90th General Assembly
Summary of HB0643
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House Sponsors:

Senate Sponsors:

Short description: 
ACCESS EMERGENCY MED SERVICES                                              

Synopsis of Bill as introduced:
        Creates the Access to  Emergency  Services  Act.   Provides  that      
   health   insurance  plans,  as  defined,  must  provide  coverage  for      
   emergency services obtained by a  covered  individual.   Provides  for      
   administration  by  the  Department of Insurance.  Amends the Illinois      
   Insurance  Code,  Comprehensive  Health  Insurance  Plan  Act,  Health      
   Maintenance Organization Act, and Illinois Public Aid Code to  require      
   coverage   under   those   Acts   for  emergency  service.   Effective      
        HOUSE AMENDMENT NO. 1.                                                 
        Provides  that  certain  determinations  shall  be  made  by  any      
   physician rather than a physician of the hospital.  Deletes  provision      
   requiring payment for emergency medical screening examinations.             
          FISCAL NOTE, H-AM 1 (Dept. of Insurance)                             
          Hiring of two registered nurses and support staff and equipment      
          will probably cost in the area of $200,000.                          
          FISCAL NOTE (CMS)                                                    
          The Dept. of CMS estimates that HB 643 will result in a 1.8 to       
          2.5 percent increase in HMO cost, which would equate to $4.6         
          million to $6.2 million.                                             
          FISCAL NOTE (Dept. of Public Aid)                                    
          The Dept. feels that the assumption of authorization of ser-         
          vices unless a denial is received within 30 miniutes will lead       
          to an increase in expenditures. This increase could cause HMO's      
          doing business with the Dept. to request an increase to the          
          capitation rate paid to them.                                        
Last action on Bill: SESSION SINE DIE

   Last action date: 99-01-12

           Location: House

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


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