Rep. Robert "Bob" Rita

Filed: 4/19/2024

 

 


 

 


 
10300HB5317ham002LRB103 38524 RPS 71343 a

1
AMENDMENT TO HOUSE BILL 5317

2    AMENDMENT NO. ______. Amend House Bill 5317, AS AMENDED,
3by replacing everything after the enacting clause with the
4following:
 
5    "Section 5. The Uniform Electronic Transactions in Dental
6Care Billing Act is amended by changing Section 20 as follows:
 
7    (215 ILCS 111/20)
8    Sec. 20. Uniform electronic claims and eligibility
9transactions required.
10    (a) Beginning January 1, 2026 2025, no dental plan carrier
11is required to accept from a dental care provider eligibility
12for a dental plan transaction or dental care claims or
13equivalent encounter information transaction except as
14provided in this Act.
15    (b) All dental plan carriers and dental care providers
16must exchange claims and eligibility information

 

 

10300HB5317ham002- 2 -LRB103 38524 RPS 71343 a

1electronically using the standard electronic data interchange
2transactions for claims submissions, payments, and
3verification of benefits required under the Health Insurance
4Portability and Accountability Act in order to be compensable
5by the dental plan carrier.
6(Source: P.A. 102-146, eff. 7-23-21.)
 
7    Section 99. Effective date. This Act takes effect upon
8becoming law.".