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| [ Senate Amendment 001 ] |
90_SB0711sam002
SRS90SB0711MNbmam01
1 AMENDMENT TO SENATE BILL 711
2 AMENDMENT NO. . Amend Senate Bill 711, AS AMENDED,
3 by replacing the title with the following:
4 "AN ACT concerning certain surgical procedures, amending
5 named Acts."; and
6 by replacing everything after the enacting clause with the
7 following:
8 "Section 5. The State Employees Group Insurance Act of
9 1971 is amended by adding Section 6.9 as follows:
10 (5 ILCS 375/6.9 new)
11 Sec. 6.9. Post-mastectomy care. The program of health
12 benefits shall provide the post-mastectomy care benefits
13 required to be covered by a policy of accident and health
14 insurance under Section 356t of the Illinois Insurance Code.
15 Section 10. The State Mandates Act is amended by adding
16 Section 8.21 as follows:
17 (30 ILCS 805/8.21 new)
18 Sec. 8.21. Exempt mandate. Notwithstanding Sections 6
19 and 8 of this Act, no reimbursement by the State is required
-2- SRS90SB0711MNbmam01
1 for the implementation of any mandate created by this
2 amendatory Act of 1997.
3 Section 15. The Counties Code is amended by adding
4 Section 5-1069.3 as follows:
5 (55 ILCS 5/5-1069.3 new)
6 Sec. 5-1069.3 Post-mastectomy care. If a county,
7 including a home rule county, is a self-insurer for purposes
8 of providing health insurance coverage for its employees, the
9 coverage shall include coverage for the post-mastectomy care
10 benefits required to be covered by a policy of accident and
11 health insurance under Section 356t of the Illinois Insurance
12 Code. The requirement that post-mastectomy care be covered
13 as provided in this Section is an exclusive power and
14 function of the State and is a denial and limitation under
15 Article VII, Section 6, subsection (h) of the Illinois
16 Constitution. A home rule county to which this Section
17 applies must comply with every provision of this Section.
18 Section 20. The Illinois Municipal Code is amended by
19 adding Section 10-4-2.3 as follows:
20 (65 ILCS 5/10-4-2.3 new)
21 Sec. 10-4-2.3. Post-mastectomy care. If a municipality,
22 including a home rule municipality, is a self-insurer for
23 purposes of providing health insurance coverage for its
24 employees, the coverage shall include coverage for the
25 post-mastectomy care benefits required to be covered by a
26 policy of accident and health insurance under Section 356t of
27 the Illinois Insurance Code. The requirement that
28 post-mastectomy care be covered as provided in this is an
29 exclusive power and function of the State and is a denial and
30 limitation under Article VII, Section 6, subsection (h) of
-3- SRS90SB0711MNbmam01
1 the Illinois Constitution. A home rule municipality to which
2 this Section applies must comply with every provision of this
3 Section.
4 Section 25. The School Code is amended by adding Section
5 10-22.3f as follows:
6 (105 ILCS 5/10-22.3f new)
7 Sec. 10-22.3f. Post-mastectomy care. Insurance
8 protection and benefits for employees shall provide the
9 post-mastectomy care benefits required to be covered by a
10 policy of accident and health insurance under Section 356t of
11 the Illinois Insurance Code.
12 Section 30. The Illinois Insurance Code is amended by
13 adding Section 356t as follows:
14 (215 ILCS 5/356t new)
15 Sec. 356t. Post-mastectomy care.
16 (a) An individual or group policy of accident and health
17 insurance or managed care plan that provides surgical
18 coverage and is amended, delivered, issued, or renewed after
19 the effective date of this amendatory Act of 1997 shall
20 provide inpatient coverage following a mastectomy for a
21 length of time determined by the attending physician to be
22 medically necessary and in accordance with protocols and
23 guidelines based on sound scientific evidence and upon
24 evaluation of the patient and the coverage for and
25 availibility of a post-discharge physician office visit or
26 in-home nurse visit to verify the condition of the patient in
27 the first 48 hours after discharge.
28 Section 35. The Health Maintenance Organization Act is
29 amended by adding Section 4-6.5 as follows:
-4- SRS90SB0711MNbmam01
1 (215 ILCS 125/4-6.5 new)
2 Sec. 4-6.5. Post-mastectomy care. A health maintenance
3 organization is subject to the provisions of Section 356t of
4 the Illinois Insurance Code.
5 Section 45. The Voluntary Health Services Plans Act is
6 amended by changing Section 10 as follows:
7 (215 ILCS 165/10) (from Ch. 32, par. 604)
8 Sec. 10. Application of Insurance Code provisions.
9 Health services plan corporations and all persons interested
10 therein or dealing therewith shall be subject to the
11 provisions of Article XII 1/2 and Sections 3.1, 133, 140,
12 143, 143c, 149, 354, 355.2, 356r, 356t, 367.2, 401, 401.1,
13 402, 403, 403A, 408, 408.2, and 412, and paragraphs (7) and
14 (15) of Section 367 of the Illinois Insurance Code.
15 (Source: P.A. 89-514, eff. 7-17-96.)
16 Section 50. The Illinois Public Aid Code is amended by
17 adding Section 5-16.8 as follows:
18 (305 ILCS 5/5-16.8 new)
19 Sec. 5-16.8. Post-mastectomy care. The medical
20 assistance program shall provide the post-mastectomy care
21 benefits required to be covered by a policy of accident and
22 health insurance under Section 356t of the Illinois Insurance
23 Code.".