94TH GENERAL ASSEMBLY
State of Illinois
2005 and 2006
HB1168


 
Introduced 2/8/2005, by Rep. Frank J. Mautino
 
SYNOPSIS AS INTRODUCED:
 		














215 ILCS 5/356z.2









    Amends the Illinois Insurance Code. Makes a technical change in a Section concerning coverage for adjunctive services in dental care.
















LRB094 09663 LJB 39918 b

















 


 


A BILL FOR









 











HB1168

LRB094 09663 LJB 39918 b






1
    AN ACT concerning regulation.

 
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
changing Section 356z.2 as follows:
 



6
    (215 ILCS 5/356z.2)



7
    Sec. 356z.2. Coverage for adjunctive services in dental 
8
care. 

9
    (a) An individual or group policy of accident and health 
10
insurance
amended, delivered, issued, or renewed after the
the 
11
effective date of this
amendatory Act of the 92nd General 
12
Assembly shall cover
charges incurred, and anesthetics 
13
provided, in
conjunction with dental care that is provided to a 
14
covered individual in a
hospital or
an ambulatory surgical 
15
treatment center
if any of the
following
applies:


16
        (1) the individual is a child age 6 or under;


17
        (2) the individual has a medical condition that 
18
    requires
hospitalization or general anesthesia for dental 
19
    care; or


20
        (3) the individual is disabled.

21
    (b) For purposes of this Section, "ambulatory surgical 
22
treatment center"
has the meaning given to that term in Section 
23
3 of the Ambulatory
Surgical Treatment Center Act.

24
    For purposes of this Section, "disabled" means a person, 
25
regardless of age,
with a chronic
disability if the chronic 
26
disability meets all of the following conditions:


27
        (1) It is attributable to a mental or physical 
28
    impairment or
    combination of mental and physical 
29
    impairments.


30
        (2) It is likely to continue.


31
        (3) It results in substantial functional limitations 
32
    in one or more of
the following areas of major life 
 


 






HB1168
- 2 -
LRB094 09663 LJB 39918 b




1
    activity:


2
            (A) self-care;


3
            (B) receptive and expressive language;


4
            (C) learning;


5
            (D) mobility;


6
            (E) capacity for independent living; or


7
            (F) economic self-sufficiency.

8
    (c) The coverage required under this Section may be subject 
9
to any
limitations, exclusions, or cost-sharing provisions 
10
that apply generally under
the insurance policy.

11
    (d) This Section does not apply to a policy that covers 
12
only dental care.

13
    (e) Nothing in this Section requires that the dental 
14
services be
covered.

15
    (f) The provisions of this Section do not apply to 
16
short-term travel,
accident-only, limited, or specified 
17
disease policies, nor to policies or
contracts designed for 
18
issuance to persons eligible for coverage under Title
XVIII of 
19
the Social Security Act, known as Medicare, or any other 
20
similar
coverage under State or federal governmental plans.

21
(Source: P.A. 92-764, eff. 1-1-03.)