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| 1 | AN ACT concerning regulation.
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| 2 | Be it enacted by the People of the State of Illinois,
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| 3 | represented in the General Assembly:
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| 4 | Section 5. The Illinois Insurance Code is amended by adding | ||||||
| 5 | Section 356z.33 as follows: | ||||||
| 6 | (215 ILCS 5/356z.33 new) | ||||||
| 7 | Sec. 356z.33. Coverage for cardiopulmonary monitors. A | ||||||
| 8 | group or individual policy of accident and health insurance | ||||||
| 9 | amended, delivered, issued, or renewed after the effective date | ||||||
| 10 | of this amendatory Act of the 101st General Assembly shall | ||||||
| 11 | provide coverage for cardiopulmonary monitors determined to be | ||||||
| 12 | medically necessary for a person 18 years old or younger who | ||||||
| 13 | has had a cardiopulmonary event. | ||||||
| 14 | Section 10. The Illinois Public Aid Code is amended by | ||||||
| 15 | changing Section 5-16.8 as follows:
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| 16 | (305 ILCS 5/5-16.8)
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| 17 | Sec. 5-16.8. Required health benefits. The medical | ||||||
| 18 | assistance program
shall
(i) provide the post-mastectomy care | ||||||
| 19 | benefits required to be covered by a policy of
accident and | ||||||
| 20 | health insurance under Section 356t and the coverage required
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| 21 | under Sections 356g.5, 356u, 356w, 356x, 356z.6, 356z.26, and | ||||||
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| 1 | 356z.29, 356z.32, and 356z.33 of the Illinois
Insurance Code | ||||||
| 2 | and (ii) be subject to the provisions of Sections 356z.19, | ||||||
| 3 | 364.01, 370c, and 370c.1 of the Illinois
Insurance Code.
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| 4 | On and after July 1, 2012, the Department shall reduce any | ||||||
| 5 | rate of reimbursement for services or other payments or alter | ||||||
| 6 | any methodologies authorized by this Code to reduce any rate of | ||||||
| 7 | reimbursement for services or other payments in accordance with | ||||||
| 8 | Section 5-5e. | ||||||
| 9 | To ensure full access to the benefits set forth in this | ||||||
| 10 | Section, on and after January 1, 2016, the Department shall | ||||||
| 11 | ensure that provider and hospital reimbursement for | ||||||
| 12 | post-mastectomy care benefits required under this Section are | ||||||
| 13 | no lower than the Medicare reimbursement rate. | ||||||
| 14 | (Source: P.A. 99-433, eff. 8-21-15; 99-480, eff. 9-9-15; | ||||||
| 15 | 99-642, eff. 7-28-16; 100-138, eff. 8-18-17; 100-863, eff. | ||||||
| 16 | 8-14-18; 100-1057, eff. 1-1-19; 100-1102, eff. 1-1-19; revised | ||||||
| 17 | 10-4-18.)
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| 18 | Section 99. Effective date. This Act takes effect January | ||||||
| 19 | 1, 2020.
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