Illinois General Assembly - Full Text of HB3308
Illinois General Assembly

  Bills & Resolutions  
  Compiled Statutes  
  Public Acts  
  Legislative Reports  
  IL Constitution  
  Legislative Guide  
  Legislative Glossary  

 Search By Number
 (example: HB0001)
Search Tips

Search By Keyword

Full Text of HB3308  102nd General Assembly

HB3308 102ND GENERAL ASSEMBLY

  
  

 


 
102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
HB3308

 

Introduced 2/19/2021, by Rep. Thaddeus Jones

 

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

    Amends the Illinois Insurance Code. Includes the delivery of covered health care services by way of telephone usage in the definition of "telehealth services". Provides that health care services that are covered under an individual or group policy of accident or health insurance must be covered when delivered via telehealth services when clinically appropriate, subject to specified conditions (rather than requiring an individual or group policy of accident or health insurance to comply with specified conditions if it provides coverage for telehealth services). Provides that patient cost-sharing may be no more than if the health care service were delivered in person. Provides that no excepted benefit policy may deny or reduce any benefit to a patient based on the use of clinically appropriate telehealth services in the course of satisfying the policy's benefit criteria.


LRB102 11877 BMS 17213 b

FISCAL NOTE ACT MAY APPLY
STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT

 

 

A BILL FOR

 

HB3308LRB102 11877 BMS 17213 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 or telephone usage.
17    (b) Health care services that are covered under If an
18individual or group policy of accident or health insurance
19must be covered when delivered via provides coverage for
20telehealth services when clinically appropriate, subject to
21then it must comply with the following:
22        (1) Telehealth benefits provided in an An individual
23    or group policy of accident or health insurance providing

 

 

HB3308- 2 -LRB102 11877 BMS 17213 b

1    telehealth services may not:
2            (A) require that in-person contact occur between a
3        health care provider and a patient;
4            (B) require the health care provider to document a
5        barrier to an in-person consultation for coverage of
6        services to be provided through telehealth;
7            (C) require the use of telehealth when the health
8        care provider has determined that it is not
9        appropriate; or
10            (D) require the use of telehealth when a patient
11        chooses an in-person consultation.
12        (2) Patient cost-sharing may be no more than if the
13    health care service were delivered in person. Deductibles,
14    copayments, or coinsurance applicable to services provided
15    through telehealth shall not exceed the deductibles,
16    copayments, or coinsurance required by the individual or
17    group policy of accident or health insurance for the same
18    services provided through in-person consultation.
19    (b-5) If an individual or group policy of accident or
20health insurance provides coverage for telehealth services, it
21must provide coverage for licensed dietitian nutritionists and
22certified diabetes educators who counsel senior diabetes
23patients in the senior diabetes patients' homes to remove the
24hurdle of transportation for senior diabetes patients to
25receive treatment.
26    (c) Nothing in this Section shall be deemed as precluding

 

 

HB3308- 3 -LRB102 11877 BMS 17213 b

1a health insurer from providing benefits for other services,
2including, but not limited to, remote monitoring services,
3other monitoring services, or oral communications otherwise
4covered under the policy.
5    (d) Notwithstanding Section 352b of this Code, an excepted
6benefit policy is subject to this Section if the policy covers
7the patient's use of health care services, whether on an
8expense-incurred or a per capita prepaid basis or otherwise.
9This Section does not apply to an excepted benefit policy with
10respect to lump-sum or periodic payments that the policy
11covers based on the occurrence of a diagnosis with a specified
12disease, an accident, or other qualifying health condition,
13nor does this Section apply to lump sum or periodic payments
14for expenses other than health care services. However, no
15policy may deny or reduce any benefit to a patient based on the
16use of clinically appropriate telehealth services in the
17course of satisfying the policy's benefit criteria.
18(Source: P.A. 100-1009, eff. 1-1-19.)