HB4774 98TH GENERAL ASSEMBLY

LRB098 18348 RPM 53484 b

98TH GENERAL ASSEMBLY
State of Illinois
2013 and 2014
HB4774

Introduced , by Rep. Sara Feigenholtz

SYNOPSIS AS INTRODUCED:

215 ILCS 5/370b.1 new

Amends the Illinois Insurance Code. Provides that a group health plan and a health insurance issuer offering group or individual health insurance coverage may not discriminate with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider's license or certification under applicable State law. Provides that group health plans and health insurance issuers may not refuse to accept certain types of providers into a network solely on the basis of their type of licensure. Provides that nothing in the provision concerning nondiscrimination in health care shall be construed as preventing a group health plan, a health insurance issuer, or the Department of Insurance from establishing varying reimbursement rates based on quality or performance measures.

A BILL FOR

AN ACT concerning regulation.

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

Section 5. The Illinois Insurance Code is amended by adding Section 370b.1 as follows:

(215 ILCS 5/370b.1 new)

Sec. 370b.1. Nondiscrimination in health care. A group health plan and a health insurance issuer offering group or individual health insurance coverage may not discriminate with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider's license or certification under applicable State law. Group health plans and health insurance issuers may not refuse to accept certain types of providers into a network solely on the basis of their type of licensure. Nothing in this Section shall be construed as preventing a group health plan, a health insurance issuer, or the Department from establishing varying reimbursement rates based on quality or performance measures.