Illinois General Assembly - Full Text of HB1277
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Full Text of HB1277  100th General Assembly



HB1277 EngrossedLRB100 03010 SMS 13015 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.25 as follows:
6    (215 ILCS 5/356z.25)
7    Sec. 356z.25. Coverage for treatment of pediatric
8autoimmune neuropsychiatric disorders associated with
9streptococcal infections and pediatric acute onset
10neuropsychiatric syndrome. A group or individual policy of
11accident and health insurance or managed care plan that is
12amended, delivered, issued, or renewed after July 18, 2017 (the
13effective date of Public Act 100-24) this amendatory Act of the
14100th General Assembly shall provide coverage for treatment of
15pediatric autoimmune neuropsychiatric disorders associated
16with streptococcal infections and pediatric acute-onset
17neuropsychiatric syndrome, including, but not limited to, the
18use of intravenous immunoglobulin therapy. A treatment that is
19administered or prescribed after July 18, 2017 shall be
21    For billing and diagnosis purposes, pediatric autoimmune
22neuropsychiatric disorders associated with streptococcal
23infections and pediatric acute onset neuropsychiatric syndrome



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1shall be coded as autoimmune encephalitis until a code is
2assigned. Coverage under this Section may not be denied due to
3a diagnosis of autoimmune encephalopathy or autoimmune
5    If, at any time, the Secretary of the United States
6Department of Health and Human Services, or its successor
7agency, promulgates rules or regulations to be published in the
8Federal Register or publishes a comment in the Federal Register
9or issues an opinion, guidance, or other action that would
10require the State, pursuant to any provision of the Patient
11Protection and Affordable Care Act (Public Law 111-148),
12including, but not limited to, 42 U.S.C. 18031(d)(3)(B) or any
13successor provision, to defray the cost of any coverage for
14pediatric autoimmune neuropsychiatric disorders associated
15with streptococcal infections and pediatric acute onset
16neuropsychiatric syndrome outlined in this Section, then the
17requirement that an insurer cover pediatric autoimmune
18neuropsychiatric disorders associated with streptococcal
19infections and pediatric acute onset neuropsychiatric syndrome
20is inoperative other than any such coverage authorized under
21Section 1902 of the Social Security Act, 42 U.S.C. 1396a, and
22the State shall not assume any obligation for the cost of
23coverage for pediatric autoimmune neuropsychiatric disorders
24associated with streptococcal infections and pediatric acute
25onset neuropsychiatric syndrome.
26(Source: P.A. 100-24, eff. 7-18-17; revised 9-15-17.)



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1    Section 99. Effective date. This Act takes effect upon
2becoming law.