97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
HB1372

 

Introduced 2/9/2011, by Rep. Lou Lang

 

SYNOPSIS AS INTRODUCED:
 
215 ILCS 5/356z.14
215 ILCS 5/370c  from Ch. 73, par. 982c
215 ILCS 5/370c.1 new
215 ILCS 125/5-3  from Ch. 111 1/2, par. 1411.2

    Amends the Illinois Insurance Code and the Health Maintenance Organization Act. Provides that coverage for autism spectrum disorders shall be subject to the parity requirements of the provision concerning mental health parity. Provides that an accident and health policy or managed care plan must provide a minimum (instead of a maximum) benefit of $36,000 per year. Deletes language concerning copayments, deductibles, and limits. Provides that every insurer that issues an accident and health policy that provides coverage for hospital or medical treatment, and for the treatment of mental, emotional, nervous, or substance use disorders shall ensure that the financial requirements and treatment limitations for such coverage are no more restrictive than the requirements and limitations applied to substantially all hospital and medical benefits covered by the policy. Sets forth provisions concerning aggregate lifetime limits on benefits, annual limits on benefits, and a single deductible applicable for both physical and mental health conditions. Makes other changes. Effective immediately.


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A BILL FOR

 

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1    AN ACT concerning insurance.
 
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
5changing Sections 356z.14 and 370c and by adding Sections
6370c.1 and 370c as follows:
 
7    (215 ILCS 5/356z.14)
8    Sec. 356z.14. Autism spectrum disorders.
9    (a) A group or individual policy of accident and health
10insurance or managed care plan amended, delivered, issued, or
11renewed after the effective date of this amendatory Act of the
1295th General Assembly must provide individuals under 21 years
13of age coverage for the diagnosis of autism spectrum disorders
14and for the treatment of autism spectrum disorders to the
15extent that the diagnosis and treatment of autism spectrum
16disorders are not already covered by the policy of accident and
17health insurance or managed care plan.
18    (b) Coverage provided under this Section through a group or
19individual policy of accident and health insurance or managed
20care plan shall be subject to the parity requirements of
21Section 370c.1 of this Code. A group or individual policy of
22accident and health insurance or managed care plan amended,
23delivered, issued, or renewed on or after the effective date of

 

 

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1this amendatory Act of the 97th General Assembly must provide a
2minimum maximum benefit of $36,000 per year, but shall not be
3subject to any limits on the number of visits to a service
4provider. After December 30, 2009, the Director of the Division
5of Insurance shall, on an annual basis, adjust the minimum
6maximum benefit for inflation using the Medical Care Component
7of the United States Department of Labor Consumer Price Index
8for All Urban Consumers. Payments made by an insurer on behalf
9of a covered individual for any care, treatment, intervention,
10service, or item, the provision of which was for the treatment
11of a health condition not diagnosed as an autism spectrum
12disorder, shall not be applied toward any minimum maximum
13benefit established under this subsection.
14    (c) (Blank). Coverage under this Section shall be subject
15to copayment, deductible, and coinsurance provisions of a
16policy of accident and health insurance or managed care plan to
17the extent that other medical services covered by the policy of
18accident and health insurance or managed care plan are subject
19to these provisions.
20    (d) This Section shall not be construed as limiting
21benefits that are otherwise available to an individual under a
22policy of accident and health insurance or managed care plan
23and benefits provided under this Section may not be subject to
24dollar limits, deductibles, copayments, or coinsurance
25provisions that are less favorable to the insured than the
26dollar limits, deductibles, or coinsurance provisions that

 

 

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1apply to physical illness generally.
2    (e) An insurer may not deny or refuse to provide otherwise
3covered services, or refuse to renew, refuse to reissue, or
4otherwise terminate or restrict coverage under an individual
5contract to provide services to an individual because the
6individual or their dependent is diagnosed with an autism
7spectrum disorder or due to the individual utilizing benefits
8in this Section.
9    (f) Upon request of the reimbursing insurer, a provider of
10treatment for autism spectrum disorders shall furnish medical
11records, clinical notes, or other necessary data that
12substantiate that initial or continued medical treatment is
13medically necessary and is resulting in improved clinical
14status. When treatment is anticipated to require continued
15services to achieve demonstrable progress, the insurer may
16request a treatment plan consisting of diagnosis, proposed
17treatment by type, frequency, anticipated duration of
18treatment, the anticipated outcomes stated as goals, and the
19frequency by which the treatment plan will be updated.
20    (g) When making a determination of medical necessity for a
21treatment modality for autism spectrum disorders, an insurer
22must make the determination in a manner that is consistent with
23the manner used to make that determination with respect to
24other diseases or illnesses covered under the policy, including
25an appeals process. During the appeals process, any challenge
26to medical necessity must be viewed as reasonable only if the

