SB2173 Engrossed

LRB095 15141 KBJ 41106 b






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    AN ACT concerning insurance.

 
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    Be it enacted by the People of the State of Illinois,
 
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represented in the General Assembly:


 
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    Section 5. The Children's Health Insurance Program Act is 
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amended  by adding Section 65 as follows:
 
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    (215 ILCS 106/65  new)
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    Sec. 65. Fee schedule.  Beginning on January 1, 2009, 
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reimbursement for any physician service must not be lower than 
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60% of Medicare reimbursement in accordance with the Medicare 
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payment localities for Illinois.  The physician fee schedule 
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rates must be adjusted to no lower than 80% of Medicare 
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reimbursement by January 1, 2010, and no lower than 100% of 
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Medicare reimbursement by January 1, 2011. All adjustments 
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shall be made without lowering any existing rates that may be 
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higher than the level required by this Section.  Reimbursement 
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rules and policies shall not be more restrictive than Medicare 
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physician payment rules and policies by January 1, 2010.  
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Payment for services must be made within 30 days after receipt 
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of a bill or claim for payment in accordance with Section 368a 
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of the Illinois Insurance Code.
 
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    Section 10. The Covering ALL KIDS Health Insurance  Act is 
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amended  by adding Section 52.5 as follows:
 
 


 






SB2173 Engrossed
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    (215 ILCS 170/52.5  new)
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    Sec. 52.5. Fee schedule. Beginning on January 1, 2009, the 
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physician fee schedule for the Covering ALL KIDS Insurance 
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Program for any physician service must not be lower than 60% of 
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Medicare reimbursement in accordance with the Medicare payment 
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localities for Illinois.  The physician fee schedule rates must 
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be adjusted to no lower than 80% of Medicare reimbursement by 
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January 1, 2010, and no lower than 100% of Medicare 
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reimbursement by January 1, 2011. All adjustments shall be made 
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without lowering any existing rates that may be higher than the 
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level required by this Section.  Reimbursement rules and 
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policies shall not be more restrictive than Medicare physician 
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payment rules and policies by January 1, 2010.  Payment for 
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services must be made within 30 days after receipt of a bill or 
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claim for payment in accordance with Section 368a of the 
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Illinois Insurance Code.
 
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    Section 15. The Illinois Public Aid Code is amended  by 
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adding Section 5-5.05 as follows:
 
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    (305 ILCS 5/5-5.05  new)
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    Sec. 5-5.05. Fee schedule. Notwithstanding any other 
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provision of this Article, beginning on January 1, 2009, 
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reimbursement for any physician service must not be lower than 
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60% of Medicare reimbursement in accordance with the Medicare 
 


 






SB2173 Engrossed
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LRB095 15141 KBJ 41106 b




1
payment localities for Illinois.  The physician fee schedule 
2
rates must be adjusted to no lower than 80% of Medicare 
3
reimbursement by January 1, 2010, and no lower than 100% of 
4
Medicare reimbursement by January 1, 2011. All adjustments 
5
shall be made without lowering any existing rates that may be 
6
higher than the level required by this Section.  Reimbursement 
7
rules and policies shall not be more restrictive than Medicare 
8
physician payment rules and policies by January 1, 2010.  
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Payment for services must be made within 30 days after receipt 
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of a bill or claim for payment in accordance with Section 368a 
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of the Illinois Insurance Code.


 

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    Section 99. Effective date. This Act takes effect upon 
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becoming law.