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<xml>
<title>Illinois General Assembly - Bill Status for HB 5471   </title>
<shortdesc>INS-PATIENT RTS-EXT REVIEW</shortdesc>
<sponsor>
<sponsorhead1>House Sponsors</sponsorhead1><sponsors>Rep. Mary E. Flowers</sponsors>
</sponsor>
<lastaction>
<statusdate>1/11/2011</statusdate><chamber>House</chamber><action>Session Sine Die</action>
</lastaction>
<synopsis>
<synopsistitle></synopsistitle>
<reference>215 ILCS 134/45</reference><aliasreference></aliasreference><reference>215 ILCS 180/20</reference><aliasreference></aliasreference><reference>215 ILCS 180/25</reference><aliasreference></aliasreference><reference>215 ILCS 180/45</reference><aliasreference></aliasreference><reference>215 ILCS 180/80 new</reference><aliasreference></aliasreference><SynopsisText>     Amends the Managed Care Reform and Patient Rights Act and the Health Carrier External Review Act to provide that a determination by the Director of Insurance to uphold an external review decision that is adverse to an enrollee is subject to the process of administrative review pursuant to the Code of Civil Procedure. Further amends the Health Carrier External Review Act. Provides that when a health carrier sends any request for payment to a covered person, the health carrier shall include a written statement of the health care patient rights. Provides that the Office of Consumer Health Insurance within the Department of Insurance shall provide consultation and case management and shall establish a toll-free phone number for covered persons. Provides that every health carrier shall expend in the form of health care benefits no less than 85% of the aggregate dues, fees, and premiums received by the health carrier. Provides that a health carrier may average its total costs across all health benefit plans in compliance with the provision concerning minimum medical loss expenditures. Contains a nonacceleration clause. Makes other changes.</SynopsisText><synopsistitle>State Mandates Fiscal Note (Dept. of Commerce &amp; Economic Opportunity)</synopsistitle>
<SynopsisText>This bill does not create a State mandate.</SynopsisText><synopsistitle>Fiscal Note (Department of Insurance)</synopsistitle>
<SynopsisText>The Department foresees no fiscal impact as a result of HB 5471. Currently the Office of Consumer Health Insurance (OCHI) staff performs this counseling function. </SynopsisText></synopsis>
<actions>
<statusdate>2/4/2010</statusdate><chamber>House</chamber><action>Filed with the Clerk by Rep. Mary E. Flowers</action>
<statusdate>2/5/2010</statusdate><chamber>House</chamber><action>First Reading</action>
<statusdate>2/5/2010</statusdate><chamber>House</chamber><action>Referred to Rules Committee</action>
<statusdate>2/16/2010</statusdate><chamber>House</chamber><action>Assigned to Health Care Availability and Accessibility Committee</action>
<statusdate>3/12/2010</statusdate><chamber>House</chamber><action>Do Pass / Standard Debate Health Care Availability and Accessibility Committee;  007-005-000</action>
<statusdate>3/12/2010</statusdate><chamber>House</chamber><action>Placed on Calendar 2nd Reading - Standard Debate</action>
<statusdate>3/15/2010</statusdate><chamber>House</chamber><action>Fiscal Note Requested by Rep. Ron Stephens</action>
<statusdate>3/15/2010</statusdate><chamber>House</chamber><action>State Mandates Fiscal Note Requested by Rep. Ron Stephens</action>
<statusdate>3/18/2010</statusdate><chamber>House</chamber><action>State Mandates Fiscal Note Filed</action>
<statusdate>3/19/2010</statusdate><chamber>House</chamber><action>Fiscal Note Filed</action>
<statusdate>3/25/2010</statusdate><chamber>House</chamber><action>Second Reading - Standard Debate</action>
<statusdate>3/25/2010</statusdate><chamber>House</chamber><action>Held on Calendar Order of Second Reading - Standard Debate</action>
<statusdate>3/26/2010</statusdate><chamber>House</chamber><action>Rule 19(a) / Re-referred to Rules Committee</action>
<statusdate>1/11/2011</statusdate><chamber>House</chamber><action>Session Sine Die</action>
</actions>
</xml>

