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| | 99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016
SB1331 Introduced 2/18/2015, by Sen. Martin A. Sandoval SYNOPSIS AS INTRODUCED:
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Amends the Illinois Insurance Code. Provides that a health benefit plan or health carrier, including, but not limited to, a preferred provider organization, an independent physician association, a third-party administrator, or any entity that contracts with licensed health care providers shall not impose any fixed co-payment that exceeds 50% of the total billed charges for health care services provided to an insured or enrolled during a visit to a health care provider.
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| | A BILL FOR |
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| | SB1331 | | LRB099 09512 MLM 29720 b |
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| 1 | | AN ACT concerning insurance.
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| 2 | | Be it enacted by the People of the State of Illinois,
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| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Illinois Insurance Code is amended by adding |
| 5 | | Section 356z.3b as follows:
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| 6 | | (215 ILCS 5/356z.3b new) |
| 7 | | Sec. 356z.3b. Health care services copayments. A health |
| 8 | | benefit plan or health carrier, including, but not limited to, |
| 9 | | a preferred provider organization, an independent physician |
| 10 | | association, a third-party administrator, or any entity that |
| 11 | | contracts with licensed health care providers shall not impose |
| 12 | | any fixed co-payment that exceeds 50% of the total billed |
| 13 | | charges for health care services provided to an insured or |
| 14 | | enrolled during a visit to a health care provider.
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