HB1094 97TH GENERAL ASSEMBLY

LRB097 08399 RPM 48526 b

97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
HB1094

Introduced 02/04/11___________, by

SYNOPSIS AS INTRODUCED:

215 ILCS 5/356z.3a new

Amends the Illinois Insurance Code to provide that, notwithstanding any healthcare provider agreement with any insurer or administrator, no accident and health insurance policy or managed care plan shall charge a copayment that is more than 50% of the total billed charges for services provided to an insured or enrollee during a visit to a healthcare provider.

A BILL FOR

AN ACT concerning insurance.

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

Section 5. The Illinois Insurance Code is amended by adding Section 356z.3a as follows:

(215 ILCS 5/356z.3a new)

Sec. 356z.3a. Healthcare services copayments. Notwithstanding any healthcare provider agreement with any insurer or administrator, no group or individual policy of accident and health insurance or managed care plan amended, delivered, issued, or renewed after the effective date of this amendatory Act of the 97th General Assembly shall charge a copayment that is more than 50% of the total billed charges for services provided to an insured or enrollee during a visit to a healthcare provider.