SB1425 99TH GENERAL ASSEMBLY

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99TH GENERAL ASSEMBLY
State of Illinois
2015 and 2016
SB1425

Introduced 2/20/2015, by Sen. Martin A. Sandoval

SYNOPSIS AS INTRODUCED:

215 ILCS 5/368g new

Amends the Illinois Insurance Code. Provides that no insurer that issues an accident and health insurance policy in this State may impose greater fees for copayments, coinsurance, or office visit deductibles for covered services provided by a licensed physical therapist than the fees charged for copayments, coinsurance, and office visit deductibles for the same covered services provided by a licensed primary care physician. Provides that every insurer that issues an accident and health insurance policy in this State that provides coverage for physical therapy shall clearly state in its policies the availability of coverage for physical therapy and all related limitations, conditions, and exclusions.

A BILL FOR

AN ACT concerning insurance.

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 368g as follows:

(215 ILCS 5/368g new)

Sec. 368g. Coverage for physical therapy. On and after effective date of this amendatory Act of the 99th General Assembly, no insurer that amends, delivers, issues, or renews a policy of accident and health insurance in this State may impose greater fees for copayments, coinsurance, or office visit deductibles for covered services provided by a licensed physical therapist than the fees charged for copayments, coinsurance, and office visit deductibles for the same covered services provided by a licensed primary care physician. Every insurer that amends, delivers, issues, or renews a policy of accident and health insurance in this State that provides coverage for physical therapy shall clearly state in its policies the availability of coverage for physical therapy and all related limitations, conditions, and exclusions.