97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
HB3771

 

Introduced 5/4/2011, by Rep. Mary E. Flowers

 

SYNOPSIS AS INTRODUCED:
 
215 ILCS 134/37 new

    Amends the Managed Care Reform and Patient Rights Act. Provides that the Director of Insurance shall adopt reasonable rules as necessary and proper to ensure that persons enrolled in or covered by a health care plan have adequate access to health care services in each geographic area to be covered by a health care plan. Provides that the Director may annually determine compliance of the health care plan with prescribed standards and shall notify the health care plan of any noncompliance. Provides that failure of the health care plan to comply within one year after such notification shall constitute a violation of the Act.


LRB097 11798 RPM 55038 b

 

 

A BILL FOR

 

HB3771LRB097 11798 RPM 55038 b

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 Managed Care Reform and Patient Rights Act
5is amended by adding Section 37 as follows:
 
6    (215 ILCS 134/37 new)
7    Sec. 37. Access standards. The Director of Insurance shall
8adopt reasonable rules as necessary and proper to ensure that
9enrollees have adequate access to health care services in each
10geographic area to be covered by a health care plan, including,
11but not limited to, the establishment of minimum
12physician-to-patient ratios, mileage requirements for primary
13and specialty care, a maximum travel time, and a maximum
14waiting time for obtaining an appointment. The Director may
15annually determine compliance of the health care plan with
16prescribed standards and shall notify the health care plan of
17any noncompliance. Failure of the health care plan to comply
18within one year after such notification shall constitute a
19violation of this Act.