Bill Status of HB1074  103rd General Assembly

Short Description:  INSURANCE-TECH

House Sponsors
Rep. Angelo Saviano - Barbara Flynn Currie - Frank J. Mautino - Sara Feigenholtz - Mary E. Flowers, Rosemary Kurtz, Dan Brady, Robin Kelly and Deborah L. Graham

Senate Sponsors
(Sen. Denny Jacobs and Bill Brady)

Last Action
DateChamber Action
  7/22/2003HousePublic Act . . . . . . . . . 93-0261

Statutes Amended In Order of Appearance
215 ILCS 5/1from Ch. 73, par. 613


Synopsis As Introduced
Amends the Illinois Insurance Code. Makes technical changes in a Section concerning the short title.

Senate Floor Amendment No. 1
Deletes reference to:
215 ILCS 5/1
Adds reference to:
215 ILCS 5/368b new
215 ILCS 5/368c new
215 ILCS 5/368d new
215 ILCS 5/368e new
215 ILCS 5/370kfrom Ch. 73, par. 982k
215 ILCS 125/5-3from Ch. 111 1/2, par. 1411.2

Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Provides that a health care professional or health care provider offered a contract by an insurer, health maintenance organization, independent practice association, or physician hospital organization for signature after the effective date of this amendatory Act shall be provided with a proposed health care professional or health care provider services contract. Provides that, within 35 days after a written request, the health care professional or health care provider offered a contract shall be given the opportunity to review and obtain a copy of the following: a specialty-specific fee schedule sample based on a minimum of the 50 highest volume fee schedule codes with the rates applicable to the health care professional or health care provider to whom the contract is offered, the network provider administration manual, and a summary capitation schedule, if payment is made on a capitation basis. Provides that information contained in the fee schedule, the capitation schedule, and the network provider administration manual constitutes confidential, proprietary, and trade secret information and is subject to the provisions of the Illinois Trade Secrets Act. Provides guidelines for providing remittance advices, including an explanation of a recoupment or offset taken by an insurer, health maintenance organization, independent practice association, or physician hospital organization, to health care professionals and health care providers. Provides that, when a person presents a benefits information card, a health care professional or health care provider shall make a good faith effort to inform the person if the health care professional or health care provider has a participation contract with the insurer, health maintenance organization, other entity identified on the card. Provides for administration and enforcement of these provisions. In provisions concerning registration of administrators of preferred provider organizations, provides that preferred provider administrators are subject to the new contract provisions of the Code. Amends the Health Maintenance Organization Act. Adds to the list of Sections of the Illinois Insurance Code to which Health Maintenance Organizations are subject. Effective January 1, 2004.

Senate Floor Amendment No. 2
Removes provisions (i) prohibiting health care professionals and health care providers from providing a statement that requires payment from the patient or group contract holder, or collect and have any recourse against an insured patient or group contract holder for services provided pursuant to a contract in which an insurer, health maintenance organization, independent practice association, or physician hospital organization has contractually agreed with a health care professional or health care provider that the health care professional or health care provider does not have such a right or rights and (ii) allowing health care professionals and health care providers to collect payment for applicable co-payments, co-insurance, and deductibles and payment for non-covered services directly from patients.

