Bill Status of SB 1545   97th General Assembly


Short Description:  INS CD-CONTRACTING-RECOUPMENT

Senate Sponsors
Sen. William R. Haine

Last Action  View All Actions

DateChamber Action
  1/8/2013SenateSession Sine Die

Statutes Amended In Order of Appearance
215 ILCS 5/355.3 new
215 ILCS 5/368d

Synopsis As Introduced
Amends the Illinois Insurance Code. Provides that dental insurance plans must list in the fee schedule attached to the contract every Code on Dental Procedures and Nomenclature (CDT) code upon which the plan imposes a capped fee and the dollar amount of the capped fee. Provides that any CDT code not so listed shall not be subject to any fee cap, and the provider may balance bill the patient. Provides that dental insurance plans must highlight any changes in subsequent contract terms or conditions and shall have the original plan administrator notify the enrolled dentist and allow the dentist sufficient time to respond. Provides that no recoupment or offset may be requested or withheld from future payments 366 or more days after the original payment is made. Provides that no contract between an insurer and a health care professional or health care provider may provide for recoupments in violation of the provision concerning recoupment.

Senate Committee Amendment No. 1
Deletes reference to:
215 ILCS 5/355.3 new
215 ILCS 5/368d
Adds reference to:
215 ILCS 5/1from Ch. 73, par. 613

Replaces everything after the enacting clause. Amends the Illinois Insurance Code. Makes a technical change in a Section concerning the short title.

Actions 
DateChamber Action
  2/9/2011SenateFiled with Secretary by Sen. William R. Haine
  2/9/2011SenateFirst Reading
  2/9/2011SenateReferred to Assignments
  2/23/2011SenateAssigned to Insurance
  3/14/2011SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. William R. Haine
  3/14/2011SenateSenate Committee Amendment No. 1 Referred to Assignments
  3/15/2011SenateSenate Committee Amendment No. 1 Assignments Refers to Insurance
  3/16/2011SenateSenate Committee Amendment No. 1 Adopted
  3/17/2011SenateDo Pass as Amended Insurance; 007-001-000
  3/17/2011SenatePlaced on Calendar Order of 2nd Reading March 17, 2011
  4/8/2011SenateSecond Reading
  4/8/2011SenatePlaced on Calendar Order of 3rd Reading April 11, 2011
  4/15/2011SenateRule 2-10 Third Reading Deadline Established As May 4, 2011
  7/23/2011SenatePursuant to Senate Rule 3-9(b) / Referred to Assignments
  1/8/2013SenateSession Sine Die

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