Synopsis As Introduced Amends the State Employees Group Insurance Act of 1971, Counties Code, Illinois Municipal Code, Illinois Public Aid Code, and Illinois Insurance Code to provide that accident and health insurance policies and managed care plans shall cover all services ordered by a physician and provided in a hospital that are considered medically necessary. Amends the Medical Patient Rights Act. Includes limited health service organizations and voluntary health services plan in the definition of "insurance company". In the provision concerning statement of hospital patient's rights, provides that the statement shall include the right not to be discriminated against by the hospital due to the patient's race, color, or national origin. Sets forth provisions concerning discrimination grievance procedures and emergency room antidiscrimination notices. Effective immediately.
House Floor Amendment No. 1 Replaces language in the Illinois Insurance Code that creates a provision concerning hospital patient assessments. Provides that a group or individual major medical policy (instead of a policy) of accident and health insurance or managed care plan amended, delivered, issued, or renewed after the effective date of the amendatory Act that provides coverage for hospital care shall include coverage for observation care services (instead of all services) considered to be medically necessary as covered by Medicare (instead of for the evaluation, assessment, and diagnosis of the illness or condition that resulted in the hospital stay of the enrollee or recipient). Provides that the services are subject to relevant notification on and reasonable review and utilization standards required by the policy or plan for hospital services.