093_HB1348
LRB093 11284 JLS 13083 b
1 AN ACT concerning insurance.
2 Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
4 Section 5. The Illinois Insurance Code is amended by
5 adding Section 356z.4 as follows:
6 (215 ILCS 5/356z.4 new)
7 Sec. 356z.4. Surgical assistants. A group or individual
8 policy of accident and health insurance amended, delivered,
9 issued, or renewed after the effective date of this
10 amendatory Act of the 93rd General Assembly that provides
11 coverage for health care services, including surgical
12 services, must provide coverage for services rendered by an
13 assistant in surgery authorized or credentialed by a hospital
14 under Section 10.7 of the Hospital Licensing Act or by an
15 ambulatory surgical treatment center under Section 6.5 of the
16 Ambulatory Surgical Treatment Center Act to provide surgical
17 assistance to a physician licensed to practice medicine in
18 all its branches. In the case of an assistant physician, a
19 nationally certified surgical assistant, or a nationally
20 certified first assistant, insurance reimbursement may be
21 made directly to the provider.
22 Section 10. The Health Maintenance Organization Act is
23 amended by changing Section 4-6.5 as follows:
24 (215 ILCS 125/4-6.5)
25 Sec. 4-6.5. Required health benefits; Illinois Insurance
26 Code requirements. A health maintenance organization is
27 subject to the provisions of Sections 155.37, 356t, 356u, and
28 356z.1, and 356z.4 of the Illinois Insurance Code.
29 (Source: P.A. 92-130, eff. 7-20-01; 92-440, eff. 8-17-01;
-2- LRB093 11284 JLS 13083 b
1 92-651, eff. 7-11-02.)
2 Section 15. The Voluntary Health Services Plans Act is
3 amended by changing Section 10 as follows:
4 (215 ILCS 165/10) (from Ch. 32, par. 604)
5 Sec. 10. Application of Insurance Code provisions.
6 Health services plan corporations and all persons interested
7 therein or dealing therewith shall be subject to the
8 provisions of Articles IIA and XII 1/2 and Sections 3.1, 133,
9 140, 143, 143c, 149, 155.37, 354, 355.2, 356r, 356t, 356u,
10 356v, 356w, 356x, 356y, 356z.1, 356z.2, 356z.4, 367.2, 368a,
11 401, 401.1, 402, 403, 403A, 408, 408.2, and 412, and
12 paragraphs (7) and (15) of Section 367 of the Illinois
13 Insurance Code.
14 (Source: P.A. 91-406, eff. 1-1-00; 91-549, eff. 8-14-99;
15 91-605, eff. 12-14-99; 91-788, eff. 6-9-00; 92-130, eff.
16 7-20-01; 92-440, eff. 8-17-01; 92-651, eff. 7-11-02; 92-764,
17 eff. 1-1-03.)
18 Section 99. Effective date. This Act takes effect upon
19 becoming law.