Illinois General Assembly - Bill Status for HB5250

Amends the Illinois Insurance Code. Sets forth provisions concerning restrictions on payment and reimbursement. Provides that a contracting entity, insurer, or third-party administrator may not grant access to a provider's health care services and contractual discounts pursuant to a provider network contract or reimburse a physician or other provider on a discounted fee basis for covered services that are provided to an insured unless certain conditions are met. Provides that a party to a preferred provider contract may not sell, lease, or otherwise transfer information regarding the payment or reimbursement terms of the contract without notification to and the authority of the other contracting parties. Sets forth requirements for a contracting entity, insurer, or third-party administrator that grants access to a provider's health care services and contractual discounts pursuant to a provider network contract. Provides that the Department of Insurance shall enforce the provisions concerning restrictions on payment and reimbursement. Sets forth penalties for violations of the Act.

Deletes everything after the enacting clause. Amends the Illinois Insurance Code to provide that a contracting entity, insurer, or third-party administrator who grants access to a provider's health care services and contractual discounts pursuant to a provider network contract shall identify and provide to the provider, at the time a provider network contract is entered into with a provider, a written or electronic list of all third parties to whom the contracting entity has or will grant access to the provider's health care services and contractual discounts pursuant to a provider network contract.

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