100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018
HB3767
 
Introduced , by Rep. Carol Ammons
 
SYNOPSIS AS INTRODUCED:
 

 
215 ILCS 5/368g new

     Amends the Illinois Insurance Code. Provides that a qualified individual enrolled in a qualified health plan may allow certain third parties to pay any applicable premium or cost sharing owed by the qualified individual to the health insurance issuer issuing the qualified health plan, and the health insurance issuer shall accept any payments made on behalf of the qualified individual, including payments from certain third parties.
  


LRB100 10646 SMS 20869 b

 
 
A BILL FOR
 

  
HB3767LRB100 10646 SMS 20869 b


  
1    AN ACT concerning regulation.
  
 
2    Be it enacted by the People of the State of Illinois,
 
3represented in the General Assembly:
  
 
 
4    Section 5. The Illinois Insurance Code is amended  by adding 
5Section 368g as follows:
 
6    (215 ILCS 5/368g new)
7    Sec. 368g. Third party payors.
8    (a) As used in this Section:
9        (1) "Affordable Care Act" means the federal Patient 
10    Protection and Affordable Care Act, as amended.
11        (2) "Health insurance marketplace" means the health 
12    insurance marketplace established for Illinois pursuant to 
13    the Affordable Care Act.
14        (3) "Qualified health plan" means a plan of health 
15    insurance that is certified by the health insurance 
16    marketplace and meets the requirements of the Affordable 
17    Care Act, including coverage of essential health benefits.
18        (4) "Qualified individual" means an individual who has 
19    been determined eligible to enroll through the health 
20    insurance marketplace in a qualified health plan in the 
21    individual market.
22    (b) A qualified individual enrolled in a qualified health 
23plan may allow certain third parties to pay any applicable 
 
 
HB3767- 2 -LRB100 10646 SMS 20869 b

1premium or cost sharing owed by the qualified individual to the 
2health insurance issuer issuing the qualified health plan, and 
3the health insurance issuer shall accept any payments made on 
4behalf of the qualified individual, including any payments 
5from:
6        (1) a State or federal government program, including 
7    assistance provider under a grant awarded pursuant to Title 
8    XXVI of the Public Health Service Act;
9        (2) Indian tribes, tribal organizations, or urban 
10    Indian organizations; and
11        (3) A program conducted by an organization that is:
12            (A) exempt from taxation pursuant to Section 
13        501(a) of the Internal Revenue Code of 1986;
14            (B) described in clause (i) or (vi) of Section 
15        170(b)(1)(A) of the Internal Revenue Code of 1986; and
16            (C) operated in compliances with applicable 
17        federal law, including the False Claims Act, 31 U.S.C. 
18        Sections 3729 through 3733.