Full Text of HB2846 101st General Assembly
HB2846enr 101ST GENERAL ASSEMBLY |
| | HB2846 Enrolled | | LRB101 09717 RAB 54817 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 | 5 | | changing Section 356z.25 as follows: | 6 | | (215 ILCS 5/356z.25) | 7 | | Sec. 356z.25. Coverage for treatment of pediatric | 8 | | autoimmune neuropsychiatric disorders associated with | 9 | | streptococcal infections and pediatric acute onset | 10 | | neuropsychiatric syndrome. A group or individual policy of | 11 | | accident and health insurance or managed care plan that is | 12 | | amended, delivered, issued, or renewed after July 18, 2017 (the | 13 | | effective date of Public Act 100-24) shall provide coverage for | 14 | | treatment of pediatric autoimmune neuropsychiatric disorders | 15 | | associated with streptococcal infections and pediatric | 16 | | acute-onset neuropsychiatric syndrome, including, but not | 17 | | limited to, the use of intravenous immunoglobulin therapy. | 18 | | For billing and diagnosis purposes, pediatric autoimmune | 19 | | neuropsychiatric disorders associated with streptococcal | 20 | | infections and pediatric acute onset neuropsychiatric syndrome | 21 | | shall be coded as autoimmune encephalitis until the American | 22 | | Medical Association and the Centers for Medicare and Medicaid | 23 | | Services create and assign a specific code for pediatric |
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| 1 | | autoimmune neuropsychiatric disorders associated with | 2 | | streptococcal infections and pediatric acute onset | 3 | | neuropsychiatric syndrome. Thereafter, pediatric autoimmune | 4 | | neuropsychiatric disorders associated with streptococcal | 5 | | infections and pediatric acute onset neuropsychiatric syndrome | 6 | | may be coded as autoimmune encephalitis, pediatric autoimmune | 7 | | neuropsychiatric disorders associated with streptococcal | 8 | | infections, or pediatric acute onset neuropsychiatric | 9 | | syndrome. | 10 | | If, at any time, the Secretary of the United States | 11 | | Department of Health and Human Services, or its successor | 12 | | agency, promulgates rules or regulations to be published in the | 13 | | Federal Register or publishes a comment in the Federal Register | 14 | | or issues an opinion, guidance, or other action that would | 15 | | require the State, pursuant to any provision of the Patient | 16 | | Protection and Affordable Care Act (Public Law 111-148), | 17 | | including, but not limited to, 42 U.S.C. 18031(d)(3)(B) or any | 18 | | successor provision, to defray the cost of any coverage for | 19 | | pediatric autoimmune neuropsychiatric disorders associated | 20 | | with streptococcal infections and pediatric acute onset | 21 | | neuropsychiatric syndrome outlined in this Section, then the | 22 | | requirement that an insurer cover pediatric autoimmune | 23 | | neuropsychiatric disorders associated with streptococcal | 24 | | infections and pediatric acute onset neuropsychiatric syndrome | 25 | | is inoperative other than any such coverage authorized under | 26 | | Section 1902 of the Social Security Act, 42 U.S.C. 1396a, and |
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| 1 | | the State shall not assume any obligation for the cost of | 2 | | coverage for pediatric autoimmune neuropsychiatric disorders | 3 | | associated with streptococcal infections and pediatric acute | 4 | | onset neuropsychiatric syndrome.
| 5 | | (Source: P.A. 100-24, eff. 7-18-17; 100-863, eff. 8-14-18.)
| 6 | | Section 99. Effective date. This Act takes effect upon | 7 | | becoming law.
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