97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
HB3784
 
Introduced 5/23/2011, by Rep. David R. Leitch
 
SYNOPSIS AS INTRODUCED:
 

 



5 ILCS 375/6.1  from Ch. 127, par. 526.1

     Amends the State Employees Group Insurance Act of 1971. Provides that if health benefits coverage is offered  under the Act through a health maintenance organization, then (i) at least one participating health maintenance organization must be accessible in each county with 50,000 or fewer inhabitants and (ii) at least 2 participating health maintenance organizations must be accessible in every county with more than 50,000  inhabitants. Specifies that access to an open access plan is not considered access to a health maintenance organization. Effective immediately.
  


LRB097 12105 JDS 56040 b

FISCAL NOTE ACT MAY APPLY
 
 
A BILL FOR
 

  
HB3784LRB097 12105 JDS 56040 b


  
1    AN ACT concerning State government.
  
 
2    Be it enacted by the People of the State of Illinois,
 
3represented in the General Assembly:
  
 
 
4    Section 5. The State Employees Group Insurance Act of 1971 
5is amended  by changing Section 6.1 as follows:
 



6    (5 ILCS 375/6.1)  (from Ch. 127, par. 526.1)



7    Sec. 6.1. Health maintenance organizations. The program of 
8health benefits may offer as an alternative,
available on an 
9optional basis, coverage through
health maintenance 
10organizations.  That part of the premium for
such coverage which 
11is in excess of the amount which would
otherwise be paid by the 
12State for the program of health benefits shall
be paid by the 
13member who elects such alternative coverage and shall
be 
14collected as provided for premiums for other optional 
15coverages.
16    If a county has 50,000 or fewer inhabitants, then health 
17benefits coverage offered under this Section must provide 
18access to at least one participating health maintenance 
19organization in that county. If a county has more than 50,000 
20inhabitants, then health benefits coverage offered under this 
21Section must provide access to at least 2 participating health 
22maintenance organizations in that county. For the purposes of 
23this Section, access to an open access plan is not considered 
 
 
HB3784- 2 -LRB097 12105 JDS 56040 b

1access to a health maintenance organization. 

2    However, nothing in this Act shall be construed to permit, 
3after
the effective date of this amendatory Act of 1983, the 
4noncontributory portion
of any such program to include the 
5expenses of obtaining an abortion, induced
miscarriage or 
6induced premature birth unless, in the opinion of a physician,

7such procedures are necessary for the preservation of the life 
8of the woman
seeking such treatment, or except an induced 
9premature birth intended to
produce a live viable child and 
10such procedure is necessary for the health
of the mother or her 
11unborn child.

12(Source: P.A. 85-848.)

 
 
13    Section 99. Effective date. This Act takes effect upon 
14becoming law.