 

 

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1review includes a physician with expertise in the most current
2and effective treatment modalities for autism spectrum
3disorders.
4    (h) Coverage for medically necessary early intervention
5services must be delivered by certified early intervention
6specialists, as defined in 89 Ill. Admin. Code 500 and any
7subsequent amendments thereto.
8    (i) As used in this Section:
9    "Autism spectrum disorders" means pervasive developmental
10disorders as defined in the most recent edition of the
11Diagnostic and Statistical Manual of Mental Disorders,
12including autism, Asperger's disorder, and pervasive
13developmental disorder not otherwise specified.
14    "Diagnosis of autism spectrum disorders" means one or more
15tests, evaluations, or assessments to diagnose whether an
16individual has autism spectrum disorder that is prescribed,
17performed, or ordered by (A) a physician licensed to practice
18medicine in all its branches or (B) a licensed clinical
19psychologist with expertise in diagnosing autism spectrum
20disorders.
21    "Medically necessary" means any care, treatment,
22intervention, service or item which will or is reasonably
23expected to do any of the following: (i) prevent the onset of
24an illness, condition, injury, disease or disability; (ii)
25reduce or ameliorate the physical, mental or developmental
26effects of an illness, condition, injury, disease or

 

 

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1disability; or (iii) assist to achieve or maintain maximum
2functional activity in performing daily activities.
3    "Treatment for autism spectrum disorders" shall include
4the following care prescribed, provided, or ordered for an
5individual diagnosed with an autism spectrum disorder by (A) a
6physician licensed to practice medicine in all its branches or
7(B) a certified, registered, or licensed health care
8professional with expertise in treating effects of autism
9spectrum disorders when the care is determined to be medically
10necessary and ordered by a physician licensed to practice
11medicine in all its branches:
12        (1) Psychiatric care, meaning direct, consultative, or
13    diagnostic services provided by a licensed psychiatrist.
14        (2) Psychological care, meaning direct or consultative
15    services provided by a licensed psychologist.
16        (3) Habilitative or rehabilitative care, meaning
17    professional, counseling, and guidance services and
18    treatment programs, including applied behavior analysis,
19    that are intended to develop, maintain, and restore the
20    functioning of an individual. As used in this subsection
21    (i), "applied behavior analysis" means the design,
22    implementation, and evaluation of environmental
23    modifications using behavioral stimuli and consequences to
24    produce socially significant improvement in human
25    behavior, including the use of direct observation,
26    measurement, and functional analysis of the relations

 

 

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1    between environment and behavior.
2        (4) Therapeutic care, including behavioral, speech,
3    occupational, and physical therapies that provide
4    treatment in the following areas: (i) self care and
5    feeding, (ii) pragmatic, receptive, and expressive
6    language, (iii) cognitive functioning, (iv) applied
7    behavior analysis, intervention, and modification, (v)
8    motor planning, and (vi) sensory processing.
9    (j) Rulemaking authority to implement this amendatory Act
10of the 95th General Assembly, if any, is conditioned on the
11rules being adopted in accordance with all provisions of the
12Illinois Administrative Procedure Act and all rules and
13procedures of the Joint Committee on Administrative Rules; any
14purported rule not so adopted, for whatever reason, is
15unauthorized.
16(Source: P.A. 95-1005, eff. 12-12-08; 96-1000, eff. 7-2-10.)
 
