DART-COULSON-MOORE,ANDREA-MCKEON-FRANKS AND SCOTT. (MADIGAN,R) 215 ILCS 125/5-7.1 from Ch. 111 1/2, par. 1415.1 305 ILCS 5/5-16 from Ch. 23, par. 5-16 Amends the Health Maintenance Organization Act. Makes a technical change in provisions prohibiting denial of coverage by an HMO in certain circumstances. Amends the Medical Assistance Article of the Illinois Public Aid Code. Makes a technical change in provisions concerning managed care. HOUSE AMENDMENT NO. 3. Deletes reference to: 215 ILCS 125/5-7.1 Adds reference to: 215 ILCS 5/370b from Ch. 73, par. 982b 215 ILCS 125/5-7.1a new Deletes everything. Amends the Illinois Insurance Code, the Health Maintenance Organization Act, and the Medical Assistance Article of the Illinois Public Aid Code to provide that the appropriate medical insurer under each Act shall provide reimbursement to a service provider for a service provided to an enrollee of the insurer's plan within 30 days after the date of receipt of due proof of loss by certain medical providers. Provides that, if a medical insurer fails to provide reimbursement for hospital or medical service covered under a health care plan within 30 day days after the date of receipt of due proof of loss, the service provider may file a complaint with the Illinois Department of Insurance to seek immediate relief for non-payment. Provides that, beginning on the 31st day after the date of receipt of due proof of loss, the service provider shall be entitled to receive interest for each day that the reimbursement is unpaid. Effective immediately. SENATE AMENDMENT NO. 1. Deletes reference to: 215 ILCS 125/5-7.1a new 305 ILCS 5/5-16 Adds reference to: 215 ILCS 5/370b from Ch. 73, par. 982b Deletes all substantive provisions. Makes a change in the caption of a Section of the Illinois Insurance Code regarding reimbursement. SENATE AMENDMENT NO. 2. Deletes reference to: 215 ILCS 125/370b Adds reference to: 5 ILCS 375/6-12 new 215 ILCS 5/356y new 215 ILCS 5/357.9 from Ch. 73, par. 969.9 215 ILCS 5/370a from Ch. 73, par. 982a 215 ILCS 125/5-3 from Ch. 111 1/2, par. 1411.2 215 ILCS 130/4003 from Ch. 73, par. 1504-3 215 ILCS 165/10 from Ch. 32, par. 604 Replaces the title and everything after the enacting clause. Amends the Illinois Insurance Code. Provides that insurers must pay claims for health care services within 30 days after the insurer receives proof of loss. Requires independent practice associations and physician-hospital organizations to make the payments within 60 days before January 1, 2001 and within 30 days after December 31, 2000. Provides that insurer payments to a health care professional and health care facility under capitation type plans or other plans that require periodic payments must begin within 60 days after an enrollee selects the health care professional and health care facility physician. Amends the State Employees Group Insurance Act of 1971, the Health Maintenance Organization Act, the Limited Health Service Organization Act, and the Voluntary Health Services Plans Act to incorporate the payment requirements. Effective 120 days after becoming law. SENATE AMENDMENT NO. 3. Requires notice of any "known" failure (now, any failure) to provide sufficient documentation for a due proof of loss. 99-02-22 H FIRST READING 99-02-22 H REFERRED TO HOUSE RULES COMMITTEE