90th General Assembly
Summary of HB0107
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House Sponsors:
MULLIGAN-MADIGAN,MJ-DANIELS-BURKE-BIGGERT, ERWIN, 
   SCHAKOWSKY, KLINGLER, FLOWERS, FEIGENHOLTZ, TENHOUSE, 
   DAVIS,MONIQUE, WOOD, HOWARD, POE, MCGUIRE, BUGIELSKI, 
   O'BRIEN, CROTTY, SCULLY, MCCARTHY, BROSNAHAN, 
   KOSEL, BERGMAN, HOLBROOK AND DAVIS,STEVE.

Senate Sponsors:
PARKER-BERMAN-FARLEY-HALVORSON

Short description: 
MASTECTOMY-INPATIENT CARE                                                  

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

           Location: House

 Amendments to Bill: AMENDMENTS ADOPTED: HOUSE -   1     SENATE -   0


   END OF INQUIRY 



 Full Text  Bill Status