Bill Status of HB 5315   95th General Assembly


Short Description:  INS CD-NO INCENTIVE PLANS

House Sponsors
Rep. William Davis

Last Action  View All Actions

DateChamber Action
  1/13/2009HouseSession Sine Die

Statutes Amended In Order of Appearance
215 ILCS 5/370e.1 new

Synopsis As Introduced
Amends the Illinois Insurance Code. Provides that no contract between a health care service plan and a physician, physician group, or other licensed health care practitioner shall contain any incentive plan that includes a specific payment made directly, in any type or form, to a physician, physician group, or other licensed health care practitioner as an inducement to prescribe a specific medication or type of medication or to deny, reduce, limit, or delay specific, medically necessary and appropriate services provided with respect to a specific enrollee or groups of enrollees with similar medical conditions. Provides that nothing in the provision shall be construed to prohibit contracts that contain incentive plans that involve general payments, such as capitation payments or shared-risk arrangements that are not tied to specific medical decisions involving specific enrollees or groups of enrollees with similar medical conditions. Provides that the payments rendered or to be rendered to physicians, physician groups, or other licensed health care practitioners under these arrangements shall be deemed confidential.

Actions 
DateChamber Action
  2/14/2008HouseFiled with the Clerk by Rep. William Davis
  2/14/2008HouseFirst Reading
  2/14/2008HouseReferred to Rules Committee
  3/4/2008HouseAssigned to Health & Healthcare Disparities Committee
  3/14/2008HouseRule 19(a) / Re-referred to Rules Committee
  1/13/2009HouseSession Sine Die

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