97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
HB3784

 

Introduced 5/23/2011, by Rep. David R. Leitch

 

SYNOPSIS AS INTRODUCED:
 
5 ILCS 375/6.1  from Ch. 127, par. 526.1

    Amends the State Employees Group Insurance Act of 1971. Provides that if health benefits coverage is offered under the Act through a health maintenance organization, then (i) at least one participating health maintenance organization must be accessible in each county with 50,000 or fewer inhabitants and (ii) at least 2 participating health maintenance organizations must be accessible in every county with more than 50,000 inhabitants. Specifies that access to an open access plan is not considered access to a health maintenance organization. Effective immediately.


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FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

HB3784LRB097 12105 JDS 56040 b

1    AN ACT concerning State government.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The State Employees Group Insurance Act of 1971
5is amended by changing Section 6.1 as follows:
 
6    (5 ILCS 375/6.1)  (from Ch. 127, par. 526.1)
7    Sec. 6.1. Health maintenance organizations. The program of
8health benefits may offer as an alternative, available on an
9optional basis, coverage through health maintenance
10organizations. That part of the premium for such coverage which
11is in excess of the amount which would otherwise be paid by the
12State for the program of health benefits shall be paid by the
13member who elects such alternative coverage and shall be
14collected as provided for premiums for other optional
15coverages.
16    If a county has 50,000 or fewer inhabitants, then health
17benefits coverage offered under this Section must provide
18access to at least one participating health maintenance
19organization in that county. If a county has more than 50,000
20inhabitants, then health benefits coverage offered under this
21Section must provide access to at least 2 participating health
22maintenance organizations in that county. For the purposes of
23this Section, access to an open access plan is not considered

 

 

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1access to a health maintenance organization.
2    However, nothing in this Act shall be construed to permit,
3after the effective date of this amendatory Act of 1983, the
4noncontributory portion of any such program to include the
5expenses of obtaining an abortion, induced miscarriage or
6induced premature birth unless, in the opinion of a physician,
7such procedures are necessary for the preservation of the life
8of the woman seeking such treatment, or except an induced
9premature birth intended to produce a live viable child and
10such procedure is necessary for the health of the mother or her
11unborn child.
12(Source: P.A. 85-848.)
 
13    Section 99. Effective date. This Act takes effect upon
14becoming law.