Actions 
DateChamber Action
  1/31/2003HouseFiled with the Clerk by Rep. Michael J. Madigan
  1/31/2003HouseChief Co-Sponsor Rep. Barbara Flynn Currie
  1/31/2003HouseChief Co-Sponsor Rep. Frank J. Mautino
  1/31/2003HouseFirst Reading
  1/31/2003HouseReferred to Rules Committee
  2/4/2003HouseAssigned to Executive Committee
  3/12/2003HouseDo Pass / Short Debate Executive Committee; 010-000-000
  3/12/2003HousePlaced on Calendar 2nd Reading - Short Debate **
  3/31/2003HouseSecond Reading - Short Debate
  3/31/2003HouseHeld on Calendar Order of Second Reading - Short Debate **
  4/2/2003HousePlaced on Calendar Order of 3rd Reading - Short Debate **
  4/3/2003HouseThird Reading - Short Debate - Passed 070-043-004
  4/8/2003SenateArrive in Senate
  4/8/2003SenatePlaced on Calendar Order of First Reading April 9, 2003
  4/8/2003SenateChief Senate Sponsor Sen. Emil Jones, Jr.
  4/8/2003SenateFirst Reading
  4/8/2003SenateReferred to Rules
  4/16/2003SenateAssigned to Executive
  5/1/2003SenateDo Pass Executive; 007-004-000
  5/1/2003SenatePlaced on Calendar Order of 2nd Reading May 6, 2003
  5/6/2003SenateSecond Reading
  5/6/2003SenatePlaced on Calendar Order of 3rd Reading May 7, 2003
  5/13/2003SenateSenate Floor Amendment No. 1 Filed with Secretary by Sen. Denny Jacobs
  5/13/2003SenateSenate Floor Amendment No. 1 Referred to Rules
  5/13/2003SenateAlternate Chief Sponsor Changed to Sen. Denny Jacobs
  5/13/2003SenateSenate Floor Amendment No. 1 Rules Refers to Insurance & Pensions
  5/14/2003SenateSenate Floor Amendment No. 1 Be Adopted Insurance & Pensions; 010-000-000
  5/14/2003SenateAdded as Alternate Co-Sponsor Sen. Bill Brady
  5/15/2003SenateSenate Floor Amendment No. 2 Filed with Secretary by Sen. Denny Jacobs
  5/15/2003SenateSenate Floor Amendment No. 2 Referred to Rules
  5/15/2003SenateRecalled to Second Reading
  5/15/2003SenateSenate Floor Amendment No. 1 Adopted; Jacobs
  5/15/2003SenatePlaced on Calendar Order of 3rd Reading May 16, 2003
  5/15/2003SenateSenate Floor Amendment No. 2 Be Approved for Consideration Rules
  5/16/2003SenateRecalled to Second Reading
  5/16/2003SenateSenate Floor Amendment No. 2 Adopted; Jacobs
  5/16/2003SenatePlaced on Calendar Order of 3rd Reading May 19, 2003
  5/16/2003SenateThird Reading - Passed; 054-000-000
  5/16/2003HouseArrived in House
  5/16/2003HousePlaced on Calendar Order of Concurrence Senate Amendment(s) 1 and 2
  5/23/2003HouseFinal Action Deadline Extended-9(b) May 31, 2003
  5/28/2003HouseChief Sponsor Changed to Rep. Angelo Saviano
  5/28/2003HouseSenate Floor Amendment No. 1 Motion Filed Concur Rep. Angelo Saviano; Motion #1
  5/28/2003HouseSenate Floor Amendment No. 2 Motion Filed Concur Rep. Angelo Saviano; Motion #1
  5/28/2003HouseSenate Floor Amendment No. 1 Motion to Concur Referred to Rules Committee
  5/28/2003HouseSenate Floor Amendment No. 2 Motion to Concur Referred to Rules Committee
  5/28/2003HouseSenate Floor Amendment No. 1 Motion to Concur Rules Referred to Judiciary I - Civil Law Committee
  5/28/2003HouseSenate Floor Amendment No. 2 Motion to Concur Rules Referred to Judiciary I - Civil Law Committee
  5/28/2003HouseSenate Floor Amendment No. 1 Motion Filed Concur Rep. Angelo Saviano; Motion #1
  5/28/2003HouseSenate Floor Amendment No. 2 Motion Filed Concur Rep. Angelo Saviano; Motion #1
  5/28/2003HouseSenate Floor Amendment No. 1 Motion to Concur Referred to Rules Committee
  5/28/2003HouseSenate Floor Amendment No. 2 Motion to Concur Referred to Rules Committee
  5/29/2003HouseSenate Floor Amendment No. 1 Motion to Concur Recommends be Adopted Judiciary I - Civil Law Committee; 016-000-000
  5/29/2003HouseSenate Floor Amendment No. 2 Motion to Concur Recommends be Adopted Judiciary I - Civil Law Committee; 016-000-000
  5/30/2003HouseAdded Chief Co-Sponsor Rep. Sara Feigenholtz
  5/30/2003HouseAdded Chief Co-Sponsor Rep. Mary E. Flowers
  5/30/2003HouseAdded Co-Sponsor Rep. Rosemary Kurtz
  5/30/2003HouseSenate Floor Amendment No. 1 House Concurs 117-000-000
  5/30/2003HouseSenate Floor Amendment No. 2 House Concurs 117-000-000
  5/30/2003HousePassed Both Houses
  5/30/2003HouseAdded Co-Sponsor Rep. Dan Brady
  5/30/2003HouseAdded Co-Sponsor Rep. Robin Kelly
  5/30/2003HouseAdded Co-Sponsor Rep. Deborah L. Graham
  6/27/2003HouseSent to the Governor
  7/22/2003HouseGovernor Approved
  7/22/2003HouseEffective Date January 1, 2004
  7/22/2003HousePublic Act . . . . . . . . . 93-0261