Synopsis As Introduced Amends the State Employees Group Insurance Act of 1971, Counties Code, Illinois Municipal Code, School Code, Illinois Insurance Code, Health Maintenance Organization Act, and Voluntary Health Services Plans Act. Sets forth definitions for "qualified individual" and "life-threatening condition". Sets forth provisions concerning coverage for routine patient care with regard to denial, limits, additional conditions, and discrimination concerning approved clinical trials according to the trial protocol with respect to the treatment of cancer or other life-threatening diseases or conditions. Amends the Illinois Public Aid Code in the provision concerning medical services to provide that the Department of Healthcare and Family Services shall ensure that cancer patients in need of dental treatment prior to the administration of chemotherapy have access to such dental services and shall develop a mechanism whereby mammography providers may download a standing order via the Internet for screening mammography for certain women eligible for mammography coverage. Amends the Radiation Protection Act of 1990 in the provision concerning limitations on application of radiation to human beings and requirements for radiation installation operators providing mammography services. Provides that each facility that performs mammograms shall upon request by or on behalf of the patient transfer the original mammograms and copies of the reports without charge to the patient. Makes other changes.
Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Provides that no group policy of accident and health insurance shall exclude coverage for any routine patient care administered to an insured who is a qualified individual participating in a qualified clinical cancer trial, if the policy covers that same routine patient care of insureds not enrolled in a qualified clinical cancer trial. Provides that if the group policy of accident and health insurance uses a preferred provider program and a preferred provider provides routine patient care in connection with a qualified clinical cancer trial, then the insurer may require the insured to use the preferred provider if the preferred provider agrees to provide to the insured that routine patient care. Sets forth what a group policy of accident and health insurance with a preferred provider program shall reimburse. Provides that a qualified clinical cancer trial may not pay or refuse to pay for routine patient care of a individual participating in the trial, based in whole or in part on the person's having or not having coverage for routine patient care under a group policy of accident and health insurance. Provides that the provisions concerning qualified clinical cancer trials do not apply to short-term travel, disability income, long-term care, accident only, or limited or specified disease policies. Effective January 1, 2012.