17    (215 ILCS 5/370c)  (from Ch. 73, par. 982c)
18    Sec. 370c. Mental and emotional disorders.
19    (a) (1) On and after the effective date of this amendatory
20Act of the 97th General Assembly Section, every insurer which
21amends, delivers, issues, or renews delivers, issues for
22delivery or renews or modifies group accident and health A&H
23policies providing coverage for hospital or medical treatment
24or services for illness on an expense-incurred basis shall
25offer to the applicant or group policyholder subject to the

 

 

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1insurers standards of insurability, coverage for reasonable
2and necessary treatment and services for mental, emotional or
3nervous disorders or conditions, other than serious mental
4illnesses as defined in item (2) of subsection (b) consistent
5with the parity requirements of section 370c.1 , up to the
6limits provided in the policy for other disorders or
7conditions, except (i) the insured may be required to pay up to
850% of expenses incurred as a result of the treatment or
9services, and (ii) the annual benefit limit may be limited to
10the lesser of $10,000 or 25% of the lifetime policy limit.
11    (2) Each insured that is covered for mental, emotional or
12nervous disorders or conditions shall be free to select the
13physician licensed to practice medicine in all its branches,
14licensed clinical psychologist, licensed clinical social
15worker, licensed clinical professional counselor, or licensed
16marriage and family therapist, or licensed speech therapist of
17his choice to treat such disorders, and the insurer shall pay
18the covered charges of such physician licensed to practice
19medicine in all its branches, licensed clinical psychologist,
20licensed clinical social worker, licensed clinical
21professional counselor, or licensed marriage and family
22therapist up to the limits of coverage, provided (i) the
23disorder or condition treated is covered by the policy, and
24(ii) the physician, licensed psychologist, licensed clinical
25social worker, licensed clinical professional counselor, or
26licensed marriage and family therapist is authorized to provide

 

 

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1said services under the statutes of this State and in
2accordance with accepted principles of his profession.
3    (3) Insofar as this Section applies solely to licensed
4clinical social workers, licensed clinical professional
5counselors, and licensed marriage and family therapists, those
6persons who may provide services to individuals shall do so
7after the licensed clinical social worker, licensed clinical
8professional counselor, or licensed marriage and family
9therapist has informed the patient of the desirability of the
10patient conferring with the patient's primary care physician
11and the licensed clinical social worker, licensed clinical
12professional counselor, or licensed marriage and family
13therapist has provided written notification to the patient's
14primary care physician, if any, that services are being
15provided to the patient. That notification may, however, be
16waived by the patient on a written form. Those forms shall be
17retained by the licensed clinical social worker, licensed
18clinical professional counselor, or licensed marriage and
19family therapist for a period of not less than 5 years.
20    (b) (1) An insurer that provides coverage for hospital or
21medical expenses under a group policy of accident and health
22insurance or health care plan amended, delivered, issued, or
23renewed on or after the effective date of this amendatory Act
24of the 97th 92nd General Assembly shall provide coverage under
25the policy for treatment of serious mental illness consistent
26with the parity requirements of Section 370c.1 of this Code

 

 

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1under the same terms and conditions as coverage for hospital or
2medical expenses related to other illnesses and diseases. The
3coverage required under this Section must provide for same
4durational limits, amount limits, deductibles, and
5co-insurance requirements for serious mental illness as are
6provided for other illnesses and diseases. This subsection does
7not apply to any group policy of accident and health insurance
8or health care plan for any plan year of a small employer as
9defined in Section 5 of the Illinois Health Insurance
10Portability and Accountability Act coverage provided to
11employees by employers who have 50 or fewer employees.
12    (2) "Serious mental illness" means the following
13psychiatric illnesses as defined in the most current edition of
14the Diagnostic and Statistical Manual (DSM) published by the
15American Psychiatric Association:
16        (A) schizophrenia;
17        (B) paranoid and other psychotic disorders;
18        (C) bipolar disorders (hypomanic, manic, depressive,
19    and mixed);
20        (D) major depressive disorders (single episode or
21    recurrent);
22        (E) schizoaffective disorders (bipolar or depressive);
23        (F) pervasive developmental disorders;
24        (G) obsessive-compulsive disorders;
25        (H) depression in childhood and adolescence;
26        (I) panic disorder;

 

 

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1        (J) post-traumatic stress disorders (acute, chronic,
2    or with delayed onset); and
3        (K) anorexia nervosa and bulimia nervosa; and .
4        (L) substance use disorders.
5    (3) Unless otherwise prohibited by federal law, upon Upon
6request of the reimbursing insurer, a provider of treatment of
7serious mental illness shall furnish medical records or other
8necessary data that substantiate that initial or continued
9treatment is at all times medically necessary. An insurer shall
10provide a mechanism for the timely review by a provider holding
11the same license and practicing in the same specialty as the
12patient's provider, who is unaffiliated with the insurer,
13jointly selected by the patient (or the patient's next of kin
14or legal representative if the patient is unable to act for
15himself or herself), the patient's provider, and the insurer in
16the event of a dispute between the insurer and patient's
17provider regarding the medical necessity of a treatment
18proposed by a patient's provider. If the reviewing provider
19determines the treatment to be medically necessary, the insurer
20shall provide reimbursement for the treatment. Future
21contractual or employment actions by the insurer regarding the
22patient's provider may not be based on the provider's
23participation in this procedure. Nothing prevents the insured
24from agreeing in writing to continue treatment at his or her
25expense. When making a determination of the medical necessity
26for a treatment modality for serous mental illness, an insurer

