102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
HB4483
 
Introduced 1/21/2022, by Rep. Stephanie A. Kifowit
 
SYNOPSIS AS INTRODUCED:
 

 
215 ILCS 5/356z.53 new

     Amends the Illinois Insurance Code. Provides that a group or individual policy of accident and health insurance that is amended, delivered, issued, or renewed on or after January 1, 2023 shall for each plan year provide coverage for and shall not impose any cost-sharing requirements for 3 primary care visits and 3 behavioral health care visits. Provides that a health insurer shall ensure that the treatment limitations applicable to the health care visits are no more restrictive than the treatment limitations applied to any other primary care visit or behavioral health care visit covered by the plan or coverage and that there are no separate treatment limitations that are applicable only with respect to the covered visits, and that the reimbursement rates under the plan or coverage for the covered visits are the same as the rates for any other primary care visit or behavioral health care visit covered by the plan or coverage.
  


LRB102 22103 BMS 31231 b

 
 
A BILL FOR
 

  
HB4483LRB102 22103 BMS 31231 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 
5adding Section 356z.53 as follows:
 
6    (215 ILCS 5/356z.53 new)
7    Sec. 356z.53. Health care visits; cost sharing.
8    (a)   A group or individual policy of accident and health 
9insurance that is amended, delivered, issued, or renewed on or 
10after January 1, 2023 shall for each plan year provide 
11coverage for and shall not impose any cost-sharing 
12requirements for:
13        (1)   3 primary care visits; and
14        (2)   3 behavioral health care visits.
15    (b)   A health insurer shall ensure that:
16        (1)   the treatment limitations applicable to the health 
17    care visits described in subsection (a) are no more 
18    restrictive than the treatment limitations applied to any 
19    other primary care visit or behavioral health care visit 
20    covered by the plan or coverage and that there are no 
21    separate treatment limitations that are applicable only 
22    with respect to the health care visits described in 
23    subsection (a); and
 
 
HB4483- 2 -LRB102 22103 BMS 31231 b

1        (2)   the reimbursement rates under the plan or the 
2    coverage for the health care visits described in 
3    subsection (a) are the same as the rates for any other 
4    primary care visit or behavioral health care visit covered 
5    by the plan or coverage.