Illinois General Assembly - Full Text of HB3758
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Full Text of HB3758  102nd General Assembly

HB3758 102ND GENERAL ASSEMBLY

  
  

 


 
102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
HB3758

 

Introduced 2/22/2021, by Rep. Ryan Spain

 

SYNOPSIS AS INTRODUCED:
 
215 ILCS 5/356z.22

    Amends the Illinois Insurance Code. Provides that individual or group policies of accident or health insurance that cover telehealth services must provide coverage for telehealth services used to treat a mental, emotional, nervous, or substance use disorder or condition.


LRB102 10849 BMS 16179 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

HB3758LRB102 10849 BMS 16179 b

1    AN ACT concerning regulation.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Insurance Code is amended by
5changing Section 356z.22 as follows:
 
6    (215 ILCS 5/356z.22)
7    Sec. 356z.22. Coverage for telehealth services.
8    (a) For purposes of this Section:
9    "Distant site" means the location at which the health care
10provider rendering the telehealth service is located.
11    "Interactive telecommunications system" means an audio and
12video system permitting 2-way, live interactive communication
13between the patient and the distant site health care provider.
14    "Telehealth services" means the delivery of covered health
15care services by way of an interactive telecommunications
16system.
17    (b) If an individual or group policy of accident or health
18insurance provides coverage for telehealth services, then it
19must comply with the following:
20        (1) An individual or group policy of accident or
21    health insurance providing telehealth services may not:
22            (A) require that in-person contact occur between a
23        health care provider and a patient;

 

 

HB3758- 2 -LRB102 10849 BMS 16179 b

1            (B) require the health care provider to document a
2        barrier to an in-person consultation for coverage of
3        services to be provided through telehealth;
4            (C) require the use of telehealth when the health
5        care provider has determined that it is not
6        appropriate; or
7            (D) require the use of telehealth when a patient
8        chooses an in-person consultation.
9        (2) Deductibles, copayments, or coinsurance applicable
10    to services provided through telehealth shall not exceed
11    the deductibles, copayments, or coinsurance required by
12    the individual or group policy of accident or health
13    insurance for the same services provided through in-person
14    consultation.
15    (b-5) If an individual or group policy of accident or
16health insurance provides coverage for telehealth services, it
17must provide coverage for licensed dietitian nutritionists and
18certified diabetes educators who counsel senior diabetes
19patients in the senior diabetes patients' homes to remove the
20hurdle of transportation for senior diabetes patients to
21receive treatment.
22    (b-10) If an individual or group policy of accident or
23health insurance provides coverage for telehealth services, it
24must provide coverage for telehealth services used to treat a
25mental, emotional, nervous, or substance use disorder or
26condition as defined in paragraph (4) of subsection (a) of

 

 

HB3758- 3 -LRB102 10849 BMS 16179 b

1Section 370c.
2    (c) Nothing in this Section shall be deemed as precluding
3a health insurer from providing benefits for other services,
4including, but not limited to, remote monitoring services,
5other monitoring services, or oral communications otherwise
6covered under the policy.
7(Source: P.A. 100-1009, eff. 1-1-19.)