HB3767 100TH GENERAL ASSEMBLY

LRB100 10646 SMS 20869 b

100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018
HB3767

Introduced , by Rep. Carol Ammons

SYNOPSIS AS INTRODUCED:

215 ILCS 5/368g new

Amends the Illinois Insurance Code. Provides that a qualified individual enrolled in a qualified health plan may allow certain third parties to pay any applicable premium or cost sharing owed by the qualified individual to the health insurance issuer issuing the qualified health plan, and the health insurance issuer shall accept any payments made on behalf of the qualified individual, including payments from certain third parties.

A BILL FOR

AN ACT concerning regulation.

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 368g as follows:

(215 ILCS 5/368g new)

Sec. 368g. Third party payors.

(a) As used in this Section:

(1) "Affordable Care Act" means the federal Patient Protection and Affordable Care Act, as amended.

(2) "Health insurance marketplace" means the health insurance marketplace established for Illinois pursuant to the Affordable Care Act.

(3) "Qualified health plan" means a plan of health insurance that is certified by the health insurance marketplace and meets the requirements of the Affordable Care Act, including coverage of essential health benefits.

(4) "Qualified individual" means an individual who has been determined eligible to enroll through the health insurance marketplace in a qualified health plan in the individual market.

(b) A qualified individual enrolled in a qualified health plan may allow certain third parties to pay any applicable premium or cost sharing owed by the qualified individual to the health insurance issuer issuing the qualified health plan, and the health insurance issuer shall accept any payments made on behalf of the qualified individual, including any payments from:

(1) a State or federal government program, including assistance provider under a grant awarded pursuant to Title XXVI of the Public Health Service Act;

(2) Indian tribes, tribal organizations, or urban Indian organizations; and

(3) A program conducted by an organization that is:

(A) exempt from taxation pursuant to Section 501(a) of the Internal Revenue Code of 1986;

(B) described in clause (i) or (vi) of Section 170(b)(1)(A) of the Internal Revenue Code of 1986; and

(C) operated in compliances with applicable federal law, including the False Claims Act, 31 U.S.C. Sections 3729 through 3733.