 

 

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1must make the determination in a manner that is consistent with
2the manner used to make that determination with respect to
3other diseases or illnesses covered under the policy, including
4an appeals process.
5    (4) A group health benefit plan amended, delivered, issued,
6or renewed on or after the effective date of this amendatory
7Act of the 97th General Assembly:
8        (A) shall provide coverage based upon medical
9    necessity for the following treatment of mental illness
10    consistent with the parity requirements of Section 370c.1
11    of this Code. In in each calendar year, coverage shall not
12    be less than the following:
13            (i) 45 days of inpatient treatment; and
14            (ii) beginning on June 26, 2006 (the effective date
15        of Public Act 94-921), 60 visits for outpatient
16        treatment including group and individual outpatient
17        treatment; and
18            (iii) for plans or policies delivered, issued for
19        delivery, renewed, or modified after January 1, 2007
20        (the effective date of Public Act 94-906), 20
21        additional outpatient visits for speech therapy for
22        treatment of pervasive developmental disorders that
23        will be in addition to speech therapy provided pursuant
24        to item (ii) of this subparagraph (A); and
25        (B) may not include a lifetime limit on the number of
26    days of inpatient treatment or the number of outpatient

 

 

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1    visits covered under the plan. ; and
2        (C) shall include the same amount limits, deductibles,
3    copayments, and coinsurance factors for serious mental
4    illness as for physical illness.
5    (5) An issuer of a group health benefit plan may not count
6toward the number of outpatient visits required to be covered
7under this Section an outpatient visit for the purpose of
8medication management and shall cover the outpatient visits
9under the same terms and conditions as it covers outpatient
10visits for the treatment of physical illness.
11    (6) An issuer of a group health benefit plan may provide or
12offer coverage required under this Section through a managed
13care plan.
14    (7) This Section shall not be interpreted to require a
15group health benefit plan to provide coverage for treatment of:
16        (A) an addiction to a controlled substance or cannabis
17    that is used in violation of law; or
18        (B) mental illness resulting from the use of a
19    controlled substance or cannabis in violation of law.
20    (8) (Blank).
21    (c) This Section shall not be interpreted to require
22coverage for speech therapy or other habilitative services for
23those individuals covered under Section 356z.15 of this Code.
24(Source: P.A. 95-331, eff. 8-21-07; 95-972, eff. 9-22-08;
2595-973, eff. 1-1-09; 95-1049, eff. 1-1-10; 96-328, eff.
268-11-09; 96-1000, eff. 7-2-10.)
 

 

 

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1    (215 ILCS 5/370c.1 new)
2    Sec. 370c.1. Mental health parity.
3    (a) As used in this Section:
4    "Financial requirement" means deductibles, copayments,
5coinsurance, and out-of-pocket expenses, but excludes an
6aggregate lifetime limit and an annual limit subject to
7subsections (c), (d), and (e) of this Section.
8    "Treatment limitation" means limits on the frequency of
9treatment, number of visits, days of coverage, or other similar
10limits on the scope or duration of treatment.
11    (b) Beginning on the effective date of this amendatory Act
12of the 97th General Assembly, every insurer that amends,
13delivers, issues, or renews a group policy of accident and
14health insurance in this State providing coverage for hospital
15or medical treatment and for the treatment of mental,
16emotional, nervous, or substance use disorders or conditions
17shall ensure that:
18        (1) the financial requirements applicable to such
19    mental, emotional, nervous, or substance use disorder or
20    condition benefits are no more restrictive than the
21    predominant financial requirements applied to
22    substantially all hospital and medical benefits covered by
23    the policy and that there are no separate cost-sharing
24    requirements that are applicable only with respect to
25    mental, emotional, nervous, or substance use disorder or

 

 

