95TH GENERAL ASSEMBLY
State of Illinois
2007 and 2008
HB4255


 
Introduced , by Rep. Robert W. Pritchard
 
SYNOPSIS AS INTRODUCED:
 		

















5 ILCS 375/6.11





55 ILCS 5/5-1069.3





65 ILCS 5/10-4-2.3





105 ILCS 5/10-22.3f









    Amends the State Employees Group Insurance Act of 1971, the Counties Code, the Illinois Municipal Code, and the School Code to require coverage for medically necessary preventative physical therapy for insureds diagnosed with multiple sclerosis.
















LRB095 15718 KBJ 41725 b

















FISCAL NOTE ACT MAY APPLY


STATE MANDATES ACT MAY REQUIRE REIMBURSEMENT
















 


 


A BILL FOR









 











HB4255

LRB095 15718 KBJ 41725 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 State Employees Group Insurance Act of 1971 
5
is amended  by changing Section 6.11 as follows:
 


6
    (5 ILCS 375/6.11)


7
    Sec. 6.11. Required health benefits; Illinois Insurance 
8
Code
requirements.  The program of health
benefits shall provide 
9
the post-mastectomy care benefits required to be covered
by a 
10
policy of accident and health insurance under Section 356t of 
11
the Illinois
Insurance Code.  The program of health benefits 
12
shall provide the coverage
required under Sections 356g.5,

13
356u, 356w, 356x, 356z.2, 356z.4, 356z.6, 356z.8, and 356z.9, 
14
and 356z.10
356z.9 of the
Illinois Insurance Code.
The program 
15
of health benefits must comply with Section 155.37 of the

16
Illinois Insurance Code.

17
(Source: P.A. 95-189, eff. 8-16-07; 95-422, eff. 8-24-07; 
18
95-520, eff. 8-28-07; revised 12-4-07.)

 
19
    Section 10. The Counties Code is amended  by changing 
20
Section 5-1069.3 as follows:
 
21
    (55 ILCS 5/5-1069.3)

 


 






HB4255
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LRB095 15718 KBJ 41725 b




1
    Sec. 5-1069.3. Required health benefits.   If a county, 
2
including a home
rule
county, is a self-insurer for purposes of 
3
providing health insurance coverage
for its employees, the 
4
coverage shall include coverage for the post-mastectomy
care 
5
benefits required to be covered by a policy of accident and 
6
health
insurance under Section 356t and the coverage required 
7
under Sections 356g.5, 356u,
356w, 356x, 356z.6, 356z.8, and 
8
356z.9, and 356z.10
356z.9 of
the Illinois Insurance Code.  The 
9
requirement that health benefits be covered
as provided in this 
10
Section is an
exclusive power and function of the State and is 
11
a denial and limitation under
Article VII, Section 6, 
12
subsection (h) of the Illinois Constitution.  A home
rule county 
13
to which this Section applies must comply with every provision 
14
of
this Section.


15
(Source: P.A. 95-189, eff. 8-16-07; 95-422, eff. 8-24-07; 
16
95-520, eff. 8-28-07; revised 12-4-07.)

 
17
    Section 15. The Illinois Municipal Code is amended  by 
18
changing Section 10-4-2.3 as follows:
 
19
    (65 ILCS 5/10-4-2.3)

20
    Sec. 10-4-2.3. Required health benefits.   If a 
21
municipality, including a
home rule municipality, is a 
22
self-insurer for purposes of providing health
insurance 
23
coverage for its employees, the coverage shall include coverage 
24
for
the post-mastectomy care benefits required to be covered by 
 


 






HB4255
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LRB095 15718 KBJ 41725 b




1
a policy of
accident and health insurance under Section 356t 
2
and the coverage required
under Sections 356g.5, 356u, 356w, 
3
356x, 356z.6, 356z.8, and 356z.9, and  356z.10
356z.9 of the 
4
Illinois
Insurance
Code.  The requirement that health
benefits 
5
be covered as provided in this is an exclusive power and 
6
function of
the State and is a denial and limitation under 
7
Article VII, Section 6,
subsection (h) of the Illinois 
8
Constitution.  A home rule municipality to which
this Section 
9
applies must comply with every provision of this Section.


10
(Source: P.A. 95-189, eff. 8-16-07; 95-422, eff. 8-24-07; 
11
95-520, eff. 8-28-07; revised 12-4-07.)

 
12
    Section 20. The School Code is amended  by changing Section 
13
10-22.3f as follows:
 
14
    (105 ILCS 5/10-22.3f)

15
    Sec. 10-22.3f. Required health benefits.   Insurance 
16
protection and
benefits
for employees shall provide the 
17
post-mastectomy care benefits required to be
covered by a 
18
policy of accident and health insurance under Section 356t and 
19
the
coverage required under Sections 356g.5, 356u, 356w, 356x,


20
356z.6, 356z.8, and 356z.9 of
the
Illinois Insurance Code.


21
(Source: P.A. 95-189, eff. 8-16-07; 95-422, eff. 8-24-07; 
22
revised 12-4-07.)