102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
Introduced 2/22/2021, by Rep. Ryan Spain
SYNOPSIS AS INTRODUCED:
Creates the Telehealth Parity Act. Requires all health insurance
issuers regulated by the Department of Insurance to cover the costs of all
telehealth services rendered by in-network providers to deliver any
clinically appropriate, medically necessary covered services and
treatments to insureds, enrollees, and members under each policy,
contract, or certificate of health insurance coverage. Provides that
health insurance issuers shall not impose upon telehealth services
utilization review requirements that are unnecessary, duplicative, or
unwarranted nor impose any treatment limitations that are more stringent
than the requirements applicable to the same health care service when
rendered in-person. Provides that, for telehealth services that relate to
COVID-19 delivered by in-network providers, health insurance issuers shall
not impose any prior authorization requirements. Contains provisions
prohibiting cost-sharing for telehealth services, describing eligible
services, and allowing use of non-public facing remote communication
products under certain circumstances. Effective immediately.
A BILL FOR
|HB3759||LRB102 10851 BMS 22336 b|
AN ACT concerning regulation.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
This Act may be cited as the
Telehealth Parity Act.
(a) This Act applies to policies issued by a health
insurance issuer as defined in Section 10 of this Act, but does
not apply to excepted benefits as defined in 45 CFR 146.145(b)
and 45 CFR 148.220, but does apply to limited scope dental
benefits, limited scope vision benefits, long-term care
benefits, coverage only for accidents, and coverage only for
specified disease or illness.
(b) Any policy, contract, or certificate of health
insurance coverage that does not distinguish between
in-network and out-of-network providers shall be subject to
this Act as though all providers were in-network.
As used in this Act:
"Health insurance coverage" has the meaning given to that
term in Section 5 of the Illinois Health Insurance Portability
and Accountability Act.
"Health insurance issuer" means an insurance company,