RULES 99-02-24 H ASSIGNED TO COMMITTEE EXECUTIVE 99-03-05 H DO PASS/SHORT DEBATE 015-000-000 HEXC 99-03-05 H PLACED CALENDAR 2ND READING-SHORT DEBATE 99-03-16 H SECOND READING-SHORT DEBATE 99-03-16 H HELD ON CAL ORDER 2ND RDG - SHORT DEBATE 99-03-23 H AMENDMENT NO. 01-DART 99-03-23 H AMENDMENT REFERRED TO HRUL 99-03-23 H HELD ON CAL ORDER 2ND RDG - SHORT DEBATE 99-03-24 H AMENDMENT NO. 02-DART 99-03-24 H AMENDMENT REFERRED TO HRUL 99-03-24 H AMENDMENT NO. 03-DART 99-03-24 H AMENDMENT REFERRED TO HRUL 99-03-24 H AMENDMENT NO. 01-DART 99-03-24 H RULES REFERS TO HCAA 99-03-24 H HELD ON CAL ORDER 2ND RDG - SHORT DEBATE 99-03-25 H AMENDMENT NO. 01-DART 99-03-25 H RECOMMENDS BE ADOPTED HCAA/012-000-000 99-03-25 H ADDED AS A JOINT SPONSOR COULSON 99-03-25 H ADDED AS A JOINT SPONSOR MCKEON 99-03-25 H AMENDMENT NO. 04-DART 99-03-25 H AMENDMENT REFERRED TO HRUL 99-03-25 H AMENDMENT NO. 03-DART 99-03-25 H RECOMMENDS BE ADOPTED HRUL 99-03-25 H HELD ON CAL ORDER 2ND RDG - SHORT DEBATE 99-03-25 H PRIMARY SPONSOR CHANGED TO COULSON 99-03-25 H ADDED AS A JOINT SPONSOR DART 99-03-25 H ADDED AS A JOINT SPONSOR MOORE,ANDREA 99-03-26 H AMENDMENT NO. 01-DART 99-03-26 H WITHDRAWN 99-03-26 H AMENDMENT NO. 03-DART 99-03-26 H ADOPTED 99-03-26 H PLCD CAL ORDER 3RD READING-SHORT DEBATE 99-03-26 H TABLED PURSUANT TO RULE 40(a) HOUSE AMEND #2 & 4 99-03-26 H THIRD READING/SHORT DEBATE/PASSED 099-006-001 99-04-14 S ARRIVE IN SENATE 99-04-14 S PLACED CALENDAR ORDER OF FIRST READING 99-04-15 99-04-14 S CHIEF SPONSOR MADIGAN,R 99-04-14 S FIRST READING 99-04-14 S REFERRED TO SENATE RULES COMMITTEE RULES 99-04-27 S ASSIGNED TO COMMITTEE INS & PENS. 99-05-04 S AMENDMENT NO. 01-INS & PENS. S 99-05-04 S ADOPTED 99-05-04 S DO PASS AS AMENDED 008-000-000 SINS 99-05-04 S PLACED ON CALENDAR ORDER OF 2ND READING 99-05-05 99-05-12 S FILED WITH SECRETARY 99-05-12 S AMENDMENT NO. 02-MADIGAN,R 99-05-12 S AMENDMENT REFERRED TO SRUL 99-05-12 S AMENDMENT NO. 02-MADIGAN,R 99-05-12 S RULES REFERS TO SINS 99-05-12 S AMENDMENT NO. 02-MADIGAN,R 99-05-12 S BE ADOPTED SINS/010-000-000 99-05-12 S SECOND READING 99-05-12 S AMENDMENT NO. 02-MADIGAN,R 99-05-12 S ADOPTED 99-05-12 S PLACED ON CALENDAR ORDER OF 3RD READING 99-05-13 99-05-13 S FILED WITH SECRETARY 99-05-13 S AMENDMENT NO. 03-MADIGAN,R 99-05-13 S AMENDMENT REFERRED TO SRUL 99-05-13 S AMENDMENT NO. 03-MADIGAN,R 99-05-13 S BE APPROVED FOR CONSIDERATION SRUL 99-05-13 S RECALLED TO SECOND READING 99-05-13 S AMENDMENT NO. 03-MADIGAN,R 99-05-13 S ADOPTED 99-05-13 S PLACED ON CALENDAR ORDER OF 3RD READING 99-05-14 99-05-14 S THIRD READING - PASSED 057-000-000 99-05-14 H ARRIVE IN HOUSE 99-05-14 H PLACED ON CALENDAR ORDER OF CONCURRENCE 01,02,03 99-05-17 H MOTION FILED CONCUR 01,02,03/DART 99-05-17 H MOTION REFERRED TO HRUL 99-05-17 H CALENDAR ORDER OF CONCURRENCE 01,02,03 99-05-17 H PRIMARY SPONSOR CHANGED TO DART 99-05-17 H JOINT-SPONSOR CHANGED TO COULSON 99-05-20 H BE APPROVED FOR CONSIDERATION 01,02,03/HRUL 99-05-20 H ADDED AS A JOINT SPONSOR FRANKS 99-05-20 H ADDED AS A CO-SPONSOR SCOTT 99-05-20 H HSE CONCURS IN SEN AMENDMENTS (NO.) 1,2,3/115-001-000 99-05-20 H PASSED BOTH HOUSES 99-06-18 H SENT TO THE GOVERNOR 99-08-16 H GOVERNOR APPROVED 99-08-16 H EFFECTIVE DATE 99-12-14 99-08-16 H PUBLIC ACT.............................. 91-0605 END OF INQUIRY Full Text Bill Summary