HB3471 EnrolledLRB101 10551 SMS 55657 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Insurance Code is amended by adding
5Section 356z.33 as follows:
 
6    (215 ILCS 5/356z.33 new)
7    Sec. 356z.33. Coverage for cardiopulmonary monitors. A
8group or individual policy of accident and health insurance
9amended, delivered, issued, or renewed after the effective date
10of this amendatory Act of the 101st General Assembly shall
11provide coverage for cardiopulmonary monitors determined to be
12medically necessary for a person 18 years old or younger who
13has had a cardiopulmonary event.
 
14    Section 10. The Illinois Public Aid Code is amended by
15changing Section 5-16.8 as follows:
 
16    (305 ILCS 5/5-16.8)
17    Sec. 5-16.8. Required health benefits. The medical
18assistance program shall (i) provide the post-mastectomy care
19benefits required to be covered by a policy of accident and
20health insurance under Section 356t and the coverage required
21under Sections 356g.5, 356u, 356w, 356x, 356z.6, 356z.26, and

 

 

HB3471 Enrolled- 2 -LRB101 10551 SMS 55657 b

1356z.29, 356z.32, and 356z.33 of the Illinois Insurance Code
2and (ii) be subject to the provisions of Sections 356z.19,
3364.01, 370c, and 370c.1 of the Illinois Insurance Code.
4    On and after July 1, 2012, the Department shall reduce any
5rate of reimbursement for services or other payments or alter
6any methodologies authorized by this Code to reduce any rate of
7reimbursement for services or other payments in accordance with
8Section 5-5e.
9    To ensure full access to the benefits set forth in this
10Section, on and after January 1, 2016, the Department shall
11ensure that provider and hospital reimbursement for
12post-mastectomy care benefits required under this Section are
13no lower than the Medicare reimbursement rate.
14(Source: P.A. 99-433, eff. 8-21-15; 99-480, eff. 9-9-15;
1599-642, eff. 7-28-16; 100-138, eff. 8-18-17; 100-863, eff.
168-14-18; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised
1710-4-18.)
 
18    Section 99. Effective date. This Act takes effect January
191, 2020.