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1    condition benefits; and
2        (2) the treatment limitations applicable to such
3    mental, emotional, nervous, or substance use disorder or
4    condition benefits are no more restrictive than the
5    predominant treatment limitations applied to substantially
6    all hospital and medical benefits covered by the policy and
7    that there are no separate treatment limitations that are
8    applicable only with respect to mental, emotional,
9    nervous, or substance use disorder or condition benefits.
10    (c) In the case of a group policy of accident and health
11insurance amended, delivered, issued, or renewed in this State
12on and after the effective date of this amendatory Act of the
1397th General Assembly that provides coverage for hospital or
14medical treatment and for the treatment of mental, emotional,
15nervous, or substance use disorders or conditions, the policy
16shall not include an aggregate lifetime limit on benefits
17provided under the policy.
18    (d) In the case of a group policy of accident and health
19insurance amended, delivered, issued, or renewed in this State
20on or after the effective date of this amendatory Act of the
2197th General Assembly that provides coverage for hospital or
22medical treatment and for the treatment of mental, emotional,
23nervous, or substance use disorders or conditions, the policy
24shall not include an annual limit on benefits provided under
25the policy.
26    (e) In the case of a group policy of accident and health

 

 

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1insurance amended, delivered, issued, or renewed in this State
2on or after the effective date of this amendatory Act of the
397th General Assembly that provides coverage for hospital or
4medical treatment and for the treatment of mental, emotional,
5nervous, or substance use disorders or conditions, such plans
6shall include a single deductible applicable for both physical
7and mental health conditions.
 
8    Section 10. The Health Maintenance Organization Act is
9amended by changing Section 5-3 as follows:
 
10    (215 ILCS 125/5-3)  (from Ch. 111 1/2, par. 1411.2)
11    Sec. 5-3. Insurance Code provisions.
12    (a) Health Maintenance Organizations shall be subject to
13the provisions of Sections 133, 134, 137, 140, 141.1, 141.2,
14141.3, 143, 143c, 147, 148, 149, 151, 152, 153, 154, 154.5,
15154.6, 154.7, 154.8, 155.04, 355.2, 356g.5-1, 356m, 356v, 356w,
16356x, 356y, 356z.2, 356z.4, 356z.5, 356z.6, 356z.8, 356z.9,
17356z.10, 356z.11, 356z.12, 356z.13, 356z.14, 356z.15, 356z.17,
18356z.18, 364.01, 367.2, 367.2-5, 367i, 368a, 368b, 368c, 368d,
19368e, 370c, 370c.1, 401, 401.1, 402, 403, 403A, 408, 408.2,
20409, 412, 444, and 444.1, paragraph (c) of subsection (2) of
21Section 367, and Articles IIA, VIII 1/2, XII, XII 1/2, XIII,
22XIII 1/2, XXV, and XXVI of the Illinois Insurance Code.
23    (b) For purposes of the Illinois Insurance Code, except for
24Sections 444 and 444.1 and Articles XIII and XIII 1/2, Health

 

 

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1Maintenance Organizations in the following categories are
2deemed to be "domestic companies":
3        (1) a corporation authorized under the Dental Service
4    Plan Act or the Voluntary Health Services Plans Act;
5        (2) a corporation organized under the laws of this
6    State; or
7        (3) a corporation organized under the laws of another
8    state, 30% or more of the enrollees of which are residents
9    of this State, except a corporation subject to
10    substantially the same requirements in its state of
11    organization as is a "domestic company" under Article VIII
12    1/2 of the Illinois Insurance Code.
13    (c) In considering the merger, consolidation, or other
14acquisition of control of a Health Maintenance Organization
15pursuant to Article VIII 1/2 of the Illinois Insurance Code,
16        (1) the Director shall give primary consideration to
17    the continuation of benefits to enrollees and the financial
18    conditions of the acquired Health Maintenance Organization
19    after the merger, consolidation, or other acquisition of
20    control takes effect;
21        (2)(i) the criteria specified in subsection (1)(b) of
22    Section 131.8 of the Illinois Insurance Code shall not
23    apply and (ii) the Director, in making his determination
24    with respect to the merger, consolidation, or other
25    acquisition of control, need not take into account the
26    effect on competition of the merger, consolidation, or

 

 

