95TH GENERAL ASSEMBLY
State of Illinois
2007 and 2008
SB0530

 

Introduced 2/8/2007, by Sen. Kwame Raoul

 

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 04855 KBJ 24917 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

SB0530 LRB095 04855 KBJ 24917 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:
 
6     (215 ILCS 105/14.10 new)
7     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:
 
20     (215 ILCS 106/65 new)
21     Sec. 65. Competitive fee schedule. The fee schedule for the

 

 

SB0530 - 2 - LRB095 04855 KBJ 24917 b

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)
14     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

 

 

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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)
5     Sec. 5-5.05. Competitive fee schedule. Notwithstanding any
6 other provision of this Article, the fee schedule for the
7 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)
20     Sec. 37. Competitive fee schedule. The fee schedule for the
21 Program must be competitive with those of non-governmental,
22 third-party health insurance programs. Reimbursement for any

 

 

SB0530 - 4 - LRB095 04855 KBJ 24917 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.