Full Text of HB3471 101st General Assembly
HB3471enr 101ST GENERAL ASSEMBLY
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| | HB3471 Enrolled | | LRB101 10551 SMS 55657 b |
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| | 1 | | AN ACT concerning regulation.
| | 2 | | Be it enacted by the People of the State of Illinois,
| | 3 | | represented in the General Assembly:
| | 4 | | Section 5. The Illinois Insurance Code is amended by adding | | 5 | | Section 356z.33 as follows:
| | 6 | | (215 ILCS 5/356z.33 new) | | 7 | | Sec. 356z.33. Coverage for cardiopulmonary monitors. A | | 8 | | group or individual policy of accident and health insurance | | 9 | | amended, delivered, issued, or renewed after the effective date | | 10 | | of this amendatory Act of the 101st General Assembly shall | | 11 | | provide coverage for cardiopulmonary monitors determined to be | | 12 | | medically necessary for a person 18 years old or younger who | | 13 | | has had a cardiopulmonary event.
| | 14 | | Section 10. The Illinois Public Aid Code is amended by | | 15 | | changing Section 5-16.8 as follows:
| | 16 | | (305 ILCS 5/5-16.8)
| | 17 | | Sec. 5-16.8. Required health benefits. The medical | | 18 | | assistance program
shall
(i) provide the post-mastectomy care | | 19 | | benefits required to be covered by a policy of
accident and | | 20 | | health insurance under Section 356t and the coverage required
| | 21 | | under Sections 356g.5, 356u, 356w, 356x, 356z.6, 356z.26, and |
| | | HB3471 Enrolled | - 2 - | LRB101 10551 SMS 55657 b |
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| | 1 | | 356z.29, 356z.32, and 356z.33 of the Illinois
Insurance Code | | 2 | | and (ii) be subject to the provisions of Sections 356z.19, | | 3 | | 364.01, 370c, and 370c.1 of the Illinois
Insurance Code.
| | 4 | | On and after July 1, 2012, the Department shall reduce any | | 5 | | rate of reimbursement for services or other payments or alter | | 6 | | any methodologies authorized by this Code to reduce any rate of | | 7 | | reimbursement for services or other payments in accordance with | | 8 | | Section 5-5e. | | 9 | | To ensure full access to the benefits set forth in this | | 10 | | Section, on and after January 1, 2016, the Department shall | | 11 | | ensure that provider and hospital reimbursement for | | 12 | | post-mastectomy care benefits required under this Section are | | 13 | | no lower than the Medicare reimbursement rate. | | 14 | | (Source: P.A. 99-433, eff. 8-21-15; 99-480, eff. 9-9-15; | | 15 | | 99-642, eff. 7-28-16; 100-138, eff. 8-18-17; 100-863, eff. | | 16 | | 8-14-18; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised | | 17 | | 10-4-18.)
| | 18 | | Section 99. Effective date. This Act takes effect January | | 19 | | 1, 2020.
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