SB1331 99TH GENERAL ASSEMBLY

LRB099 09512 MLM 29720 b

99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016
SB1331

Introduced 2/18/2015, by Sen. Martin A. Sandoval

SYNOPSIS AS INTRODUCED:

215 ILCS 5/356z.3b new

Amends the Illinois Insurance Code. Provides that a health benefit plan or health carrier, including, but not limited to, a preferred provider organization, an independent physician association, a third-party administrator, or any entity that contracts with licensed health care providers shall not impose any fixed co-payment that exceeds 50% of the total billed charges for health care services provided to an insured or enrolled during a visit to a health care 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.3b as follows:

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

Sec. 356z.3b. Health care services copayments. A health benefit plan or health carrier, including, but not limited to, a preferred provider organization, an independent physician association, a third-party administrator, or any entity that contracts with licensed health care providers shall not impose any fixed co-payment that exceeds 50% of the total billed charges for health care services provided to an insured or enrolled during a visit to a health care provider.