INSURANCE-FEE SCHEDULES Senate SponsorsSen. William Delgado-Kwame Raoul-Iris Y. Martinez House Sponsors(Rep. Lou Lang-Esther Golar) 3/26/2009SenatePublic Act . . . . . . . . . 95-1044 215 ILCS 106/65 new215 ILCS 170/52.5 new305 ILCS 5/5-5.05 new330 ILCS 125/37 newAmends the Children's Health Insurance Program Act, the Covering ALL KIDS Insurance Act, the Illinois Public Aid Code, and the Veterans' Health Insurance Program Act. Provides that the fee schedule for each of these programs must be competitive with those of non-governmental, third-party health insurance programs. Provides that (i) reimbursement for any service must not be lower than Medicare reimbursement in effect on December 31, 2007; (ii) the fee schedule must be decreased or increased every January 1 corresponding to the decrease or increase in the Consumer Price Index for medical care published by the U.S. Bureau of Labor Statistics, but in no case more than 4% per year; and (iii) payment for services must be made within 30 days after receipt of a bill or claim for payment. Effective July 1, 2008.Senate Committee Amendment No. 1 Deletes reference to:330 ILCS 125/37 newReplaces everything after the enacting clause. Amends the Children's Health Insurance Program Act, the Covering ALL KIDS Insurance Act, and the Illinois Public Aid Code. Provides that (i) beginning on January, 1, 2009, the fee schedule for each of these programs for any physician service must not be lower than Medicare reimbursement in accordance with the Medicare payment localities for Illinois; (ii) the physician fee schedule must be adjusted every January 1 corresponding to any adjustment in the Medicare physician fee schedule; (iii) reimbursement rules and policies shall not be more restrictive than Medicare physician payment rules and policies; and (iv) payment for services must be made within 30 days after receipt of a bill or claim for payment. Effective immediately.Senate Floor Amendment No. 2 Replaces everything after the enacting clause. Amends the Children's Health Insurance Program Act, the Covering ALL KIDS Insurance Act, and the Illinois Public Aid Code. Reinserts the contents of the bill as amended by Senate Amendment No. 1, with the following changes. Provides that (i) reimbursement for any physician service must not be lower than 60% of Medicare reimbursement in accordance with the Medicare payment localities for Illinois (instead of not lower than Medicare reimbursement in accordance with the Medicare payment localities for Illinois); (ii) the physician fee schedule rates must be adjusted to no lower than 80% of Medicare reimbursement by January 1, 2010, and no lower than 100% of Medicare reimbursement by January 1, 2011 (instead of adjusted every January 1 corresponding to any adjustment in the Medicare fee schedule); (iii) all adjustments shall be made without lowering any existing rates that may be higher than the required level; and (iv) reimbursement rules and policies shall not be more restrictive than Medicare physician payment rules and policies by January 1, 2010 (now no time limit). Effective immediately.House Committee Amendment No. 1 Deletes reference to:215 ILCS 106/65 new215 ILCS 170/52.5 new305 ILCS 5/5-5.05 newAdds reference to:5 ILCS 375/6.11Deletes everything after the enacting clause. Amends the State Employees Group Insurance Act of 1971. Provides that the program of health benefits shall provide the coverage required for the diagnosis and treatment of infertility under the Illinois Insurance Code. Effective immediately. 2/14/2008SenateFiled with Secretary by Sen. William Delgado 2/14/2008SenateFirst Reading 2/14/2008SenateReferred to Rules 2/20/2008SenateAssigned to Public Health 2/28/2008SenatePostponed - Public Health 3/6/2008SenatePostponed - Public Health 3/10/2008SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. William Delgado 3/10/2008SenateSenate Committee Amendment No. 1 Referred to Rules 3/11/2008SenateSenate Committee Amendment No. 1 Rules Refers to Public Health 3/11/2008SenateSenate Committee Amendment No. 1 Adopted 3/12/2008SenateDo Pass as Amended Public Health; 009-000-001 3/12/2008SenatePlaced on Calendar Order of 2nd Reading March 13, 2008 3/12/2008SenateAdded as Chief Co-Sponsor Sen. Kwame Raoul 3/12/2008SenateAdded as Chief Co-Sponsor Sen. Iris Y. Martinez 4/9/2008SenateSenate Floor Amendment No. 2 Filed with Secretary by Sen. William Delgado 4/9/2008SenateSenate Floor Amendment No. 2 Referred to Rules 4/15/2008SenateSenate Floor Amendment No. 2 Rules Refers to Public Health 4/16/2008SenateSenate Floor Amendment No. 2 Recommend Do Adopt Public Health; 009-000-000 4/16/2008SenateSecond Reading 4/16/2008SenateSenate Floor Amendment No. 2 Adopted; Delgado 4/16/2008SenatePlaced on Calendar Order of 3rd Reading April 17, 2008 4/17/2008SenateThird Reading - Passed; 053-000-000 4/17/2008HouseArrived in House 4/17/2008HousePlaced on Calendar Order of First Reading 4/17/2008HouseChief House Sponsor Rep. Esther Golar 4/24/2008HouseFirst Reading 4/24/2008HouseReferred to Rules Committee 12/15/2008HouseFinal Action Deadline Extended-9(b) January 13, 2009 12/15/2008HouseAssigned to Human Services Committee 1/7/2009HouseAlternate Chief Sponsor Changed to Rep. Lou Lang 1/7/2009HouseAdded Alternate Chief Co-Sponsor Rep. Esther Golar 1/8/2009HouseHouse Committee Amendment No. 1 Filed with Clerk by Human Services Committee 1/8/2009HouseHouse Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote 1/8/2009HouseDo Pass as Amended / Short Debate Human Services Committee; 005-001-003 1/8/2009HousePlaced on Calendar 2nd Reading - Short Debate 1/8/2009HouseSecond Reading - Short Debate 1/8/2009HouseHeld on Calendar Order of Second Reading - Short Debate 1/12/2009HouseHouse Committee Amendment No. 1 Fiscal Note Requested as Amended by Rep. William B. Black 1/12/2009HouseFiscal Note Requested - Withdrawn by Rep. William B. Black 1/12/2009HousePlaced on Calendar Order of 3rd Reading - Short Debate 1/12/2009HouseThird Reading - Short Debate - Passed 104-008-000 1/13/2009SenateSecretary's Desk - Concurrence House Amendment(s) 01 1/13/2009SenatePlaced on Calendar Order of Concurrence House Amendment(s) January 13, 2009; 01 1/13/2009SenateHouse Committee Amendment No. 1 Motion to Concur Filed with Secretary Sen. William Delgado 1/13/2009SenateHouse Committee Amendment No. 1 Motion to Concur Referred to Rules 1/13/2009SenateHouse Committee Amendment No. 1 Motion to Concur Rules Referred to Executive 1/13/2009SenateHouse Committee Amendment No. 1 Motion To Concur Recommended Do Adopt Executive; 008-005-000 1/13/2009SenateHouse Committee Amendment No. 1 Senate Concurs 036-019-000 1/13/2009SenatePassed Both Houses 2/11/2009SenateSent to the Governor 3/26/2009SenateGovernor Approved 3/26/2009SenateEffective Date March 26, 2009 3/26/2009SenatePublic Act . . . . . . . . . 95-1044