95TH GENERAL ASSEMBLY
State of Illinois
2007 and 2008
HB1328


 
Introduced 2/20/2007, by Rep. Esther Golar
 
SYNOPSIS AS INTRODUCED:
 		













215 ILCS 105/14.10 new






215 ILCS 106/65 new






215 ILCS 170/52.5 new






305 ILCS 5/5-5.05 new






330 ILCS 125/37 new










    Amends the Comprehensive Health Insurance Plan Act, the Children's Health Insurance Program Act, the Covering ALL KIDS Insurance Act, the Illinois Public Aid Code, and the Veterans' Health Insurance Program Act.  Provides that the fee schedule for each of these programs must be competitive with those of non-governmental, third-party health insurance programs.  Provides that (i) reimbursement for any service must not be lower than Medicare reimbursement in effect on January 1, 2007; (ii) the fee schedule must be decreased or increased every January 1 corresponding to the decrease or increase in the Consumer Price Index for medical care published by the U.S. Bureau of Labor Statistics, but in no case more than 4% per year; and (iii) payment for services must be made within 30 days after receipt of a bill or claim for payment.  Effective July 1, 2007.
















LRB095 04853 KBJ 24915 b

















FISCAL NOTE ACT MAY APPLY
















 


 


A BILL FOR









 











HB1328

LRB095 04853 KBJ 24915 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 Comprehensive Health Insurance Plan Act is 
5
amended  by adding Section 14.10 as follows:
 
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    (215 ILCS 105/14.10  new)
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    Sec. 14.10. Competitive fee schedule.  The fee schedule for 
8
the Plan must be competitive with those of non-governmental, 
9
third-party health insurance programs.  Reimbursement for any 
10
service must not be lower than Medicare reimbursement in effect 
11
on January 1, 2007.  The fee schedule must be decreased or 
12
increased every January 1 corresponding to the decrease or 
13
increase in the Consumer Price Index for medical care published 
14
by the U.S. Bureau of Labor Statistics, but in no case more 
15
than 4% per year.  Payment for services must be made within 30 
16
days after receipt of a bill or claim for payment in accordance 
17
with Section 368a of the Illinois Insurance Code.
 
18
    Section 10. The Children's Health Insurance Program Act is 
19
amended  by adding Section 65 as follows:
 
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    (215 ILCS 106/65  new)
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    Sec. 65. Competitive fee schedule.  The fee schedule for the 
 


 






HB1328
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1
Plan must be competitive with those of non-governmental, 
2
third-party health insurance programs.  Reimbursement for any 
3
service must not be lower than Medicare reimbursement in effect 
4
on January 1, 2007.  The fee schedule must be decreased or 
5
increased every January 1 corresponding to the decrease or 
6
increase in the Consumer Price Index for medical care published 
7
by the U.S. Bureau of Labor Statistics, but in no case more 
8
than 4% per year. Payment for services must be made within 30 
9
days after receipt of a bill or claim for payment in accordance 
10
with Section 386a of the Illinois Insurance Code.
 
11
    Section 15. The Covering ALL KIDS Health Insurance  Act is 
12
amended  by adding Section 52.5 as follows:
 
13
    (215 ILCS 170/52.5  new)
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    Sec. 52.5. Fee Schedule. The fee schedule for the Covering 
15
ALL KIDS Insurance Program must be competitive with those of 
16
non-governmental, third-party health insurance programs.  
17
Reimbursement for any service must not be lower than Medicare 
18
reimbursement in effect on January 1, 2007.  The fee schedule 
19
must be decreased or increased every January 1 corresponding to 
20
the decrease or increase in the Consumer Price Index for 
21
medical care published by the U.S. Bureau of Labor Statistics, 
22
but in no case more than 4% per year.  Payment for services must 
23
be made within 30 days after receipt of a bill or claim for 
24
payment in accordance with Section 368a of the Illinois 
 


 






HB1328
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1
Insurance Code.
 
2
    Section 20. The Illinois Public Aid Code is amended  by 
3
adding Section 5-5.05 as follows:
 
4
    (305 ILCS 5/5-5.05  new)
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    Sec. 5-5.05. Competitive fee schedule. Notwithstanding any 
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other provision of this Article, the fee schedule for the 
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program must be competitive with those of non-governmental, 
8
third-party health insurance programs.  Reimbursement for any 
9
service must not be lower than Medicare reimbursement in effect 
10
on January 1, 2007.  The fee schedule must be decreased or 
11
increased every January 1 corresponding to the decrease or 
12
increase in the Consumer Price Index for medical care published 
13
by the U.S. Bureau of Labor Statistics, but in no case more 
14
than 4% per year.  Payment for services must be made within 30 
15
days after receipt of a bill or claim for payment in accordance 
16
with Section 368a of the Illinois Insurance Code.

 
17
    Section 25. The Veterans' Health Insurance Program Act is 
18
amended  by adding Section 37 as follows:
 
19
    (330 ILCS 125/37 new)

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    Sec. 37. Competitive fee schedule. The fee schedule for the 
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Program must be competitive with those of non-governmental, 
22
third-party health insurance programs.  Reimbursement for any 
 


 






HB1328
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LRB095 04853 KBJ 24915 b




1
service must not be lower than Medicare reimbursement in effect 
2
on January 1, 2007.  The fee schedule must be decreased or 
3
increased every January 1 corresponding to the decrease or 
4
increase in the Consumer Price Index for medical care published 
5
by the U.S. Bureau of Labor Statistics, but in no case more 
6
than 4% per year. Payment for services must be made within 30 
7
days after receipt of a bill or claim for payment in accordance 
8
with Section 386a of the Illinois Insurance Code.

 

9
    Section 99. Effective date. This Act takes effect July 1, 
10
2007.