SCHAKOWSKY, KLINGLER, FLOWERS, FEIGENHOLTZ, TENHOUSE,
DAVIS,MONIQUE, WOOD, HOWARD, POE, MCGUIRE, BUGIELSKI,
O'BRIEN, CROTTY, SCULLY, MCCARTHY, BROSNAHAN,
KOSEL, BERGMAN, HOLBROOK AND DAVIS,STEVE.
Synopsis of Bill as introduced:
Amends the State Employees Group Insurance Law of 1971, Counties
Code, Illinois Municipal Code, School Code, Illinois Insurance Code,
Health Maintenance Organization Act, Comprehensive Health Insurance
Plan Act, Voluntary Health Services Plans Act, and Illinois Public Aid
Code. Provides that health care benefits under those Acts and under
managed care plans must provide for a minimum of 96 hours of inpatient
care following a mastectomy. Allows a shorter inpatient care period
if certain criteria are met. Prohibits penalizing physicians for
authorizing inpatient care as required by law. Amends the State
Mandates Act to provide that reimbursement for post-mastectomy care
benefits is not required under that Act. Effective June 1, 1997.
FISCAL NOTE (Dept. of Insurance)
There will be no fiscal impact on the Department.
STATE MANDATES FISCAL NOTE
In the opinion of DCCA, HB 107 does not create a mandate under
the State Mandates Act.
HOUSE AMENDMENT NO. 2.
Adds reference to:
215 ILCS 130/4003 from Ch. 73, par. 1504-3
Prohibits inducements to provide inpatient stays that do not
comply with the requirements. Requires that the insureds and
enrollees be notified of the inpatient coverage requirements. Defines
"managed care plan" and provides that a managed care plan may be
established or operated by hospitals, insurance companies, and
employer organizations among others. Provides that limited health
service organizations are subject to the inpatient care requirements.
Last action on Bill: SESSION SINE DIE
Last action date: 99-01-12
Amendments to Bill: AMENDMENTS ADOPTED: HOUSE - 1 SENATE - 0
END OF INQUIRY
Full Text Bill Status