Amendment No. 1 Rules Refers to Insurance Committee
  3/23/2010HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Greg Harris
  3/23/2010HouseHouse Floor Amendment No. 2 Referred to Rules Committee
  3/24/2010HouseSecond Reading - Short Debate
  3/24/2010HousePlaced on Calendar Order of 3rd Reading - Short Debate
  3/25/2010HouseThird Reading - Short Debate - Passed 110-000-000
  3/25/2010HouseHouse Floor Amendment No. 1 Tabled Pursuant to Rule 40(a)
  3/25/2010HouseHouse Floor Amendment No. 2 Tabled Pursuant to Rule 40(a)
  3/25/2010HouseAdded Co-Sponsor Rep. Cynthia Soto
  3/25/2010HouseAdded Co-Sponsor Rep. Harry Osterman
  3/25/2010HouseAdded Co-Sponsor Rep. Elizabeth Hernandez
  3/25/2010HouseAdded Co-Sponsor Rep. Jack D. Franks
  3/25/2010HouseAdded Co-Sponsor Rep. Al Riley
  3/25/2010HouseAdded Co-Sponsor Rep. Keith Farnham
  3/25/2010HouseAdded Co-Sponsor Rep. William Davis
  4/6/2010SenateArrive in Senate
  4/6/2010SenatePlaced on Calendar Order of First Reading
  4/6/2010SenateChief Senate Sponsor Sen. David Koehler
  4/6/2010SenateAdded as Alternate Chief Co-Sponsor Sen. Pamela J. Althoff
  4/6/2010SenateAdded as Alternate Chief Co-Sponsor Sen. Jeffrey M. Schoenberg
  4/6/2010SenateAdded as Alternate Chief Co-Sponsor Sen. John J. Millner
  4/6/2010SenateAdded as Alternate Co-Sponsor Sen. Antonio Muņoz
  4/6/2010SenateFirst Reading
  4/6/2010SenateReferred to Assignments
  4/13/2010SenateAssigned to Insurance
  4/15/2010SenateAdded as Alternate Co-Sponsor Sen. Edward D. Maloney
  4/15/2010SenateAdded as Alternate Co-Sponsor Sen. Susan Garrett
  4/15/2010SenateAdded as Alternate Co-Sponsor Sen. M. Maggie Crotty
  4/20/2010SenateAdded as Alternate Co-Sponsor Sen. Kwame Raoul
  4/20/2010SenateAdded as Alternate Co-Sponsor Sen. Deanna Demuzio
  4/20/2010SenateAdded as Alternate Co-Sponsor Sen. Dan Kotowski
  4/20/2010SenateAdded as Alternate Co-Sponsor Sen. Iris Y. Martinez
  4/21/2010SenateAdded as Alternate Co-Sponsor Sen. Heather Steans
  4/21/2010SenateAdded as Alternate Co-Sponsor Sen. Martin A. Sandoval
  4/21/2010SenateAdded as Alternate Chief Co-Sponsor Sen. Mattie Hunter
  4/21/2010SenateAdded as Alternate Co-Sponsor Sen. Don Harmon
  4/21/2010SenateAdded as Alternate Co-Sponsor Sen. Gary Forby
  4/21/2010SenateAdded as Alternate Co-Sponsor Sen. Emil Jones, III
  4/21/2010SenateDo Pass Insurance; 010-000-000
  4/21/2010SenatePlaced on Calendar Order of 2nd Reading April 22, 2010
  4/22/2010SenateAdded as Alternate Co-Sponsor Sen. Terry Link
  4/27/2010SenateAdded as Alternate Co-Sponsor Sen. Ira I. Silverstein
  4/30/2010SenateSecond Reading
  4/30/2010SenatePlaced on Calendar Order of 3rd Reading May 3, 2010
  5/4/2010SenateSenate Floor Amendment No. 1 Filed with Secretary by Sen. David Koehler
  5/4/2010SenateSenate Floor Amendment No. 1 Referred to Assignments
  5/4/2010SenateSenate Floor Amendment No. 2 Filed with Secretary by Sen. David Koehler
  5/4/2010SenateSenate Floor Amendment No. 2 Referred to Assignments
  5/4/2010SenateSenate Floor Amendment No. 1 Assignments Refers to Insurance
  5/4/2010SenateSenate Floor Amendment No. 2 Assignments Refers to Insurance
  5/4/2010SenateSenate Floor Amendment No. 1 Recommend Do Adopt Insurance; 009-000-000
  5/4/2010SenateSenate Floor Amendment No. 2 Recommend Do Adopt Insurance; 009-000-000
  5/6/2010SenateRecalled to Second Reading
  5/6/2010SenateSenate Floor Amendment No. 1 Adopted; Koehler
  5/6/2010SenateSenate Floor Amendment No. 2 Withdrawn by Sen. David Koehler
  5/6/2010SenatePlaced on Calendar Order of 3rd Reading
  5/6/2010SenateAdded as Alternate Co-Sponsor Sen. Jacqueline Y. Collins
  5/6/2010SenateThird Reading - Passed; 059-000-000
  5/6/2010HouseArrived in House
  5/6/2010HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 1
  5/7/2010HouseSenate Floor Amendment No. 1 Motion Filed Concur Rep. Greg Harris
  5/7/2010HouseSenate Floor Amendment No. 1 Motion to Concur Referred to Rules Committee
  5/7/2010HouseSenate Floor Amendment No. 1 Motion to Concur Rules Referred to Insurance Committee
  6/27/2010HouseSenate Floor Amendment No. 1 Rule 19(b) / Motion Referred to Rules Committee
  6/27/2010HouseRule 19(b) / Re-referred to Rules Committee
  11/29/2010HouseFinal Action Deadline Extended-9(b) January 11, 2011
  11/29/2010HouseApproved for Consideration Rules Committee; 003-000-000
  11/29/2010HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 1
  11/29/2010HouseSenate Floor Amendment No. 1 Motion to Concur Rules Referred to Insurance Committee
  11/30/2010HouseSenate Floor Amendment No. 1 Motion to Concur Recommends Be Adopted Insurance Committee; 023-000-000
  11/30/2010HouseRemoved Co-Sponsor Rep. Patricia R. Bellock
  11/30/2010HouseHouse Concurs 113-001-000
  11/30/2010HouseAdded Co-Sponsor Rep. Carol A. Sente
  11/30/2010HouseAdded Co-Sponsor Rep. Monique D. Davis
  11/30/2010HousePassed Both Houses
  12/17/2010HouseSent to the Governor
  2/14/2011HouseGovernor Approved
  2/14/2011HouseEffective Date June 1, 2011
  2/14/2011HousePublic Act . . . . . . . . . 96-1523

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