92nd General Assembly
Summary of HB4896
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House Sponsors:

Short description: 
MED PATIENT BILLING                                                        

Synopsis of Bill as introduced:
        Amends  the  Health  Maintenance  Organization  Act  and  Medical      
   Patient Rights Act.  Provides that a health care provider may not bill      
   patients for services except for applicable deductibles or  copayments      
   or for services not covered when the health care provider has provided      
   the  services  under  a  contract  with an insurance company or health      
   maintenance organization under which  the  health  care  provider  has      
   agreed not to seek payment from patients.  Provides for enforcement by      
   the  Director  of  Insurance.    Amends the Workers' Compensation Act.      
   Provides that a provider of medical services or  related  services  or      
   items  to an injured employee agrees to be bound by charges or payment      
   levels allowed by the Industrial Commission.  Provides  that  disputes      
   regarding  reasonableness  of  fees  or  charges  shall be resolved in      
   accordance with the Act or the  Workers'  Occupational  Diseases  Act.      
   Prohibits  a  provider,  employer,  or  insurance carrier from seeking      
   payment  for  services  or  items   from   an   employee.    Effective      
        HOUSE AMENDMENT NO. 1.                                                 
          Deletes reference to:                                                
          410 ILCS 50/3.3 new                                                  
          410 ILCS 50/4                                                        
          820 ILCS 305/8                                                       
        Replaces everything after the enacting clause.  Amends the Health      
   Maintenance Organization  Act.   Changes  the  caption  to  a  Section      
   concerning provider agreements.                                             
Last action on Bill: SESSION SINE DIE

   Last action date: JAN-07-2003

           Location: House

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


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