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1    other acquisition of control;
2        (3) the Director shall have the power to require the
3    following information:
4            (A) certification by an independent actuary of the
5        adequacy of the reserves of the Health Maintenance
6        Organization sought to be acquired;
7            (B) pro forma financial statements reflecting the
8        combined balance sheets of the acquiring company and
9        the Health Maintenance Organization sought to be
10        acquired as of the end of the preceding year and as of
11        a date 90 days prior to the acquisition, as well as pro
12        forma financial statements reflecting projected
13        combined operation for a period of 2 years;
14            (C) a pro forma business plan detailing an
15        acquiring party's plans with respect to the operation
16        of the Health Maintenance Organization sought to be
17        acquired for a period of not less than 3 years; and
18            (D) such other information as the Director shall
19        require.
20    (d) The provisions of Article VIII 1/2 of the Illinois
21Insurance Code and this Section 5-3 shall apply to the sale by
22any health maintenance organization of greater than 10% of its
23enrollee population (including without limitation the health
24maintenance organization's right, title, and interest in and to
25its health care certificates).
26    (e) In considering any management contract or service

 

 

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1agreement subject to Section 141.1 of the Illinois Insurance
2Code, the Director (i) shall, in addition to the criteria
3specified in Section 141.2 of the Illinois Insurance Code, take
4into account the effect of the management contract or service
5agreement on the continuation of benefits to enrollees and the
6financial condition of the health maintenance organization to
7be managed or serviced, and (ii) need not take into account the
8effect of the management contract or service agreement on
9competition.
10    (f) Except for small employer groups as defined in the
11Small Employer Rating, Renewability and Portability Health
12Insurance Act and except for medicare supplement policies as
13defined in Section 363 of the Illinois Insurance Code, a Health
14Maintenance Organization may by contract agree with a group or
15other enrollment unit to effect refunds or charge additional
16premiums under the following terms and conditions:
17        (i) the amount of, and other terms and conditions with
18    respect to, the refund or additional premium are set forth
19    in the group or enrollment unit contract agreed in advance
20    of the period for which a refund is to be paid or
21    additional premium is to be charged (which period shall not
22    be less than one year); and
23        (ii) the amount of the refund or additional premium
24    shall not exceed 20% of the Health Maintenance
25    Organization's profitable or unprofitable experience with
26    respect to the group or other enrollment unit for the

 

 

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1    period (and, for purposes of a refund or additional
2    premium, the profitable or unprofitable experience shall
3    be calculated taking into account a pro rata share of the
4    Health Maintenance Organization's administrative and
5    marketing expenses, but shall not include any refund to be
6    made or additional premium to be paid pursuant to this
7    subsection (f)). The Health Maintenance Organization and
8    the group or enrollment unit may agree that the profitable
9    or unprofitable experience may be calculated taking into
10    account the refund period and the immediately preceding 2
11    plan years.
12    The Health Maintenance Organization shall include a
13statement in the evidence of coverage issued to each enrollee
14describing the possibility of a refund or additional premium,
15and upon request of any group or enrollment unit, provide to
16the group or enrollment unit a description of the method used
17to calculate (1) the Health Maintenance Organization's
18profitable experience with respect to the group or enrollment
19unit and the resulting refund to the group or enrollment unit
20or (2) the Health Maintenance Organization's unprofitable
21experience with respect to the group or enrollment unit and the
22resulting additional premium to be paid by the group or
23enrollment unit.
24    In no event shall the Illinois Health Maintenance
25Organization Guaranty Association be liable to pay any
26contractual obligation of an insolvent organization to pay any

 

 

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1refund authorized under this Section.
2    (g) Rulemaking authority to implement Public Act 95-1045,
3if any, is conditioned on the rules being adopted in accordance
4with all provisions of the Illinois Administrative Procedure
5Act and all rules and procedures of the Joint Committee on
6Administrative Rules; any purported rule not so adopted, for
7whatever reason, is unauthorized.
8(Source: P.A. 95-422, eff. 8-24-07; 95-520, eff. 8-28-07;
995-876, eff. 8-21-08; 95-958, eff. 6-1-09; 95-978, eff. 1-1-09;
1095-1005, eff. 12-12-08; 95-1045, eff. 3-27-09; 95-1049, eff.
111-1-10; 96-328, eff. 8-11-09; 96-639, eff. 1-1-10; 96-833, eff.
126-1-10; 96-1000, eff. 7-2-10.)
 
13    Section 99. Effective date. This Act takes effect upon
14becoming law.