HB5818ham001 93RD GENERAL ASSEMBLY

Rep. Arthur L. Turner

Filed: 3/31/2004

09300HB5818ham001 LRB093 17074 AMC 48768 a

AMENDMENT TO HOUSE BILL 5818

AMENDMENT NO. ______. Amend House Bill 5818 by replacing everything after the enacting clause with the following:

"Section 5. The Illinois Insurance Code is amended by adding Section 364.2 as follows:

(215 ILCS 5/364.2 new)

Sec. 364.2. Purchase of ophthalmic goods. An insurer may not require a provider, as a condition of participation by the provider, to purchase ophthalmic goods, including but not limited to eyeglass frames, in a quantity or dollar amount in excess of the quantity or dollar amount an enrollee is required to purchase under the terms of the policy.

Section 10. The Health Maintenance Organization Act is amended by adding Section 4-19 as follows:

(215 ILCS 125/4-19 new)

Sec. 4-19. Purchase of ophthalmic goods. A health maintenance organization may not require a provider, as a condition of participation in the health maintenance organization's health care plan, to purchase ophthalmic goods, including but not limited to eyeglass frames, in a quantity or dollar amount in excess of the quantity or dollar amount an enrollee is required to purchase under the terms of the health care plan.

Section 15. The Limited Health Service Organization Act is amended by adding Section 3010 as follows:

(215 ILCS 130/3010 new)

Sec. 3010. Purchase of ophthalmic goods. An organization may not require a provider, as a condition of participation in the organization's limited health care plan, to purchase ophthalmic goods, including but not limited to eyeglass frames, in a quantity or dollar amount in excess of the quantity or dollar amount an enrollee is required to purchase under the terms of the limited health care plan.

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